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MULTIDISCIPLINARY APPROACH OF A PATIENT WITH MENTAL RETARDATION UNDER GENERAL ANESTHESIA : A CASE REPORT (정신지체 환자의 협력 진료에 의한 전신마취 하 치과치료 증례)

  • Jang, Yoon-Hyoung;Pae, Ah-Ran;Choi, Sung-Chul;Park, Jae-Hong;Kim, Kwang-Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.5 no.1
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    • pp.23-26
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    • 2009
  • Mental retardation is defined by the American Psychiatric Association as" subnormal general intellectual functioning which originates during the developmental period and is associated with impairment of either learning and social adjustment or maturation, or both." A patient with mild to moderate mental retardation can be managed adequately using restraints and medications. However, in case of severe or profound mental disability, dental treatment cannot be accomplished even with the use of behavior modification, physical restraints and sedation techniques. When treatment in the dental office has much difficulty, hospitalization for dental treatment under general anesthesia can and should be considered. This case presents the treatment of a patient with mental retardation who was referred to our department for comprehensive dental care. Dental examination revealed widespread dental caries and a severe anterior open bite with crowding problems. Under general anesthesia, generalized caries treatment was performed by our department, and the anterior dental esthetics was achieved in collaboration with the department of prosthodontic dentistry.

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Study on the Distribution Characteristics of Storm Damage Area : The Case of Gyeonggi-do (수해지 분포 특성에 관한 연구 : 경기도 사례를 중심으로)

  • Kang, Sangjun;Jung, Juchul
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.5D
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    • pp.507-517
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    • 2012
  • The main purpose of this study is to address flooding resilient land use management strategy based on the distributional characteristics of storm damage areas in Gyeonggi-do. The employed methods are 1) Exploratory Spatial Data Analysis (ESDA) to understand the spatial patterns of storm damage areas occurred from 2005 to 2009, 2) Local Indicator of Spatial Association (LISA) to examine spatial autocorrelation existed in storm damage areas for the year of 2009. The results show that 1) crop land damage is very sensitive to heavy precipitation, 2) damaged buildings are found in all over the Gyeonggi areas, but relatively more damages are in the regions closed to the City of Seoul, 3) damaged roads-bridges, streams, and reaches are found in mostly rural areas, 4) building and crop land damage occurs mostly in lowlands with different spatial patterns. These findings imply that 1) it will be useful to consider the average distances and slopes of damaged building and crop lands from streams for the decision making of land use management strategy, 2) further management efforts are required in the north, east, and south regions of Gyeonggi areas to prevent roads-bridge, stream, and reach damages, 3) the present land use pattern needs to be carefully investigated by considering the damage clustered areas for the year of 2009 based on watershed and municipality boundaries.

A Study for Satisfaction Degree on Clinical Practice for Dental Technology Student (치기공과 학셍들의 임상실습만족도에 관한 연구)

  • Hwang, Kyung-Sook
    • Journal of Technologic Dentistry
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    • v.19 no.1
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    • pp.91-111
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    • 1997
  • An aim of this study is to find out influenced factors of satisfaction degree on the clinical practice for the dental technology student and it can be provided the basic necessary data for the educational planning of the curriculum for the clinical practice. The target of study are selected form 7 junior health college students and colleges are located in around seoul form 14 junior health college throughout the nation. The questionnaries were distributed between 24th Feb to 30th July in 1997 to the 100 dental technicians who finished clinical practice and entered profession in 1997. All collected data were analysed by using SPSS/PC, Technical Statistic, One-Way ANOVA, Ttest, Person Correnlation Coefficient, Chrobach Alpha Coefficient and the result of the study is follow. 1) The satisfaction degree were classificated as 7 aspect and overall average score was 3.042. During that period satisfaction of personal relation aspect(M=3.737) shows highest level. Satsfiaction of clinical parctice(M=3.571) shows as second, Satisfiaction of environment(M=3.028), Satisfaction of guidance(M=2.915), satisfaction of subject are ordered of their scores. According to above study satisfaction's degree of subject show lowest level. 2) According to the result of verification of study. general character of student and satisfiaction degree has not much relation with sex, location of college, religion, period for enrolling college, teaching method of clinical practice. But the result show similar relation with following items. Satisfaction if subject and satisfaction of clinical practice(P=0.000), place of clinical practice and satisfaction of clinical practice(P=0.002), Academic record of college and satisfaction of clinical practice(P=0.000). 3) The relation of satisfaction(Subject, method of teaching, environment, period, rating, personal relation) of clinical practice and age of investigation's target Older student show higher satisfaction(P=0.040). Also method of teaching, environments, period, rating, personal relation has similarities with satisfaction. Therefore student who has higher satisfaction of clinical practice they also have higher rate for subject, environment, period, personal relation. 4) The result fo investigation, most interesting subject was crown & bridge and most difficult factor was too many simple-works to the student. One of ideal factor was discussing with counselor before they choose place for clinical practice. Third grade and first semester is most efficient time for clinical practice and 8 week is proper period for clinical practice. Clinical practice is absilutory mecessary and we find out most student rated positively. However we need more specific study about satisfcation of each subject. Because it shows lowest level and we need more pay attention for planning of clinical practice.

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Vertical Distribution of Vascular Plants in Jungsanri, Mt. Jiri by Temperature Gradient (지리산 중산리계곡 관속식물의 고도별 온도구배에 따른 수직 분포)

  • Yun, Jong-Hak;Kim, Jung-Hyun;Oh, Kyoung-Hee;Lee, Byoung-Yoon
    • Korean Journal of Environment and Ecology
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    • v.24 no.6
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    • pp.680-707
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    • 2010
  • In order to investigate vertical plant distribution on Jungsanri of Mt. Jirisan by temperature change, vascular plants of fourteen areas with 100-meter-high difference were surveyed from the Jungsan bridge(348 m alt.) to the Jangteumog(1653 m alt.). A total of 440 taxa belonging to 104 families, 287 genera, 385 species, 7 subspecies, 42 varieties, and 6 forma were vegetated on survey areas. Around 700 m high did species diversity of vascular plants decrease rapidly, but foreign species were not found. The Detrended correspondence analysis(DCA) divided distribution of vascular plants into five groups; areas below 500m alt., 500~600m alt., 600~1000m alt., 1000~1200m alt., and areas above 1200m alt.. These results showed that vegetation of vascular plants on investigated areas has high correlation with climate elements of temperature. Vascular plants should be crowded within their own optimal ranges of vegetation. Climate change would result in shift of these distribution ranges, and thus vegetation shift will be happened accordingly.

A Retrospective study of the Cumulative Survival Rate and change of peri-implant marginal bone around implants associated with maxillary sinus augmentation (상악동 골 이식술을 동반하여 식립된 임플란트의 변연골변화와 생존률에 관한 후향적 연구)

  • Ryu, Hwa-Suk;Kim, Sun-Jong;Park, Eun-Jin;Kim, Myung-Rae
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.2
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    • pp.240-246
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    • 2009
  • Statement of problem: Insertion of endosseous implants in the atrophic maxilla is often complicated because of lack of supporting bone. Augmentation of the floor of the maxillary sinus with autogenous bone & bone substitute graft has been proven to be a reliable treatment modality, at least in the short term. The aim of this study is to evaluate the factors of implant survival rate associated with maxillary sinus lift with grafts. Material and methods: The sinus floor was augmented with bone grafts derived from modified Caldwell-luctechnique(71 subject, 93 sinus, 180 implants), the autogenous bone or autogenous+Bio-oss. Before implant installation the width and height of the alveolar crest were increased in the first stage procedure in 10 patients while in the other 61 patients augmentation and implant installation could be performed simultaneously width and height of the alveolar crest > 4 mm) or delayed installation. Results: In all case bone volume was sufficients for implant insertion. 14 of 180 inserted implants were lost during follow up and the healing period Patient received implant supported overdenture(5 patients) or fixed bridge(62 patients). Conclusion: Within the limit of the result of this study, we conclude that bone grafting of the floor of the maxillary sinus floor with bone for the insertion of implants might be a reliable treatment modality and the autogenous bone graft and delayed installation method might be the factors for good results.

Stability Behavior of Geotextile Tube Composite Structure by Slope Stability and 2-D Limit Equilibrium Analysis (2차원 한계평형 및 사면안정해석을 통한 지오텍스타일 튜브 복합구조물의 안정성 분석)

  • Oh, Young-In;Shin, Eun-Chul;Kang, Jeong-Gu
    • Journal of the Korean Geosynthetics Society
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    • v.5 no.4
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    • pp.11-18
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    • 2006
  • Geotextile has been used for various types of containers, such as small hand-filled sandbags, 3-dimensional fabric forms for concrete paste, large soil and aggregate filled geotextile gabion, prefabricated hydraulically filled containers. They are hydraulically filled with dredged materials and have been applied in coastal protection and scour protection, dewatering method of slurry, temporary working platform for bridge construction, temporary embankment for spill way dam construction. Recently, geotextile tube technology is no longer alternative construction technique but suitable desired solution. The paper presents the stability behavior of geotextile tube composite structure by 2-D limit equilibrium and slope stability analysis. 2-D limit equilibrium analysis was performed to evaluate the stability of geotextile tube composite structure to the lateral earth pressure and also transient seepage and stability analysis were conducted to determine the pore pressure distribution by tide variation and slope stability. Based on the results of this paper, the three types of geotextile tube composite structure is stable and also slope stability of overall geotextile tube composite structures is stable with the variation of tidal conditions.

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Design and Performance Analysis of EU Directory Service (ENUM 디렉터리 서비스 설계 및 성능 평가)

  • 이혜원;윤미연;신용태;신성우;송관우
    • Journal of KIISE:Information Networking
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    • v.30 no.4
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    • pp.559-571
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    • 2003
  • ENUM(tElephon NUmbering Mapping) is protocol that brings convergence between PSTN Networks and IP Networks using a unique worldwide E.164 telephone number as an identifier between different communication infrastructure. The mechanism provides a bridge between two completely different environments with E.164 number; IP based application services used in PSTN networks, and PSTN based application services used in IP networks. We propose a new way to organize and handle ENUM Tier 2 name servers to improve performance at the name resolution process in ENUM based application service. We build an ENUM based network model when NAPTR(Naming Authority PoinTeR) resource record is registered and managed by area code at the initial registration step. ENUM promises convenience and flexibility to both PSTN and IP users, yet there is no evidence how much patience is required when users decide to use ENUM instead of non-ENUM based applications. We have estimated ENUM response time, and proved how to improve performance up to 3 times when resources are managed by the proposed mechanism. The proposition of this thesis favorably influences users and helps to establish the policy for Tier 2 name server management.

A study on improving fairness and congestion control of DQDB using buffer threshold value (버퍼의 문턱치값을 이용한 DQDB망의 공평성 개선 및 혼잡 제어에 관한 연구)

  • 고성현;조진교
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.22 no.4
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    • pp.618-636
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    • 1997
  • DQDB(Distributed Queue Dual Bus) protocol, the IEEE 802.6 standard protocol for metropolitan area networks, does not fully take advantage of the capabilities of dual bus architecture. Although fairness in bandwidth distribution among nodes is improved when using so called the bandwidth balancing mechanism, the protocol requires a considerable amount of time to adjust to changes in the network load. Additionally, the bandwidth balancing mechanism leaves a portion of the available bandwidth unused. In a high-speed backbone network, each node may act as a bridge/ router which connects several LANs as well as hosts. However, Because the existence of high speed LANs becomes commonplace, the congestionmay occur on a node because of the limitation on access rate to the backbone network and on available buffer spaces. to release the congestion, it is desirable to install some congestion control algorithm in the node. In this paper, we propose an efficient congestion control mechanism and fair and waster-free MAC protocol for dual bus network. In this protocol, all the buffers in the network can be shared in such a way that the transmission rate of each node can be set proportional to its load. In other words, a heavily loaded node obtains a larger bandwidth to send the sements so tht the congestion can be avoided while the uncongested nodes slow down their transmission rate and store the incoming segments into thier buffers. this implies that the buffers on the network can be shared dynamically. Simulation results show that the proposed probotol significantly reduces the segment queueing delay of a heavily loaded node and segment loss rate when compared with original DQDB. And it enables an attractive high throughput in the backbone network. Because in the proposed protocol, each node does not send a requet by the segment but send a request one time in the meaning of having segments, the frequency of sending requests is very low in the proposed protocol. so the proposed protocol signigificantly reduces the segment queuing dely. and In the proposed protocol, each node uses bandwidth in proportion to its load. so In case of limitation of available buffer spaces, the proposed protocol reduces segment loss rate of a heavily loaded node. Bandwidth balancing DQDB requires the wastage of bandwidth to be fair bandwidth allocation. But the proposed DQDB MAC protocol enables fair bandwidth without wasting bandwidth by using bandwidth one after another among active nodes.

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Study of Polymer Rapid Setting Cement Concrete Using Electric Arc Furnace Oxidizing Slag Aggregate (전기로(電氣爐) 산화(酸化)슬래그 잔골재를 이용한 폴리머 속경성(速硬性) 시멘트 콘크리트 기초물성(基礎物性) 연구(硏究))

  • Jung, Won-Kyong;Gill, Yong-Soo;Kang, Seung-Hee
    • Resources Recycling
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    • v.21 no.1
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    • pp.30-40
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    • 2012
  • Electric arc furnace slag is made in ironworks during steel refining, it is been increasing chemical and physical resistibility using ageing method of unstable state of melting steel slag for using concrete's fine aggregates. Which is been changing stable molecular structure of aggregates, it restrains moving of ion and molecule. In Korea, KS F 4571 has been prepared for using the electric arc furnace oxidizing slag to concrete aggregates(EFS). In this study, Electric arc furnace oxidizing slag is used in the PRCC(Polymer Rapid setting Cement Concrete) which is applied a bridge pavement of rehabilitation, largely. The results showed that the increment of compressive strength development by 10- 20%. The flexural strength of EFS-Con increased greatly as the electric arc furnace oxidizing slag changed. The compressive strength and flexural strength developed enough for opening the overlayed EFS-Con to the traffic after 4 hours of EFS-Con placement. The permeability of EFS-Con was evaluated as negligible due to its very low charge passed. Thus, EFS-Con could be used at repairing or overlaying the concrete at fast-track job sites.

Experimental study on debris reduction facilities verification for small bridge and culvert (소교량 및 암거 대상 유송잡물 저감시설 검증실험)

  • Kim, Jong Tae;Yeo, Hong Koo;Kang, Jun Gu;Kim, Sung Joong
    • Proceedings of the Korea Water Resources Association Conference
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    • 2016.05a
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    • pp.447-447
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    • 2016
  • 홍수 시 하천을 따라 유하되는 유송잡물(잡목, 생활쓰레기 등)은 구조물에 집적이 이루어지며 이로 인해 물의 흐름을 방해하고 구조물 주변의 지반을 약화시키거나 월류로 인해 심각한 피해를 야기 시킨다. 교량의 경우 유송잡물의 집적은 교각의 항력을 증가시켜 전도파괴를 유발시킬 수 있으며, 교각주변 흐름교란을 통한 하상세굴로 인해 기초부를 파괴시키기도 한다. 또한 통수단면적 증가로 인해 높아진 수위는 제방을 월류시켜 재산 및 인명피해를 유발하기도 한다. 암거의 경우 유송잡물을 포함한 토사로 인해 단면폐색 및 침식으로 암거의 파괴를 발생시키고 이로인해 도로의 단절을 가져오기도 한다. 이러한 유송잡물에 대한 차단대책은 현재 까지 유지관리를 통한 방법만이 최선책으로 제시되고 있다. 본 연구는 국외에서 소개되고 있는 유송잡물 피해저감시설을 대상으로 축소모형실험을 통해 효과를 확인하고 이를 통해 저감시설의 효율에 대해 소개하고자 하는 것이 주목적이다. 유송잡물 저감시설은 교량의 경우 수직분리대 방법, 우회말뚝 방법, 스위퍼를 이용한 방법으로 소개하고 있으며 이들 방법의 특징은 유송잡물 우회를 통해 집적을 저감하는 방식이다. 암거의 경우 수직분리대 방법, 스크린 방법, 우회스크린을 이용하는 방법 등이 있으며 수직분리대는 교량과 마찬가지로 우회방식을 기본방식으로 스크린 방식은 유송잡물의 차단을 원칙으로 하고 있다. 실험의 결과는 교량과 암거의 차단시설 유무에 따른 유송잡물의 집적률을 대상으로 하였다. 차단시설이 없는 경우 교량에서의 집적률은 97.9% ~ 99.2%의 집적률로 나타났다. 수직분리대의 경우 유송잡물 집적률은 49.3%, 우회말뚝은 0.0% ~ 4.2%의 범위로 매우 높은 차단효과를 보이고 있었다. 스위퍼방식의 경우 집적률은 5.3% ~ 20.9%로 나타났다. 이러한 결과로 판단하였을 때 차단시설 설치로 인한 교량에 대한 직접적인 차단효과는 수직분리대 < 스위퍼 < 우회말뚝 순으로 높은 차단효과를 보이는 것으로 나타났다. 그러나 우회말뚝에서의 집적률이 한계치를 넘어선다면 유송잡물로 인해 흐름교란, 수위 및 하상변동, 말뚝의 유실 등으로 인한 피해가 예상된다. 암거대상 유송잡물 차단시설 실험결과는 수직분리대의 경우 type과 투하방법에 따라 차이가 있지만 집적률은 14.7% ~ 64.9%의 범위로 나타났다. 스크린과 우회스크린 방식은 유송잡물의 우회가 아닌 차단이 목적이므로 유송잡물 집적에 의한 수위상승이 우려되는바 수위영향을 검토하였다. 검토결과 스크린 설치로 인한 수위상승이 우회스크린보다 높게 상승하는 것으로 나타났다. 이러한 결과는 스크린의 형태적인 측면에서 2면을 통해 집적되는 특성을 갖는 우회스크린이 통수단면적을 많이 확보하기 때문이다. 따라서 국부적인 수위상승으로 인한 피해를 저감하기 위해서는 설치여건이 허용된다면 통수단면적 확보가 유리한 우회스크린 설치가 유리할 것으로 판단된다.

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