• Title/Summary/Keyword: Case histories

검색결과 220건 처리시간 0.027초

Langerhans cell histiocytosis of the mandible: two case reports and literature review

  • Hwang, Dae-Seok;Lee, Jun Sang;Kim, Uk-Kyu;Park, Hae Ryoun;Ryu, Mi Heon;Lee, Ji Hye;Jung, Yun-Hoa;Kim, Gyoo Cheon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제45권3호
    • /
    • pp.167-172
    • /
    • 2019
  • Langerhans cell histiocytosis (LCH) is a rare disorder characterized by the proliferation of dendritic cells resulting in local or systemic symptoms. The clinical symptoms of patients with Langerhans cell histiocytosis depend on the site and the degree of involvement. This article describes two case histories of unifocal bony Langerhans cell histiocytosis with mandibular involvement and further discusses the appropriate management of such via a review of the literature.

Themes and Culture Concepts in Disney's "Mulan": The Evolution from Chinese "Imagery" to Postmodernism

  • Yang, Hua;Choi, Dong-Hyuk
    • 한국멀티미디어학회논문지
    • /
    • 제25권10호
    • /
    • pp.1457-1467
    • /
    • 2022
  • The relationship between film and culture is established through a shared focus on people's lives. Culture changes at different times, which makes a dynamic and complex relationship between film and culture. Understanding this relationship helps to provide better support for current filmmaking. The purpose of this study is to provide insights into the macro issue of film and culture by exploring the relationship between film theme and culture concept. To this end, we used a case study to explore the connection between themes and culture concepts in Disney's Mulan (1998, 2020) through literature and analyses of culture concepts (Chinese "imagery" and Postmodernism). The study concludes that, "Culture assemblage" and "Vision is king" have become cultural trends that influence the creation of film theme and style to a certain extent; how to balance the relationship between the core idea of film theme and the external forms is an important issue in current filmmaking. The article contributes to promote thinking about culture in film creation, and its research perspective on different cultures and histories is innovative.

The influences of equivalent viscous damping ratio determination on direct displacement-based design of un-bonded post-tensioned (UPT) concrete wall systems

  • Anqi, Gu;Shao-Dong, Shen
    • Smart Structures and Systems
    • /
    • 제30권6호
    • /
    • pp.627-637
    • /
    • 2022
  • Recent years, direct displacement-based design (DDBD) procedure is proposed for the design of un-bonded posttensioned (UPT) concrete wall systems. In the DDBD procedure, the determination of the equivalent viscous damping (EVD) ratio is critical since it would influence the strength demand of the UPT wall systems. Nevertheless, the influence of EVD ratio determination of the UPT wall systems were not thoroughly evaluated. This study was aimed to investigate the influence of different EVD ratio determinations on the DDBD procedure of UPT wall systems. Case study structures with four, twelve and twenty storeys have been designed with DDBD procedure considering different EVD ratio determinations. Nonlinear time history analysis was performed to validate the design results of those UPT wall systems. And the simulation results showed that the global responses of the case study structures were influenced by the EVD ratio determination.

주파수 의존성을 고려한 등가선형해석기법의 검증 (Verification of Frequency-Dependent Equivalent Linear Method)

  • 정창균;곽동엽;박두희
    • 한국지반공학회논문집
    • /
    • 제24권12호
    • /
    • pp.113-120
    • /
    • 2008
  • 1차원 지반응답해석은 지반에 의한 지진동의 증폭현상을 모사하는 데 널리 사용되고 있다. 가장 널리 사용되고 있는 등가선형 지반응답해석기법은 유효변형률에 상응하는 전단탄성계수와 감쇠비를 전 주파수 영역에 일률적으로 적용하며, 진동주파수에 대한 지반 응답의 영향을 고려하지 않는다. 지반의 비선형 거동을 주파수영역에서 보다 정확하게 모사하기 위하여 진동주파수와 지반거동의 상관관계를 주파수-변형률 곡선으로써 모의하는 등가선형해석기법이 개발되었으며, 이 방법은 기존의 등가선형해석기법에 비하여 정확성을 향상시킨다고 알려져 있다. 이제까지 다양한 형상의 주파수변형률 곡선이 제안되었으며, 이들은 한결같이 해석의 정확성을 증가시킨다고 주장된 바 있다. 본 연구에서는 기존의 연구에서 제안되었건 두 개의 주파수-변형률 관계 완화곡선과 본 연구에서 새롭게 제안된 세 개의 곡선을 이용하여 주파수 의존성을 고려한 등가선형해석기법의 정확성을 검증하였다. 검증에는 세 개의 부지에서 기록된 6개의 지진파가 사용되었다. 해석결과, 완화곡선은 지반응답에 지배적인 영향을 미치는 것으로 나타났으며, 주파수 의존성을 고려한 해석은 정확성을 향상시킬수 있는 것으로 나타났다. 하지만, 모든 사례에서 가장 정확하게 응답을 예측하는 완화곡선은 없는 것으로 나타났으며, 해석사례별로 최적의 완화곡선이 다른 것으로 나타났다. 따라서, FDEL 해석 수행 시, 다양한 완화곡선을 사용해야 할 것으로 판단되며 등가선형해석과 병행해서 수행되어야 한다고 판단된다.

하인두암에 병발한 동시성 암종 (Synchronous Primary Cancer in Hypopharyngeal Cancer)

  • 허경회;이승훈;정광윤;최종욱
    • 대한두경부종양학회지
    • /
    • 제11권2호
    • /
    • pp.173-177
    • /
    • 1995
  • Multiple primary malignant neoplasms occur relatively frequently today and are important especially in the head and neck area for they usually carry a bad prognosis. Detection of a synchronous primary tumor at the time of initial work-up is crucial both for management and final outcome. The first case was a T1 hypopharyngeal cancer with a mid-esophageal second primary who complained of a huge neck node. The second case was a T3 hypopharyngeal cancer who was initially seen by the chest surgeons for a large lower esophageal tumor. The third case was a patient previously operated for stomach adenocarcinoma three years ago, who had newly developed symptoms like dysphagia and hoarseness, and was diagnosed as hypopharyngeal T3 with oropharyngeal second primary cancer. Three cases were all heavy smokers and had histories of heavy alcohol consumption. They were all treated at the same sitting by en-block resection of the involved organs and postoperative radiation therapy. The authors have recently experienced 3 cases of synchronous second primary cancers in association with hypopharyngeal cancer and a report is made.

  • PDF

국내외 해․하저터널 건설 사례 분석 (Review of Subaqueous Tunneling Case Histories)

  • 최승범;이수득;김현우;전석원
    • 터널과지하공간
    • /
    • 제24권2호
    • /
    • pp.120-130
    • /
    • 2014
  • 최근 전 세계적으로 여러 건의 대규모 해저터널 건설 사업이 완료되었거나 진행 혹은 계획 중에 있다. 우리나라 역시 한중, 한일 해저터널에 대한 기본 구상이 이루어지고 있으며 동시에 국내 도서 지역을 연결하는 해저터널이 구상 단계에 있다. 국내 기술수준과 해저터널 건설이 갖는 파급효과를 고려할 때, 해저터널 관련 기술의 확보 및 개선이 요구되어진다. 이 논문은 사례연구를 통하여 해저터널이 갖는 특징과 국내외 해 하저터널 건설동향을 분석하였고 해저터널과 관련된 사고 발생 사례를 수집하여 이로부터 요구되는 관련기술에 대하여 정리하였다.

분선충, Isospora 및 인형세포거대바이러스에 감염된 흡수불량 증후군 1례 (A case of fatal malabsorption syndrome caused by strongyloidiasis complicated with isosporiasis and human cytomegalovirus infection)

  • 윤동헌;양승지
    • Parasites, Hosts and Diseases
    • /
    • 제30권1호
    • /
    • pp.53-58
    • /
    • 1992
  • 환자는 54세 광부로 1991년 1월 낙반사고로 인해 가벼운 골반 골절상을 받았었고, 골절상은 완치되었으나 설사가 지속하고 체중이 심하게 감소하였다. 발병 약 9 개월만에 시행한 대변검사 및 조직 검사에서 분선충중(strongyloidiasis), 포자충중(isosporiasis) 및 인형 세포거대바이러스(heman cytomegalovirus)에 감염된 사실이 확인되었다. Albendazole로 치료하였으나 약 2개월 후 근로복지공사 장성병원에서 난치 상환 하에 퇴원하였으며, 퇴원 1주 후 사망하였다.

  • PDF

Two Cases of Bronchopulmonary Dysplasia of Similar Appearance in Adult Monozygotic Twin: Pathology and Computed Tomographic Findings

  • Lee, Yoon Pyo;Chun, Eun Mi;Kim, Yoo Kyung;Sung, Sun Hee
    • Tuberculosis and Respiratory Diseases
    • /
    • 제78권2호
    • /
    • pp.128-132
    • /
    • 2015
  • Bronchopulmonary dysplasia (BPD) is related to decreased lung function throughout life. However, the pathology and radiology pattern of BPD of adults are not documented well yet. In this case report, we present BPD case of an adult monozygotic twin showing nearly identical lesions on chest computed tomography (CT). CT images showed mixed areas of ground-glass and reticular opacities in both lungs. They had common histories of pneumonias requiring mechanical ventilations in period of infants. Pulmonary function test of one patient showed a pulmonary insufficiency with airway obstruction. Pathologic findings showed bronchiolar hyperplasia and peribronchiolar fibrosis which was similar to classic BPD patients. Our twin case report might help provide distinguishing pathology and radiology pattern of an adult pulmonary sequelaes of BPD. It might be reasonable to make close follow-up for BPD patients to evaluate the long-term outcomes of BPD survivors.

요약보고 방법에 의해 병목현상을 개선한 최초경합의 수행중 탐지기법 (On-the-fly Detection of the First Races for Reducing Bottlenecks by Summary Report Method)

  • 김정시;전용기
    • 한국정보과학회논문지:시스템및이론
    • /
    • 제26권9호
    • /
    • pp.1042-1054
    • /
    • 1999
  • 공유메모리 병렬프로그램의 오류수정에서 경합의 탐지는 중요하다. 왜냐하면 경합은 잘못된 수행 결과를 초래할 뿐만 아니라, 의도하지 않은 프로그램의 비결정적인 수행을 유발하여 오류수정을 어렵게 하기 때문이다. 특히 최초경합의 탐지는 더욱 중요하다. 그 이유는 최초경합을 제거함으로써 나머지 경합들을 방지할 수도 있기 때문이다. 기존의 수행중 경합 탐지기법들은 접근별 보고방식을 기반으로 하는데, 이 기법들은 임의 공유변수에 대한 병행 쓰레드들의 모든 접근사건들을 검사하기 위해서 접근역사라는 유일한 공유정보를 이용하므로 탐지과정에 심각한 병목현상을 유발시킨다. 그러나, 최초경합 탐지를 위한 경우 이러한 병목현상은 크게 개선될 수 있다. 본 논문에서는, 각 접근사건 검사를 위해 각 쓰레드에 공유되지 않는 독립적인 접근역사를 별개로 두고, 경합을 보고하는 시점인 쓰레드 합류시점에서만 공유되는 접근역사를 이용하도록 함으로써 병목현상을 개선하여 최초경합을 탐지할 수 있는 새로운 수행중 탐지기법을 제안한다. 그러므로 본 기법은 최초경합을 보다 효율적으로 탐지할 수 있기 때문에 수행중 경합 탐지를 더욱 효율적이고 실용적으로 할 수 있다. Abstract Detecting races is important for debugging shared-memory parallel programs, because the races lead to unintended nondeterministic executions of the programs as well as erroneous result and then make debugging programs difficult. Especially, detecting the first races is more important. The reason is that the removal of the first races can make other races disappear. Most existing on-the-fly techniques to detect the races are based on per- access reporting method incurring the serious central bottleneck, because the techniques use unique shared information called access history for checking all accesses of concurrent threads to a shared variable. Such bottleneck, however, can be improved considerably in case of detecting first races. This paper presents a new on-the-fly technique which detects the first races with reduced bottleneck through checking each accesses with private access histories and finally reporting races with shared access histories. Therefore, this technique makes on-the-fly race detection more efficient and practical.

Making Southeast Asia Visible: Restoring the Region to Global History

  • Keck, Stephen L.
    • 수완나부미
    • /
    • 제12권2호
    • /
    • pp.53-80
    • /
    • 2020
  • Students of global development are often introduced to Southeast Asia by reading many of the influential authors whose ideas were derived from their experiences in the region. John Furnivall, Clifford Geertz, Benedict Anderson and James Scott have made Southeast Asia relevant to comprehending developments far beyond the region. It might even be added that others come to the region because it has also been the home to many key historical events and seminal social developments. However, when many of the best-known writings (and textbooks) of global history are examined, treatment of Southeast Asia is often scarce and in the worst cases non-existent. It is within this context that this paper will examine Southeast Asia's role in the interpretation of global history. The paper will consider the 'global history' as a historical production in order to depict the ways in which the construction of global narratives can be a reflection of the immediate needs of historians. Furthermore, the discussion will be historiographic, exhibiting the manner in which key global histories portrayed the significance of the region. Particular importance will be placed on the ways in which the region is used to present larger historical trajectories. Additionally, the paper will consider instances when Southeast Asia is either profoundly underrepresented in global narratives or misrepresented by global historians. Last, since the discussion will probe the nature of 'global history', it will also consider what the subject might look like from a Southeast Asian point of view. The paper will end by exploring the ways in which the region's history might be augmented to become visible to those who live outside or have little knowledge about it. Visual augmented reality offers great potential in many areas of education, training and heritage preservation. To draw upon augmented reality as a basic metaphor for enquiry (and methodology) means asking a different kind of question: how can a region be "augmented" to become (at least in this case) more prominent. That is, how can the region's nations, histories and cultures become augmented so that they can become the center of historical global narratives in their own right. Or, to put this in more familiar terms, how can the "autonomous voices" associated with the region make themselves heard?