• Title/Summary/Keyword: 주기진단

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Dental anomalies associated with Axenfeld-Rieger syndrome (Axenfeld-Rieger 증후군과 연관된 치과적 이상)

  • Kim, Ki-Rim;Lee, Doo-Young;Kim, Seung-Hye;Lee, Sang-Hui;Choi, Byung-Jai;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.6 no.2
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    • pp.94-98
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    • 2010
  • Axenfeld-Rieger syndrome is a rare autosomal dominant disorder characterized by various ocular and extraocular malformations. The incidence of Axenfeld-Rieger syndrome has been estimated to be 1 per 200,000. The syndrome is characterized by short body stature, delayed bone age, and deficient or arrested development of neural crest cells involving the anterior chamber of the eyes, facial bones, teeth, periumbilical skin, and cardiovascular system. This is a case of a 6 year-old girl, who came to the department of the pediatric dentistry, Yonsei University Dental Hospital, for evaluation and treatment of multiple congenital missing permanent teeth. The patient presented typical dental, craniofacial, and systemic features of Axenfeld-Rieger syndrome, such as glaucoma, oval pupil, heterochromatic iris, umbilical hernia, and delayed bone age. On the panoramic view, 3 primary teeth were missing and 13 permanent tooth germs were absent. On the lateral cephalograph, underdevelopment of the maxilla and normal growth pattern of the mandible were confirmed. Periodic dental follow-up is planned for evaluation and interceptive treatment of her dental and craniofacial problems. Denture or removable space maintainer with a pontic is considered for esthetic and functional restoration. In addition, orthognathic surgery is also planned in future to prevent further midfacial skeletal deformation. Early diagnosis of Axenfeld-Rieger syndrome is very important to prevent exacerbation of complications, such as glaucoma and skeletal deformities.

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Clinical application of implant assisted removable partial denture to patient who underwent mandibular resection with oral cancer: A case report (구강암으로 변연골 절제술 시행한 환자를 임플란트 보조 국소의치로 수복한 증례)

  • Yoon, Young-Suk;Han, Dong-Hoo;Kim, Hyung-Joon;Kim, Jee Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.280-285
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    • 2016
  • Mandible defects could be caused by congenital malformations, trauma, osteomyelitis, tumor resection. If large areas are included for reconstruction, those are primarily due to tumor resection defects. The large jaw defect results in a problem about mastication, swallowing, occlusion and phonetics, and poor esthetics causes a lot of inconvenience in daily life. It is almost impossible to be a part underwent mandibular resection completely reproduced, should be rebuilt artificially. This case is of a patient who was diagnosed with squamous cell carcinoma pT1N0M0, stage I in February 2004 and received surgery (combined mandibulectomy and neck dissection operation (COMMANDO) in oromaxillofacial surgery) in March 2004, by implant assisted removable partial denture. We could obtain good retention and stability through sufficient coverage and implant holding. Follow up period was about four years. Mandibular left third molar regions have been observed to have resorption of surrounding bone, and periodic check-ups are necessary conditions.

A Study on Micro Clustering Technology for Breeding Pig Behavior Analysis (모돈 행동 특성 분석을 위한 마이크로 클러스터링 기술 연구)

  • Cho, Jinho;Oh, Jong-woo;Lee, DongHoon
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2017.04a
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    • pp.165-165
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    • 2017
  • 모돈은 사육 특성상 제한된 파일롯 공간 안에 장시간 머물기 때문에 과중한 몸무게에 의한 지제 이상, 섭식 등의 불량, 수면상태의 불량 등을 지속적으로 관찰해야 하는 대상이다. 측면에 다수의 초음파 센서를 설치하여 기립의 상태 및 운동 시 몸체 궤적의 특성을 분석하여 종합적으로 모돈의 행동 특성을 정량화 하고자 하였다. 이 과정에서 계측 신호의 값을 대수적으로 비교하는 방식에 한계가 있음을 발견하였고, 이를 해결하고자 10 Hz/Ch 내외의 시계열 상대거리 궤적 신호를 주파수 도메인으로 변경하여 분석을 수행하였다. 일정 주파수에 집중되어 있는 주파수 값의 크기 변화(파워 스펙트럼 밀도)를 기준으로 모돈의 움직임의 정상 상태 유무 판별이 가능하였다. 단, 이러한 분석은 계측 데이터를 일괄 처리 방식으로 분석하는 방법으로 도출이 되었으므로, 계측과 정량 분석을 동시에 수행하기 위한 개선이 필요하였다. 계측 시스템에서 사용한 마이크로 프로세서는 Nucleo-446(STMelectronics, CA, USA)로 180 Mhz의 클럭 속도로 작동하나, 총 100 Hz 내외의 16비트 계측 신호에 대해 추가적으로 FFT 등의 주파수 변환 신호 처리를 수행하기에는 연산 능력이 부족하였다. 한편, 주파수 분석의 주기를 1분 단위로 할 경우 처리해야할 정보의 크기는 $100{\times}60{\times}5{\times}2Byte$ 이므로 1분 내에 해당 연산을 종료할 수 있는 추가의 연산 장치가 필요하였다. 계측과 주파수 도메인 변환 연산을 동시에 수행하기 위하여 1 Ghz의 연산능력을 가진 ARM A9 계열의 초소형 멀티코어 AP인 NanoPi Neo Air(Friendlyarm, Guangzhou, China)을 선정하였다. 4개의 코어를 각각 계측, Median 필터링, Smoothing 연산, FFT 분석에 사용하여 1분 단위, 2분 단위, 5분 단위의 주파수 분석을 동시에 수행하였다. 병렬 연산 라이브러리는 오픈 소스인 MPICH(www.mpich.org)를 이용하였다. 상대적으로 여유있는 자원을 보유하고 코어를 실시간으로 결정하여 다수의 모돈 개체 동시 모니터링을 위한 네트워크 연결 역할을 동시에 수행하도록 하였다. 1주일 내외의 요인 실험 수행 결과, 약 70 Mbyte의 데이터가 축적이 되었으며, 1분 단위, 2분 단위, 5분 단위의 주파수 도메인 변환 후 결과를 동시에 취득할 수 있었다. 일부 주파수 도메인 상의 파워 밀도 값이 모돈의 행동 특성에 분석에 유효한 정보를 제공함을 발견하였다. 모돈사 내 현장 보급이 가능한 초소형 AP와 멀티 코어 기반 병렬 처리 기법을 이용한 현장 진단 시스템 개발 연구를 지속적으로 수행할 것이다.

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Home Health Care Service Using Routine Vital Sign Checkup and Electronic Health Questionnaires (주기적인 생리변수 측정과 전자건강설문을 이용한 재택건강관리서비스)

  • 박승훈;우응제;이광호;김종철
    • Journal of Biomedical Engineering Research
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    • v.22 no.5
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    • pp.469-477
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    • 2001
  • In this Paper. we describe a home health care service using electronic health questionnaires and routine checkup of vital signs Including ECG (Electrocardiography) , blood pressure. and SpO$_2$ (Oxygen Saturation) . This system is for patients at home with chronic diseases, discharged Patients, or any normal people for the Prevention of disease The service requires a home health care terminal and a PC with Interned connection installed at Patient home. The distance health care management center is equipped with a vital-sign and questionnaire interpreter as well as database, Web, and notification servers with UMS (Unified Messaging System). Participating Physician can access the servers at the center using a Web browser running on a PC available to them at any time. These components are linked together through various kinds of data and voice communication channels including PSTN (Public Switched Telephone Network) . CATV(Community Antenna TV) . Interned. and mobile communication network. Following the Physician's direction given to a Patient. he or she uses the home health care terminal to collect vital signs and fill out the questionnaire. When the terminal automatically transmits these data to the management center. the data interpreter and servers at the center process the information fo1lowing the Protocol implemented on the system. Physicians can retrieve and review data corresponding to their Patients and send back their diagnostic reports to the center. UMS at the center delivers the physician 's recommendation to the corresponding patient through the notification server. Patients can also reprieve and review their own records as well as diagnostic reports from physicians. The system Provides a new way of collecting diagnostic information and delivering doctor's recommendation to patients at home for their health management. Future works are needed in the development of new technology for measurements and interpretations of various vital signs .

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SURGICAL REPAIR OF COMPLETE BONY BILATERAL CHOANAL ATRESIA VIA TRANSPALATAL APPROACH (완전 골성 양측성 후비공 폐쇄 환자의 구개부를 통한 외과적 치험례)

  • Kim, Kyoung-Won;Cho, Yong-Seok;Yang, Soo-Nam
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.2
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    • pp.133-138
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    • 1998
  • Choanal atresia may be membrane or bony, unilateral or bilateral. Approximately 90% of the choanal atresia are bony type. Unilateral choanal atresia often eludes the diagnosis because of the absence of subjective symptoms in the neonatal period. However, bilateral choanal atresia presents at birth with cyclic respiratory distress aggravated by feedings. So complete bilateral choanal atresia is considered as a neonatal emergency. Examinations for the diagnosis of chonal atresia include 1) attempt at passing a rubber catheter or probe through the patient s nose, 2) mirror examination of the nasopharynx, 3) digital examination of the nasopharynx, 4) X-ray examination after installation of radiopaque materal into the nasal cavity. But, computed tomography has become accepted method for evaluation of choanal atresia. Surgical repair of choanal atresia is accomplished via transnasal or transpalatal approach. Advantages of the transpalatal approach are improved exposure and the preservation of mucosal flap along the newly formed apertures. On the other hand, the transpalatal approach carries the risk of injury to the greater palatine neurovascular complex, and requires longer operative time. After careful physical and radiographic examinations, we accomplished the surgical repair of the complete bony bilateral choanal atresia via transpalatal approach without complications.

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DENS INVAGINATUS AND TALON CUSP CO-OCCURING: REPORT OF THREE CASES (치내치를 동반한 탈론 교두: 증례보고)

  • Im, Sung-Ok;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.4
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    • pp.488-496
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    • 2010
  • Dens evaginatus is a tooth with cylindrical enamel projection which forms a nodule on occlusal surface. It could be explained as outward overgrowth of inner enamel epithelium or localized hyperplasia of pulpal mesenchymal tissue during tooth development. A problem is that it is likely to be worn out or fractured by mastication ensuing pulpal inflammation. It is occasionally found on the lingual surface of upper anterior teeth as well, called talon cusp. Dens invaginatus is a tooth with deep lingual pit made by invagination of lingual enamel epithelium during tooth development while it is considered normal in terms of size and shape. Radiographically, a part of cervical enamel shows inward growth forming cavity and it is reasonable to say that the base is possibly open to pulpal cavity since they are very close. Talon cusp and dens invaginatus are relatively common abnormality of shape. However it becomes the opposite if the two exist in the same tooth. Once the talon cusp is broken by occlusal force or fissure between cusps is decayed, the complicated structure of canals makes the pulpal treatment difficult. Preventive treatments such as occlusal equilibrium and sealant, and regular oral examination should be preceded and thorough understanding of canal shape, using radiography, is required when pulpal treatment is necessary. This report is about a 9- year-old boy(lower left central incisor), a 8-year-old girl(upper right central incisor), and a 7-year-old boy(upper right central incisor), who have dens invaginatus and talon cusp in the same teeth. The first and the second patients are under pulpal treatments, and the last one is being observed showing no pathologic impressions.

Catamenial Hemoptysis Treated by Video-assisted Thoracoscopic Surgery (비디오 흉강경 수술로 완치된 월경성 객혈)

  • Cho, Chang Beom;Kim, Dong-Gyu;Kim, Changhwan;Park, Ji Young;Lee, Seok Won;Jang, Seung Hun;Jung, Ki-Suck;Jun, Sun-Young;Lee, Jae Woong
    • Tuberculosis and Respiratory Diseases
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    • v.65 no.1
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    • pp.29-33
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    • 2008
  • Catamenial hemoptysis is a rare condition that's characterized by recurrent hemoptysis occurring in association with menstruation, and this is associated with the presence of intrapulmonary or endobronchial endometrial tissue. The diagnosis of pulmonary endometriosis can be made according to a typical clinical history and with exclusion of other causes of recurrent hemoptysis. Treatment of pulmonary endometriosis can be medical or surgical; however, the optimal management of this condition is still a matter of debate. Medical therapy may be problematic, due to recurrence of symptoms despite hormonal ablation, and adverse effects from long-term hormone therapy can also be a problem. We report here on a case of pulmonary endometriosis in a 23-year-old woman who presented with hemoptysis that occurred during the first 3 days of menstruation, and this happened over a 4 month period. She was successfully treated by video-assisted thoracoscopic surgery (VATS). No more hemoptysis was noted during 12 months of follow-up.

The Effect of Light Stimulation on the Reduction of Unilateral Neglect of Stroke Patients: Single Subject Research Design (뇌졸중 환자에게 불빛 자극이 편측무시 감소에 미치는 영향: 단일 사례 연구)

  • Lee, Ho-Seung
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.2
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    • pp.61-69
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    • 2012
  • Objective : The purpose of this study was to investigate the effect of left visual stimuli for reducing the severity of unilateral neglect. Method : This research used a reversal design(ABAB) of single case study. The subject was a 60-year-old male patient who had left unilateral neglect. Remedial approach is more valuable method than compensatory approach in term of reducing the unilateral neglect. One of the method of remedial approach is controlled sensory stimulation. Result : I performed the line bisection test before and after the stimulation, and while doing that, put blinking lights to the patient from the left side. The average errors in the line bisection test decreased in B B', the intervention period, compared with A A'. The MVPT left response behavior score increased from 13 to 18. Conclusion : This shows that the light stimulation is effective in the reduction of unilateral neglect.

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Effects of Characteristics of Corpus Luteum and Serum Metabolites on Pyegnancy Rate Following Embryo Transfer in Hanwoo Cow (수란우의 황체 특징과 혈중 대사물질 수준이 수정란이식 수태율에 미치는 영향)

  • 오성종;양보석;임기순;양병철;성환후;박용윤;김경남
    • Korean Journal of Animal Reproduction
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    • v.25 no.1
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    • pp.9-17
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    • 2001
  • To determine the effect of the characteristics of the corpus luteum (CL) and serum metabolites on pregnancy rate following embryo transfer in Hanwoo cow, recipients were synchronized the estrus with CIDR. in vivo or in vitro produced bovine embryos were transferred to synchronized recipients. The characteristics of the CL were checked by rectal palpation and ultrasound. Blood samples were collected from jugular vein at Day 7 and analysed progesterone and serum metabolites. The results obtained from this study were as follows; 1. Total 397 embryos were transferred to recipient and 121 heads out of them were pregnant. The pregnancy rate was 30.5% and slightly differences between farms. 2. There was not significantly different the pregnancy rates between the size of CL and the cavity CL. In the recipients which had more than 2ng/$m\ell$ of serum progesterone level, the pregnancy rates was in higher than others (46.6% vs. 24.4%, 15.0%). 3. The highest pregnancy rate was obtained at 90 to 110mg/㎗ in serum total cholesterol, 14 to 16mg/㎗ in BUN, and 70 to 80mg/㎗ in serum glucose, respectively, and these metabolites in blood could be used as the criteria in the selection of recipient at embryo transfer.

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Testing and Analysis of Tube Voltage and Tube Current in The Radiation Generator for Mammography (유방촬영용 방사선발생장치의 관전압과 관전류 시험 분석)

  • Jung, Hong-Ryang;Hong, Dong-Hee;Han, Beom-Hui
    • Journal of radiological science and technology
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    • v.37 no.1
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    • pp.1-6
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    • 2014
  • Breast shooting performance management and quality control of the generator is applied to the amount of current IEC(International Electrotechnical Commission) 60601-2-45 tube voltage and tube current are based on standards that were proposed in the analysis of the test results were as follows. Tube voltage according to the value of the standard deviation by year of manufacture from 2001 to 2010 as a 42-3.15 showed the most significant, according to the year of manufacture by tube amperage value of the standard deviation to 6.38 in the pre-2000 showed the most significant, manufactured after 2011 the standard deviation of the devices, the PAE(Percent Average Error) was relatively low. This latest generation device was manufactured in the breast of the tube voltage and tube diagnosed shooting the correct amount of current to maintain the performance that can be seen. The results of this study as the basis for radiography diagnosed breast caused by using the device's performance and maintain quality control, so the current Food and Drug Administration "about the safety of diagnostic radiation generator rule" specified in the test cycle during three years of self-inspection radiation on a radiation generating device ensure safety and performance of the device using a coherent X-ray(constancy) by two ultimately able to keep the radiation dose to the public to reduce the expected effect is expected.