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Durability of the Ionescu-Shiley Valve in Mitral Position (이오네스큐 승모판막의 내구성)

  • 김종환
    • Journal of Chest Surgery
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    • v.22 no.2
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    • pp.246-255
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    • 1989
  • A total and consecutive 291 patients of isolated single mitral valve replacement using the Ionescu-Shiley bovine pericardial xenograft valve operated on between October 1978 and June 1983 were retrospectively studied for the durability of the substitute valves based on the structural degeneration of primary tissue failure which had been proved on their re-replacement surgery. The mean age at the initial surgery was 32.4*12.5 years, and the operative mortality rate was 5.2 %. The early survivors of 276 patients were followed up for a total 1148.3 patient-years[mean\ulcornerD, 4.16*2.57 years]at the follow-up end of June 1988. They experienced 4 major late complications: 1.045 % thromboembolism/patient-year [pt-yr]; 0.871 % bleeding/pt-yr; 0.610% endocarditis/pt-yr; and 3.309% overall valve failure/pt-yr or 1.655% primary tissue failure/pt-yr. The actuarial survival rates were 89.4*2.2% and 87.7*2.5% at 5 and 10 years after initial surgery respectively. The probabilities of freedom from thromboembolism were 95.1*1.6% and 93.2*2.0% at 5 and 10 years after surgery. Nineteen patients underwent re-replacement of the Ionescu-Shiley valve because of primary tissue failure, and there was no operative mortality. The incidence of primary tissue failure was highest for the patients less than 15 years of age occurring in 9 out of 27 patients [33.3 %] or 8.68 %/pt-yr, while it was 4.0 % or 0.96 %/pt-yr for the rest of patients older than this age. The probabilities of freedom from primary tissue failure were 96.7*1.4 % and 84.2*3.8% at 5 and 9 years after surgery. The freedom from tissue failure increased as the age limits of cumulative younger patients were increased while it decreased as the age limits of cumulative older patients were decreased. Although it is clear that the Ionescu-Shiley valve would degenerate prematurely in young patients, the definite age limit could not be identified when the risk of early failure was significantly high.

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A study on Knowledge and Compliance among dental personnels in dental implants (치과종사자들의 치과 Implant에 대한 지식 및 이행실태 - 대전광역시 치과 병·의원을 중심으로 -)

  • Ahn, Kwon-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.4
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    • pp.481-493
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    • 2007
  • It follows in increase of the old age population and the loss of teeth increases, also the supplement prosthetics treatment which is caused by loss of teeth is various and it develops and the dentistry implant demand is increasing. This study enforced a self-administered survey with 197 dental personnels employed in dental hospitals, dental clinics from August 15, 2007, to September 15, in the area of Daejeon. It's ultimately intended to serve as a basis for the preparation of more effective, appropriate dental implants education programs for personnels, who take a crucial part in dental implants operation, provide better dental services to patients who are in need of dental implants operation. As the result, the study got the following conclusion. 1. The population sociological feature of dental hospital and dental clinic showed that significant differences of dental service career. Dental service career of dental personnels shows; below 3 years 43.1%, 4~6 years 35.3%, more than 7 years 21.6% in dental hospitals, below 3 years 29.5%, 4~6 years 28.1%, more than 7 years 42.5% in dental clinics(p=0.027). 2. The average score of personnels knowledge in dental implants was 3.67point, from analyzing the knowledge on dental implants of dental personnels from dental health-care settings, dental personnels employed in dental hospitals scored relatively higher than in dental clinics(p=0.129). Dental personnels with 4~6 years of experience scored the highest(p=0.002). 3. The average score of dental personnels compliance in dental implants was 3.92point, from analyzing the compliance of dental implants of dental personnels from dental health-care settings, dental personnels employed in dental hospitals scored relatively higher than in dental clinics(p=0.006). Dental personnels with 4~6 years of experience scored the highest(p=0.707). 4. The contingency coefficient between dental implants general knowledge and the general compliance(r=0.233, p=0.001), operation knowledge and operation compliance(r=0.332, p=0.000), maintenance knowledge and maintenance compliance(r=0.236, p=0.001). 5. Recently dental implants is emerging as one of the important medical services in the dental treatment sector. From analyzing the compliance of dental implants of dental personnels in dental health-care settings, dental personnels employed in dental hospitals scored relatively higher than in dental clinics. Consequently, the effort of the dentist and the dental personnels demanded to be earnestly to improves the difference of the knowledge and compliance against the dental implants of the dental personnels in dental health-care settings, it is thought that with reinforcement of effective role share and professionalism to success of dental implants, more system and the specialty dental implants education which is standardized continuously must be provided to all dental personnels.

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Long Term Litter Production and Nutrient Input in Pinus densiflora Forest (소나무 군락의 장기적 낙엽생산을 통한 영양염류 이입량)

  • Won, Ho-Yeon;Lee, YoungSang;Han, Areum;Kim, Deok-ki
    • Korean Journal of Environment and Ecology
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    • v.32 no.1
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    • pp.23-29
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    • 2018
  • The litter production, the nutrient concentration of each component of litterfall, and the amounts of nutrient into the forest floor via litterfall were assessed for 5 years from January 2009 through December 2013 in a Pinus densiflora forest in Mt. Worak National Park. The average amounts of leaf litter, branch and bark, reproductive organs(flowers and cones), and miscellaneous categories for 5 years were $1.940{\pm}0.21$, $0.505{\pm}0.15$, $0.259{\pm}0.09$, and $0.737{\pm}0.14t\;ha^{-1}yr^{-1}$, respectively. The average percentage of leaf litter, branch and bark, reproductive organs and miscellaneous categories for 5 years were 56.4, 14.7, 7.5, and 21.4%, respectively. The amounts of total litterfall in 2009, 2010, 2011, 2012, and 2013 were 2.810, 3.796, 3.268, 3.284, and $4.045ton\;ha^{-1}yr^{-1}$, respectively. The average amounts of litterfall for 5 years were $3.441{\pm}0.4ton\;ha^{-1}yr^{-1}$. The average amounts of N, P, K, Ca, and Mg returned to the forest floor via litterfall for 5 years in this Pinus densiflora forest were $22.73{\pm}4.92$, $1.05{\pm}0.42$, $4.26{\pm}1.69$, $8.48{\pm}4.62$, and $2.42{\pm}1.01kg\;ha^{-1}yr^{-1}$, respectively.

Long-term clinical results of the xenograft cardiac valves (이종조직판막의 장기임상성적)

  • 김종환
    • Journal of Chest Surgery
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    • v.20 no.2
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    • pp.289-299
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    • 1987
  • A total of 1,239 patients had cardiac valve replacement using 1,514 substitute valves at Seoul National University Hospital from 1968 to 1986. Of the total substitute vales, 84.9% were the glutaraldehyde-treated xenograft valves. Six hundred ninety-four patients who had 820 bioprosthetic tissue valves were studied for their clinical characteristics. They were a total and consecutive cases to the end of the study. Four hundred sixty-four patients had the lonescu-Shiley pericardial valves: MVR 291, AVR 66 and MVR+AVR 107; 163 had the Hancock porcine valves; 46 had the Angell-Shiley porcine valves; and 21 had the Carpentier-Edwards porcine valves. Five hundred forty patients underwent single valve replacement: MVR 460, AVR 76 and TVR 4; 154 had multiple valve replacement: MVR+AVR 141, MVR+TVR 12 and one triple valve replacement. Additional surgery was necessary in 22.3% of the cases. Operative mortality rate within 30 days of surgery was 6.77% for the total patients: 5.2% and 4.2% with MVR, 13.6% and 12.5% with AVR, and 7.5% and 7.4% with MVR+AVR using the lonescu and the Hancock valves respectively. A linealized annual late mortality rate was 2.56%/patient-year. Six hundred forty-three operative survivors were followed up for a total of 1482.7 patient-years [a mean 27.7 months], and the follow-up rate was 67.7%. The Idealized complication rates were: 2.02% emboli/patient-year, 0.94% bleeding/patient-year, 1.21% endocarditis/patient-year, and 3.84% overall valve failure/patient-year. A linealized rate of primary tissue failure was 0.87%/patient-year. Actuarial survival rates including the operative mortality were: 87.8*2.6%, 82.3*4.9% and 82.2*4.7% with MVR, AVR and MVR+AVR using the lonescu valves at 4 years after surgery respectively; and they were 88.0*4.1% with MVR at 8 years, 82.3*4.9% with AVR at 4 years and 84.9*7.0% with MVR+AVR at 6 years after surgery using the Hancock valves respectively. Probabilities of freedom from thromboembolism were 89.8*6.3% with MVR using the lonescu valves at postoperative 5 years and 89.2*3.8% with MVR using the Hancock valves at postoperative 7 years, and 93.3*3.9% with AVR using the lonescu valves at postoperative 5 years. None had embolic complication after AVR using the Hancock valves. Probabilities of freedom from valve failure [according to the Stanford criteria] were 81.0*7.1% with MVR using the lonescu valves at postoperative 4 years and 57.4*12.5% with MVR using the Hancock valves at postoperative 9 years. These clinical results prove the excellent antithrombogenicity of the glutaraldehyde-treated xenograft substitute valves and confirm the previously speculated rate of tissue failure. At the present situation, it may be concluded that there is a room for the further development of more durable bioprosthetic valves.

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New Approach of Evaluating Poomsae Performance with Inertial Measurement Unit Sensors (관성센서를 활용한 새로운 품새 경기력 평가 방법 연구)

  • Kim, Young-Kwan
    • Korean Journal of Applied Biomechanics
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    • v.31 no.3
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    • pp.199-204
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    • 2021
  • Objective: The purpose of this study was to present a new idea of methodology to evaluate Poomsae performance using inertial measurement unit (IMU) sensors in terms of signal processing techniques. Method: Ten collegian Taekwondo athletes, consisting of five Poomsae elite athletes (age: 21.4 ± 0.9 years, height: 168.4 ± 11.3 cm, weight: 65.0 ± 10.6 kg, experience: 12 ± 0.7 years) and five breaking demonstration athletes (age: 21.0 ± 0.0 years, height: 168.4 ± 4.7 cm, weight: 63.8 ± 8.2 kg, experience: 13.0 ± 2.1 years), voluntarily participated in this study. They performed three different black belt Poomsae such as Goryeo, Geumgang, and Taebaek Poomsae repeatedly twice. Repeated measured motion data on the wrist and ankle were calculated by the methods of cosine similarity and Euclidean distance. Results: The Poomsse athletes showed superior performance in terms of temporal consistency at Goryeo and Taebaek Poomsae, cosine similarity at Geumgang and Taebaek Poomsae, and Euclidian distance at Geumgang Poomsae. Conclusion: IMU sensor would be a useful tool for monitoring and evaluating within-subject temporal variability of Taekwondo Poomsae motions. As well it distinguished spatiotemporal characteristics among three different Poomsae.

Visible Project Area for Korean Child (Six Years Old) in Radiant Enclosures (한국 어린이를 위한 복사 공간에서의 투사 면적에 관한 연구)

  • 손철수;최민권
    • Journal of the Korean housing association
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    • v.11 no.4
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    • pp.77-84
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    • 2000
  • The purpose of this paper is to find a visible project area for an average six year old Korean child in radiant enclosures having standing pose. The results using this method will be necessary to find effective radiation area, effective radiation area factor, form factor, and mean radiant temperature for an average six years old Korean child consists of 3012 triangles. The methods to find visible project area of an average six years old Korean at arbitrary view point will be presented. The visible project area for Korean child is needed for evaluating thermal comfort for six years old Korean child. The biggest visible project area of an average six years old Korean is $\textrm{cm}^2$$2.061.0\textrm{cm}^2$ at the view point of alfa 0.0 degree and beta 0.0 degree, and the smallest visible real area of an average six years old Korean is $567.1\textrm{cm}^2$ at the view point of alfa 15.0 degree and beta 90.0 degree.

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Changing Prevalence of Helicobacter pylori Infections in Korean Children with Recurrent Abdominal Pain

  • Jang, Kyung Mi;Choe, Byung-Ho;Choe, Jae Young;Hong, Suk Jin;Park, Hyo Jung;Chu, Mi Ae;Cho, Seung Man;Kim, Jung Mi
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.1
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    • pp.10-16
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    • 2015
  • Purpose: The aim of this study is to investigate the changing prevalence rate of Helicobacter pylori infection in children, of different age groups, with recurrent abdominal pain over a 10-year period. Methods: Children with recurrent abdominal pain who visited the pediatric outpatient clinic at university hospital were screened for H. pylori. Children were divided into 3 age categories of 4-5, 6-11, and 12-16 years. To study the changes in the annual prevalence rates of H. pylori infection, the study period was divided into 3 time periods: 2004-2007, 2008-2010, and 2011-2014. Urea breath test was performed for all children aged 4-16 years, with a cut-off value of 4.0‰ for children aged ${\geq}6$ years and 7‰ for children aged <6 years. Results: A total of 2,530 children (1,191 boys) with a mean age of $10.0{\pm}3.0years$ (range, 4.0-16.9 years) were included in the study. The total prevalence of H. pylori infection was 7.4% (187/2,530). The prevalence rate of H. pylori infection in children with recurrent abdominal pain was 8.0% (70/873) in 2004-2007, 7.7% (51/666) in 2008-2010, and 6.7% (66/991) in the 2011-2014. Nevertheless, a significant difference was observed in the prevalence rate between children <12 years old and ${\geq}12$ years of age (p=0.018). Conclusion: The prevalence of H. pylori infection in Korean children with recurrent abdominal pain was 7.4%, showing no significant decrease in the last 11 years; however, the prevalence rate in children <12 years old was significantly lower than that in those ${\geq}12$ years old.

A Study of Bone Mineral Density of Lumbar Spine by Dual Energy X-ray Absorptiometry (DEXA) in Children (Dual Energy X-ray Absorptiometry를 이용한 소아들의 골밀도에 대한 연구)

  • You, Chur-Woo;Shin, Son-Moon;Park, Yong-Hoon;Kim, Son-Yong
    • Journal of Yeungnam Medical Science
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    • v.10 no.2
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    • pp.369-379
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    • 1993
  • The bone mineral density(BMD) of the lumbar spine (L2-L4) was measured by using dual energy x-ray absorptiometry(Norland XR26 DEXA) in 80 children aged between 2months and 15years (group 1 : 2month-1years, group 2 : 1year-5years, group 3 : 6years-10years, group 4 : 11years-15years). The correlation coefficient of BMD with age, body weight, height and Tanner stage were 0.696, 0.693, 0.717 and 0.636 respectively. There were significant difference in BMD($g/cm^2$) between group 1(BMD : $0.335{\pm}0.175$) and group 2(BMD : $0.627{\pm}0.200$). and group 3(BMD : $0.714{\pm}0.189$) and group 4(BMD : $0.873{\pm}0.163$)(P<0.05). There was no significant difference of BMD between boys and girls(P<0.05). BMD also increased significantly with development of Tanner stages(Tanner stage 1 : $0.547{\pm}0.234$, Tanner stage 2 : $0.783{\pm}0.136$, Tanner stage 3 : $0.998{\pm}0.080$ )(P<0.05). These data indicate that the BMD was correlated with age, body weight, height and Tanner stage significantly and BMD increased significantly during growth spurt occured in 1 to 4years of age and puberty.

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A New Complex Minimally Invasive Thread Lift Method for One-Time Three-Step Fixation of the Face and Neck Soft Tissues

  • Zhukova, Olga;Dydykin, Sergey;Kubikova, Eliska;Markova, Natalia;Vasil'ev, Yuriy;Kapitonova, Marina
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.296-303
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    • 2022
  • Background In recent years thread lift has become widespread; however, existing methods need to improve their long-term outcome, which requires considering topographic anatomy of face and neck, especially the ligamentous apparatus. This study aims to assess the effectiveness and safety of an innovative method of one-time three-step thread facelift, which provides an additional support to the ligamentous structures of the upper, middle, and lower thirds of the face and neck. Methods The study included 357 patients aged 32 to 67 years with various morphotypes of aging. The original method of thread lift was applied, and its effectiveness was followed up for to 2 years. The Wrinkle Severity Rating Score (WSRS) and Global Aesthetic Improvement Scale (GAIS) scores were used for assessment by investigators, independent observers, and patients. Statistical significance was determined using paired t-test and chi-square test. Results The mean WSRS score was 3.88 ± 0.88 before the thread lift, 1.93 ± 0.81 one month after the procedure, and 2.36 ± 0.85 after 2 years of follow-up. The mean GAIS was 4.80 ± 0.04 one month after thread lift, and 4.01 ± 0.04 after 2 years, while in the patients' assessment Global Satisfaction Scale was 4.86 ± 0.02 and 4.10 ± 0.02, respectively. There were no clinically significant complications throughout the observation period. Conclusion The new method of one-time three-step thread fixation of the soft tissues of the face and neck demonstrated a high degree of satisfaction by both experts and patients after 2 years of follow-up. It showed high efficacy and safety, including in the group of patients with pronounced age-related changes of the skin of face and neck.

Blood chemical values of mixed breed dog in Korea (잡종견(雜種犬)의 혈액화학치(血液化學値)에 관(關)한 연구(硏究))

  • Yoo, Suk-jong;Kim, Tae-jong
    • Korean Journal of Veterinary Research
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    • v.30 no.2
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    • pp.163-170
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    • 1990
  • The blood chemical values and blood enzyme activities were examined from 74 healthy mixed breed dogs in the area of Seoul. The results obtained are summarized as follows; 1. Mean${\pm}$SD values and ranges of glucose were $61.97{\pm}8.41mg/100ml$ and 47.28~81.67mg/100ml, of blood urea nitrogen(BUN) $15.99{\pm}2.31mg/100ml$ and 8.21~21.31mg/100ml, of total protein(TP) $8.17{\pm}0.93g/100ml$ and 6.06~9.91g/100ml, of albumin $4.16{\pm}0.47g/100ml$ and 2.81~5.15g/100ml, of globulin, $4.01{\pm}0.64g/100ml$ and 2.72~5.54g/100ml, of albumin/globulin(A/G) ratio $1.06{\pm}0.17$ and 0.71~1.42, of cholesterol(Chol) $187.33{\pm}19.78mg/100ml$ and 128.70~222.90mg/100ml, of total bilirubin(TB) $0.73{\pm}0.14mg/100ml$ and 0.43~1.16mg/100ml, of phosphorus(Pi) $5.25{\pm}1.00mg/100ml$ and 2.61~7.72mg/100ml, of calcium(Ca) $10.76{\pm}1.08mg/100ml$ and 8.24~12.60mg/100ml, of triglyceride(TG) $89.48{\pm}21.16mg/100ml$ and 47.80~133.00mg/100ml, respectively. 2. The glucose value in the age group of 7~12 months was higher (p<0.01) but in the age group of 3~4 years was lower (p<0.05) than the total glucose value. The TP value in the age group of 7~12 months was lower (p<0.01) but in the age group of 1~2 years was higher (p<0.05) than the total TP value. The globulin value in the age group of 7~12 months was lower (p<0.01) but in the group of 1~2 years was higher (p<0.01) than the total globulin value. The A/G ratio value in the age group of 7~12 months was higher (p<0.05) but in the age group of 1~2 years was lower (p<0.05) than the total A/G ratio value. The phosphorus values in the age group of 1~2 years and the age group of 3~4 years were lower (p<0.01, p<0.001) than the total phosphorus value. The calcium value in the age group of less than 6 months was higher (p<0.05) but in the age group of 7~12 months was lower (p<0.001) than the total calcium value. 3. Mean${\pm}$S.D. values and ranges of alkaline phosphatase(AP) were $72.47{\pm}19.73IU/l$, and 28.13~105.00IU/l, of lactic dehydrogense(LDH) $159.46{\pm}45.11IU/l$ and 60.63~265.30IU/l, of serum aspartate aminotransferase(AST) $38.64{\pm}8.62IU/l$ and 21.47~70.58IU/l, of serum alanine aminotransferase(ALT) $34.88{\pm}11.30IU/l$ and 14.51~73.17IU/l, respectively. 4. The AP value in the age group of 7~12 months was higher (p<0.05) but in the age group of 1~2 years was lower (p<0.01, p<0.001) than the total AP value. The LDH value in the age group of less than 6 months was higher (p<0.001) but in the age group of 1~2 years and the age group of 3~4 years were lower (p<0.05) than the total LDH value. The serum AST value in the age group of 3~4 years was lower (p<0.01) than the total SGOT value. The serum ALT value in the age group of 7~12 months was higher(p<0.05) than the total SGPT value.

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