• 한국산학기술학회논문지
• /
• 제16권12호
• /
• pp.8927-8932
• /
• 2015

전기철도에 전력을 공급하기 위하여 철도변전소에서는 급전특성상 방면별 급전을 시행하고 있으며, 급전계통에 고장이 발생하는 경우를 대비한 공통반 차단기와 같은 예비설비와 전차선로 고장 발생 시 고장위치를 찾기 위해 고장점 표정장치를 설치하여 사용 중에 있다. 그러나, 고장 발생 시 공통반 차단기를 사용하여 급전계통을 운용하는 경우에는 고장점 표정반과의 인터페이스가 되지 않아 고장위치를 찾는데 어려움이 있다. 본 논문은 이러한 문제점을 해결하기 위한 고장점 표정반 자동절체 시스템을 설계하고 동작 상태를 검증한다. 또한 자동절체 시스템을 공통반 차단기에 설치한 후 검증방법으로 설정된 24회의 지락시험을 통하여 성능시험을 수행하였으며 고장점 표정장치를 이용하여 기존의 고장위치를 효율적으로 검지하는 방법을 제시하는 데 있다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제8권1호
• /
• pp.133-138
• /
• 1997

Prader-Willi 증후군(Prader-Willi Syndrome, PWS)은 $50{\sim}-70%$ 정도의 환자에서 염색체 15번에 이상이 있음이 보고된 유전적인 질환으로서, 그 특징적인 임상양상은 심한 근긴장의 저하(hypotonia), 반사소실(areflexia), 섭식의 곤란(feeding difficulty), 저체온증(hypothermia), 성기왜소증(microgenitalia), 음낭저형성증(hypoplastic scrotum), 대식증(polyphagia), 포만감의 감소와 비만, 정신운동발달의 지연, 저성선기능증(hypogonadism) 및 안면과 척추의 기형 등이다. 또한 행동상의 여러 문제들이 동반되는데 분노발작, 피부를 심하게 뜯거나 발모광, 과도한 식욕과 관련된 음식 도벽증이 나타나므로 정신과적 치료가 필요하다. 본 증례는 14세된 PWS환자로서 비만과 대식증, 도벽증, 학업부진 및 생활부적응 문제 등으로 2주간의 입원과 약 1년간의 추적기간 동안 약물요법(fluoxetine 투여)과 행동요법, 그리고 가족요법을 받아 왔다. 장기간의 Fluoxetine투여를 통하여 비만과 식욕의 조절에는 효과가 만족스럽지 않았으나 우울감과 감정문제, 자살사고 및 행동문제들은 호전되었다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제30권3호
• /
• pp.237-245
• /
• 2004

왜소악, 설하수, 구개열의 세 가지 특징적 증상과 더불어 간헐적인 청색증, 흉곽의 함몰, 기도 폐색에 의한 호흡 곤란과 수유곤란 등의 임상소견을 나타낸 3례의 Pierre Robin sequence 환아에서, 혀의 위치를 교정하기 위한 구강저골막하박리술과 혀를 전방으로 위치시켜 호흡 곤란과 기도 폐색을 예방하기 위한 설구순접합술과 동시에 시행하고 약 1년 경과 후 설구순분리술을 시행한 결과 호흡 곤란과 수유장애의 해소, 혀의 전방 재위치, 체중 증가 및 하악골의 성장 증진 등 만족할 만한 결과를 얻었다. 구강저골막하박리술과 구순접합술 동시 시술은 Pierre Robin sequence 환아에서 기도 폐색의 외과적 치료를 위한 간단하고도 신뢰할만한 방법이라고 사료된다.

• 대한소아치과학회지
• /
• 제28권2호
• /
• pp.310-315
• /
• 2001

신생아에서 흔히 발생하는 연조직 종양으로는 신생아의 구개 및 치은 낭종(palatal & gingival cyst of the newborn), 선천성 치은종(congenital epulis), 혈관종(hemangioma), 기형종(teratoma), 화농성 육아종 및 자극성 섬유종(pyogenic granuloma & irritation fibroma)이 있다. 이렇게 신생아의 치조제에서 발생한 연조직 종양은 대부분 외과적으로 절제하여 치료하며, 치료하지 않는 경우 흡인(aspiration)으로 인한 기도 폐쇄 및 호흡 곤란, 구강으로 수유시 불편감, 비강으로 수유시 구토가 불가능해 흡인폐렴(aspiration pneumonia) 유발 가능성이 있다. 본 증례는 신생아의 치조제에 발생한 연조직 종양으로, 외과적으로 절제하여 치료하였으며, 조직 검사 소견상 화농성 육아종 및 자극성 섬유종과 유사하였지만 다핵형 거대세포(multinucleated giant cells)가 관찰되었고 선천적으로 발생하였다는 점에서 차이가 있었다. 이 종물의 병리 기전은 아직까지 명확하지 않으며 어떤 특정 질환으로 포함시키는 데 문제점이 있으므로 이에 보고하는 바이다.

• Clinical and Experimental Pediatrics
• /
• 제64권3호
• /
• pp.130-135
• /
• 2021

Background: The clinical significance of lip-tie, or a tethered maxillary frenulum, remains under debate. Clinicians and parents are often perplexed when deciding whether procedures available to relieve a seemingly tight or severe maxillary frenulum are needed. Purpose: No previous studies have assessed the consequences of not subjecting a tethered maxillary frenulum in newborns to surgical intervention. This study aimed to contribute the first prospective trial on this topic with a relatively extended follow-up of these newborn infants. Methods: This prospective observational questionnaire-based cohort trial was performed in a community setting and aimed to determine whether lip-tie is associated with an increased likelihood of eventual feeding or oral disorders. Results: The convenience sample comprised of 61 consecutively arriving infants with concomitant tethered frenula who were treated at the clinic for various reasons. This cohort was compared with a random sample of 66 age-matched children for a mean follow-up period of 6.42 years. Infants undergoing oropharyngeal procedures were excluded. Awareness of a deviation in oral structures was reported by 18% of the study group versus 0% of the controls. Mothers participating in the study group (24.6%) less frequently recalled painful nipples or discomfort during breastfeeding than those in the control group (47.0%) (P<0.01). There were no intergroup differences in other types of feeding difficulty, dental hygiene, pronunciation, or speech development. Conclusion: Our findings suggest that a tethered labial frenulum is not associated with an increase in breastfeeding disturbances or oral disorders. These data encourage clinicians to question the need to intervene in cases of tethered maxillary frenula.

• Journal of Chest Surgery
• /
• 제39권12호
• /
• pp.943-945
• /
• 2006

수유 곤란과 반복적인 흡인성 폐렴을 주소로 내원한 11개월 된 여아가 우대동맥궁, Kommerell 게실, 식도 후방의 좌쇄골하 및 동맥관 인대로 형성된 완전 혈관륜을 진단 받고 수술적 교정을 받았다. 수술은 좌측 후측 개흉 후 동맥관 인대를 분리하여 식도 압박 요인을 제거하고, Kommerell 게실을 하행대동맥으로부터 분리, 절제한 후 좌쇄골하 동맥을 좌측 총경동맥으로 단측 문합하였다. 환아의 수술 경과는 양호하였으며, 현재 외래 관찰 중이다.

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 2005년도 제36회 하계학술대회 논문집 A
• /
• pp.238-240
• /
• 2005

This paper presents harmonic evaluation of an IAT(Intra Airport Transit) system in Incheon International Airport. It will be used electric vehicles with 80 kW per car that are produced Mitsubishi Heavy Industries Ltd, and one car is constructed with SIV(Static Inverter), VVVF controller and two induction motor. The operated vehicles in the IAT system are rapidly changing DC load and at a feeding substation, 3-phase electric power is transferred to DC 750 V by rectifier. Since, vehicles are also changing continuously, the voltages for the load fluctuate in the IAT system, and moreover, the fluctuating voltages generate high-order har -monies. This means that there is the difficulty in maintaining power quality in KEPCO systems' side. Therefore, the power quality of the IAT system in Incheon International Airport is evaluated using PSCAD/EMTDC simulator in the paper The THD(Total Harmonic Distortion) of voltages and TDD(Total Demand Distortion) of currents, indices are calculated for the IAT system using the results of PSCAD/EMTDC dynamic simulation.

• 성인간호학회지
• /
• 제19권4호
• /
• pp.670-681
• /
• 2007

Purpose: The purpose of this study was to identify the influencing factors on postpartum fatigue in the parturient women. Methods: The data were collected from July to September, 2006 using self-report questionnaires. The sample was 143 healthy parturient women who visited the outpatient clinic at 2 hospitals for a routine follow up after childbirth. The data were analyzed by using SPSS 12.0 Win program. Results: There were significant differences in the postpartum fatigue by age, religion, sleep hour, and complaint of perceived health problem. The postpartum fatigue were significantly correlated with infant care stress(p<0.001), sleep satisfaction(p<0.001), and feeding difficulty(p=0.016). The multiple regression analysis showed that the postpartum fatigue were significantly predicted by the infant care stress, sleep satisfaction and complaint of perceived health problem. These variables explained 31.8% of the variance of postpartum fatigue. The infant care stress was the main predictor of postpartum fatigue. Conclusions: It could be concluded that the nursing intervention for reducing the infant care stress should be developed to manage the postpartum fatigue for parturient women. Prospective studies are needed to be conducted to verify the causal relationship between infant care stress and postpartum fatigue.

• 한국철도학회:학술대회논문집
• /
• 한국철도학회 2005년도 춘계학술대회 논문집
• /
• pp.788-793
• /
• 2005

This paper presents harmonic evaluation of an IAT(Intra Airport Transit) system in Incheon International Airport. It will be used electric vehicles with 80 kW per car that are produced Mitsubishi Heavy Industries Ltd, and one car is constructed with SIV(Static Inverter), VVVF(Variable Voltage and Variable Frequency) and two induction motor. The operated vehicles in the IAT system are rapidly changing DC load, and at a feeding substation, 3-phase electric power is transferred to DC 750 V by rectifier. Since, vehicles are also changing continuously, the voltages for the DC load fluctuate in the IAT system, and moreover, the fluctuating voltages generate high-order harmonics. This means that there is the difficulty in maintaining power quality in KEPCO systems' side. Therefore, the power quality of the IAT system in Incheon International Airport is evaluated using PSCAD/EMTDC simulator in the paper. The THD(Total Harmonic Distortion) of voltages and TDD(Total Demand Distortion) of currents, indices are calculated for the IAT system using the results of PSCAD/EMTDC dynamic simulation.

• Journal of Animal Science and Technology
• /
• 제60권4호
• /
• pp.16.1-16.11
• /
• 2018

Background: In their first days of life, dairy calves in artificial rearing systems often have difficulty using an artificial teat for feeding. Methods: We examined the age at which calves are able to stand up voluntarily and suckle as well as their suckling behavior when presented with a plain dry teat versus a dry teat modified with a presumably attractive odor or taste substance. Single-housed newborn dairy calves (n = 51) were presented for ten consecutive days with a two-minute two-choice test, in which suckling time was recorded for 1) a plain (control) teat versus a glucose-coated teat (taste test) and 2) a plain teat versus a teat with a "Freshly Cut Grass" odor (odor test). Results: On average, the calves were able to stand up voluntarily and suckle from the second or third day of age on. The "Freshly Cut Grass" odor had no significant effect on their suckling behavior. In contrast, the calves showed a significant preference for suckling the glucose-coated teat and displayed a significantly longer total suckling time in the taste test compared to the odor test. There were no significant differences between sexes regarding suckling behavior. Conclusion: The results of the present study show that glucose had a significant effect on the calves' teat preference and significantly increased total suckling time with a dry artificial teat. As such, glucose may increase suckling motivation in non-efficient drinkers or ill calves with low motivation to suckle.