• Title/Summary/Keyword: Comprehensive treatment

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A Study of Root Canals Morphology in Primary Molars using Computerized Tomography (CT를 이용한 유구치 근관 형태에 관한 평가)

  • Sim, Dohee;Mah, Yonjoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.4
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    • pp.400-408
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    • 2019
  • The purpose of this study is to identify the most common canal type in primary molars and the correlation between their roots and canals. A comprehensive understanding of root canal morphology will lead to more successful root canal treatment. Computed Tomography (CT) images from 114 children (81 boys, 33 girls) aged 3 - 7 years were obtained. The locations and numbers of roots and canals were evaluated, and the relationship between root and canal parameters was determined. The most commonly observed canal morphology in primary maxillary molars were mesio-buccal, disto-buccal and palatal canal. Primary mandibular molars most frequently contain mesio-buccal, mesio-lingual, disto-buccal and distolingual canal. All the roots of the primary maxillary molars except for the mesio-buccal root, each had 1 canal while there were 2 canals observed in each root of primary mandibular molars. Without exception, all mesial roots in primary mandibular 2nd molars had 2 canals. In case when either the palatal root in a primary maxillary molar or the distal root in a primary mandibular molar was separated into 2 roots, each root seemed to have its own canal. Even though the disto-buccal and palatal roots were fused into 1 root in primary maxillary molars, this fused root had tendency to have 2 separate canals. Primary mandibular molars showed similar canal morphologies between left and right molars in the same patient, while the primary maxillary molars did not.

The Present Status and Future Prospect on Education of Fisheries High School in Japan -I. Distribution of Schools and Arrangement of Curriculum (일본(日本) 수산계(水產系) 고등학교교육(高等學校敎育)의 현황(現況)과 전망(展望) -I. 학교(學校)의 분포(分布)와 교육과정(敎育課程)의 편제(編制))

  • Lee, Byoung-Gee
    • Journal of Fisheries and Marine Sciences Education
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    • v.4 no.1
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    • pp.75-87
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    • 1992
  • Cultivation of competent manpower is recognized as one of the important factors in the development of fisheries as well as of other industries. For reference to the development of education of fisheries high schools in the Republic of Korea, the author carried out a study on the education in Japan. The reason is why the education on fisheries had been initiated in Japan and her educational system has played the role of a model for neighboring countries. Even though the education on fisheries tends to shrink a little in recent years by diffusing the unwilling tendency to engage in 3D (dirty, difficult and dangerous) jobs, there are fifty-one high schools educating fisheries in Japan. Thirty-eight of them are specialized fisheries high schools and the others are comprehensive high schools to put common course and fisheries course together. In the first step of study, the goal of education on fisheries, organization of department and arrangement of curriculum are analysed. 1. In the newly arranged curriculum which will come into effect from 1994, the goal of education on fisheries is set up as "By educating fundamental knowledge and technology on the production and circulation in the field of fisheries, have students understand the significance and role of fisheries, and so cultivate ability and active attitude to the development of fisheries". The goal means that the circulation of fishery products are regarded as important as the production itself, and active attitude to the development of fisheries is also stressed, different from the present goal. 2. Standard departments directed by the Government are set up as five-Departments of Marine Fishing, of Fisheries Engineering, of Information Communication, of Fish Culture, of Sea Foods. But they are actually organized and named by the founders of schools-local government. Then there are many unique-named departments and the management of schools are somewhat flexible according to the situation of local district. 3. Special subjects are revised to twenty-four in the new curriculum from twenty-two in the present curriculum. Among them the contents are widely revised in the subjects such as Introduction to Fisheries, Fisheries Engineering, Communication Engineering, Communication Technology, Fish Culture. On the other hand, five subjects such as Information Treatment on Fisheries, Information Technology on Fisheries, Subjective Study, Fisheries Economics, Circulation of Sea Foods are newly set up to meet the changing phase of the time.

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Quality of Life in Chronic Viral B Hepatitis Patients (만성(慢性) B형(型) 간염환자(肝炎患者) 삶의 질(質))

  • Kim, Hun-Soo;Lee, Min-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.1
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    • pp.35-45
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    • 1998
  • Objectives : The purpose of this study was to determine correlation between coping strategies to disease and quality of life in chrome viral B hepatitis patients ; to investigate difference of coping strategies to disease and quality in life between chronic viral B hepatitis patients and normal persons ; and to identify major variables related to quality in life of chronic viral B hepatitis patients. Methods: The authors used Weisman coping strategy scale for measuring coping ability and efficacies, and the questionnaire for measuring quality of life including physical, psychological, social and economical aspects and satisfaction of sexual life was made by authors based on related literatures. Data were collected through questionnaire survey over a period from Sep 15, 1994 to Nov 11, 1994. Subjects served for this study consisted of 94 chronic viral B hepatitis patients visited to department of internal medicine at one general hospital and 100 normal persons visited to one general hospital for routine check up of health. The collected data were analyzed by SAS and the statistical methods for analysis were Chisquare, t-test and multiple regression analysis. Results : 1) It was revealed that coping strategies to disease significantly correlated to individual's quality of life. 2) There was no significant difference in coping strategies to disease between chronic viral B hepatitis patients and normal persons. However, chronic viral B hepatitis patients showed the lower scroes of quality of life in physical, psychological and economical aspects. 3) The most important variables which were influenced upon quality of life were coping strategies to disease and satisfaction of sexual life. That is, the more active coping strategies to diseases and the higher satisfaction of sexual life, consequently the higher quality of life was. Especially male patient group or normal persons showed each other the higher scores of quality of life in physical and psychological area than female group or patient group. 4) No statistically significant difference in coping strategies to disease and quality of life was found between HBeAg positive group and HBeAg negative group. Conclusions : The authors suggest that chronic viral B hepatitis patients may show the lower score of quality of life than normal person. Therefore, quality of life assessment should become an integral part of all clinical area that seek to assess the effectiveness of treatment. Also, through the interdisciplinary approach, a comprehensive paradigm that can better account for the effects of chronic disease on the individual' s quality of life should be developed.

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Numerical Analysis of the Hydraulic Characteristics of a Boundary Layer Streaming over Surf-Zone Using LES and Dynamic Smagorinsky Turbulence Model (LES와 Dynamic Smagorinsky 난류모형을 이용한 쇄파역에서의 경계층 Streaming 수치해석)

  • Cho, Yong Jun
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.32 no.1
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    • pp.69-84
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    • 2020
  • Natural shoreline repeats its re-treatment and advance in response to the endlessly varying sea-conditions, and once severely eroded under stormy weather conditions, natural beaches are gradually recovered via a boundary layer streaming when swells are prevailing after storms cease. Our understanding of the boundary layer streaming over surf-zone often falls short despite its great engineering value, and here it should be noted that the most sediments available along the shore are supplied over the surf-zone. In this rationale, numerical simulation was implemented to investigate the hydraulic characteristics of boundary layer streaming over the surf zone in this study. In doing so, comprehensive numerical models made of Spatially filtered Navier-Stokes Eq., LES (Large Eddy Simulation), Dynamic Smagorinsky turbulence closure were used, and the effects of turbulence closure such as Dynamic Smagorinsky in LES and k-ε on the numerically simulated flow field were also investigated. Numerical results show that due to the intrinsic limits of k-ε turbulence model, numerically simulated flow velocity near the bottom based on k-ε model and wall function are over-predicted than the one using Dynamic Smagorinsky in LES. It is also shown that flow velocities near the bottom are faster than the one above the bottom which are relatively free from the presence of the bottom, complying the typical boundary layer streaming by Longuet-Higgins (1957), the spatial scope where boundary layer streaming are occurring is extended well into the surf zone as incoming waves are getting longer. These tendencies are plausible considering that it is the bottom friction that triggers a boundary layer streaming, and longer waves start to feel the bottom much faster than shorter waves.

Greenhouse Gas Emissions from Soils Amended with Biochar (바이오차르 토양투입에 따른 온실가스 발생 변화 연구)

  • Yoo, Gayoung;Son, Yongik;Lee, Seung Hyun;Yoo, Yena;Lee, Sang Hak
    • Korean Journal of Environmental Biology
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    • v.31 no.4
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    • pp.471-477
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    • 2013
  • Biochar amendment to agricultural soil is regarded as a promising option to mitigate climate change and enhance soil quality. It could sequester more carbon within the soil system and increase plant yield by changing soil physicochemical characteristics. However, sustainable use of biochar requires comprehensive environmental assessment. In this sense, it is important to measure additional greenhouse gas emission from soils after biochar addition. We investigated emissions of $CO_2$, $N_2O$, and $CH_4$ from incubated soils collected from rice paddy and cultivated grassland after amendment of 3% biochar (wt.) produced from rice chaff. During incubation, soils were exposed to three wet-dry cycles ranging from 5~85% soil gravimetric water content (WC) to investigate the changes in effect of biochar when influenced by different water levels. The $CO_2$ emission was reduced in biochar treatment compared to the control at WC of 30~70% both in rice paddy and grassland soils. This indicates that biochar could function as a stabilizer for soil organic carbon and it can be effective in carbon sequestration. The $N_2O$ emission was also reduced from the grassland soil treated with biochar when WC was greater than 30% because the biochar treated soils had lower denitrification due to better aeration. In the rice paddy soil, biochar addition resulted in decrease in $N_2O$ emission when WC was greater than 70%, while an increase was noted when WC was between 30~70%. This increase might be related to the fact that available nutrients on biochar surface stimulated existing nitrifying bacterial community, resulting in higher $N_2O$ emission. Overall results imply that biochar amendment to agricultural soil can stabilize soil carbon from fast decomposition although attention should be paid to additional $N_2O$ emission when biochar addition is combined with the application of nitrogen fertilizer.

Case of Service Design Process for Medical Space Focused on Users (사용자중심 의료공간을 위한 서비스디자인 프로세스의 적용사례)

  • Noh, Meekyung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.21 no.4
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    • pp.27-36
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    • 2015
  • Purpose: Of late, the focus of service design is moving toward emphasizing customer satisfaction and taking users' experience more seriously. In addition to the change in perspective in service design, scholars in this area are paying more attention to service design methodology and process, as well as its theory and real-world case studies. In the case of medical space, there have been few studies in attempting to apply service design methods useful for deriving user-focused results. The author of this paper believes, however, case study-oriented approaches are more needed in this area rather than ones focusing on theoretical aspects. The author hopes thereby to expand the horizon to practical application of spatial design beyond service design methodology. Methods: In order to incorporate the strengths of service design methodology that can reflect a variety of user opinions, this study will introduce diverse tools in the framework of double diamond process. In addition, it will present field cases that successfully brought about best results in medical space design. It will end with summarizing the ideal process of medical space design which is reasonable and comprehensive. Results: Medical service encompasses preventive medicine as well as treatment of existing medical conditions. A study in establishing the platform of medical service design consists of a wide range of trend research, followed by the summary of two-matrix design classification based on results of the trend research. The draft of design process is divided into five stages composed of basic tools for establishing spatial flow lines created by matching service design tools with each stage of space design processes. In all this, most important elements to consider are communication and empathy. When service design is actually applied to space design, one can see that output has reflected the users' needs very well. The service design process for user-oriented medical space can thus be established by interactions on the final outcome and feedback on the results. Implications: One can see that the service design with the hospital at its center produces the result that encompasses the user's needs best. If the user-focused service design process for medical space can be extended to other space designs, the author believes that it would enhance the level of satisfaction for users and minimize trials and errors.

A Review of Research Trend Related to NPS and Suggestion for Research Direction in the Future (국내 비점오염 관련 연구 동향 및 향후 연구방향 제언)

  • Jeon, Jechan;Jung, Jeho;Kim, Yongseok;Kim, Lee-hyung
    • Journal of Wetlands Research
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    • v.20 no.1
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    • pp.80-93
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    • 2018
  • Research trend about nonpoint pollution source(NPS) that have studied since 1980 was divided into 4 categories: 1) runoff characteristics of NPS, 2) treatment technique, 3) LID and green infrastructure(GI), 4) management practices and policy. This study reviews them and recommends the future research direction. The research on runoff characteristics of NPS until 2010 was mainly carried out. But recently, many researchers has been conducting studies on technology development, effect evaluation and field application. Providing best measures on NPS should be tried to conduct studies that many fields such as society, geography, meteorology and environment are fused. But it has not been enough yet. Because the cause material and optimum measures of NPS are different from each other regionally, it is considered that it needs studies to prepare measures and guidelines with regional characteristics rather than a uniform measures and guidelines by the central government. In addition, more comprehensive studies must be carried out to establish rules and regulations to manage NPS not only by government sector but also the private sector.

Clinical Practice Guidelines for the Medical and Surgical Management of Primary Intracerebral Hemorrhage in Korea

  • Kim, Jeong Eun;Ko, Sang-Bae;Kang, Hyun-Seung;Seo, Dae-Hee;Park, Sukh-Que;Sheen, Seung Hun;Park, Hyun Sun;Kang, Sung Don;Kim, Jae Min;Oh, Chang Wan;Hong, Keun-Sik;Yu, Kyung-Ho;Heo, Ji Hoe;Kwon, Sun-Uck;Bae, Hee-Joon;Lee, Byung-Chul;Yoon, Byung-Woo;Park, In Sung;Rha, Joung-Ho
    • Journal of Korean Neurosurgical Society
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    • v.56 no.3
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    • pp.175-187
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    • 2014
  • The purpose of this clinical practice guideline (CPG) is to provide current and comprehensive recommendations for the medical and surgical management of primary intracerebral hemorrhage (ICH). Since the release of the first Korean CPGs for stroke, evidence has been accumulated in the management of ICH, such as intracranial pressure control and minimally invasive surgery, and it needs to be reflected in the updated version. The Quality Control Committee at the Korean Society of cerebrovascular Surgeons and the Writing Group at the Clinical Research Center for Stroke (CRCS) systematically reviewed relevant literature and major published guidelines between June 2007 and June 2013. Based on the published evidence, recommendations were synthesized, and the level of evidence and the grade of the recommendation were determined using the methods adapted from CRCS. A draft guideline was scrutinized by expert peer reviewers and also discussed at an expert consensus meeting until final agreement was achieved. CPGs based on scientific evidence are presented for the medical and surgical management of patients presenting with primary ICH. This CPG describes the current pertinent recommendations and suggests Korean recommendations for the medical and surgical management of a patient with primary ICH.

Trends in Child Sexual Abuse Literature -Articles Published from 2000 to 2008- (아동성학대 연구 경향 -2000~2008에 발표된 국내외 주요 학술지 논문을 중심으로-)

  • Yoon, Hye-Mee
    • Journal of the Korean Society of Child Welfare
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    • no.32
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    • pp.129-160
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    • 2010
  • This paper provides a review of research in the area of child(hood) sexual abuse. Particularly, the paper focuses on understanding the direction of research trends in Korea on this topic by evaluating the methodological changes, diversity of topics, and factors associated with research participants. The systemic, comprehensive review includes 28 articles in 14 primary Korean Journals and 261 articles in "Child Abuse and Neglect" and "Child Maltreatment" published from 2000 to 2008. Foci of the reviewing process were; (1) Do the transition of research methods follow scientific saturation? (2) What are the main subject areas of the field? (3)Who are the research participants and from where were they recruited? The review finds that overall, the number of CSA studies fluctuated in early 2000, but remained stable which means that academic interests have remained along with the social concern. The Korean CSA studies are imbalanced in terms of scientific saturation. Studies with theoretical methods are short in numbers, but there is a rapidly growing number of research using qualitative approaches. The review also highlights that most quantitative research utilized cross-sectional survey methodology. The major research themes that were most frequently found were studies on factors associated with CSA and evaluation of treatment modalities. However, research on perpetrators and measurement scale development were rather rare. In the CA&N and CM articles, study participants are frequently recruited from mental health clinics or related social agencies. Korean samples usually come from schools than communities and young children and their mothers seem to be excessively represented. Balanced research efforts are strongly suggested.

Endothelial-specific deletion of Ets-1 attenuates Angiotensin II-induced cardiac fibrosis via suppression of endothelial-to-mesenchymal transition

  • Xu, Lian;Fu, Mengxia;Chen, Dongrui;Han, Weiqing;Ostrowski, Michael C.;Grossfeld, Paul;Gao, Pingjin;Ye, Maoqing
    • BMB Reports
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    • v.52 no.10
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    • pp.595-600
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    • 2019
  • Cardiac fibrosis is a common feature in chronic hypertension patients with advanced heart failure, and endothelial-to-mesenchymal transition (EndMT) is known to promote Angiotensin II (Ang II)-mediated cardiac fibrosis. Previous studies have suggested a potential role for the transcription factor, ETS-1, in Ang II-mediated cardiac remodeling, however the mechanism are not well defined. In this study, we found that mice with endothelial Ets-1 deletion showed reduced cardiac fibrosis and hypertrophy following Ang II infusion. The reduced cardiac fibrosis was accompanied by decreased expression of fibrotic matrix genes, reduced EndMT with decreased Snail, Slug, Twist, and ZEB1 expression, as well as reduced cardiac hypertrophy and expression of hypertrophy-associated genes was observed. In vitro studies using cultured H5V cells further confirmed that ETS-1 knockdown inhibited $TGF-{\beta}1$-induced EndMT. This study revealed that deletion of endothelial Ets-1 attenuated Ang II-induced cardiac fibrosis via inhibition of EndMT, indicating an important ETS-1 function in mediating EndMT. Inhibition of ETS-1 could be a potential therapeutic strategy for treatment of heart failure secondary to chronic hypertension.