• Title/Summary/Keyword: severe condition

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Treatment in Bimaxillary Prognathism with Anterior Open Bite: A Case Report (전치부 개방교합을 지닌 상악골 및 하악골 전돌증의 치료: 증례 보고)

  • Chun, Sang-Deuk;Chin, Byung-Rho
    • Journal of Yeungnam Medical Science
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    • v.21 no.2
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    • pp.242-250
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    • 2004
  • In general, the skeletal class III has the characteristics of mandibular overgrowth with a normal maxillary growth or maxillary undergrowth with a normal mandibular growth And clinical and radiographic evaluations of the patient are needed. However, the treatment plan is not dependent on these evaluations alone, because patient's general condition and hope for aesthetics varies. The aim of this report is to consider the treatment of a medically compromised patient with an anterior open bite and skeletal class III, which showed a severe mandibular overgrowth. In 2003, a 17-year-old boy with epilepsy, mental retardation presented at our clinic complaining of concave profile. A clinical examination showed severe mandibular prognathism with an anterior open bite. The radiographic examination revealed a short cranial base, a moderate maxillary overgrowth, severe mandibular overgrowth and skeletal open bite tendency. In 2004, he was verified to have no potential of growth by hand-and-wrist radiographs and an endocrine examination. He completed the preoperative orthodontic treatment and orthognathic surgery (sagittal split ramus osteotomy, genioplasty). He was evaluated on the first visit, the preoperative period and the postoperative period with a clinical and radiographic examination. At the first visit, the patient showed moderate overgrowth of the maxilla, severe overgrowth of the mandible, and a subsequential skeletal open bite. After the preoperative orthodontic treatment (preoperative period), the patient showed the same skeletal problem as before and a decompensated dentition for orthognathic surgery. After orthognathic surgery, his profile had improved, but he had still a skeletal openbite tendency because the maxillary orthognathic surgery was not performed. Severe mandibular prognathism with a maxillary overgrowth and anterior open bite should be treated by bimaxillary orthognathic surgery. However, one-jaw orthognathic surgery on the remaining the skeletal open bite tendency was performed for his medical problem and facial esthetics. This subsequential open bite should be resolved with a postoperative orthodontic treatment.

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Melanin Depigmentation by 90% Phenol Application in Canine Gingiva (성견 치은에서 90% Phenol을 이용한 멜라닌 색소의 제거에 관한 연구)

  • Jeong, Tae-Sool;Kim, Young-Jun;Chung, Hyun-Ju
    • Journal of Periodontal and Implant Science
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    • v.31 no.2
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    • pp.357-369
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    • 2001
  • In this present study, the healing process and the recurrence of pigmentation were evaluated clinically and histologically in accordance with the extent and the range of pigmentation after phenol was applied to remove melanin pigmentation in gingiva. Six mongrel dogs were used. The melanin pigmentation in canine gingiva were classified into slight, moderate and severe according to the extent of pigmentation and divided into local and diffuse types according to the range. Following general and local anesthesia, 90% phenol was applied to the pigmented gingiva of the subjects with small cotton balls until the surface was etched to be whitish and was neutralized with small cotton balls soaked by 95% alcohol. The contralateral pigmented gingiva to the one treated with phenol, was treated by surgical deepithelialization. At 1, 3 and 8 weeks, the treated gingiva was examined clinically and evaluated histologically following H-E stain, and HMB 45 stain for melanocyte after biopsy. In the phenol treated sites, epithelium and connective tissue healed normally and there was no pigmentation at 1 week. At 3 weeks of healing, melanin repigmentation was observed in the severe local type and moderate to severe diffuse type. In the surgically deepithelialized sites, healing was delayed, compared to phenol treated sites and the infiltration of the inflammatory cells and congestion in connective tissue was shown at 1 week. At 3 weeks, healing was completed and there was a partial melanin repigmentation. At 8 weeks of healing, the extent and the range of repigmentation were increased in both group according to the extent or range priot to depigmentation procedure. These results suggpriorest that the removal of melanin pigmentation with 90% phenol application result in normal healing process of gingiva. However, in the severe local type and moderate to severe diffuse type, sites treated with phenol showed repigmentation at 3 week, which was earlier than surgical deepithelialized sites. Therefore it is required to select appropriate method according to initial condition of pigmentation.

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Fuel-Coolant Interaction Visualization Test for In-Vessel Corium Retention External Reactor Vessel Cooling (IVR-ERVC) Condition

  • Na, Young Su;Hong, Seong-Ho;Song, Jin Ho;Hong, Seong-Wan
    • Nuclear Engineering and Technology
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    • v.48 no.6
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    • pp.1330-1337
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    • 2016
  • A visualization test of the fuel-coolant interaction in the Test for Real cOrium Interaction with water (TROI) test facility was carried out. To experimentally simulate the In-Vessel corium Retention (IVR)- External Reactor Vessel Cooling (ERVC) conditions, prototypic corium was released directly into the coolant water without a free fall in a gas phase before making contact with the coolant. Corium (34.39 kg) consisting of uranium oxide and zirconium oxide with a weight ratio of 8:2 was superheated, and 22.54 kg of the 34.39 kg corium was passed through water contained in a transparent interaction vessel. An image of the corium jet behavior in the coolant was taken by a high-speed camera every millisecond. Thermocouple junctions installed in the vertical direction of the coolant were cut sequentially by the falling corium jet. It was clearly observed that the visualization image of the corium jet taken during the fuel-coolant interaction corresponded with the temperature variations in the direction of the falling melt. The corium penetrated through the coolant, and the jet leading edge velocity was 2.0 m/s. Debris smaller than 1 mm was 15% of the total weight of the debris collected after a fuel-coolant interaction test, and the mass median diameter was 2.9 mm.

Earthquake Damage Assessment of Buildings Using Opendata in the Pohang and the Gyeongju Earthquakes (Opendata 기반 포항 및 경주지진에 의한 건물손상 평가)

  • Eem, Seung-Hyun;Yang, Beomjoo;Jeon, Haemin
    • Journal of the Earthquake Engineering Society of Korea
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    • v.22 no.3
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    • pp.121-128
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    • 2018
  • Severe earthquakes can cause damage to society both socially and economically. An appropriate initial response can alleviate damage from severe earthquakes. In order to formulate an appropriate initial response, it is necessary to identify damage situations in societies; however, it is difficult to grasp this information immediately after an earthquake event. In this study, an earthquake damage assessment methodology for buildings is proposed for estimating damage situations immediately after severe earthquakes. A response spectrum database is constructed to provide response spectra at arbitrary locations from earthquake measurements immediately after the event. The fragility curves are used to estimate the damage of the buildings. Earthquake damage assessment is performed from the response spectrum database at the building scale to provide enhanced damage condition information. Earthquake damage assessment for Gyeongju city and Pohang city were conducted using the proposed methodology, when an earthquake occurred on September 12, 2016, and November 15, 2017. Results confirm that the proposed earthquake damage assessment effectively represented the earthquake damage situation in the city to decide on an appropriate initial response by providing detailed information at the building scale.

Prescreening of Environmental Conditions for Prediction of Severe Operation Condition of Offshore Structures

  • Lim, Dong-Hyun;Kim, Yonghwan;Kim, Taeyoung
    • Journal of Advanced Research in Ocean Engineering
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    • v.1 no.4
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    • pp.252-267
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    • 2015
  • Offshore structures might encounter several environmental and operating conditions during their lifetime of several decades. In order to predict the dynamic behavior of offshore structures, several simulation cases should be considered to deal with all the combinations of ocean environments and operating conditions. Because a sophisticated time-domain coupled dynamic analysis requires an extremely large amount of computational time to handle all the possible cases, an efficient preliminary process to prescreen the probability of severe environmental conditions can be helpful in downsizing the number of simulation cases and computational effort. In this study, a prescreening procedure to reduce the number of environmental conditions for dynamic analyses of offshore structures is proposed. For the efficiency of the procedure, frequency-domain theories were adopted to estimate the platform offset, using quasi-static analyses in line tension prediction. The results were validated by comparing with those of dynamic analysis coupled between platform and mooring lines, and reasonable agreement was observed. In addition, the characteristics of environmental conditions classified to be severe to the system were investigated through the application of the developed prescreening scheme to several actual environmental conditions.

Arthrodesis of the Knee with Vascularized Fibular Graft - A Case of Infected Total Knee Arthroplasty - (혈관 부착 비골 전위술을 이용한 슬관절 유합술 - 슬관절 전치환술 후 감염이 합병된 증례 -)

  • Chung, Duke-Whan;Han, Chung-Soo;Lee, Jae-Hoon;Jeong, Sun-Teak;Park, Jin-Sung
    • Archives of Reconstructive Microsurgery
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    • v.15 no.2
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    • pp.111-116
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    • 2006
  • An infection after total knee arthroplasty has many complications such as severe bone defect, skin and soft tissue problems, devastated general condition, so arthrodesis is preferred as treatment option. However, poor bony contact due to severe bone defect and inadequate conditions of the soft tissue often cause nonunion or severe limb shortening after arthrodesis. More over these conditions, it is not easy to choose appropriate fixative devices. In these situations, the arthrodesis using vascularized fibular graft can be the solution. Vascularized fibular graft (VFG) can playa role as a suitable material for the treatment of bone defects. And VFG can overcome poor blood circulation caused by scar tissues, and can be relatively more durable and adequate length. In the long term, VFG can be hypertrophied by weight bearing, and will give mechanical stablility. The purpose of the paper is to report the successful results of arthrodesis using VFG in a patient who got extensive bone defect after failed revision total knee arthroplasty with infection.

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Analysis of 2012 Spring Drought Using Meteorological and Hydrological Drought Indices and Satellite-based Vegetation Indices (기상 및 수문학적 가뭄지수와 위성 식생지수를 활용한 2012년 봄 가뭄 분석)

  • Ahn, So-Ra;Lee, Jun-Woo;Kim, Seong-Joon
    • KCID journal
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    • v.21 no.1
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    • pp.78-88
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    • 2014
  • This study is to analyze the 2012 spring drought of Korea using drought index and satellite image. The severe spring drought recorded in May of 2012 showed 36.4% of normal rainfall(99.5mm). The areas of west part of Gyeonggi-do and Chungcheong-do were particularly serious. The drought indices both the SPI(Standardized Precipitation Index) and WADI(WAter supply Drought Index) represented the drought areas from the end of May and to the severe drought at the end of June. The drought by SPI completely ended at the middle of July, but the drought by WADI continued severe drought in the agricultural reservoir watersheds of whole country even to the end of the July. On the other hand, the results by spatial NDVI(Normalized Difference Vegetation Index) and EVI(Enhanced Vegetation Index) data from Terra MODIS, both indices showed relatively low values around the areas of Sinuiju, Pyongyang, and west coast of North Korea and Gyeonggi-do and Chungcheong-do of South Korea indicating drought condition. Especially, the values of NDVI and EVI at Chungcheong-do were critically low in June compared to the normal year value.

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Histopathological Effects of Diazinon in Rat Liver (Diazinon을 투여한 rats에 있어서 간의 병리조직학적 변화에 관한 연구)

  • 홍사욱;권영일;정규혁
    • Environmental Analysis Health and Toxicology
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    • v.8 no.1_2
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    • pp.19-29
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    • 1993
  • The toxicity and histopathologic changes of diazinon (O, O-diethy-O-(2-isopropyl-6-methyl-4-pyrimidinyl)phosphorothioate) was investigated in rat. Rat was treated with diazinon (100 mg/kg/day) by oral administration for 12 days. The experimental results were summarized as follows. Biochemical parameters such as ALT, AST, LDH and glucose in serum were significantly increased and hematological parameters such as Hb, Hct and PLT in blood were slightly increased in treated groups. Also the activities of serum cholinesterase were very significantly decreased in treated groups. In the histopathological changes, the normal lobular architectural pattern of the liver was well preserved in all treated groups. However, vacuolation or fatty change were represent in hepatocytes. Sections of liver from rats treated with diazinon for 3 and 6 days contained slight lipid infiltration in the form of small droplets randomly distributed that were graded minimal (+) or moderate (++) compared with the respective control condition. After 9 days, there were numerous small and large vacuoles in the terminal hepatic venule and perilobular areas of many serial sections of these rats indicative of fatty infiltration which were graded moderate (++) and severe (+++). After 12 days, fatty infiltration progressed periportal tract areas and graded severe (+++) and very severe (++++) in experimental groups. Note absence of cellular necrosis or inflammation.

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A Study of the Influence of Daesihog-tang on Taeeum-in's Patholoy and Prescription (대시호탕(大柴胡湯)이 태음인(太陰人) 병증용약(病證用藥)에 끼친 영향에 대한 고찰)

  • Kim, Ji-Hwan
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.1
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    • pp.1-13
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    • 2017
  • Objectives The purpose of this study is to understand the influence of Daesihog-tang on Taeeum-in's patholoy and prescription in "Donguisusebowon" of Sasang Constitutional Medicine. Methods The pathologic condition in which Daesihog-tang used and the relevant herbs and prescriptions in "Sanghanron", "Donguibogam", "Dongmuyoogo haedong", "Chobongwon", and "Donguisusebowon". Results and Conclusions 1. Daesiho-tang in "Sanghanron" was used to the symptom of Yangmyung disease merging with Soyang disease. In "Donguibogam", its indications were mainly used to the severe fever-symptom of Yangmyung disease and expanded to Onbyeong and so on. 2. The concept of Daesiho-tang in "Donguibogam" was changed into Hwanggeumdaehwang-tang in "Chobongwon", which can be used to treat Onbyeong with heat-dysenteric diarrhea, and severe fever of Taeeum-in. 3. The notion of combination between Daehwang and hwanggeum used in "Dongmuyoogo haedong" and "Chobongwon" was connected to Chungmongsukgondamhwan or Jogakhwanggeumdaehwang-tang in "Chobongwon". Especially, Jogakhwanggeumdaehwang-tang for Yeokkigammo and severe constipation was formed while the concept of Onbyeong in Hwanggeumdaehwang-tang' merged with the usage of Jogak and Daehwang or Yisunggugo-hwan. 4. Jogakhwanggeumdaehwang-tang influenced on the usage of Jogakdaehwang-tang for Yangdok and Onbyeong, while the usage of Chungmongsukgondamhwan was not found in "Donguisusebowon". 5. As a result, Daesiho-tang may be presented without usages for a specific patholoy in "Donguisusebowon" because it indirectly influenced on the concept of Yangdok and Onbyeong of Taeeum-in, and the formation of Jogakdaehwang-tang in "Donguisusebowon".

On the Appearance of Boron Deficiency in Sugar Beet, Beta vulgaris L. by the Control of Soil Acidity (토양산도조정에 따른 사탕무우, Beta vulgaris L. 붕소결핍병의 출현에 관하여)

  • 황종서
    • Journal of Plant Biology
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    • v.22 no.1_2
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    • pp.21-27
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    • 1979
  • Sandy loam plots of pH 5.5, which was created by the reclamation of highlands in Yongin county, Kyeonggi province, was selected for the present experimental study. Sugar beet was cultured in these plots by treating them with calcium hydroxide and 3 replications to maintain pH 5.5, 6.4, 6.8, 7.2, and 7.6, respectively. The growth and yield of sugar beet were investigated and the results obtained showed a great deal of boron deficiency. The growth in its early stage was favorable in high pH plots, while no significant difference was observed in sugar content, root weight and sugar production at the time of harvest in each treated plot. The tendency of sugar accumulation appeared to be identical in terms of pattern in each treated plot; i.e. sugar was accumulated until early September but declined momentarily from the middle of September and then the sugar accumulation was resumed from the middle of October. The number of individuals in boron deficiency was larger in high pH plots and the condition of such boron deficiency was also severe. The result of analysis of boron contained in plant body revealed that the boron content of individuals caused boron deficiency by water culture and that occurred in the plots was small alike. The appearance of boron deficiency is characterized by the emergence of black stripes on the surface of the basal part of petiole, severe necrosis of young leaves in the area of growing point and severe wrinkles. Therefore it is felt necessary to pay particular attention to boron deficiency in the culture of sugar beet in our country.

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