• 제목/요약/키워드: Recur

검색결과 276건 처리시간 0.026초

Warthin씨 종양의 치험 1 례 (WARTHIN'S TUMOR;REPORT OF A CASE)

  • 최창식;이정구;한명수
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제12권1호
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    • pp.165-170
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    • 1990
  • Warthin's tumor is composed of glandular and often cystic structures with a papillary cystic arrangement, lined by characteristic eosinophilic epithelium. The stroma contains lymphoid tissue. Between 5 and 10 percent of all parotid gland tumors are Warthin's tumor and occurs almost exclusively in the parotid gland. This tumor is much more common in men than in women (5:1). Histologically it is composed of epithelial and lymphoid tissue. The treatment of this tumor is surgical excision and seldom recur after removal. Recently, We had experienced a case of warthin's tumor of the parotid gland in a 66 year old male treated with surgical removal.

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MBD와 FEM을 이용한 단일윤축 모델의 충돌 후 탈선거동의 해석 (Analysis of Collision-induced Derailments of a Wheel-set Model Using MBD and FEM Simulation)

  • 이준호;구정서
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2011년도 정기총회 및 추계학술대회 논문집
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    • pp.1868-1873
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    • 2011
  • In this paper, a theoretical formulation of a simplified wheel-set model for collision-induced derailments was evaluated by numerical simulations for the wheel-climb derailment and wheel-lift derailment types. The derailment types were classified into the wheel-climb derailment and the wheel-lift derailment according to the friction force direction of the wheel-flange. The wheel-climb derailment type was classified into Climb-up, Climb/Roll-over, and Roll-over-C, and wheel-lift derailment type was classified into Slip-up, Slip/Roll-over and Roll-over-L. To verify the theoretical equations derived for the wheel-climb derailment and the wheel-lift derailment, dynamic simulations using RecurDyn of Functionbay and Ls-Dyna of LSTC were performed and compared for some examples. The derailment predictions of the suggested theoretical formulation were in good agreement with those of the numerical simulations. The direction of the frictional force between the wheel-flange and the rail can be well predicted using the suggested derailment formulation at a initial derailment.

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굴삭기 트랙의 궤도 이탈현상에 관한 해석적 연구 (Analytical Investigation on the Track Separation Mechanism for Tracked Excavator)

  • 이윤식;옥진규;김효준;유완석
    • 한국자동차공학회논문집
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    • 제14권6호
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    • pp.66-72
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    • 2006
  • In this paper, an analytical investigation on the track separation mechanism for tracked excavator was studied. Relative motions of track links, sprocket, idler and support rollers are very important in the driving of an excavator The interference and friction between each components lead to noise and vibration. And also this has a great influence on the life for tracked excavator. RecurDyn program was used for the three dimensional modeling of the track assembly. Investigating the interference between sprocket and track links, the mechanism of the track separation was analyzed.

고양이에서의 선천성 식도열공허니아 1예 (Congenital Esophageal Hiatal Hernia in a Cat)

  • 정성목;정언승;김순영;최성천;손혜정;이충호;양정환;김완희;서민호
    • 한국임상수의학회지
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    • 제18권1호
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    • pp.61-64
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    • 2001
  • A 1.2 kg, five-month-old, female domestic short-hair cat was referred to Seoul National University Veterinary Medical Teaching Hospital with a history of vomiting immediatley after eating. Clinical signs were depression, anorexia, severe dehydration and vomiting since weaning. According to history taking, physical examination, complete blood count, serum chemical profile and contrast radiographic study, it was diagnosed as congenital sliding esophageal hiatal hernia. Diaphragmatic plication, esophagopexy and left-sided belt-loop gastropexy were performed. Ranitidine (2 mg/kg, IV, q12h) and sucralfate suspension (20 mg/kg, PO, q6h) were administered with low-fat liquified diet to treat reflux esophagitis. Clinical signs related to esophageal hiatal hernia disappeared immediately after surgical treatment and did not recur for 4 months.

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우췌성 백반증에서 기원한 우췌성 암종의 치험례 (A CASE PRESENTATION OF VERRUCOUS CARCINOMA ORIGINATED FROM VERRRUCOUS LEKOPLAKIA)

  • 최문기
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제28권4호
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    • pp.339-347
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    • 2006
  • Oral leukoplakia is the most common premalignant lesion and malignant transformation has been reported from verrucal lekoplakia. Homogenous, benign leukoplakia develops into a line of squamous cell carcinoma such as verrrucous carcinoma, papillary squamous cell carcinoma and invasive squamous cell carcinoma. Early diagnosis and intervention of premalignant leukoplakia is up-most important to prevent transformation into a oral squamous cell carcinoma. Any change in surface, size and color warrants repeated biopsy. If verrucous carcinoma is evidently derived from the previous leukoplakia, wide surgical excision and periodic follow up is needed. Surgically removed lesion of leukoplakia has the tendency to recur. Follow-up is very important to patient and clinician. Although many therapies have been reported to oral leukoplakia and verrucal carcinoma, accepted treatment principle is not exist so far. But surgical removal is recommended as the treatment of choice.

The Effects of Medication and Symptom Management Education Program Based on Self Efficacy Theory for the Psychiatric Patients

  • Shon, Kyung-Hee
    • 대한간호학회지
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    • 제33권8호
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    • pp.1145-1152
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    • 2003
  • Propose. An effective rehabilitation program had been developed for psychiatric patients' self management of medication and symptoms in Korea. The rehabilitation program was designed to allow the patients to understand their illness, cope with their medical regimen, and prevent a relapse by recognizing any of the symptoms when they recur. Methods. The developed program utilizes the self efficacy method reported by Bandura, it includes manuals and videotapes focusing on real life situations, small group discussions, and telephone coaching. This study investigated the effects of this program with respect to various predictable variables in psychiatric rehabilitation. Thirty eight patients were selected for this study, 18 in the experimental program and 20 as controls. Results. The results showed that the subjects who attended this educational program reported significantly more improvement in attitude toward medication compliance (p=0.033), and significantly less relapse warning symptom scores (p=0.000) than the controls. Conclusion. This program may be a useful psychoeducational resource for professionals in the field of clinical practice in psychiatry.

컴퓨터 시뮬레이션을 이용한 리니어 피더의 설계 및 분석 (Design and Analysis of a Linear Feeder using Computer Simulation)

  • 이규호;김성현;정진태
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2007년도 추계학술대회논문집
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    • pp.749-753
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    • 2007
  • The purpose of this study is to design of a linear feeder using a multi body dynamic program, and to analyze a dynamic motion of the feeder that can transport small mechanical parts uniformly. In order to establish the analysis model of the linear feeder, each parts of the feeder are divided into two types which the rigid and flexible body. For the dynamic simulation, RecurDyn, which is a commercial multi-body dynamic package, is used. We also consider the design parameters for optimal dynamic motion such as centroid, stiffness, and mass of the feeder system. In order to analyze the dynamic motion of a linear feeder, the displacements of the feeder are measured by several accelerometers when it is in an operating condition. After the signal data from the accelerometers are captured in the time domain, the dynamic motion in the space is visualized by using graphic computer software.

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고무차륜 AGT 경량전철 차량의 진동특성 평가 (Vibration characteristics of rubber-tired AGT light rail vehicle)

  • 임태건;김연수;정상기;이정선
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2005년도 춘계학술대회 논문집
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    • pp.860-863
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    • 2005
  • Dynamic model of the Korea standardized rubber-tired AGT light rail vehicle, and boundary conditions between vehicle and infrastructures (running track, guidance rail) were defined to analyze vehicular vibration behaviors occurred at the worst condition. Using the commercialized software RecurDyn, vibration accelerations of car body and bogies were analyzed. Based on the Korea performance test criteria for urban transit, vertical and lateral vibration of car body were calculated and evaluated. As the results, the Korea standardized rubber-tired AGT light rail vehicle satisfied the performance criteria and design requirement.

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Behcet 씨 증후군에 의한 대동맥판 폐쇄부전의 수술치험 -3례 보고- (Surgical Management of Aortic Insufficiency in Behcet`s Syndrome - An Experience of 8 Cases -)

  • 원용순
    • Journal of Chest Surgery
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    • 제21권5호
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    • pp.899-904
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    • 1988
  • In Behcet syndrome, cardiac involvements are rare and have been reported pericarditis, myocarditis, right heart endocardial fibrosis, right ventricle mural thrombus with pulmonary embolism, active endocarditis, granulomatous endocarditis, conduction disturbance, acute aortic insufficiency, mitral valve prolapse. Our three patients underwent AVR because of aortic insufficiency and ascending aorta enlargement combined with Behcet syndrome. Two patients had mitral regurgitation too. So one underwent MAP and the other underwent MVR concomitantly. One who underwent AVR have been well for 50 months. Another who underwent AVR+MAP and redo AVR due to aortic paravalvular leakage was died of congestive heart failure. The other who underwent AVR+MVR and repeated AVR three times because of aortic paravalvular leakage is in condition of aortic paravalvular leakage. Paravalvular leakage is considered to recur due to progressive dilatation and fragility of aortic root that is the result of pathologic change of Behcet syndrome in it. If Open heart surgery is needed in Behcet`s syndrome during inflammatory reaction is active, postoperative complications such as paravalvular leakage or suture line rupture may be prevented with pre- and postoperative anti-inflammatory management.

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악성 국한성 섬유성 중피종 - 1예 보고 - (Malignant Localized Fibrous Mesothelioma - Report of one case -)

  • 박해문
    • Journal of Chest Surgery
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    • 제20권3호
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    • pp.593-597
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    • 1987
  • Mesothelioma is a primary tumor of the pleura. There are two forms of mesotheliomas; diffuse form and localized form. The majority of localized mesotheliomas are benign, but the tumor with pedicle recur at 20% after removal of it. Malignant localized fibrous mesothelioma is differential diagnosed pathologically and clinically with diffuse mesothelioma. Symptoms of localized mesothelioma are generally related to the size of the tumor. We presented one case of malignant localized fibrous mesothelioma. The patient was 32 years old female and chief complaints were dyspnea and dry cough. Sputum cytology and needle lung biopsy were not able to diagnose definitely the tumor. Explothoracotomy was carried out for definite tissue biopsy. At the time of operation, huge adult head size mass was in the right thoracic cavity. The surface of the mass was nodular, multilobular and had hard consistency. Pedicle was formed above first rib and its diameter was 4.5cm. There was no adhesion except to RUL. Frozen biopsy suggested mesothelioma. Extirpation of the mass, right upper lobectomy. and partial pleurectomy were carried out.

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