• Annals of Clinical Neurophysiology
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• 제4권2호
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• pp.119-124
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• 2002

Background : Guillain-$Barr{\acute{e}}$ syndrome(GBS) is a neurologically emergent condition, leading to respiratory insufficiency without an early and appropriate treatment. Thus, the treatment of GBS requires early diagnosis but it is difficult due to the low sensitivity of laboratory tools in the initial stage. Hoffman reflex (H-reflex) and its facilitation by Jendrassik maneuver (JM) are sensitive tools evaluating the central circuit of motor system on the spinal cord level. The aim of this study is to test whether the change of H-reflex and F-wave under the JM is able to detect the early stage of GBS and whether GBS involves the central nervous system (CNS). Material and Methods : All 7 GBS patients who showed normal or nearly normal nerve conduction study were included. The facilitation of H-reflex and changes of F-wave were calculated by measuring the percent difference of H-reflex or F-wave amplitude under JM compared to basal H-reflex of F-wave amplitude. The changes of F-wave and H-reflex in the GBS patients were compared with them of 8 healthy controls. Results : The F-wave amplitudes of both healthy controls and GBS patients did not changed under the influence of JM ($102.4{\pm}24.9%$, $108.7{\pm}29.0%$ respectively). However, the facilitation of H-wave by JM in the GBS patients was absent ($98.8{\pm}5.8%$), even though the H-reflex amplitude I the healthy controls increased under the influence of JM ($124.8{\pm}12.1%$). Conclusions : The loss of H-reflex facilitation in GBS implies that this phenomenon might be the most early change detected in the electrophysiological study and support the early diagnosis, and that GBS might include lesion in the spinal motor CNS.

• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3163-3167
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• 2014

Background: Breast-conserving surgery (BCS) plus radiotherapy is equivalent to modified radical mastectomy (MRM) in terms of outcome. However there is wide variation in mastectomy rates dependent both on tumour and patient characteristics. Objective: This study aimed to assess the determinants of surgery choice in Asian patients with early breast cancer in a middle-income country. Materials and Methods: 184 patients with early breast cancer treated between Jan 2008 and Dec 2010 were recruited to complete a questionnaire. Chi-square test was used to analyze the association between surgery choice and demographic and tumour factors, surgeon recommendation, family member and partner opinions, fear of recurrence, avoidance of second surgery, fear of disfigurement, interference with sex life, fear of radiation and loss of femininity. Results: 85 (46%) had BCS while 99 (54%) had mastectomy. Age >60, Chinese ethnicity, lower education level, and larger tumour size were significantly associated with mastectomy. Surgeon recommendation was important in surgery choice. Although both groups did not place much importance on interference with sex life, 14.1% of the BCS group felt it was very important compared to 5.1% in the mastectomy group and this was statistically significant. There was no statistical difference between the two groups in terms of the other factors. When analyzed by ethnicity, significantly more Malay and Indian women considered partner and family member opinions very important and were more concerned about loss of femininity compared to Chinese women. There were no statistical differences between the three ethnic groups in terms of the other factors. Conclusions: When counseling on surgical options, the surgeon has to take into account the ethnicity, social background and education level, age and reliance on partner and family members. Decision-making is usually a collective effort rather than just between the patient and surgeon, and involving the whole family into the process early is important.

• 대한소아치과학회지
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• 제32권1호
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• pp.26-32
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• 2005

치아 매복이란 여러 가지 이유로 구강 점막이나 악골내에서 치아가 맹출하지 못하고 있는 상태를 의미한다. 상악 중절치 매복의 원인은 치아종, 과잉치, 공간의 상실, 선행유치의 만기잔존 또는 조기상실, 선행유치의 외상으로 인한 치관이나 치근의 기형, 치배의 이소위치 등이 있다. 매복된 상악 중절치의 경우, 측절치가 빠르게 근심으로 이동하여 공간을 상실하고, 정중선의 변이가 발생하며, 낭종을 형성할 가능성도 있다. 따라서, 매복치의 조기 진단과 그에 따른 적절한 처치가 즉각적으로 이루어져야 한다. 일반적으로 매복의 정도가 심하지 않거나, 각화조직에 의해 매복이 초래된 경우 외과적인 노출만으로도 맹출을 유도할 수 있지만, 외과적인 노출후에 일정기간의 관찰에도 맹출이 되지 않는다거나, 치아의 맹출 방향이 자가 교정될 수 없을 정도로 심하게 변위되어 있는 경우, 매복의 위치가 너무 심부에 있는 경우에는 교정적 견인을 시도하는 것이 바람직하다. 본 증례는 매복된 상악 중절치 중 일정기간의 주기적 관찰후 맹출이 기대되지 않았기에, 교정적으로 견인하여 치료하였으며, 치료후 다소의 지견을 얻었기에 보고하는 바이다.

• 한국정보처리학회논문지
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• 제6권11S호
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• pp.3269-3277
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• 1999

To promote the inclusion of end-to-end congestion control in the design of future protocols using best-effort traffic, we propose a router mechanism, Extended FRED(ex-FRED). In this paper, we catagorize the TCP controlled traffics into robust and fragile traffic and discuss several unfairness conditions between them caused by the diverse applications. For example, fragile traffic from bursty application cannot use its fair share due to their slow adaptation. Ex-FRED modifies the FRED(Fair Random Early Drop), which can show wrong information due to the narrow view of actual buffer. Therefore, Ex-FRED uses per-flow accounting in larger virtual buffer to impose an each flow a loss rate that depends on the virtual buffer use of a flow. The simulation results show that Ex-FRED uses fair share and has good throughput.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 1999년도 봄 학술발표회 논문집(I)
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• pp.89-94
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• 1999

The workability of high strength concrete using high range water reducing admixture is varied rapidly according to elapsed time. For using the high strength concrete in situ, careful caution on workability is necessary. By using fly ash as a admixture, the slump loss of concrete can be reduced considerably, but the early strength of concrete used fly ash is smaller than that not used fly ash. For the purpose of elevating the utilization of fly ash on high strength concrete, the high fluidity retention and the strength development in early age are necessary in concrete used fly ash. In this study, to improve the fluidity retention and to acquire strength development on concrete used fly ash, the gypsum is applied.

• 한국화재소방학회:학술대회논문집
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• 한국화재소방학회 2008년도 춘계학술논문발표회 논문집
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• pp.175-179
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• 2008

This paper studied on the performance variation depending on using period of ionization smoke detector. In korea, there were a lot of loss of lives and property because of fire. In many cases, an alarm equipment didn't operate though it was set up, so it causes the failure of early evacuation and fire suppression. Accordingly, an experiment on the change of ionization smoke detector in capacity performed with ionization smoke detector which is set up with fire objects.

• 대한소아치과학회지
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• 제3권1호
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• pp.7-11
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• 1976

The author measured the degree of development and the eruption pattern of first permanent molars with orthopantomography in 553 Korean children(male; 302, female; 251) from 4 to 9 years old. The orthopantomographs were obtained from dept. of pedodontics, college of dentistry, Seoul National University. The results of the studies were as follows: 1. Upper first permanent molars were erupted with distal inclination of about 30 degrees in the early stage and they gradually moved in the mesial direction by bodily movement of the tooth to be in contact with the disto-proximal surface of primary secondary molars in the late stage. 2. Lower first permanent molars were erupted with mesial inclination in the early stage and moved mesially by tipping movement of the tooth to be in contact with the disto proximal surface of the second primary molars in the late stage. 3. The eruptive forces were considered to be main etiologic factors of space closure after the premature loss of primary molars.

• 천문학회지
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• 제26권1호
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• pp.1-12
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• 1993

In order to explore the time dependence of the closure parameters of the two-fluid calculations for supernova remnants and the terminal shocks of stellar winds, we have considered a simple model in which the time evolution of the cosmic-ray distribution function was followed in the test-particle limit using the Bohm diffusion model. The particles are mostly accelerated to relativistic energy either in the free expansion phase of the SNRs or in the early phase of the stellar winds, so the evolution of the closure parameters during these early stages is substantial and should be followed correctly. We have also calculated the maximum momentum which is limited by either the age or the curvature of these spherical shocks. We found that SNRs expanding into the medium where the gas density decreases with the distance from the explosion center might be necessary to explain the observed power-law distribution of the galactic cosmic rays. The energy loss due to the escaping energetic particles has been estimated for the terminal shocks of the stellar winds.

• 전력전자학회:학술대회논문집
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• 전력전자학회 2014년도 전력전자학술대회 논문집
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• pp.522-523
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• 2014

Analysis of faults in induction motors has become a major field of research due to importance of loss and damage reduction and maximum online performance of motors. There are several methods to analyze the faults in an induction motor from conventional Fourier transform to modern decision-making neural networks. Considering detectability of fault among all methods, a new fault detection solution has been proposed; it is called as frequency-domain Discrete Wavelet Transform (FD-DWT). In this method, the stator current is decomposed through series of low- and high-pass filters and consequently, the fault characteristics are more visible, because additional components have been reduced. The objective of this paper is early detection of input voltage unbalance in induction motor using wavelet transform in frequency domain. Experimental results show the effectiveness of the proposed method in early detection of faults.

• Journal of Genetic Medicine
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• 제11권2호
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• pp.43-48
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• 2014

Chorionic villus sampling has gained importance as a tool for early cytogenetic diagnosis with a shift toward first trimester screening. First trimester screening using nuchal translucency and biomarkers is effective for screening. Chorionic villus sampling generally is performed at 10-12 weeks by either the transcervical or transabdominal approach. There are two methods of analysis; the direct method and the culture method. While the direct method may prevent maternal cell contamination, the culture method may be more representative of the true fetal karyotype. There is a concern for mosaicism which occurs in approximately 1% of cases, and mosaic results require genetic counseling and follow-up amniocentesis or fetal blood sampling. In terms of complications, procedure-related pregnancy loss rates may be the same as those for amniocentesis when undertaken in experienced centers. When the procedure is performed after 9 weeks gestation, the risk of limb reduction is not greater than the risk in the general population. At present, chorionic villus sampling is the gold standard method for early fetal karyotyping; however, we anticipate that improvements in noninvasive prenatal testing methods, such as cell free fetal DNA testing, will reduce the need for invasive procedures in the near future.