• The Journal of the Korea Contents Association
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• v.17 no.1
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• pp.692-700
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• 2017

Based on the sexual offenses committed in school, the present study investigated differences between habitual/repeated sexual offenses and one-off sexual offenses in terms of offender characteristics, victim characteristics, and offense characteristics. We examined a total of 218 sexual offense cases committed in school. As a result, we found significant differences in the age, job, and residential area between habitual/repeated and one-off sexual offenders in school. In addition, notable differences were found between habitual/repeated and one-off sexual offense cases in the age and alcohol use of the victim. Moreover, habitual/repeated and one-off sexual offenses in school differed significantly by offense planning, method of approaching the victim, type of sexual behavior, and victim resistance. Furthermore, we conducted regression analyses and identified multiple factors that contributed to lasting of the sexual offense in school. Finally, we discussed limitations of the present study and made suggestions for future research.

• Journal of Chest Surgery
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• v.30 no.12
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• pp.1219-1224
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• 1997

Although several reports were presented recently about bronchial arterial revascularization in clinical lung transplantation, one factor peculiar to the lung transplantation is the ischemia of the donor bronchus. Poor bronchial healing occurs frequently following clinical lung transplantation and this has been major cause of mortality and morbidity. There have been many attempts to solve bronchial anastomotic complications. Telescoping technique, one of those attempts, was advocated by San Antonio Group recently. This experiment was per(armed to evaluate the effect of telescoping anastomotic technique upon th healing of the tracheo-bronchial anastomosis. We used rabbits(weighing about 800 g) as experimental animal. Method: Resection of middle one third of cervical trachea and reanastomosis was performed by simple interrupted anastomotic technique in Group 1(n=15) and by telescoping anastomotic technique in Group 2(n= 15). Result: Anastomotic sites in the telescoping technique group showed significant increase of fibrosis in the early postoperative days(< Sdays) and remarkable band-like fibrous union compared to the simple interrupted group.

• Journal of Chest Surgery
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• v.41 no.1
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• pp.110-115
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• 2008

Malperfusion of a major organ with aortic dissection has various clinical features according branch. The morbidity and mortality rate can increase without suspicion especially postoperative period. Surgical outcomes and prognosis are influenced by early expeditious diagnostic and therapeutic measures are mandatory for successful treatment. The authors report four successful cases of acute aortic dissection with mal perfusion of various organs, such as the brain, kidney, and the lower extremities.

• Proceedings of the Korea Water Resources Association Conference
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• 2017.05a
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• pp.516-516
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• 2017

기후변화로 인하여, 홍수, 사막화, 엘니뇨 등의 자연재해가 이전보다 더 발생하고 있다. 기후변화 적응은 전 세계적으로 기후변화 대응보다 중요해지고 있다. 기후변화 적응을 위한 이슈 중 하나가 물 순환이다. 각 국가에서는 물 순환을 활성화하기 위한 기술을 개발하고 있다. 특히, 저영향개발(LID, Low Impact Development)이라는 물을 확보하기 위한 정책이 각 국가별로 추진되고 있으며, 이에 따른 기술이 개발되고 있다. 국내에서도 2001년에 국토해양부는 수자원장기종합계획을 발표하고, 환경부에서는 2013년에 LID기술요소 가이드라인과 환경영향평가 시 적용 가능한 저영향개발 매뉴얼을 개발하는 등 LID기술을 개발하고 적용하기 위한 정책을 펼치고 있다. 이러한 LID기술 중 하나가 빗물 집수시스템이며, 이 빗물집수시스템은 주거지역에서 빗물을 배수하고, 집수하여 빗물을 이용하기 위해 적용되고 있다. 현재 적용되고 있는 빗물 집수시스템은 측구 집수시스템과 원형 집수시스템이 있으며, 최근에는 수로형 집수시스템이 적용되는 지역도 있다. 본 연구에서는 전과정 평가(LCA, Life Cycle Assessment)를 이용하여 빗물 집수시스템의 환경성을 평가하고자 한다. 현재, 국내에서는 녹색건축물인증, 탄소성적 표지인증, 환경성적 표지인증 등 LCA를 이용하여 환경성을 평가하고 있다. 특히, 본 연구에서는 기후변화 측면에서 LCA를 적용하여 이산화탄소배출량을 평가하고자 하였다. 본 연구의 범위는 빗물집수시스템 30m로 가정하였으며, 측구 집수시스템, 원형 집수시스템 및 수로형 집수시스템의 건설, 운영 및 유지관리, 해체 및 폐기단계의 전 과정이다. 각 빗물 집수시스템에 대해 각 단계별로 이산화탄소 배출량을 산정한 결과, 수로형 집수시스템은 $2.82\;ton\;CO_2\;eq./set$이며, 원형 집수시스템은 $27.65\;ton\;CO_2\;eq./set$, 측구 집수시스템은 $21.54\;ton\;CO_2\;eq./set$이 배출되었다. 이산화탄소배출량 측면에서는 수로형 집수시스템이 나머지 두집수시스템보다 87~90%가 저감되는 것으로 나타났다. 본 연구는 저영향개발에 대응하는 동시에 기후변화를 대응한다는 측면에서 빗물 집수시스템 정책에 활용되고, 설계시에도 반영될 수 있을 것으로 사료된다. 추가적으로 이산화탄소뿐 만 아니라, 다른 환경성을 평가하는 연구가 진행될 필요가 있다.

• Journal of the Korea Convergence Society
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• v.10 no.10
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• pp.143-151
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• 2019

Grit, defined as "perseverance and passion for long-term goals", is a known personality trait that successfully predicts high performance in various fields. In spite of extant evidence of the effectiveness of grit, research has not yet clarified the relationship between grit and conscientiousness, a highly correlated personality trait. In this study(N = 355), we examined the effect of grit and conscientiousness on academic achievement, mediated by self-determination motivation. As a result, grit and conscientiousness both predicted academic performance, and intrinsic motivation mediated these relationships. However, conscientiousness no longer related with motivation and academic achievement when grit was controlled for, whereas grit maintained its relationship with motivation and achievement even when conscientiousness was controlled. This result indicates that although the two psychological concepts overlap to some extent, grit has a unique motivational and behavioral effect that distinguishes it from conscientiousness. The present study expands the current understanding of grit with its comparison between grit and conscientiousness. We suggest future research ought refine the grit scale to establish its discriminant validity.

• Journal of Chest Surgery
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• v.37 no.9
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• pp.727-734
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• 2004

The Lecompte procedure for transposition of the great arteries has an advantage because it obviates the need for an extracardiac conduit for the reconstruction of the pulmonary outflow tract. We evaluated the effectiveness and the application of the Lecompte procedure. Material and Method: A retrospective review was conducted of the records of 46 patients who underwent the Lecompte procedure during the past 15 years. Mean age at operation was 29.2$\pm$20.3 (range: 3∼83) months. The diagnoses involved anomalies of the ventriculoarterial connection with ventricular septal defect and pulmonary outflow tract obstruction, such as transposition of the great arteries, double-outlet right ventricle, and double-outlet left ventricle. Result: Early mortality was 4.4% (2 of 46 patients) and late mortality was 6.8% (3 of 44). The mean follow-up was 11.2$\pm$6.9 years. Eighteen patients (43.9% of survivors, n=41) had pulmonary stenosis (pressure gradient above 30 mmHg), the main reason for which was a calcified monocusp valve (n=15, 83.3%). Seventeen of 46 patients (37.0%) underwent reoperation: 15 for pulmonary stenosis, 5 for residual ventricular septal defect, 4 for left ventricular outflow tract obstruction, 3 for pulmonary insufficiency, and 4 for other causes. The cumulative survival rates were 91.3$\pm$4.2%, and 87.0$\pm$5.8% at 10 and 15 years, respectively. The actuarial probabilities of freedom from reoperation for pulmonary stenosis were 90.6$\pm$4.5%, 73.9$\pm$7.3%, and 54.0$\pm$10.4% at 5, 10, and 15 years, respectively. Conclusion: The Lecompte procedure is an effective treatment modality. Repair in early age is possible with acceptable morbidity and mortality, but recurrent right ventricular outflow tract obstruction caused by degeneration of the monocusp valve is a problem that needs resolution.

• Tuberculosis and Respiratory Diseases
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• v.49 no.4
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• pp.474-485
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• 2000

Background : Current studies on multimodal strategy for N2 non-small cell lung cancer are being high interest, have drawn much attention. N2 lung cancer, however, is composed of is divided into several sub groups with that have different prognoses. The prognostic factors still remain controversial. Methods : Between January 1990 and June 1999, 180 patients with N2 lung cancer who underwent surgical resection were investigated, excluding 10 of these for surgical mortality. All patients underwent mediastinal lymph node dissection. 20 clinicopathologic factors were investigated by univariable and multivariable analyses to identify significant prognostic factors among resected N2 disease. Results : The overall 5-year survival rate was 20.6%. Multivariable analyses among overall patients revealed 3 significant prognostic factors : Age, Histologic type, Vascular invasion. Based on the result, 49 patients with both age more than 60 and pathologic Non-squamous cell showed a 5-year survival of 5.0%, whereas 37 patients with neither of the factors showed a 5-year survival of 56.6%(p<0.001). And 12 patients with both vascular invasion and pathologic Non-squamous cell showed a 5-year survival of 11.9%, whereas 67 patients with neither of the factors showed a 5-year survival of 33.6%(p=0.01). Conclusion : The prognosis of surgically resected N2 disease varies according to the 3 significant prognosis factors. Tumor size may be an additional influencing factor in the prognosis of N2 disease.

• Journal of Chest Surgery
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• v.33 no.11
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• pp.886-893
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• 2000

배경: 흉복부 대동맥류는 질환 자체가 광범위하고 수술 중 척수를 포함한 각종 장기의 보호 및 허혈 방지라는 면에서 아직도 수술 합병증이 높은 질환이다. 본 연구에서는 그 동안의 임상경험을 바탕으로 치료성적, 합병증 발생, 사망률 등을 검토하였다. 대상 및 방법: 1990년 1월부터 1999년 12월까지 흉복부동맥류로 수술을 시행한 38명의 환자를 대상으로 의무 기록 검토을 통한 후향적 분석을 시행하였다. 결과: 남자가 22명, 여자가 16명, 평륜 연령은 46.2$\pm$12.3세였고, 크로포드 진단분류 상 1형 이 13례(34.2%), 2형이 19례(50%), 3형이 4례(11%), 4형이 2례(4.8%)였다. 만성 대동맥박리증에 관련된 경우가 29례(76.3%)로 가장 많았고, Marfan 증후군이 동반된 경우가 9례(23.7%)에서 있었다. 원위부 대동맥 관류를 35례에서 시행하였으며, 고동맥-고정맥 심폐바이패스를 31례에서, 좌심방-고동맥 바이패스를 4례에서 시행하였다. 심폐바이패스를 이용한 31례중 4례에서 초저체온하 완전순환정지를 이용하였다. 대동맥 차단 중 복강내 주요 대동맥 분지로의 선택적 관류를 시행하였다. 대동맥류의 최대직경은 평균 8.2$\pm$2.4cm이었고, 동맥류가 파열된 경우는 11례(28.9%)에서 있었다. 전례에서 인조혈관을 이용한 대동맥의 치환술을 시행하였다. 단계적으로 흉복부 대동맥을 겸자하면서 인공혈관을 문합하였고, Adamkiewicz 동맥으로 생각되는 부위의 늑간 동맥을 문합해주었는데, 8번째부터 12번째 흉추 사이의 늑간 동맥 중 역류혈류가 나타나고 상대적으로 내경이 큰 것들을 문합해 주었다. 술 후 조기사망은 3례에서 있었으며, 사인은 심폐기 이탈 실패 (2례), 저혈압 및 산증(1례) 등이었다. 조기 합병증으로는 애성 5례, 출혈 5례, 창상간염 3례, 장기간의 인공호흡기보조가 3례 등이 있었다. 치명적인 조기 합병증인 하지마비는 2례(5.3%)에서 발생하였고, 이 중 1례는 대동맥의 심한 석회화로 늑간동맥을 문합해 주지 못했던 경우였다. 35명의 환자에서 평균 추적기간은 103.1$\pm$6.1 개월, 2년 생존율은 93.8%, 5년 생존율은 86.1%, 8년 생존율은 80.7%였다. 추척기간 동안 4례의 만기사망이 관찰되었고, 사인은 2례에서는 갑작스런 의식소실이 발생하여 규명하기 어려웠으며, 대동맥-식도루 발생에 의한 경우가 1례, 경동맥류 파열에 의한 경우가 1례 등이었다. 만기 합병증으로는 복부 대동맥류(2례), 상행 대동맥 및 대동맥 근부 확장(1례), 대동맥-늑막루(1례), 창상 부위 탈장(1례), 역행성 사정(1례) 등이 있었다. 결론: 저자들은 흉복부대동맥류의 수술에 있어 심폐우 회술 혹은 좌심방-고동맥 바이패스를 통한 원위부 관류 및 저체온법, 수술 시 척수의 혈류공급과 관련된 늑간동맥의 연결 등으로 주요 신경합병증의 발생을 줄이고 좋은 성적을 거두고 있다고 판단하였으며 향후 임상 경험 축적과 함께 보다 정련된 위험인자의 분석이 필요하다고 본다.

• Journal of Chest Surgery
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• v.32 no.3
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• pp.262-269
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• 1999

Background: To review the middle and long term results of aortic valve replacement(AVR) for 11 years, we surveyed and followed up the patients who underwent AVR. Material and Method: Between Feb. 1986 and May 1997, 134 patients underwent AVR. The patients consisted of 71 men and 63 women whose mean age was 38.9 years, ranging from 17 to 70. Result: The concomitant operations were 62 mitral valve replacement(MVR), 14 MVR + tricuspid valve annuloplasty, 10 Cabrol operation, 16 aortic annulus widening, and so forth. We used 119 mechanical(75 St. Jude Medical, 38 CarboMedics, 6 Sorin) and 15 tissue (Carpentier-Edwards) valves. Early postoperative complications occurred in 35 cases; 9 congestive heart failure, 6 low cardiac output, 5 postoperative bleeding, 5 pleural effusion, and so forth. There were 13 early postoperative deaths(9.7%) due to low cardiac output(5), CHF (2), disseminated intravascular coagulopathy(2), and so forth. The cumulative total follow-up period was 452.7 patient-years with a mean of 3.4${\pm}$3.1 years/patient. There were 9 cases of valve-related complications; anticoagulant-related bleeding(4), prosthetic valve endocarditis(2), thromboembolism(2) and prosthetic valve failure(1) occured at rate of 0.9, 0.4, 0.4, 0.2%/ pt-yr, respectively. Late valve-related death occurred in 3 cases(2.0%/pt-yr) associated with anticoagulant-related bleeding(2) and prosthetic valve endocarditis(1). Conclusion: Actuarial survival rate by Kaplan-Meier method was 91.0${\pm}$4.3 % at 11 years.

• Journal of Chest Surgery
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• v.42 no.1
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• pp.87-91
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• 2009

The surgical management of complete transposition of the great arteries, ventricular septal defect, and pulmonary stenosis still remain a significant challenge. The Rastelli (REV procedure) remains the most widely applied procedure for surgical repair of these lesions. Although the Rastelli procedure can be performed with good early results, the intermediate- and long-term results have been less than satisfactory because of deterioration of the hemodynamic performance of the LVOT or RVOT. We performed a modified Nikaidoh procedure as an alternative surgical procedure in a 19-month-old boy weighing 10.4 kg with this anomaly. Aortic translocation with biventricular outflow tract reconstruction resulted in a more "normal" anatomic repair and postoperative echocardiography showed straight, direct, and unobstructed ventricular outflow.