• The Journal of Korea Assosiation for Disability and Oral Health
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• v.12 no.1
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• pp.6-10
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• 2016

Esophageal atresia is the abnormal development of the esophagus that connects the mouth to the stomach. This birth defect results in the incomplete connection of the esophagus to the stomach causing an inability to swallow properly and breathing difficulties. Surgery is the only treatment for esophageal atresia. Patients undergone an esophageal reconstruction usually suffer from gastroesophageal reflex. A 5-year old boy with congenital esophageal atresia and Sciwitar syndrome visited Seoul National University Dental Hospital because generalized excessive loss of tooth structure. The patient had history of multiple operations for reconstruct esophagus. He had little food intake experience thought oral and had difficulty to swallowing. The patient was generalized severe erosive and decayed state. For patient, the dental procedure under general anesthesia was scheduled due to the multiple caries with erosion and poor cooperation. Under general anesthesia, pulpectomy and restoration as well as extraction was performed. Gastroesophageal reflex is potentially serious condition, with various extraesophageal adverse effects such as dental erosion. To prevent progression of dental caries, dietary counselling and oral hygiene instruction should be reinforced. Also, restorations to erosive teeth will maintain esthetics and function and preserve pulp vitality.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.7 no.1
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• pp.25-28
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• 2011

Autism is a developmental, neuropsychiatric disorder that begins in early childhood. A patient with autism seen in the dental office frequently may have many complications. Therefore, it may be needed to consider modified or alternative therapy for dental care of autistic patients. This is the case of a 16-year old boy who have autism. He came to the department of the pediatric dentistry, Yonsei University Dental Hospital, for evaluation and treatment of dentigerous cyst associated with impacted teeth(#33,34,35). Under daily hospitalization and general anesthesia, the cyst was enucleated with surgical extraction of #34 and autotransplantation of #33,35. And during the periodic dental followup, apexification of #33,35 was performed for periapical lesion and root maturity. At 2 year 6 months follow- up, now, bony healing was completed and there are some complications like external resorption of #33 and space loss of #34 area. Generally, the marsupialization has been widely recommended for treatment of dentigerous cyst. However, in this case, there is a little possibility of spontaneous eruption after marsupialization considering of patient's age, location and angulation of the impacted tooth, root maturity. And there is necessity to choose the treatment that has low recurrence risk and needs short-term follow-up for autism. Above all, poor oral hygiene and lack of cooperation for decompression treatment is a matter of primary consideration. Consequently, enucleation of the cyst was chosen for the final treatment plan in this case. It is important to consider the conditions that affect the eruption of a dentigerous cyst-associated tooth to predict the successful eruption and special health care needs of the patient when the treatment plan is settled.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.13 no.1
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• pp.37-42
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• 2017

Noonan syndrome is a relatively common genetic disorder which is autosomal dominant. Prevalence of Noonan syndrome is varying from 0.04% to 0.1%. It is characterized by distinctive facial features, chest deformity, short stature and congenital heart disease. Oral findings in patient with Noonan syndrome include high arched palate, dental malocclusion, articulation difficulties, and micrognathia. The purpose of this case report is to describe dental treatment of a children with Noonan syndrome. 5 year old boy with Noonan syndrome visited to the Seoul National University Dental Hospital for dental treatment. Due to need for close monitoring, concern about seizure and poor cooperation, we planned to perform the dental treatment under general anesthesia. Under general anesthesia, caries treatment was successfully performed and there was no postoperative complications related to general anesthesia. High arched palate was observed which is characteristic in Noonan syndrome.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.14 no.1
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• pp.17-21
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• 2018

Williams syndrome (WS) is a rare congenital disorder which is caused by microdeletion of approximately 1.6 MBP from the long arm of chromosome 7 at 7q11.23. It is characterized by cardiovascular anomalies, elfin face and mental retardation. The most typical oral signs in patient with WS are hypodontia, reduced mesio-distal dimensions both in the primary and permanent teeth, macroglossia, excessive interdental spacing, enamel hypoplasia and enamel hypomineralization. The majority of children with WS have mild to moderate mental retardation, generalized anxiety disorder, hyperactivity disorder and sensitivity to sounds. The purpose of this presentation is to describe dental treatment for a child with WS. A 9-year-old boy diagnosed with WS had caries on his first permanent molars. Because of the poor cooperation, these teeth were filled temporarily with glass ionomer, and treatment under general anesthesia was planned. Under general anesthesia, caries treatment of first permanent molar and extraction of primary molar was successfully performed and there was no postoperative complications related to general anesthesia. Open bite, hypodontia, excessive dental space, enamel hypoplasia, enamel hypomineralization were observed which were characteristic in WS.

• Journal of Technologic Dentistry
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• v.33 no.4
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• pp.413-425
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• 2011

Purpose: This study conducted a survey on the elderly with physical debilities, who are in a medically vulnerable social class, to examine closely their demo-sociological characteristics, unmet needs, dental states, and living qualities and satisfaction levels relating to oral health and social supports to them, and also to prepare the basis for effective public medical policies and health improvement programs aimed at improving the quality of life for the elderly with physical debilities. Methods: Twenty-two elderly care facilities within Jeju Special Self-Government Province participated in the survey. Between 11 January and 5 March 2010, a total of 250 elderly persons(65 and over) with physical debilities were interviewed and their dental health was checked. Results: The results of the survey are as follows. The need for social support for dental care of the elderly with physical debilities was high in the medical institution-supported service (49.6%). The unmet needs for physical care were high in bathing (49.6%) and using public transportation (71.6%). More than half of these surveyed had ten or fewer teeth. The survey found that 31.6% of the participants experienced problems eating, due to poor dental health. Concerning quality of life, 30.5% of those surveyed experienced physical pain. Conclusion: In summary, the ages of the survey participants directly relates to the degree of behavioral debility experienced. The more debility a participant exhibits, the greater is the need for social support and dental care. The dental health of a participant directly relates to a higher quality of life. Good dental health of a participant translate to better quality of life. In light of the fact that the elderly with physical debilities suffer from a lack of accessibility to medical care and worse oral health than do other elderly persons, it is essential to increase accessibility to medical institutions that can provide such services as door to door dental care. Current insurance policies, funding for denture insurance, and free denture and denture-upgrade programs desperately need to be expanded. Therefore, to improve effectively the quality of life for the elderly with physical debilities civil dental medical resources should be encouraged to provide inclusive and prevention-focused medical care. In the public domain, door to door dental care services and cooperation with civil dental care resources need to be improved to increase impartial accessibility to dental medical institutions.

• Journal of Families and Better Life
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• v.20 no.4
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• pp.37-52
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• 2002

This study is preliminary study of the status of school counseling and demands for service at middle and high schools from universities to provide the youth middle and high schools in Changwon with counseling and educational service. The results of this research are below, First, the excessive workload became the most difficulties for operateschool counseling systems and counseling activities. Second, school counseling activities focused mainly on the formal and narrow areas of counseling such as career guidance, personality programs and intelligence test and so on. Third, the most problems which we have counselled, were friendship problems in the personal relationship, school absences in the delinquent, lack of information of sex in the sexual field, conflicts with Parents, in the family relationship, poor academic progresses in the academical and future directional problems and. character of personality difficulties in the psychological field. Fourth, the major offers from the teachers to counsel students in the school were advices, suggestions, career guidance, Preventative activities, and providing information through school counseling. Fifth, though the middle and high schools were in need of outside institutions related to counseling, It was difficult to get help because of being Ignorant of procedures or methods for using counseling and being lacking in enough information on such organizations. Sixth, ordinary students and students in danger of maladjustment besides problem students wanted to get a lot of help. Seventh, the counseling which are the most wanted from out of school was an opposite-sex relationship in the personal relationship, a lack of information on sex in the sexual fields, conflict with parents in the family problems, a strong unwillingness of study in the academical and future directional fields, and personalty difficulties In the psychological fields. Eighth, the subjects wanted to get counseling and educational service in regard to sex, addiction to PC, smoking, and ostracism and so on in counseling and education for young people. Ninth, education designed to have an adequate understanding of children turned out to be mostly needed as educational programs for parents Based on the above results, the proposals from universities for provide youth counseling and educational services are below. 1) setting up the positive publicity strategies E) developing and execution of various counseling and educational programs 3) expanding the counseling and education from maladjusted students to general students 4) expanding youth counseling and education to parental education and family counseling 5) continuous human resources improvement and training 6) reinforcement relationships with middle and high school organizations 7) building cooperation with local counseling organizations

• Journal of Korean Society of Forest Science
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• v.95 no.1
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• pp.73-81
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• 2006

This study has the object of deriving schemes for not only securing safety of chestnuts, which is the most important forest product in terms of both production and exportation, to consumers with implementing persistent production of them in harmony with the environment, but also producing environmentally friendly chestnuts that can contribute to the increase of a farm household's income through price differentiation from other chestnuts, which are grown by generally accepted ways. In order to do this, I performed an analysis of the reality and outcome from the management of farm households that produce environmentally friendly chestnuts. The result of the analysis demonstrated some problems such as poor establishment of farming skills in a beginning stage, administrative problems with weeding operations and prevention of blight, difficulty in ensuring distribution channels and high production cost. Therefore, propelling productive expansion of environmentally friendly chestnuts after resolving these problems requires many supports and ideas: establishment and diffusion of farming skill system under the cooperation of civil and government organizations, construction of environmentally friendly INM (Integrated Nutrient Management) and IPM (Integrated Pest Management), creation of production areas for improving productivity, introduction of 'Institution of Income Conservation for Environmentally-Friendly Production' that can help farmers to preserve integrity of income on their switchover to production of environmentally friendly chestnuts from generally-grown chestnuts, and finally strong and persistent promotion of environmentally friendly chestnuts towards existing farmers and consumers.

• Economic and Environmental Geology
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• v.32 no.2
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• pp.129-139
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• 1999

Hydrothermal gold deposits of the Trabong district in Vietnam occur as single-stage quartz $\pm$ calcite veins (0.3-1.2 m thick) which fill fault fractures in graphite-bearing gneiss and schist of the Chulai Complex and Kham Duc Formation of the Proterozoic age. Ore grades are 1.3 to 92.4 g/ton Au. Ore mineralogy is very simple, consisting mainly of pyrite with minor amounts of base-metal sulfides and electrum. Gold grains occur in two assemblages as follows: (1) early, Fe-rich (7.2-10.4 mole % FeS) sphalerite + electrum (50.4-64.3 atom % Au) assemblage occurring as inclusions in pyrite; (2) late, Fe-poor «4.7 mole % FeS) sphalerite + galena + electrum (47.6-81.7 atom % Au) assemblage occurring along fractures of pyrites. Based on fluid inclusion data and thermochemical considerations of ore mineral assemblages, ore minerals were formed at high temperatures (about $230^{\circ}C$ to $420^{\circ}C$) from $H_{2}O-CO_{2}(-CH_{4})$-NaCI fluids with the sulfur fugacity of about $10^{-6}$ to $10^{-10}$ atm. Fluid inclusion data also indicate that ore mineralization occurred mainly as a result of fluid unmixing accompanying $CO_2$ effervescence. Calculated oxygen and measured hydrogen isotope compositions of mineralizing waters (${\delta}^{18}O_{V-SMOW}$ values = 5.3 to 8.6$\textperthousand$, ${\delta}D_{V-SMOW}$ values = - 60 to - 52$\textperthousand$), along with the sulfur isotope compositions of vein sulfides (${\delta}^{34}S_{CDR}$ values = - 1.2 to 2.8$\textperthousand$) and carbon isotope compositions of inclusion $CO_2$ (${\delta}^{13}C_{PDB}$ values = - 4.7 to - 2.0$\textperthousand$) indicate that the high temperature (mesohypothermal) gold mineralization formed from a magmatic fluid.

• The Korean Journal of Nuclear Medicine
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• v.24 no.2
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• pp.237-243
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• 1990

Pulmonary embolism demands rapid and accurate diagnosis. And ventilation imaging has greatly improved the diagnostic accuracy of pulmonary embolism in addition to perfusion imaging. Agents currently used include xenon-133, krypton-81m and technetium-99m radioaerosols. However radioactive gases are compromised by availability and cost for krypton-81m, radiation dose, gamma energy and non?physiologic behaviour for xenon-133. Radioaerosols of technetium-99m componds are rapidly cleared from the lung after inhalation, and their relative low effeciency (specific radioactivity) and wide distribution of particle sizes make them also suboptimum. A new ventilation agent, Technegas is a suspension of structured graphite ellipsoids with diameter below 20nm, labelled with $^{99m}Tc$ in a carrier gas of Argon. This report describes the authors' clinical experience with Technegas. This is the first reported clinical study of this agent in Korea. A comparison of Technegas and $^{99m}Tc-DTPA$ aerosol was performed in 12 patients with various pulmonary diseases such as COPD, pulmonary tuberculosis and pleural effusion. All patients were studied with $^{99m}Tc-DTPA$ aerosol inhalation and Technegas ventilation. In both studies image quality was assessed (1) semiquantitatively by scoring bronchial and gastric activity, (2) subjectively by direct visual comparison of peripheral lung images and (3) quantitatively by computing the peripheral penetration index(PI) for each lungs. The bronchial activites were seen in 7 out of 12 cases with $^{99m}Tc-DTPA$ aerosol and in 5/12 with Technegas. The gastric activities were seen in 5/12 and 1/12 cases respectively. The average values of PI were 61.26% with $^{99m}Tc-DTPA$ aerosol and 69.20% with Technegas (p>0.05). Using $^{99m}Tc-DTPA$ aerosol, COPD patients showed deposition in the central airways with poor visualization of the peripheral areas of the lungs. In Technegas studies these phenomena were less prominent, and the examination is well tolerated by pateients and requires only a minimum of patient cooperation. With superiority of easy availability and handling, better physical characteristics and favorable Image quality, Technegas is a Promising agent for lung ventilation scanning.

• Journal of the Korean Society for Library and Information Science
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• v.24
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• pp.73-112
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• 1993

The purpose of this study is to identify what are the common characteristics which enable the information management offices of research institutes to provide information services with their companies in effective ways, and furthur, in other to clarify what factors helf the improvement of effectiveness of information services. I have made on-the-spot investigations for the confirmation of present conditions of information service units of research institutes, their statistic data, and their managerial state. I have restricted my research to 36 information service units, as research targets, which are located in Changwon, Choongchong, and Kyongin areas as the reason mentioned in the introduction, and from their research data they keep, I have classified the top 10 information service units as Group A which show the most frequent use or application frequency of research data per a researcher, where as the lowerest 10 information service units are classified as Group B by the same evaluation of application frequency of their data. Then, the result of the comparision between Group A which provide high information services in effective ways and Group B which provide low information services with poor management leads me to identify the following characteristics in terms of the analyses of utilization of the data they process: 1. Those information service units in Group A have more volumes of books and information data, and annual increasing rates of books and informations are higher than those of Group B. 2. The regulations of book circulation in Group A are prescribed for the benefits of users, and if a long-term loan is not permitted, they are allowed to borrow more books at a time than in Group B. 3. The proportion of librarians to researchers is high, the librarians' career is long and their professional education background (the rate of librarians who majored in library science and information) is high In Group A. 4. Most of the directors of information service units are those who majored library science and information, and for the most part, librarians are promoted to the directors of information service units in Group A. 5. The information service units are managed directly under the directors of research institutes in their organization in Group A. 6. The information service units offer an education for information utilization to researchers as one of their managerial programs, and the contents of education are diverse, rich and informative in Group A. 7. The kinds of informations are various in Group A such as, SDI, prompt reports of contents of new informations, circulation of newly published publications, translation service, information analyses, critical reviews, etc. 8. The information service units in Group A have joined various cooperative systems which are aimed at cooperation, co-ownership of resources and informations. These findings lead me to argue that the hypothesis suggested in the introduction of this thesis has been proved without exception.