• Title/Summary/Keyword: 정기적 진단

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A Study on Improvement of Maintenance Strategy based on Analysis of Bridge Safety Grade (교량 안전등급 분석을 통한 유지관리전략 개선 방안 연구)

  • Hwang, Yoon-Koog;Sun, Jong-Wan;Choi, Young-Min;Park, Kyung-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.36-43
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    • 2021
  • Because bridges are major national infrastructure, regular safety inspections or diagnoses for bridges have been conducted in accordance with the "Special Act on the Safety and Maintenance of Facilities." Accordingly, the condition and safety assessments of the bridge are conducted to derive the condition and safety rating, respectively. A lower result is determined to be the safety grade of the bridge. In this study, the relationship between the condition rating and safety rating, which are the core of the bridge safety grade, was analyzed by the representative superstructure types of bridges, such as RC slab, PSCI girder, Steel box girder, Rhamen, and Preflex girder, to identify the correlation status and range between each rating. A reasonable improvement direction for establishing existing maintenance policies was suggested by proposing an alternative plan to change the proper implementation cycle of the inspection and diagnosis of bridge superstructure types. As a result of the research, it is necessary to adjust the inspection and diagnosis cycle according to the superstructure type and safety grade. In addition, maintenance policies need to be improved through detailed research on more diverse bridge types in the future.

A Diagnostic Algorithm after Newborn Screening for Hypermethioninemia (고메티오닌혈증의 신생아 선별 검사 후 진단 알고리즘)

  • Kim, Yoo-Mi
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.16 no.1
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    • pp.1-9
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    • 2016
  • Newborn screening (NBS) is important if early intervention is effective in a disorder and if there are sensitive and specific biochemical markers to detect disorder. Methionine is a useful marker to detect abnormal methionine-homocysteine metabolism, especially homocystinuria which needs urgent medical intervention. However, hypermethioninemia could occur in other metabolic disorder including liver disease, tyrosinemia type I, methionine adenosyltransferase (MAT) I/III deficiency, glycine N-methyltransferase (GNMT) deficiency, or adenosylhomocysteine hydrolase deficiency. However, experience with NBS for homocystinurias and methylation disorders is limited. Especially, MAT I/III deficiency which is the most common cause of persistent hypermethioninemia have two inheritance, autosomal recessive (AR) and autosomal dominant (AD), and their clinical manifestation is different between AR and AD. Here, author reviewed recent articles of guideline and proposed guideline for homocystinuria and methylation disorder.

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Audit of Appropriateness of Fresh Frozen Plasma Transfusion (신선동결혈장의 적정수혈 분석)

  • Seo, Youkyung;Kim, Moon Jung;Kim, Sinyoung;Kim, Hyun Ok
    • The Korean Journal of Blood Transfusion
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    • v.23 no.2
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    • pp.136-144
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    • 2012
  • Background: Fresh frozen plasma (FFP) transfusion is administered primarily for management of acquired bleeding disorders. However, in practice, FFP transfusion is increasing without a solid rationale. Methods: We conducted an audit to evaluate the appropriateness of the indications for FFP transfusion during the period from July 2010 through June 2011. Assessment of the appropriateness of the indications was based on the national transfusion guidelines and the transfusion criteria promulgated by the Severance Hospital. Results: In total, 17,733 units of plasma were transfused to 1,949 patients over 4,982 events. We found that administration of FFP was not in compliance with the recommended guidelines in 1,990 events. The number of total FFP transfusions was higher in medical departments (Gastroenterology) than in surgical departments (Thoracic and cardiovascular surgery, General surgery). However, the proportion of cases of inappropriate transfusion was higher in surgical departments than in medical departments. Both the total number of FFP transfusion and the proportion of inappropriate transfusion were high in patient with neoplasm, disease of the digestive system, and diseases of the circulatory system. Conclusion: Continuous monitoring on appropriateness for FFP transfusion and feedback to the physician are critical in securing the transfusion safety as well as maintaining the quality of FFP transfusion. New-found indication for FFP transfusion should be investigated and applied in timely manner.

Dental Management in a Patient with Turner Syndrome with Dental Anomalies : A Case Report (치아형태이상을 가진 터너 증후군 환자의 치과적 관리)

  • Lee, Haney;Shin, Seyoung;Kim, Jaegon;Lee, Daewoo;Yang, Yeonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.3
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    • pp.386-392
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    • 2018
  • Turner syndrome (TS) is a chromosomal disorder caused by monosomy of the X chromosome, with complete or partial absence of the second sex chromosome. Anomalies of root morphology have been found to occur more often in patients with TS, which make endodontic treatment challenging and requires special handling. The patients with TS may also have systematic problems such as cardiac or renal malformations, so in treating these patients it is important for clinicians not only to be aware of the characteristic intraoral findings, but also to make the patients have regular dental check-ups to prevent oral complications in advance. An 12-year-old girl who had been diagnosed with TS at the age of 10 years was referred due to discomfort in the bilateral mandibular premolar regions. Dens evaginatus and taurodontism were detected in all the mandibular premolars characteristically. The bilateral mandibular first premolars had three roots and the bilateral mandibular second premolars had periapical lesion with two roots. Due to the complexity of the root canal anatomy, root canal treatment were completed with a dental microscope to ensure adequate visualization. After 2 years of regular follow-up examinations, there were no clinical sign or symptom associated with the teeth, and no periapical lesion, was found. This case report describes the characteristic oral features and dental management of TS patients.

컴퓨터를 이용한 삼차원 측정기 및 공작기계의 정밀도 측정기술

  • 박희재
    • Journal of the KSME
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    • v.32 no.5
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    • pp.429-440
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    • 1992
  • 공작기계와 측정기기류는 산업현장에서 점점 그 수요가 증대되고 있다. 초기 단순한 기능위주의 기계의 선택, 사용으로부터 고정도, 소형, 경량화, 다기능화의 세계적 추세에 비추어 볼 때, 측 정기기류와 공작기계에 있어서의 고정밀도 기술은 점점 그 수요가 증대되고 있다. 특히 현재 사용 또는 제작중인 기계의 정밀도를 측정하여 체계적으로 진단, 관리하는 정밀측정기술은 그 중의 핵심기술로서, 전통적으로 선진국의 산업현장에서 내려오는 현장기술이든 측정기술의 중 요성이 본격적으로 대두된 것은 선진국에서도 비교적 최근의 일이다. 최근 컴퓨터의 발달에 힘 입어, 종래의 측정기술들을 적용함에 있어서 측정자체의 온라인화, 측정해석의 정확성이 이루어 지게 되었다. 이 글에서는 현장 및 하계에서 정밀측정기술에 대해서 관심을 가진 분들을 위해서 공작기계 및 측정기기의 정밀도를 측정하는 방법 등을 소개하고, 또한 이와 관련하여 포항공대 정밀측정실에서 개발 또는 개발중인 측정방법 등과 측정의 컴퓨터화 등에 대해서 간략히 소개 하도록 한다.

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Diagnosis of Tuberculous Cervical Lymphadenitis Using Polymerase Chain Reaction (경부 임파절에서 Polymerase Chain Reaction(PCR)을 이용한 결핵균의 진단에 관한 연구)

  • Kim, Ho-Joong;Hyun, In-Kyu;Lee, Myoung-Koo;Jung, Ki-Suck;Ahn, Hye-Kyung
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.1
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    • pp.35-41
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    • 1995
  • Background: Tuberculous cervical lymphadenitis can be diagnosed by clinical findings, chest X-ray, Mantoux test, but confirmed only by excisional biopsy. The polymerase chain reaction(PCR) is now widely applied to test very small amount of pathogen and would be used to detect Mycobacterium tuberculosis in biopsied tissues and fine needle aspirates. Method: We carried out the PCR using IS-1 and IS-2 primers in 16 samples from tuberculous cervical lymphadenitis patients, and 13 samples from non-tuberculous cervical lymphadenopathy patients. Acid fast staining and culture for Mycobacterium were all negative. Results: All of 8 pathologically confirmed tuberculous cervical lymphadenitis samples showed positive PCR results, and of 5/8 clinically diagnosed samples were positive. None of 6 pathologically excluded samples were positive, and among 7 clinically undiagnosed samples 2 showed positive PCR results. Conclusion: In patients with suspected tuberculous cervical lymphadenitis, PCR could be used to detect Mycobacterium tuberculosis using biopsied tissues and even fine needle aspirates with good sensitivity and specificity.

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Stomach Cancer Surgery after Coronary Artery Bypass Surgery with in situ Right Gastroepiploic Artery Graft (정위 우위대망동맥을 이용하여 관상동맥우회술을 시행한 환자에서의 위암수술)

  • 황호영;김기봉
    • Journal of Chest Surgery
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    • v.37 no.5
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    • pp.444-447
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    • 2004
  • A 59 year-old male diagnosed as unstable angina underwent off-pump coronary artery bypass surgery using in situ left internal mammary and right gastroepiploic artery grafts. During harvesting the right gastroepiploic artery, there was no abnormal finding in intraabdominal organs including stomach and liver. He was discharged at the 3rd postoperative day without complication. In case of using in situ right gastroepiploic artery, we recommend gastrofberscopic study at regular follow-up, The patient underwent the gastrofiberscopic study at postoperative 3rd month and diagnosed as advanced gastric cancer on the posterior wall of gastric fundus. At 5th postoperative month, total gastrectomy without intraoperative injury of the right gastroepiploic artery was performed at the department of general surgery. He was discharged at the 9th postoperative day. Follow-up coronary angiography performed at the 1st postoperative year demonstrated patent grafts including right gastroepiploic artery.

CONSERVATIVE TREATMENT OF INTRA-ALVEOLAR ROOT FRACTURE OF PRIMARY INCISORS USING RESIN WIRE SPLINT : CASE REPORT (레진 강선 고정을 이용한 유전치 치근 파절의 보존적 치료 : 증례 보고)

  • Jung, Ji Hyun;Park, Jae-Hong;Kim, Kwang Chul;Choi, Yeong Chul;Choi, Sung Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.1
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    • pp.53-59
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    • 2013
  • In an intra-alveolar root fracture (IARF) of a primary tooth with severe mobility and displacement, extraction and periodic-follow-up is the choice of recommended treatments because of the fear of aspiration of the mobile tooth and the possibility of damage in the permanent succeeding tooth. However, repositioning and splinting are presented as a fresh proposal recently. In case of extracting a primary incisor, many problems occur; esthetic problems; functional problems such as pronunciation and mastication; space loss; and psychological and social problems. Therefore, the best treatment is conservation of the primary tooth. The aim of this report was to suggest the conservative treatment of an Intra-alveolar root fracture of the primary central incisors with severe mobility and displacement based on two cases that describe the diagnoses, treatments and follow-ups (mean period: 27-month). All cases have been treated by reduction and immobilization by resin wire splint (RWS) (mean period: 6-week). Both cases were followed up until the successors were erupted. There have been no complications such as pain, pulp necrosis, periapical lesion, displacement of permanent tooth germ, eruption disturbance and etc.

X-LINKED DOMINANT HYPOPHOSPHATAEMIC RICKETS: 13 YEARS FOLLOW-UP STUDY (X 염색체 우성 저인산혈증성 구루병: 13년간의 치험례)

  • Ha, Na;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.13 no.1
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    • pp.14-18
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    • 2017
  • X-linked dominant hypophosphataemic rickets(XLHR) is a hereditary disease generally transmitted as an X-linked dominant trait. Oral manifestations include poorly mineralized dentin, enlarged pulp chambers and root canals, early tooth loss. Also, spontaneous dental abscesses could occur in the absence of a history of trauma or caries. This report describes the clinical finding and dental treatment of a child, who came to the hospital for treatment caries but was refered to pediatrics because the child showed clinically short of status, bow-leg and radiographically enlarged pulp chamber and canal, there as diagnosed as XLHR. After the diagnosis, 13 years follow-up and treatment were performed.

A Study on the Evaluation of Energy Consumption of the Air Compressor (공기압축기 소비에너지 평가에 관한 연구)

  • Jang, Ji Seong
    • Journal of Drive and Control
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    • v.17 no.2
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    • pp.38-44
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    • 2020
  • Various efforts have been initiated to reduce the energy consumption of the compressor as it is one of the approaches to saving a large portion of the fixed cost of the production site. Various results of reducing the energy consumption of the compressor have been reported, but to reduce the energy consumption of the compressors fundamentally, regular management of the compressor should ensure optimum operation. This requires periodic on-site visits by experts, but is often overlooked as a cost issue, resulting in the use of the compressor in low-efficiency conditions. Thus, it is necessary to develop a low-cost evaluation technology for compressor condition monitoring and efficiency analysis to ensure that the compressor is always driven at the optimum efficiency without imposing undue burden on the compressor user. In this study, a sensor was installed at the inlet, outlet, and power supply of the compressor, and a method for evaluating the energy consumption of the compressor using the minimum sensor was derived. The experimental results are presented to show the validity of the proposed method. It was confirmed that the energy consumption of the compressor can be easily as well as efficiently evaluated by using the method developed in this study.