• 제목/요약/키워드: deficiency point

검색결과 177건 처리시간 0.027초

Correction of microtia with constriction features using a superficial temporal fascial flap combined with a rib cartilage graft

  • Lee, Joon Seok;Kim, Jong Seong;Lee, Jeong Woo;Choi, Kang Young;Yang, Jung Dug;Chung, Ho Yun;Cho, Byung Chae
    • Archives of Plastic Surgery
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    • 제47권4호
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    • pp.317-323
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    • 2020
  • Background Microtia with constricted features is characterized by a short helical length of variable severity, upper antihelical or scaphal deficiency, and a downfolded upper ear. No consensus has been reached regarding the most appropriate surgical method for this condition. In this study, we aimed to introduce a simple and safe surgical method for the correction or reconstruction of upper helix ear deformities. Methods Between February 2011 and June 2014, eight patients with microtia with constricted upper helix ear deformity underwent reconstruction of the ear deformity. The upper ear helical framework was constructed by carving and curving the eighth rib cartilage harvested from the ipsilateral chest wall, covering this cartilage with a superficial temporal fascial flap, and adjusting the skin graft to align with the ear contour. To evaluate their satisfaction, patients were asked to complete a questionnaire regarding ear shape, symmetry, position, color, and overall outcome scored on a 5-point scale at 12 months postoperatively. Results None of the patients experienced severe complications in the reconstructed ear. The preoperative and postoperative vertical ear length ratios were 0.88 and 1.02, respectively. And the mean patient satisfaction scores for shape, symmetry, position, color, and overall outcome were 4.2, 4.5, 4.7, 4.4, and 4.6 out of 5 points, respectively. All patients expressed a high level of satisfaction at 12 months postoperatively. Conclusions Our technique provides a good alternative method for the reconstruction of moderate constricted upper helix ear deformities in patients who meet the surgical indications with satisfactory outcomes and few complications.

화병변증도구 개발 연구 (Study to Develop the Instrument of Pattern Identification for Hwa-byung)

  • 임현주;김석환;이상룡;정인철
    • 동의생리병리학회지
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    • 제22권5호
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    • pp.1071-1077
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    • 2008
  • Hwa-byung is a form of psychogenic illness among people in Korea and is listed as a culture-bound syndrome of Korea in the DSM-IV. Despite increased clinical researches for Hwa-byung in the oriental medicine of Korea, there has been no agreement of pattern identification for Hwa-byung. The purpose of this study is to develop a standard instrument of pattern identification for Hwa-byung which will be applied to clinical research. The items and structure of the instrument were based on review of published literature. The advisor committee on this study was organized by 15 neuropsychiatry professors of 11 oriental medical colleges nationwide. The experts attended 2 consultation meetings and discussed developing the instrument. and we also took professional advices by e-mail. The results were as follows; First, we divided the symptoms and signs of Hwa-byung into five pattern identification - stagnation of liver Qi, flare-up of the liver fire, disharmony between heart and kidney, deficiency of both Qi and blood, malfunction of gallbladder due to phlegm stagnation. Second, we got the mean weights to each symptom of five pattern identification which had been scored on a 5-point scale - ranging from 0 to 4 by the 15 experts. Third, we made out the Korean instrument of the pattern identification for Hwa-byung. It was composed of 34 questions and decided on question-and-answer form. Though there are some limits in this study, the instrument of pattern identification for Hwa-byung is meaningful and expected to be applied to the subsequent research. And also, we hope to improve the instrument and make up for this study through various research and discussion.

범불안장애의 불안증상에 대한 가미소요산의 제형별 효능 비교 임상연구의 중간보고 (Interim Report about The Comparative Clinical Study of Efficacy of Gamisoyo-san(Jiaweixiaoyaosan) on Anxiety of Generalized Anxiety disorder)

  • 임정화;서복남;이상룡;정인철
    • 동의신경정신과학회지
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    • 제21권3호
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    • pp.29-44
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    • 2010
  • Objectives : The purpose of this research is to examine the efficacy of Gamisoyosan on anxiety of generalized anxiety disorder according to dosage form. Methods : In this randomized, double blinded, placebo-controlled study, we planned to give Gamisoyosan simple extract mixture or Gamisoyosan compound extract or controlled medication for major symptoms of generalized anxiety disorder. As preparatory research, Hamilton rating Scale for Anxiety(HAM-A) was measured as the 1st evaluative instrument, and Korean State-Trait Anxiety Inventory(STAI-K), Penn State Worry Questionnaire(PSWQ) Korean Beck's Depression Inventory (BDI-K), Symptom Checklist-90-Revised(SCL-90R), WHO Quality of Life Abbreviated(WHOQOL-BREF) and Heart Rate Variability(HRV) were also measured as the 2nd evaluative instrument at the before treatment. Results : Demographic characteristics showed that there are Clinical characteristics-vital signs are within the normal range. The characteristics of disease-chief complaint, pattern Identification and etiological factor of the highest frequency number were worry, heart deficiency with timidity(心膽虛怯), family matters. The average period of disease in subjects is 6.31years. The results of Chest PA, EKG and clinicopathologic examination are within the reference range. The Scores of HAM-A, STAI-K, PSWQ were measured above the cutoff point. There are significant positive correlations among HAM-A, STAI-K, BDI-K and among HAM-A, STAI-K, PSWQ. There are no significant correlations between PSWQ and BDI-K. Conclusions : We considered that selection of subjects in this research is appropriately accomplished And this methodology is expected to be applied to the subsequent research. And also, we hope to make up for this study through various study and discussion.

기능성 소화불량증 변증도구 개발 연구 (Development of Instrument of Pattern Identification for Functional Dyspepsia)

  • 김증배;김진희;손창규;강위창;조정효
    • 동의생리병리학회지
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    • 제24권6호
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    • pp.1094-1098
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    • 2010
  • With the high prevalence of functional dyspepsia in the world, it was difficult to get objective diagnosis, treatment and assessment for the reason that there were many different symptoms and signs. The purpose of this study is to develop a standard instrument of pattern identification for functional dyspepsia which will be applied to clinical research. The items and structure of the instrument were based on review of published literature. The advisor committee on this study was organized by 11 oriental division of gastroenterology professors of oriental medical colleges nationwide. The experts discussed developing the instrument, and we also took professional advices by e-mail. We divided the symptoms and signs of functional dyspepsia into 6 pattern identification, such as disharmony of liver and stomach, retention of undigested food, damp-heat in the spleen and stomach, simultaneous occurrence of cold and heat syndromes, deficiency and cold of the spleen and the stomach, and insufficiency of stomach eum. We got the mean weights to each symptom of six pattern identification which had been scored on a 5-point scale ranging from 1 to 5 by the 11 experts. We made out the Korean instrument of the pattern identification composed of 45 questions for functional dyspepsia. Although there are some limitations in our study, the instrument is meaningful and certain worth of its own. We hope to improve the instrument through the further clinical studies and discussions.

이산 주파수 영역 2차 Volterra 모델의 확장된 주영역 (Extended Principal Domain for Discrete Frequency-Domain Quadratic Volterra Models)

  • 임성빈;이원철;배명진
    • 한국음향학회지
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    • 제15권1호
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    • pp.23-33
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    • 1996
  • 본 논문에서는 bispectra를 위한 고전적 주영역 (classical principal domain)이 2계 Volterra 모델의 출력을 결정짓는데 사용되면 그 출력은 완전하지 못하게 될 것임을 지적한다. 이러한 불완전함은 DFT의 주기적 특성과 관련이 있다. 이런 이유로, 본 논문의 목적은 비선형 시스템의 응답의 추정을 향상기키는 Volterra 커널을 위한 확장된 주영역 (extended principal domain)을 제안하는데 있다. 확장된 주영역을 정의 내리기 위하여, 2차원 DFT와 Volterra 모델의 2계 요소와 정사각형 필터와의 관계를 사용하여 이산 시간 영역 Volterra 모델에서 새로운 이산 주파수 영역의 Volterra 모델을 유도하였다. 확장된 영역이 모델의 출력에 미치는 영향을 DFT의 주기성 측면에서 해석을 하였다. 컴퓨터 모의 실험을 통하여, Volterra 모델링에서 확장된 주영역의 영향을 살펴보았다. 모의 실험 결과에 의하면, Volterra 모델의 출력을 계산하는 과정과 Volterra 모델의 계수를 추정하는데 있어서 매우 중요한 역할을 함을 알 수 있었다.

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탈발(脫髮)의 병인병기(病因病機) 및 침구치료(鍼灸治療)에 관한 문헌고찰 (A Philological Study on the Pathology, Acupuncture and Moxibustion of Alopecia)

  • 이상현;조명래
    • Journal of Acupuncture Research
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    • 제32권2호
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    • pp.35-57
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    • 2015
  • Objectives : The purpose of this study is to analyze literature on oriental medicine to investigate the pathology, acupuncture, and moxibustion therapy applicable to alopecia Methods : We searched for the causes of alopecia in the bibliographic data from 41 sources of literature and the acupunctural treatments for alopecia in the bibliographic data from 49 sources of Chinese and Korean literature and from the journals of the acupunctural treatments for alopecia which have been published since 2000. Results : 1. The main causes of alopecia are blood deficiency, blood heat, static blood, depletion of kidney's water, wind excess, seven emotional damage, dietary damage, etc. 2. The acupuncture points frequently used are $GV_{20}$, $GB_{20}$, $ST_{36}$, $SP_6$, $SP_{10}$, $BL_{17}$, $BL_{18}$, $BL_{23}$, $GV_{23}$, $GV_{14}$, $CV_6$, $ST_8$, $KI_3$, $LR_3$, $HT_7$, $LI_{11}$, EX-$HN_1$, and ouch point. 3. New acupuncture therapies, including herbal acupuncture therapy, ear acupuncture therapy, dermal needle therapy, needle-embedding therapy and scalp acupuncture therapy are frequently used to treat alopecia. Conclusions : The acupuncture points frequently used for treating alopecia have characteristics such as tonifying blood, tonifying the liver and kidney, extinguishing wind, activating blood, clearing heat and draining dampness, so they are highly associated with the causes and the mechanisms of alopecia.

매듭풀의 생육과 질소고정 활성에 미치는 환경요인의 영향 (Effects of Environmental Factors on Growth and Nitrogen Fixation Activity of Kummerowia striata)

  • Song, Seung-Dal;Jung-Sook Park;In-Sook Kim
    • The Korean Journal of Ecology
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    • 제18권1호
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    • pp.43-54
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    • 1995
  • Effects of environmental factors of N, P, pH, moisture, temperature and oxygen on growth and nitrogen fixation activity of kummerowia striate (Thunb.) Schindler seedling, bearing symbiotic root nodules, were quantitatively analyzed during the growing period. The specific nitrogenase activity (ARA) of nodules showed the maximum value of 187 μmol C₂H₄g fr wt-1 h-1 6 weeks after seeds were germinated. The total nitrogenase activities per plant attained as 1.56, 0.85, 0.09 and 4.0, 1.11, 0.04 μmol C₂H₄hr-1, respectively for the treatments of 1, 3 and 5 mM NO₃ ̄and NH₄+ on the 60th day. While the plant grown in N-free media for 20 days after treatments of 5 mM NH₄+for 40 days resulted in 30 mg fr wt of nodule formation and exhibited the relative activities of 152% and 162% for total and specific ARA in comparison with those of control plant grown with N-free for 60 days. Total biomass and ARA was by 70% and 86% lower in N and P deficiency, respectively. The N and P deficient plot showed 70% and 86% decreases of total biomass and ARA in comparison with those of control. The plant grown with N-free for 20 days after pretreatment with N and P free media for 40 days showed the relative values of 77%, 118% and 150%, respectively for nodule biomass, total and specific ARA in comparison with those of control. The treatment with acid or alkali gradients resulted in significant decreases of nodule biomass and ARA. The optimum temperature and pO₂for ARA were 30°C and 40 kPa, respectively. Two peaks of diurnal variation appeared at 11:00 and 23:00 o'clocks by the continuous light condition. The plants with water stress by temporary wilting point rsulted in 95~97% inhibition for nodule respiration, transpiration and specific ARA. Transpiration and ARA ware recovered to 88% and 38% of those of water unstressed plants, respectively, 6 hours after the plants were rewatered from water stressed condition.

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가스내장 히트파이프의 냉시동특성과 성능에 관한 연구 (A Study on the Chilling Start-up Characteristics and Performance of a Gas Loaded Heat Pipe)

  • 홍성은;강환국
    • 설비공학논문집
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    • 제18권11호
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    • pp.915-922
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    • 2006
  • Considering heat pipe design principles in fabrication and operational performances, water is one of the most recommended working fluids to make mid to low tempera lure heat pipes. But the conventional water heat pipes might encounter the failure in a cold start-up operation when socked at a chilling temperature lower than the freezing point. If they are subjected to a heat supply for start-up at a temperature around $-20^{\circ}C$, the rate of the vapor flow and the corresponding heat transfer from the evaporator to the condenser is so small that the vapor keeps to stick on the surface of the chilling condenser wall, forming an ice layer, resulting in a liquid deficiency in the evaporator. This kind of problems was resolved by Kang et al. in 2004 by adopting a gas loading heat pipe technology to the conventional water heat pipes. This study was conducted to examine a chilling start-up procedure of gas loading heat pipes by investigating the behaviors of heat pipe wall temperatures. And the thermal resistance of the gas loaded heat pipe that depends on the operating temperatures and heat loads was measured and examined. Two water heat pipes were designed and fabricated for the comparison of performances, one conventional and the other loaded with $N_2$ gas. They were put on start-up test at a heat supply of 30 W after having been socked at an initial temperature around $-20^{\circ}C$. It was observed that the gas loaded one had succeeded in chilling start-up operation.

GIS를 이용한 농업시설물 데이터베이스관리시스템 개발 (Development of Database Management System for Agriculture Facilities Using Geographic Information System)

  • 안원태;최석근
    • 한국산학기술학회논문지
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    • 제22권4호
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    • pp.570-579
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    • 2021
  • 현재의 농어촌은 고령화로 인한 인력 및 장비부족, 농산물 가격하락 등 여러 환경이 갈수록 열악해지고 있는 실정이다. 본 연구는 이러한 문제를 해결하기 위하여 수 많은 농업기반시설물 중 중요 관리대상인 관정, 양수장, 취입보 등을 대상으로 데이터베이스 구축하여 점검, 고장 및 수리 등의 이력사항을 관리하기 위하여 수행되었다. 특히, 관정의 경우에는 무분별한 설치와 공간정보 부재로 인하여 경제적 손실 및 환경오염 등의 문제를 야기시키기 때문에 수문지질도, 수맥도, 지하수 심도 등의 공간정보를 이용하여 관정의 최적위치를 결정하였다. 따라서, 본 연구는 시스템 개발을 통하여 농촌지역에 산재되어 있는 수 많은 시설물들을 효율적으로 관리할 수 있었고, 공간정보를 이용하여 14개 관정에 대한 현황을 분석한 결과 6개 지점에서의 위치정보가 잘못된 것으로 나타났으나, 현장조사결과 1개 지점에서는 수맥도 분석이 잘못된 것으로 분석되었다.

Recognition of and interventions for Mibyeong (subhealth) in South Korea: a national web-based survey of Korean medicine practitioners

  • Lee, JaeChul;Dong, Sang Oak;Lee, Youngseop;Kim, Sang-Hyuk;Lee, Siwoo
    • Integrative Medicine Research
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    • 제3권2호
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    • pp.60-66
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    • 2014
  • Background: Medically unexplained symptoms (MUSs) are common in primary care. Atpresent, there are no proven, comprehensive treatments available in primary care forpatients with MUSs. However, MUS has parallels with "subhealth" or Mibyeong from tradi-tional East-Asian medicine, and thus, Mibyeong interventions could be effective in treatingMUS. Unfortunately, studies on Mibyeong and its intervention methods are relatively rare.Methods: We administered a web-based survey to 17,279 Korean medicine (KM) practitionersregistered with the Association of Korean Medicine. The response rate was 4.9% (n = 849).Based on the responses received, we assessed how much they agreed with concepts relatedto Mibyeong on a 7-point scale from "do not agree" to "strongly agree." Respondents werealso asked to indicate how frequently they encountered various subtypes and patterns ofMibyeong, and how frequently they use listed intervention methods.Results: Data from 818 respondents were analyzed after excluding those with no clinicalexperience. On average, respondents were male general practitioners aged between 30 yearsand 49 years, working or living in metropolitan areas such as Seoul, Incheon, and Gyeonggi-do. Responses did not differ by demographics. Respondents generally thought that Mibyeongreferred to subjective or borderline findings without certain disease, and that Mibyeong hasvarious subtypes and patterns. Subtypes included fatigue, pain, and digestion problems; pat-terns were either deficiencies (e.g., qi, blood, and yin deficiency) or stagnations (e.g., liver qidepression and qi stagnation). Decoction was the most frequently used type of interventionfor Mibyeong of all items listed, followed by acupuncture and moxibustion. Patient educa-tion was also recommended, suggesting healthy eating, promoting healthy environment,and exercise.Conclusion: We were able to provide preliminary results on KM practitioners' recognition ofand interventions for Mibyeong, but further research is needed to develop a detailed defi-nition of Mibyeong and its myriad subtypes and patterns, and evaluations of the efficacy ofMibyeong interventions.