Background: Surgical results of the Fontan procedures in patients with a single ventricle have improved. As the perioperative mortality continues to decline and late outcome is forthcoming, attention is now being directed toward late complications of the Fontan procedures. We retrospectively analyzed our experience with reoperations after Fontan procedures. Material and Method: Between January 1988 and December 2002, 24 patients underwent reoperations after Fontan procedures. The median age at Fontan procedures and reoperation was 3.3 years and 9.2 years, respectively. Types of initial Fontan procedures were atriopulmonary connection (n=11), lateral tunnel Fontan (n=11), and extracardiac conduit Fontan (n=2). Indications for reoperation included atrioventricular valve regurgitation (n=7), atrial arrhythmia (n=8), Fontan pathway stenosis (n=7), residual right-to-left shunt (n=5), etc. Result: Procedures performed at reoperation included atrioventricular valve replacement (n=6), conversion to lateral tunnel Fontan (n=5), conversion to extracardiac conduit Fontan (n=3), cryoablation of arrhythmia circuit (n=7), etc. There was no operative mortality. There were 2 late deaths. Mean follow-up duration was 2.7$\pm$2.1 years. All patients except two were in NYHA class I at the latest follow-up. Among 8 patients with preoperative atrial arrhythmia, postoperative conversion to normal sinus rhythm was achieved in 7 patients. Conclusion: Reoperations after Fontan procedures could be achieved with low mortality and morbidity. Reoperation may lead to clinical improvement in patients with specific target conditions such as atrioventricular valve regurgitation, refractory atrial arrhythmia, or Fontan pathway stenosis, especially in patients with previous atriopulmonary connection.
The Shinri area near the Yedang Lake, the eastern part of the Hongseong area in SW Gyeonggi Massif, consists of the Neoproterozoic Duckjeongri granodiorite-tonalite, mylonitized amphibole-bearing orthogneiss and impure marble with lens-shaped garnet-bearing metabasites. In this paper, we report mineralogical and geochemical data of Neoproterozoic lens-shaped garnet-bearing metabasites within marble of the Shinri area. The $SiO_2$ contents of garnet-bearing metabasites in marble vary between ~46.98 and 51.17 wt%, and the $Na_2O$ + $K_2O$ contents fall between ~1.95 and 2.85 wt%, similar to the tholeiitic sub-alkaline basaltic rocks. In the Zr/Y vs. Zr diagram, garnet-bearing metabasites also plot in the subalkaline basaltic rocks. The chondrite-normalized REE patterns for Shinri garnet-bearing metabasites show relatively flat patterns to that of chondrite. They show slight LREE-enriched and depleted patterns. The major and trace element data from lens-shaped garnet-bearing metabasites in marble of the Shinri area suggest that these rocks were formed in within plate. In contrast, previous major and trace element data of high pressure type garnet-bearing metabasites from the mafic-ultramafic complex in the Baekdong and Bibong areas suggest that these rocks were formed in a nascent arc to backarc spreading center within subduction zone setting. Based on mineral assemblage and mineral chemistry, P-T estimates for Shinri garnet-bearing metabasites are 9.6-12.7 kb, $695-840^{\circ}C$ for inclusions in the core, and 9.6-13.6 kb, $630-755^{\circ}C$ for those in the rim. These P-T estimates are distinct from those of the Baekdong and Bibong garnet-bearing metabasites with isothermal decompressional retrograde P-T path. In addition to Triassic tectonic activity previously reported in the Shinri area of Hongseong, the details of metamorphic history such as protolith age and Neo-Proterozoic metamorphic episode need to be solved.
Journal of agricultural medicine and community health
/
v.30
no.1
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pp.39-50
/
2005
Objectives: This investigation was carried out to explore the source and the mode of transmission of the diarrhea outbreak in Seongju-gun, Gyeongbuk, 2004 Methods: The authors conducted a questionnaire survey among the 275 persons (students, staff members and cooks) who ingested the possibly contaminated foods. We also investigated the drinking water and the dining facility, and we reviewed the process of cooking the salad, which was the presumed cause of the Enteropathogenic Escherichia coli(EPEC) diarrhea. The confirmed EPEC diarrheal case was defined as culture positive for EPEC, and the suspicious case was defined as diarrheal case with symptoms more than one of fever, vomiting and tenesmus. Results: The attack rate of EPEC diarrhea was 36.7%, and there were 8 confirmed cases. The possibility of the drinking being a source of the infection was very low, for chlorine was detected in all the drinking water via reviewing the past records and using a portable detector. The foods that were significantly associated with diarrhea were found. The relative risk (RR) for the lunch served Jul 7 was 4.12 (95% CI: 1.39-12.20). Among the non-boiled foods that were finally served, the RR for the salad was 1.66 (95% CI: 1.07-2.57). The cause of this outbreak was presumed to be the contaminated foods that were prepared by cooks using rubber glove with holes, and especially the salad and foods that were served sans boiling on Jul 7. Conclusions: Though this EPEC infection was not so clinically important, if a larger outbreak occurred, it might severely affect the public health. It is recommended to develop the more safe methods for cooking foods, and to strengthen the sanitary processing foods.
The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
/
v.24
no.2
/
pp.332-350
/
2019
Zonal hydrographic section measurements at $39.7^{\circ}N$ were conducted between $129.0^{\circ}E$ and $131.3^{\circ}E$ from August 7 to 25 in 2017 using an underwater glider. The glider traveled about 440 km for about 18 days along the 106 line of the regular shipboard measurements in the National Institute of Fishery Science (NIFS) and obtained twice a hydrographic section with high horizontal resolution. Even under the strong East Korea Warm Current with maximum speed of 0.8 m/s across the section, the glider successfully maintained the designated path within an RMS distance of 400 m. By comparing with the NIFS shipboard hydrographic section, it is confirmed that high spatial resolution measurements obtained from a glider were necessary to properly observe front and eddy variability in the East Sea where a typical spatial scale is smaller than the open oceans. From the glider section measurements, a new lens-shaped eddy was found in the thermocline. The lens-shaped anticyclonic eddy had 10~13 km in horizonal width and about 200 m in height like a typical submesoscale eddy resided within the thermocline, which was firstly named as Korea intrathermocline eddy (Keddy). The Keddy has the distinguishing characteristics of a typical intrathermocline eddy, such as a central core with anomalously weak stratification, a convex shaped lens bounded by the stratification anomaly, an interior maximum of velocity at 170 m, no surface appearance of the geopotential field, a small or comparable horizontal width relative to the first baroclinic Rossby radius of deformation, and the Rossby nubmer of 0.7.
Current Korean innovation system is facing a new turning point while the growth-oriented and S&T provide-oriented development strategy. Accordingly, there are needs for not only system transition in various area, such as sustainable energy, agriculture, and rural area but also STI policy paradigm shift to create a new innovative pathway. Living lab is being discussed in European country as a new innovative model based on user participation and as a niche experiments for sustainable system transition. This study attempts to analyze the living lab cases which are for the purpose of energy transition, agriculture rural areas system transition, and STI policy paradigm shift. Based on this analysis, the implications were derived in Korea. European Suslab project, C@R project, and Taiwan living lab, promoted diverse transitional experiments successfully by collecting users' background and experiences from pre-planning stage and by maintaining the user-driven innovative actions within the whole development process. This result provides various suggestions to current Korean situation that central government and local governments are considering the introduction of living lab. Living lab can also be utilized as a strategic niche experiments for socio-technical system transition in region or country, as a mean of policy integration, and as a new regional innovation model. In addition, it can be an important platform to realize the policy integration reflecting the user and demand-side which are highlighted in recent innovative policy paradigm.
Journal of the Institute of Electronics and Information Engineers
/
v.53
no.9
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pp.26-37
/
2016
The core technologies of the current transport network are OAM and protection switching to meet the sub-50ms protection switching time via a path redundancy when a link or node failure occurs. The transport networks owned by public network operators, central/local governments, and major enterprises are individually configured and managed with service resiliency in each own protected sub-network. When such networks are cascaded, it is also important to provide a node resiliency between two protected sub-networks. However, the linear protection switching in packet transport networks, such as MPLS-TP and Carrier Ethernet, does not define a solution of dual node interconnection. Although Ethernet ring protection switching covers the dual node interconnection scheme, a large amount of duplicated data frames may be flooded when a failure occurs on an adjacent (sub) ring. In this paper, we suggest a dual node interconnection scheme with linear protection switching technology in multiple protected sub-networks. And we investigate how various protected sub-network combinations with a proposed linear or ring protection process impact the service resiliency of multiple protected sub-networks through extensive experiments on link and interconnected node failures.
This research studied human health risk assessment of PAHs (Polycyclic Aromatic Hydrocarbons) in road dust sediments collected from 6 sites in four different cities in Korea. PAHs are well known to be human carcinogens and toxic compounds that are commonly generated from incomplete combustion of fuels and energy products. Such compounds which is absorbed by atmospheric suspended dust can be emitted into air in gaseous form and often deposited on road dust sediments. The PAHs which is deposited on sediment particles can also be re-dispersed by vehicles or winds on the road surface. It can be harmful for humans when exposed via breathing, ingestion and dermal contact. This study examined human health risk assessment of PAHs in deposited road dust sediments. Results showed that the excess cancer risk estimates were above 1.0×10-6 at main traffic roads and resident area in Ulsan city. According to the result of deterministic risk assessment, dermal-contact was the major pathway, while the contribution of the risk from inhalation was less than 1%. The probabilistic risk assessment showed similar levels of cancer risk derived from the deterministic risk assessment. The result of sensitivity analysis reveal that exposure time is the most contributing factor (69%). Since the values of carcinogenic risk assessment were higher than 1.0 × 10-6, further detailed monitoring and refined risk assessment for PAHs may be required to identify more reliable and potential cancer risks for those who live in the study locations in Ulsan city.
The purpose of this study is to explore the suitable creative class in korea as the core capital of creative urban growth under creative economy era. We are test to find it for two types of creative class. One is Richard Florida(2002)'s creative class, the other is Mcgranahan & Wojan(2007)'s recasting creative class. Data on 2010 for this paper are generated from Statistics Korea. As a result, we find that the economic geography of creative class is highly concentrated. Furthermore, the geography of creative class is strongly associated with innovation index and high-technology industry location. And Mcgranahan & Wojan(2007)'s creative class is more strong relationship between all dependent variables than Florida's. We also find that it has better power of explanation than Florida's with all of them in regression analysis. According to the results, this study suggests some solutions. First, this study can be provided to government and local policy makers as basis data and practical policy guide to attract creative class. Second, this paper presents standard about a diversity of definitions for creative class in Korea. Third, this research also facilitates follow-up studies about regional economic growth and creative climates.
In order to investigate the upwelling and island effects following the wind storm events in the East Sea (i.e., Uljin-Ulleungdo-Dokdo line) during spring, we assessed the vertical and horizontal profiles of abiotic and biotic factors, including phytoplankton communities. The assessment was based on the Geostationary Ocean Color Imager (GOCI) and field survey data. A strong south wind occurred on May 3, when the lowest sea level pressure (987.3 hPa) in 2016 was observed. Interestingly, after this event, huge blooms of phytoplankton were observed on May 12 along the East Korean Warm Current (EKWC), including the in the offshore waters of Ulleungdo and Dokdo. Although the diatoms dominated the EKWC area between the Uljin coastal waters and Ulleungdo, the population density of raphidophytes Heterosigma akashiwo was high in the offshore waters of Ulleungdo-Dokdo. Based on the vertical profiles of Chlorophyll-a (Chl. a), the sub-surface Chl. a maximum appeared at 20 m depths between Uljin and Ulluengdo, whereas relatively high Chl. a was distributed equally across the entire water column around the waters of Ulleungdo and Dokdo islands. This implies that the water mixing (i.e., upwelling) at the two islands, that occurred after the strong wind event, may have brought the rapid proliferation of autotrophic algae, with nutrient input, to the euphotic layer. Therefore, we have demonstrated that a strong south wind caused the upwelling event around the south-eastern Korean peninsula, which is one of the most important role in occurring the spring phytoplankton blooms along the EKWC. In addition, the phytoplankton blooms may have potentially influenced the oligotrophic waters with discrete time lags in the vicinity of Ulleungdo and Dokdo. This indicates that the phytoplankton community structure in the offshore waters of Ulleungdo-Dokdo is dependent upon the complicated water masses moving related to meandering of the EKWC.
Lee, Ik Choon;Cho, Jeoung Ki;Lee, Hae Hwang;O, Hyeok Geun
Journal of the Korean Chemical Society
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v.34
no.3
/
pp.239-247
/
1990
The gas-phase S_N2$ reactions can be classified into neutral bimolecular, solvated, and ionic reactions; the neutral bimolecular reaction proceeds via retention mechanism whereas the ionic reaction produces inversion products. In the reaction of solvated nucleophile with one solvent molecule, a six-center transition state (TS) is formed and the two processes i.e., retention and inversion, are found to compete with a favored path depending on the electronic effect of the nucleophile and substituents in the substrate and on the steric requirement. In the ionic reaction, the difference in the energy barrier between the two processes reduces to a small value when the substrate methyl group is made bulky, leaving ability of the leaving group is improved and at the same time the negative charge of the nucleophile is dispersed. When the reaction center atom in the $S_N2$ reaction is changed to a larger sized second row elements, the activation barrier decreases since the steric crowding in the penta-coordinated TS is relieved. However within the same row, the barrier was found to increase as the atomic size decreased. For the boron, B, the barrier height was the least since in addition to the relatively large atomic size compared to C and N, it forms tetra-coordinated TS so that the steric crowding becomes nearly negligible.
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