• Title/Summary/Keyword: 확장방

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Postoperative Evaluation of Congenital Atrial Septal Defect in Adult (성인 심방중격결손증의 술후평가)

  • Kim, Ae-Jung;Jo, Jung-Gu;Gu, Ja-Hong;Kim, Gong-Su
    • Journal of Chest Surgery
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    • v.29 no.4
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    • pp.386-392
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    • 1996
  • Preoperative and postoperative evaluation was done in 60 adult patients above 20 years of age among 152 patients, who had operation for the congenital atrial septal defect from January 1984 to June 1993 in the Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital. Anatomically, the secundum type defect was present In 58 cases and the other two were ostium primum type defect. The defect were closed directly in 45 cases and with patches in 15 cases. Preopera ive EKG findings revealed regular sinus rhythm in 81%, arrhythmia 19%, RVH 32%, RAD 30%, Postoperative findings were regular sinus rhythm in 76%, arrhythmia 24%, RVH 25%. RAD 25%. In hemodynamic data, the mean SPAP in patients over 40 years old was 41.91 $\pm$ 14.33mmHg compared to 31.46 $\pm$ 13.77 mmHg in patients under 40 years old, and the difference between the two groups was stastistically significant. And then the patients were classified into two groups (group A sinus group, and group B : arrhythmia group) according to their preoperative rhythm. The patients in group B were older, had greater value of mean SPAP and Rp/Rs. Mean Qp/qs was higher in group A. But the difference between two groups about the mean Qp/qs and Rp/Rs was not significant. Postoperative complications such as arrhythmia, pneumothorax or hemothorax occurred in 7 cases, but there was no operative mortality. The functional improvement were remarkable in half of the patients who underwent surgery.

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The Search for Study on the Construction Process and Changes in the Landscape Plants of the Pasanseodang ('파산서당'의 영건과정과 조경식물 변화상 탐색)

  • Joo, Been;Choi, Hayoung;Shin, Sangsup
    • Korean Journal of Heritage: History & Science
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    • v.51 no.1
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    • pp.48-65
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    • 2018
  • The authors of this paper aim to make a record of the construction process, its symbolic meaning, and the changes in the status of the landscape plants at the Pasanseodang according to the Report on the Pasanseodang written by Park Gyu-hyun in 1874. First, the construction of Samgahun Pavilion, which is located in Myo-ri, Habin-myun, Dalsung-gun, Daegu, took about 90 years and spanned the lifetimes of Park Sungsoo, an 11th-generation descendant of Park Paengnyun (1417~1456) through to Park Kyuhyun, a 14th-generation descendant. It was called the shape of dragon, with its head facing the tail (回龍顧尾形), in feng shui. Second, the village of Pahwoe was founded in 1769, the 45th year of the reign of King Yeongjo, by Park Sungsoo for the purpose of socializing with his friends at his thatched home, and was named after his own courtesy name (Samgahun). Park Kwangseok, the second son of Park Sungsoo, built the sarangchae in 1826 and the anchae in 1869 after his marriage (in 1783). Then, Park Kyuhyun, the grandson of Park Kwangseok, built the pond and planted it with lotus flowers, and built the Hayeopjeong in 1874. The Pasanseodang, as the precursor of the Hayeopjeong, may be related with the name of the hillside region behind Samgahun. Third, a quadrangular-shaped pond with a length of 21m and a width of 15m was also built and planted with lotus flowers. In the center of the pond is a small round island that reflects the world view of the Chosun dynasty, i.e. that the sky is round and the landmass is quadrangular. Meanwhile, the name of the Hayeopjeon reflects the value system of aristocrats who lived a life of leisure and artistic indulgence. They called the eastern room "Yeeyeonhun" (怡燕軒) and the western room "Mongyangjae" (蒙養齋), names which embody their wishes for a good life as a member of the nobility and a bright future for one's descendants. Fourth, in Confucian terms, the authors infer the points of view reflected in the kinds of trees that were planted according to Confucian norms (pine tree, lotus, bamboo), the living philosophy of sustainability (willow), the ideology of seclusion and the search for peace of mind (bamboo), and relief efforts for the poor and a life of practicality (chestnut, oak, wild walnut, lacquer). The authors assert that this way of planting trees was a highly effective design feature of landscape architecture that drew on the locational and symbolic significance of the Seodang. Fifth, the majority of the trees that were initially planted withered and were replaced with different species, except for the locust and lotus, at this point. Nevertheless, a review of the process of construction, symbolic meaning, and original architectural landscape of the Samgahun is of value in demonstrating the extended symbolic meaning of their descendants in terms of the practical loss of the function of the Seodang, the values of Feng Sui (red in the east, white in the west, based on the principles of Feng Sui), the function of repelling evils spirits (kalopanax, trifoliate orange), aesthetic and practical values (sweetbrier, apricot, pear, peach, and oriental oak trees), and the prosperity of the family and the timeless value of honest poverty (silk, crape myrtle, and yew trees).

A Study on the Landscape Change in Nakdong River Delta The Case of Myeongjidong (낙동강 삼각주의 경관변화에 관한 연구 -명지동을 사례로-)

  • Heo, Minseok;SON, ILL;Tak, Hanmyeong
    • Journal of the Korean Geographical Society
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    • v.51 no.4
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    • pp.491-508
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    • 2016
  • This study has taken the Myeongjidong island, which has experienced spatial change due to various reasons ranging from the Japanese colonial era until today, as an instance in order to comprehend macroscopic spatial change of the Nakdonggang Delta and the adaptation process of the locals in a microscopic point of view. Spatial change of the Myeongjidong has been confirmed by collecting maps such as the atlas of late period of Chosun published in 1910, topographic map, regional geography, city records, and by applying coordinates with geographic reference function of GIS program, then checking for time sequential space change of individual regions. Space change driven by the Japanese government-general of Korea, Gimhae Irrigation Association, and by national policy or planning brought about environmental and humanistic changes unlike ever before, and land usage, housing and industry of the region and the locals experienced various adaptation processes. Such processes were compiled through collection and comparison of literature, and supplementation from interview of the locals during field study. As for the research region, it ranged from the construction of Nakdonggang bank and Myeongji seawall of 1935, agricultural rural landscape formed after the area expansion project by Gimhae Irrigation Association in 1940, to landscape that are becoming mercantile and urban due to the developmental plans of national and local governments.

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A Comparison of Salmeterol with Salbutamol Inhalation in Treatment of Mild to Moderate Asthma (기관지 천식 환자에 있어서 살메테롤과 살부타몰 흡입제의 치료효과비교)

  • Rhee, Yang-Keun
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.4
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    • pp.815-821
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    • 1997
  • Background : Salmeterol, a new ${\beta}_2$-adrenergic receptor agonist, is a long-acting bronchodilator and benefits patients with asthma who have nocturnal symptoms. We wished to assess the efficacy of inhaled salmeterol ($50{\mu}g$ bid) compared to inhaled salbutamol ($200{\mu}g$ qid) for the treatment of bronchial asthma, particularly nocturnal asthma. Method : We randomly assigned 35 patients (25 female and 10 male patients, 15 to 50 years old) to one of two treatment groups : one group received $50{\mu}g$ of salmeterol twice daily and another did $200{\mu}g$ salbutamol four times per day. And this study was performed as an open-label and the 6 weeks inhalation period. Results : Analysis of symptam score ; Day and night time symptom score showed significant difference between salmeterol and salbutamol Group (p<0.05). Number of days for additional bronchodilator requirements; The number of days and puffs for additional bronchodilator were lower in the salmeterol group in either day and night time (p<0.05). Pulmonary function test ; $FEV_1$ showed significant increase in salmeterol group compared to salbutamol group after 2 and 4 weeks inhalation period. Adverse effects ; We found no evidence of tolerance to the bronchodilating effects of salmeterol, and adverse reactions to all the treatments were infrequent and mild. Conclusion : For the management of bronchial asthma, salmeterol given twice daily is superior to salbutamol given four times daily.

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A Suitability Study and Development of Low Strength Perlite Concrete as Aircraft Rapid Arresting System (항공기 과주방지 포장시스템에 적합한 저강도 펄라이트 콘크리트의 개발 및 적합성 연구)

  • Kim, Choon-Seon;Lee, Young-Soo;Ha, Wook-Jai;Han, Jae-Hyun
    • International Journal of Highway Engineering
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    • v.12 no.3
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    • pp.59-70
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    • 2010
  • More than 10 different cases of airline overrun accidents happened annually home and abroad in recent years. So the government put the guidelines to protect that kinds of accidents, which is named 'Runway End Safety Area'. However, the great part of airports are far from the standards, because most of the airports have been built before the guidelines. Moreover, in many cases natural obstacles, ambiance, and local area developments obstruct the extension of the runway to meet the criteria. For these reasons, the Federal Aviation Administration (FAA) recommends that the aviation fields construct 'Aircraft Rapid Arresting System(ARAS)' at the end of the runway. Many airdromes have been constructing the system and some airports have already completed the construction. In this research, our team performed a basic study about low strength perlite concrete to provide the proper material with 'ARAS'. As a result, the unit weight of the low strength perlite concrete was $4.5{\sim}6.4kN/m^3$ and uniaxial compressive strength was measured in the range of $400{\sim}1,470kN/m^2$. In addition, we tested penetration compressive strength by using CBR tester, and we observed that the strength was increased after around 60% of penetration rate. Also, 40% of penetration rate was measured through the penetration test with dump trucks.

Regression of Left Ventricular Hypertrophy after AVR in Aortic Valvular Stenosis (대동맥판막협착증 환자에서 판막치환 후 좌심실심근비후의 변화)

  • 이재원;최강주;송명근
    • Journal of Chest Surgery
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    • v.31 no.6
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    • pp.586-590
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    • 1998
  • Background: The regression of the left ventricular hypertrophy after prosthetic valve replacement in patients with aortic valvular stenosis is an important factor to determine the appropriateness of the replaced prosthetic valvular size. Methods: To assess the regression of myocardial hypertrophy, a retrospective analysis of Doppler echocardiographic and electrocardiographic data was undertaken before, soon after(7.5$\pm$2.1 day), and late after(10.7$\pm$1.8 months) surgery in 36 patients(22 males, 14 female, mean age 54$\pm$12.1 years, mean BSA 1.61$\pm$0.15m2) with predominant aortic valvular stenosis. The patients underwent St. Jude Medical aortic valve replacement. By the size of the valves used, the patients were divided into three groups(19, 21 and 23+). Results: The mean body surface area(1.48$\pm$0.13) in the patients with the 19 mm valve was smaller than that in the other groups(1.63$\pm$0.12)(p<0.05). No significant changes of ejection fraction were detected in all groups over time. Left ventricular muscle mass index(gm/m2) was reduced significantly in the 21 and 23+ groups over time(p<0.05), but there were no significant changes in the 19 mm valve group. The electric voltage height on EKG at the period of late after surgery was reduced significantly in all groups(p<0.05). Conclusion: Despite clinical improvement, the LVH was not reduced significantly in 19 mm valve group. Thus we suggest that more attention and additional procedures such as annular enlargement should be taken in patients who will undergo the replacement of 19 mm prosthetic valve.

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Change of Psychological Well-being by Participating in an after School Physical Training Activity (방과후체육활동 참여에 따른 심리적 안녕감 변화)

  • Lim, Tae-Hee;Kim, Dong-Hyun
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.453-465
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    • 2014
  • The purpose of this study was to find out the change in psychological well-being of middle school students by participating in after school physical training activities. To achieve this object, 100 male students of M middle school in K city. "Teenagers' psychological well-being measurement tool" developed by Chung-hee Park(2007). Twice a week, for twelve weeks, the experimental group took part in an after school physical training activity, and the control group, in non-physical classes. The conclusion reached based on the result of this study are as follows. First, there was a statistically significant difference in the change of the family relations factor. Second, there was no statistically significant difference in the change of the student-teacher relations factor between the group Third, there was a statistically significant difference in the change of the self-awareness factor between the group. Fourth, there was no statistically significant difference in the change of the self assertiveness factor between the group. Fifth, there was a statistically significant difference in the change of the friendship factor between the group. Sixth, there was no statistically significant difference in the change of the self-initiative studying factor between the group. In conclusion, taking part in an after school physical training activity on a regular basis can increase the feeling of care and love from family relations, give positive self awareness and attitude towards life, and help building mutual trust between friends by having close relationship.

The Design and Implementation of Mode S Extended Squitter Demodulator with Multi-signal Level Tuning Method (다중신호레벨튜닝 기법을 사용한 Mode S 확장스퀴터 수신기의 복조부 설계 및 구현)

  • Shin, Hee-Sung;Yoon, Jun-Chul;Seo, Jong-Deok;Choi, Sang-Bang
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.19 no.3
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    • pp.697-707
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    • 2015
  • This paper covered the design and implementation of the demodulation receiver in the ADS-B 1090ES system, which is one of the CNS/ATM's surveillance systems. This researched demodulation performed at the level required by RTCA DO-268B and EUROCAE ED-129. The single signal process method, which applies a baseline multi-sample technique among multi-amplitude sample demodulations, was suggested to improve the quality of the receiver signal, the dynamic range and so on. The suggested multi-signal level tuning method has enhanced the single-signal process method, reducing the unstable reception ratio by the transmit output level difference and manufacturing receiver hardware. The result was that the receiver suggested by the method had 0~87dBm in dynamic range and -90dBm in MTL. This shows a better performance by -3dBm less than the international standard in ADS-B 1090ES ground receiver equipment. The systems which use a similar modulation method, will be considered to be widely applied.

EFFECTS OF ELASTIC OPEN ACTIVATOR IN CLASS II MALOCCLUSION (Elastic Open Activator를 이용한 II급 부정 교합의 치료효과)

  • Chung, Kyu-Rhim;Park, Young-Guk;Lee, Hyun-Kyung
    • The korean journal of orthodontics
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    • v.25 no.5 s.52
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    • pp.511-523
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    • 1995
  • The elastic open activator is one of the modified myodynamic activator. The reduced size of the appliance mass motivates the patients' comfort and longer time of wearing. Its peculiarities in loose fitting and the lack of appliance stabilization in the mouth draws the tongue and the surrounding functional matrices on close interaction with the appliance, consigns the physiologic exertion to target structures, and eventually makes it feasible to the inland of non-extraction treatment In the context of the sagittal malocclusion, the orthodontic trench is dependent upon the growth of basal structure aimed, therefore, it is contemplated to grabble the effects of Elastic Open Activator upon the class II malocclusion of growing child retrospectively. The cephalometric headfilms and study models of nine Class II malocclusion of growing child retrospectively. The cephalometric headfilms and study models of nine class II division 1 and five division 2 patients were evaluated and analyzed, and the following observations were drawn, 1. The maxilla maintained a normal growth pattern in both groups. 2. The mandible grew anteroinferiorly in both groups. 3. The upper incisors tipped ligually in Class II division 1 and tipped labially in Class II division 2 and anterior vertical alveolar growth was interrupted in both groups. 4. The lower incisors tipped labially. 5. There was an arch expansion in both groups and increase of available space in Class II division 2

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Total Anatomic Correction of Complex Heart Anomalies Associated with Complete Atrioventricular Septal Defect (완전방실중격결손증을 동반한 복잡심장기형의 해부학적 교정술에 관한 연구)

  • 김현조;김기출
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.263-270
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    • 1996
  • Twenty two patients underwent total anatomic correction of complete atrioventricular septal defect associated with other cardiac anomalies between July 1986 and December 1994. Age ranged from 6 months to 11 years(mean 49.6 $\pm$ 35.8 months), and they were composed of 7 males and 15 females. Combined major cardiac anomalies were tetralogy of Fallot(TOF) in 11 cases, double outlet of right ventricle (DORV) in 6 ca es, and transposition of great arteries (TGA) in 5 cases. Down's syndrome was associated in 5 patients with TOF and 1 patient with DORV. They were classified as Rastelli type A in 3 patients, B in 2 patients, and C in 17 patients. Modified Blalock-Taussig shunt was performed.in 5 patients and Waterston shunt in 1 patient as a palliative procedure. There were 7 perioperative deaths(31.8%) and the causes were pump weaning failure, low cardiac output, acute renal failure, persistant pulmonary hypertension and hypertensive crisis, and sepsis. Reoperations were performed in 4 cases to repair atrioventricular valvular regurgitation or to relieve the right ventricular outflow tract (RVOT) or pulmonary arterial stenosis. One late death was due to aspiration pneumonia. Second reoperation was necessary for progressive worsening of left atrioventricular regurgitation and RVOT stenosis in one patient. Fourteen survived patients were followed up for a mean of 66.0 $\pm$ 26.7months and all of them w re NYHA functional class I or II.

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