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Clinical Comparison of Surgical Treatment and Close Observation Without Surgery in the Management of Schwannomas in the Neck (경부에 발생하는 신경초종에서 수술적 치료와 정기적 경과관찰의 임상적 비교)

  • Hong, Sung-Lyong;Jung, Young-Ho;An, Soo-Youn;Hah, J.-Hun;Sung, Myung-Whun;Kim, Kwang-Hyun
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.1
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    • pp.24-27
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    • 2009
  • Backgrounds and Objectives : Most patients with neck schwannomas are asymptomatic. Surgical management of neck schwannomas could cause various complications. The aim of this study is to evaluate the necessity of surgical management in all of the neck schwannoma patients. Material and Methods : Thirty-four patients diagnosed and undergone surgical management as neck schwannomas and 30 patients diagnosed and observed closely by OPD base from 1996 to 2005 were included. The medical records were reviewed retrospectively. Results : In surgical management group, mean age was 39.3 years and mean size of tumors was 4.4cm. Twenty-five patients had their tumors at parapharyngeal space, 2 at anterior neck and 7 at lateral neck. Nerves of origin were vagus nerve in 12 patients, cervical sympathetic chain in 11. Presenting symptoms were neck mass in 22 patients and no symptom in 9. On the other hand, in close observation group, mean age was 47.1 years and mean size of tumor was 3.7cm. Seventeen patients had their tumors at parapharyngeal space, 5 at anterior neck and 8 at lateral neck. Presenting symptoms were neck mass in 13 patients and no symptom in 13. There were no patients with neurologic complications. Mean follow-up duration was 38.2 months and there were only 2 patients whose size of tumors was increased and no patients who had newly emerged symptoms. Conclusion : Neck schwannomas grows slowly, has little chance of malignant transformation, but can complicate serious problems after surgical management. Therefore close observation could be considered in many asymptomatic patients.

A Study on Development of ECS for Severly Handicaped (중증 장애인을 위한 생활환경 제어장치개발에 관한 연구)

  • 임동철;이행세;홍석교;이일영
    • Journal of Biomedical Engineering Research
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    • v.24 no.5
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    • pp.427-434
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    • 2003
  • In this paper, we present a speech-based Environmental Control System(ECS) and its application. In the concrete, an ECS using the speech recognition and an portable wheelchair lift control system with the speech synthesis are developed through the simulation and the embodiment. The developed system apply to quadriplegic man and we evaluate the result of physical effect and of mental effect. Speech recognition system is constructed by real time modules using HMM model. For the clinical application of the device, we investigate the result applied to 54-years old quadriplegic man during a week through the questionnaires of Beck Depression Inventory and of Activity Pattern Indicator. Also the motor drive control system of potable wheelchair lift is implemented and the mechanical durability is tested by structural analysis. Speech recognition rate results in over 95% through the experiment. The result of the questionnaires shows higher satisfaction and lower nursing loads. In addition, the depression tendency of the subject were decreased. The potable wheelchair lift shows good fatigue life-cycle as the material supporting the upper wheelchair and shows the centroid mobility of safety. In this paper we present an example of ECS which consists of real-time speech recognition system and potable wheelchair lift. Also the experiments shows needs of the ECS for korean environments. This study will be the base of a commercial use.

Dynamic Characteristics Analysis of Spherical Shell with Initial Deflection(I) (초기 처짐을 갖는 Spherical Shell의 동적 특성에 관한 연구 (I) -기하학적 형상에 따른 동적 특성-)

  • 조진구
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.40 no.3
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    • pp.113-121
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    • 1998
  • The widespread use of thin shell structures has created a need for a systematic method of analysis which can adequately account for arbitrary geometric form. Therefore, the stress analysis of thin shell has been one of the more challenging areas of structural mechanics. The analysis of axisymmetric spherical shell is almost an every day occurrence in many industrial applications. A reliable and accurate finite element analysis procedure for such structures was needed. In general, the shell structures designed according to quasi-static analysis may fail under conditions of dynamic loading. For a more realistic prediction on the load carrying capacity of these shell, in addition to the dynamic effect, consideration should also include other factors such as nonlinearities in both material and geometry since these factors, in different manner, may also affect the magnitude of this capacity. The objective of this paper is to demonstrate the dynamic characteristics of spherical Shell. For these purpose, the spherical shell subjected to uniformly distributed step load was analyzed for its large displacements elasto-viscoplastic dynamic response. The results for the dynamic characteristics of spherical shell in the cases under various conditions of base-radius/central height(a/H) and thickness/shell radius(t/R) were summarized as follows: 1. The dynamic characteristics with a/H, 1) As the a/H increases, the amplitude of displacement increased. 2) The values of displacement Dynamic Magnification Factor (DMF) range from 2.9 to 6.3 in the crown of shell and the values of factor in the mid-point of shell range from 1.8 to 2.6. 3) As the a/H increases, the values of DMF in the crown of shell is decreased rapidly but the values of DMF in mid-point of shell is increased gradually. 4) The values of DMF of hoop-stresses range from 3.6 to 6.8 in the crown of shell and the values of factor in the mid-point of shell range from 2.3 to 2.6, the values of DMF of stress were larger than that of displacement. 2. The dynamic characteristics with t/R, 1) With the decrease of thickness of shell decreses, the amplitude of the displacement and the period increased. 2) The values of DMF of the displacement were range from 2.8 to 3.6 in the crown of shell and the values of factor in the mid-point of shell were range from 2.1 to 2.2.

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Growth Characteristics of Herbaceous Plants by Soil Condition to Revitalize the Urban Agriculture (도시농업 활성화를 위한 토양조건별 초본식물의 생육특성)

  • Park, Won Jei;Han, Kyung Hwan;Kwon, Soon Hyo;Park, Mi Ok;Koo, Bon Hak
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.15 no.2
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    • pp.1-8
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    • 2012
  • This study is carried out to find the most optimal soil-plant combination in the urban agriculture by analyzing the association of soil base material which is being used in the urban agriculture with the growth of plants. 4 types of easily purchased soil (bed soil(A), animal vermicast soil(B), earth worm soil(C) and matured compost(D)) verified in aspects of effect and safety of soil in terms of growth of crop is selected as experimental soil and B, C, D type soils are mixed with granite soil at the ratio of 7 : 3. And granite soil(E) is set as a controlled soil and is compared to verify the effect of the experimental mixed soil. Herbaceous plants are classified into the fruit vegetables (Lycopersicon esculentum Mill. and Capsicum annuum L.), leafy vegetables (Brassica campestris L. ssp. Pekinensis and Lactuca sativa L.), medicinal vegetables (Chrysanthemum zawadskii var. latilobum and Liriope platyphylla F. T. Wang & T. Tang). The results of comparison of growth of herbaceous plants in different soil types showed that fruit vegetables and leafy vegetables in general had excellent growth in D type soil mixture and A type soil in general and had the poorest growth in E type (controlled) soil. 'Chrysanthemum zawadskii var. latilobum' had the excellent growth in D type, B type, C type mixed soil and A type soil and E type (controlled) soil are followed in order. In the case of 'Liriope platyphylla F. T. Wang & T. Tang', the difference in growth by each soil was shown to be insignificant. Therefore, the soil applied in the urban agriculture varies depending on each species of herbaceous plants, but it is considered effective to cultivate herbaceous plant which is economical and productive by using D type mixed soil which can be recycled and inexpensive compared with other experimental soils in the urban agriculture.

The effects of Hydroxyapatite nano-coating implants on healing of surgically created circumferential gap in dogs

  • Chae, Gyung-Joon;Lim, Hyun-Chang;Choi, Jung-Yoo;Chung, Sung-Min;Lee, In-Seop;Cho, Kyoo-Sung;Kim, Chong-Kwan;Choi, Seong-Ho
    • Journal of Periodontal and Implant Science
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    • v.38 no.sup2
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    • pp.373-384
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    • 2008
  • Purpose: The aim of this study is to compare the healing response of various Hydroxyapatite(HA) coated dental implants by Ion-Beam Assisted Deposition(IBAD) placed in the surgically created circumferential gap in dogs. Materials and methods: In four mongrel dogs, all mandibular premolars and the first molar were extracted. After an 8 weeks healing period, six submerged type implants were placed and the circumferential cylindrical 2mm coronal defects around the implants were made surgically with customized step drills. Groups were divided into six groups : anodized surface, anodized surface with 150nm HA and heat treatment, anodized surface with 300nm HA and heat treatment, anodized surface with 150nm HA and no heat treatment, and anodized surface with 150nm HA, heat treatment and bone graft, anodized surface with bone graft. The dogs were sacrificed following 12 weeks healing period. Specimens were analyzed histologically and histomorphometrically. Results: During the healing period, healing was uneventful and implants were well maintained. Anodized surface with HA coating and $430^{\circ}C$ heat treatment showed an improved regenerative characteristics. Most of the gaps were filled with newly regenerated bone. The implant surface was covered with bone layer as base for intensive bone formation and remodeling. In case that graft the alloplastic material to the gaps, most of the coronal gaps were filled with newly formed bone and remaining graft particles. The bone-implant contact and bone density parameters showed similar results with the histological findings. The bone graft group presented the best bone-implant contact value which had statistical significance. Conclusion: Within the scope of this study, nano-scale HA coated dental implants appeared to have significant effect on the development of new bone formation. And additional bone graft is an effective method in overcoming the gaps around the implants.

THE FLUORIDE RELEASING EFFECT OF PVA FLUORIDE-POLYMER ADHESIVE TAPE (불소를 함유한 PVA 고분자 접착 테잎의 불소 유리 효과)

  • Im, Sung-Ok;Lee, Sang-Ho;Lee, Nan-Young;Park, Seung-Hyo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.4
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    • pp.327-336
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    • 2011
  • The purpose of this study is to investigate the residual fluoride concentration of polymer adhesive tape in oral cavity which is made by spraying NaF on PVA base and to compare with Fluoride varnish(Cavityshiled$^{TM}$). Experimental groups were divided into two according to application methods; Group 1(NaF-PVA tape) and Group 2(Cavityshiled$^{TM}$). Topical fluoride was applied to 20 healthy adults aged from 25 to 30. Fluoride concentration in unstimulated whole saliva was measured by fluoride-sensitive electrode for 72 hours. 1. Until 72 hours after application in every group, significantly higher fluoride concentration was shown in saliva than baseline value(p<0.05). 2. At 2, 3 and 4 hours after application, Group 2 revealed significantly higher fluoride concentration than Group 1(p<0.05). 3. At 24, 48 and 72 hours after application, there was no significance(p>0.05). Although the residual fluoride concentration of saliva and the amount of fluoride of NaF-PVA tape are lower than those of Cavityshield$^{TM}$, NaF-PVA tape is considered to be more effective since it showed almost the same result as Cavityshield$^{TM}$. Therefore, NaF-PVA tape is expected to be a great fluoride application material.

Effect of mechanical surface treatment on the fracture resistance and interfacial bonding failure of Y-TZP zirconia (Y-TZP zirconia의 기계적 표면처리가 파절저항과 접착계면 실패에 미치는 영향)

  • Yi, Yang-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.2
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    • pp.102-111
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    • 2014
  • Purpose: Surface damage and bonding strength difference after micromechanical treatment of zirconia surface are to be studied yet. The aim of this study was to evaluate the difference of fracture resistance and bonding strength between more surface-damaged group from higher air-blasting particle size and pressure, and less damaged group. Materials and Methods: Disk shape zirconia ($LAVA^{TM}$) was sintered and air-blasted with $30{\mu}m$ particle size (Cojet), under 2.8 bar for 15 seconds, $110{\mu}m$ particle size (Rocatec), under 2.8 bar for 15 seconds, and $110{\mu}m$ particle size (Rocatec), under 3.8 bar for 30 seconds respectively. Biaxial flexure test and bonding failure load test were performed serially (n = 10 per group). For bonding test, specimens were bonded on the base material having similar modulus of elasticity of dentin with $200{\mu}m$-thick resin cement for tension of surface damage. Failure load of bonding was detected with acoustic emission (AE) sensor. Results: There were no significant differences both in the biaxial flexure test and bonding failure load test between groups (P > 0.05). Sub-surface cracks were all radial cracks except for two specimens. Conclusion: Within the limitations of no aging under monotonic load test, surface damage from higher air-blasting particle size and pressure was not significant. Evaluations of failure load with bonded zirconia disks was clinically relevant modality for surface damage and bonding strength, simultaneously.

Functional Genomics for Mass Analysis of Useful Genes in Panax ginseng C.A. Meyer (인삼의 유용유전자원 확보를 위한 기능 유전체연구)

  • Yang, Deok-Chun
    • Proceedings of the Ginseng society Conference
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    • 2004.05a
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    • pp.17-28
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    • 2004
  • As Korean ginseng is hybrid, an individual variation is very severe, and it takes long times in new breeding because it is required 4 years to pick the seed. But, transformation technique makes the high-functional breeding in short time. The focus of these ginseng studies is to find and secure the useful gene. And it is urgent to accumulate the fundamental data for the molecular breeding and secure the useful genes. Therefore, transformation and soil acclimatization technique are necessary to molecular breeding in use of the introduction of functional genes. In this study, it add to secure of new regulation gene and useful gene as to accumulate the fundamental data for the place where it will contribute to raise the national competitive power. To analyze the useful genes in large scale, we constructed CDNA libraries with various tissues, species, and treated tissue. EST analysis of ginseng perform in large scale and build the EST database of ginseng. We perform the full length sequencing about the selected lots of clones that include the entire open reading frame of the amino acid residues and construct cDNA chip with the parental EST clones. Establishment of the transformation and a soil acclimatization system throuth the re-introduction of the selected ginseng gene that related with the secondary metabolism and anti-stress into the ginseng.

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Appropriation of Human Resources into Human Assets and Its Typology (인적자원의 인적자산화 과정과 자산유형)

  • Jeong, Kioh
    • Journal of Service Research and Studies
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    • v.9 no.2
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    • pp.77-88
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    • 2019
  • Appropriation means the process of transforming resources to property. John Locke earlier investigated the appropriation process of natural resources into the land property, which grounded the jurisprudential base of the private ownership of the land. In the same way human resources are transformed into the human assets. Appropriation process, very rarely studied so far, in this case of human property is the focus of this paper. The appropriation of intangible property is by far easier than the appropriation of tangible property. Learning is a process of embodiment, which naturally mean the process of appropriation. For the material resources which exist out of human body, appropriation necessary need special philosophical and institutional justification. In the process appropriation for intangibles, investigator found, appropriator and learner either can be same, or can be differentiated. In the former case substantial human assets are created while in the latter relational human assets are built. After the discussion of appropriation process, Investigator proceeds to the problem of visualizing the invisibles. Evaluation and assessment issue were discussed in this perspective. Qualification system is particularly noted as a system to regulate substantial human assets including their issuing and registration. The work done in this paper would contribute in understanding the law of education and the law of qualification.

A Study on Conservation Materials of the Lacquer Wares : the Tohoe and Goksu (칠기 하지층 충진제의 특성 비교 : 토회와 곡수)

  • Jang, Eun Jeong;Park, Jung Hae;Kim, Soo Chul
    • Journal of Conservation Science
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    • v.31 no.2
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    • pp.125-130
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    • 2015
  • Specific techniques and materials in conservation of traditional lacquer has not been transmitted. This study aims to compare the basic characteristics of the filler which used in the base layer of lacquer conservation. Tohoe(a mixture of lacquer and Clay) and the three kinds of additives which is mixed with Tohoe and Goksu(a mixture of lacquer, wood powder and rice starch) are estimated in drying rate, impact resistance, abrasion. Among those samples, the more amount of clay causes fast dryness speed and worse cracks on the surface. The impact resistance is weakened at high amount of clay. There is no significant differences of impact resistance between both additives that is mixed with the samples and additives. The samples that are mixed with Goksu and additives show high impact resistance. In the polishing test, the more amount of filling powders show higher grinding degree and the sample that are mixed with wood powder and charcoal show higher degree as well. The highest grinding degree is Maekchil and Goksu but the lowest one is the sample of the rooftile powder mixture.