• 제목/요약/키워드: Case history

검색결과 3,520건 처리시간 0.035초

Carcinoma of the Tongue: A Case-control Study on Etiologic Factors and Dental Trauma

  • Bektas-Kayhan, Kivanc;Karagoz, Gizem;Kesimli, Mustafa Caner;Karadeniz, Ahmet Nafiz;Meral, Rasim;Altun, Musa;Unur, Meral
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권5호
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    • pp.2225-2229
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    • 2014
  • Background: Carcinoma of the tongue is the most common intra-oral malignancy in Western countries. Incidence and mortality rates have increased in recent years, and survival has not improved. This study aimed to determine etiologic factors for tongue cancer with age-sex matched case-control data. Materials and Methods: 47 patients with carcinoma of the tongue referred to our oral medicine clinic between years 2005-2006 were analyzed and compared with control group data. The medical records, including family history of cancer, dental trauma, and history of abuse of alcohol and tobacco products was recorded for all subjects. Chi square comparison tests and linear regression analysis were performed using the SPSS program for statistics. Results: Patient and randomly selected control groups each consisted of 30 male and 17 female subjects with mean ages 53.2 (${\pm}12.6$) and 52.6 (${\pm}11.5$) years respectively. Smoking and alcohol abuse proportions were significantly higher in the patient group (p=0.0001, p<0.0001 respectively). Chronic mechanical trauma was observed in 44.7% of the patients and 17.0% of the control group (p=0.004). Similarly, family history of cancer of any type (for the first degree relatives) was found to be more common in the patient group (p=0.009). On regression analysis, alcohol abuse, family history of cancer, smoking, chronic mechanical traumas appeared as significant etiologic factors (p=0.0001). Conclusions: We believe that field cancerization may become evident in oral and oropharyngeal mucosa with multiple steps of molecular changes starting from the first sign of dysplasia with chronic exposure to etiological factors. Chronic trauma cases need particular attention to search for very early signs of cancer.

4개월 영아에서 발생한 대상포진 1예 (A case of herpes zoster in a 4-month-old infant)

  • 김지현;이정주;윤신원;채수안;임인석;이동근;최응상;유병훈
    • Clinical and Experimental Pediatrics
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    • 제51권12호
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    • pp.1368-1371
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    • 2008
  • 영아에서의 대상포진은 매우 드문 질환이지만, 자궁 내에서 혹은 출생 후 수두 바이러스에 노출되어 발생할 수 있다. 태생기에는 바이러스에 대한 특이 면역글로불린 수치가 낮으며, 영아기에는 항원에 반응하는 림프구, 자연살해세포, 사이토카인이 적어 바이러스의 잠복기를 유지하기가 어려워, 이 때에 감염되는 경우 생후 1년 이내에 대상포진이 발병하는 것으로 알려져 있다. 저자들은 수두에 이환 되었거나 수두 예방접종을 받았던 적이 없었던 생후 4개월 영아에서 대상포진을 경험하였기에 보고하는 바이다. 환아의 어머니 역시 임신 중 수두에 감염되었거나 노출된 병력이 없었으며 환아는 대상포진에 병발된 포도상구균 감염에 대하여 acyclovir와 1세대 세팔로스포린으로 치료를 받고, 합병증 없이 치료되었다.

비선형 응답이력해석의 영향인자에 대한 사례연구 - 1989 Loma Prieta 지진 계측기록을 중심으로 - (Case Study on Influential Factors of Nonlinear Response History Analysis - Focused on 1989 Loma Prieta Earthquake -)

  • 유계항;이진선
    • 한국지반공학회논문집
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    • 제33권12호
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    • pp.45-58
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    • 2017
  • 최근 들어 시설물별 내진설계기준이 성능기반 내진설계로 전환됨에 따라, 신뢰성있는 비선형 응답이력해석(Response-history analysis, RHA)에 대한 요구가 높아지고 있다. 그러나, 부지응답해석 분야에 있어서는 1970년대 이후 등가선형 해석이 표준절차로 자리잡고 있음에 따라, 이를 대체하기 위해서는 비선형 응답이력해석의 신뢰성이 확보되어야 한다. 본 논문에서는 1989년 미국 Loma Prieta 지진기록을 바탕으로 다층지반에 대해서 비선형 RHA를 이용한 부지응답해석 결과의 신뢰성을 검증하였다. 이를 위하여, 비선형 RHA를 위한 비선형 지반모델의 선정방법과 3차원 해석시 요구되는 기반암 경계조건의 영향을 평가 하였다. 평가 결과, 제한된 조건하에서 가장 정확한 비선형 지반모델과 경계조건을 적용 시 비선형 RHA의 결과는 등가선형 해석결과와 유의미한 차이는 발생하지 않음을 알 수 있었다. 또한, 3차원 해석을 시행하는 경우, 전체 모델의 회전운동을 제어하기 위하여 최 하단부 흡수 경계조건을 적용해야 함을 알 수 있었다.

반도체 테스트 핸들러 픽커 검사장비 프레임에 대한 구조 및 피로해석 (Structure and Fatigue Analyses of the Inspection Equipment Frame of a Semiconductor Test Handler Picker)

  • 김영춘;김영진;국정한;조재웅
    • 한국산학기술학회논문지
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    • 제15권10호
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    • pp.5906-5911
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    • 2014
  • 요즈음 생산되는 반도체의 제품이 제대로 작동하는지, 낮은 습도 또는 높은 온도에서 잘 견디는가를 검사하는 패키지 조립 및 검사 공정이 현장에 많이 있다. 또한 검사공정에서 사용되고 있는 반도체 테스트 핸들러 픽커 검사장비가 있는데, 본 연구에서는 CATIA 프로그램을 이용하여 3D 모델링하였으며, ANSYS 프로그램을 이용하여 반도체 테스트 핸들러 픽커 검사장비 프레임의 모델에 대하여 3가지 피로하중에 대한 해석을 하였다. 해석 결과로서 Case 1과 Case 2 모두 프레임의 가운데에서 최대 변형량이 발생하고 불규칙 피로 하중들 중에서 가장 하중의 변동이 심한 'SAE bracket history'가 가장 불안정하고 'Sample history'가 가장 안정함을 보이고 있다. 본 연구의 피로 해석 결과는 반도체 테스트 핸들러 픽커 검사장비 프레임의 파손방지 및 내구성을 검토함으로서 그 프레임의 설계에 효율적으로 활용이 될 수 있다.

단순화 모델에서의 응답스펙트럼과 시간이력 내진해석 결과를 활용한 해양플랜트용 매니폴드 실제품의 내진강도 평가 (Seismic Access of Offshore Subsea Manifold using RSA and THA Seismic Analysis Results for Simplified Model)

  • 이은호;곽시영
    • 한국전산구조공학회논문집
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    • 제32권1호
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    • pp.7-16
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    • 2019
  • 본 논문에서는 해양플랜트용 매니폴드 구조물의 내진해석을 위해, 단순화 모델에 대해 응답스펙트럽해석(RSA) 및 시간이력해석(THA)을 여러 조건으로 진행하여 비교 검토하였다. 응답스펙트럼해석은 ISO19901-2에 따른 내진설계 절차를 이용하였다. 시간이력해석의 경우, 응답스펙트럼으로 가속도와 변위에 대한 지진이력을 인공적으로 만든뒤 Explicit와 Implicit 솔버를 사용하여 해석하였다. 단자유도 모델을 사용하여 해석방법을 검증하였으며, 매니폴드 구조물을 단순화한 모델에서 시간이력해석과 응답스펙트럼해석법의 차이를 분석하였다. 복잡한 실제 구조물에 대해서 직접적인 시간이력해석은 불가능하므로 응답스펙트럼해석법을 적용하였고, 단순화 모델에서 분석한 결과 차이를 활용하여 실제 구조물의 안전성을 판단하였다.

일반 수업과 IC-PBL 적용 수업의 비교를 통한 패션복 식사의 교육 효과 연구 (A Study on the Educational Effect of the History of Fashion and Costume through a Comparison of General Lecture and IC-PBL(Industry-coupled Problem-based Learning))

  • 정연이;이영재
    • 패션비즈니스
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    • 제25권2호
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    • pp.98-109
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    • 2021
  • The purpose of this study was to present the case of class operation by paralleling a general instructor's lecture class and a IC-PBL class in a fashion design major course and comparing the educational effects. The teaching model of this study was designed to improve the ability to use the knowledge gained in accordance with the needs of the industrial field and to develop an independent learning ability. It will provide meaningful data. This study measured and considered the qualitative items of self-efficacy and changes in class perception through interviews and questionnaires completed by the learners after experiencing each general class and IC-PBL class. The results of this study are, first, that in the History of Fashion and Costume class, the general teaching method and the IC-PBL teaching method were applied in parallel to design a class, and a method case was presented. Second, as a result of comparing the educational effects of the two teaching methods through a student questionnaire, IC-PBL was more effective in improving learning attitude, learning achievement and self-efficacy. In addition, after the IC-PBL class on History of Fashion and Costume, the students' negative perception of team activities improved, and the students' cooperative ability and creativity improved.

복부 지방흡입술을 시행받은 환자에서 횡복직근피판술을 이용한 유방재건 치험 2례 (Breast Reconstruction with Pedicled TRAM Flap in Patients Having History of Abdominal Liposuction: Report of 2 Cases)

  • 강병수;이택종
    • Archives of Plastic Surgery
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    • 제35권2호
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    • pp.193-196
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    • 2008
  • Purpose: TRAM flap reconstruction has settled down as a common method for breast reconstruction after mastectomy. There are a few surgical contraindication in TRAM flap surgery. Previous abdominal liposuction has been a relative contraindication in TRAM flap surgery. The authors present 2 patients of successful breast reconstruction using pedicled TRAM flaps, who previously underwent abdominal liposuction. Methods: Case 1: A 48-year-old woman with a right breast cancer visited for mastectomy and breast reconstruction. Her past surgical history was notable for abdominal liposuction 15 years ago. Skin sparing mastectomy and breast reconstruction with a pedicled TRAM flap was performed. Case 2: A 45-year-old woman with a left breast cancer visited us for mastectomy and autologous breast reconstruction. 3 years ago, she had an abdominal liposuction and augmentation mammaplasty in other hospital. Nipple sparing mastectomy and breast reconstruction was done using pedicled TRAM flap. Results: One year after the reconstruction, partial fat necrosis was developed in one case but there was no skin necrosis or donor site complication in both patients. Conclusion: As aesthetic surgery becomes more popular, increasing numbers of patients who have a prior abdominal liposuction history want for autologous tissue breast reconstruction. In these patients, TRAM flap surgery will be also used for breast reconstruction. But, the warning of fat necrosis and the use of preoperative Doppler tracing to evaluate the abdominal perforator may be beneficial to patients who had abdominal liposuction recently.

천주교 대전교구의 기록관리 : 개선안 및 기록물 정리 방안 (The Records and Archives management of the Catholic Daejon Diocese : Focused on the case of the Archival Arrangement and the Ways of Improvement)

  • 하종희
    • 기록학연구
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    • 제4호
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    • pp.63-91
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    • 2001
  • This study is intended to examine the existing condition of records and archives management and seek its improvement and progress on a concrete model of Daejon Diocese as a kind of case study, because it is necessary to recognize the importance of records and archives management and to develop the records and archives management system. Daejon Diocese which has the catholic jurisdiction covering the areas of Daejon city and Chung Cheong Nam - Do province, celebrated the 40th anniversary of the diocese in 1998. At that, time, the authority of Daejon Diocese claimed to establish its church history institution and to plan the publication of "40 years history of Daejon Diocese". However, its publication could not be achieved until now for several reasons. Since my search for the cause of this situation, I immediately recognized that the lack of materials might be a common condition in almost all of the associations, especially with respect to management, preservation and access of the records and archives. The records in the archival repository of Daejon Diocese have been considerably lost because of the past intemperate destruction and these records have just piled for long time without any reasonable disposal programme. Therefore, in these poor conditions, it is inevitable to delay the publication of "40 years history of Daejon Diocese." This thesis deals with the archival arrangement and the ways of improvement by means of studying the records and archives management, as the essential issues. The archival arrangement based on the principle of provenance, the date of creation, and form division. The methods of improvement include the preservation environment, the scope of archives, archival staff, disposal and so on. Records have the legal and social value after being produced and they can remain as historical and cultural inheritances under the excellent condition of management and preservation. However, in examining the case of the management and preservation of records and archives in Daejon Diocese, I understand that it will need considerable time, man power, and financial cost in order to maintain the desirable level of records and archives management system Therefore, it is a important step for Catholic Daejon to recognize the necessity of the change over records and archives management.

Lessons from Haitai Distribution Inc's experience in Korea

  • Cho, Young-Sang
    • 유통과학연구
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    • 제9권3호
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    • pp.25-36
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    • 2011
  • Owing to the rapid growth of hypermarket/discount store formats since 1996, Korean retailing has suddenly attracted the significant attention from researchers. Before the emergence of large scale retailers such as E-Mart, Lotte Mart and Tesco Korea, there were the two retail formats who led the Korean retailing in the modern retailing history: department store and supermarket formats. Nevertheless, there has been little literature concerned about the two retail formats as a case study, while some authors have paid their attention to hypermarket/discount store formats. In addition, when mentioning the development process of retailing history, it is less likely that authors have made an effort to illustrate supermarket retailing history. In order to regard supermarket retailing as part of the Korean retailing, it is interesting to look at a representative supermarket retailer, Haitai, who was one of the subsidiaries of Haitai chaebol. Based on supermarket retailing, the company which was established as a joint venture in 1974 led a supermarket retailing in the Korean modernised retailing history. Before analysing whether Haitai failed or not, the definition of failure should be illustrated. With regard to the term, failure, in the academic world, authors have interchangeably used the following terms: failure, divestment, closure, organisational restructuring, and exit. To collect research data as a case study, the author adopted an in-depth interview method. The research is based on research interviews with 13 ex-staff who left after Haitai went bankruptcy, from store management department to merchandise department. By investigating Haitai's experiences through field interviews, the research found that Haitai restructured organisational decision-making process at the early stage when companies started to modernise organisational charts, benchmarking sophisticated retailing knowledge through the strategic alliance with a Japanese retailer. In respect of buying system, the company established firmly buying functions by adopting central buying system, and further, outstandingly allocated considerable marketing resources to the development of retailer brands with the dedicated team of retailer brand development. In the grocery retailing, abandoning a 'no-frill' packaging concept, the introduction of retailer brand packaging equal to, or better than national brand packaging design, encouraged other retailers to change their retailer brand development strategies. In product sourcing ways, Haitai organised for the first time the overseas sourcing team with the aim of improving the profit margins of foreign products and providing exotic products for customers, followed by other retailers. Regarding distribution system, the company introduced the innovative idea which delivered products ordered by stores directly to each store withboth its own vehicles and its own warehouse in which could deal with dry foods, chilly foods, frozen food, and non-foods, and even, process produce. In addition, Haitai developed many promotional methods to attract more customers like 'the guarantee of the lowest price', and expanded its own business to US in 1996, although withdrew, because of bankruptcy in 1997. Together with POS introduction in 1994, Haitai made a significant contribution to the development of the Korean retailing, influencing other retailers in many aspects. As a case study, the study has provided a number of lessons from Haitai's experiences for academicians and practitioners, suggesting that its history should be involved in the Korean modernised retailing.

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외측 발목 염좌 병력에 따른 정적 하지 정렬 차이: 외측 발목 염좌의 예측인자로서 정적 하지 정렬 검사의 효용성과 한계점 (Differences in Static Lower Extremity Alignment according to the History of Lateral Ankle Sprain: Efficacy and Limitation of Static Lower Limb Alignment Measurement as a Predictor of Lateral Ankle Sprain)

  • Jeon, Hyung Gyu;Ha, Sunghe;Lee, Inje;Kang, Tae Kyu;Kim, Eun Sung;Lee, Sae Yong
    • 한국운동역학회지
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    • 제31권1호
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    • pp.1-15
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    • 2021
  • Objective: The aim of this study was to investigate 1) the difference in static lower extremity alignment (SLEA) according to a history of lateral ankle sprain (LAS), 2) to identify SLEA factors affecting LAS, and 3) to present the cut-off value and 4) the usefulness and limitations of the SLEA measurement. Method: This case-control study recruited 88 men (age: 27.78±4.69 yrs) and 39 women (age: 24.62±4.20 yrs) subjects with and without LAS. SLEA measurement protocol included Q angle, tibiofemoral angle, genu recurvatum, rear foot (RF) angle, tibal varum and torsion, navicular drop, ankle dorsiflexion range of motion (DF ROM). Independent t-test, logistic regression and receiver operating characteristic (ROC) curve were used for statistical analysis. Results: Men with a history of LAS had significantly smaller Q angles both in standing and in supine position, while women with a history of LAS had significantly greater DF ROM in non-weight bearing (NWB; p < 0.05). Logistic regression model suggests tibial varum (OR = 0.779, p = 0.021) and WB DF ROM (OR = 1.067, p = 0.045) were associated with LAS in men. In case of women, there were no significant SLEA factors for LAS, however, ROC curve analysis revealed standing RF angle (AUC = 0.647, p = 0.028) and NWB DF ROM (AUC = 0.648, p = 0.026) could be affecting factors for LAS. Conclusion: There are differences in SLEA according to the history of LAS, furthermore, the identified items were different by sex. In case of men, tibial varum and WB DF ROM affect LAS occurrence. Standing RF angle and NWB DF ROM of women could be a predictor for LAS. However, since the sensitivity and specificity in most of the SLEA measurements are low, kinematic in dynamic tasks should be considered together for a more accurate evaluation of LAS risk.