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선삭가공에 있어서 선삭저항의 신호처리와 그 응용에 관한 연구(II) (A Study on the Signal Process of Cutting Forces in Turning and its Application (2nd Report) -Automatic Monitor of Chip Rorms using Cutting Forces-)

  • 김도영;윤을재;남궁석
    • 한국정밀공학회지
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    • 제7권2호
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    • pp.85-94
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    • 1990
  • In automatic metal cuttings, the chip control is one of the serious problems. So the automatic detection of chip forms is essential to the chip control in automatic metal cuttings. Cutting experiments were carried out under the variety of cutting conditions (cutting speed, feed, depth of cut and tool geometry) and with workpiece made of steel (S45C), and cutting forces were measured in-processing by using a piezoelectric type Tool Dynamometer. In this report, the frequency analysis of dynamic components, the upper frequency distributions, the ratio of RMS values, the numbers of null point and the probability density were calculated from the dynamic componeents of cutting forces filtered through various band pass filters. Experimental results showed that computer chip form monitoring system based on the cutting forces was designed and simulated and that 6 type of chip forms could be detected while in-process machining.

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Primary Perivascular Epithelioid Cell Tumor of the Lung: A Case Report

  • Hye Rim Na;Jong Hui Suh;Jiyun Lee
    • Journal of Chest Surgery
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    • 제56권5호
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    • pp.367-370
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    • 2023
  • Perivascular epithelioid cell tumors (PEComas) are very rare mesenchymal neoplasms, composed of histologically and immunohistochemically distinctive cells that form a sheet-like appearance around vessel lumens. Although most are benign, a malignant subset does exist, complicating clinical diagnostic efforts. Proper evaluation and management are thus essential for long-term patient survival. Herein, we present a rare case of a benign pulmonary PEComa that was diagnosed postoperatively in a 45-year-old woman.

Swyer 증후군: 증례 보고 (Swyer Syndrome: A Case Report)

  • 최형기;박소훈
    • 대한영상의학회지
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    • 제84권5호
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    • pp.1181-1184
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    • 2023
  • Swyer 증후군은 생식샘 발달에 영향을 미치는 희귀 유전질환으로 원발성 무월경의 드문 원인이다. 이 증후군은 46, XY 핵형을 가지나 표현형은 여성으로 나타나는 특징을 보인다. 이번 증례는 원발성 무월경을 주소로 내원한 16세 여성으로 컴퓨터단층촬영에서 자궁과 양측 난소가 관찰되지 않으며 양쪽 사타구니 부위에서 위축된 고환으로 보이는 석회화 결절이 관찰되었다. 염색체 연구에서 46, XY로 Swyer 증후군으로 확진되었다. 이에 저자들은 원발성 무월경의 드문 원인으로 Swyer 증후군을 보고하고자 한다.

CT에서 발견된 후복막 자궁외 임신: 증례 보고 (Retroperitoneal Ectopic Pregnancy Detected by CT: A Case Report)

  • 유선진;이철민;강보경;김미미
    • 대한영상의학회지
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    • 제85권1호
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    • pp.217-221
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    • 2024
  • 후복막 자궁외 임신은 자궁외 임신 중에서도 매우 드물게 발생한다. 후복막 자궁외 임신은 발생률이 낮고 비특이적 증상을 보여 첫 내원 시 진단이 매우 어렵다. 주로 방사선 위험이 없는 초음파, 자기공명영상을 통해 진단이 이루어지며 전산화단층촬영을 촬영하는 경우는 드물다. 우리는 전산화단층촬영을 통하여 진단된 드문 후복강 자궁외 임신 1예를 보고하고자 한다.

삼출건비탕가미방(蔘出健脾湯加味方)을 이용한 식간(食癎) 환아 치험 2례에 대한 증례보고 (A Case Report Regarding a Treatment Includes Lots of Different Version of Samchulkunbi-tang (蔘朮健脾湯) to Two Pediatric Patients Diagnosed as Sik-gan (食癎))

  • 김은진;민상연;김장현
    • 대한한방소아과학회지
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    • 제27권4호
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    • pp.1-9
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    • 2013
  • Objectives The purpose of this study is to report the cases of two pediatric patients diagnosed as Sik-gan (食癎), a kind of epileptic seizure thought to be caused by uncontrolled consumption of food, treated by formula variation of Samchulkunbi-tang (蔘朮健脾湯). Methods Two pediatric patients diagnosed as Sik-gan (食癎) according to traditional Korean medical terms were administered by variety of Samchulkunbi-tangs (蔘朮健脾湯) while correcting unhealthy eating habit. To measure the degree of the patients' process, the number and exact symptoms of seizure events, and gastrointestinal symptoms were recorded. Results The treatment of various Samchulkunbi-tang (蔘朮健脾湯) was not only extended remission period of seizure, but also improved gastrointestinal symptoms on both of the patients. Conclusions Pediatric patients who have past medical conditions for epileptic seizure as well as unhealthy eating habits or gastrointestinal malfunctions are prone to have a specific form of seizure called the Sik-gan (食癎). In this report, we have proven that variety of Samchulkunbi-tang (蔘朮健脾湯) can considerably be effective in improving the patients' gastrointestinal symptoms and preventing recurring seizure events.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 마황탕(麻黃湯) 투여 후 호전된 접촉성피부염 1례 (A Case Report of Contact Dermatitis treated by Mahwang-tang based on Shanghanlun Provisions)

  • 윤효중;하현이;노영범
    • 대한상한금궤의학회지
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    • 제8권1호
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    • pp.53-65
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    • 2016
  • Objective : The purpose of this paper is to report the improved contact dermatitis(CD) treated with the herbal medication based on Shanghanlun disease pattern identification diagnostic system. The level V steroid ointments were no use to the patient 3weeks before the treatment. Methods : In this case, the patient was diagnosed according to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions' and took Mahwang-tang for 36days since the final diagnosis was Taeyang-byung, number 46 provision. The photographs of patient's hands were taken to observe the process of the skin status and the discomfort from CD was measured with DLQI(Dermatologic Life Quality Index) and NRS(Numeric Rating Scale). Results : The DLQI score changed from 24 to 7 and NRS of itching changed form 8 to under 4. Conclusions : This case report shows that the herbal medication through the diagnostic system could be a remedy on CD, dealing with the skin status with no use of the level V steroid ointments. It is needed proving an alternative possibility of Korean Medicine, on other skin diseases, with later studies since there are many reports on the side-effects after some long-term steroid treatments.

간호대학생의 아동학대 지식, 태도, 지각된 행위통제력과 아동학대 사례별 신고의도 (Nursing Students' Knowledge, Attitudes, Perceived Behavior Control and Intention to Report Cases of Child Abuse)

  • 조경미;김은주
    • Child Health Nursing Research
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    • 제22권2호
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    • pp.145-152
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    • 2016
  • Purpose: This study was designed to explore nursing students' knowledge, attitudes and intention to report cases of child abuse. Methods: A descriptive research design was used with a convenience sample of 202 nursing students. After explaining the purpose of the study, participants who signed the consent form were asked to complete a self-descriptive questionnaire, which included the Child Abuse Intension Scale (CARIS). Results: The number of correct answers for knowledge of child abuse and the law was 7.0 /13. The mean scores were, for attitude toward childrearing belief and discipline, $17.1{\pm}5.2$, for punishment and culpability of offender or victim, $24.6{\pm}4.1$, for professional responsibility, $30.5{\pm}5.1$, and for perceived behavioral control, $25.3{\pm}5.0$. The intended reporting behavior differed significantly by severity of abuse. Factors influencing the intention to report child abuse were attitude towards punishment of parents, professional responsibility, and perceived behavioral control ($R^2$=.133). Conclusion: On the basis of our finding, developing education programs to help nursing students detect child abuse and improve reporting rates is important. Thus, we suggests that nursing students be provided with educational protocol for detection and reporting of child abuse.

식간 (食癎)으로 진단된 영아기 환아 1례에 대한 증례 보고 (A Case Report of Infant Diagnosed as Sik-Gan (食癎))

  • 이은주;이보람;이지홍;장규태
    • 대한한방소아과학회지
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    • 제30권3호
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    • pp.61-68
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    • 2016
  • Objectives The purpose of this study is to report a case of one infant patient diagnosed as Sik-Gan (食癎) who was treated by Korean medical treatment. Methods We diagnosed an infant patient as Sik-Gan (食癎) and treated him with herbal medicine, acupuncture, moxa and chuna therapy while correcting his eating habit. To measure the degree of the patient's progress, the frequency and exact symptoms of seizure events, and gastrointestinal symptoms were recorded. Results Korean medical treatment reduced the patient's the frequency of seizure, and improved gastrointestinal symptoms. Conclusions A patient who has past medical history of epileptic seizures, unhealthy eating habits and gastrointestinal malfunctions is prone to have a specific form of seizure called the Sik-Gan (食癎). In this report, we have proven that variety of Korean medical treatment can considerably be effective in preventing recurring seizure events and improving the patients' gastrointestinal symptoms.

국립대학병원의 책임경영제도 도입을 위한 회계제도의 개발 (Accounting system of National University Hospital contributing to responsibility management system)

  • 이해종;정병수;정설희
    • 한국병원경영학회지
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    • 제6권2호
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    • pp.3-21
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    • 2001
  • Although the accounting system is a very useful information system for manager, that of the National University Hospitals is not settled until now. Specially, when it will adapt the responsibility management system itself, it will more important tools for them. The purpose of this research is to make the standard accounting system for National University Hospital. It was surveyed the 7 National University Hospital's accounting system, and compared to that of Private University Hospital. The results are fellows; First, it must be match financial report with budgeting system. By comparing to each other, it can make to evaluate the performance of hospital. Second, it must make same format and contents in financial report among 7 hospitals. Specially, the cost information is needed to be made more details. This research suggest the new direction to make the basic information form. It was confirmed with financial manager in private university hospital. We hope it will contribute to make the new accounting system for National University Hospital.

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자궁내막증 수술 후 GnRH-agonist 투여 중인 환자의 저에스트로겐 부작용에 대한 복합 한의 치료: 증례보고 (Complex Korean Medicine Therapy for Hypoestrogenic Side Effects of Gonadotropin Releasing Hormone Agonist Administration to Postoperative Endometriosis Patient: A Case Report)

  • 박혜린;조희근;조현정;최지현
    • 대한한방부인과학회지
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    • 제31권4호
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    • pp.188-196
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    • 2018
  • Objectives: This study is to report the clinical effectiveness of the complex Korean medicine therapy on a postoperative endometriosis patient's hypoestrogenic side effects who is treated with GnRH-agonist injection. Methods: The patient in this case was diagnosed with endometriosis and has been treated with GnRH-a injection after laparoscopic operation. The patient complained hot flash and sweating mainly after GnRH-a treatment. The patient received complex Korean medicine therapy during 10 days admission period. The clinical effects were evaluated through KI (Kupperman's Index) and SF-36 (36 item Short Form Health Survey). Results: After the complex Korean medicine therapy, the various clinical symptoms including hot flash and sweating were improved. Also, the quality of life was enhanced. Conclusions: This case report shows that the complex Korean medicine therapy was effective for treating hypoestrogenic side effects occurred after GnRH-a treatment in postoperative endometriosis patient.