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Postoperative Atrial Fibrillation after Isolated Coronary Artery Bypass Graft Surgery (단독관상동맥우회로술 후 발생한 심방세동)

  • Suh, Jong-Hui;Park, Chan Beom;Moon, Mi-Hyoung;Kweon, Jong Bum;Kim, Young-Du;Jin, Ung;Moon, Seok-Whan;Kim, Chi-Kyung
    • Journal of Chest Surgery
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    • v.42 no.1
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    • pp.14-21
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    • 2009
  • Background: Postoperative atrial fibrillation (AF) is a common complication after coronary artery bypass graft (CABG) surgery. Although postoperative AF is regarded as benign, transient and self-limited, it has been associated with increased morbidity, thromboembolic events and an increased duration and cost of hospitalization. Material and Method: From January 1994 to December 2007, 190 patients that had isolated CABG surgery were divided into two groups. Group 1 (n=139) involved those who had postoperative atrial fibrillation, and group 2 (n=51) did not have any such events. We reviewed the medical records retrospectively including the incidence of postoperative AF, patient characteristics, surgery related factors and the outcome of the patients with postoperative AF. Result: The frequency of postoperative AF was 26.8%, the conversion rate to regular sinus rhythm before discharge was 82.4%; 82.4% of the AF developed within the first three postoperative days. Although the postoperative AF group was significantly older and had a prolonged postoperative Intensive care unit (ICU) stay, there was no difference in the aortic crossclamp time or duration of hospitalization. No spontaneous defibrillation at declamping, and longer duration of cardiopulmonary bypass were significantly related to the development of postoperative AF. However, postoperative treatment with a beta blocker was associated with a decreased incidence of postoperative AF. The multivariate analysis showed that age and ICU stay were significantly associated with the development of POAF. Spontaneous defibrillation and postoperative beta blocker treatment were significantly associated with a decreased frequency of POAF. Conclusion: AF after CABG surgery is a common complication associated with increased morbidity and a longer ICU stay. Therefore, various strategies aimed at reducing AF, and its complications, such as postoperative treatment with a beta blocker should be considered.

The Characteristic of Fish Fauna and Brachimystax lenok tsinlingensis Individuals in the Bonghwa-gun, Korea (봉화군의 어류상과 열목어(Brachimystax lenok tsinlingensis) 개체군의 특성)

  • Byeon, Hwa-Kun
    • Korean Journal of Environment and Ecology
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    • v.25 no.6
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    • pp.878-886
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    • 2011
  • The fish fauna and characteristic of population of Brachymystax lenok tsinlingensis at the 7 stations in the Bonghwa-gun were investigated from June 2010 to May 2011. The collected species during the survey period were 15 species belong to 7 families. Protected species by the legal were B. lenok tsinlingensis, Koreocobitis naktongensis, and Cottus koreanus. Korean endemic species were Microphy sogobio yaluensis, Coreoleuciscus splendidus, Zacco koreanus, Cobitis hankugensis, K. naktongensis, Iksookimia longicorpa, Niwaella multifasciata, Liobagrus mediadiposalis, C. koreanus, and Coreoperca herzi, which showed a ration of 66.7% in collected species. Dominant species were Z. koreanus(St. 1), B. lenok tsinlingensis(St. 3, 4, 5), and Rhynchocypris oxycephalus(St. 2, 6, 7). Length-weight relation in the population of B. lenok tsinlingensis was BW = $0.000008TL^{3.02}$, and condition factor in the population was average 0.84. Frequency analysis of total length indicated that the group 80~180 mm in total length is represented by one-year-old individuals, the group 200~300 mm by two-year-old individuals, and the group over 300 mm by three-year-old individuals. The density of population was presumed average 17 individuals per 100$m^2$ and total 4,760 individuals in the reservation for B. lenok tsinlingensis.

A Case Study of Spatial Composition of Elderly Skilled Nursing Facility - Focused on 5 facilities of Jeonbuk Province of Korea - (노인 전문요양시설의 공간구성에 관한 연구 - 전라북도 소재 5개 시설을 중심으로 -)

  • 이민아;유옥순
    • Korean Institute of Interior Design Journal
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    • v.13 no.1
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    • pp.62-69
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    • 2004
  • The purpose of this study was to analyze spatial composition of elderly skilled nursing facility and to provide basic information for setting up the detail facility architectural guidelines. The results of the study were following: the residential spaces of the facilities in this study were more or less overcrowded since their capacity were more than 5 elderly residents. The dimensions of some residential spaces did not even come up to the standard of elderly welfare law in force. On the other hand, the facilities had a tendency to use a space with multiple purposes or to allocate a space but to leave it with no use. Moreover comparing with the 1st floor, which was mainly for the staffs and had enough space to spare, the upper floor which was for the elderly residents, was crowded with nursing staffs and elderly residents and had densely closed residential and public spaces. For the problem solving, law and regulation modification is needed according to the case study about the usage and using frequency of each facility space. And the crowded area for the elderly residents could be enlarged through the reduction(or combination) of the rarely used spaces and moving a few residential spaces into the 1st floor.

The Clinical Study on the Pain Improvement of Lumbago Patients with Electro-acupuncture Therapy using Visual Analogue Scale (Visual Analogue Scale을 사용하여 분석한 전침시행 요통환자의 통증 호전에 대한 임상 연구)

  • Son, Chi-hyoung;Lim, Ho-jea;Lee, Seung-hyun;Han, Seung-hye;Moon, Sung-il
    • Journal of Acupuncture Research
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    • v.21 no.5
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    • pp.27-44
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    • 2004
  • Objective : To evaluate the pain improvement of the lumbago patients taken the electro-acupuncture therapy using Visual Analogue Scale. Methods : The 25 patients of 46 lumbago patients visited department of Acupuncture & Moxibustion in National Medical Center from 1st March to 20th August had taken the electro-acupucture therapy more than 5 times. We checked on their age, sex, onset, radiating pain, back pain past history and Straight Leg Raising test. And we evaluated their improvement of back pain using Visual Analog Scale(VAS) at each visit. Then we analyzed the pain improvement by their age, sex, onset, radiating pain, back pain past history, Straight Leg Raising test, visiting frequency and Visual Analog Scale on 1st visit(VAS1) Results : VAS of 24 patients has improved and VAS of one patient has not been changed. There's no patient getting worse. The women and the positive group at SLR Test had better result of pain improvement. Conclusion : The lumbago patients taken electro-acupuncture more than 5 times showed significantly different pattern of pain improvement according to the sex and the SLR test.

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Analysis of Types of Gather Drape with Visual Evaluation (시각적 평가에 의한 개더 드레이프 형상 분석)

  • Lee Myung-Hee;Jung Hee-Kyeong
    • Journal of the Korea Fashion and Costume Design Association
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    • v.7 no.1
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    • pp.33-40
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    • 2005
  • Gathering is method used to control fullness along a seam line. The purpose of this study was to investigate the relationship between the quantitative research and qualitative method; the effect of gather and the types of gather drape. The experimental design consists of four factors: (l) three kinds of different weight and thickness of fabrics (2) three kinds of stitch densities (3) five kinds of ratio of gathers (4) three kinds of grain directions. Therefore one hundred thirty five (135) samples were made. And utilized SPSS WIN 10.0 Package in data analysis. The results of this study were as follows; First, after frequency analysis, side height, hem line width, node depth, node count, node width accorded with these result data recording. Second, after correlation analysis, side height related with front statements. Side height and entire visual was negative correlation. Hem line width, node depth, node count with section statements was negative correlation but node width at section statements was positive correlation. Third, after $k^2$ analysis, front picture parts getting excellent evaluation were 1st side height, 3rd hem line width, 4th node depth, 3rd node count, 3rd node width. And section illustration parts getting excellent evaluation were 4th side height, 1st hem line width, 2nd node depth, 3rd node count, 4th node width.

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A Study on Sex Role Identity and Family Group Characteristics among University Students (대학생의 성역할 정체감과 가족의 집단성격유형에 관한 연구)

  • Oh, Yoon-Hee;Park, Young-Sook
    • Women's Health Nursing
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    • v.12 no.1
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    • pp.22-28
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    • 2006
  • Purpose: The purpose of this study was to investigate sex role identity and family group characteristics among university students. Method: The participants of the study were 325 university students at S university in Seoul from September 1st to 30th, 2001 and from September 1st to 30th, 2003. Data were collected using a structured questionnaire, sex role identity scale, and family group characteristics type scale. Data were analyzed by frequency, means, t-test, Chi-square test, and Pearson's correlation in the SPSS Win Program. Result: In this study, there was a high prevalence of androgyny to female(31.9%) and masculinity to male(39.4%) university students. There was a significant difference between male and female students in sex role identity(p=.000). "Family concord" indicated a high mean score of family group characteristics (4.71$\pm$.80). There were significant differences between family group characteristics and masculinity and femininity type. Conclusion: There is a high relationship between family group characteristics and sex role identities of university students. It is necessary to explore the varied aspects of the androgyny concept, and further research is needed on factors of family group characteristics.

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On the Nonlinear Hydrodynamic Forces due to Large Amplitude Forced Oscillations (대진폭강제동요시(大振幅强制動搖時)의 비선형유체력(非線型流體力)에 관한 연구(硏究))

  • J.H.,Hwang;Y.J.,Kim;S.Y.,Kim
    • Bulletin of the Society of Naval Architects of Korea
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    • v.23 no.2
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    • pp.1-13
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    • 1986
  • The nonlinear hydrodynamic forces acting on a two-dimensional circular cylinder, oscillating with large amplitude in the free surface, are calculated by using the Semi-Lagrangian Time-Step-ping Method used by O.M. Faltinsen. In present calculation the position and the potential value of free surface are calculated using the exact kinematic and dynamic free surface boundary condition. At each time step an integral equation is solved to obtain the value of potential and normal velocity along the boundaries, consisting of both the body surface and the free surface. Some effort was devoted to the elimination of instability arising in the range of high frequency. Numerical simulations were performed up to the 3rd or 4th period which seems to be enough for the transient effect to die out. Each harmonic component and time-mean force are obtained by the Fourier transform of forces in time domain. The results are compared with others' experimental and theoretical results. Particularly, the calculation shows the tendency that the acceleration-phase 1st-harmonic component(added mass) increases as the motion amplitude increases and a reverse tendency in the velocity-phase 1st-harmonic component(damping coefficient). The Yamashita's experimental result also shows the same tendency. In general, the present result show relatively good agreement with the Yamashita's experimental result except for the time-mean force.

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Job analysis of paramedic on the developing a curriculum method (데이컴 기법에 의한 1급 응급구조사 직무분석)

  • Yoou, Soon-Kyu;Kwon, Hay-Rran;Park, Hee-Jin;Shin, Sang-Do;Choi, Eun-Sook;Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.17 no.3
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    • pp.115-137
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    • 2013
  • Purpose: The purpose of this study was to investigate the extended job of paramedic after the 1st job description in 2000 by the National Health Personnel Licensing Examination Board. Methods: This study was carried out from May 2012 to July 2013 on the Developing A Curriculum (DACUM) method to analysts 330 responses among 400 questionnaires (response rate 82.5%) after analysing 30 pilot questionnaires. In order to enhance validity and reliability of this job description, 2 job analysts in universities and 10 EMT-Paramedics in hospitals and fire stations were recruited. Results: There were differences between 166 (year 2000) and 240 (2012) in task element. There were higher answering at triaging patient(2.64 frequency, 4.15 importance), calling for help(2.68 frequency, 4.07 importance) in disaster emergency care. There were higher answering at measuring vital sign (3.95 frequency, 4.22 importance), measuring ECG(3.84 frequency, 4.14 importance), wound care(3.48 frequency, 3.86 importance), bleeding control & wound care(3.46 frequency, 3.86 importance), applying $O_2$(3.40 frequency, 3.94 importance) in physician assistant. Conclusion: Scope of extended practice as a physician assistant in hospital setting recommended us to replace the present curriculum and national exam with new curriculum and national written & skill test.

Fish Community Characteristics, and Habitat Characteristics and the Age of the Eight Barbel Loach, Lefua costata (Pisces: Namacheilidae) in the Jusucheon of Gangneung-si (강릉시 주수천의 어류군집 특징 및 쌀미꾸리 Lefua costata (Pisces: Namacheilidae)의 서식지 특징과 연령)

  • Han, Mee-Sook;Ko, MyeongHun
    • Korean Journal of Ichthyology
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    • v.34 no.3
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    • pp.160-171
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    • 2022
  • This study investigated the characteristics of fish communities, habitat characteristics and the age of Lefua costata in the Jusucheon of Gangneung-si, Korea from January to December 2013. The survey collected 23 species belonging to ten families from 6 survey stations. The dominant and subdominant species were Zacco koreanus (relative abundance, 22.1%) and Rhynchocypris steindachneri (20.1%), respectively. The next most abundant species were Tridentiger brevispinis (10.7%), Orthrias nudus (9.7%), Zacco platypus (8.6%), Lefua costata (7.9%), Iksookimia koreensis (6.0%) and Pungitius sinensis (3.0%). Among the fish species collected, one species, P. sinensis, was class II endangered wildlife by the Ministry of Environment, and four species (Z. koreanus, I. koreensis, Silurus microdorsalis and Cottus koreanus), were endemic to Korea. Additionally, five migration fish species (Tribolodon hakonensis, Hypomesus nipponensis, Gasterosteus aculeatus, Oncorhynchus keta and Plecoglossus altivelis) were collected. The similarity index based on species composition and numbers separated fish communites in the Jusucheon according to main section, i.e., uppermost(St. 1), upper (St. 2~4), middle (St. 5), lower (St. 6). Ecosystem health of Jusucheon Stream (fish assessement index) evaluated using fish was assessed as very good (5 stations) and good (1 station). The main inhabit of L. costata was the middle-lower stream of aquatic plants habitats with mud bottoms, very slow water velocity and water depth 40~80 cm. The age groups for L. costata (female) estimated by the frequency distribution of total length in the spawning season (May) indicated that the 24~37 mm is 1-year old, the 38~51 mm group is 2-year old, the 52~63 mm is 3-year old, 64~77 mm is 4-year old and the 80~91 mm is more than 5-year old. Finally, characteristics of fish communities, habitat characteristics and the age of Lefua costata in the Jusucheon was discussed.

Modified Monopole Antenna for Multi resonance Wideband (다중 공진 광대역 수정된 모노폴안테나)

  • Cho, Tea-Il;Bum, Byung-Gyun;Lim, Seung-Woo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.3 no.2
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    • pp.53-57
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    • 2008
  • This paper designed and fabricated the printed dual monopole antenna with CPW feeder for PCS and UWB(Ultra-Wide Band) band. In this paper, modified dual monopole antenna is proposed transform conventional monopole antenna to get dual band frequency. The dual monopole antennas have dual band, broad bandwidth and omni-directional radiation patterns, as it is the conventional monopole antenna. As one monopole operated a stub to match feed line with antenna, we are obtained easy an ideal impedance matching. It is increased band width of impedance. The antenna bandwidth is about 1350MHz (1.69~2.04[GHz]z]) at 1st resonance frequency, 2,670MHz (4.33~6[GHz]) at 2nd, resonance frequency, and, 3,980MHz (6.1~10.08[GHz]) at 3th resonance frequency on VSWR$$\leq_-$$2, and then we can be got not only 1.75~1.87 [GHz] PCS band but also, UWB band.

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