• 제목/요약/키워드: Case history

검색결과 3,520건 처리시간 0.026초

Cryptogenic Temporal Hollowing

  • Park, Ie Hyon;Kwon, Heeyeon;Kim, Sang Wha
    • 대한두개안면성형외과학회지
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    • 제17권4호
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    • pp.218-221
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    • 2016
  • Temporal hollowing is a common complication that occurs after coronal approach surgeries. However, temporal hollowing without previous nerve damage or trauma history is rare. Herein, we present a patient with cryptogenic temporal hollowing. A 22-year-old man without any history of craniofacial interventions or trauma presented with temporal hallowing. Magnetic resonance imaging revealed fatty degeneration of the left temporalis muscle. Electromyography and nerve conduction study showed no signs of neurologic abnormalities. The patient received autologous fat injection of 30 mL harvested from the left thigh using the modified Coleman technique. Temporal hollowing is commonly caused by atrophy of the superficial temporal fat pad. Its incidence is reported to be as high as 6% after coronal approach operation. Augmentation using porous hydroxyapatite or titanium mesh is a treatment option. Autologous fat graft can also be an option for mild to moderate temporal hollowing. In this case, a patient with no history of trauma, surgery, or myogenic disease developed temporal hollowing. Further study of the little-known cryptogenic form of temporal hollowing is warranted.

미셀 푸코와 만프레도 타푸리의 역사이론 비교연구 -건축, 이데올로기, 권력의 계보학- (A Comparative Study on the Historical Concept of Michel Foucault and Manfredo Tafuri -Architecture, Ideology, and Geneology of Power-)

  • 정인하
    • 건축역사연구
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    • 제8권3호
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    • pp.91-111
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    • 1999
  • This study tries to compare the architectural thought of Michel Foucault with that of Manfredo Tafuri in order to make clear the architectural identity as a social institution. In Michel Foucault's case, the archeology of discourse and the geneology of power were central method to understand the history of occidental society since the Renaissance. Four him, architecture is assumed as a mechanism of operation which make the power effectively radiate in th space. He thinks that a new discursive space was arranged since the 18th century in Europe, the architecture played a role to coordinate divers powers. Mafredo Tafuri, architetural historian, depends on the criticism of ideology in search of the relation between the economic system of capitalism and modern architecture and urbanism. He thinks that all architecture is an institution. And any attempt to overthrow the institution, is bound to see itself turned into a positive contribution and into an ideology, So all architectural attempts to conceal the contradiction of capitalism are negated. This different perspective on architecture exposes many points of dispute: historical periodization, disciplinary limit of architecture, understanding of Enlightenment architecture, utopia and heterotopia, etc.

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Maternal Factors and Risk of Childhood Leukemia

  • Kumar, Ashok;Vashist, Minakshi;Rathee, Radha
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권2호
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    • pp.781-784
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    • 2014
  • Background: Although the cause in most cases of childhood leukemia is not known, the contribution of environmental risk factors in the context of genetic predisposition has been reported with inconsistent results. The aim of this study was to examine association of childhood leukemia with maternal factors especially during pregnancy, to help in avoiding risk factors. Materials and Methods: This case-control study included children younger than 18 years diagnosed with leukemia from 2008 to 2012. Controls were randomly selected and individually matched to cases with respect to age, sex, and residency. All variables were compared between cases and control to determine any significant association with leukemia. Results: Statistically significant associations between risk of childhood leukemia with mother's education (p=0.001), occupation (p=0.0005) and pesticides exposure (p=0.005) during pregnancy were found. However, there were no significant links with maternal age (p=0.090), history of fetal loss (0.85), history of radiography during pregnancy (p=0.400), history of drug intake (p=0.689) and infection (p=0.696) during pregnancy. Conclusions: The results showed increased risk of leukemia in children whose mothers were working in agriculture and were exposed to pesticides during pregnancy. The further study needs to be investigated to know association of various maternal risk factors with leukemia which remained unknown in this study.

Recurrent Prosthetic Mitral Valve Dehiscence due to Infective Endocarditis: Discussion of Possible Causes

  • Ercan, Suleyman;Altunbas, Gokhan;Deniz, Hayati;Gokaslan, Gokhan;Bosnak, Vuslat;Kaplan, Mehmet;Davutoglu, Vedat
    • Journal of Chest Surgery
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    • 제46권4호
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    • pp.285-288
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    • 2013
  • Prosthetic valves are being widely used in the treatment of heart valve disease. Prosthetic valve endocarditis (PVE) is one of the most catastrophic complications seen in these patients. In particular, prosthetic valve dehiscence can lead to acute decompensation, pulmonary edema, and cardiogenic shock. Here, we discuss the medical management of late PVE in a patient with a prior history of late and redo early PVE and recurrent dehiscence. According to the present case, we can summarize the learning points as follows. A prior history of infective endocarditis increases the risk of relapse or recurrence, and these patients should be evaluated very cautiously to prevent late complications. Adequate debridement of infected material is of paramount importance to prevent relapse. A history of dehiscence is associated with increased risk of relapse and recurrent dehiscence.

슬래밍 충격을 받는 선체의 동적 응답해석 -유한요소법으로- (Analysis on the Dynamic Respone of the Hull Structure due to Slamming Impact - By Finite Element Method -)

  • 홍봉기;문덕홍;배동명
    • 수산해양기술연구
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    • 제19권2호
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    • pp.117-124
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    • 1983
  • 정면규칙파중에서 Bow-flare부 충격은 선저충격에 비해서 작용 시간이 길고, 선체 수직운동진폭이 큰 상태이거나, 파고가 큰 입사파가 적용되는 경우에 선체에 작용하는 충격력은 상당히 크며, 파고가 높아지면, 발생하는 모우멘트도 증가한다. 2. Bow-flare부가 큰 선형의 경우에는 선저노출이 일어나지 않더라도 부가질량의 급격한 증가에 따라 상당히 큰 충격력이 작용한다. 3. Deckwetness, 불규칙파중에서의 응답해석, 상대변위를 구할 때 Dynamic Swell-up의 양을 고려한 계산 등의 검토가 요망된다.

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생활치수치와 근관치료된 치아의 수직치근파절에 관한 증례보고

  • 이세준;고승오;장문택
    • 대한치과의사협회지
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    • 제40권7호통권398호
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    • pp.542-547
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    • 2002
  • This study was aimed to help diagnose the vertical root fractures in endodontically and in nonendodontically treated teeth. This was a study about mine teeth with a vertical root fractures. Four cases were nonendodontically treated teeth and five cases were endodontically treated teeth. A collection of information including past dental history, periodontal probing, and X-ray was gathered on each case. One of the endodontic cases had no periodontal pocket depth and was in acute pain. It was confusing to find whether causes were because of endodontic failure or vertical root fractures. Most of the vertical root fractures were found in patients aged between 50 and 60. Vertical root fractures were found in the molar and premolar of maxillary and mandibular teeth. The second molars repecially, which had C shaped roots had vertical root fractures with apical propagation type. The apical propagation type means that vertical root fracture initiates in root apex and propagate to coronal root. The teeth with vertical root fractures of the apical propagation type, which was in acute pain, were very difficult in differential diagnosis of periodontal lesion and endodontic failure. Therefore, the dental history was very important to make a differential diagnosis. Past pain history repeated uncomfortable symptoms in bite was a key of differential diagnosis.

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지진하중을 받는 마찰형 감쇠를 갖는 구조물의 변위 응답 확률 분포 (Probabilistic Distribution of Displacement Response of Frictionally Damped Structures under Earthquake Loads)

  • 이상현;박지훈;윤경조;민경원
    • 한국전산구조공학회:학술대회논문집
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    • 한국전산구조공학회 2007년도 정기 학술대회 논문집
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    • pp.639-644
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    • 2007
  • The accurate peak response estimation of a seismically excited structure with frictional damping system(FDS) is very difficult since the structure with FDS shows nonlinear behavior dependent on the structural period, loading characteristics, and relative magnitude between the frictional force and the excitation load. Previous studies have estimated that by replacing a nonlinear system with an equivalent linear one or by employing the response spectrum obtained based on nonlinear time history and statistical analysis. In the case that on earthquake load is defined with probabilistic characteristics, the corresponding response of the structure with FDS has probabilistic distribution. In this study, nonlinear time history analyses were performed for the structure with FDS subjected to artificial earthquake loads generated using Kanai-Tajimi filter. An equation for the probability density function (PDF) of the displacement response is proposed by adapting the PDF of the normal distribution. Finally, coefficients of the proposed PDF is obtained by regression analysis of the statistical distribution of the time history responses. Finally, the correlation between PDFs and statistical response distribution is presented.

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${\ll}$대한침구의학회지${\gg}$에 30년간 게재된 논문에 대한 관찰 (Analysis of Papers Published in Thirty Years of the Journal History of The Journal of Korean Acupuncture and Moxibustion Medicine)

  • 장수희;오득주;박정하;윤명환;최익선
    • Journal of Acupuncture Research
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    • 제31권1호
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    • pp.35-42
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    • 2014
  • Objectives : Type analysis and comparison among three decades are done on papers published in The Journal of Korean Acupuncture and Moxibustion from the inaugural issue to the last issue of 2013, Vol 30(5). Methods : Journal search engine at 'theacpuncture' and 'kamms' were used. Issues not searched in these two search engines were not included in the analysis. Results : The number of journals in the thirty years of the journal history included 2081 articles. For type analysis of the articles, experiment articles outnumbered other types with 743 papers followed by 564 review articles, 601 clinical articles, and 156 case articles. In comparison among three decades, recent ten years outnumbered the other types with 1060 papers followed by 853 papers in the middle decade and 168 papers at the initial decade. Conclusion : In the thirty years of the journal history, the research has become more actively done in the recent decade.

대규모의 냉각재 상실 사고시 노심내 냉각재 양의 추정과 운전원 시간마진 예측을 위해 제안된 방법 (Proposed Method to Predict Core Inventory history and Operator Time Margin during Small Break Accident)

  • Hee Cheon No
    • Nuclear Engineering and Technology
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    • 제15권4호
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    • pp.219-228
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    • 1983
  • 릴리프 밸브의 차단까지 TMI-2 사고의 blowdown history를 검토하고 TMI-2 사고와 같은 소규모의 냉각제 상실 사고 동안 노심 파괴를 막기 위해 더 가산해야할 측정 기구에 대하여 논의하였다. 가산된 기구를 이용하여 어떻게 노심의 uncovered level과 operator time margin을 계산하는 가를 검토하였으며, TMI-2 사고에 대해 uncovered level과 operator time margin을 결정하기 위한 샘플 계산을 수행하였다. 이 방법을 이용해서 측정되는 변수들의 함수로써 uncovered level과 operator time margin을 보여주는 도표를 작성하였다.

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스트럿 바의 구조 해석을 통한 피로 내구성에 관한 연구 (A Study on Fatigue Durability through the Structural Analysis of Strut Bar)

  • 한문식;조재웅
    • 한국자동차공학회논문집
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    • 제24권5호
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    • pp.504-511
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    • 2016
  • This study investigates the durability of strut bar at car through structural and fatigue analyses. In this study, there are model 1 and model 2 as the analysis subjects. Model 1 is the existed one and model 2 is the improved one added with the reinforced part. Model 1 has the maximum equivalent stress of 165.11 MPa shown intensively at the welding part between the bracket and the bar. This stress is distributed over at the part of model 2 reinforced with this part. In case of fatigue analysis, there are three kinds of fatigue load as SAE bracket history, SAE transmission and sample history. The maximum fatigue life at SAE bracket history among three kinds of fatigue loads has the least value of $3.3693{\times}10^5$ cycles. The maximum fatigue life of model 2 becomes longer than that of model 1. As model 2 has the fatigue damage less than model 1, model 2 has the safety than model 1. As the fatigue durability about the configuration of strut bar is analyzed, it is thought to apply this study result into the real part effectively.