• Title/Summary/Keyword: Closing Department

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Regression of Large Lung Bullae after Peribullous Pneumonia or Spontaneously (큰 폐 공기집의 주변 폐 감염 후 혹은 자연적 소실)

  • Choi, Eun-Young;Kim, Woo-Sung
    • Tuberculosis and Respiratory Diseases
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    • v.72 no.1
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    • pp.37-43
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    • 2012
  • Background: A lung bulla may rarely shrink as a result of an inflammation within the bulla or a closing of a bronchus involved in the inflammation process, which is termed 'autobullectomy'. The purpose of this study was to describe clinical features of patients with regressions of bullae during follow-up. Methods: We retrospectively reviewed the cases and individuals who showed unequivocal evidence of interval regressions in a pre-existing bulla. A total of 477 cases with a bulla >5 cm in diameter were screened manually. Thirty cases with bullae that showed regression during follow-up were selected. Results: Regressions of large bullae occurred in 30 of 477 cases (6.3%). The median age of those patients was 61 (range, 53~66) years and 87% of those patients were men. The main cause of a bulla was emphysema (80%). Among 30 cases, 16 cases had pneumonia in the lung parenchyma of the peribullous area. Another 7 cases had a regressed bulla accompanied by an air-fluid level within the bulla. The remaining 7 cases showed a spontaneous regression of the bulla without such events. Complete regression of a bulla occurred in 25 cases. A follow-up chest-X ray showed that in all cases except one, the bulla remained in a collapsed state after 24 months. Forced expiratory volume in one second ($FEV_1$) improved in 3 cases and the other 2 cases had increased forced vital capacity (FVC). In addition, total lung capacity (TLC) and residual volume (RV) decreased in another 2 cases. Conclusion: Regression of a lung bulla occurred not only after pneumonia or the presence of air-fluid level within the bulla, but also without such episodes. The clinical course of regression of a lung bulla varied. After regression of a bulla, lung function could be improved in some cases.

Performance Test of Pressure and Flow Rate in a Hot-Water Heating System with 3-Way Valves for Flow Bypass (바이패스용 3-Way 밸브를 장착한 온수 난방시스템의 압력 및 유량 특성 평가)

  • Hur, Jurn;Lee, Suk-Jong;Sung, Jae-Yong;Lee, Myeong-Ho;Yoon, Jai-Dong
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.19 no.3
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    • pp.269-274
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    • 2007
  • A 3-way valve has been applied to a distributor in a hot-water heating system and the performance of the system was evaluated in view of the variations of pressure drop and flow rate. The 3-way valve has been designed to bypass overplus hot-water when a control valve is closed. Note that the flow goes through heating pipeline in normal operation. In the present study, the measured pressure drops in each part of the flow paths show that the contribution to the total pressure drop is in the order of the supply header with control valves, piping system of each room and return header of the distributor, even though the amount of it is different according to the flow paths. As a result of performance test by sequential closing of the control valves, the variations of pressure drop and flow rate in the distributor with 3-way valves is much lower than those with previous 2-way valves, which prevent noises induced by pressure fluctuations.

AN ELECTROMYOGRAPHIC STUDY OF THE MUSCLE ACTIVITY IN ANGLE'S CLASS II DIV. 1 MALOCCLUSION AND NORMAL OCCLUSION (근전도를 이용한 Angle씨 II급 1류 부정교합자와 정상교합자의 근육활성도에 관한 연구)

  • Kim, Tae-Soo;Baik, Hyoung-Seon
    • The korean journal of orthodontics
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    • v.18 no.1 s.25
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    • pp.89-104
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    • 1988
  • This study was performed to investigate the relationships between the EMG activity of the masticatory muscles in Angle's Class II div. 1 malocclusion and normal occlusion. This study was ranged from age 12 to 14 year-old for 30 male subjects: 15 subjects were Angle's Class II div. 1 malocclusion, and 15 subjects were normal occlusion with acceptable profile. Their cephalometric measurement were analyzed, and the EMG recordings from the anterior temporal, posterior temporal, masseter, and orbicularis oris muscles were analyzed during rest position, mastication of peanuts, and swallowing. All data was recorded and statistically processed with the VAX-11/780 computer system. The results were as follows: 1. The activity of muscles at rest was highest in the posterior temporal muscle with normal occlusion, as well as in those with Class II div. 1 malocclusion, and the posterior temporal muscle activity of Class II div. 1 malocclusion was higher than that of normal occlusion. 2. During mastication, all muscle activities of Class II div. 1 malocclusion were recorded lower than those of normal occlusion, and the activity of the anterior temporal muscle was higher than that of the posterior temporal muscle in both types of occlusion. 3. As for the activity in orbicularis oris muscle, it was greater in opening phase than in closing phase during chewing cycle with both types of occlusion. 4. During swallowing, the activities of the anterior temporal, masseter, and orbicularis oris muscles of Class II div. 1 malocclusion were recorded lower than those of normal occlusion.

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Arm Cortex S3C2440 Microcontroller Application for Transcranial Magnetic Stimulation's Pulse Forming on Bax Reactive Cells and Cell Death in Ischemia Induced Rats

  • Tac, Han-Ho;Kim, Whi-Young
    • Journal of Magnetics
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    • v.21 no.2
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    • pp.266-272
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    • 2016
  • Transcranial magnetic stimulation devices has been used mainly for diagnostic purposes by measuring the functions of the nervous system rather than for treatment purposes, and has a problem of considerable energy fluctuations per repeated pulse. The majority of strokes are caused by ischemia and result in brain tissue damage, leading to problems of the central nervous system including hemiparesis, dysfunction of language and consciousness, and dysfunction of perception. Control is difficult and the size is large due to the difficulty of digitalizing the energy stored in a capacitor, and there are many heavy devices. In addition, there are many constraints when it is used for a range of purposes such as head and neck diagnosis, treatment and rehabilitation of nerve palsy, muscle strengthening, treatment of urinary incontinence etc. Output stabilization and minimization of the energy variation rate are required as the level of the transcranial magnetic stimulation device is dramatically improved and the demand for therapeutic purposes increases. This study developed a compact, low cost transcranial magnetic stimulation device with minimal energy variation of a high repeated pulse and output stabilization using a real time capacitor charge discharge voltage. Ischemia was induced in male SD rats by closing off the common carotid artery for 5 minutes, after which the blood was re-perfused. In the cerebrum, the number of PARP reactive cells after 24 hours significantly decreased (p < 0.05) in the TMS group compared to the GI group. As a result, TMS showed the greatest effect on necrosis-related PARP immuno-reactive cells 24 hours after ischemia, indicating necrosis inhibition, blocking of neural cell death, and protection of neural cells.

Design of Standard Data Model for the Informatization of Signboards (간판의 정보화를 위한 표준 데이터 모델 설계)

  • Kwon, Sang Il;Kim, Eui Myoung
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.38 no.3
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    • pp.197-209
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    • 2020
  • Signboards are installed in different types and sizes depending on the shop characteristics. However, the local government is having difficulty managing signboards with frequent opening and closing of stores and insufficient management personnel. In this study, a methodology was proposed to standardize and efficiently manage signboard information. To this end, the signboard display method of the enforcement ordinance related to outdoor advertising was analyzed to define the attribute elements of standard signboard data. In addition, physical information of signboards was obtained through signboard recognition technology, which is a prior study, and attribute elements of signboard standard data were defined through information that can be read with the naked eye, building integration information of the Ministry of the Interior and Safety, and street name address. In order to standardize the signboard information by spatial characteristics, data product specifications and metadata were defined according to the national spatial information standard. Lastly, standard data for signboards were produced in XML (Extensible Markup Language) format for compatibility, and XSD (XML Schema Definition) was defined for XML integrity so that data validity could be verified. Through this, a standard data model for the informatization of signboards was designed.

Analysis of intraday price momentum effect based on patterns using dynamic time warping (DTW를 이용한 패턴 기반 일중 price momentum 효과 분석)

  • Lee, Chunju;Ahn, Wonbin;Oh, Kyong Joo
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.4
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    • pp.819-829
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    • 2017
  • The aim of this study is to analyze intraday price momentum. When price trends are formed, price momentum is the phenomenon that future prices tend to follow the trend. When the market opened and closed, a U-shaped trading volume pattern in which the trading volume was concentrated was observed. In this paper, we defined price momentum as the 10 minute trend after market opening is maintained until the end of market. The strategy is to determine buying and selling in accordance with the price change in the initial 10 minutes and liquidating at closing price. In this study, the strategy was empirically analyzed by using minute data, and it showed effectiveness, indicating the presence of an intraday price momentum. A pattern in which returns are increasing at an early stage is called a J-shaped pattern. If the J-shaped pattern occurs, we have found that the price momentum phenomenon tends to be stronger than otherwise. The DTW algorithm, which is well known in the field of pattern recognition, was used for J-shaped pattern recognition and the algorithm was effective in predicting intraday price movements. This study showed that intraday price momentum exists in the KOSPI200 futures market.

A study about the medical communication proficiency of Korean traditional medical students using standardized patients of Infertility (표준화 난임환자를 활용한 한의대생의 진료 및 의사소통 수준연구)

  • An, Hyo-Ja;Yang, Seung-Jung;Shin, Heon-Tae
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.1-10
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    • 2014
  • Objective : The purpose of this study is to assess the communication and medical interview level of the students in the college of korean traditional medicine using Standardized Patients(SP). Method : 35 students of 5th grade in the college who are doing their clinical practice class participated and conducted medical interview on standardized infertile female patient. SP and professor who observed the interview evaluated the students' communication skill and medical interview level using the assessment sheet composed of 23 questions. Results : 1. Satisfaction of SP was 1.66 of 3. In the communication section, students conducted well in appropriate voice and no inappropriate interruption but they didn't show good practice in considerate physical examination, understandable explanation relatively. 2. The scores that were acquired by students in informing the time required, obtaining agreement at initiating and closing, family history taking, checking mental status and physical examination 2 were low in the medical interview section. 3. There were some differences in the communication and medical interview scores by the students' sex (p<.01), age(p<.05) and medical camp experience(p<.05). But we couldn't find any evidence about the relation between character type and the communication and medical interview scores(p>.62). Conclusion : On the whole, students who participated this study had difficulties in building relationship with patient and conducting medical interview. They need to improve their ability in those fields by appropriate education before their graduation.

Youth's smoking status in Seoul in the international perspective: Overall comparisons with the results of the Global Youth Tobacco Survey (GYTS) (서울지역 청소년 흡연실태의 국제 비교: Global Youth Tobacco Survey(GYTS)의 자료를 이용하여)

  • Moon, In-Ok;Park, Kyoung-Ok
    • The Journal of Korean Society for School & Community Health Education
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    • v.6
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    • pp.1-16
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    • 2005
  • This study was conducted to the middle and high school students in some Seoul and Kyunki areas to identify the smoking behavior characteristics among adolescences. A self-administered survey was conducted to the 2nd grad students in 4 middle schools and 6 high schools and the survey Questionnaire included general characteristics, smoking and drug use history, the close people's smoking and drug use, smoking and drug abuse prevention education, smoking intention, and smoking attitude. A total of 2,452 youths finished the survey (1,182 middle school students and 1,270 high school students). Current smoking students were 14.6%, the ex-smokers were 5.5%, and the never smokers were 85.4%. Majority of students smoked less than 5 bars of cigarettes and their first smoking experiences were related to their family members (siblings, parents, and relatives), friends, advertisement in order. Other GYTS countries reported the similar sources of the smoking start and friend was prior smoking start factor to the other sources. The students who wanted to Quit smoking were 6.7% and the students who ever had tried to Quit smoking were 9.1%. The major reasons of Quitting smoking were for their health and for their financial burden. Approximately 60% learned about smoking and drug abuse in their regular school classes, 8.4% were in the special school activities, and 7.9% were in the class closing time sometimes in order. The students who learned in any regular class were smaller in the high school students than in the middle school students. The learning experiences in school of other GYTS countries were similar to that of Korea. In conclusion, students' smoking was affected not only by the preventive activities in school but also by the close people's behaviors and care in this study; therefore, the active partnership between school and family must be a strong strategy for youth's smoking prevention.

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Clinical Feature of Iatrogenic Vascular Injury (의인성 혈관 손상의 임상적 고찰)

  • Kim, Su-jin;Lee, Tae-seung
    • Journal of Trauma and Injury
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    • v.21 no.2
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    • pp.128-135
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    • 2008
  • Purpose: As the care of surgical patients becomes increasingly complex and catheter-based techniques are more frequently applied, the pattern of iatrogenic vascular injuries may be increasing. Major vascular injuries can jeopardize a patient's life or limb survival. The purpose of this study was to examine the current etiology and prognosis for iatrogenic vascular injuries. Methods: We reviewed medical records of 29 cases of iatrogenic vascular injury that were treated Seoul National University Bundang Hospital between October 2003 and October 2008. We studied clinical variables including demographics, cause of injury, clinical presentations, management and prognosis. Results: The mean age was 60.8 years (range: 25-86), and the male to female ratio was 1.9 : 1. The causes of injuries were operation related complication in 18 cases (62.1%), endovascular intervention and diagnostic angiography in 11 cases (37.9%). The types of vascular injury were partial severance in 14 cases, pseudoaneurysm in 8, arteriovenous fistula (AVF) in 3, thrombosis in 2, complete severance in 2. Especially, device related complication including percutaneous closing device were occurred in 9 and the others came from inadvertent physician's procedure. Primary repair were done in 12 cases, end-to-end anastomosis in 5, interposition graft in 4, ligation in 2, patch angioplasty in 1, peudoaneurysm excision and arteriorrhaphy in 1, hematoma evacuation in 1, and endovascular repair in 3. There were 2 cases of mortality, one of them due to hemorrhagic shock and the other due to septic shock. Conclusion: Proper selection of treatment modalities should be important to have better outcome according to the type of injury as well as anatomical location. Each physician should be familiar to new device as well as patient's topographical feature. Immediate referral to vascular specialist is also essential to reduce morbidity.

Influence of Exposure Environmental Conditions on the Crack Healing Performance of Self-healing Repair Mortar Specimens (노출환경 조건이 자기치유형 보수 모르타르 시험체의 균열 치유성능에 미치는 영향)

  • Lee, Woong-Jong;Lee, Hyun-Ho;Ahn, Sang-Wook;Lee, Kwang-Myong
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.6 no.4
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    • pp.283-288
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    • 2018
  • Since the crack self-healing materials are activated according to the exposure environmental conditions from the time of crack occurrence, it is very important to clarify the relationship between the healing performance and the exposure environmental conditions of the crack surface. In this paper, the influence of the exposure environmental conditions on the crack healing performance of self-healing repair mortar was investigated through the water permeability test. The influence of temperature and humidity on the crack width of cracked specimens was evaluated. As a result of measuring the change of the crack width, the effect of curing temperature was negligible but it was confirmed that crack-closing occurred due to the change of dry-wet condition. The healing materials produced on the crack surface of the specimens was identified as calcite minerals. Since the minerals with high density are precipitated under the influence of gravity, the healing performance is somewhat different according to the direction of the crack surface, and the healing performance was significantly improved in the wet exposure condition than the air exposure condition.