• 제목/요약/키워드: attachment history

검색결과 42건 처리시간 0.034초

가정에 국한된 품행장애 1례 (A CASE OF CONDUCT DISORDER CONFINED TO FAMILY CONTEXT)

  • 정선주;조수철
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제8권2호
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    • pp.287-297
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    • 1997
  • 품행장애의 아형분류는 사회화및 공격성여부, 발병의 시기등을 기준으로 이루어져왔다. ICD- 10 에서는 이러한 구분이외에 품행문제를 보이는 상황에 따라 가정에 국한된 품행장애라는 아형을 두고 있다. 저자들은 부모 및 형제에 대한 공격적인 행동 및 분노발작, 가정내의 기물파손등의 행동문제를 보이나 가정 이외의 장소에서는 뚜렷한 행동문제를 나타내지 않는 아동의 증례를 경험하였다. 자세한 병력청취 및 입원후 의 관찰 및 치료를 통해 환아의 부모에 의한 만성적인 방임 및 학대, 일관성 없는 양육태도등으로 인한 애착 형성의 문제가 환아의 행동문제 및 감정적인 어려움에 크게 기여함을 알 수 있었다. 이에 학대및 애착형성의 장애등의 부모-자녀관계의 병리가 품행장애와 어떤 상관관계를 갖는가를 알아보았고 치료적 제안에 대해 고찰하였다.

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내측 반월상 연골 후각의 후방 경골 부착부위의 절단 파열 - 임상 양상 및 새로운 봉합 수기(pullout suture) - (Transection of the posterior horn of the medial meniscus at the posterior tibial attachment - Clinical features and A new repair technique (Pullout suture) -)

  • 안진환;하철원;김호;김성민
    • 대한관절경학회지
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    • 제3권2호
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    • pp.109-114
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    • 1999
  • 목 적 : 내측 반월상 연골후각의 후방 경골 부착부위의 절단 파열은 흔하지 않고 기존의 수기로는 봉합이 어렵다. 이에 저자들은 내측 반월상 연골의 후방 경골 부착부위의 절단 파열의 임상 양상 및 pullout suture를 통한 새로운 봉합술을 소개하고자 한다. 대상 및 방법 : 년 9월부터 1999년 7월까지 9명의 환자에서 후방 경골 부착부위의 절단 파열을 경험 하였다. 평균 나이는 59.3세로 38세에서 70세까지의 분포였다. 전예에서 자기공명영상과 임상양상으로 진단하였고, 슬관절경을 통해서 확진과 치료를 하였다. 1예에서 2차적 관절경을 시행하여 봉합 된 반월상 연골의 치유여부를 확인하였다. 임상 양상 : 대개 중년이후의 나이에서 호발하며, 특별한 외상의 과거력이 없다. 슬관절 후면의 통증을 호소하였으나, 그 위치가 불명확한 특징이 있었다. 경도내지 중등도의 슬관절의 종창을 호소하였으며, 특징적으로 슬관절을 굴곡 시킬수록 심해지는 술관절 후면의 통증으로 완전한 굴곡의 장애가 있었다. 단순 방사선 사진에서 퇴행성 변화는 없거나, 나이에 비해서 미미한 양상이었다. 술 전 자기 공명영상이 진단에 있어서 매우 중요한 역할을 하며, 특히 관상면에서 반월상 연골의 후각이 후방 경골 부착부위에서 분리되어 있는 형태를 보인다. 수술 수기 : 4개의 표준 portal 로 도달하여 후각부의 절단파열을 확인하고, 변연절제술로 시야를 확보하고 후각의 후방 부착부위의 연골하골을 노출 시킨다. 전내측 또는 후내측 도달법으로 절단단율 PDS 로 봉합한다. PDS 봉합사를 전내측 도달법으로 밖으로 꺼내 놓는다. 경골 내측 근위부에 종절개를 가한 후에 ACL tibla guide를 이용하여 경골 내측 근위부에서 후각의 후방 경골부착부위까지 골 터널을 만든다. 강선 루프를 경골 터널을 통하여 삽입하여서 전내측 도달법으로 빼내고, PDS 봉합사를 사이에 끼워서 다시 경골 터널을 통해 아래쪽으로 당겨서 끌어낸다. PDS 봉합사를 경골 내측 근위부에 post-tie 방법으로 고정한다. 결 론 : 내측 반월상연골 후각의 후방 경골부착부위의 절단피열은 임상적으로 흔하지 않고 보고도 드물다. 임상 양상과 자기공명영상이 진단에 있어서 중요한 역할을 한다. 관절경적 pullout 봉합이 이런 형태의 파열에 대한 치료로서 유용할 수 있을 것으로 사료된다.

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거주상인의 내부적 관점에서 본 재래시장 공간의 장소적 의미 -청량리시장과 황학동시장을 사례로- (Meanings of the Conventional Market Place Derived from the Merchant's Point of View -Based upon the Cases of Chungryangri and Hwanghakdong Market Place-)

  • 진양교;허미선;홍윤순
    • 한국조경학회지
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    • 제28권1호
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    • pp.118-128
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    • 2000
  • Based upon the cases of two conventional market places of Seoul (Chungryangri and Hwanghakdong Market0, this study seeks, in mainly the insiders's view, to find out the micro meaning of conventional market places in the city. In-depth interviews for longer than six months were used to get life histories and daily life records from the merchants. From the result of the in-depth interviews, it was found that, for the insider's view, conventional markets are places where lower class people (or people who leave their farm lands for a city) easily settle down, as shoed in the two families' settlement history in the two conventional markets are very much similar to those in their home places. In conclusion, as represented in these two markets, conventional market places are not only the places that provides jobs to their merchants but also the places where the merchants' lives are continued, developed and reproduced. Based upon the both outsider's and insider's views, it is suggested that the recent modernization and redevelopment process to deal with conventional markets should change its direction and search for other solutions.

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Intraparenchymal Sylvian Fissure Meningioma

  • Ko, Byung-Su;Jung, Shin;Jung, Tae-Young;Kim, In-Young
    • Journal of Korean Neurosurgical Society
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    • 제41권2호
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    • pp.120-122
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    • 2007
  • Meningiomas arise from meningothelial cells that line the arachnoid membrane. So most meningiomas are dural-based lesion. But meningiomas without dural-attachment do occur and are less common. We report our experience of intraparenchymal sylvian fissure menigioma. A 21-year-old female presented with a one-month history of headache that was associated with long-term intermittent partial seizure. CT revealed about $4.5{\times}4.3{\times}5.5cm$ sized calcified mass with enhancement in right temporal lobe. On MR imaging, the lesion was observed in the right temporal lobe that was low-signal intensity on T2WI and iso-signal intensity on T1WI with well enhancement. Operation was performed via right orbitocranial approach. The internal surface of dura was intact. Tumor was totally removed except the capsule of tumor adhered to main trunk of middle cerebral artery. The histopathology showed meningioma, psammomatous type. Intraparenchymal meningioma should be considered in the differential diagnosis of intraaxial lesions in patients of any age group.

Bar attachment와 Konus telescope를 이용한 부분 무치악 환자의 수복 (Clinical Appliance of Konus Telescope Denture and Bar-Retained Overdenture on Partially Edenturous Patient)

  • 최성호;심준성;이호용;이근우
    • 구강회복응용과학지
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    • 제18권2호
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    • pp.119-126
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    • 2002
  • The purpose of this study was to restorate a patient who has a few remaining teeth with #15,23,24 supported Konus telescope denture in Maxillar and #44,43,33,34 supported Dolder bar retained overdenture in Mandible. Konus telescope and bar retained overdenture was taken better results in retention, support, stability compair with regular Removable partial denture. In Removable partial denture, the change of remaining teeth and edentulous ridge is natural. But Konus telescope and bar retained overdenture is a little effected in this change, so it is possiblble in long-term use. In cosider of patient's medical history and the possibility of additional tooth loss, Konus telescope denture can be easily repaired. Compaired with Konus telescope and bar retained overdenture showed high stability and easy cleansing because of rigid support, cross - arch splinting, and simple design. In delivery, patient had a difficulty with removal of denture and plaque control, but showed better condition, good oral hygienic care. Patient satisfied with denture functionally and esthetically. This study showed Konus telescope and bar retained overdenture was effective for treatment of patient remaing a few teeth in function, esthetic and psycologic satisfaction.

43세 남자에게서 발생한 심부실비우스열뇌수막종: 증례보고 (Deep Sylvian Meningioma in a 43-Year-Old Man: A Case Report)

  • 김진영;이은주;장혁원;정혜라;김일만;김상표
    • Investigative Magnetic Resonance Imaging
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    • 제17권4호
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    • pp.308-311
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    • 2013
  • 심부실비우스열뇌수막종은 뇌수막종의 드문 형태이다. 본 증례를 합하여 한국에서 총 4증례가 보고 되었다. 이전 병력이 없던 43세 남자가 경련발작을 주소로 본원에 내원하였다. 자기공명영상에서 오른 심부실비우스열에 테두리가 조영증강되는 종괴가 발견되었고 경막과의 연결성은 없었다. 수술적 제거 후 심부실비우스뇌수막종으로 진단되었다.

중앙아시아에서 연해주 정착촌으로 재이주한 재소한인 가족의 주거생활 사례연구 (Case Study of Yunhaju Settlement for Korye Saram Migrated from Middle Asian Countries)

  • 조재순;이영심;이정규;이선희
    • 가정과삶의질연구
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    • 제21권3호
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    • pp.101-107
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    • 2003
  • The purpose of this study was to find out the push and pull factors of migrants from middle Asian countries to Yunhaju, Russia, and housing situations in settlements as well as housing intentions to behave. Four female Korye Saram in Cremobo settlement and Woojung village and 10 male and female elderly in ordinary residences were interviewed during April 22-25, 2003. Changes in national formal language from Russian to lout languages was played the most prominent push role, while availability of settlement and agricultural land and emotional attachment as the second hometown pulled them to migrate into Yunhaju. The housing situation in Cremobo settlement was very poor and almost settlers had already left. The rest settlers wanted to move into Woojung village. The resident in Woojung village hoped to get the formal contract to rent the dwelling and agricultural land. Family adaptations were progressed to solve the housing deficits among settlers both of Cremobo settlement and Woojung village. This research explored a part of the 140 years residential history of Korye Saram.

부분방실관의 교정수술 치험 1예 (Surgical Correction of Partial Atrioventricular Canal: One Case Report)

  • 이철범
    • Journal of Chest Surgery
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    • 제14권1호
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    • pp.49-59
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    • 1981
  • This is one case report of surgically treated partial atrioventricular canal. The 22 year-old male patient had no definitive history of frequent respiratory infection and cyanosis in his early childhood. Since his age of 7 years, dyspnea was manifested on exertion. First appearance of congestive heart failure was at his age of 16 years old. The physical examination revealed that the neck veins were distended and heaving of precordium. A thrill was palpable on the left 3rd-4th intercostal space extending from the sternal border toward the apex and Grade IV/VI systolic ejection murmur was audible on it. Neither cyanosis nor clubbing was noted. Liver was palpable about 5 finger breadths. Chest X-ray revealed increased pulmonary vascularity and severe cardiomegaly (C-T ratio = 74%). EKG revealed LAD, clockwise rotation, LVH and trifascicular block. Echocardiogram showed paradoxical ventricular septal movement, narrowed left ventricular outflow tract and abnormal diastolic movement of the anterior leaflet of mitral valve. Right heart catheterization resulted in large left to right shunt (Qp : Qs = 5.7: 1), ASD and moderate pulfllonary hypertension. Finally, left ventriculogram revealed typical goose neck appearance of left ventrlcalar outflow tract. On Oct. 10, 1980, open heart surgery was performed. Operative findings were: 1. Large primum defect ($6{\times}5$ Cm in diameter) 2. Cleft on the anterior leaflet of mitral valve. 3. The upper portion of ventricular septum was descent but no interventricular communication. 4. Downward attachment of the atrioventricular valves on the ventricular muscular septum. 5. Medium sized secumdum defect ($2{\times}1$ Cm in diameter). The cleft was repaired with 4 interrupted sutures. The primum defect was closed with Teflon patch and the secundum defect was closed with direct suture closure. Postoperatively atrial flutter-fibrillation in EKG and Grade U/VI apical systolic murmur were found. The postoperative course was uneventful and discharged on 29th postoperative day in good general conditions.

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농촌활성화정책과 지역통째로 박물관, 에코뮤지엄 (The Activation Guideline of Rural District and Eco-museum whole Area are Museum)

  • 방한영;최효승
    • 한국농촌건축학회논문집
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    • 제4권3호
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    • pp.39-52
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    • 2002
  • Some projects being in force by the Ministry of Government Administration & Home Affairs and the Ministry of Agriculture & Forestry for farm village area activation offers experience activity of various form to city dwellers, and to farm village inhabitants, affirmative effect is expected in aspect that activation becomes possible for a lot of visitors. But, to farm village(rural district) area activation that huge budget and effort carried out successfully, there are some items that specialist, administration and the persons concerned must inspect together now. First, to project for farm village area activation succeeds; leading participation of inhabitants should be premised. Second, that stagnated economy revives is as rightful result that appears in case farm village area activation effort succeeds. But, can drop more highlights like the value pursuit of life in case put success or failure of all businesses in income enlargement. Third, because inhabitant cultivates own in making process, the attachment and pride for area can be inculcated. Doing not become focus is set to economical logic to do, the heritage of area as well as history culture, must consider that apply eco-museum concept that magnify nature heritage and industry heritage. Fourth, actually the plan period given usually is too shortly than received huge budget. Furthermore, in case it carries out by desirable inhabitants leading type so. Project that not consider the period that is cost to the statement of inhabitants' active opinion and finding out a point of compromise may be hard to get desirable result.

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현대 가방 디자인에 나타난 술 장식의 표현유형과 미적 조형성 연구 (A study on the expression types and aesthetic formativeness of tassels and fringe in modern bag design)

  • 권기영
    • 복식문화연구
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    • 제28권4호
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    • pp.429-445
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    • 2020
  • The purpose of this study is to provide ideas for the development of bag design by analyzing the expression types and aesthetic formativeness of modern bag design using tassels and fringe given the newtro trend pursuing analog sensitivity in modern society. The methods and scope of this study are as follows. First, the related literature and internet data were reviewed in order to examine the expression types and characteristics of the bags of the West and East. Next, the definition and characteristics of tassel and fringe decoration in terms of the history of clothing were analyzed. Finally, the expression types and aesthetic formativeness of tassels and fringe were derived through the analysis of modern bag design shown in the fashion collections since 2010. The bags decorated with the tassels and fringe bring a variety of visual effects depending on the attachment position, direction and material composition, concentrating the gaze and radiating original style. In this study, the expression of tassels and fringe in modern bag design was classified into three types: surface decoration, shape variability, and object combination. Next, the aesthetic formativeness of modern bag design using tassels and fringe as decorative elements appeared through the mixture of heterogeneous materials and playfulness through imagination, exaggeration through extension of length and volume, and retro characteristics through reinterpretation of tradition. This study is expected to contribute to creative ideas of modern bag design which requires a global sense, which has been used in various cultures for a long time.