• Title/Summary/Keyword: 폐쇄

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Diagnosis of Functional Nasolacrimal Duct Obstruction Using Dacryoscintigraphy (누비공신티그라피를 이용한 기능적 누도폐쇄의 진단)

  • Lim, Hyun-Wook;Sohn, Hyung-Sun;Kim, Euy-Neyng;Chung, Yong-An;Kim, Sung-Hoon;Chung, Soo-Kyo
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.6
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    • pp.508-515
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    • 2000
  • Purpose: To evaluate the value of dacryoscintigraphy in the assessment of patients with a clinical diagnosis of functional nasolacrimal duct obstruction. Materials and Methods: Dacryoscintigraphy was performed in symptomatic 35 lacrimal drainage systems in 18 patients (age range: $37{\sim}76$, 8 males, 10 females) that were patent on syringing. Results: Abnormalities were detected with dacryoscintigraphy in 75.8% of systems. The positive scintigrams were subdivided into those demonstrating prelacrimal sac delay (31.8%), delay at the lacrimal sac/junction (40.9%), or delay within the duct (21%). Conclusion: Dacryoscintigraphy is noninvasive useful technique in the assessment of the functional nasolacrimal duct obstruction and very sensitive at detecting abnormalities in patients with lid laxity caused by senile change and facial nerve palsy.

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Nasolacrimal Duct Obstruction after Radioactive Iodine Therapy for Thyroid Cancer (갑상선암에서 방사성 요오드 치료 후 발생한 코눈물길 폐쇄)

  • Hwang, Moon Won;Lee, Eung;Yang, Jae Wook
    • Journal of The Korean Ophthalmological Society
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    • v.55 no.1
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    • pp.1-6
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    • 2014
  • Purpose: To investigate the clinical manifestation of nasolacrimal duct obstruction after radioactive iodine therapy for thyroid cancer. Methods: The authors examined 622 patients who were treated with radioactive iodine therapy after the operation for thyroid cancer from January 2009 to December 2011. Fourteen patients (18 eyes) were diagnosed nasolacrimal duct obstruction based on the lacrimal irrigation test, lacrimal probing test and dacryocystography in our oculoplastic clinic. We analyzed the dose of radioactive iodine therapy, number of treatments, clinical manifestation and treatment type by retrospectively reviewing the patients' medical records. Results: The mean radioactive iodine dose ($215.7{\pm}23.1mCi$, p = 0.01) and the mean number of treatments ($1.36{\pm}0.50$, p < 0.001) were significantly greater in 14 patients who had nasolacrimal duct obstruction than in patients who did not. The average onset of tearing symptoms occurred 10.2 months after radioactive iodine therapy. The mean time between correct diagnosis and therapy was 18.4 months. Three patients (3 eyes) had occlusion at the common cannaliculus and 11 patients (15 eyes) had occlusion at the nasolacrimal duct. Ten patients (13 eyes) underwent endonasal dacryocystorhinostomy for complete obstruction and 4 patients (5 eyes) underwent silicone tube intubation for partial obstruction. Conclusions: Nasolacrimal duct obstruction is a rare complication associated with radioactive iodine therapy for thyroid cancer, thus, clinicians should be aware of this complication and refer patients with symptoms of epiphora to the oculoplastic department for specialized evaluation and treatment.

On the Perceptual Cues to Voicing of English Word-Final Stops -Focusing on the consonantal features- (영어 어말 폐쇄음의 유.무성 인지 실마리에 관한 연구 -폐쇄음의 자음적 특징을 중심으로 -)

  • 고현주
    • Proceedings of the Acoustical Society of Korea Conference
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    • 1998.06e
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    • pp.89-92
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    • 1998
  • 영어의 선행모음의 길이 특성이 어말 자음의 유.무성 인지에 어떤 영향을 미치는지에 관한 선행 연구의 후행연구로서 후행하는 폐쇄음의 자음적 특성은 어떠한 실마리로 적용하는지 한국어 화자들을 대상으로 한 인지실험을 통해 알아보았다. 실험결과, 한국어 모국어 화자들에게 어말 폐쇄음의 자음적 특성은 자음의 유.무성 인지에 중요한 실마리로 작용하지 못하고 있다는 사실을 알 수 있었다.

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An Analysis of Operation Patterns based upon Actual Measurements of Pressurization through Open Door in Smoke Control Zone (제연구역 출입문의 차압 측정에 따른 작동패턴 해석)

  • Lee, Jae-Ou;Choi, Chung-Seog
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2011.04a
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    • pp.245-247
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    • 2011
  • 본 연구에서는 제연구역과 옥내와의 차압 및 출입문의 폐쇄력 측정을 통해 제연구역 출입문의 작동패턴을 해석하였다. 이를 통해 제연구역 출입문의 폐쇄력 측정시 정확한 측정을 위해 출입문을 완전히 폐쇄한 상태에서 측정을 하여야 하며, 문의 크기에 비례하여 증가하는 폐쇄력을 고려한 제연설비 설계에 대한 근거를 제시하였다.

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Analysis of Traffic flow on the Lane Closure due to Road Construction (도로공사로 인한 차선폐쇄시 교통류 특성에 관한 연구)

  • 오주삼
    • Proceedings of the KOR-KST Conference
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    • 1998.10a
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    • pp.116-125
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    • 1998
  • 도로공사로 인해 차선의 일부가 폐쇄된 경우에 이용하는 차선에 따라서 운전자의 통행패턴은 달라진다. 공사구간이 없는 경우 운전자의 차선변경은 제한적이나마 각 차선의 밀도에 의해서 좌우되는 것으로 나타났다. 또한 차선폐쇄지점 전방에서는 차선변경할 확률은 폐쇄지점까지의 남은 거리에 따라서 음지수함수를 따르는 것으로 확인되었다. 또한 논문에서 공사구간에서의 차선변경행태와 교통량, 밀도, 속도를 산정하였으며, 공사로 인한 차선별 지체시간을 산정하였다.

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Changes of Mitral Regurgitation after Aortic Valve Replacement, according to the Aortic Valve Pathology (대동맥 판막 치환술 후 대동맥 판막 병변에 따른 승모판막 폐쇄부전의 변화)

  • Kim, Si-Wook;Lee, Young-Tak;Jun, Tae-Gook;Sung, Ki-Ick;Kim, Wook-Sung;Yang, Ji-Hyuk;Choi, Jin-Ho;Park, Pyo-Won
    • Journal of Chest Surgery
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    • v.40 no.10
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    • pp.667-673
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    • 2007
  • Background: Patients with severe aortic valve disease frequently display mitral valve regurgitation (MR). In such patients, the clinical course of MR after isolated aortic valve replacement (AVR) may be important for determining the treatment strategies. After isolated AVR, the change of the concomitant moderate degree or less of MR according to the type of aortic valve disease is not known well. The aim of this study was to analyze the post-operative changes of MR after performing AVR in those patients with severe AS (Group S) and those with severe AR (Group R). Material and Method: We retrospectively evaluated 43 patients with severe aortic disease and a moderate degree or less of mitral valve regurgitation, and these patients underwent isolated aortic valve replacement from January 1996 to June 2005. The patients were divided into two groups: the aortic valve stenosis group (n = 29) and the aortic valve regurgitation group (n = 14). The patients underwent transthoracic echocardiography preoperatively and at 7 days, $6{\sim}10$ months and more than 18 months (mean follow-up duration: 38 months) postoperatively. Result: The mean age was 60.9 years (Group S: 62 years, Group R: 52.5 years) and 60% (Group S=55%, Group R=71%) of the patients were male. The preoperative MR was mild in 29 (67.5%), mild to moderate in 11 (25.5%), and moderate in 3 (6.9%) patients. In the Group S patients, MR improved in 16 (55%) patients at the immediate postoperative days and in 17 (59%) patients at more than 18 months postoperatively. On the other hand, all the Group R patients exhibited earlier improvement. The decrease of LA size had a similar pattern to the MR change, but there were no significant differences in the change of the ejection fraction of the two groups. Conclusion: In the patients with severe aortic valve disease and concomitant low grade MR, the MR after AVR improved earlier and more effectively in the patients with AR than in those patients with AS.

Changes in Planktonic Communities and Environmental Factors between Open Versus Closed Artificial Marine Microcosms (개방형 및 폐쇄형 인공해양소형생태계에서 미소생물상 및 수환경의 변화)

  • Jung, Seung Won;Kang, Don-Hyug
    • Korean Journal of Environmental Biology
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    • v.33 no.4
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    • pp.403-411
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    • 2015
  • To understand differences of environmental factors and planktonic communities in closed (CS) versus open (OS) enclosed experimental systems, we performed a study on a 100-L indoor-type artificial marine microcosm. For environmental factors, including water temperature, dissolved inorganic phosphorus, and dissolved silica, there were no significant differences between CS and OS; however, salinity was higher in CS than that of OS due to the evaporation effect. The concentration of dissolved oxygen and dissolved inorganic nitrogen was lower in CS than in OS. The abundance of phytoplankton was lower in CS than in OS. However, abundance of autotrophic nanoflagellates and heterotrophic bacteria varied inversely with that of phytoplankton abundances. In particular, the abundance of heterotrophic nanoflagellates and ciliates increased with bacterial growth after a time lag. Therefore, environmental factors and planktonic communities in CS gradually changed over time and characterized a different artificial ecosystem than in OS.

Palatal obturator restoration of a cleft palate patient with velopharyngeal insufficiency: a clinical report (구개인두 기능부전을 갖는 구개열 환자에서 폐쇄장치를 이용한 보철 치료 증례)

  • Heo, Yu-Ri;Kim, Jong-Wook;Lee, Gyeong-Je;Chung, Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.4
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    • pp.353-360
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    • 2013
  • Cleft lip and palate is congenital deformity in oral and maxillofacial area. Normal soft palate has velopharyngeal closure action by connecting oral cavity and nasal cavity at rest and moving upward at swallowing and specific pronunciation. Cleft palate patients with velopharyngeal insufficiency have difficulty in mastication, swallowing and pronunciation because velopharyngeal closure is incomplete. At this time, a prosthetic device used to cover palate defects is called a palatal obturator. A palatal obturator separates oral cavity and nasal cavity and recovers pronunciation, mastication, swallowing and esthetic function. The purpose of this case study is to report the results because it reaches a satisfactory result in functional and esthetic aspects through functional impression procedures using modeling compound and tissue conditioner for restoration of a cleft palate patient with velopharyngeal insufficiency.

2 Cases of Bilateral Choanal Atresia (후비공 폐쇄 2례)

  • 심강석;이석용;문태용;윤강묵
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.18.3-19
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    • 1983
  • Choanal atresia, described first by Johann Roedere (1755) is an obstruction between the nasal cavity and nasopharyngeal vault, and the diagnosis and treatment were developed because of severity of the disease. Embryologically, incomplete development of olfactory pit, or failure of nasobuccal membrane to rupture, or persistent remaining of buccopharyngeal membrane, etc, all forms the congenital choanal atresia. And the acquired type was the result from syphilis or diphtheria with a resultant stenosing cicatrix and after the inexpert surgery and the trauma. Multiple abnormalities may be present particularly affecting the head, the heart and the alimentary system in the congenital type. The operative technique employed would depend upon the type of obstruction(whether membranous or bony), the age of the patient, and the presence or absence of any associated pathologic condition. Since Emmert (1853) first tried blind puncture of the atretic plate with the trocar, other surgical techniques have been introduced over the years for the correction of choanal atresia, which were the transnasal, transpalatal, transantral and the transseptal approach. Among them, transpalatal approach was proved to be a popular technique, that it provides a direct route, thus permitting an exact reconstruction and low restenosis rate. Recently, we have experienced two cases of choanal atresia and treated successfully with transpalatal approach, so authors report these cases with a review of the literature.

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Prosthetic rehabilitation using an obturator in a fully edentulous patient who had partial maxillectomy (상악골 부분 절제술을 받은 무치악 환자에서의 구강폐쇄장치 수복)

  • Chung, Yoo-Jin;Kim, Jong-Jin;Baik, Jin;Cha, Hyun-Suk;Lee, Joo-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.4
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    • pp.331-337
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    • 2018
  • Prosthetic rehabilitation of an edentulous patient who has a maxillary defect is difficult to achieve for many clinicians. The maxillary defect causes leakage of air during pronunciation and compromises denture stability, support and retention by reducing denture-bearing area and breaking peripheral seal. In these patients, the sizes and shapes of defects are very important factors which attribute to prognosis of maxillary obturators. This case report shows the prosthetic rehabilitation of the patient who had maxillectomy on the right maxillary sinus because of squamous cell carcinoma. The patient had a stepwise treatment protocol which started with pre-operative dental examination and followed by surgical, interim and definitive obturation phase. In this case, an acceptable level of retention could be obtained due to well-defined static defects and the preserved premaxillae and the patient was satisfied with the result of the treatment in the aspect of function and esthetics.