• Title/Summary/Keyword: Jang Hoon

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DENTAL TREATMENT FOR A PATIENT WITH WILLIAMS SYNDROME UNDER GENERAL ANESTHESIA: CASE REPORT (윌리엄스 증후군(Williams syndrome) 환자의 전신마취 하 치과치료 : 증례보고)

  • Seo, Meekyung;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.1
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    • pp.17-21
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    • 2018
  • Williams syndrome (WS) is a rare congenital disorder which is caused by microdeletion of approximately 1.6 MBP from the long arm of chromosome 7 at 7q11.23. It is characterized by cardiovascular anomalies, elfin face and mental retardation. The most typical oral signs in patient with WS are hypodontia, reduced mesio-distal dimensions both in the primary and permanent teeth, macroglossia, excessive interdental spacing, enamel hypoplasia and enamel hypomineralization. The majority of children with WS have mild to moderate mental retardation, generalized anxiety disorder, hyperactivity disorder and sensitivity to sounds. The purpose of this presentation is to describe dental treatment for a child with WS. A 9-year-old boy diagnosed with WS had caries on his first permanent molars. Because of the poor cooperation, these teeth were filled temporarily with glass ionomer, and treatment under general anesthesia was planned. Under general anesthesia, caries treatment of first permanent molar and extraction of primary molar was successfully performed and there was no postoperative complications related to general anesthesia. Open bite, hypodontia, excessive dental space, enamel hypoplasia, enamel hypomineralization were observed which were characteristic in WS.

DENTAL TREATMENT OF A PATIENT WITH CATCH22 SYNDROME UNDER GENERAL ANESTHESIA: A CASE REPORT (CATCH22 syndrome 환아의 전신마취 하 치아우식 치료: 증례보고)

  • Kim, Min Jin;Song, Ji-Soo;Shin, Teo Jeon;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Hyun, Hong-Keun
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.1
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    • pp.36-40
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    • 2018
  • CATCH22 syndrome or DiGeorge syndrome is a medical acronym of cardiac defects, abnormal facial appearances, thymic hypoplasia, cleft palate, and hypocalcemia. Patients with CATCH22 syndrome are susceptible to infection due to an absent or hypoplastic thymus and often have difficulties in maintaining good oral hygiene, which may require dental treatment. We present a case of dental treatment for the uncooperative child with CATCH22 syndrome under general anesthesia. A 4-year-old, 14.8 kg boy with CATCH22 syndrome visited Seoul National University Dental Hospital for dental check up. The patient had multiple caries requiring dental treatment. He experienced the corrective heart surgery due to Tetralogy of Fallot a few years ago. General anesthesia was planned because his heart rate and vital sign had shown unstable during the previous conscious sedation procedure. Dental restorative treatments were successfully performed and no complications were observed during and after the procedure. Safe and effective dental management of the patients with CATCH22 syndrome could be performed with the help of general anesthesia and careful monitoring.

DENTAL TREATMENT OF A PATIENT WITH LENNOX-GASTAUT SYNDROME UNDER GENERAL ANESTHESIA: CASE REPORT (Lennox-Gastaut syndrome 환아의 전신마취 하 치아우식 치료: 증례보고)

  • Suh, Heewon;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Lee, Sang-Hoon;Jang, Ki-Taeg
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.1
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    • pp.22-25
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    • 2018
  • Lennox-Gastaut syndrome (LGS) is one of the most severe epileptic encephalopathies of childhood onset. It is characterized by multiple types of generalized seizures, slowness of intellectual growth, and specific electroencephalogram pattern. It is one of the most difficult epilepsy syndromes to treat and is frequently resistant to treatment. In this case report, we report a case of dental treatment under general anesthesia in a child with LGS. A 4-year-6-month old boy with LGS visited Seoul National University Dental Hospital for dental treatment. Dental treatment was planned under general anesthesia because of his medical condition. Treatment was successfully done without any postoperative complications. If a LGS patient requires dental treatment, a treatment plan should be established to take into account the degree of seizure, the medication being used, and the cooperation of the patient. If the degree of seizure is severe and the patient's cooperation is poor, dental treatment under general anesthesia would be advantageous.

Cyclic Loading Test for Shear Strength of Low-rise RC Walls with Grade 550 MPa Bars (550 MPa 급 철근을 적용한 낮은 철근콘크리트 벽체의 전단강도를 위한 반복하중 실험)

  • Park, Hong-Gun;Lee, Jae-Hoon;Shin, Hyun-Mock;Baek, Jang-Woon
    • Journal of the Korea Concrete Institute
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    • v.25 no.6
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    • pp.601-612
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    • 2013
  • In the construction of nuclear power plants using massive walls, the use of high-strength re-bars for shear design is necessary to enhance the constructability and economy. In this study, low-rise walls (aspect ratio of 1.0) with grade 550 MPa bars were tested under cyclic loading to investigate the shear capacity and deformation capacity. The test parameters were the grade of horizontal re-bars (550 MPa, 420 MPa), strength of concrete compressive strength (46 MPa, 70 MPa), horizontal/vertical reinforcement ratio, use of lateral confinement hoops, shape of cross section, and failure modes (shear failure before or after flexural yielding). The test results were compared with those of walls with grade 420 MPa bars and predicted strength by current design codes. The results showed that the shear strength of the walls with 550 MPa bars was comparable to that of the walls with 420 MPa bars though the safe margin slightly decreased. ACI 349 provides underestimated shear strength for the walls with 550 MPa bars. In case of the wall with flexural yielding, a large deformation capacity was achieved. This result indicates that the ACI 349 provisions can be safely applied to seismic design of the low-rise walls (aspect ratio of 1.0) with grade 550 MPa bars.

Material Performance Evaluation of PolyUrea for Structural Seismic Retrofitting (구조물 내진 보강용 폴리우레아의 재료 성능 평가)

  • Cho, Chul-Min;Choi, Ji-Hun;Rhee, Seung-Hoon;Kim, Tae-Kyun;Kim, Jang-Ho Jay
    • Journal of the Korea Concrete Institute
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    • v.29 no.2
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    • pp.131-139
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    • 2017
  • Recently, earthquakes have frequently occurred near Korean peninsula. An experimental study is needed for developing a reinforcing method for seismic strengthening to apply to RC structures. Recently, PolyUrea (PU) as structural reinforcement materials has been receiving great interest from construction industry. The reinforcing effect of PU appeared to be excellent under blast and impact as well as earthquakes. In this study, Flexible Type PolyUrea (FTPU) developed in preceding studies was modified to develop Stiff Type PolyUrea (STPU) by varying the ratio of the components of prepolymer and hardener of FTPU. The material performance evaluation has been performed through hardening time, tensile strength and percent elongation test, pull-off test, and shore hardness test. The experimental results showed that STPU has higher tensile strength and lower elongation than FTPU. Therefore, STPU coating agent can be used for semi-permanent products. By using STPU with Fiber-Reinforced Polymer (FRP) on concrete columns, confinement effect can be enhanced to maximize seismic strength and ductility.

Performance Analysis and Compensation of FH/SC-FDMA System for the High-Speed Communication in Jamming Channel (재밍 채널에서 고속 통신을 위한 주파수 도약 SC-FDMA 통신 시스템의 성능 분석과 보상)

  • Kim, Jang-Su;Jo, Byung-Gak;Baek, Gwang-Hoon;Ryu, Heung-Gyoon
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.20 no.6
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    • pp.551-561
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    • 2009
  • FH system is very robust to the jamming interference. OFDM system is very good for the high speed communication system. But, it has high PAPR. SC-FDMA system based on OFT-spread OFDM was proposed to reduce high PAPR. Therefore, in this paper, we like to introduce the FH system into SC-FDMA system, which can be best solution to the jamming hostile environment and for the high power efficiency. Also, OFDM is very sensitive to ICI. Especially, ICI generated by frequency offset and phase noise breaks the orthogonality among sub-carriers, which seriously degrades the system performance. We analyze the performance of the FH SC-FDMA system in the PBJ and MTJ channel. In this paper, the ICI effects caused by phase noise, frequency offset and Doppler effects are analyzed and we like to propose the PNFS algorithm in the equalizer to compensate the ICI influences. Through the computer simulations, we can confirm the performance improvement.

Foreign Case Analysis and Implications for Risk Assessment of Industrial Insects (산업곤충 위해성 평가를 위한 국외사례 분석 및 시사점)

  • Yoo, Mi-Na;Jang, Ki-Jung;Hwang, Jung-Hoon;Park, Yong-Ha;Ro, Tae Ho
    • Journal of Environmental Policy
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    • v.13 no.4
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    • pp.135-159
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    • 2014
  • Industrial insect is defined as the insect utilized in industries that creates added value. Most of the industrial insects used in Korea are exotic species that are introduced through artificial means. Despite the rapid expansion of market for industrial insects, the system for risk assessment of industrial insects is not being adequately conducted. Although Korea carries out a risk assessment for the species designated as disease and insect pest by Animal and Plant Quarantine Agency, far too little consideration is being given to overall ecosystem, as the control system is covered in the Plant Quarantine Law. To solve this problem, we analyzed the Korean risk assessment system and looked at systems in other countries. The results show that it is essential for stakeholders to reach an agreement to set up fundamental directions for the system. Unless the integration system of taxonomical and ecological information is prepared, the ecological risk assessment should be conservative to protect ecosystems and should also follow the precautionary principle. It also requires cooperation among the ministries. In addition, the results indicated that a differentiation between risk assessment and screening is urgent. Several solutions such as setting up clear objectives in both assessment and screening stages, target species, steering organization and assessment criteria assessment systems from were proposed as practical institutional strategies. Among many foreign countries the assessment system from Ireland equally considers various factors such as economical, ecological safety and management aspects, It is also based on precautionary principle to fulfil its original purpose. It was suggested that the Ireland system would be the best reference that can be modified and applied into the Korean system by considering distinct characteristics of the industrial insects.

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Evaluation of Mucosal Immunity in BTBR T+tf/J Mice Resembling Autism Spectrum Disorder (자폐증 유사증상 발현 마우스의 점액 면역에 대한 연구)

  • Hwang, So Ryeon;Jo, Ji Hoon;Shin, Kyeong Min;Jang, Yun Young;Kim, Ji Youn;Yeo, Kyeong Uk;Kim, Hyoung Ah;Heo, Yong
    • Journal of Environmental Health Sciences
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    • v.38 no.6
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    • pp.541-549
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    • 2012
  • Objectives: This study was undertaken in order to evaluate a potential mechanism involved in gastro-intestinal problems observed in autistic subjects and uses an animal model of autism investigation. Methods: BTBR T+tf/J, a mouse strain with typical socio-behavioral characteristics of autistic subjects and FVB mice with highly social behaviors as the control strain were used. Both genders of mice aged three weeks and six months were used from four separate litters for each strain. Serum was prepared following cardiac puncture, and mesenteric lymph nodes were collected for in vitro stimulation and enumeration of major immune cell proportion. Results: The level of serum IgA was significantly enhanced in six-month-old BTBR mice compared with three-week-old BTBR, which was not observed with the FVB control mice. The serum IgE level was also higher among BTBR mice than among age-sex matched FVB mice, respectively. Considering the ratio of interleukin-4 vs interferon-gamma production from mesenteric lymph node T cells, skewedness toward type-2 reactivities was observed. In addition, the proportion of B cells in mesenteric lymph nodes was significantly higher in BTBR mice than in FVB mice. Conclusion: Upregulation of mucosal immunity related with enhanced type-2 immune reactivity observed in BTBR mice could be involved with the etiology of gastro-intestinal abnormalities in autism.

Forecasting the Sea Surface Temperature in the Tropical Pacific by Neural Network Model (신경망 모델을 이용한 적도 태평양 표층 수온 예측)

  • Chang You-Soon;Lee Da-Un;Seo Jang-Won;Youn Yong-Hoon
    • Journal of the Korean earth science society
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    • v.26 no.3
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    • pp.268-275
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    • 2005
  • One of the nonlinear statistical modelling, neural network method was applied to predict the Sea Surface Temperature Anomalies (SSTA) in the Nino regions, which represent El Nino indices. The data used as inputs in the training step of neural network model were the first seven empirical orthogonal functions in the tropical Pacific $(120^{\circ}\;E,\;20^{\circ}\;S-20^{\circ}\;N)$ obtained from the NCEP/NCAR reanalysis data. The period of 1951 to 1993 was adopted for the training of neural network model, and the period 1994 to 2003 for the forecasting validation. Forecasting results suggested that neural network models were resonable for SSTA forecasting until 9-month lead time. They also predicted greatly the development and decay of strong E1 Nino occurred in 1997-1998 years. Especially, Nino3 region appeared to be the best forecast region, while the forecast skills rapidly decreased since 9-month lead time. However, in the Nino1+2 region where they are relatively low by the influence of local effects, they did not decrease even after 9-month lead time.

Characteristics of CL-SPEEK/HPA Membrane Electrodes with Pt-Ni and Pt-Co Electrocatalysts for Water Electrolysis (전극 촉매 Pt-Ni 및 Pt-Co를 이용한 수전해용 공유가교 CL-SPEEK/HPA 막전극의 특성)

  • Woo, Je-Young;Lee, Kwang-Mun;Jee, Bong-Chul;Chung, Jang-Hoon;Moon, Sang-Bong;Kang, An-Soo
    • Journal of Hydrogen and New Energy
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    • v.21 no.1
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    • pp.26-34
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    • 2010
  • The electrocatalystic prperties of Pt-Co and Pt-Ni with heteropolyacids (HPAs) entrapped in covalently cross-linked sulfonated poly(ether ether ketone) (CL-SPEEK)/HPA membranes were investigated for water electrolysis. The HP As, including molybdophosphoric acid (MoPA), and tungstophosphoric acid (TPA) were both used as membrane additives and electrocatalysts. The membrane electrode assembly (MEA) was prepared by a nonequilibrium impregnation-reduction (I-R) method. $Pt(NH_3)_4Cl_2$, $NiCl_2$ and $CoCl_2$ as electrocatalytic materials and $NaBH_4$ as reducing agent were used. I order to enhance electrocatalytic activity, the catalyst layer prepared above was electrodeposited (Dep) with HP A. Surface morphologies and physico-chemical properties of MEA were investigated by means of SEM, EDX and XRD. The electrocatalytic properties of composite membranes such as the cell voltage and coulombic charge in CV were in the order of magnitude: CL-SPEEK/MoPA40 (wt%) > CL-SPEEK/TPA30 > Nafion117. In the optimum cell applications for water electrolysis, the cell voltage of Pt/CL-SPEEK-MoPA40/Pt-Co (Dep-MoPA) and Pt/CL-SPEEK-TPA30/Pt-Co (Dep-TPA) was 1.75 Vat $80^{\circ}C$ and $1\;A/cm^2$ and voltage efficiency was 87.1%. Also, the observed activity of Pt-Co (84:16 atomic ratio by EDX) is a little higher than that of Pt-Ni (86: 14). The current density peak of electrodeposited electrodes were better a little than those of unactivated electrodes based on the same membranes.