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Correction of Small Eye Opening with Combined Method (복합 안검 성형술을 이용한 작은 눈의 교정)

  • Joh, Se Heum;Lee, Han Earl;Lee, Hae Min
    • Archives of Plastic Surgery
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    • v.35 no.2
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    • pp.187-192
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    • 2008
  • Purpose: Generally speaking, most of Korean have smaller eyes than those of Caucasian and they have epicanthus with narrow palpebral fissure. It makes external appearance looking dull because the length of the palpebral fissure is short and there is a epicanthus. In case the function of the levator muscle is weak, their eyes look much smaller. Epicanthus and weak levator muscle function make the eyes look dull. The above mentioned, authors want to introduce double eyelid operation, epicanthoplasty, levator plication to extend and lengthen the palpebral fissure. Methods: From August 2001 to August 2004, there were 138 cases that had double eyelid operation with epicanthoplasty or levator plication. the 69 cases of them had double eyelid operation and epicanthoplasty, the 33 cases of them had double eyelid operation and levator plication and the 36 cases of them had double eyelid operation and epicanthoplasty and levator plication. Results: After the operation, the length and height of the eyelid are improved remarkably, and most of the patients were satisfied. The length of the eyelid is improved 3 to 5mm($3.4{\pm}0.5mm$) in case of the epicanthoplasty, the width of the eyelid is improved 3 to 4mm($3.1{\pm}0.3mm$) by the levator plication. The length of the eyelid is improved 3 to 5($3.4{\pm}0.4mm$) and the width is improved 2 to 4mm($2.9{\pm}0.5mm$) by the epicanthoplasty used levator plication. Conclusion: The improvement of the eyelid length is almost the same as epicanthoplasty and levator plication are done simultaneously. But the improvement of the eyelid width is less shorter when epicanthoplasty and levator plication are done simultaneously than the case of levator plication alone. This is because there is a tension influencing on the limitation of widening palpebral fissure to fix the epicanthal tendon. This method is recommendable for the patients who want to have much bigger eyes.

A Study of Received Rehabilitation Service Patterns of Stroke Patients in Metropolis of Korea (우리나라 대도시 뇌졸중 환자의 재활 서비스 수혜 실태에 관한 연구)

  • Bae Sung-Soo;Lee Jin-Hee
    • The Journal of Korean Physical Therapy
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    • v.12 no.3
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    • pp.293-310
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    • 2000
  • This study was performed to investigate rehabilitation service patterns of stroke patients in metropolis of Korea. Seoul, Taegu. Taejon, Pusan and Kwangju from April-July. 2000. Authors developed questionnair, and distributed it to each physical therapist. Total number of distributed questionnaire was 800, and 622 questionnaire were collected and analysed. 1. The occurrence rate of ischemic stroke$(51.1\%)$ was higher than hemorrage stroke$(48.9\%)$. The highest incidence of the stroke was noted in the group or60 years and ratio of male to female 1.3:1 2. The several warning sign is motor deficit$(50.3\%)$, headache. dizziness. vomitting$(32.6\%)$ and difficulty speaking or understanding$(8.2\%)$. 3. The most important contributing factor of stroke was hypertension both hemorrage stroke$(50.7\%)$ and ischemic stroke$(47.2\%)$. 4. In the painful stroke patients$(53.4\%)$, the major problems were shoulder pain$(55.1\%)$ and shoulder-hand syndrome$(31.9\%)$. There is no clinical method for relieving the pain. 5. The seasonal preference was winter and autumn followed by summer and spring in regardless of diagnosis. 6. In the surgery, hemorrage stroke$(61.2\%)$ was higher than ischemic stroke$(13.5\%)$. 7. The major associated impairment were motor deficit$(99.0\%)$, hearing and speech deficit$(30.9\%)$.perception deficit$(15.9\%)$. psychological deficit$(14.1\%)$ and vision deficit$(10.6\%)$. We need more role of speech pathologist and psychotherapist. 8. The rehabilitation services for stroke patients were given only $15\%$ by onset. 9. Medical doctor did not checking everyday$(41\%)$. 10. Patents said that the physical therapist well understanding$(60.1\%)$ than medical doctor$(36.2\%)$ about their conditions.

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A Study on the Development and Application of Teaching and Learning Model for the Improvement of Mathematical Communication Ability (수학적 의사소통 능력 신장을 위한 교수-학습 모형 개발 및 적용 연구)

  • Lee, Eun-Ju;Lee, Dae-Hyun
    • Education of Primary School Mathematics
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    • v.14 no.2
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    • pp.135-145
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    • 2011
  • When mathematicians solve the new problems, they present the solutions to their colleagues for getting the approval. If the solution is accepted, it will be theorems. This phenomenon also happens to classrooms in elementary and secondary school. That is main reason to emphasize mathematical communication activities in mathematics education. This study is aimed to develop teaching and learning model for the improvement of mathematical communication ability, applicate the teaching and learning model to two groups and analyze for mathematical thoughts. This study is a case study of 3rd grader's activities. Eight students, four are group applied the teaching and learning model and four are traditional group. The results have been drawn as follows: First, students in the teaching and learning model group induced richer interactions for student's understanding and investigation when we compare to those of traditional group. Second, students in the teaching and learning model group have the chance to explain their thoughts. And we can observe students to clear on their thought through speaking and discussing. This model makes students to enhance organizing, forming and clearing in their mathematical thoughts and is effective to estimate of students thought for teacher.

Concept Optimization for Mechanical Product Using Genetic Algorithm

  • Huang Hong Zhong;Bo Rui Feng;Fan Xiang Feng
    • Journal of Mechanical Science and Technology
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    • v.19 no.5
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    • pp.1072-1079
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    • 2005
  • Conceptual design is the first step in the overall process of product design. Its intrinsic uncertainty, imprecision, and lack of information lead to the fact that current conceptual design activities in engineering have not been computerized and very few CAD systems are available to support conceptual design. In most of the current intelligent design systems, approach of principle synthesis, such as morphology matrix, bond graphic, or design catalogues, is usually adopted to deal with the concept generation, in which optional concepts are generally combined and enumerated through function analysis. However, as a large number of concepts are generated, it is difficult to evaluate and optimize these design candidates using regular algorithm. It is necessary to develop a new approach or a tool to solve the concept generation. Generally speaking, concept generation is a problem of concept synthesis. In substance, this process of developing design candidate is a combinatorial optimization process, viz., the process of concept generation can be regarded as a solution for a state-place composed of multi-concepts. In this paper, genetic algorithm is utilized as a feasible tool to solve the problem of combinatorial optimization in concept generation, in which the encoding method of morphology matrix based on function analysis is applied, and a sequence of optimal concepts are generated through the search and iterative process which is controlled by genetic operators, including selection, crossover, mutation, and reproduction in GA. Several crucial problems on GA are discussed in this paper, such as the calculation of fitness value and the criteria for heredity termination, which have a heavy effect on selection of better concepts. The feasibility and intellectualization of the proposed approach are demonstrated with an engineering case. In this work concept generation is implemented using GA, which can facilitate not only generating several better concepts, but also selecting the best concept. Thus optimal concepts can be conveniently developed and design efficiency can be greatly improved.

10 year follow up of a boy with Lesch Nyhan Syndrome

  • Kim, Sook Za;Song, Wung Ju
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.11 no.1
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    • pp.88-98
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    • 2011
  • Lesch-Nyhan syndrome is a X-linked recessive disorder caused by a deficiency of the enzyme hypoxanthine-guanidine phosphoribosyltransferase (HPRT), enzyme to recycle purines. Case history: born induced vaginal delivery at 40 weeks complicated by premature membrane ruputure, body weight 2.820 gm. He showed failure to thrive showing severe protein aversion like milk products and pink daper. Developmental delay revealing rolling over at 10.5 month, followed by regression. Seizure at 2 months, His poor oral feeding was lifelong problem. Weak crying, spastic, choreoathetoid movement. Self mutilating behavior noted and diagnosed at age 3 years. No family history of consanguinity and neurological disorders. Method: Laboratory test, physical exam, imaging study and molecular. Clinical follow up Treat ment with allopurinol. Result: uric acid 10.5 mg/dL (N 3.5-7.9), APRT 151.1uM/ min/ml pro(25.7-101), HPRT 7.6 (N 233.5-701) and c.151C>T hemizygote (p,Arg51X). Abdominal sonogram showed staghorn calculi in both kidneys, brain MRI brain atrophy. Clinical follow up showed, seizure at 2 mo, developmental delay (head control and, rolling over at at 11mo, pointing body part at 2 yr 7 mo, eye hand coordination at 2 y 11mo,creeping at 3 y 7 mo, speaking words at 6 y 6 mo ),and developmental regression at 3 yr of age. Sleeping problem including insomnia and severe constipation. Self mutilating behavior (lip bite) started at 2.5 yr, neurologic sx including intermittent upward gaze accompanied by swallowing difficulty at 3 y 7 mo grand mal seizure at 4.5 yr and spastic extremity and trunchal hypotonia and choleoathetoid movement and ataxia at 6.5 yr. Scoliosis with severe spasticity at 9 yr 9 mo. Acute life threatening episode with irregular breathing at 9 yr and 9 mo, Emaciation and nephrolithiasis and recurrent pneumonia. Died suddenly at 10 yr 3 mo. Conclusion: life long feeding problem, chronic gut motility dysfunction, sleeping difficulty and progressing neurologic deterioration and nephrolithiasis despite normal serum uric acid maintence by allopurinol treatment.

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Variations of Secchi Depth in Coastal Water, Masan Bay in Korea (마산만의 투명도 변동)

  • 염말구;정연수
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.39 no.1
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    • pp.44-49
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    • 2003
  • Masan Bay is one of the most heavily polluted bay in Korea owing to the large industrial complex and urban area. Water transparency, Secchi depth in meter, was observed 33 times totally at four sites during 1995 through 2002 and analysed statistically. The range was 0.2∼7.2m, mean 204m, and variation coefficient 60% in totally. Roughly speaking, monthly mean showed lower value April or July than other months. Seasonal mean showed lower in spring or summer than other seasons. Yearly mean was lowest in '95 and '98 during 7 years. Each sampling site showed a different patterns by the monthly, seasonal or yearly transparencies. Inner bay area, S1 site, showed lowest transparency and highest variation coefficient owing to the streamlets and urban area. And it was supposed that one of the important factor affecting different transparency distribution of most seaward site, S4 site, among four sites in the Masan Bay may be the underwater effluents of urban sewage water treated.

A case study on elementary school students' opportunity of class presentation by observation (수업관찰을 통해 본 학생의 발표 기회와 교육적 논의 -부산광역시의 한 초등학교 학급의 수업 사례를 중심으로-)

  • Kim, Dal-Hyo
    • Journal of Fisheries and Marine Sciences Education
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    • v.20 no.3
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    • pp.343-357
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    • 2008
  • Generally, schooling is implemented by instruction in the classroom. And instruction is made progress by concrete interaction through teacher's question and students' answer or presentation. According to a lot of researches on teacher-student interaction, student's opportunity of class presentation is influenced by students' self-esteem, learning attitude, academic achievement, and relationships. And students' opportunity of class presentation is very important not only students but also social equality and democracy. Therefore, teachers have to recognize the importance of students' opportunity of class presentation. However, according to many referential researches, students' opportunity of class presentation is differentiated by students' academic ability and social-economic status. The purpose of this study was to ascertain whether students' opportunity of class presentation was differentiated by students' academic ability and social-economic status or not. The method of this study was used checklist, interview, and class observation for a month. This study indicates that in spite of some exceptional cases, many students were taken the opportunity of class presentation differently by his/her academic ability and social-economic status. And teacher does not recognize that whether she gives student's opportunity of class presentation differently or not. To be a good teacher, teacher should reflect that teaching students is not easy, and teaching students is very important. And teacher should recognize that her speaking, action, and interaction with students including students' opportunity of class presentation influences students' self-esteem, learning attitude, academic achievement, and relationships.

Statistical Problems in the Determination of Normal Manges from Laboratory Data (임상 검사 결과로부터 정상 범위 추정에 대한 통계학적 연구)

  • Song, Hae-Hiang
    • Journal of Preventive Medicine and Public Health
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    • v.17 no.1
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    • pp.231-238
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    • 1984
  • Normal range has use mainly in the first phase of the diagnostic process, that is, to screen or to raise ideas about possible pathology. The traditional method of determining it is based on the probability paper or on the mean plus or minus two standard deviations. These methods are often turned out to be vague and impractical. The percentile method is adequate and flexible, though. The appropriate limit of lower and upper points should be chosen by considering medical aspects above all things and also the reliability of the range determined by the standard error. The results of normal range are interesting, strictly speaking, only for the hospital concerned. Differences exist between the normal ranges reported by various sources (Bezemer et al, 1983). It would be best to establish the normal range based on a population comparable to a group of individuals to whom the normal range is to serve as a norm.

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Study on Visible Diagnosis of Energy and Color (망기색에 대한 연구)

  • Kim, Yong-Chan;Kang, Jung-Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.4
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    • pp.840-847
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    • 2005
  • This study was written in order to help understanding of visible diagnosis of energy and color(기색). Visible diagnosis of energy and color is a very important factor of diagnosis and a necessary step of visible diagnosis. As human's body is under the control of spirit(신) and spirit(신) is stored by five viscera(오장), so spirit expresses the change of five viscera and is reflected by energy and color(기색). Strictly speaking, energy and color(기색) is not divided into each other. But, we can say that glittering glossy part belongs to energy(기) and blue, red, yellow, white and black part belongs to color(색). Various changes of energy and color(기색) observe the rules of yin-yang(음양). If we consider the interior and exterior(내외), top and bottom(상하), right and left(좌우), rise and fall(부침), clearness and muddiness(청탁), weak and severe(미심), spread and gather(산박), gloss and dness(택요) etc. we can decide the yin and yang(음양), inside and outside(표리), coldness and heatness(한열), truth and false(허보), life and death(생사) and prognosis. One man's own color is determined by the five human type(오형인), There are very various points of changing colors. As divided into principal groups, there are three main groups, that is, sky(천), earth(지) and man(인). A season(사시), day and night(주야) and cloud and clear(음청) belong to the factor of sky(천), a direction and configuration of the ground(지형) belong 治 the factor of earth(지), and motion and rest(동정), seven emotions(칠정), age and youth(노소), poor and rich(빈부) and high and low(귀천) belong to the factor of man(인).

Instructor Beliefs and Attitudes about English Medium Instruction: Report of Questionaire Study (공학 분야에서의 영어 강의(English Medium Instruction)에 대한 기초 연구)

  • Kang So-Yeon;Park Hye-Son
    • Journal of Engineering Education Research
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    • v.7 no.1
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    • pp.87-96
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    • 2004
  • The number of schools that implement English medium instruction (EMI) to improve students' English proficiency has been increasing. Despite the increasing popularity of EMI, little attention has been paid to evaluating the effectiveness of EMI and its impact on students and instructors. This study explores these issues, focused on the case of the College of Engineering at Y University. A survey questionnaire was administered to 19 engineering professors who offered EMI courses in the Fall of 2003. The survey results show that: 1) the professors perceive that students' low English proficiency is a large obstacle to successful implementation of EMI, and that pre-EMI language courses are needed to prepare students for EMI. 2)Though the professors expressed confidence in their English proficiency, they indicated that they felt quite a lot stressed at teaching EMI courses; hence, support of the school administration is needed to help faculty offering EMI courses. 3)To improve students' English proficiency, native-speaking language instructors are needed to provide feedback on students' written and spoken English.