• Title/Summary/Keyword: 비폐쇄

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Postoperative Assessment of Residual Oefects Following Surgical Closure of Ventricular Septal Defects (심실중격결손의 개심술 후 잔류단락에 관한 임상적 고찰)

  • 조준용;허동명
    • Journal of Chest Surgery
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    • v.29 no.2
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    • pp.147-152
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    • 1996
  • his study was undertaken to assess the residual interventricular shunt following surgical closure of the isolated ventricular septal defect. From January 1989 through December 1993, 211 patients underwent surgical closure of the isolated ventricular septal defect. All patients had 2D-Echocardlo-graphic study after operation to rule out residual ventricular septal defect. There was a 9.5% incidence of a definite residual shunt. The type of ventricular septal defect, closure method of the defect and cardiopulmonary bypass time showed no significant differences between two groups. The sue of ventricular septal defect (6.3 $\pm$ 3.7mm versus 10.6 $\pm$ 5.8mm : p : 0.0034), aortic cross-clamping time(32.6 $\pm$ 15.0 minutes versus 48.5 $\pm$ 20.0 minutes, p : 0.0003), pulmonary-to-systemic pressure ratio(0.31 $\pm$ 0.22 versus 0.51 $\pm$ 0.33, p=0.019) and mean pulmonary artery pressure(20.3 $\pm$ 11.9 mmHg versus 29.1 $\pm$ 16.2 mmHg, p : 0.009) were meaningfully different between two groups. There were 9 insta ces of spontaneous closure of the residual shunts at mean 21 months of following up (ranged 1 ~43 months). In conclusion, we suggest that the size of ventricular septal defect, aortic cross-clamping time and mean pulmonary artery pressure may play an important role in occurance of residual ventricular septal defect.

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Effects of Earthenware Vase on Vase Life of Cut Gerbera Flowers and Microbial Multiplication (옹기 화병이 절화 거베라의 수명 및 미생물 증식에 미치는 영향)

  • Lim, Young-Hee;Oh, Wook
    • Horticultural Science & Technology
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    • v.29 no.2
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    • pp.110-115
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    • 2011
  • To examine the availability of onggi (earthenware) as a floral vase, we compared the vase life of cut gerberas (Gerbera jamesonii) with generally used vases made of glass and porcelain. After holding cut gerbera 'Honeymoon' and 'Golden Time' in vases made of glass, porcelain, and onggi containing holding solution (tap water or preservative solution), vase life, fresh weight, and water uptake of cut flowers, and total number of microbes in holding solution were collected. In onggi vase, vase life of both the cultivars was longer than the other vases and floral preservative prolonged vase life compared with tap water. Cut gerberas applied with preservative solution in onggi vase maintained their ornamental value for more than 14 days. Cumulative water uptake by cut gerberas was greatest in onggi vase, where 'Honeymoon' and 'Golden Time' absorbed water by 19.2 and 15.8 mL, respectively, for 10 days. Fresh weight of cut flowers in onggi vase was greater than those of the others, and the preservative solution delayed the reduction of fresh weight compared with tap water. Especially, onggi vase with preservative solution maintained 89% of the initial fresh weight at the 8th day of the treatments due to smooth water uptake with comparison with 71% in porcelain. Total number of microbes in the holding solution was smallest in onggi vase. At the 8th day, microbes number in onggi vase was 435 cfu/mL, that was 20-30% level of those of glass and porcelain vases. In conclusion, onggi vase inhibited microbial proliferation in holding solution, maintained water uptake by cut flower, and delayed bending of flower stalks due to vascular blockage, and then prolonged vase life in gerbera. Therefore, onggi with numerous micropores will be a good material for flower vase and preservative solution can improve its function.

PSEUDOHYPOPARATHYROIDISM : CASE REPORT (가성부갑상선 기능저하증 환아의 구강 증상)

  • Kim, Seong-Oh;Hong, Eun-Kyoung;Choi, Hyung-Joon;Lee, Jae-Ho;Son, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.2
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    • pp.262-266
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    • 2004
  • The parathyroid hormone plays a major role in the metabolism of calcium and phosphorus. In hypoparathyroidism the parathyroid glands are atrophied or absent associated with autoantibodies against parathyroid tissue. Pseudohypoparathyroidism is a metabolic disease caused by the disturbance in peripheral action of parathormone, but parathormone level is normal. In general, patients with pseudohypoparathyroidism have short stature, round face, brachydactylia, obesity, mental retardation, cataracts & ectopic calcifications on soft tissues. Dental manifestations are enamel hypoplasia, delayed eruption, blunting of root apex, hypodontia, pulp calcification, thickened lamina dura, excessive caries & malocclusion. In this case, intraoral examination showed enamel hypoplasia on the erupted permanent teeth & hypermobility on the remaining deciduous teeth. From the radiographic view severe dental anomalies were observed on canines and shortening and blunting of root apex was observed on mandibular incisors. Pathologic root resorption was also observed on deciduous teeth.

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Environmental Survey for Productivity Enhancement of Cultured Fleshy Prawn Penaeus chinensis I. Effect of Sediment and Seawater Quality on Growth (대하양식장의 생산성향상을 위한 환경관리에 관한 연구 I. 대하 양식장의 저질 및 수질특성에 따른 성장)

  • 강주찬;구자근;이정식
    • Journal of Aquaculture
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    • v.13 no.1
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    • pp.39-46
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    • 2000
  • Successive management of prawn farm is strongly dependent upon monitoring of pond seawater quality which is generally influenced by an excessive food supplied sediment type and phytoplankton composition in the pond. For good condition of seawater quality it must need exchangning of fresh seawater by tidal current. Two distinct shrimp ponds Galha and Yunho which were different in seawater exchanging system and sediment type were selected to understand how some factors affected to seawater and sediment qualities in the pond. Prawn growth was also determined. Galha pond characterized by sand bottom with water exchanging by turn of the tidal current accumulated 1.8 mgS/g-dry as sulfide in sediment while Yunho pond mud- bottomed with seawater exchanging of pumping system showed 4.7mgS/g-dry when it was highest, Ammonia-N and hydrogen sulfide measured in the seawater were 0.31mg/${\ell}$ and 21.2 ${\mu}$${\ell}$/${\ell}$in Yunho and 0.10mg/${\ell}$and 10.8${\mu}$${\ell}$/${\ell}$in Galha pond respectively. Dissolved oxygen remained below 6.0mg/${\ell}$ in Galha and 5.0mg/${\ell}$in Yunho pond from June through August. Less growth of prawn was found in Yunho pond than in Galha pond. Prawn growth expressed as body length and weight were 138.3mm 22.9g in Yunho pond while they were length 158.2mm and 28.9g in Galha pond respectively when they were harvested in October. These results indicate that higher levels of ammonia-N and hydrogen sulfide and lower dissolved oxygen in bottom seawater of Yunho pond might affect the growth of cultured prawn.

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Biogeochemistry of Metal and Nonmetal Elements in the Surface Sediment of the Gamak Bay (가막간 표층퇴적물 중의 금속 및 비금속 원소의 생지화확적 분포특성)

  • Kim, Pyoung-Joong;Shon, Sang-Gyu;Park, Soung-Yun;Kim, Sang-Soo;Jang, Su-Jeong;Jeon, Sang-Baek;Ju, Jae-Sik
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.18 no.2
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    • pp.67-83
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    • 2012
  • In order to evaluate die geochemical characteristics of sediment in a semi-enclosed bay used as shellfish and fish farming area, the concentrations of metallic(V, Cr, Mn, Fe, Co. Ni, Cu, Zn, Ag, Cd, Hg, Ph, As) and non-metallic(P, Se) elements and uranium were measured in the surface sediment samples collected from 19 stations of Gamak Bay in April 2010. Metal contamination status in the sediments were also evaluated using the sediment quality guidelines(SQGs) proposed by the National Oceanic and Atmospheric Administration(NOAA) and the enrichment factor(EF). The concentrations of elements in sediment were mainly controlled by quartz-dilution effect(V, Cr, Fe, Co and Ni), the dilution effect of organic matter(Cd and U), and metal redistribution by the decomposition of organic matter(Mn, Ag, As, and Se). The concentrations of metals, except As and Ni, in sediments from all sampling stations were lower than ERL values of NOAA. Conclusively, the surface sediment of Gamak Bay was slightly polluted with Ni, Ag, Cd, and Cd but was not polluted with other elements on the basis of EF results. Our results suggest that the surface sediment in Gamak Bay is not polluted by metallic elements.

Physical Properties of Covered Stent in Gastric Acid Environment: In Vitro Study (위산 환경에서 피막형 스텐트의 물성 변화)

  • Park, Sung Chul;Park, Nark-Soon;Kim, Dong-Gon;Nah, Jae-Woon;Jeen, Yoon Tae;Cho, Hye Jin;Kim, Eun Sun;Keum, Bora;Seo, Yeon Seok;Lee, Hong Sik;Chun, Hoon Jai;Um, Soon Ho;Kim, Chang Duck;Ryu, Ho Sang
    • Polymer(Korea)
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    • v.38 no.3
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    • pp.351-357
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    • 2014
  • In membrane covered stent, occlusion and fracture from membrane degradation by gastric acid sometimes occurred. Therefore, we investigated the physical properties of membrane covered stent according to its ingredient and concentration in gastric acid environment. Membrane covered stents consisted of silicone and polyurethane with 15%, 18%, 20% concentrations were used. After incubating stents in a condition of pH 1.2, we checked any changes at every 3 weeks for 18 weeks. The changes of membrane surface, radial expansion and recovery force of stent were investigated. Coating thickness increased proportionally to an increase in ingredient concentration. Surface was evenly coated with silicone compared to the case with polyurethane and its homogeneity was excellent in a high concentration. Degradation was much severe in the case of polyurethane. The radial force of silicone was higher than polyurethane, and the decrease of radial and recovery force was higher in the case of polyurethane. In conclusion, high concentration of silicone membrane was more stable than polyurethane in acid environment of in vitro study.

A Study on Estimating Tourism Elasticities using Autoregressive Distributed Lag(ARDL) model (ARDL 모형을 이용한 관광탄력성 추정에 대한 연구)

  • Lee, Kyung-Hee;Kim, Kyung-Soo
    • Management & Information Systems Review
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    • v.36 no.2
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    • pp.81-92
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    • 2017
  • This study was to investigate the elasticity in tourism demand of Chinese tourists visiting Malaysia through ARDL models by using Chinese tourists arrivals, GDP, CPI, transportation costs and others. When China was implementing an open-door policy with foreign countries in the early 15th century, the movement of Chinese was very limited, and then communication between China and other countries was very weak. However, the Chinese government persistently and entirely implemented an open-door policy by participating in the World Trade Organization(WTO) in 2001. The Chinese government has opened the economy through foreign direct investment by providing various incentives for foreign investment. As a result, inbound and outbound Chinese movements increased in the early 21st century. China was one of the top five most visited tourist destinations in the world by 2016, and also Chinese tourists traveling abroad increased, so they made Malaysia a popular tourists destination because of increase sharply to around 1.41 million. This study examined the significance of major economic factors affecting the increase in Chinese tourists arriving in Malaysia. Other factors that induced their arrival included income, tourism prices, transportation costs and promotional activities. Short-run shocks from the Asian economic crisis and the outbreak of SARS were included to understand how tourism demand in Malaysia was affected. Finally this study found that the combination of the ARDL and the Error Correction Model were useful to statistically estimate the elasticities of tourism demand.

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An Experimental Study on Frost Heaving Pressure Characteristics of Frozen Soils (동결토의 동상팽창압 특성에 관한 실험적 연구)

  • 신은철;박정준
    • Journal of the Korean Geotechnical Society
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    • v.19 no.2
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    • pp.65-74
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    • 2003
  • Most of land reclamation projects are being implemented along the south and west coastal lines of the Korean Peninsula. The earth structures and in-ground LNG tank, and buildings can be constructed using artificial freezing method on the reclaimed land to control the uplift pressure caused by capillary forces. In this study, upon freezing a saturated soil in a closed-system from the top, a considerable frost heaving pressure was developed. Decomposed granite soils, silty soil, and sandy soil were used in the laboratory freeze test which is sometimes subjected to thermal gradients under closed-systems. A major concern has been the ability to predict the frost heaving pressure over the results of relatively short-term laboratory tests. The frost heaving pressure arising within the soil samples and the temperature of the samples inside were monitored with time elapse. The degree of saturation versus heaving pressure curve is presented for each soil sample and the maximum pressure is closely related to this curve. TDR apparatus was used to measure the volumetric water content by the measurement of unfrozen water contents of frozen soils. Unfrozen water increased in soils containing a high percentage of fine-grained particles. In fine-grained soils with strong attractive farces between soil grains and water molecules, additional water is attracted into the pores leading to further volume changes and ice segregation.

국방예산(國防豫算)의 국민경제적(國民經濟的) 효과분석(效果分析)과 지출구조(支出構造) 개선방안(改善方案)

  • Hwang, Seong-Hyeon
    • KDI Journal of Economic Policy
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    • v.20 no.3_4
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    • pp.175-222
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    • 1998
  • 본 논문에서는 우리나라 국방예산 운영의 국민경제적 파급효과에 대한 실증분석에 기초하여 국방예산 규모논쟁에 대한 검토, 지출구조의 개선방안, 그리고 지출구조 개성을 위한 국방부문의 효율화 방향을 제시하였다. 실증분석을 위해 Feder-Ram 2부문-외부효과모형에 기초하여 1970년대 이후 총국방비 운영유지비 방위력개선비 등 3가지의 국방부문 지표를 이용한 실증분석 결과, 방위력개선비가 국민총생산에 대해 유의한 정(正)의 효과를 갖는 것으로 나타났다. 총국방비의 경우 유의성이 없었으며, 운영유지비의 경우 유의한 부(負)의 효과를 갖는 것으로 나타났다. 국방예산 규모논쟁과 관련하여, 최근 GDP 대비 국방비 비중과 안보위협을 고려한 국가군별 비교 등을 통해볼 때, 지금까지의 우리나라 국방비규모의 상대적 비중이 하락하는 추세를 더 이상 기대하기는 어렵다고 보는 것이 현실적인 인식이라고 판단된다. 이제 국방예산 관련 논의의 초점은 상대적 규모를 포함하여 국방예산규모 자체보다는 국방예산의 지출구조와 내역에 맞추어져야 하고, 국방예산 운영의 낭비사례를 방지하고 효율성 투명성을 높여서 적절한 지출구조와 배분내역 방식을 이루는 것이 되어야 한다고 판단된다. 국방예산 지출구조의 개선을 위해서 투자비 성격의 방위력개선비 비중을 높이는 예산구조상의 개선이 매우 중요한 과제이다. 이를 위해 각종 경사경비에 대한 영점기준의 검토작업과 더불어 인력과 장비의 대체, 인력구조의 조정 등을 통해 기술집약형 전력구조를 지향하는 보다 근본적인 구조조정노력이 이루어져야 할 것이다. 미래전 양상에 대비한 군 첨단화의 핵심인 해상방위력 및 항공력 증강 등이 필수적이며, 지상군 위주에서 상대적으로 해 공군 중심의 군 구조로 개선되어야 할 것이다. 구조개선의 완급조절과 군별배분의 수평적 구조개선을 통해서 예산규모의 커다란 증대 압력 없이 추진 할 수 있는 구조개선은 시급히 실현되어야 할 것이며, 구조조정 재원의 상당부분은 군 내부의 낭비사례를 막고 생산성을 획기적으로 제고해서 확보할 수 있어야 할 것이다. 국방예산 운영의 효율성 투명성 제고를 위해서는 군 내부 자원관리기능이 강화되어야 하고, 군조직 운영에 있어서도 민간부문에 상응하는 경영효율성 개념의 과감한 도입이 요구된다. 지금까지의 '국방전력 극대화'를 위한 군인중심의 획일적 폐쇄적 군조직 운영에서 벗어나 조직 인사 예산 운영 전반에 걸친 경영혁신이 이루어져야 한다. 국방부문에 경영효율성 개념을 도입하여 경영혁신을 이루어나가는 주요 정책방향은 일부 기능 조직의 민영화 및 민간위탁의 확대, 민간전문인력의 활용도 제고, 자율적 책임경이 필요한 부문을 대상으로 한 "책임경영사업소(Agency)제도"의 도입 등이다. 또한 유사기능을 갖는 조직과 각군별로 별도로 설립되어 중복되는 기능을 수행하는 기관을 통폐합해야 할 것이다.

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Bilateral Popliteal Artery Entrapment Syndrome (양측성 슬와동맥 포착증후군)

  • Yoo, Dong-Gon;Kim, Chong-Wook;Park, Chong-Bin
    • Journal of Chest Surgery
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    • v.40 no.2 s.271
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    • pp.136-139
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    • 2007
  • Bilateral popliteal artery entrapment syndrome is a rare vascular disease, which leads to ischemic claudication as a result of disturbance to the blood flow from the abnormal relationship of the popliteal artery to the gastrocnemius muscle, a fibrous band or the popliteus muscle in the young male population. A 58-years-old male patient, complaining of ischemic claudication, coldness and 3rd toe gangrene of left leg of 1 month's duration was admitted to our institution. His left ankle-brachial index was decreased; therefore, a femoral artery angiography was peformed, which revealed a total occlusion below the distal superficial femoral artery of the left leg. An EKG revealed atrial fibrillation, suggestive of a thromboembolism of the popliteal artery due to atrial fibrillation; therefore, Urokinase thrombolysis was attempted. After the Urokinase thrombolysis, popliteal artery entrapment syndrome was diagnosed, with MRI then performed for an anatomical diagnosis. The popliteal artery entrapment was type 1, where the popliteal artery was displaced medial to the Gastrocnemius head. After complete removal of the popliteal artery aneurysm, interposition was performed with a contra lateral greater saphenous vein graft. A mild right popliteal artery aneurysm still remained, but surgery was not performed. Currently, the patent is surviving, without complications. Herein, the good results obtained for the surgical treatment of a severely affected leg, and the conservative treatment of a mildly affected leg, are reported.