• Title/Summary/Keyword: 완전 교정

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EXTRACTION OF MULTIPLE SUPERNUMERARY PREMOLARS IN MENTAL RETARDATION PATIENT : CASE REPORT (다수의 과잉 소구치를 가진 정신지체 환자의 치험례)

  • Choi, Hae-In;Song, Je-Seon;Lee, Hyo-Sul;Choi, Byung-Jai;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.9 no.2
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    • pp.118-121
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    • 2013
  • The supernumerary premolars account for 4%-9% of all supernumeraries and reported prevalence is 0.01%-1.00%. Multiple supernumerary teeth can be seen in syndromic phenotypes. But, only 2% of supernumerary premolars exhibited any pathological changes. Most of them cause interference with normal occlusal development that makes maintaining the disabled patients's oral hygiene difficult. It is recommended to delay the timing of extraction until the full permanent dentition is mature. If there is no complication, leaving the supernumerary premolars impacted is recommended. This case is about mental retardation patients with multiple supernumerary premolars.

A Review of Total Correction in 48 Cases of Tetralogy of Fallot (Fallot 사징증(四徵症) 외과적(外科的) 완전교정(完全矯正)에 대한 임상적(臨床的) 고찰(考察))

  • Suh, Kyung Phill
    • Journal of Chest Surgery
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    • v.9 no.2
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    • pp.198-206
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    • 1976
  • A Total of Forty eight patients underwent open-heart surgery for correction of tetralogy of Fallot at the Seoul National University Hospital from January 1974 to October 1976, with an overall survival rate of 77 per cent. Operative mortality varied according to severity of the lesion, age of the patient, nature of previous surgical treatment and presence or absence of an outflow tract patch across the pulmonary valve ring. Eleven patients died in the early postoperative period and thirty seven patients were discharged from the hospital alive. A patch of the right ventricular outflow tract and pulmonary annulus was required to relieve pulmonic stenosis in 24 patients. There were 10 deaths in this group (42%) as compared to 1 death in the group of 24 patients who were corrected without a patch. Operative mortality was especially higher when an inlay patch was placed across the pulmonary valve ring. This may be related to the possibly greater anatomic severity of these cases and to the longer operating time when a patch was used. The electrocardiogram showed right ventricular hypertrophy in 35 cyanotic patients. Intraventricular conduction was normal in 34 patients before operation. It was normal postoperatively in only 5 of 34 patients in this group who survived surgery. Complete right bundle branch block appeared at operation in 21 patients, and 8 patients developed incomplete right bundle branch block. Major causes of death were progressive cardiac failure (4), Complete atrioventricular dissociation (3), bleeding (2), cardiac tamponade (1), and sudden cardiac arrest (1)

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Repair of Total Anomalous Pulmonary Venous Return in Infant (1세이하의 총폐정맥 환류이상증의 완전교정)

  • 홍유선;박영환;임상현;조범구;노환규
    • Journal of Chest Surgery
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    • v.32 no.11
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    • pp.1004-1008
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    • 1999
  • Background: Total anomalous pulmonary venous return is a relatively rare disease which has a very high mortality(80% within a year) if not properly corrected surgically. Material and Method: Twenty-six infants with total anomalous pulmonary venous return underwent repair between May, 1991 and February, 1996. Result: There were 19 boys and 7 girls. The mean age at operation was 2.6 months(range: 5 day to 11 month) and the mean body weight was 4.3kg(range:2.8 to 6.7 kg). Preoperative stabilization included ventilator for 5 patients and inotropic support for 6 patients. There were 6 hospital mortalities. Significant risk factors of operative mortality were preoperative ventilator care(p<0.03) and preoperative inotropic support(p<0.05). Age, body weight at operation, pulmonary venous obstruction, high pulmonary arterial pressure, spurasystemic right ventricular pressure or emergency operation did not affected the operative outcome. Postperative pulmonary venous obstruction occurred in three patients 2 or 3 months later, among them one patient was reoperated. The actuarial survival was 76% at 40 months. Conclusion: Although early mortality was high, repair of total anomalous pulmonary venous return should be attempted in early life, but the patients receiving ventilator care or inotropic support need special attention.

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Design and Implementation of Evaluation System for Mastery Learning (완전학습을 위한 평가시스템 설계 구현)

  • 박재현;박덕원
    • Journal of the Korea Computer Industry Society
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    • v.5 no.4
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    • pp.481-490
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    • 2004
  • Today, most education activities in the junior or senior schools are connected with evaluation. In fact, the evaluation to be accomplished is not the practice of college or university entrance examination but the evaluation analysis of studies accomplishment. In this program, students process their teaming contents according to their level, and they evaluate the accomplishment of learning by themselves. Through the various analysis of evaluation, students who are not in the appropriate level get into the learning plan of low level course. This study makes them notice the lack of teaming ability in time and proposes proper evaluation system which offers right feedbacks and various analysis information for themselves.

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A study on the distance and near horizontal phoria of the young people in Korea (한국 청년의 원거리와 근거리 수평사위에 관한 연구)

  • Kim, Hye-Dong;Lee, Dong-Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.251-255
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    • 2004
  • Our research is about the measurement of the distance & near horizontal phoria by the Von Graefe test. The inspection was processed about normal 60 subjects(120eyes) aged from 20 to 30) years old by the subjective method of refraction. Among 120 eyes, the myopia is 64eyes(53%) and the emmetropia is 56eyes(47%). In the measurement of the distance horizontal phoria, we could know that the exophoria is 40%(24 subjects), the esophoria is 40%(24 subjects), and the orthophoria is 20%(12 subjects). In case of the near horizontal phoria, we could know that the exophoria is 65%(39 subjects), the esophoria is 23.3%(14 subjects), and the orthophoria is 11.7%(7 subjects).

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The Study of Accommodation Assessment in Binocular Functional Test (양안시검사의 조절평가 연구)

  • Cho, Young-Rae;Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.1
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    • pp.61-67
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    • 2007
  • The binocular functional test was performed in test of both accommodation and convergence. The balance of accommodation and convergence was important. Objects were 100 adults in 18-36 years old ages. The used apparatus was vision tester(Shinnippon VT10)and visual chart(Shinnippon CT30). Accommodative lag test by fused cross cylinder were that in case of high 39.0%, in case of low 14.0%. Negative relative accommodation were that in case of high 23.0%, in case of low 38.0%. Positive relative accommodation were that in case of high 29.0%, in case of low 23.0%. In 18% were case of low accommodation.

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Surgical Correction of Total Anomalous Pulmonary Venous Return (총폐정맥 환류이상증의 외과적 치료)

  • 금동윤;이광숙
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.292-296
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    • 1996
  • Total anomalous pulmonary venous return is a rare but serious cardiac malformation, accounting for only about 1.5~3% of congenital heart disease. Surgical results have been dramatically improved in the last two decades, largely owing to improved techniques of cardiopulmonary bypass and perloperative management. Seven patients ranging in age from 15 days to 11 years with total anomalous pulmonary venous return underwent repair between 1984 and 1995. The types of anomalous return were supracardiac in 5, and cardiac in 2. There were 5 boys and 2 girls. There were two hospital death, occurred in 15-day-old, and 40-day-old infants with supracardiac type. Follow-up periods have ranged from 3 months to 11 years, and all survivors have remained asymptomatic with normal growth and development.

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A Case of Renovascular Hypertension Controlled by Renal Artery Embolization (신동맥 색전술로 치료한 신혈관 고혈압증 1례)

  • Yew, Jung Hun;Kim, Young Deuk;Shin, Byung Seok;Gil, Hong Ryang
    • Clinical and Experimental Pediatrics
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    • v.48 no.2
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    • pp.212-215
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    • 2005
  • Renal artery stenosis is a major cause of renovascular hypertension and the most common cause of treatable secondary hypertension. There are several methods to treat renal artery stenosis, including surgery, percutaneous transluminal renal angioplasty(PTRA), and renal artery stenting(RAS). But, renal artery embolization can be tried in atherosclerotic stenosis, multiple stenosis, microaneurysm, and stenosis difficult to try PTRA or RAS. We report a case of renovascular hypertension in a 14-year-old female who had multiple segmental renal artery stenosis. Hypertension was controlled by renal ablation therapy with renal artery embolization.

Non-invasive Evaluation of the Patients after Total Correction of Tetralogy of Fallot (활로 4 징증의 완전교정술후 비관혈적 방법에 의한 추적관찰)

  • 안홍남
    • Journal of Chest Surgery
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    • v.22 no.2
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    • pp.234-245
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    • 1989
  • Between January 1984 and December 1986, sixty nine patients, aged 16 months to 25 years [mean age 10.05*6.40 years], underwent total correction of tetralogy of Fallot in Kyungpook national university hospital. In 66 hospital survivors, 30 patients were followed up for 12 to 48 months [mean 30.10*10.26 months]. These 30 patients were classified in two groups, TAP [transannular patch] and Non-TAP group. There were 9 patients in TAP group, and 21 in Non-TAP group. There were no significant differences between two groups in terms of age at operation, follow up duration, ACC time, and bypass time. All patients were evaluated by two dimensional echocardiography, Doppler echocardiography, standard 12-lead electrocardiography, and plain chest X-ray. Right ventricular systolic pressure, pulmonary arterial systolic pressure, pressure gradient between the right ventricle and the pulmonary artery, presence or absence of pulmonary regurgitation and its grading, fractional shortening of the left ventricle, and Qp/Qs in case of remnant ventricular septal defect were obtained by echocardiographic examination. Cardiothoracic ratio was measured by plain chest film, and ventricular dysrrhythmia was detected by electrocardiogram. Comparing the data between two groups, there was significant difference in incidence of postoperative pulmonary regurgitation [p< 0.05], 100%[9/9] in TAP group and 47.6 %[10/21] in Non-TAP group, but all the regurgitations were not severe. There were no significant differences in other comparisons, despite of higher incidence of cardiomegaly in TAP group [CT ratio: 59.3*5.3% VS 54.7*6, 4 %].

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The Extracardiac Fontan Operation in Adult -A case report- (성인에서의 심외도관 Fontan 수술 - 1예 보고 -)

  • 배윤숙;정승혁;정성철;김우식;윤소영;이정호;김병열
    • Journal of Chest Surgery
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    • v.37 no.1
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    • pp.72-75
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    • 2004
  • The Fontan operation is commonly practiced for the physiologic correction of univentricular heart diseases. However, for the patients who have risk factors against this operation, it is recommended to take the initial palliative operation rather than going to the Fontan operation at once. The proper timing to the Fontan operation after palliation is decided by assessing several factors such as patient's age and other risks of maintaining palliative state, etc. Usually, the Fontan operation is done relatively early after palliation stage. Here, we report a 36 years old-adult-female with univentricular heart disease who underwent the successful Fontan operation at 17 years after unidirectional Glenn procedure.