• Title/Summary/Keyword: compliant

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A Case of Sarcoidosis That Was Initially Misdiagnosed as Nontuberculous Mycobacteria Pulmonary Disease (비결핵항산균 폐질환으로 오인되었던 사르코이드증 1예)

  • Choi, Hyun Ho;Hong, Yu Ah;Choi, Jae Ki;Kim, Ju Sang;Kim, Seung Joon;Kim, Seok Chan;Lee, Sook Young;Kim, Young Kyoon;Park, Sung Hak;Kim, Tae Jung;Lee, Kyo Young;Park, Hyun Jin;Kim, Hyo Lim;Ahn, Myeong Im
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.4
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    • pp.309-313
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    • 2009
  • There are several respiratory diseases that show chronic granulomatous inflammation for the histologic finding. Among them, sarcoidosis and tuberculosis are not easy to differentiate when the clinical and radiological features present similar patterns. The increasing incidence of nontuberculous mycobacteria pulmonary disease is making it more difficult for clinicians to arrive at a proper diagnosis. A 69 year old male patient visited our hospital with chronic cough as his chief compliant. His radiologic findings were multiple enlarged mediastinal lymphadenpathies with innumerable micronodules and multiple patch infiltrations. The spleen biopsy finding showed chronic granulomatous inflammation, and Mycobacterium avium was identified on the bronchoscopic culture. Because of these findings, we treated him with drugs for nontuberculous mycobacteria disease other than sarcoidosis. However, during the treatment, his symptoms and radiological features became aggravated. Thus, we reviewed the radiologic and pathologic findings and decided to treat him with steroid, which relieved his symptoms and improved the radiologic findings. We report here on a case of sarcoidosis that was initially misdiagnosed as nontuberculous mycobacteria pulmonary disease.

TREATMENT OF OPENBITE WITH MYOFUNCTIONAL THERAPY IN MOYAMOYA DISEASE PATIENT (근기능요법을 통한 모야모야병 환자의 개방 교합 치료)

  • Lee, Chang Keun;Lee, Dae Woo;Kim, Jae Gon;Yang, Yeon Mi
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.13 no.1
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    • pp.19-22
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    • 2017
  • Moyamoya disease is characterized by progressive bilateral narrowing of the internal carotid arteries(ICA) and their main branches, and formation of a fine vascular network (moyamoya vessels) at the base of brain. Mild intellectual or motor impairment, or both can be seen in moyamoya disease patient. Patients having intellectual disability usually have malocclusions associated with oral habits such as tongue thrusting, bruxism, or clenching. A patient with moyamoya disease and cerebral palsy visited Chonbuk National University hospital for dental examination. She showed mild openbite on anterior teeth, and had oral habits such as mouth breathing, tongue thrusting, and drooling. She was treated with myofunctional therapy(MFT) whose purpose was to strengthen orofacial muscles. Lip closing force and bite force were recorded to evaluate the muscle tone. Tongue crib was delivered to restrict tongue thrusting habit, since her compliance to the MFT was decreased after 6 months of treatment. With the MFT and tongue crib, the openbite was fairly improved. When myofunctional therapy has difficulty in obtaining good compliances, the treatment should not be effective enough. Although intellectually disabled patients are not compliant enough, thus a habit breaking device should be needed to treat the openbite caused by oral habits, dentist should make an effort to do MFT, since it could reduce a treatment period, and enhance the stability.

Estimation of Optimal Empirical Equations based on Sediments of Ageing Reservoir Estimated Using Autonomous Navigation USV (자율항법 무인측량선을 이용하여 산정된 노후저수지의 퇴사량 기준 최적경험식 산정)

  • Won, Chang-Hee;Yoon, HyeonCheol;kim, Won-Beom
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.1-9
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    • 2020
  • Acritical function of a nation is to protect its people's lives and properties from natural disasters such as a drought. A drought affects many aspects of human life, including social, economic, and industrial activities. Approximately 75.7% of reservoirs in Korea are over 50 years old.Sedimentation over the years may have caused a situation where storage capacity of the reservoirs is no longer sufficient and compliant with the original reservoir specifications. This study analyzes storage capacities for ten aged reservoirs using the autonomous navigation USV. It compares these capacities with sediment estimated by conventional empirical equations. Comparisons were made to the original specifications for the reservoirs.Storage capacity of six reservoirs decreased in a range between 16.2%-55.3% and storage capacity of 4 reservoirs increased in a range between 1.5%-380.2%. This data was compared to data derived from estimating sediment by empirical equations. Yoon's equation(1982) appeared more accurate than Sur's equation(1988) in Uhlinzi and Yongpo reservoirs, and Sur's equation(1988), however, appeared more accurate than Yoon's equation in Daegok, Ugok2 and Ochi reservoirs. The significant ranges of sedimentation shown in this study suggest that it is worth continuously surveying reservoirs to ensure their efficient management and operation.

Therapeutic Compliance and Its Related Factors of Patients with Hypertension in Rural Area (농촌지역 주민의 고혈압 치료순응도와 관련요인)

  • Lee, Sang-Won;Chun, Byung-Yeol;Yeh, Min-Hae;Kang, Yun-Sik;Kim, Keon-Yeop;Lee, Young-Sook;Park, Ki-Soo;Son, Jae-Hee;Oh, Hee-Sook;Ahn, Moon-Young;Lim, Pu-Dol;Kam, Sin
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.2
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    • pp.215-225
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    • 2000
  • Objective : The purpose of this study was to examine the therapeutic compliance and its related factors in the rural hypertensives. Method : A questionnaire survey and blood pressure measurement were performed to 3,876 residents of a rural area, and 660 hypertensives were selected as subjects of study. The study employed a hypothetical model which was composed of constructs from the health belief model and KAP model. The analysis techniques employed included contingency table analysis and structural equation modeling. Result : The proportion of those who were compliant to the treatment of hypertension was 44.2% of subjects. As the result of structural equation modeling, when patients had more favorable attitude toward treatment, higher perceived benefit, or lower perceived barriers to treatment, the therapeutic compliance was significantly higher(T>2.0). When patients had more knowledge about hypertension, or higher perceived severity of hypertension, the attitude toward the treatment of hypertension was more favorable significantly(T>2.0). And when patients had the support for treatment from family or neighbor, the attitude toward treatment was more favorable(T>2.0). When patients had experience of health education, they had more knowledge, higher perceived susceptibility of complication, perceived severity for hypertension, and perceived benefit of treatment, compare to patients without health education(T>2.0). Conclusion : In consideration of above findings, in order to improve the therapeutic compliance in the rural hypertensives, it would be necessary to change attitude, perception, knowledge about hypertension and its treatment, by various methods such as effective health education and programs for maintaining the supportive environment for hypertension treatment.

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Life Cycle Assessment (LCA) for Calculation of the Carbon Emission Amount of Organic Farming Material -With Emphasis on Hardwood Charcoal, Grass Liquid and Microbial Agents- (유기농자재의 탄소배출량 산정을 위한 전과정평가(LCA) -참숯, 목초액, 미생물제재를 중심으로-)

  • Yoon, Sung-Yee;Son, Bo-Hong
    • Korean Journal of Organic Agriculture
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    • v.20 no.3
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    • pp.297-311
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    • 2012
  • Since 1997, Korean Ministry of Knowledge Economy and Ministry of Environment have established data on some 400 basic raw and subsidiary materials and process like energy, petro-chemical, steel, cement, glass, paper, construction materials, transportation, recycling and disposal etc by initiating establishment of LCI database. Regarding agriculture, Rural Development Administration has conducted establishment of LCI database for major farm products like rice, barley, beans, cabbage and radish etc from 2009, and released that they would establish LCI database for 50 items until 2020 later on. The domestic LCI database for seeds, seedling, agrochemical, inorganic fertilizer and organic fertilizer etc is only at initial stage of establishment, so overseas LCI databases are brought and being used. However, since the domestic and overseas natural environments differ, they fall behind in reliability. Therefore, this study has the purpose to select organic farming materials, survey the production process for various types of organic farming materials and establish LCI database for the effects of greenhouse gas emitted during the process in order to select carbon basic units for agricultural production system compliant in domestic situation instead of relying on overseas data and apply life cycle assessment of greenhouse gas emitted by each crop during the process. As for selecting methods, in this study organic farming materials were selected in the method of direct observation of material and bottom-up method a survey method with focus on the organic farming materials admitted into rice production. For the basic unit of carbon emission amount by the production of 1kg of organic farming material, the software PASS 4.1.1 developed by Korea Accreditation Board under Ministry of Knowledge Economy was used. The study had the goal to ultimately provide basic unit to calculate carbon emission amount in executing many institutions like goal management system and carbon performance display system etc in agricultural sector to be conducted later on. As a result, emission basic units per 1kg of production were calculated to be 0.0088kg-$CO_2$ for charcoal, 0.1319kg-$CO_2$ for grass liquid, and 0.2804kg-$CO_2$ for microbial agent.

색소 과다 침착만으로 조기 발견한 소아 부신백질이영양증 1례

  • Park, Seon-Hyeong;Hong, Yong-Hui
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.14 no.2
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    • pp.195-199
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    • 2014
  • The X-linked adrenoleukodystrophy (X-ALD) is a peroxisomal disease by defects of ABCD1 gene on chromosome Xq28 leading to accumulation of saturated very long chain fatty acids (VLCFA), progressive demyelination and adrenal insufficiency. A 4-year-old boy was visited hospital with the chief compliant of hyperpigmentation beginning at 2-years old. Serum adrenocorticotropic hormone (ACTH) and cortisol concentration were compatible with adrenal insufficiency. The elevated plasmatic concentration of VLCFA and genotype analysis with sequencing of ABCD1 gene established the diagnosis of X-ALD. Brain MRI showed no abnormal high signal intensity on the white matter. Steroid replacement was started with good response. He initiated Lorenzo's oil with restriction of VLCFA by reducing the intake of fatty foods. The author highlight the importance of suspecting of X-ALD in the etiology of primary adrenal insufficiency as the first sign of the disease.

Study on WP-IBE compliant Mobile IPSec (WP-IBE 적용 Mobile IPSec 연구)

  • Choi, Cheong Hyeon
    • Journal of Internet Computing and Services
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    • v.14 no.5
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    • pp.11-26
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    • 2013
  • In the wireless Internet, it is so restrictive to use the IPSec. The MIPv4 IPSec's path cannot include wireless links. That is, the IPSec of the wireless Internet cannot protect an entire path of Host-to-Host connection. Also wireless circumstance keeps a path static during the shorter time, nevertheless, the IKE for IPSec SA agreement requires relatively long delay. The certificate management of IPSec PKI security needs too much burden. This means that IPSec of the wireless Internet is so disadvantageous. Our paper is to construct the Mobile IPSec proper to the wireless Internet which provides the host-to-host transport mode service to protect even wireless links as applying excellent WP-IBE scheme. For this, Mobile IPSec requires a dynamic routing over a path with wireless links. FA Forwarding is a routing method for FA to extend the path to a newly formed wireless link. The FA IPSec SA for FA Forwarding is updated to comply the dynamically extended path using Source Routing based Bind Update. To improve the performance of IPSec, we apply efficient and strong future Identity based Weil Pairing Bilinear Elliptic Curve Cryptography called as WP-IBE scheme. Our paper proposes the modified protocols to apply 6 security-related algorithms of WP-IBE into the Mobile IPSec. Particularly we focus on the protocols to be applied to construct ESP Datagram.

A Study on Establishing a Metadata Standard for Facilitating the Usage of the Geographic Information (지리정보의 활용을 지원하기 위한 메타데이터 표준안 정립에 관한 연구)

  • Kim, Kye-Hyun;Songl, Yong-Cheo;Kim, Han-Guck;Min, Sook-Joo
    • Journal of Korea Spatial Information System Society
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    • v.5 no.2 s.10
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    • pp.55-68
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    • 2003
  • NGIS projects have been widely proceeded by the central and municipal governments, and the higher cost for proceeding the NGIS projects emphasizes the importance of the data sharing among related agencies. For supporting data sharing, effective data generation, and management. 'THE GUIDELINE FOR MANAGING AND DOCUMENTING GEOGRAPHIC INFORMATION CATALOGUES' has been established and enforced since the year 2002. Although metadata for distributing geographic information through the NGIS distribution network has already been installed, this needs to be complimented to maximize the data utilization. Based on such requirements, a draft standard of the national metadata which is compliant with the ISO 19115 has been proposed from this study. All components of the metadata for distributing geographic information have been included and related metadata items for the management purpose have been derived from domestic and foreign studies. Based on this, draft national metadata standards comprised of 13 sections have been made. The metadata standards from this study could contribute to building basic standards to access and to utilize geographic information in various application field. This would also be fundamental base for activating GIS in public and private sectors.

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Identifying Specifications of Flat Type Signboards Using a Stereo Camera (스테레오 카메라를 이용한 판류형 간판의 규격 판별)

  • Kwon, Sang Il;Kim, Eui Myoung
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.38 no.1
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    • pp.69-83
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    • 2020
  • Signboards are standardized according to national legislation for the safety of pedestrians and disaster prevention in urban areas. Signboards should be installed according to the standard. However, it is not easy to manage the signboards systematically due to the number of signboards that have been installed for a long time and frequently changing stores. In this study, we proposed a methodology for distinguishing signboards that deviated from the standard. To this end, the signboard was photographed using a stereo camera, and then the three-dimensional coordinates of the signboard were determined from the signboard image to calculate the signboard's horizontal and vertical dimensions to determine the signboard's specifications. In order to determine the interior and relative orientation parameters of the stereo camera, an outdoor three-dimensional building was used as the test field. Then, the image coordinates of four vertices of the signboard were extracted from the signboard image taken from about 15m ~ 22m distance using deep learning. After determining the signboard's three-dimensional coordinates by using the interior and relative orientation parameters of the stereo camera and the image coordinates of the four vertices of the signboard, the horizontal and vertical sizes of the signboard were calculated, resulting in an error of about 2.7cm on average. The specifications for the ten flat-type signboards showed that all of the horizontal sizes were compliant with the specifications, but the vertical sizes exceeded about 36.5cm on average. Through this, it was found that maintenance of flat-type signboards is needed overall.

Polymeric Micelle Using Poly((R)-3-hydroxybutyric acid)/Poly(ethylene glycol) Amphiphilic Block Copolymer for Drug Delivery System (Poly((R)-3-hydroxybutyric acid)/Poly(ethylene glycol) 양친성 블록 공중합체를 이용한 약물전달체용 고분자 미셀)

  • Jeong, Kwan-Ho;Kim, Young-Jin
    • Polymer(Korea)
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    • v.30 no.6
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    • pp.512-518
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    • 2006
  • A biodegradable polymer poly((R) -3-hydroxybutyric acid) (PHB) was conjugated with a hydrophilic polymer poly(ethylene glycol) (PEG) by the ttansesterification reaction to form the amphiphilic block copolymer. PHB with low molecular weight ($3000{\sim}30000$) was appropriated for the drug delivery materials. High molecular weight PHB was hydrolyzed by an acid-catalyst to produce the low molecular weight one. Amphiphilic block copolymer was formed the self-assembled polymeric micelle system in the aqueous solution that the hydrophillic PEG was wraped the hydrophobic PHB. Generally, polymeric micelle forms the small particle between $10{\sim}200nm$. These polymeric micelle systems have been widely used for the drug delivery systems because they were biodegradable, biocompatible, non-toxic and patient compliant. The hydroxyl group of PEG was substituted with carboxyl group which has the reactivity to the ester group of PHB. Amphiphilic block copolymer was conjugated between PHB, and modified PEG at $176^{\circ}C$ which was higher than the melting point of PHB. Transesterification reaction was verified with DSC, FTIR, $^1H-NMR$. In the aqueous solution, critical micelle concentration (CMC) of the mPEG-co-PHB copolymer measured by the fluororescence scanning spectrometer was $5{\times}10^{-5}g/L$. The shape and size of the nanoparticle was taken by dynamic light scattering and atomic force microscopy. The size of the nanoparticle was about 130 nm and the shape was spherical. Our polymeric micelle system can be used as the passive targeting drug delivery system.