• Title/Summary/Keyword: 기록군

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Surgical Therapy of Stanford Type A Acute Aortic Dissection -Dose intimal tear within replaced aortic segment make any difference in its clinical characteristics- (Stanford A형 급성 대동맥박리증의 외과적 치료 -내막 파열점 위치에 따른 임상경과의 차이-)

  • 조광조;우종수;성시찬
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.125-132
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    • 2001
  • 배경 및 목적: Stand A형 급성대동맥박리증의 박리 시발점이 수술치환부위 내에 있는 경우와 그렇지 않은 경우의 임상적 차이점을 분석하여 치료에 도움을 주고자 하였다. 방법: 1991년 3월부터 1999년 7월까지 본원에서 급성상행대동맥박리증으로 진단되어 상행대동맥치환술을 받은 40명의 환자를 대상으로 병력기록을 근거로 수술 소견 상 찢어진 부위를 발견한 환자 27명을 1군, 발견 못한 나머지 13명을 2군으로 나누고 환자의 술 전 상태와 수술소견 및 술후 경과의 임상적 차이점을 분석하였다. 결과: 1군에서 술전에 저혈압, 대동맥판막부전, 심허혈, 신부전 등이 더 많이 발생되었다. 수술 소견 상 대동맥근부 이상은 1군에서 많았다. 가성 내강 내 혈종은 2군에서 더 많이 관찰되었지만 통계적으로 유의하지는 않았다. 술후에 2군에서는 신부전이 더 많이 발생하였고 술후 출혈로 인한 재수술은 1군에서 더 많았다. 조기 수술사망은 1군에 6명으로 사망률은 22.2%이었고 2군에는 사망 례는 없었다. 결론: 본 연구를 통하여 상행대동맥에서 내막 파열이 발견된 1군에서는 2군에 비해 술전 상태가 불량하였고 대동맥판막 병변으로 수술이 복잡해져 사망률이 높다고 생각된다. 반면 원위부 하행대동맥에서 박리가 진행되어 상행대동맥으로 이어진 2군에서는 1군에 비해 순환 장애로 인해 술후에 신부전이 더 많이 발생되었다. 결론적으로 상행대동맥내막에 파열점이 없었던 군에서 수술 예후는 상행대동맥내막에 파열점이 있는 군보다 더 좋았다.

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Relationship between Depressive Symptoms and Sleep Parameters in Patients with Obstructive Sleep Apnea Syndrome (폐쇄성 수면무호흡증 환자의 우울증상 정도에 따른 수면 양상)

  • Won, Chang-Yeon;Lee, Seung-Hee;So, Min-Ah;Lee, Jin-Sung;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.14 no.2
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    • pp.92-98
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    • 2007
  • Objectives: Obstructive sleep apnea syndrome (OSAS) is the most common form of sleep-disordered breathing and often presents with comorbid depressive symptoms. In this study, we evaluated the relationship between depressive symptoms and sleep parameters as measured by nocturnal polysomnography (NPSG) and simultaneous wrist actigraphy. Methods: Two hundred sixty-four subjects with clinically suspected cases of OSAS underwent one-night polysomnography, while simultaneously wearing a wrist actigraphy device. They also completed two questionnaires;the Epworth Sleepiness Scale-Korean version (ESS-K) and the Beck Depression Inventory (BDI). Of the cases studied, 105 subjects were proven by NSPG to have OSAS without other sleep disorders. NPSG and wrist actigraphy data from the subjects were analyzed. Pearson correlation and paired t-test were used in order to evaluate the relationship between depressive symptoms and sleep-parameters. Results: Mean age of the subjects was $46.1{\pm}13.1$ years. Means of the ESS-K score and BDI scores were $10.9{\pm}4.7$ and $12.8{\pm}8.1$, respectively. NPSG sleep parameters significantly differed from those of wrist actigraphy. There was no correlation found between subjects' respiratory disturbance index (RDI) and BDI scores. When directly comparing sleep parameters between subjects who were more depressed versus subjects who were less depressed, both total sleep time and sleep efficiency were decreased in the more depressed. A correlation between RDI and ESS-K scores was also found in the more depressed group. Conclusions: Although our findings suggest that there is no relationship between RDI and depressive symptoms, there are other significant differences in the sleep parameters between subjects who are more depressed versus those without depression. We recommend that patients with depression should also be evaluated for clinical symptoms of OSAS.

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Long-Term Survival Benefit of the Bronchial Arterial Embolization for Patients Presenting with Non-Traumatic Hemoptysis in a District Emergency Center (권역 응급의료센터에 내원한 비외상성 객혈 환자에서 기관지 동맥 색전술의 장기 생존 효과)

  • Chon, Song Bin;Jung, Sung Koo;Kwak, Young Ho;Suh, Gil Joon;You, Eun Young;Shin, Sang Do
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.2
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    • pp.148-159
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    • 2004
  • Background : This study was conducted to evaluate the survival benefit of the bronchial arterial embolization (BAE) for patients presenting with non-traumatic hemoptysis. Methods : The clinical data were retrospectively collected from the medical records and the Order Communicating Systems (OCS). The information dealing with death was collected from national death certificates. After enrolled patients were divided with two group such as BAE group (patients who were managed with BAE) and non-BAE group (patients who were managed with conservative modality), the survival benefit of BAE was estimated during the observational period of 24 months through using the Kaplan-Meier survival graph and the Cox-proportional hazard regression analysis. Results : The number of total cases was 272. Of these, BAE group involved 63 and non-BAE group involved 209. 69 cases had the malignant pulmonary lesions, 149 cases had non-malignant chronic lung lesion such as the mycobacteria infection, fungus ball, or bronchiectasis (BE), and 54 cases had the other pathologic conditions. For each sub-groups such as 'malignant lung lesion' group, 'non-malignant chronic lung lesion' group as well as about all cases, the adjusted hazard ratios (HRs) of BAE for death was not significantly different compared to the conservative management. But the adjusted HRs as to underlying causes such as 'malignant lung lesion' group and 'the other conditions' group increased significantly compared to 'non-malignant chronic lung lesion' group. Conclusion : There was no significant survival benefit by BAE procedure on survival in patients presenting with non-traumatic hemoptysis.

The Comparison of Behavioral Response of Additional Submucosal Midazolam with Oral Chloral Hydrate, Hydroxyzine and Nitrous Oxide for Pediatric Conscious Sedation (소아 진정 치료 시 Chloral Hydrate와 Hydroxyzine 복용 후 구강 점막으로 투여한 Midazolam의 행동 반응 비교)

  • Park, Hui-Jun;Jung, Sang-Hyuk;Baek, Kwang-Woo
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.7 no.1
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    • pp.6-12
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    • 2007
  • 배경: 소아 진정 치료 시 서로 다른 용량의 chloral hydrate와 hydroxyzine을 복용 후 midazolam을 구강 점막 하 주사했을 때 행동 반응을 비교하였다. 방법: 총 32회 진정법을 통해 치과치료를 받은 30명의 나이 24-72개월, 체중 20 kg 미만의 미국 마취과학회 신체등급 I의 건강하지만 겁이 많고 협조가 안 되는 소아 환자를 대상으로 2개 치아이상의 보존 치료 및 발치를 필요로 하는 환자를 대상으로 하였다. 호흡기 질환이 있는 아이들은 이 연구에서 제외되었다. 연구 계획은 이대 목동 병원의 임상 실험 심사 위원회에 제출되었다. 1군은 chloral hydrate 50 mg/kg와 hydroxyzine 1 mg/kg 복용 후 점막 하 midazolam 0.2 mg/kg을 추가 투여했고 2군은 chloral hydrate 60 mg/kg와 hydroxyzine 1 mg/kg 복용 후 점막 하 midazolam 0.1 mg/kg을 주사 받았다. 50% nitrous oxide는 치료 중 두 군 모두 유지되었다. 전날 수면 시간과 약물 복용 태도를 기록하였으며 모든 치료 과정은 비디오로 촬영되었다. 맥박 산소 계측기를 이용하여 경피적 산소 포화도와 맥박수를 기록하였고 행동 반응은 Houpt scale을 이용하여 매 2분마다 40분 동안 기록되었다. 전반적인 행동 반응은 Houpt scale를 이용하여 평가되었다. 모든 자료는 SPSS 통계 프로그램을 이용하여 two sample independent t-test를 사용하였다. P 값은 0.05 미만인 경우를 통계학적으로 유의하다고 보았다. 결과: 두 군 간의 경피적 산소 포화도와 맥박수는 모두 정상 범위이며 유의한 차이가 없었다. 행동 반응 비교에서는 치료 처음 10분 동안 2군이 1군에 비해 점수가 높게 나왔으며(P < 0.05), 그 외에는 유의한 차이가 없었다. 전날 총 수면 시간과 약물을 복용하는 태도는 수면 치료 중의 행동 반응에 영향을 주지 않았다. 결론: Chloral hydrate 50 mg/kg 복용과 점막 하 midazolam 0.2 mg/kg은 chloral hydrate 60 mg/kg 복용과 점막 하 midazolam 0.1 mg/kg과 비교할 때 두 약물의 조합은 모두 소아 환자 수면 치료시 안전하고 효과적인 용량이다. Overall behavior와 Q (quiet)의 분포를 비교해 볼 때 두 군 모두 성공적인 진정효과를 기대할 수 있다.

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The Factors of Local Disappearance and a Plan of Restoration for Parnassius bremeri from Okchon-gun, Korea (옥천군 지역의 붉은점모시나비(Parnassius bremeri)의 소멸 원인과 복원 방안)

  • 김도성;조영복;고재기
    • Korean Journal of Environmental Biology
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    • v.17 no.4
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    • pp.467-479
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    • 1999
  • The factors of local disappearance and a plan of restoration fer Parnassius bremeri from Okchon-gun, Chungchongbukdo, Korea, were investigated. The population of this butterfly from Okchon-gun was much more abundant than the other areas of Korea in the past. But only two adults were observed in 1997 at this site and no more observation was made in 1998. So we considered that Parnassius bremeri is disappeared from this area. To know the factors of local disappearance of this species, we analyzed data of the monitoring from seven localities of Okchon-gun from 1990 to 1998 and also checked 252 specimens from this area by several collections. As a result of it, the habitat changes by recent road constructions and the frequent collecting activity around this area are shown as the factors for the local disappearance of this species. We are intending to establish the programs for restoration of Parnassius bremeri in Okchon-gun. Firstly, the breeding plan of this species was designed by investigation on life cycle. Secondly, the environmental conditions among seven localities were compared and the suitable places of the restoration were selected. The most suitable localities for restoration by this study were of two localities, Dongrakjeong and Jangwahri, which are considerd as highly successful breeding places in the view of growth condition of host plant.

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First report for Platanthera brevicalcarata (Orchidaceae) in Korea (한반도 미기록 식물: 영주제비란(난과))

  • Eum, Sang Mi;Lee, Nam Sook
    • Korean Journal of Plant Taxonomy
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    • v.42 no.3
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    • pp.211-214
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    • 2012
  • Platanthera brevicalcarata Hayata (Orchidaceae), previously known to be distributed from Taiwan to southern Japan, was found in the Jeju-do, Korea. This species is distinguished from the related taxon Platanthera chlorantha by its small plant size, white sepal with distinct one green vein, and short-cylindrical spur. The local name Young-ju-je-bi-ran is originated from the local name of Mt. Halla. The morphological characters and illustration of the species are provided with line drawing and photograph from the natural habitat.

A taxonomic review of Korean Polygonatum (Ruscaceae) (한국산 둥굴레속(Polygonatum, Ruscaceae)의 분류학적 재검토)

  • Jang, Chang-Gee
    • Korean Journal of Plant Taxonomy
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    • v.32 no.4
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    • pp.417-447
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    • 2002
  • Polygonatum taxa of Korea were classified as two sections, three series and 14 species and 2 varieties and reviewed taxonomically. Among the examined taxa, endemics in Korea were recorded as two species; P. grandicaule Y. S. Kim, B. U. Oh & C. G. Jang and P. infundiflorum Y. S. Kim, B. U. Oh & C. G. Jang. The habitat of Korean unrecorded species, P. acuminatifolium Kom. and P. odoratum var. odoratum were confirmed in this study. Keys to the sections, series and species including description of each taxon were provided here.

A Study on the Awareness of Records Management by the Republic of Korea Army Personnel: From a Viewpoint of New Institutionalism (육군 구성원의 기록관리 인식에 대한 연구: 신제도주의적 관점으로)

  • Lee, Ji-Eun;Kim, Gi-Yeong
    • Journal of Korean Society of Archives and Records Management
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    • v.21 no.1
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    • pp.97-116
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    • 2021
  • This study aims to analyze the level of members' awareness of records management in the Republic of Korea Army within the institutional context extensively. Accordingly, in-depth interviews were conducted after comparing and analyzing the institutional systems that restricted the members' record management activities. As a result, it was identified that the members were confused by the inconsistency among the systems that defined the work procedures, and that the value of responsibility and efficiency in the records management system does not match the organization's goals. Therefore, the legal justification of the system should be improved in harmony with the responsibilities and efficiency and to match them with the organization's objectives. Moreover, the improved system should be internalized by the members through instructions that are relevant to the content of the system. This study intends to increase awareness in the records management system and improve the system as well.

Receipt of Official Documents after the Status Change of the Office of Crown Properties in The Great Han Empire (대한제국기 내장원의 위상 변화와 공문서 접수)

  • Park, Sung-Joon
    • The Korean Journal of Archival Studies
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    • no.36
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    • pp.35-67
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    • 2013
  • As the office of crown properties expanded to financial structure having jurisdiction over various nation's purse in the Great Han Empire, its official document form has been changed. Unlike the early days, they had used official paper stamped with the words 'the Office of Crown Properties' eliminating 'Department of the Royal Household'. Also, the title on stamp of government position changed to 'Recipient of the Official of Crown Properties'. As the office of crown properties expanded as a great financial structure, it has grown in stature as an independent structure, and it was reflected in official document form. Such change was shown in document distribution system. The recipient of report from each district was the First Lord of Department of the Royal Household until 1897; however, the recipients of reports were mostly the office of Crown Properties from 1899. The Office of Crown Properties could not issue an official order before Aug 1899, since then the Office of Crown Properties had issued official orders to each district. However, the Office of Crown Properties could not handle the document in an equal position to the central organization yet. However, from Sep. 1900, the Office of Crown Properties handle the document with district organizations in equal position to the central organization, and a records office had been established in the Office of Crown Properties. Also, the Office of Crown Properties had handled official documents as an independent organization getting out of belonging organization to the department of Royal Household. Since the records office was established in Sep. 1900, the Office of Crown Properties had written receipt book autonomously. Comparing the receipt books in 1901 to the receipt books in 1905 and 1906, receipt numbers had been appeared from the book in 1905 and the organization in charge of the documents was recorded on some documents. Since no receipt book was found in 1902~1904, it is unknown when receipt number had been started indicating on the book. Seeing that the receipt number on the book of 1905 matched with contents on the receipt stamp, the receipt number has started indicating from around July, 1902; the period the receipt stamp has been started to use. Unlike the receipt stamp, the department in charge was indicated on the receipt book. It is because that the Office of Crown Properties changed writing system. Instead of classifying divisions, the Office of Crown Properties recorded in a book by order to receive, provided serial number, and wrote the department on the bottom of receipt book to classify by department in charge. Since establishment of the records office in Sep. 1900, the Office of Crown Properties had confirmed the receipt of document by stamping 'receipt of the Office of Crown Properties' and made receipt books as the office had started handled documents independently. Also, the Office of Crown Properties changed its system integrating division and recording in one book from the intial system classifying the book by division then receipt number and department in charge were indicated on the book. Also, receipt system has stabilized by stamping the receipt date and number on the received document.

New Record of the Genus Helina Robineau-Desvoidy (Diptera: Muscidae) from Korea (한국 미기록속 Helina Robineau-Desvoidy (국명: 어리가시집파리속)의 보고)

  • Dongmin Kim;Tae-Ho Jo;Sang Jae Suh
    • Korean journal of applied entomology
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    • v.62 no.4
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    • pp.307-314
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    • 2023
  • The genus Helina Robineau-Desvoidy, 1830 is one of the largest groups belonging to the subfamily Phaoniinae in the family Muscidae, comprising more than 540 species worldwide. In this taxonomic study, the genus Helina was recorded first time from the Korea with following three unrecorded species: H. deleta (Stein, 1914), H. evecta (Harris, 1780), and H. subpubiseta Xue, 1986. Taxonomic information, morphological photographs, and an identification key to the Korean species were provided.