• Title/Summary/Keyword: 초기부정

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Results of radiofrequency catheter ablation in children and adolescent with tachyarrhythmia (소아 청소년 부정맥 환자에서 고주파 전극도자 절제술의 이용 성적)

  • Chang, Young Beom;Lee, Seung Hyun;Kang, Eun Young;Rhee, Kyoung-Suk;Joo, Chan Uhng
    • Clinical and Experimental Pediatrics
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    • v.50 no.11
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    • pp.1085-1090
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    • 2007
  • Purpose : Radiofrequency catheter ablation (RFCA) has become an effective therapeutic modality for treating pediatric tachyarrhythmias. Using conventional RFCA catheters, ablation of parahisian accessory pathways may be difficult and have high risk for heart block. We reviewed the efficacy and complications of the RFCA in children and adolescent with arrhythmias including parahisian accessory pathways. Methods : We studied 48 patients (aged 2 years to 20 years) who had undergone RFCA from August 2003 to March 2007. We reviewed clinical findings, electrophysiologic studies, RFCA data, complications, and follow-up results of the patients. Results : Mean age of the patients was 13.1 years. Numbers and types of arrhythmias (age, acute success rate) were as follows: 19 WPW syndrome including 5 parahisian accessory pathways ($13.7{\pm}4.6yr$, 18/19), 11 atrioventricular reentrant tachycardia with concealed bypass tract ($12.3{\pm}5.0yr$, 10/11), 13 atrioventricular nodal reentrant tachycardia ($12.6{\pm}4.4yr$, 13/13), 4 atrial flutter ($13.0{\pm}7.4yr$, 3/4), and 1 ventricular tachycardia (20 yr, 1/1). Associated cardiac structural lesion was not detected in 48 patients. The recurrence rate was 6.5%, and the final success rate was 93.8%. Conclusion : These results suggest that RFCA is a highly effective treatment method in children and adolescent with tachyarrhythmia.

TREATMENT OF MALOCCLUSION, AS RELATED TO FINGER SUCKING : CASE REPORT (손가락 빨기로 인한 부정교합의 치험례)

  • Moon, Sang-Jin;Choi, Yeong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.1
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    • pp.1-10
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    • 2004
  • The habit of finger sucking is a reflex occurring in the oral stage, due to nutritive and psychological desire. The habit of finger sucking is considered to be normal till 3 years of age. Dento-skeletal effect on maxillo-mandibular complex including occlusion is naturally correction, when habit stopped before 3 years. If finger sucking continues till $3{\sim}4$ years, Finger sucking leads to severe malocclusion and remarkable discrepancy maxillo-mandibular complex, which is difficult in expectation of natural correction. It is necessary to positive treatment. Treatment of malocclusion, as related to finger sucking is classified two methods. (psychological approach and orthodontic appliance) To stop a habit and to correct severe skeletal discrepancy and malocclusion, $fr\ddot{a}nkel$ appliance is very effective device. This study is to report two cases of treatment of malocclusion, as related to finger sucking. 2 years 10 months old girl with severe overjet, maxillo-mandibular skeletal discrepancy and severe convex facial profile was treated with a FR-II appliance. Finger sucking habit stopped immediately After 16 months, severe overjet, maxillo-mandibular skeletal discrepancy and severe convex facial profile was corrected. 4 years 2 months old girl with midline deviation, mandibular right shift, collateral posterior crossbite and facial asymmetry was treated with a FR-III appliance. Finger sucking habit stopped immediately. After 10 month, Midline deviation, mandibular right shift, collateral posterior crossbite and facial asymmetry were corrected. FR-appliance is a recommendable appliance for a habit breaker and correction of skeletal discrepancy.

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산지유역의 초과우량 추정 모형

  • 남선우;최은호
    • Proceedings of the Korea Water Resources Association Conference
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    • 1990.07a
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    • pp.49-52
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    • 1990
  • 강우강도가 큰 집중호우가 지표면에 도달하게 되면 강우량중 상당 부분이 수문학적 손실성분인 침수, 증발산, 차단 및 저류등으로 시간에 따라 분포된다. 이 가운데 지표면에 분포된 식생계 및 낙엽등에 의한 차단(canopy interception effect)과, 지표가 포화시의 증발산(wetted environmental evapotranspiration) 및 각종 저류, 즉 지표면 저류(depression storage), 지표토양층에의 저류(retention storage) 성분 등을 들 수 있으며 이들 각 손실성분은 직접유출로 나타나는 초과우량의 발생시간을 지체시켜 주는 역할을 하나 차단성분 및 저류성분은 시간이 경과함에 따라 결국은 증발산 또는 침투성분으로 흡수된다. 따라서 침투성분은 초과우량 추정에 매우 큰 영향을 줄 뿐 아니라 지표면 아래의 흙의 변형을 야기시키며, 중간유출 및 지하수유출에 기여 한다. 대부분의 호우사상은 강우초기에 강우강도가 지표 흙의 침수계수(hydraulic conductivity)보다 작기 때문에 모두 각 손실성분에 의해 손실되며, 강우강도가 점차 커져 침수능을 초과하면 지표면에 순간적으로 물이 고이게 되는데 이것을 지표심수(surface ponding)라하고, 강우시작부터 이 때까지가 침수시간(ponding time)이 된다. 이 지표침수가 나타나는 순간이 곧 직접유출 시작 시간으로 볼 수 있을 뿐 아니라, 침수시간은 지표면의 물수지면에서 볼 때 초기손실량 및 침수율 결정에 중요한 인자가 된다. 본 연구에서는 각 손실 성분별로 유역의 제반 특성을 고려하여 구한 매개변수로부터 시간에 대한 손실율을 결정하여 산지 하천유역에 발생하는 부정강우사상(unsteady rainfall)의 초과우량을 추정하는 모델을 유도하였다. 대상유역으로는 현재 건설부에서 수행하고 있는 국제수문개발계획(IHP) 대표시험유역 가운데 평창강 수계내의 장평유역으로서, 본 유역은 자기 우량계 및 자기 수위계가 운용되고 있고, 인접 대관령 측후소로부터 기상자료를 획득, 이용할 수 있는 비교적 분석에 양호한 조건을 지닌 유역이다. 모델의 유도 과정은 대상유역 식생계로 피복된 산지유역임으로, 식생차단 저류효과를 고려해서 지표면의 흙에 도달되는 순강우주상도를 얻고 이로부터 침수시간 및 침투율을 결정해서 초과우량을 산정하는 모델을 유도하였다. 강우 지속시간내 즉, 유역이 완전 포화시의 증발산율의 결정은 Morton 모델로부터, 침수시간 및 침투율 결정은 Green-Ampt 방정식을 부정강우사상에 적용할 수 있도록 수정된 모델을 사용하였으며, 분석에 이용된 호우는 1986 ~ 1987년도 발생된 호우사상 가운데 강우강도 및 총 강우량이 비교적 큰 7개 강우사상을 선정하였다. 각 호우사상별로 손실율울 지표면에서 물수지개념을 이용하여 계산하고 산술지상에 구성시킨 결과는 다음 그림과 같다. 이 그림에서 굵은 실선으로 나타낸 곡선(B. L. R)은 각 손실을 곡선을 시간축에 따라 산술평균한 대표손실율곡선이다. 이 대표손실율곡선은 역지수함수형으로서 곡선식의 유도는 회기분석을 이용하였다. 초과우량 주상도를 얻기 위하여 이 대표손실을 곡선을 관측 강우주상도에 적용시켜 본 결과 식생계에 의한 차단 저류율은 약 6mm/hr 정도인 것으로 나타났으며, 이로 인한 침수시간 지체효과는 1~3시간 정도로서 비교적 그 영향이 큼을 알았다. 또한 각 호우사상별 침수시간 계산 결과 그 변동이 큰 것으로 나타났는데 이는 초기 강우강도에 민감하기 때문인 것으로 판단되낟. 한편 유역 포화시의 증발산율은 우기의 기상자료를 이용하여 구한 결과 0.05 - 0.10 mm/hr 의 범위로서 이로 인한 강우손실량은 큰 의미가 없음을 알았다.

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An Improved Acquisition of the Noncoherent DS/SS-CSK (비동기식 DS/SS-CSK 통신의 개선된 초기동기)

  • 김종헌;이한섭;홍대식;강창언
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.18 no.12
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    • pp.1797-1805
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    • 1993
  • An algorithm for the threshold decision from the maximum mismatching correlation value in a direct-sequence spread-spectrum system is presented. This algorithm is named the TDMMC(Threshold Decision from the Maximum Mismatching Correlation value). The purpose of the algorithm is to set the decision threshold in the system which will provide large probability of signal detection. Using this algorithm, the proper setting of the threshold for various SNRs is possible. An additional block called the Threshold Block is used to improve the system performance. The result from the computer simmulation has shown that appling the TDMMC to the noncoherent DS/SS-CSK system can achieve performance improvement.

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The Cultural Effect of Korean Characters and Stages described in Game Contents (게임콘텐츠에서 묘사된 한국 캐릭터·스테이지의 문화적 영향)

  • Rhee, Chang Seop;Rhee, Hyunjung;Kim, Hyangmi
    • Journal of Korea Game Society
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    • v.17 no.3
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    • pp.83-92
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    • 2017
  • Game users can create cultural images about foreign countries from game contents what they play. Most fighting action games provide various game characters and game stages where the game characters come from. This study analyzes that Korean game characters and game stages of The King of Fighters (KOF) series, one of popular fighting action games. We find that KOF describes Korea negatively in the beginning KOF series but the negative descriptions of Korea were gradually weaken as newer KOF series were released.

Empirical Sentiment Classification Using Psychological Emotions and Social Web Data (심리학적 감정과 소셜 웹 자료를 이용한 감성의 실증적 분류)

  • Chang, Moon-Soo
    • Journal of the Korean Institute of Intelligent Systems
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    • v.22 no.5
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    • pp.563-569
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    • 2012
  • The studies of opinion mining or sentiment analysis have been the focus with social web proliferation. Sentiment analysis requires sentiment resources to decide its polarity. In the existing sentiment analysis, they have been built resources designed with intensity of sentiment polarity and decided polarity of opinion using the ones. In this paper, I will present sentiment categories for not only polarity of opinion but also the basis of positive/negative opinion. I will define psychological emotions to primary sentiments for the reasonable classification. And I will extract the informations of sentiment from social web texts for the actual distribution of sentiments in social web. Re-classifying primary sentiments based on extracted sentiment information, I will organize sentiment categories for the social web. In this paper, I will present 23 categories of sentiment by using proposed method.

Fontan Conversion with Arrhythmia Surgery in a Jehovah′s Witnesses (여호와의 증인 환자의 폰탄전환술 및 부정맥수술)

  • Ryu, Jae-Wook;Kim, Woong-Han;Na, Chan-Young;Oh, Sam-Se;Kim, Soo-Cheol;Lim, Cheong;Baek, Man-Jong;Jong, Joon-Hyuk;Lee, Jae-Young;Park, Young-Kwan;Kim, Chong-Hwan
    • Journal of Chest Surgery
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    • v.35 no.1
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    • pp.48-51
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    • 2002
  • The conversion of failing Fontan circuit to total cavopulmonary connection(TCPC) is recommended as a therapeutic option in patients with late Fontan complications such as atrial arrhythmia, atrial enlargement, pulmonary venous obstruction, and ventricular dysfunction. Combined TCPC with extracardiac conduit and cryoablation of arrhythmia circuit is preferred for treatment of failing Fontan coulection with atrial lachyarrhythrnia. We report a case of conversion of atriopulmonary connection to extracardiac conduit Fontan and cryoablation of atrial arrhythmia circuit in a patient with tricuspid atresia, who also had ectopic atrial tachycardia, right atrial thrombi, pulmonary venous obstruction, and ventricular dysfunction. This patient and the parents were Jehovah's Witnesses; therefore, the patient underwent the procedure without blood transfusion.

Late Pleistocene Unconformity in Tidal-Flat Deposit of Gyeonggi Bay, Western Coast of Korea (한국 서해 경기만 조간대 퇴적층의 후기 플라이스토세 부정합)

  • Jung, Hoi-Soo;Yoo, Hai-Soo;Seo, Jung-Mo;Paeng, Woo-Hyun;Lim, Dhong-Il
    • Journal of the Korean earth science society
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    • v.24 no.8
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    • pp.657-667
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    • 2003
  • Deep-drilled core sampling and high-resolution seismic survey were carried out to identify a Holocene-late Pleistocene boundary in Gyeonggi Bay, western coast of Korea. Analysis of core sections revealed the existence of an oxidized and semi-consolidated sediment layer, Iying immediately below a Holocene horizon (Unit I) and being developed at the top of a late Pleistocene deposit (Unit II). The oxidized sedimentary layer (uppermost part of Unit II) is characterized by semi-consolidated, yellowish sediments showing signs of desiccation and alteration such as high N value, low water content, periglacial cryogenic structure, depletion of smectite, and high geochemical weathering index (Ba/Sr ratio). This feature, together with radiocarbon ages, suggests that the layer has formed as a result of prolonged subaerial exposure of Unit II sediments during the late Wisconsin sea-level lowstand, producing a regional unconformity. Such unconformitic-bounding surface corresponds to a prominent near-surface reflector (R), which is observed in seismic profiles obtained across the drilled-core sections in the study area. Consequently, the buried oxidized-sedimentary layer associated with the seismic reflector possibly plays a key horizon for the understanding of late Quaternary environmental changes as well as evidence of the emergence of the Yellow Sea shelf during the late Wisconsin sea-level lowstand.

Analysis of Treatment Period on the Intraoral Removable Appliance Utilizing Vertical Facial Growth on Class III Malocclusion (얼굴의 수직성장을 이용하여 III급 부정교합을 치료하는 구강내 가철식 장치의 치료기간분석)

  • Song, Jihyeo;Kim, Seong-Oh;Song, Je Seon;Lee, Jaeho;Choi, Hyung-jun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.173-182
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    • 2019
  • Vertical facial growth triggers the rotation of mandible to move the chin point to the downward and backward direction, which showed remarkably effective result making the less prominent chin. Recently, the intraoral removable appliance utilizing class III elastic demonstrated the vertical growth trigger mechanism. The treatment change was very fast and wearing was quite easy, compared to extraoral appliances. The purpose of this study was to verify the duration of the treatment on class III malocclusion using intraoral removable appliances, which designed to accelerate vertical facial growth. 56 patients were selected with the complaint of the protruded mandible and class III malocclusion (overjet : -3 - 0 mm, overbite : 0 - 4 mm). Information like; age at start, duration of the treatment events, type of the treatment, overjet, overbite etc. was collected and calculated. The average age of the patients delivering the initial brace was $8.75{\pm}1.10year$. Most of the anterior crossbite was resolved within 6 months. The total treatment period was $21.79{\pm}10.73months$ with the additional procedures like the alignment of anterior teeth and torque control using additional removable and fixed orthodontic appliances. The correlation study showed that patient's cooperation (p = 0.000) and the use of fixed appliance (p = 0.032) were significantly influenced on treatment duration.

A STUDY ON THE EFFECT OF CHINCAP IN JUVENILE SKELETAL GLASS III MALOCCLUSION (유년기 III급 부정교합자에서 이모장치의 치료 효과에 관한 연구)

  • Nahm, Dong-Seok;Suhr, Chung-Hoon;Yang, Won-Sik;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.28 no.4 s.69
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    • pp.517-531
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    • 1998
  • The purpose of this study was to investigate the changes in the craniofacial skeleton subsequent to chincap therapy in the juvenile skeletal Class III malocclusion with more appropriate control samples. The experimental group consisted of 29 Korean children(14 males, 15 females) who had skeletal Class III malocclusion with prognathic mandible and were undergone chincap thorny from the beginning of treatment. The control group was composed of 21 Korean children(10 males, 11 females) who had no orthodontic treatment, but with similar skeletal discrepancies to experimental group. Lateral cephalometric radiographs at the age of 7, and 2 years later were analyized and compared with student's t-test(p<0.05). The results of this study were as follows; 1. The control group without chincap therapy had not shown any improvement of the skeletal discrepancies, but had grown to be much severe. This means that the untreated Class III patient with prognathic mandible would not be corrected by growth. For the experimental group with chincap therapy, the anterior-posterior skeletal discrepancies and mandibular prognathism were both improved. 2. Neither significant restraint nor acceleration of growth was found in the cranial base and maxilla by chincap treatment. 3. The inhibition of mandibular growth could not be accepted, but the changes of the direction of growth and morphological changes were found. 4. Vertical growth tendency was increased with chincap therapy. 5. When Putting together the results of the analyses , it seems to be the rotation and displacement of the mandible that the major treatment effects of chincap we. The changes of the direction of growth and the morphological changes also seems to contibute to the treatment effect partly. In summary, the chincap doesn't restrain the mandibular growth. But, it is considered as a useful treatment modality for correction of skeletal discrepancies and reduction of mandibular prognathism in growing Class III patients with madibular prognathism.

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