• Title/Summary/Keyword: Choice of Cause

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TREATMENT OF MISSING CENTRAL INCISORS USING SPACE REGAINING AND MARYLAND BRIDGE : CASE REPORT (상실된 영구 중절치의 교정적 치료와 심미적 수복 치험례)

  • Jun, Sang-Eun;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.21 no.2
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    • pp.611-616
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    • 1994
  • A major cause of missing permanent incisors is congenital abscence and extraction because of trauma and pathologic condition. The request for restoration of missing or spaced anterior teeth is common in dental practice. Problems, such as the tilting, drifting, and rotation of teeth adjacent to the space, complicate the restoration of apperance, and a normally simple restorative dental procedure may become difficult. There are two primary treatment alternatives to improving a dentition's irregular and spaced apperance-closing the space by orthodontic means or providing a prosthesis to disguise the space. The treatment choice depends on many variables, but, as a general rule, patients with a normal overbite, overjet, and buccal relationship are better treated by maintaining the sapce and providing a prosthesis, either fixed or removable. This case report presents two cases : Traumatic loss of maxillary right and left central incisors, Extraction of malformed mandibular right central inciosr. The loss of central incisor space was regained by the fixed-removable and fixed orthodontic appliance, and then Maryland bridge was cemented.

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The Research for the New Institutional Analysis in Change of the Separation of the Dispensing of Drugs : On the focus of Rational Choice Institutionalism (의약분업 정책변동의 신제도론적 분석 : 합리적 선택 신제도주의를 중심으로)

  • Park, Min-Jeong
    • Health Policy and Management
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    • v.17 no.4
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    • pp.1-30
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    • 2007
  • This study aims to analyze the policy change which is caused by conflicts between interest groups when the Separation of the Prescribing from the Dispensing of Drugs (SPDD) was enforced. With the theory of New Institutionalism, the reason why the policy was to be changed can be explained by the concept of property right and transaction cost. As the government did not consider the change of property right and transaction cost between actors before introducing new institution, it was hard to adapt the SPDD. Though, under the established institution, the institutional change can cause the alteration in property right and transaction cost, government just focused on the new institution's execution. Therefore, the group which suffers the loss could not accommodate to the change of institution. For this reason, the adaptation of SPDD also caused huge conflicts between doctors and pharmacists. Then, this research shows that the reason why they conflict to the some issues in the content of PSPDD and why the issues was changed with the property right and transaction cost.

Historical Overview of Taenia asiatica in Taiwan

  • Ooi, Hong Kean;Ho, Chau-Mei;Chung, Wen-Cheng
    • Parasites, Hosts and Diseases
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    • v.51 no.1
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    • pp.31-36
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    • 2013
  • An overview of the epidemiological, biological, and clinical studies of Taenia and taeniasis in Taiwan for the past century is presented. The phenomenal observations that led to the discovery of Taenia asiatica as a new species, which differ from Taenia solium and Taenia saginata, are described. Parasitological surveys of the aborigines in Taiwan revealed a high prevalence of taeniasis, which might be due to the culture of eating raw liver of hunted wild boars. Chemotherapeutic deworming trials involving many patients with taeniasis were discussed. Praziquantel was found to be very effective, but sometimes complete worms could not be recovered from the feces after treatment, probably due to the dissolution of the proglottids. Atabrine, despite some side effects, can still be used, in properly controlled dosages, as the drug of choice for human T. asiatica infection if we need to recover the expelled worms for morphological examinations. Research results on the infection of T. asiatica eggs from Taiwan aborigines in experimental animals were also noted. Since the pig serve as the natural intermediate host of T. asiatica and the predilection site is the liver, a differential comparison of other parasitic pathogens that might cause apparently similar lesions is also presented.

Spinal Extradural Arachnoid Cyst

  • Choi, Seung Won;Seong, Han Yu;Roh, Sung Woo
    • Journal of Korean Neurosurgical Society
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    • v.54 no.4
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    • pp.355-358
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    • 2013
  • Spinal extradural arachnoid cyst (SEAC) is a rare disease and uncommon cause of compressive myelopathy. The etiology remains still unclear. We experienced 2 cases of SEACs and reviewed the cases and previous literatures. A 59-year-old man complained of both leg radiating pain and paresthesia for 4 years. His MRI showed an extradural cyst from T12 to L3 and we performed cyst fenestration and repaired the dural defect with tailored laminectomy. Another 51-year-old female patient visited our clinical with left buttock pain and paresthesia for 3 years. A large extradural cyst was found at T1-L2 level on MRI and a communication between the cyst and subarachnoid space was illustrated by CT-myelography. We performed cyst fenestration with primary repair of dural defect. Both patients' symptoms gradually subsided and follow up images taken 1-2 months postoperatively showed nearly disappeared cysts. There has been no documented recurrence in these two cases so far. Tailored laminotomy with cyst fenestration can be a safe and effective alternative choice in treating SEACs compared to traditional complete resection of cyst wall with multi-level laminectomy.

Isolated Splenic Vein Thrombosis Associated with Acute Pancreatitis (급성 췌장염에 동반된 고립성 비정맥 혈전증 1예)

  • Song, Hyang-Soon;Yang, Noo-Ri;Jin, So-Hee;Choi, Kyeong-Dan;Jang, Young-Taek
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.12 no.2
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    • pp.221-225
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    • 2009
  • Pancreatic disease is the most frequent cause of isolated splenic vein thrombosis. Splenic vein thrombosis causes a localized form of portal hypertension known as sinistral or left-sided portal hypertension. Splenic vein thrombosis may be complicated by the formation of gastric varices, with the potential of massive upper gastrointestinal bleeding. Whereas splenectomy is considered to be the treatment of choice for symptomatic splenic vein thrombosis, the role of splenectomy in the patient with asymptomatic splenic vein thrombosis remains controversial. We report a rare case of acute pancreatitis complicated by isolated asymptomatic splenic vein thrombosis. Recognition of this disease entity is important because the risk of secondary variceal bleeding, while uncommon, can be life-threatening.

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Development of Seat Recommendation System for the Collaboration in Smart Work Center (스마트워크센터 환경에서 협업을 위한 좌석 추천 시스템 개발)

  • Bae, Sung Moon;Han, Kwan Hee;Choi, Sang Hyun;Park, Ju-Hyun
    • Journal of Korean Institute of Industrial Engineers
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    • v.40 no.1
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    • pp.128-134
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    • 2014
  • With the development of Information Communication Technology and a way of solving problems such as productivity improvement, advanced working attitude, greenhouse gas reduction, low birth rate, aged problem, etc., the need of smart work is increasing. Getting out of legacy working types that are limited in time and space, the flexible seat system at a smart work center that supports the smart working environment is proposed. However, the seat choice based on employee's emotional judgement may cause the decline of forming cooperative space and mutual communication because of the scattered seat arrangement between employees. This paper proposed a seat recommendation method for the mutual cooperation at a smart work center. The method is based on a work similarity of employees. A prototype system also implemented to show the feasibility.

A Comparison of Native and Narrative English Speakers' Complaints (한국인 영어 학습자와 영어 모국어 화자의 불평 발화 행위 비교 연구)

  • Jung, Euen Hyuk(Sarah);Ahn, Kyung-min
    • Journal of English Language & Literature
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    • v.53 no.2
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    • pp.335-357
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    • 2007
  • This study aims to investigate the pragmatic features of Korean EFL learners' interlanguage in the communicative act of complaining. Since a complaint, by its nature, is likely to cause offence, thereby threatening the social relationship between the speaker and the hearer, making a complaint in a polite manner is of crucial importance in maintaining harmonious social relationships. However, very little research has been carried out on the complaint speech act performances of Korean EFL learners. In particular, studies which attempt to examine the effect of social status on the choice of complaint speech act strategies are rare. The present study compared the complaint speech act performances of Korean EFL learners and those of native speakers of English with respect to social status. 24 Korean EFL learners and 28 native speakers of English participated and the data were collected via a Discourse Completion Test. The findings revealed that Korean EFL learners differed from native English speakers in the use of complaint strategies. These results indicate that Korean EFL learners lack certain important skills necessary to make complaints appropriately, suggesting the need for the foreign language learners to develop a more extensive pragmatic knowledge of complaint strategies.

Management of traumatic oral mucosal lesion by CO2 LASER (CO2 레이저를 이용한 다양한 외상성 구강점막병소의 처치법)

  • Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • The Journal of the Korean dental association
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    • v.53 no.12
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    • pp.910-916
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    • 2015
  • Various mucosal lesions are originated in oral cavity and trauma is most common cause of these lesions. Definitive treatment of these lesions is stop of traumatic events and removal. There are two representative removal methods in medical fields; conventional mess or LASER. Compare to conventional mess technique, LASER has several advantages such as bleeding control, pain reduction. Of the various LASER systems, $CO_2$ LASER is regarded as best choice for general practitioners due to its convenience, universal use and high cost/benefit effects. In these article, we report the treatment cases of mucocele, fibroma, and leukoplakias using $CO_2$ LASER. Eventhough there are malignancy potential of oral mucosal lesion especially leukoplakias, careful history taking, clinical examination, and regular check-up will help the general practitioners to manage these lesions. Simple and relatively safe oral mucosal lesions have to be treated more in general dental practitioners.

CYSTIC HYGROMA IN THE ADULT (성인에 발생한 낭포성활액종)

  • Oh, Seong-Seob;Kim, Il-Gyu;Chun, Hye-Kyung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.3
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    • pp.283-288
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    • 1995
  • Cystic hygroma is the benign proliferation of lymphatic tissue and has been categorized as a part of a larger spectrum that includes lymphangiomas recently. The majority of lymphangiomas occur in the head and neck as cystic hygromas with the posterior cervical region as the most common site. Cystic hygromas present in infancy or early childhood as compressible masses that may rapidly and intermittently enlarge. Cystic hygromas of the head and neck are especially difficult to manage since enlargement cause serious sequela such as airway obstruction, feeding difficulties, and speech pathology. Surgical exision remains the treatment of choice. But complete extirpation of these lesions is often impossible, and recurrence rates are accordingly different respectively ; these are high in suprahyoid lesions compared with infrahyoid involvement. This is a case report about 22 year old male patient with cystic hygrom. We obtained the successful, functional and esthetic results by surgical excision of the mass. Therefore, we report the case with literatural reviews.

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Thermal Distortion Analysis by Inconel Over-lay at Circular Moonpool Structures (인코넬 육성용접에 의한 원형 문풀구조 선체블록의 열변형해석)

  • Ha, Yun-Sok
    • Journal of the Society of Naval Architects of Korea
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    • v.49 no.4
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    • pp.304-311
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    • 2012
  • One of the main features of Drillship or FPSO is a moonpool structure. The moonpool structures have various accuracy tolerances according to their functions and targets. This study is mainly interested in roundness of a circular moonpool structure in FPSO. Because this structure needs abrasion-resistance at which bearing of machine touches on inner wall of moonpool, we should do over-lay welding widely and deeply by using Inconel weld material. But a general over-lay can cause a severe distortion at ship block structure. If we can analyze the roundness by thermal distortion under Inconel over-lay, we can establish a special erection policy by the results. In this study, we designed stress-strain curve for strain-boundary condition analysis by an elasto-plastic material property. The results made us to decide an appropriate ship-block size and policy of crane manipulation will follow for its capacity. If a structure that needs over-lay is not large, solid elements also are not a bad choice for FEM modeling. Therefore we also developed a standard of using strain-boundary method that shell elements are used as over-lay on solid element modeling.