• Title/Summary/Keyword: 일차성

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Clinical Analysis of the Surgical Treatments for Large Primary Spontaneous Pneumothorax (외과적 치료를 시행한 대량 일차성 자연기흉의 임상분석)

  • Kim, Byung-Ho;Huh, Dong-Myung;Han, Won-Kyung
    • Journal of Chest Surgery
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    • v.42 no.3
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    • pp.344-349
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    • 2009
  • Background: The clinical history and physical findings of the patients with spontaneous pneumothorax depend largely on the extent of the collapse of the lung and the presence of pre-existing pulmonary disease. Large primary spontaneous pneumothorax is a possible serious condition and. so more active treatment will be necessary for these patients. The therapeutic guideline for large pneumothorax remains controversial. Therefore, by assessing the clinical results of surgical treatment for large primary pneumothorax, we aim to determine the indicators of treatment. Material and Method: Among 348 patients with primary spontaneous pneumothorax and who underwent surgical treatment from August 2004 through December 2007, 58 patients who responded to treatment for a large primary pneumothorax were included in the current study. We then retrospectively evaluated the operative findings and the surgical results. The patients with a pneumothorax of 80% or more, including those patients with tension pneumothorax, were considered to have a "large pneumothorax". Most of these patients Should be treated with a 12F chest tube. Thoracoscopic wedge resection was considered for treating recurrent pneumothorax, continuous air leakage, controlateral pneumothorax and first episode pneumothorax with visible blebs (> 1cm) seen on the computed tomography. Result: There were 50 men and 8 women with a mean age of 28.2 years (range: $14\sim54$ years). The mean length of hospitalization was 5.3 days (range: $2\sim10$ days). Nine patients underwent chest tube drainage only. Forty-nine patients underwent thoracoscopic wedge resection. The mean follow up time was 27.8 months (range: $10\sim58$ months). The actual site of air leakage could be located in 35 patients (71.4%) and this was correlated with pleural adhesion (p=0.005). The initial air leakage tended to be more correlated with intra-operative air leakage, although this was not statistically significant (p=0.066). The recurrence rate was 11.1 % for the patients with chest tube drainage and 2.0% for the patients with thoracoscopic wedge resection. Conclusion: Large primary pneumothorax requires an early diagnosis and early treatment. Thoracoscopic wedge resection may help to prevent recurrence of large primary pneumothorax.

Analysis of Microbial Communities of Salted Cabbage and Kimchi according to Cultivation Areas (재배지역에 따른 절임배추 및 김치의 미생물 군집 분석)

  • Chang Eun Kim;Soo Hyun Kim;Min Seo Jung;Seung Lim Lee
    • Microbiology and Biotechnology Letters
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    • v.52 no.3
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    • pp.304-313
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    • 2024
  • In this study, the microbial distribution and diversity of kimchi manufactured in the same method as salted cabbage manufactured from Pyeongchang, Andong, and Haenam cabbage according to the storage period were compared. Among Pyeongchang, Andong, and Haenam salted cabbages, the Haenam salted cabbage microbial community showed the highest diversity on the 1st day of storage. As the storage period of salted cabbage increased, the alpha diversity value increased, the proportion of cyanobacteria decreased, and bacteria derived from sea salt and water increased. Principal coordinates analysis(PCoA) and unweighted pair group method with arithmetic mean(UPGMA) trees showed that Andong salted cabbage on the 5th day of storage had a microbial community close to salted cabbage on the 10th day of storage. At the species level, Sinocapsa zengkensis was 78.65%, 90.64%, and 63.44%, respectively, in Pyeongchang, Andong, and Haenam salted cabbages on the 1st day of storage. Marinomonas primoryensis was showed in Pyeongchang, Andong, and Haenam salted cabbage on the 5th day of storage at 24.39%, 26.60%, and 21.75%, respectively, and at 42.17%, 31.43%, and 45.21%, respectively, on the 10th day of storage. Kimchi made from Pyeongchang, Andong, and Haenam salted cabbages showed Janthinobacterium lividum at 30.47%, 29.60%, and 25.97%, respectively. In addition, Leuconostoc spp. involved in fermentation were showed from the 5th day of storage, but Andong salted cabbage on the 10th day of storage was not showed. These results show to be due to differences in soil, climate, and cultivation methods of cabbage.

Quadratic GARCH Models: Introduction and Applications (이차형식 변동성 Q-GARCH 모형의 비교연구)

  • Park, Jin-A;Choi, Moon-Sun;Hwan, Sun-Young
    • The Korean Journal of Applied Statistics
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    • v.24 no.1
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    • pp.61-69
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    • 2011
  • In GARCH context, the conditional variance (or volatility) is of a quadratic function of the observation process. Examine standard ARCH/GARCH and their variant models in terms of quadratic formulations and it is interesting to note that most models in GARCH context have contained neither the first order term nor the interaction term. In this paper, we consider three models possessing the first order and/or interaction terms in the formulation of conditional variances, viz., quadratic GARCH, absolute value GARCH and bilinear GARCH processes. These models are investigated with a view to model comparisons and applications to financial time series in Korea

Primary Sternoclavicular Septic Arthritis in a Healthy Adult - A Case Report - (건강한 성인에서 발생한 일차성 흉쇄 관절 화농성 관절염 - 증례 보고 -)

  • Lee, Woo-Seung;Kim, Yeub;Kim, Taik-Sun;Yoon, Jung-Ro;Lee, Jun-Ho
    • Clinics in Shoulder and Elbow
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    • v.11 no.2
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    • pp.189-192
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    • 2008
  • Sternoclavicular septic arthritis is a rare condition and it is usually related to predisposing conditions like intravenous drug abuse, diabetic mellitus, trauma and so on. A delayed diagnosis of this disease may cause severe complications like mediastinitis and chest wall abscess. Computed tomography or magnetic resonance imaging is needed to evaluate the complications. If the above complications are present, then joint resection should be considered. We report here on a case of a 52-year-old man who was diagnosed with primary sternoclavicular septic arthritis and he had no predisposing conditions. The pathogen on the aspiration-culture was S. aureus and it was susceptible to cefminox. The patient was cured with administering only antibiotic therapy for 6 weeks; intravenous cefminox therapy for 4 weeks followed by oral cefminox therapy for 2 weeks.

Effects of the Continuity of Care on Hospital Utilization : Convergence A Propensity Score Matching Analysis (진료지속성이 의료이용에 미치는 영향 : 융복합 성향점수매칭 방법 적용)

  • Ahn, Lee-Su
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.323-332
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    • 2015
  • This paper examines the level of the primary care continuity for patients with high blood pressure and the effects of the primary care continuity on their convergence health outcomes. We conducted a retrospective cohort study. A total of 315,791 patients who had received new diagnoses of hypertension. We determined standard indices of continuity of care-MFPC, MMCI, and COC and evaluated their association with study outcomes over three years of follow-up. Outcome measures included hospitalization and emergency room visits. The result of the primary care continuity levels and hazard ratios of health outcome showed that, comparing continuity group, non-continuity group had higher rates of hospitalization by 1.655(95% CI: 1.547-1.771) and emergency room visits by 1.669(95% CI: 1.465-1.903). This paper argues that medical costs of chronic diseases will reduce if low continuity of care turns into high continuity of care.

Word problem solving of simultaneous equations by 5th and 6th grade students (5.6학년 학생들의 이원일차연립방정식 형태의 문장제 해결 과정 분석)

  • Yun, Min-Ji;Pang, Jeong-Suk
    • Communications of Mathematical Education
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    • v.23 no.3
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    • pp.761-783
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    • 2009
  • Problem solving ability can be fostered by dealing with many different types of problems. We investigated how $5^{th}$ and $6^{th}$ graders who did not learn traditional algebraic methods might approach the word problems of simultaneous equations. This result reveals that the strategy of guess-and-check serves as a basis for elementary school students in solving simultaneous equations. A noticeable remark is that students used the guess-and-check strategy in various ways. Whereas some students changed a variable given in the problem step by step, others did in a sophisticated way focusing on the relation between two variables. Moreover, some students were able to write an equation which was not typical but meaningful and correct. This paper emphasizes the need of connections between pre-algebraic and algebraic solutions.

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On Representations of Linear Systems and Analysis for the Meaning of Elimination Method (연립일차방정식의 다양한 표현과 소거법의 의미에 관한 연구)

  • Kim, Jin Hwan;Park, Kyo Sik
    • School Mathematics
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    • v.17 no.3
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    • pp.407-421
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    • 2015
  • Linear system is a basic subject matter of school mathematics courses. Even though elimination is a useful method to solve linear systems, its fundamental principles were not discussed pedagogically. The purpose of this study is to help the development of mathematical content knowledge on linear systems conceptions. To do this, various representations and translations among them were considered, and in particular, the basic principles for elimination method are analyzed geometrically. Rectangular representation is used to solve word problem treated in numbers of things in elementary mathematics and it is useful as a pre-stage to introduce elimination. Slopes and intercepts of lines associated linear equations are used to obtain the Cramer's formula and this solving method was showing the connection between algebraic and geometric procedures. Strategy deleting variables of linear systems by elementary operations is explored and associated with the movements of lines in the family of lines passing through a fixed point. The development of mathematical content knowledge is expected to enhance pedagogical content knowledges.

Effects of Fracture Tensor Component and First Invariant on Block Hydraulic Characteristics of the 2-D Discrete Fracture Network Systems (절리텐서의 성분 및 일차불변량이 2-D DFN 시스템의 블록수리전도 특성에 미치는 영향)

  • Um, Jeong-Gi
    • Economic and Environmental Geology
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    • v.52 no.1
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    • pp.81-90
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    • 2019
  • In this study, the effects of fracture tensor component and first invariant on block hydraulic behaviors are evaluated in the 2-D DFN(discrete fracture network) systems. A series of regression analysis is performed between connected fracture tensor components and block hydraulic conductivities estimated at every $30^{\circ}$ hydraulic gradient directions for a total of 36 DFN systems having various joint density and size distribution. The directional block hydraulic conductivity seems to have strong relation with the fracture tensor component estimated in direction perpendicular to it. It is found that an equivalent continuum approach could be acceptable for the 2-D DFN systems under condition that the first invariant of fracture tensor is more than 2.0~2.5. The first invariant of fracture tensor seems highly correlated with average block hydraulic conductivity and can be used to evaluate hydraulic characteristics of the 2-D DFN systems. Also, a possibility of upscaling using the first invariant of fracture tensor for the DFN system is addressed through this study.