• Title/Summary/Keyword: Case Report

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Full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to tooth wear (치아 마모로 인한 수직고경감소와 과개교합을 가진 환자의 완전 구강 회복 증례)

  • Chae, Hyun-Seok;Jeon, Bo-Seul;Lee, Jung-Jin;Ahn, Seung-Geun;Seo, Jae-Min
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.405-415
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    • 2019
  • Excessive tooth wear can cause irreversible damage to the occlusal surface and can alter the anterior occlusal relationship by destroying the structure of the anterior teeth needed for esthetics and proper anterior guidance. The anterior deep bite is not a morbid occlusion by itself, but it may cause problems such as soft tissue trauma, opposing tooth eruption, tooth wear, and occlusal trauma if there are no stable occlusal contacts between the lower incisal edge against its upper lingual surface. The most important goal of treatment is to form stable occlusal contact in centric relation. In this case report, patients with decrease in vertical dimension and anterior deep bite due to maxillary posterior tooth loss and excessive tooth wear were treated full mouth rehabilitation with increased vertical dimension to regain the space for restoration and improve anterior occlusal relationship and esthetics. The functional and aesthetic problems of the patient could be solved by the equal intensity contact of all the teeth in centic relation (CR), anterior guidance in harmony with the functional movement, and restoration of the wear surface beyond the enamel range.

A Study on Sexual Awareness and Sexual Behaviors among Middle School Students (중학생의 성 의식과 성 행동에 관한 연구)

  • Na, Myeong-Suk;Park, Young-Soo
    • The Journal of Korean Society for School & Community Health Education
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    • v.4
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    • pp.43-59
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    • 2003
  • The purpose of this study was to examine whether the gender, grade and school type of middle school students made any differences to their sexual awareness and sexual behaviors in an effort to lay the groundwork for providing more efficient sex education. The research questions were posed as follows: First, what is the sexual awareness of middle school students? Second, what are the sexual behaviors of middle school students? Third, are their gender, school year and school type related to their sexual awareness and behaviors? The subjects in this study were 976 middle school students from Gyeonggi province. After a survey was conducted with questionnaires prepared by this researcher based on earlier studies to suit the purpose of the study, the collected data were analyzed with SPSS 10.0 program. The frequency analysis, x2 test and correlational analysis were implemented, and basic statistical data were obtained. The conclusions were as follows: First, regarding their sexual awareness, the largest group of them agreed that one must report in case of being raped(4.36), and the smallest number of them thought that one might have a sexual relationship with a person other than his or her spouse after marriage(1.56). Second, as for experience of indecent materials, part of sexual behaviors, 67.4 percent had ever contacted such materials. The most common medium through which they contacted them was the Internet(56.5%). The above-mentioned findings suggested that the sexual awareness of the middle school students wasn't influenced by gender or school type. But that varied with grade, as the third graders had the best sexual consciousness. Their sexual behaviors were different according to gender. The boy students contacted more indecent materials, and their experience of such materials varied with grade, since the third graders contacted the most obscene materials. And that also varied with school type, and the non-engineering students contacted more obscene materials. As for sexual drives, their masturbation experience was different according to gender, grade and school type. The number of the boys who practiced masturbation was four-fold larger than that of the girls, and the second graders had more such experience. By school type, the non-engineering students practiced more masturbation, but there was no significant gap between their kissing, caressing and dating experiences.

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Full-mouth rehabilitation with increasing minimum vertical dimension in the patient with severely worn dentition and deep bite (과도한 치아 마모와 과개교합을 보이는 환자에서 최소한의 수직 고경 증가를 동반한 전악 구강 회복 증례)

  • Lee, Kang-Shin;Park, Ju-Mi;Ahn, Seung-Geun;Seo, Jae-Min;Han, Chang-Hee;Lee, Jung-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.431-441
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    • 2021
  • Full-mouth rehabilitation with increasing vertical dimension can be used for patients with severely worn teeth. In severely worn teeth also, the alveolar process can be elongated to compensate for the reduced vertical dimension, and the patient's vertical dimension of occlusion can be kept constant. However, full-mouth rehabilitation with increasing vertical dimension must be carefully chosen, because the vertical dimension can be reduced by tooth wear. It is important to establish a treatment plan with the systematic diagnosis of the change in the vertical dimension and gain space for the prosthesis. It is necessary to change the vertical dimension to secure the restoration space and select the minimum vertical dimension elevation for the esthetic and functional goal. In this case report, the patient complained of difficulty during chewing due to a worn dentition and wanted esthetic improvement of the short mandibular anterior teeth. After systematic evaluation and diagnosis, we performed full-mouth rehabilitation with minimum vertical dimension elevation to obtain the space for restoration. This resulted in a stable and harmonious occlusion, and the functional and esthetic problems of the patient were solved after treatment. The patient was satisfied with the results of the treatment and maintained stable occlusion during the follow-up period.

Numerical Analysis of Railway Roadbed Stability with Respect to Underground Cavities and Rock Condition: A Case Study of Shafts at Majang Mine (전산해석을 통한 지하 공동 및 암반 조건에 따른 철도지반 안정성 평가: 마장광산 갱도를 대상으로)

  • Jang, Kyunghwan;Lee, Dongwon;Min, Kyungnam;Chung, Chanmook;Yu, Jaehyung;Lee, Gyeseung
    • The Journal of Engineering Geology
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    • v.31 no.3
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    • pp.295-306
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    • 2021
  • This study used numerical modeling to investigate the stability of railway roadbed in areas with various underground cavities and rock conditions associated with mining activities. It compared combined loads from both passenger and freight trains with loads from only passenger trains. Stability was assessed with reference to the Korean government standards for railway subsidence allowance and railway warping repair. Sufficient stability regarding the railway subsidence allowance standard was not achieved when cavities were at depths of <5 m. The criteria for requiring railway warping repair were met when cavities were at depths of <15 m, depending on the rock fracture condition. This study provides the first report on systematic analysis land subsidence related to cavity size and rock fracture conditions associated with mining activities. We expect that this study could serve as an important reference for railway construction in mining areas.

A safe, stable, and convenient three-dimensional device for high Le Fort I osteotomy

  • Sugahara, Keisuke;Koyachi, Masahide;Odaka, Kento;Matsunaga, Satoru;Katakura, Akira
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.32.1-32.4
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    • 2020
  • Background: Le Fort I osteotomy is a highly effective treatment for skeletal jaw deformities and is commonly performed. High Le Fort I osteotomy is a modified surgical procedure performed for improving the depression of the cheeks by setting the osteotomy higher than the conventional Le Fort I osteotomy. Developments in three-dimensional (3D) technology have popularized the use of 3D printers in various institutions, especially in orthognathic surgeries. In this study, we report a safe and inexpensive method of performing a high Le Fort I osteotomy using a novel 3D device and piezosurgery, which prevent tooth root injury without disturbing the operation field for patients with a short midface and long tooth roots. Results: A 17-year-old woman presented with facial asymmetry, mandibular protrusion, a short midface, and long tooth roots. We planned high Le Fort I osteotomy and bilateral sagittal split ramus osteotomy. Prevention of damage to the roots of the teeth and the infraorbital nerve and accurate determination of the posterior osteotomy line were crucial for clinical success. Le Fort I osteotomy using 3D devices has been reported previously but were particularly large in size for this case. Additionally, setting the fixing screw of the device was difficult, because of the risk of damage to the roots of the teeth. Therefore, a different surgical technique, other than the conventional Le Fort I osteotomy and 3D device, was required. The left and right parts of the 3D device were fabricated separately, to prevent any interference in the surgical field. Further, the 3D device was designed to accurately cover the bone surface from the piriform aperture to the infra-zygomatic crest with two fixation points (the anterior nasal spine and the piriform aperture), which ensured stabilization of the 3D device. The device is thin and does not interfere with the surgical field. Safe and accurate surgical performance is possible using this device and piezosurgery. The roots of the teeth and the infraorbital nerve were unharmed during the surgery. Conclusions: This device is considerably smaller than conventional devices and is a simple, low-cost, and efficient method for performing accurate high Le Fort I osteotomy.

Study on the Production Process of Performance Arts Visualization Projects: Focused on a Case Analysis of NT Live Cinema Broadcasts (공연예술 영상화 제작과정 연구:NT Live 시네마 브로드캐스트 사례분석을 중심으로)

  • Park, Jin-Won;Kim, Ga-eun
    • The Journal of the Korea Contents Association
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    • v.21 no.7
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    • pp.45-58
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    • 2021
  • This study aims to select representative performance art visualization projects that react to changes in the culture enjoyment methods and needs of contemporary performance art consumers for performance art culture value creation and vitalization that suit the Fourth Industry and a global age, verify new cultural value creation possibilities of performance projects, and look into important matters and keynotes of production processes. Focusing on the report 'NT Live-Digital broadcast of theatre Learning from the pilot season'(2011), a thorough analysis was conducted on the Royal National Theatre of England, a leading model of cinema broadcast performance visualization projects, including the purpose, production processes (copyright agreements, personnel compositions, filming and broadcasting), marketing methods, and audiences of its "NT Live" project and observations were made of production processes and cultural and artistic values that differ from existing performance art to examine administrative and financial keynotes for the sustainability of performance visualization projects. Through this, possibilities of source creations with artistic, cultural, and economic values that cinema broadcast (live performance broadcast) performance viewing methods have as a new form of performance art products can be verified. In addition, the development of various performance approaches that respond to the culture enjoyment methods and consumption patterns of audiences will result in the vitalization of performing arts visualization projects through the enhancement of popular appeal and the expansion of audience types of the performing arts field.

Elevation of Procalcitonin in an Adolescent Acetaminophen Intoxication (아세트아미노펜 중독 청소년에서의 프로칼시토닌 상승)

  • Kim, So Eun;Lee, Jae Baek;Jin, Young Ho;Yoon, Jae Chol;Jo, Si On;Jeong, Tae Oh
    • Journal of The Korean Society of Clinical Toxicology
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    • v.17 no.1
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    • pp.38-41
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    • 2019
  • Procalcitonin (PCT) is commonly employed in medical practice as a diagnostic biomarker of bacterial infection and also as a monitoring biomarker for antimicrobial therapy. There have been a few published reports concerning elevated PCT levels in people with acute liver injury caused by an overdose of acetaminophen. We report here on a case of PCT elevation in an adolescent with acute acetaminophen poisoning without any bacterial infection or liver injury. A 15-year-old girl had deliberately ingested 20 tablets of 650 mg acetaminophen (13 g) and she presented to our emergency department. The PCT level on admission was elevated to 65.64 ng/mL (reference range: 0-0.5 ng/mL). Her PCT level on the second day peaked up to 100 ng/mL and then it gradually decreased. There was no evidence of liver injury or infection on the computed tomography examination and other lab tests. The patient regained her good health and was discharged on the sixth day of hospitalization.

Treatment of giant iatrogenic pseudoaneurysm of the femoral artery (대퇴동맥에 발생한 의인성 거대 가성동맥류에 대한 치료)

  • Kang, Wu-Seong;Park, Chan-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.423-428
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    • 2019
  • The role of angioembolization has increased because of increases in nonoperative treatment for traumatic splenic injury. We report here a case of successful treatment of iatrogenic pseudoaneurysm of the femoral artery by thrombin injection with coil embolization. A 55-year-old female was admitted to our hospital because of blunt trauma. Computed tomography (CT) revealed a grade V splenic injury with contrast extravasation; therefore, angioembolization was performed. Three days after admission, follow-up CT scan revealed rebleeding from the spleen, and repeat angioembolization was performed. Seven days after admission, an approximately $7.0cm{\times}4.0cm-sized$ pseudoaneurysm was found on follow-up CT scan and there was no bleeding from the spleen. Although thrombin was injected into the aneurysmal sac, there was still inflow of blood, as observed on color-doppler ultrasound. Therefore, coil embolization to the neck of the aneurysm was performed. On angiography, there was no contrast filling into the sac. The size of the pseudoaneurysmal sac had decreased on follow-up CT scan, and the patient was discharged to home without complications. We successfully treated a giant pseudoaneurysm of the femoral artery using thrombin and coil embolization.

Emergency angioembolization performed in a hemodynamically unstable patient with grade V liver injury: The benefit of emergency angioembolization without computed tomography (혈역학적으로 불안정한 grade V 간손상에서 시행한 응급 혈관색전술: 전산화단층 촬영 없이 시행한 응급 혈관색전술의 이점)

  • Kang, Wu Seong;Park, Chan Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.235-239
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    • 2019
  • High-grade liver injury is associated with high morbidity and mortality rates. We report successful emergency angioembolization and early interventional radiology support to manage a high-grade liver injury in a 29-year-old man who presented following a fall during parachute training. Upon arrival, his blood pressure was 80/40 mmHg, and emergency ultrasonography showed a liver injury with perihepatic fluid collection. The patient's blood pressure reduced to 60/40 mmHg, and emergency angiography was performed without computed tomography (CT) (door to puncture time 36 min). After angioembolization, his blood pressure returned to 120/77 mmHg. Subsequent CT revealed no additional bleeding or hollow viscus injury. He was admitted to the Intensive Care Unit and discharged without complications 30 days after admission. In this case, emergency angioembolization (without performing CT) could successfully and safely treat a hemodynamically unstable patient with a high-grade liver injury.

Toe entrapment and injury by plastic color rings in a Pale Thrush (Turdus pallidus) and a Light-vented Bulbul (Pycnonotus sinensis) (플라스틱 유색가락지에 의한 흰배지빠귀(Turdus pallidus)와 검은이마직박구리(Pycnonotus sinensis)의 발가락 끼임과 부상)

  • Choi, Chang-Yong;Park, Chang-uk;Nam, Hyun-Young;Park, Se-Young;Bing, Gi-Chang;Cho, Sook-Young;Park, Jong-Gil
    • Korean Journal of Ornithology
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    • v.25 no.2
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    • pp.82-86
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    • 2018
  • Color rings have been commonly and widely used in many ecological and ornithological studies in the field, but color ring-induced injury in passerines is poorly documented. In this report, we describe the first case of toe loss caused by a dislocated split Darvic ring in a Pale Thrush (Turdus pallidus) that was recaptured 596 days after its initial capture and release on Hong-do Island, the Republic of Korea. We also found that a left hind toe of a Light-vented Bulbul (Pycnonotus sinensis) was entrapped by a split color ring when the bird was observed 135 days after the marking at Heuksan-do Island. Based on these two cases out of the 1,900 color ringed birds, we emphasize a precautionary approach following general guidelines in the application and use of color leg rings for future studies.