• Title/Summary/Keyword: 정기적 진단

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Recurrence of Choledocholith in the Common Bile Duct after Cholecystectomy in a Dog (개에서 담낭절제술 후 총담관에 재발한 총담관결석증)

  • Chang, Jin-Hwa;Yun, Seok-Ju;Kim, Ju-Hyung;Kang, Ji-Houn;Kim, Gon-Hyung;Na, Ki-Jeong;Chang, Dong-Woo
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.605-609
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    • 2010
  • A 10-year-old spayed female Yorkshire terrier presented with vomiting, and anorexia. Obstructive choledocholith with concurrent pancreatitis and hepatorenal syndrome was diagnosed based on analyses of the blood profiles, abdominal radiographs, ultrasonography and CT. Choledoliths were removed from the common bile duct, yet the patient died suddenly 10 days after surgery. Recurrent choledolithiasis has not been reported in a cholecystectomized dog and this report focuses on the imaging features of ultrasonography and CT of recurrent choledoliths.

Lymphoproliferative Disease After Lung Transplantation in Transplanted Lung (폐이식후 발생한 이식폐의 임파종 1예)

  • 이교준;김도형;함석진;김해균
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.956-959
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    • 2001
  • The Iymphoproliferative disease after the organ transplantation is more commonly seen with the increase according to the increasing number of the organ transplantations and it occurs more frequently in the cases of heart and lung transplantations that needs more aggressive immunosuppression. It demands urgent evaluation and management because of poor prognosis. We transplanted left lung of a man to the woman who suffered from severe dyspnea due to terminal pulmonary emphysema in discrepancy of ABO blood type. Postoperatively, We used triple regimen immunotherapy(cyclosporin, azathioprine, prednisolone) and followed up in the out patient clinic. During the follow up, we found abnormal mass lesion on the transplanted lung and performed gun biopsy. We confirmed malignant lymphoma on the pathollgic examination and two cycled chemotherapy was given after reducing dose of immunosupression. The patient died of sudden onset of pulmonary edema of the transplanted lung.

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A Condition Rating Method of Bridges using an Artificial Neural Network Model (인공신경망모델을 이용한 교량의 상태평가)

  • Oh, Soon-Taek;Lee, Dong-Jun;Lee, Jae-Ho
    • Journal of the Korean Society for Railway
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    • v.13 no.1
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    • pp.71-77
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    • 2010
  • It is increasing annually that the cost for bridge Maintenance Repair & Rehabilitation (MR&R) in developed countries. Based on Intelligent Technology, Bridge Management System (BMS) is developed for optimization of Life Cycle Cost (LCC) and reliability to predict long-term bridge deteriorations. However, such data are very limited amongst all the known bridge agencies, making it difficult to reliably predict future structural performances. To alleviate this problem, an Artificial Neural Network (ANN) based Backward Prediction Model (BPM) for generating missing historical condition ratings has been developed. Its reliability has been verified using existing condition ratings from the Maryland Department of Transportation, USA. The function of the BPM is to establish the correlations between the known condition ratings and such non-bridge factors as climate and traffic volumes, which can then be used to obtain the bridge condition ratings of the missing years. Since the non-bridge factors used in the BPM can influence the variation of the bridge condition ratings, well-selected non-bridge factors are critical for the BPM to function effectively based on the minimized discrepancy rate between the BPM prediction result and existing data (deck; 6.68%, superstructure; 6.61%, substructure; 7.52%). This research is on the generation of usable historical data using Artificial Intelligence techniques to reliably predict future bridge deterioration. The outcomes (Long-term Bridge deterioration Prediction) will help bridge authorities to effectively plan maintenance strategies for obtaining the maximum benefit with limited funds.

Development of the Web-Based Safety Management System for the Specific Control Buildings (웹기반 특정관리대상건축물 안전관리시스템 개발)

  • Tak, So-Young;Hong, Geon-Ho;Kim, Chee-Kyeong;Kim, Hee-Kyu
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2009.04a
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    • pp.80-83
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    • 2009
  • 최근 국내 산업구조 및 생활환경의 변화로 도시구조의 고도화, 집중화로 인해 특정관리대상건축물이 다양화됨으로써 안전사고 및 재해양상이 점차 다변화 되어 증가되고 있다. 이에 따라 우리나라 정부에서는 관련 법령에 근거하여 지자체 및 재난관리책임기관 등에서 시설물의 안전관리를 수행하고 있다. 1995년 제정된 "시설물의 안전관리에 관한 특별법"에 근거하여 일정 규모 이상의 1종 및 2종 시설물을 대상으로 정기점검, 정밀점검, 정밀안전진단이 관련전문가에 의하여 주기적으로 수행되고 있으며, "재난 및 안전관리 기본법"에 의하여 특정관리대상시설을 지정하여 주기적인 안전점검이 수행되고 있다. 그러나 수작업에 의한 안전관리 업무 수행과 점검 및 진단 결과에 대한 사후 관리로 관계 업무 주체들에게 과다한 업무가 부과되면서도 안전관리가 효율적 효과적으로 이루어지고 있지 못한 상황이다. 또한 관련 업무가 서로 다른 법령 및 기관에 분산되어 업무의 비효율성을 야기하고 있다. 이에 본 연구는 특정관리대상 건축물의 효율적인 안전관리를 위해 안전관리 업무의 정형화, 안전관리 정보의 통합관리 및 현실적인 업무환경을 고려한 안전관리시스템의 개발을 목적으로 수행되었다.

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CERVICOFACIAL NECROTIZING FASCIITIS;CASE REPORT (경안면 괴사성 근막염;증례보고)

  • Park, Kwan-Soo;Jeong, Ki-Hoon;Kim, Hyo-Eon;Jeong, Jeong-Kwon;Yoon, Kyu-Ho;Jeon, In-Seong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.1
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    • pp.77-81
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    • 2001
  • Necrotizing fasciitis is defined as infectious disease showing extensive necrosis of the superficial fascia with widespread involvement of the surrounding tissues and concurrent systemic toxicity. It is found commonly in the extremities, the trunk and the perineum, but shows extremely rare occurrence in the well vascularized area such as head and neck area. Occurred in the head and neck area, it is called "cervicofacial necrotizing fasciitis" (CFNF). It is a fatal disease which carries a mortality rate up to 60%. Early diagnosis, aggressive surgical debridement of necrotic tissues and massive antibiotics therapy are essential for achieving a favorable outcome. We present a case of cervicofacial necrotizing fasciitis in 35-year-old male patient with literature review.

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A Case Study on Measures to Revitalize Small Libraries of the Type through Operational Diagnostic (운영진단을 통한 유형별 작은도서관 사례분석 연구)

  • Cho, Mi Ah;Byeon, Hyeon Ju;Kim, Bo-Il
    • Journal of the Korean Society for Library and Information Science
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    • v.47 no.2
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    • pp.293-314
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    • 2013
  • This study intended to support the effective operation of libraries by suggesting measures to resolve the problems of small libraries that experience operational difficulties caused by lack of expertise. To achieve this, the study selected 22 small libraries among the nationwide small libraries by grades, types, and users, and then conducted interviews with their operating staffs. Based on the findings of the study, certain library facilitation measures were suggested, including the provision of incentives for librarian certificate holders, the free distribution of book management programs and their training, regular book supply policies of local governments, differential supports for operation evaluation, the establishment of user service guidelines, and cooperations with public libraries.

The efficiency analysis and improvement plan of real time batch processing in web environment (웹 환경의 실시간 일괄처리 성능 분석 및 개선 방안)

  • Lee, Sun-Hyun
    • Journal of the Korea Computer Industry Society
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    • v.5 no.5
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    • pp.771-780
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    • 2004
  • The demands of users have become variety and diversification by the conversion of application to Web environment from C/S(Client/Server) enviroment as well as by the development of application which puts into practie an information technology with the advance of internet basic technology. Therefore if it attempt to satisfy their all demands, the services like a real time batch processing are faced with a difficult obstacle that the limited existing system cannot manage. Finally it is come to a conculsion that the extension of system or the induction of new system is necessary in order to solve this problem according to a ragular tuning and an examination about infra of web environment. This thesis intends to propose about inter- relation and improvement plan as well as considerable facts in case of the introduction of system through the efficiency analysis process of the system.

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Study on the Device for Pump Efficiency Measurement (펌프의 효율측정 장비에 관한 연구)

  • Bae, Cherl-O
    • Journal of Korea Ship Safrty Technology Authority
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    • s.33
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    • pp.53-62
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    • 2012
  • Pumps are used widely in feed water, cooling & heating system and process line of industrial and construction fields. They consume nearly 20% of the each nation's total electrical energy. But The management of pump energy wasn't controlled well. Their loss of energy is huge if they have been operated at low efficiency. The first buying cost of pump is small compare to the power consumption of pump, so we can recommend the suitable replace time and best operating condition of parts and pump to measure the pump efficiency. Pump efficiency is usually measured according to the two methods which they are called thermodynamic method and traditional technique. And we measured the pump efficiency using two methods using potable pump efficiency measurement device and compared the results with the real performance curve offered from pump maker.

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ERUPTION DISTURBANCE ASSOCIATED WITH A DEVELOPING ODONTOMA (발육중인 치아종으로 인한 맹출 장애)

  • Ryu, Jae-Ryang;Kim, Young-Jin;Kim, Hyun-Jung;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.4
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    • pp.505-511
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    • 2010
  • Odontoma represents 22% of all odontogenic tumors, which is characterized by slow growth pattern. Most of the odontomas usually develop during dental follicle proliferation. The growth of odontoma is limited and lesion is generally asymptomatic. It is frequently diagnosed during assessments for delayed eruption of permanent tooth and is usually founded in the second decade of life. Odontoma is usually diagnosed through radiographic views and is difficult to diagnose at the early developmental stage of odontoma. But an uncalcified developing odontoma can disturb the eruption of the tooth, so it is important to perform periodic radiographic examinations. Treatments are surgical removal and observation of odontoma followed by surgical opening or orthodontic traction of impacted tooth according to the tooth development and the location of impacted tooth. In this case, we found the radiopaque calcified odontoma in the radiographic view meanwhile follow up of the impacted tooth showing idiopathic eruption disturbance. This suggests that a developing odontoma is the cause of eruption disturbace.

Clinical Study of Renal Cystic Diseases in Children (소아의 낭포성 신질환에 대한 임상적 고찰)

  • Kim, Ja Hyung;Kim, You Jeong;Lee, Byeong Seon;Ko, Tae Sung;Park, Young Seo
    • Clinical and Experimental Pediatrics
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    • v.45 no.2
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    • pp.232-239
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    • 2002
  • Purpose : Renal cystic diseases comprise a mixed group of heritable, developmental and acquired disorders. Recently the use of imaging modalities such as ultrasonography and radionuclide scanning has increased the detection rate of renal cystic diseases. We studied to review the clinical features and treatment of renal cystic diseases in children. Methods : This study was performed in 95 children with renal cystic diseases in the Department of Pediatrics, Asan Medical Center from October 1989 to June 2001. Results : In 95 patients, there were 55 cases(58.0%) with multicystic dysplastic kidney(MCDK), 19 cases(20.0%) with simple renal cysts, 13 cases(13.7%) with hereditary polycystic kidney diseases( 7 with autosomal recessive type, 5 with autosomal dominant type, 1 with undetermined), 6 cases(6.3%) with renal cysts in tuberous sclerosis and 1 case(1.0%) with medullary cystic disease. All MCDK patients had no renal dysfunction and hypertension during the follow-up period. Three out of 13 with polycystic kidney diseases had progressed to end-stage renal disease during the follow-up period. One case with a simple cyst underwent laparoscopic malsupialization for decompression. Conclusion : Renal cystic diseases have diverse clinicopathologic features and variable prognosis. We emphasize that routine follow-up should be performed to prevent and to detect early treatable complication in renal cystic diseases. Therefore, their natural history and treatment need further investigation and long term follow-up is required.