• Title/Summary/Keyword: Jang Hoon

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Treatment of Mid-trimester Oligohydramnios Using Gami-danggui-san (임신중기(姙娠中期)에 나타난 양수과소증(oligohydramnios)에 가미당귀산(加味當歸散)을 투여하여 효과를 보인 증례보고)

  • Kim, Hyo-Jung;Kim, Eun-Seop;Jin, Dae-Hwan;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.1
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    • pp.85-93
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    • 2019
  • Objectives: The aim of this study was to demonstrate the benefit of Traditional Korean Medicine as an adjuvant therapy in management of mid-trimester oligohydramnios. Methods: It is a case report of a 31 year-old woman hospitalized for oligohydramnios at $24^{+4/7}$weeks of gestation. This patient diagnosed with special oligohydramnios had no abnormal findings such as fetal urinary abnormalities or other anomalies. Also, symptom of PPROM (preterm premature rupture of membrane) was not confirmed. The decoction, Gami-danggui-san (DG) was prescribed for the purpose of reducing unnecessary contraction of uterine muscle during pregnancy and promoting blood circulation and metabolism, thereby improving placental function and contributing to the increase of the fluid. DG decoction was administered twice a day until 19th of June, which was 10 days in total. During the treatment, level of amniotic fluid had been monitored by measuring AFI (amnioti fluid index). Results: After these conventional therapies, the amount of amniotic fluid increased steadily, and eventually reached the optimal level. AFI was found to be 3.2 on the $24^{+4/7}$ weeks, 8 on the $26^{+1/7}$ weeks, 11.5 on the $27^{+0/7}$ weeks of gestation. In the same periods, EFW (expected fetal weight) was also found to be increasing gradually: 545 g, 630, and 760 g. Conclusions: Our report implies the potential of herbal medicine as a effective therapy for oligohydramnios tratment. Further studies are needed to assess the efficacy of TKM herbal medicine and reveal the mechanisms of the decoction.

A Study On the Effects of Recognition Structure Change of Organization According to the BCMS Introduction in Smart Industry (Focused on Manufacturing Industries of Automobile Parts) (스마트 기업의 BCMS 도입이 조직 인식구조 변화에 미친 영향에 관한 연구 (자동차 부품 제조업 중심으로))

  • Cho, Ki Hoon;Kim, Dong Heon;Jang, Ho Jin
    • Journal of Korean Society of Disaster and Security
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    • v.11 no.2
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    • pp.9-15
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    • 2018
  • From natural disasters such as floods, heavy rains, and strong winds and social disasters such as 911 U.S. terrorism and cyber attacks that could have a fatal impact on corporate continuity, it is necessary to introduce and implement a Business Continuity Management System (BCMS) within a firm to maintain continuity of business and to change the organizational structure for an emergency state in order to operate and manage it systematically and efficiently. therefore, this study analyzed and verified the impact of introducing a Business Continuity Management System (BCMS) on the change in the recognition structure of an organization in four categories, including personal recognition, organizational culture, organizational structure, and organizational strategy, in order to analyse the impact and effect of introducing a Business Continuity Management System (BCMS) on the change in the recognition structure of each category. through this study, we believe that the introduction of a Business Continuity Management System (BCMS) within a firm could effectively change the organization's perception of an emergency state and help it maintain its continuity as well as improve its value.

Test and Evaluation for GNSS based Lane Level Precise Positioning User System (위성항법 기반 차로구분 정밀위치결정 사용자 시스템 시험 평가)

  • Lee, Jung-Hoon;Lee, Sangwoo;Ahn, Jongsun;Im, Sunghyuck;Choi, Yunseong;Jang, Youngsu;Lee, Dongchul;Heo, Moon-Beom
    • Journal of Advanced Navigation Technology
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    • v.22 no.6
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    • pp.566-576
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    • 2018
  • The C-ITS requires the lane level positioning of the vehicle in the land transportation environment, and it is most effective to utilize the GNSS. In the precision positioning system based on satellite navigation, the evaluation of dynamic environment of lane level positioning performance should be accompanied and the evaluation system configuration should be preceded. In this paper, we selected performance indicators, assessment equipment, and reliability of reference equipment for evaluation of precision positioning user systems based on the GNSS. The performance evaluation system described above is applied to a real system, and the performance evaluation tool developed for the evaluation system is described. The numerical performance evaluation was carried out based on the data collected by carrying out the actual testbed driving. The performance evaluation by the actual driving trajectory and driving image comparison was performed to derive and analyse the evaluation results of the vehicle lane level positioning user system.

Predict DGPS Algorithm using Machine Learning (기계학습을 통한 예측 DGPS 항법 알고리즘)

  • Kim, HongPyo;Jang, JinHyeok;Koo, SangHoon;Ahn, Jongsun;Heo, Moon-Beom;Sung, Sangkyung;Lee, Young Jae
    • Journal of Advanced Navigation Technology
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    • v.22 no.6
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    • pp.602-609
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    • 2018
  • Differential GPS (DGPS) is known as a positioning method using pseudo range correction (PRC) which is communicating between a refence receiver and moving receivers. In real world, a moving receiver loses communication with the reference receiver, resulting in loss of PRC real-time communication. In this paper, we assume that the transmission of the pseudo range correction isinterrupted in the middle of real-time positioning situations, in which calibration information is received in the DGPS method. Under the disconnected communication, we propose 'predict DGPS' that real-time virtual PRC model which is modeled by a machine learning algorithm with previously acquired PRC data from a reference receiver. To verify predict DGPS method, we compared and analyzed positioning solutions acquired from real PRC and the virtual PRC. In addition, we show that positioning using the DGPS prediction method on a real road can provide an improved positioning solution assuming a scenario in which PRC communication was cut off.

Determination of Location and Depth for Groundwater Monitoring Wells Around Nuclear Facility (원자력이용시설 주변의 지하수 감시공의 위치와 심도 선정)

  • Park, Kyung-Woo;Kwon, Jang-Soon;Ji, Sung-Hoon
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.17 no.2
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    • pp.245-261
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    • 2019
  • Radioactive contaminant from a nuclear facility moves to the ecosystem by run-off or groundwater flow. Among the two mechanisms, contaminant plume through a river can be easily detected through a surface water monitoring system, but radioactive contaminant transport in groundwater is difficult to monitor because of lack of information on flow path. To understand the contaminant flow in groundwater, understanding of the geo-environment is needed. We suggest a method to decide on monitoring location and points around an imaginary nuclear facility by using the results of site characterization in the study area. To decide the location of a monitoring well, groundwater flow modeling around the study area was conducted. The results show that, taking account of groundwater flow direction, the monitoring well should be located at the downstream area. Also, monitoring sections in the monitoring well were selected, points at which groundwater moves fast through the flow path. The method suggested in the study will be widely used to detect potential groundwater contamination in the field of oil storage caverns, pollution by agricultural use, as well as nuclear use facilities including nuclear power plants.

Construction Methodology for Chum-Sung-Dae Validation through the Present Configuration (첨성대 건립에 대한 시공방법론 첨성대의 얼개를 통한 논증)

  • Kim, Jang Hoon;Park, Sang Hun
    • Korean Journal of Heritage: History & Science
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    • v.42 no.2
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    • pp.40-61
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    • 2009
  • A new construction methodology has been proposed on a scientific basis to reason a rational explanation for the structure and the present configuration of Chum-Sung-Dae. This is because there is no way to otherwise explain the gap between our expectation that the people in Shilla are assumed to be and the problems, such as the use of a temporary supporting structure including falsework, the use of a conveying device for stonework and the practice of soil fill, raised when the construction method in nowadays is applied to the structure. Furthermore, it is because the questions, such as the difference of an azimuth angle between the southward opening and the square podium, the skewed circular plan in layers of the body, misalignment between neighboring layers of the body, disagreement between the inclination due to slight sidesway and the eccentricity in each layer of the circular body, perfectly aligned vertical and horizontal joints and the existence of soil fill, raised from the present configuration of Chum-Sung-Dae, also require a reasonable explanation based on scientific evidences, if any. Therefore, the proposed new construction methodology, in which the soil hill outside as well as the soil fill inside the Chum-Sung-Dae may have been utilized as a temporary scaffolding system for construction, is the highly probable one that the builders of Chum-Sung-Dae might have inevitably employed. The existence of great tombs, scattered in Hwang-Nam-Dong close to Chum-Sung-Dae, implies that the people of Shilla might have accepted the proposed new construction methodology as a natural one.

DENTAL MANAGEMENT OF A PATIENT WITH MOYAMOYA DISEASE UNDER GENERAL ANESTHESIA: CASE REPORT (모야모야병(moyamoya disease) 환자의 전신마취 하 치과치료: 증례보고)

  • Chae, Jong Kyun;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.15 no.1
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    • pp.40-44
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    • 2019
  • Moyamoya disease (MMD) is a chronic, occlusive cerebrovascular disease of unknown etiology characterized by progressive stenosis at the terminal portion of the internal carotid artery and an abnormal vascular network at the base of the brain. The clinical presentations of MMD include transient ischemic attacks (TIA), ischemic stroke, hemorrhagic stroke, seizures, headache, and cognitive impairment. MMD is the most important cause of stroke or TIA in children in East Asian countries. A 5-year-3-month old boy with MMD experienced cerebral infarctions five times. Cerebrovascular anastomosis surgery was performed on him four years ago. He had dysphagia, developmental delay, hemiplegia, and strabismus. Besides, a number of dental caries in primary dentition were identified during clinical oral examination. Dental treatment under general anesthesia using sevoflurane was performed due to his lack of cooperation and underlying systemic disease. MMD is associated with various medical diseases requiring thoughtful consideration during dental treatment. Crying and hyperventilation in MMD patients may cause hypocapnia and have a cerebral vasoconstrictive effect. If dental treatment is required, control of pain and anxiety is very important. General anesthesia may be considered for dental treatment in uncooperative or very young patients with MMD.

DENTAL TREATMENT IN A PATIENT WITH CONGENITAL PANHYPOPITUITARISM UNDER GENERAL ANESTHESIA (선천성 범뇌하수체저하증(Congenital panhypopituitarism) 환자의 전신마취 하 치과치료)

  • Kim, Hyuntae;Song, Ji-Soo;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Shin, Teo Jeon
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.70-73
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    • 2019
  • Congenital panhypopituitarism is an uncommon condition, present from birth, characterized by the decreased secretion of most of the hormones produced by the pituitary. The purpose of this case report is to present a case about caries treatment of a 26-month-old female patient with congenital panhypopituitarism under general anesthesia. A 26-month-old girl with congenital panhypopituitarism visited Seoul National University Dental Hospital for caries treatment of anterior primary teeth. Because of the child's age and underlying systemic disease, dental treatment under general anesthesia was considered. Prior to the dental procedure, 30mg of cortisol was administered intravenously in order to prevent possible adrenal crisis by stressful events. The dental procedure was successfully performed under general anesthesia. This case report suggests that general anesthesia may be useful for the dental treatment with congenital panhypopituitarism. Hormone deficiency should be assessed prior to dental procedure and, if necessary, stress hormone replacement therapy should be considered.

DENTAL TREATMENT OF A PATIENT WITH BARTTER SYNDROME: CASE REPORT (Bartter 증후군 환아의 치아우식 치료: 증례보고)

  • Kim, Minji;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.15 no.1
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    • pp.45-49
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    • 2019
  • Bartter syndrome is an inherited renal tubular disorder characterized by hypokalemia, hypochloremic metabolic alkalosis, hyperreninemia, hyperprostaglandinism, and normal blood pressure. Bartter syndrome is classified by neonatal and classic type. Clinical manifestation of Bartter syndrome considered in dental treatment include tendency to dehydration, vomiting and erosion, attrition and abrasion of the teeth. A 2-year-4 month old boy with Bartter syndrome type III was referred to the Seoul National University Dental Hospital for dental evaluation and treatment. He showed hypokalemic hypochloremic metabolic alkalosis and had been treated with indomethacin and potassium chloride. He had hypocalcified teeth with or without multisurface caries lesions in all dentition and the erosion of maxillary teeth was detected. Dental procedure under general anesthesia was scheduled due to multiple caries and his medical condition. The dental procedure was successfully performed. This case suggests that electrolyte imbalances need to be treated prior to dental treatment and complete coverage restoration is necessary to protect the eroded teeth. An appropriate management plan for the patients with Bartter syndrome should include considerations of the need for close interaction with the pediatrician for pre- and post-operative care. General anesthesia may be recommendable to manage the patients having multiple caries with Bartter syndrome.

DENTAL TREATMENT OF A PATIENT WITH PIERRE ROBIN SEQUENCE UNDER GENERAL ANESTHESIA: A CASE REPORT (Pierre Robin Sequence 환아의 전신마취 하 치과 치료 증례 보고)

  • Rhee, Sophia;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.15 no.1
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    • pp.55-59
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    • 2019
  • Pierre Robin sequence(PRS) is characterized by a triad of clinical signs: micrognathia, glossoptosis and cleft palate. These anatomical deformities of PRS predispose patients to respiratory problems and feeding difficulties at birth. Maintaining oral hygiene and enduring dental treatment are complicated by their general conditions of PRS patients. We present a case of dental treatment of PRS patient under general anesthesia. A 3-year-old boy with PRS visited Seoul National University Dental Hospital for caries treatment. Clinical and radiographic examinations revealed multiple carious lesions. Considering the patient's medical condition and compliance of treatment, dental treatment under general anesthesia was decided. Despite expected challenges of managing the airway of the patient, intubation was performed successfully. The patient was treated with pulp treatments and restorations using composite resin and stainless steel crowns. No complications were observed during and after the procedure.