• Journal of the korean academy of Pediatric Dentistry
• /
• v.44 no.2
• /
• pp.228-234
• /
• 2017

Hydrocephalus is a condition in which the volume of cerebrospinal fluid in the cerebral ventricles is abnormally elevated. Hydrocephalus patients may show macrocephaly and delayed development. Ventriculoperitoneal shunt is the most commonly used treatment but ventriculoatrial shunt is another treatment option. This report discusses the dental management process employed for a 7-year, 6-month old patient with ventriculoperitoneal shunt-treated hydrocephalus. This patient showed dental caries on the deciduous molars, facial swelling, macrocephaly and delayed development. Pulpectomy was performed on the deciduous molars under nitrous oxide sedation and mild protective stabilization. This patient did not appear to have any specific complications until the latest follow-up and was scheduled for the management of overall oral hygiene, development of permanent teeth, and craniofacial asymmetry through periodic follow-up. During dental treatment of shunt-treated patients, care should be taken to avoid applying excessive force to the catheter running along the patient's neck to prevent the displacement of the catheter. A referral to a neurosurgeon is recommended for patients with ventriculoatrial shunts for prophylactic antibiotics. As hydrocephalus patients grow, they may show craniofacial asymmetry or differences in the calcification of the permanent teeth, and require periodic oral and craniofacial assessment.

• 한국방재학회:학술대회논문집
• /
• 2011.02a
• /
• pp.159-159
• /
• 2011

수자원 공급의 시 공간적 편차가 큰 우리나라에서는 수자원을 이용하기 위해서 다수의 댐을 건설하고 있다. 특히, 생활수준의 향상으로 용수 수요가 급증하였기 때문에 용수가 부족한 곳에는 광역상수도 사업 등을 통하여 용수를 공급하고 있다. 댐에서 용수가 공급되기까지의 과정은 일종의 관수로 흐름으로 생각할 수 있다. 관수로 내를 흐르는 유체가 갑자기 정지하게 되면, 유체 운동 에너지의 변화가 유발되고, 그로 인해 관내에 급격한 압력의 상승이 일어나게 된다. 반대로 정지하고 있던 유체가 빠른 속도로 흐르게 되면 압력 감소가 급격하게 발생한다. 이와 같이 유체 운동 상태의 급변에 의한 압력변화와 그에 따른 압력파가 음속의 속도로 상 하류로 전파되는 현상을 수격작용(waterhammer)이라 한다. 통상적으로 수격작용은 밸브 개폐 정도가 갑자기 바뀔 때, 펌프의 급격한 기동이나 정지 시, 터빈 내 전력소요가 갑자기 바뀔 때, 댐 수위의 갑작스런 변화, 펌프 임펠러의 진동, 물 수요의 급격한 변화 등에 의해 발생하며, 수격작용은 유체의 질량과 운동량 때문에 관 벽에 큰 힘을 가하게 되어 정상적인 동수압 보다 몇 배나 큰 압력을 발생시킴으로 관 자체는 물론 펌프, 밸브, 터빈 등 관 시설물을 파손시키거나 진동, 소음 등을 야기시킴으로 대규모 건물, 공장, 발전소 등을 설계할 경우 그에 대한 적절한 대책을 강구하여야 한다. 특히 댐에 연결된 저수지 또는 조정지로부터의 도수로가 압력수로이며 그 길이가 상당히 크면 수차가 급정지했을 경우 수격작용에 의해서 압력터널 내에 과도한 압력상승이 일어난다. 이 압력상승을 방지함과 함께 발전소 부하의 증감에 따라서 수량을 공급하거나, 흡수할 목적으로 압력도수로와 수압관과의 접합부에 자유수면이 있는 수조를 설치한다. 이것을 조압수조(surge tank)라 한다(최영박, 1979). 조압수조에서 부하의 급속한 차단에 의해서 수차로 유입될 수량이 차단되면 도수로 내로 흘러 들어온 물은 관성 때문에 수조 내의 수위를 상승시키고, 수조 수위가 어느 정도 이상으로 되어 저수지 수위 보다 상승하면 수조로의 유입이 정지하고 반대로 수조에서 저수지로 역류하여 수조수위는 하강한다. 즉, 조압수조는 도수로 내에 발생한 과도한 압력을 수조 내 수면의 승강운동을 이용하여 감소시키고 원래의 안정적인 수위로 회복시킨다. 본 연구에서는 수격작용에 대한 댐 안정성을 확보하는 수단 중의 하나인 조압수조에 대해 살펴보았다. 연구대상으로 용담댐을 선정하였다. 용담댐에 대한 기존의 검토결과 수직 갱의 지름이 5m 이상이면 조압수조의 동적안정조건을 만족 시키는 것으로 조사되었다. 댐의 설계홍수위인 EL. 265.5m를 기준으로 조압수조의 안정성을 감소시키지 않는 범위 내에서 조압수조 내 격벽 설치 유 무에 따른 수조의 최적 크기를 산정하였다. 산정결과를 분석한 결과 동일 조건에서 격벽을 설치한 경우가 격벽을 설치하지 않은 경우에 비해서 조압수조의 면적이 약 21% 감소하는 것으로 나타났다.

• The korean journal of orthodontics
• /
• v.25 no.5 s.52
• /
• pp.511-523
• /
• 1995

The elastic open activator is one of the modified myodynamic activator. The reduced size of the appliance mass motivates the patients' comfort and longer time of wearing. Its peculiarities in loose fitting and the lack of appliance stabilization in the mouth draws the tongue and the surrounding functional matrices on close interaction with the appliance, consigns the physiologic exertion to target structures, and eventually makes it feasible to the inland of non-extraction treatment In the context of the sagittal malocclusion, the orthodontic trench is dependent upon the growth of basal structure aimed, therefore, it is contemplated to grabble the effects of Elastic Open Activator upon the class II malocclusion of growing child retrospectively. The cephalometric headfilms and study models of nine Class II malocclusion of growing child retrospectively. The cephalometric headfilms and study models of nine class II division 1 and five division 2 patients were evaluated and analyzed, and the following observations were drawn, 1. The maxilla maintained a normal growth pattern in both groups. 2. The mandible grew anteroinferiorly in both groups. 3. The upper incisors tipped ligually in Class II division 1 and tipped labially in Class II division 2 and anterior vertical alveolar growth was interrupted in both groups. 4. The lower incisors tipped labially. 5. There was an arch expansion in both groups and increase of available space in Class II division 2

• Proceedings of the Korea Society for Simulation Conference
• /
• 1999.10a
• /
• pp.169-169
• /
• 1999

최근 산업 플랜트의 공정제어 시스템은 복잡하고 대규모화되어 고장 발생시 경제적 손실과 위험성이 증폭되어 규정된 안정서와 신뢰성 확보가 필수적이라 할 수 있다. 고장검출 및 진단기법은 시스템의 신뢰성을 높이기 위한 효과적인 방안을 연구하는 것으로 현대에 들어서 많은 학자들의 관심을 끌고 있으며 실제 계통에 점차적으로 응용되고 있다. 현재까지 개발된 고장검출 및 진단기법은 사용된 프로세스 모델의 형태, 고장검출 진단 알고리즘에 따라 다양하게 분류 될 수 있으며 일반적으로 사용된 모델에 따라 크게 1) 정량적 모델에 근거한 해석적 기법, 2) 정성적 모델에 근거한 기법, 3) 지식기반 진단 기법으로 구분 할 수 있다. 이중 정량적 모델 기법은 대상계통의 수학적 모델에 근거하여 운전 데이터를 분석함으로서 고장검출 진단을 수행하는 해석적 기법으로서 근본적으로 계통의 정확한 수학적 모델을 요구하므로 불확실성을 포함한 계통 및 비선형성이 강한 계통등에는 적용이 곤란하다. 정성적 모델 및 지식기반 기법은 정량적 진단 기법과는 달리 대상 프로세스에 대한 수학적 모델 대신에 운전자의 경험과 프로세스 변수간의 상호 작용 및 고장의 전파과정, 고장원인과 증상과의 직접적인 관계에 대한 구조적 지식에 근거한 것으로 고장원인에 대한 계통의 동작을 추론 할 수 있으며, 상황 변화에 따른 영향을 예측할 수 있다. 본 논문에서는 정성적 모델 및 지식기반 기법에 근거한 고장검출 및 진단 기술을 화력 발전소 보일로 프로세스에 적용하여 정성적 시뮬레이션에 의한 설비의 고장을 조기에 발견하여 고장 파급으로 인한 발전 정지 및 설비의 손상 확대를 방지하고 고장 발생시 신속한 원인 규명 및 후속 조치관련 정보들을 운전원에게 제공할 목적으로 현재 전력원에서 개발중인 지능형 경보시스템에 대하여 기술하고자 한다.음과 같이 설명하였다. 서로 상반되는 것들이 다음과 같이 설명하였다. 서로 상반되는 것들이 부딛힘이 없이 공존하고 일상의 논리가 무시된다. 부정, 의심이 없고 확실한 것이 없다. 한 대상에 가졌던 생각이 다른 대상에 옮겨간다(displacement). 한 대상이 여러 대상이 갖고 있는 의미를 함축하고 있다(condensation). 시각적인 순서가 무시된다. 마음속의 생각과 외부의 실제적인 일을 구분하지 못한다. 시간 상의 순서가 있다가 없다가 한다. 차례로 일어나야 할 일이 동시에 한꺼번에 일어난다. 대상들이 서로 비슷해지고 동시에 있을 수 없는 대상들이 함께 나타난다. 사고의 정상적인 구조가 와해된다. Matte-Blance는 무의식에서는 여러 독립된 대상들간의 구분을 없애며, 주체와 객체를 하나로 보려는 대칭화(symmetrization)의 경향이 있기 때문에 이런 변화가 생긴다고 하였다. 또 대칭화가 진행되면 무한대의 느낌을 갖게 되어, 전지(moniscience), 전능(omnipotence), 무력감(impotence), 이상화(idealization)가 나타난다. 그러나 무의식에 대칭화만 있는 것은 아니며, 의식의 사고양식인 비대칭도 어느 정도 나타나며, 대칭화의 정도에 따라, 대상들이 잘 구분되어 있는 단계, 의식수준의 감정단계, 집단 내에서의 대칭화 단계, 집단간에서의 대칭화 단계, 구분이 없어지는 단계로 구분하였다.systems. We believe that this taxonomy is a significant contribution because it adds clarity, completeness, and "global perspective" to workflow architectural discussions. The vocabulary suggested here

• Journal of agricultural medicine and community health
• /
• v.24 no.1
• /
• pp.13-33
• /
• 1999

The aim of this study was to investigate fatigue scores, physical complaints, farmer's syndrome and to find out its risk factors among farmers. The questionnaire survey was conducted to 177 vinyl house workers and 213 farmers who lived in Chongyang gun of Chungnam province from February 24 to March 15, 1998. The obtained main results were followings; 1. The fatigue scores were not significantly different between vinyl house workers and farmers. The fatigue scores were higher in female group, lower education group, shorter sleep hours group(under 8 hours), nonsmoker, nondrinker group than otherwise groups. There was not statistically significant difference between the mean fatigue scores and age, eating habit and body mass index. Duration of farming years in vinyl house and farming area and number of farming workers in farmers family showed a slight relationship with the fatigue score. 2. Health scores were not different between vinyl house workers and farmers. The health states was poorer in female group, lower education group, shorter sleep hours group(under 8 hours), nonsmoker group, and nondrinker group than otherwise groups by health scores. Health scores were not related with age, eating habit and body mass index. 3. The proportion of farmer's syndrome was 49.1% in vinyl house workers and 52.1% in farmers. That was higher in female than in male and the higher proportion was found in the lower education group of vinyl house workers and farmers. The proportion of farmer's syndrome was higher in the group of smoker, alcohol drinkers and over or under weight in vinyl house workers, but did not differ in those of farmers. 4. By multiple logistic regression, sex and sleep hours were risk factors affecting to farmer's syndrome. Odds ration for female group was 2.53 (reference group was male) and that for over 8 sleep hours group was 0.74 (reference group was under 8 sleep hours group). 5. The chief complaints by CMI were "I am difficult to work due to aching the back and the limbs", "I feel prickle pain in the limbs", "I sometimes have a twinge in the limbs", "I am not quite well as having a pain in the limbs", "I feel weaker grasping power than before" in both of vinyl house workers and farmers. Vinyl house workers more frequently pointed out skin darkening, skin disease and hemorrhoids than farmers. 6. According to correspondence analysis, skin disease of vinyl house workers was related to vinyl house farmers and digestive and general symptom was associated with male and endocrinological and muscular symptom was associated with female in vinyl house workers. And it revealed that farmer's syndrome was highly related with female and farmers relatively. By the above results, the fatigue scores, perceive health and farmer's syndrome did not much differ in two groups, but aged female farmers should be considered as female farmers represented higher fatigue score, farmers syndrome and poorer perceive health than male farmers in addition to farmer's syndrome was increased with ageing process. Also feeble but distinguished symptoms which might be due to working environment were observed especially in vinyl house workers and that should be considered and investigated continuously.

• Sim-seong Yeon-gu
• /
• v.32 no.2
• /
• pp.122-168
• /
• 2017

I tried to understand a folk tale "The half-boy" in terms of analytical psychology. In the story, a lady without children prayed to the Buddha. The white old man came and gave three fishes, but the cat ate half of it. So, she ate two and a half. She gave birth to two perfect sons. The third son had one arm, one leg, and one eye. They grew well. Brothers went to take the civil service examinations, and the half-boy followed. But two brothers did not like the half-boy coming along. So, brothers tied the half-boy to the rocks and trees, and he picked them up with force and gave them down to the yard of the house. And the half-boy followed his brothers again, and brothers tied him with kudzu and put him in front of the tiger. The half-boy won the tiger by betting with cutting kudzu. The half-boy stripped off the tiger's skin. The host coveted the tiger skin and they played with janggi. The half-boy won the game and was permitted to take host's daughter. The half-boy went with a string, a drum, a flea, and a bedbug. He teased host's people with these. The half-boy brought a virgin and lived well. "The Half-Boy" folktale is an old story spread throughout the country. There are similar stories in India and Africa. Unilateral figures are universally distributed archetypal images. In numerous cultures gods and spirits are being portrayed as unilateral figures. In the creation mythology, half-figure beings have immortality. In Indonesian and African folk tales, the half-born boy goes to heaven and merges with its half and becomes perfect. Some of one-sided spirits are harmful to humans but some of one-sided birds, chickens, and spirits are helpful to people. Sometimes half being is a cultural hero who steals grain from heaven or gets some advice how to use bamboo. There are stories that half body becomes a whole body afterwards. But in this folktale and most of the similar folktales, half-figure does not change and maintains half-figure to the end. And as a half-figure he does various great things and marries a virgin. The half-boy symbolizes a psychic experience born in the unconscious. The unconscious contents may seem strange and weird at first and the collective consciousness does not want to accept them. But the unconscious exerts greater power and brings vitality and creativity to consciousness. This folk tale seems to have compensated for the stubborn collective consciousness of our society, which was a Confucian class society. It also allows people to change their attitude toward disabled people and recognize strengths and creativity of the handicapped.

• The Journal of the Korean bone and joint tumor society
• /
• v.6 no.1
• /
• pp.10-16
• /
• 2000

Object : The aim of the current study is to assess the results of segmental resection and replantation for primary malignant or aggressive tumors of the upper limb. Materials and Methods : From 1986 to 1994, ten patients who had primary malignant or aggressive tumors of the upper limb were managed with segmental resection and replantation method. The average duration of follow-up was 7 years and 7 months. Primary indication of this method is stage II B tumors which, because of their extend, could otherwise be adequately treated only by amputation. Three patients had chondrosarcoma, two had osteosarcoma, two had giant cell tumors with pathologic fracture, one had extensive chondroblastoma, one had Ewings sarcoma, and one had leiomyosarcoma. The location of the tumor was humerus in 6 patients, scapula in 3 patients, and soft tissue of forearm in 1 patient. Wide resection margins were achieved in 7 patients and marginal margin in three. Results : One patient died on 40 months after surgery due to systemic metastasis. Nine patients have remained disease free without local recurrence or metastasis. The average overall functional rating was 65% (43~90%) for ten patients on the last follow-up by the functional rating system of Enneking. The mean grasping power and pinching power of operative hand was 75%(28~95%) and 65%(43~90%) of the opposite hand, respectively. Complications associated with this surgical method included three wound dehiscences and one nerve injury that resolved with proper wound care and time. Conclusion : It was concluded that segmental resection and replantation might be used for partial limb salvage in selected cases for the treatment of primary malignant or aggressive tumors of the upper limb.

• The Korean Journal of Nuclear Medicine Technology
• /
• v.15 no.1
• /
• pp.113-116
• /
• 2011

Purpose: Acetylcholine receptor antibodies cause acetylcholine receptor loss, which is responsible for failure of the neuromuscular junction in the acetylcholine receptor autoantibody. The disease characterized by muscle weakness and fatigue, myasthenia gravis(MG) occurs when the body inappropriately produces antibodies against acetylcholine receptors, and thus inhibits proper acetylcholine signal transmission. And this reason, the measurement of acetylcholine receptor antibodies can be of considerable value in disease diagnosis. Methods: From 2010. August to September, we tested orderd AchRAb 19 samples to get the results. 1. Pipette $5{\mu}{\ell}$ undiluted patient sera and kit control and add 125I AChR $50{\mu}{\ell}$ and incubate at R.T for 2 hours. 2. Pipette $50{\mu}{\ell}$ of anti-human IgG into each tube, and incubate at $2{\sim}8^{\circ}C$ for 2 hours. 3. Pipette $25{\mu}{\ell}$ precipitation enhancer into each tube and add 1mL washing solution into all tubes. 4. Centrifuge each tube for 20minutes at $2{\sim}8^{\circ}C$ at 1500g. 5. Aspirate or decant the supernatant. 6. Pipette 1 mL washing solution into all tubes and resuspend the pellet and repeat centrifugation. 7. Aspirate or decant the supernatant and count all tubes on a gamma counter. Results: Cut off value is 0.2 nmol/L and the results taken below 0.2 nmol/L are negative, the results above that identified as being positive values. We assayed the 19 patients samples and got 7 positive results. Of which, 6 patients were diagnosed as MG.(85.7%). Conclusions: Acetylcholine Receptor autoantibody test is intended for use by persons only for the quantitative determination of it in human serum. Even if measurement of the antibodies is not a routine test, it can be of considerable value in disease diagnosis.

• Journal of the Korean Arthroscopy Society
• /
• v.4 no.2
• /
• pp.159-165
• /
• 2000

Purpose : Endoscopic carpal tunnel release technique was developed and has being used to decrease postoperative morbidity and complications. The purpose of this study was to evaluate the clinical results and clinical usefulness of endoscopic carpal tunnel release using single portal technique. Methods and Materials : 18 carpal tunnel syndrome patients who were diagnosed by means of clinical symptoms, physical examination, and electrodiagnostic study had endoscopic carpal tunnel release using single portal technique with about 1 cm oblique wrist incision on 30 hands. And then they were followed-up and reviewed in the same way. Late results of operation were analysed by grading system according to patient's own assessments of relief of symptoms at the final fellow-up. The follow-up period ranged 6 to 13 months from surgery. Results : There were postoperative improvements with respect to clinical symptoms, physical examination, and electrodiagnostic study. 23 of 30 hands$(76.7\%)$ had complete resolution of symptoms. 27 hands$(90\%)$ were able to return to normal activities and work within 6 weeks, and 30 hands$(100\%)$ returned within 8 weeks. In grip strength study, 29 hands$(96.6\%)$ regained preoperative strength in 6 months. 12 of 22 hands$(55\%)$ had improvement with respect to thenar atrophy within 6 months. Late results were as follows . 23 hands$(76.7\%)$ was graded as excellent, 6 hands$(20\%)$ graded as good and 1 hand$(3.3\%)$ graded as fair, and there was no poor result. Conclusion : We think that endoscopic carpal tunnel release with single portal technique is technically safe and simple, if the surgeon takes step to stay within the safety zone based on local anatomy and selects an appropriate patient and that endoscopic carpal tunnel release does have advantages over open release. We agree that the surgeon must be prepared to perform an open technique, if technical difficulties arise, difficulty in introducing the device into the carpal tunnel is encountered, or the transverse fibers of the transverse carpal ligaments are not clearly seen.