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A Study on the Radiographic Diagnosis of Caroli's Disease (카롤리병의 방사선학적 진단에 대한 고찰)

  • Yeo-jin Hong;Min-a Kim;Soo-bin Kim;Jin-joo Song;Kyoung-hoon Jang;Min-cheol Jeon;Man-Seok Han
    • Journal of the Korean Society of Radiology
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    • v.17 no.3
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    • pp.385-392
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    • 2023
  • Caroli's disease is a fibrocystic liver disease. Autosomal recessive disorder is characterized by congenital multiple dilatation of the bile duct. Computerized tomography, magnetic resonance imaging, cholangiography and ultrasound are among the methods for diagnosing caroli disease. Computerized tomography is essential for detecting and distinguishing fibroplastic liver disease and is useful for determining intrahepatic bile duct dilatation. However, awareness of the possible side effects of using contrast mediums is necessary. A typical method of magnetic resonance cholangiography is used for magnetic resonance imaging. A non-invasive examination can reduce the pain of the patient, and the anatomical structure of the bile pancreatic duct and the presence or absence of lesions can be easily and quickly observed. Biliary contrast is an effective diagnostic method that can directly visualize various cystic dilatations throughout the enlarged bile duct. However, since this procedure is also an invasive procedure, it is recommended not for diagnosis but for treatment purposes. Ultrasonography can confirm similar findings to computerized tomography. The hepatic artery root is difficult to prove with conventional grayscale ultrasound. However, it is of clinical value in that it can not only describe dilated bile ducts with vascular roots in the tube but also easily identify color Doppler signals in the tube. With the development of video diagnostics, early diagnosis has become possible through computerized tomography, magnetic resonance imaging, cholangiography, and ultrasound. In order to further contribute to the development of video diagnostics so that long-term prognosis can be improved after treatment through early diagnosis, we examined what aspects of each test's caroli disease appear.

Considerations on ground preparation for the Gimhae Bonghwang-dong Ruins (김해 봉황동 유적 대지조성에 대한 소고(小考))

  • YUN Sunkyung
    • Korean Journal of Heritage: History & Science
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    • v.55 no.4
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    • pp.24-36
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    • 2022
  • The Bonghwang-dong ruins in Gimhae, the central area of Geumgwan Gaya, is presumed to be the site of the royal palace, and excavations have been in progress at the Gaya National Cultural Heritage Research Institute. According to a research conducted by lowering the level to the base layer on the north side of the site, mostly shell layers composed of oysters were confirmed, and soil composed of different material was alternately filled in to form a site construction. In other words, it can be seen that there was work at the site of the Bonghwang-dong ruins that required large-scale labor, such as building ramparts and embankments. There is stratigraphic confusion such as showing different age values in the same shell layer through a chronological analysis of organic matter and charcoal in the sedimentary layer, and deriving a result value in the upper layer ahead of the lower layer. In addition, open-sea diatoms are observed not only in the sedimentary layers, but also the pits. Therefore, it is judged that the soil constituting the ruins was brought from the outside. The Bonghwang-dong ruins are located inside the commonly called Bonghwang earthen ramparts, where many excavation organizations conducted research within the estimated range of the earthen fortifications. As a result, it was found that it was similar to the sedimentary layers of the ruins of the Three Kingdoms Period, which were investigated along with the ruins of Bonghwang-dong. Through this, the surrounding ruins, including those of Bonghwang-dong, were located close to paleo-Gimhae Bay, so it is believed that the soil brought from the surroundings was used to reinforce the ground. As a result of the excavation research on the Bonghwang-dong ruins conducted so far, it was found by sedimentary layer analysis and soil experiments that the ruins were created on stable land. Relics excavated in the sediments of the ruins and carbon dating data show that Bonghwang-dong carried out large-scale civil construction work in the 4th century to build the site, which clearly shows the status of Geumgwan Gaya.

The History of the Josadang and Its Meaning as Seen Through the Murals of Josadang Hall in Buseoksa, Yeoungju (부석사 조사당 신장 벽화를 통해 본 조사당 건립의 배경과 의미)

  • SHIM Yeoung Shin
    • Korean Journal of Heritage: History & Science
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    • v.56 no.1
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    • pp.64-78
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    • 2023
  • This article examines the background and meaning of the construction of Josadang Hall in Buseoksa Temple, Yeongju, by Seolsan Cheonhee(1307~1382) in the late 14th century through the characteristics of the hall's mural. Six guardian deities(the Four Heavenly Kings in the center, Indra and Brahma on each side of the kings) are depicted on the southern wall(location of the entrance) of the Josadang, facing the statue of the great monk Uisang(625~702 AD) on the north wall. This mural is the oldest among Korean temple murals and exhibits very unique characteristics. In general, scenes from the scriptures are depicted on the back wall of the central statue. In contrast, the Josadang mural depicts only the guardian deities facing the main statue with no scene description. The appearance of the deities, who seem to protect the main statue of the monk Uisang, and their expressions, as if drawn from relief statues, are not seen in other murals. Nevertheless, it is similar to the stupas of the Seon(Ch. Chan 禪) sect monks established from the late Silla(57 BC~935 AD) through early Goryeo(918~1392 AD), with guardian deities on their surface. The iconography of the deities is a classic form of the late Silla to early Goryeo. The fact that the Josadang was built to commemorate Uisang, who founded the Korean Hwaeom sect(Ch. Huayan sect, 華嚴宗), and that guardians were placed to protect Uisang's statue reveals the concept of worship for the monk who founded the sect. As a result, the reason Cheonhee built the hall can also be understood as an extension of the ideology behind the construction of the stupas of the Seon sect monks. The problem, however, is that Cheonhee is a monk of the Hwaeom sect, and Buseoksa is a representative temple of the Hwaeom sect, not the Seon sect. Therefore, to better understand the background of the hall's construction, this article examined the situation of Goryeo Buddhism in the 14th century as well as the activities of Seolsan Cheonhee. Since Ganhwa Seon(Ch. Kanhua Chan, 看話禪) was dominant in the 14th century, Cheonhee went to study in the Yuan Dynasty(1271~1368 AD) at the age of 58 and was approved by Chinese Ganhwaseon monks before taking the position of Guksa(國師 national monk). However, he was eventually pushed to Buseoksa Temple, where he worked hard to rebuild it. Cheonhee most likely sought to expand the Hwaeom sect, which had been shrinking compared to the Seon sect, by enhancing power with the reconstruction of Buseoksa. The desire that the Hwaeom sect, which was losing its power due to the rise of the Seon sect in the 14th century, attempted to develop it by building Josadang hall, is well revealed by the Josadang murals.

Flow and Mixing Behavior at the Tidal Reach of Han River (한강 감조구간에서의 흐름 및 혼합거동)

  • Seo, Il Won;Song, Chang Geun;Lee, Myung Eun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.6B
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    • pp.731-741
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    • 2008
  • Previous studies on the numerical simulation at the tidal reach of Han River tend to restrict downstream boundary as Jeon-ryu station due to difficulties in gaining cross section data and tidal elevation values at Yu-do. But, in this study, geometries beyond the confluence of Gok-reung stream and Im-jin River are constructed based on the numerical sea map; tidal elevation at the downstream boundary, Yu-do is estimated by harmonic analysis of In-cheon tide gage station so that hydrodynamic and diffusion behavior have been analyzed. The domain ranging from Shin-gok submerged weir to Yu-do is selected (which is 36.8 km in length). RMA-2 and RAM4 developed by Il Won Seo (2008) are applied to simulate flow and diffusion behavior, respectively. Numerical results of flow characteristic are compared with the measured data at Jeon-ryu station. Simulation is carried out from June 23 to 25 in 2006 on the ground that hydrologic data is satisfactory and tidal difference is huge during that period. The result shows that reverse flow occurs 5 times according to the tidal elevation at Yu-do and the maximum reverse flow is observed up to Jang-hang IC, which is 32.9 km in length. Also analysis is focused on the process of generation and disappearance of reverse flow, the distribution of water surface elevation and velocity along the maximum velocity line, and the transport of nonconservative pollutant. Pollutant injected from Gul-po stream spreads widely across the river; however, the size of BOD cloud entering from Gok-reung stream is relatively small because water depth at the mid and left side becomes deeper and maximum velocity occurs along the right bank so that transverse mixing is completed quickly. Finally, mixing characteristic of horizontal salinity distribution is obtained by estimating the salinity input with analytical solution of 1D advection-dispersion equation.

A Study on the Types of Dispute and its Solution through the Analysis on the Disputes Case of Franchise (프랜차이즈 분쟁사례 분석을 통한 분쟁의 유형과 해결에 관한 연구)

  • Kim, Kyu Won;Lee, Jae Han;Lim, Hyun Cheol
    • The Korean Journal of Franchise Management
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    • v.2 no.1
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    • pp.173-199
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    • 2011
  • A franchisee has to depend on the overall system, such as knowhow and management support, from a franchisor in the franchise system and the two parties do not start with the same position in economic or information power because the franchisor controls or supports through selling or management styles. For this, unfair trades the franchisor's over controlling and limiting the franchisee might occur and other side effects by the people who give the franchisee scam trades has negatively influenced on the development of franchise industry and national economy. So, the purpose of this study is preventing unfair trade for the franchisee from understanding the causes and problems of dispute between the franchisor and the franchisee focused on the dispute cases submitted the Korea Fair Trade Mediation Agency and seeking ways to secure the transparency of recruitment process and justice of franchise management process. The results of the case analysis are followed; first, affiliation contracts should run on the franchisor's exact public information statement and the surely understanding of the franchisee. Secondly, the franchisor needs to use their past experiences and investigated data for recruiting franchisees. Thirdly, in the case of making a contract with the franchisee, the franchisor has to make sure the business area by checking it with franchisee in person. Fourthly, the contracts are important in affiliation contracts, so enacting the possibility of disputes makes the disputes decreased. Fifthly, lots of investigation and interests are needed for protecting rights and interests between the franchisor and franchisee and preventing the disputes by catching the cause and more practical solutions of the disputes from the government.

Tightness of specimen sealing box in 20 L test chamber to evaluate building materials emitting pollutants (건축자재에서 방출되는 오염물질 평가 시 사용되는 20 L 시험챔버 시편홀더의 기밀성 개선)

  • Shin, Woo Jin;Lee, Chul Won;Kim, Man Goo
    • Analytical Science and Technology
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    • v.20 no.4
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    • pp.261-267
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    • 2007
  • The 20 L small chamber test method is to evaluate pollutants such as TVOC, formaldehyde emitted from building materials. This method was only designed to evaluate the surface emission of sample exposed in the chamber. In this method, building materials cut with a fixed standard size are fixed in a sample sealing box. The sample sealing box is put into the 20 L test chamber. This chamber is ventilated at a standard air change rate with purified air for 7 days then the sample from the chamber is collected and analyzed to measure the emission rate of TVOC and formaldehyde. In this method, however, if the sealing box does not guarantee airtightness, accurate evaluation for the building materials can not be achieved due to the pollutants emitted from edge of the sample so called, edge effect. This edge effect can be much greater when evaluating panels such as plywood, flooring due to their surface treatment. In this study, flooring was tested to check airtightness of the sample sealing box with analytic results between 1L and 20 L test chamber. Furniture materials like LPM coated one side surface treatment and MDF coated both sides surface treatment with LPM were tested to identify whether the improvement of the sample sealing box airtightness is possible with the comparison between existing and improved test method that low VOC emission tape was used to seal the sample edge. After 7 days, MDF TVOC emission rate was different according to the existence and nonexistence of tape. The emission rate of the existing test method was $0.009mg/m^2h$ and that of improved test method was $0.003mg/m^2h$. Relative standard deviation for the existing test method was $0.004mg/m^2h$ and relative standard deviation for the improved test method was $0.002mg/m^2h$ when the same sample was analyzed three times. The improved test method in this study using low VOC emission tape was effective and able to reduce the heterogeneous effect of the edge from the sample sealing box.

Numerical Analyses for Evaluating Factors which Influence the Behavioral Characteristics of Side of Rock Socketed Drilled Shafts (암반에 근입된 현장타설말뚝의 주면부 거동에 영향을 미치는 변수분석을 위한 수치해석)

  • Lee, Hyuk-Jin;Kim, Hong-Taek
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.26 no.6C
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    • pp.395-406
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    • 2006
  • Drilled shafts are a common foundation solution for large concentrated loads. Such piles are generally constructed by drilling through softer soils into rock and the section of the shaft which is drilled through rock contributes most of the load bearing capacity. Drilled shafts derive their bearing capacity from both shaft and base resistance components. The length and diameter of the rock socket must be sufficient to carry the loads imposed on the pile safely without excessive settlements. The base resistance component can contribute significantly to the ultimate capacity of the pile. However, the shaft resistance is typically mobilized at considerably smaller pile movements than that of the base. In addition, the base response can be adversely affected by any debris that is left in the bottom of the socket. The reliability of base response therefore depends on the use of a construction and inspection technique which leaves the socket free of debris. This may be difficult and costly to achieve, particularly in deep sockets, which are often drilled under water or drilling slurry. As a consequence of these factors, shaft resistance generally dominates pile performance at working loads. The efforts to improve the prediction of drilled shaft performance are therefore primarily concerned with the complex mechanisms of shaft resistance development. The shaft resistance only is concerned in this study. The nature of the interface between the concrete pile shaft and the surrounding rock is critically important to the performance of the pile, and is heavily influenced by the construction practices. In this study, the influences of asperity characteristics such as the heights and angles, the strength characteristics and elastic constants of surrounding rock masses and the depth and length of rock socket, et. al. on the shaft resistance of drilled shafts are investigated from elasto-plastic analyses( FLAC). Through the parametric studies, among the parameters, the vertical stress on the top layer of socket, the height of asperity and cohesion and poison's ratio of rock masses are major influence factors on the unit peak shaft resistance.

Effects of Thermotherapy for Life Care in the Elderly with Chronic Neck Pain (만성 목통증 노인환자의 라이프케어를 위한 온열치료의 효과 연구)

  • Lee, Jong-Min;Shin, Ho-Jin;Kim, Sung-Hyeon;Roh, Young-Chae;Jung, Kyoung-Sim;Hahm, Suk-Chan;Lee, Sung-Jae
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.635-645
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    • 2019
  • Non-specific chronic neck pain (CNP) is a prevalent disorder and often accompany with pain, fatigue, reduced range of motion (ROM), and hand function. Although various types of drug are commonly used to manage the symptoms following CNP, there is a need for therapeutic exercise and alternative medicine interventions that have few side effects or are easy to apply. Present study investigated the effects of salt pack and neck exercise for life care of the elderly with non-specific CNP. Sixteen patients with non-specific CNP were recruited and randomly assigned into two groups: the intervention group (n=8) or the control group (n=8). All patients performed neck self-exercise for 30 min/day, 5 times a week for 1 week. And the subjects in the intervention group additionally received salt hot pack for 20 min per session. Visual analogue scale (VAS) and pain pressure threshold (PPT) using algometer were used to assess pain intensity (primary outcome). ROM of shoulder joint and grip strength were measured to test shoulder and hand function (secondary outcome). There were significant improvements in the intervention group (p<.05), while the subjects in the control group did not show a significant change after intervention (p>.05). Also, the intervention group show significant differences in VAS and PPT compared to the control group (p<.05). Thus, our results demonstrated that salt pack and neck exercise have a positive effect for life care in elderly patients with non-specific CNP.

The Critic on Mohism in the History of Korean Thoughts Centered on the Theory of Rejecting Heterodoxy (한국사상사에서의 묵가(墨家) 비판 - 벽리단론(闢異端論)의 전개 양상을 중심으로 -)

  • Yun, Muhak
    • The Journal of Korean Philosophical History
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    • no.29
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    • pp.89-123
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    • 2010
  • As above, as theoretical basis of critiques against School of Mohism, the researcher summarized the positions of the elder Confucian scholars including Meng Zi. In the body of text, taking it as promises, the researcher examined the critiques against Mo Tzu and School of Mohism as well focusing on the aspects and development of the theory of rejecting heterodoxy which had been introduced and strongly argued from the end of Goryeo kingdom to the late Joseon period. The summary of the body of this text is as follows: In the old literatures prior to Goryeo Kingdom, the researcher couldn't find any cases that either the School of Mohism or Mo Tzu including the Hundred Schools of Thought had been rejected explicitly. Having reached the end of Goryeo and the beginning of Joseon period, Meng Zi's viewpoints on the theory of rejecting heterodoxy had begun to emerge and come into play with the progress of accepting Neo-Confucianism, and, these critiques against Yang Zhu and Mo Tzu being given, the scholar-literati circle had started rejecting Buddhism and Lao Tzu. Basically the contents of the critiques against the School of Mohism in the early period of Joseon were in succession to Meng Zi's theory of rejecting heterodoxy and the views and thoughts of the elder Confucian scholars including Han Yu rather than any specific critiques against Mo Tzu' ideology itself. Until entering the middle of Joseon period, the critiques against the School of Mohism had been used as a tool to promote Confucianism in an affirmative manner, while arguing strongly against the viewpoint of Han Yu in the first place. Particularly, not only the original text of the Mo Tzu's writings were directly quoted, although it was partial, but also the contents of the critiques against the School of Mohism had been developed and stretched to the extent of their entire ideological system. Having approached to the late period of Joseon, the critiques against the School of Mohism had begun to be linked to those critiques against the study of state examination or of sentence patterns including Catholic Church, furthermore the critics raised their harsh tones against the irregularities of the society at large like the issue of corruptions of the government officials of those days instead, although they still had firmly stood on the ground of the theory of rejecting heterodoxy. Those scholars that belonged to the School of Practical Learning, in particular, said in justification of the School of Mohism arguing that the major ideologies of Mo Zi had usefulness in the real world, also they even evaluated that Meng Zi ' critiques against the School of Mohism were immoderate. To sum up, characteristics of scholars in the Joseon period to understand and critique the School of Mohism are that ideologies of Mo Tzu were mostly used as a tool for the sake of critiques against heresies in other sectors of society based mainly on Meng Zi's theory of rejecting heterodoxy, rather than opposing views against the ideologies or philosophies of the School of Mohism itself. Meanwhile, however, on the plus side, the critics praised Mo Tzu's individual efforts in order to put his ideology of peace into practice apart from the ideological system of the School of Mohism. Also, having reached the late period of Joseon, the researcher was able to have discovered the fact that the writings of Mo Tzu had been used as historical materials in order to ascertain historical truths of Confucian Scriptures, rather not having it regarded as an ideology text.

Nature and Human Seeing Through I-Ching - Point of view of the Environmental Ethics (『주역(周易)』을 통해 본 자연(自然)과 인간(人間) -환경윤리의 관점을 중심으로 -)

  • Seo, Geun Sik;Chi, Chun-Ho
    • The Journal of Korean Philosophical History
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    • no.28
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    • pp.35-60
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    • 2010
  • In this paper, the researcher investigated the relationships between nature and humans through I-Ching(『周易』) from the perspective of environmental ethics. I-Ching(『周易』) is a literature which has been quoted so frequently as a desirable alternative for environmental issue. The researcher closely reviewed how the relationships between nature and humans had been defined in I-Ching(『周易』) and developed the discussions focusing on what humans could and should do for nature. Nature makes up for the portion of extinction through endless birth. By giving birth for a new life continuously, and complementing the portion of extinction at the same time, nature is being maintained and preserved. In the side of nature, extinction and birth are equal, meanwhile, the sage who wrote I-Ching(『周易』) had held the concept of anxiety worrying that the whole living beings would be extinct, therefore, the sage wrote I-Ching(『周易』) in the aspects of birth. For nature has always been maintained and preserved in its own cause, there is no chance of nature being destroyed by itself. Human is one living being amongst all things created by nature, and at the same time, humans had been endowed with a position which is one among SanCai(三才). Nature had given humans responsibility and duty according to their position, but humans neglect to perform their responsibility and duty indulging in enjoyment of their position. Because humans have only enjoyed their position which is the critical one amongst SanCai (三才), this failure has resulted in destruction of nature. It shall be necessary for humans to enjoy their position to a certain extent, in the meantime, however, they should discharge those responsibilities and duties in order for forming and nourishing powers of Heaven and Earth. Although it is the humans that have destroyed nature, they can also provide nature with help to give birth to a new life. Reason for humans have destroyed nature is that they forgot their responsibility and duty having been concealed by their selfish desires. If humans get rid of their selfish desires, and fulfill their given duties and responsibilities, nature shall become revitalized again.