• Restorative Dentistry and Endodontics
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• 제41권1호
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• pp.68-73
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• 2016

This case report describes a unique C-shaped mandibular second premolar with four canals and three apical foramina and its endodontic management with the aid of cone-beam computer tomography (CBCT). C-shaped root canal morphology with four canals was identified under a dental operating microscope. A CBCT scan was taken to evaluate the aberrant root canal anatomy and devise a better instrumentation strategy based on the anatomy. All canals were instrumented to have a 0.05 taper using 1.0 mm step-back filing with appropriate apical sizes determined from the CBCT scan images and filled using a warm vertical compaction technique. A C-shaped mandibular second premolar with multiple canals is an anatomically rare case for clinicians, yet its endodontic treatment may require a careful instrumentation strategy due to the difficulty in disinfecting the canals in the thin root area without compromising the root structure.

• Journal of Korean Neurosurgical Society
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• 제47권2호
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• pp.155-157
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• 2010

Anterior cranial fossa dural arteriovenous fistulae (DAVFs) are very rare and the bleeding rate is very high, especially in the presence of leptomeningeal draining vein and aneurysmal varix formation. A 85-year-old male patient presented with subdural hematoma (SDH). Magnetic resonance image (MRI) and transfemoral carotid angiography (TFCA) disclosed DAVF at the anterior cranial fossa with bilateral arterial feeders and leptomeningeal draining vein with varix formation. The lesion was treated by simple ligation of pial connecting vein using low frontal craniotomy. In comparison with DAVFs of the other sites, the anterior cranial fossa DAVF is difficult to manage by endovascular treatment due to not only the difficulty of transvenous access but the risk of visual impairment when using transarterial route. Surgical ligation of pial connecting vein is feasible and effective treatment.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제21권2호
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• pp.209-214
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• 1999

Chronic recurrent TMJ dislocation results in difficulty of mastication, speaking, and swallowing due to the limitation of the mandibular movement. Etiologic factors are considered as the looseness of the capsule and ligaments, the decrease of the articular eminence, condylar morphologic change, muscular disharmony near by TMJ, and the decrease of the vertical length of the mandibular ramus. Treatment approach has been suggested that surgical methods are selected for the correction of the etiologic factors when conservative treatments are not effective. Many surgical methods have been reported such as eminectomy, eminence augmentation, condylotomy, and zygomatic arch down fracture technique. We performed the eminence augmentation through interpositional bone graft in chronic recurrent TMJ dislocation. This method leads to favorable postoperative result without recurrence and complication, so we report the case with related references.

• 제어로봇시스템학회논문지
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• 제3권6호
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• pp.652-658
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• 1997

Coagulant feeding control is very important in the water treatment process. Coagulant feeding is related to the raw water quality such as turbidity, alkalinity, water temperature, pH and so on. However, since the process of chemical reaction has not been clarified so far, coagulant dosing rate has been decided by jar-test. In order to overcome the difficulty mentioned above, Fuzzy Neural Network to fuse fuzzy logic and neural network was proposed, and the scheme was applied to the automatic determination of coagulant dosing rate. This algorithm can automatically identify the if-then rules, tune the membership functions by utilizing expert's experimental data. The proposed scheme is evaluated by computer simulation and interfaced with coagulant feeder operated by magnetic flowmeter, control valve and PLC. It is shown that coagulant feeding according to real time sensing of water quality is very effective.

• Clinical and Experimental Pediatrics
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• 제64권2호
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• pp.60-67
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• 2021

Eosinophils are a type of granulocyte with eosinophilic granules in the cytoplasm that play an important role in allergic and parasitic diseases. Eosinophils are important in the pathogenesis of asthma, and many studies have examined the relationship between them. In allergic eosinophilic asthma, eosinophils act not only as important effector cells but also as antigen-presenting cells in allergic inflammatory reactions. In nonallergic eosinophilic asthma, type 2 innate lymphoid cells in the airways play an important role in eosinophil activation. Direct methods, including bronchial biopsy, bronchoalveolar lavage, and the induced sputum test, are used to evaluate eosinophilic inflammatory reactions in patients with asthma, however, because of difficulty with their implementation, they are sometimes replaced by measurements of blood eosinophils, fraction of exhaled nitric oxide, and serum periostin level. However, these tests are less accurate than direct methods. For the treatment of patients with severe eosinophilic asthma, anti-interleukin-5 preparations such as mepolizumab, reslizumab, and benralizumab have recently been introduced and broadened the scope of asthma treatment. Although eosinophils are already known to play an important role in asthma, we expect that further studies will reveal more details of their action.

• Journal of Trauma and Injury
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• 제32권1호
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• pp.51-59
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• 2019

Unstable pelvic ring lesions are usually treated with internal fixation. In patients presenting clinical instability or soft tissue complication risk, external fixation is a safe treatment option. However, pin tract infection, insufficient biomechanical properties, difficulty sitting and changing decubitus are important drawbacks related to the treatment. The present study reports the association of anterior and posterior subcutaneous internal fixation by applying spine-designed implants on the pelvic ring disruption: supra-acetabular pedicle screws with an interconnecting rod (Infix), plus posterior transiliac fixation with the same system, which the authors have named the "Hula Hoop Technique".

• Biomolecules & Therapeutics
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• 제27권3호
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• pp.254-264
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• 2019

Atherosclerosis is a widespread and chronic progressive arterial disease that has been regarded as one of the major causes of death worldwide. It is caused by the deposition of cholesterol, fats, and other substances in the tunica intima which leads to narrowing of the blood vessels, loss of elasticity, and arterial wall thickening, thus causing difficulty in blood flow. Natural products have been used as one of the most important strategies for the treatment and prevention of cardiovascular diseases for a long time. In recent decades, as interests in natural products including medicinal herbs have increased, many studies regarding natural compounds that are effective against atherosclerosis have been conducted. The purpose of this review is to provide a brief overview of the natural compounds that have been used for the treatment and prevention of atherosclerosis, and their mechanisms of action based on recent research.

• Journal of Acupuncture Research
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• 제31권4호
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• pp.185-193
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• 2014

Objectives : The purpose of this study is to find the effectiveness of Korean medical treatment on sense of balance by cerebral hemorrhage. Gaitview analysis and Berg balance scale(BBS) research were used to evaluate it. Methods : We selected patients who were hospitalized at the Kangnam Korean Hospital, Kyung Hee University Hospital from May 2014 to August 2014 that satisfied inclusion/exclusion criteria. Before taking treatment, we took gaitview analysis and BBS first to analyze the ability of balance and gait of patients. In gaitview analysis, we checked Center of gravity(COG), pressure ratio, ave pressure, gait time ratio, statistic score. For about 10 days, patients were given acupuncture treatment, herbal medicine and physical therapy. Afterwards, we compared patients' progression between before-treatment and after-treatment with the same evaluation scale. Results : In the period of treatment, patients showed static and dynamic index change within the normal range or increase. And in statistic score, 2 cases score are increased. In BBS, all cases score are increased. Conclusions : Korean medical treatment improves imbalance symptom of cerebral hemorrhage patient. So the ability of gait and activity of daily living is improved. But, this study has only 3 cases, and has no comparable study. Prospective and Larger study will be necessary.

• 응용통계연구
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• 제27권7호
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• pp.1077-1095
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• 2014

관찰연구를 이용하여 인과관계를 추론할 경우 무작위 통제시험과는 달리 교란변수로 인한 편향을 제어하기 위한 통계적 전략이 필요하다. 최근에는 성향점수(propensity score) 를 이용한 짝짓기나 원인변수의 역확률을 가중치로 사용하는 주변구조모형이 제안되어 사용되고 있다. 이러한 인과관계 추론은 처치(treatment)가 명확히 주어진 경우에 교란변수를 통제하고 그 처치가 결과에 미치는 영향을 평가하는 방법에 초점이 맞추어져 있다. 하지만 기존의 방법의 경우 원인변수인 처치가 직접관측이 가능한 범주형 변수이고 결과변수 또한 직접관측이 가능한 변수인 경우에만 사용할 수 있는 한계를 갖고 있다. 본 연구에서는 원인변수인 처치와 결과변수의 결괏값의 직접적인 관측이 어려운 경우, 측정오차를 고려한 잠재범주모형(latent class analysis)의 변수로 모형화 함으로써 잠재범주 간의 원인적 영향력을 추정하는 방법을 제시하고자 한다. 그리고 미국의 The National Longitudinal Study of Adolescent Health 자료를 이용하여, 약물사용의 잠재범주에 대한 청소년기의 비행(delinquency)이라는 잠재범주의 원인적 영향력을 추정하였다.

• 한방재활의학과학회지
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• 제30권4호
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• pp.187-194
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• 2020

The objective of this study is to report an accidental detection of colorectal cancer (CRC) metastasis to spine during conservative treatment for lumbar disc herniation. We treated a 65-year-old female who was diagnosed with lumbar disc herniation on September 2019 by acupuncture, pharmacopuncture, cupping treatment, chuna manual therapy, herbal medicine treatment, medicine treatment and physical therapy. After that we analyzed medical record from December 12, 2019 to February 11, 2020. The patient was diagnosed with CRC and received tumor resection in 2014. After 2 times of chemotherapy, she arbitrarily interrupted the treatment. Since she stated that CRC treatment was terminated, we had difficulty in finding connection between symptom and CRC. During the treatment period, compression fracture at L3 body was found, which was caused by CRC metastasis. Rigorous question, appropriate radiological and clinical tests are required to patients who have history of malignant tumor.