• 제목/요약/키워드: a serious case

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다발성 뇌결핵종을 동반한 속립결핵 1례 (A Case of Miliary Tuberculosis Associated with Multiple Intracranial Tuberculoma)

  • 박선영;이정현;정낙균;김진택;정승연;강진한
    • Pediatric Infection and Vaccine
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    • 제7권2호
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    • pp.250-256
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    • 2000
  • 국내에서 소아의 중증 결핵 환자는 사회경제적 발달과 BCG 백신의 적극적 접종으로 인하여 현저히 빈도수가 감소하였다. 저자들은 BCG 접종을 생후 4주에 실시했음에도 불구하고 가족내의 결핵 환자 발생이 인지되지 않아 조기 치료의 기회를 놓침으로서 속립결핵과 뇌결핵종의 합병증이 유발된 중증 결핵 환아 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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A New Finding-peripheral Vision Phobia: A Possible Subtype of Social Phobia

  • Jang, Su Hee
    • Journal of Acupuncture Research
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    • 제31권1호
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    • pp.159-165
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    • 2014
  • Background and objectives : Social phobia is a nervous anxiety characterized by one or more constant fear in social activity or specific situation which causes serious damage to individual's social functions leading to chronic functional impairment when it is untreated. The objective of this study is to report a new finding of a possible subtype of social phobia according to a case survey and study of sufferers found via online support group. Methods : A single case review using survey and interview on patient was employed. Following a no-treatment baseline period for examination and interview, biweekly acupuncture treatment with interview for in-depth examination was delivered for 6months. Also, for in-depth investigation of peripheral vision phobia, survey questionnaire was done by the members of a Korean support group on on-line social group forum. Result : A new type of social phobia which has not yet been reported nor mentioned in any journals, namely called 'peripheral vision phobia' has been identified. Biweekly acupuncture treatment reached a comfort state of mental status on one case of patient with social phobia. Limitation : Due to the shift of environment on patient's part, the termination of the school session at where the phobia occur the most, the reoccurrence of the phobia is yet to be examined. Also, the generalization of the new type of phobia as a subtype only by reviewing one case alone with survey interview of on-line social group has limitation. Conclusion : The result of the case review suggests that 'peripheral vision phobia' is strictly concentrated on malfunctioning of peripheral vision without functional or organic hindrance of pupils or of any parts of eyes including eye muscles due to peripheral vision phobia. PVP is similar to social phobia and it may be a subtype of social phobia, however, since etiology, diagnosis, medical treatment methods are under researched, investigation is yet to be done.

고령자 주거지원을 위한 주택시설설비결함과 주거만족에 관한 연구 - 전북지역의 노인가구를 중심으로 - (Housing Defects and Housing Satisfaction for Supporting to the Aged - Emphasis on the Jeonbuk Aged Households -)

  • 이종혜;곽인숙
    • 한국주거학회논문집
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    • 제24권6호
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    • pp.163-176
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    • 2013
  • This paper investigates housing defects and housing satisfaction of the aged according to the personal characteristics and their housing environment. Personal interview was made on the 280 senior persons living in Jeonbuk area. Research results are following. Low levels were found in education, self privately-owned property, monthly income. Most of them live in a detached house that is outdated and obsolete. The facility defects of housing were the most serious level in case of the female senior citizen who lives alone. Their house aging was old but had the high deviation among households. Main influencing factors on facility defects of housing were perceived economic status and ownership of house, the next was age of the aged. Main influencing factors on the housing satisfaction were perceived economic status. Housing satisfaction was higher, the better economic level of the aged was, male than female, the less the age was, in case of hot-water usage in bathroom, owner of houses, no difference in floor level, larger storage space of kitchen was. According to the empirical results, we propose the supporting policy of hosing safety for the aged in order to reduce the risk and social cost. Especially the rate of population aging, the aged household, and the detached houses are higher in Jeonbuk rural areas than the other area. Housing facility defects of the elder who lives alone and house aging of theirs are serious level. Local government should have supporting system that considers local difference and characteristics of the aged housing.

절단된 반대측 수부의 환지를 이용한 절단된 무지의 재건술의 증례보고 (The Report for Amputated Thumb Reconstruction with Amuputated Ring Finger of the Contralateral Hand)

  • 최수종;장기영
    • Archives of Reconstructive Microsurgery
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    • 제15권2호
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    • pp.117-122
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    • 2006
  • The function of the thumb is critical to overall hand function. The thumb enables motions such as pinch, grip, fine manipulation and allows to circumduction and opposition. It's loss is a serious problem not only from cosmetic point of view but also functional. Therefore, we should make every effort on thumb reconstruction. Many methods of thumb reconstruction from simple osteoplasty to complex microsurgical reconstruction have been reported. We should understand merits and demerits of each method and choose proper method on case by case. When both hands are injured and there is no option but to amputate one hand and the thumb of another hand is lost, spare part flap from the thumb of the amputated hand to another hand can solve cosmetic problem, functional problem and donor morbidity. We report a case of amputated thumb which has been reconstructed with amputated ring finger of the contralateral hand using spare part flap concept.

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폐교를 리모델링한 노인시설에 관한 연구 - 일본의 시나가와구 리모델링 사례를 중심으로 - (A Study on the Recycling of the Closed Schools in Japan - A Case Study on the Remodeling of Shinagawa in Japan -)

  • 김성룡
    • 한국농촌건축학회논문집
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    • 제22권2호
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    • pp.18-25
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    • 2020
  • Recently (2019), more than 3,800 schools have been closed in Korea due to the decrease in the number of students. Among them, 1,000 closed schools were used, 400 unused closed schools were sold, and the remaining 2,400 were sold. However, considering the absolute lack of elderly facilities due to the aging population, it seems necessary to recycle these public assets into elderly facilities. The purpose of this study is to explore the cases of remodeling closed schools in Japan and recycling them as elderly facilities, and to find ways to resolve the very serious shortage of elderly facilities while seeking measures to closed schools in Korea. The results of this study are summarized as follows: 1) In the case of Shinagawa in Tokyo, it was easy to change its use because the building was owned by the old district. 2) The existing classroom space was used as it was to create an elderly living space consisting of two or three rooms and one bathroom unit. 3) In case 2, even if the earthquake-resistant structure was reinforced, the overall construction cost was reduced by 30% compared to the new construction.

Subcapsular Splenic Hemorrhage in Vivax Malaria

  • Im, Jae Hyoung;Chung, Moon-Hyun;Durey, Areum;Lee, Jin-Soo;Kim, Tong-Soo;Kwon, Hea Yoon;Baek, Ji Hyeon
    • Parasites, Hosts and Diseases
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    • 제57권4호
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    • pp.405-409
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    • 2019
  • In malaria, splenic rupture is a serious complication potentially leading to death. Subcapsular hemorrhage of spleen is thought to be an impending sign of splenic rupture; however, the characteristics of subcapsular hemorrhage are not well known. We report 3 cases of subcapsular hemorrhage of the spleen in vivax malaria, with varying degrees of severity. Case 1 showed subcapsular hemorrhage without splenic rupture, was treated by antimalarial drug without any procedure. The healing process of the patient's spleen was monitored through 6 computed tomography follow-up examinations, over 118 days. Case 2 presented subcapsular hemorrhage with splenic rupture, treated only with an antimalarial drug. Case 3 showed subcapsular hemorrhage with splenic rupture and hypotension, treated using splenic artery embolization. They all recovered from subcapsular hemorrhage without any other complications. These 3 cases reveal the process of subcapsular hemorrhage leading to rupture and a potentially fatal outcome. The treatment plan of subcapsular hemorrhage should be determined carefully considering the vital signs, changes in hemoglobin, and bleeding tendency.

도시 저소득층소비자의 구매장소범위와 정보탐색행동 (The Urban Low-income Consumers' Shopping Scope and Information Seeking Behavior)

  • 이은재
    • 대한가정학회지
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    • 제27권4호
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    • pp.85-103
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    • 1989
  • The purpose of this study is to figure out the urban low-income consumers' present possesion condition of electric appliances, the way of purchasing, shopping scope of groceries and electric appliances, and the shopping scope and information seeking behavior of groceries and electric appliances according to the socioeconomic variables, and the shopping scope of electric appliances according to the way of paying price. For this purpose 129 low-income consumers living in Inchon were interviewed through questionnares. Finally 100 questionnares were analyzed. The first major of this study is that the possesion rates of color television set and refrigerator are comparativelyl high, while those of washing machine, record player and camera are low. In case of electric appliances, consumers usually purchase things on credit and as a shopping place, they usually go to a commercial agent. In case of groceries, they usually buy things for cash, and in case of one price labeled groceries they usually buy things at a supermarket. Second, according to the way of paying price, the shopping scope of some electric appliances is broader in case of purchase for cach than in case of purchase on credit. Third, the shopping scope and information seeking behavior classified by the socioeconomic variables according to the income, age and education. That is as the income and education become higher and the age becomes lower, the shopping scope becomes broader, mass media information source is much more uaed and the frequency of seeking becomes higher. Through this study, I would like to suggest the followings. (1) The problem of low-income consumers is closely connected with the low education level, so it can be solved a bit through consumer education. (2) Especially the consumers' problem is more serious in case of those who are aged and get very low income and education. Therefore special attention is needed to those consumers.

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중국의 결원중재제도에 관한 실증적 연구 (An Empirical Study on the Truncated Arbitration System in China)

  • 하현수
    • 한국중재학회지:중재연구
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    • 제31권4호
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    • pp.51-70
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    • 2021
  • Chinese courts seem to be indifferent or ignorant of truncated arbitration. In other words, the Chinese court canceled the arbitration award made by truncated arbitration except for the Pingdingsan Case among the four arbitration cases related to the domestic arbitration award reviewed in this paper on the ground that it violated the composition of the arbitral tribunal or the arbitration procedure. A Chinese court has canceled the arbitration award by judging only based on the composition of the arbitral tribunal and the legal process of the violation of the arbitration procedure not by determining whether the domestic arbitration award made by the truncated arbitration meets the conditions for the application of truncated arbitration as stipulated in the Arbitration Rules. Moreover, it seems that the Chinese court made a serious error in the application of the relevant regulations in the Pingdingsan Case, which ruled that the truncated arbitration did not violate the legal process. In this case, the Chinese court admitted truncated arbitration under logic process that it was not necessary to wait until the final hearing to apply the truncated arbitraion because one arbitrator was absent before the final hearing, but the truncated arbitrator had already formed his/her opinion before the absence. However, in the case of Marshall Investment Corporation, a case related to foreign arbitration, the Chinese court rejected the approval and execution of the truncated arbitration award by strictly applying the laws and timing of the truncated arbitration. Since only one case has been identified in the main text, it is difficult to make a definitive judgment, but considering these cases, it seems to be that the Chinese courts apply different standards to domestic and foreign arbitration awards to determine the legality of truncated arbitration.

Vacuum Carburizing System for Powdered Metal Parts & Components

  • Kowakewski, Janusz;Kucharski, Karol
    • 한국분말야금학회:학술대회논문집
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    • 한국분말야금학회 2006년도 Extended Abstracts of 2006 POWDER METALLURGY World Congress Part2
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    • pp.1018-1021
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    • 2006
  • Powdered metal parts and components may be carburized successfully in a vacuum furnace by combining carburizing technology $VacCarb^{TM}$ with a hi-tech control system. This approach is different from traditional carburizing methods, because vacuum carburizing is a non-equilibrium process. It is not possible to set the carbon potential as in a traditional carburizing atmosphere and control its composition in order to obtain a desired carburized case. This paper presents test results that demonstrate that vacuum carburizing system $VacCarb^{TM}$ carburized P.M. materials faster than traditional steel with acceptable results. In the experiments conducted, PM samples with the lowest density and open porosity showed a dramatic increase in the surface carbon content up to 2.5%C and a 3 times deeper case. Currently the boost-diffusion technique is applied to control the surface carbon content and distribution in the case. In the first boost step, the flow of the carburizing gas has to be sufficient to saturate the austenite, while avoiding soot deposition and formation of massive carbides. To accomplish this goal, the proper gas flow rate has to be calculated. In the case of P.M. parts, more carbon can be absorbed by the part's surface because of the additional internal surface area created by pores present in the carburized case. This amount will depend on the density of the part, the densification grade of the surface layer and the stage of the surface. "as machined" or "as sintered". It is believed that enhanced gas diffusion after initial evacuation of the P.M. parts leads to faster carburization from within the pores, especially when pores are open . surface "as sintered" and interconnected . low density. A serious problem with vacuum carburizing is delivery of the carbon in a uniform manner to the work pieces. This led to the development of the different methods of carburizing gas circulation such as the pulse/pump method or the pulse/pause technique applied in SECO/WARWICK's $VacCarb^{TM}$ Technology. In both cases, each pressure change may deliver fresh carburizing atmosphere into the pores and leads to faster carburization from within the pores. Since today's control of vacuum carburizing is based largely on empirical results, presented experiments may lead to better understanding and improved control of the process.

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폐쇄성해역에 있어서의 새로운 수질개선책에 관한 연구 (A Study on the New Method for Water-Purification in a Semi-enclosed Bay)

  • 국승기
    • 한국항만학회지
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    • 제12권1호
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    • pp.95-104
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    • 1998
  • Water pollution in a semi-enclosed sea area such as a bay due to stagnancy of water has been a serious water environmental problem. Recently, some kinds of new methods to activate the tidal exchange between an inner bay and an outer sea area by control of a tidal residual current have been proposed. However, these methods have several problems, that is, I). deterioration in a natural view due to building of huge structures, II). increase of risk of navigation in case of a submerged structure, III). limition of sea area where a tidal current can be controlled and IV). difficulty in removing those structures in case of occurrence of an unexpected impact on water environment. In this paper, a new method is proposed, which can solve all the above problems, to purify water quality in a semi-enclosed bay by creation and control of a pattern of a tidal residual current. The tidal residual current is controlled by unsymmetric structures, which change the properties of resistance according to the direction of flow, arranged on the sea bottom. In this study, several numerical and hydraulic experiments of tidal current and particle-tracking for various arrangements of bottom roughness in a semi-enclosed model bay were carried out. As a result of experiments, it becomes clear that it is possible to generate a new tidal residual current and to activate a tidal exchange by only operation of bottom roughness arrangement.

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