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Long-Term Clinical Results of the St. Jude Medical Valve in Mitral Position (St. Jude 승모판막의 장기 임상성적)

  • 김종환
    • Journal of Chest Surgery
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    • v.27 no.8
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    • pp.664-668
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    • 1994
  • A total of 217 patients underwent single mitral valve replacement [MVR] with the St. Jude Medical valve between September 1984 and the end of 1992. There were 86 males and 131 females with a mean age of 34.6 $\pm$ 14.4 years[range 5 months-61 years]. A previous valve replacement had been performed in 46 patients [21.2 %]. An early mortality rate was 7.4 % [5.2 % in primary MVR; and 15.2 %in re-replacement MVR]. Early survivors of 201 patients were followed up for a total of 934.5 patient-years[mean 4.7 $\pm$ 2.1years]. A late mortality rate was 2.5 % or 0.54%/patient-year. The linearized rates of thromboembolism, valve thrombosis and anticoagulation-related bleeding were 1.301 %, 0.214 % and 0.428 %/patient-year, respectively. The actuarial survival including operative mortality was 89.9 % $\pm$ 2.1% at postoperative 10 years. The freedom from thromboemolism was 91.3 %$\pm$ 2.5% and the actuarial estimate of incidence free from late deaths and all complications were 80.9 % $\pm$ 3.8 % at 10 years. There were no mechanical failures. In summary, the St. Jude Medical prosthesis performed satisfactorily with an acceptable rate of late complications.

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Construction of a Life Table for Infant and Childhood (영유아 생명표 작성에 관한 연구)

  • 김종석
    • Korea journal of population studies
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    • v.3 no.1
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    • pp.52-61
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    • 1979
  • The purpose of the study is to construct a life table for population. It is based on the fraction of last year of life, $a_X$. The data necessary for this purpose have been obtained from the 1975 Population Census Report of Korea and the Vital Statistics of Shindong-myon, Chunseong-gun, Gangwon Province which is collected for the Seoul National University public health program. Age specific death rate is adapted by the Model Life Table, West, Level 21. For the age groups of less than 5 years of age, when the record of vital events can be obtained, the fractions are calculated from the community vital statistics. And for the age groups older than 5 years of age, Greville's Method is used. The findings are summarized as follows: 1) The fraction of last year of life in infantile group is 0.3684 for males, 0.3711 for females, and in 1-4 years of age group 1.2164 for males, 1.2274 for females. Both are more than those of Japan and U.S. in 1963. 2) Infant mortality rate is 42.37 for males, 31.77 for females per 1,000 live births. 3) The mortality curves show that a higher rate is observed under 1 year of age. It drops to the lowest point at around 10 years of age and rises again as the age increases. 4) The age estimated half-survival rate is during the age group of 70-74 for both sexes. 5) Life expectancy at the age of 0 shows 65.73 years for males and 69.22 years for females.

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Pasture Vegetation Changes in Mongolia

  • Erdenetuya, M.
    • The Korean Journal of Quaternary Research
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    • v.18 no.2 s.23
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    • pp.105-106
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    • 2004
  • The NDVI(normalized difference vegetation index) dataset is unique or main tool to assess the global, multi seasonal, multi annual, and multi spectral changes over the World. These features are useful for environmental studies in particular, for the vegetation coverage monitoring of the country as Mongolia, where are large pastureland and pastoral animal husbandry, which dependent on natural conditions. Pasture vegetation cover is changing accordingly with both of global climate change and anthropogenic effect or human impacts. Using past 20 years (1982-2001) NDVI derived from NOAA satellite, its dynamical trend has been decreased in all natural zones differently. Also applied the method named "Two Years Differences" which could calculate the number of years with increased or decreased NDVI values at the same place. From May to September have occurred the 9 years maximum decreases of NDVI over Mongolia, but it obtained differently in spatial and temporal scale. In 24.4 ? 32.7% of all territory occurred one year decrease of NDVI and in 18% occurred more than 3 years frequent decrease of NDVI. According to the linear trend of NDVI and in 18% occurred more than 3 years frequent decrease of NDVI dynamics over 69% of whole territory of Mongolia NDVI values had been decreased due to both natural and human induced impacts to the pasture condition. In this paper also included some results of the integrated analyses of NOAA/NDVI and ground truth data over Monglia separately by natural zones.

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A nationwide study of children and adolescents with pneumonia who visited Emergency De­partment in South Korea in 2012

  • Lee, Chang Hyu;Won, Youn Kyoung;Roh, Eui-Jung;Suh, Dong In;Chung, Eun Hee
    • Clinical and Experimental Pediatrics
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    • v.59 no.3
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    • pp.132-138
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    • 2016
  • Purpose: Acute respiratory infection, particularly pneumonia, is the most common cause of hospitalization and death among children in developing nations. This study aimed to investigate the characteristics of children and adolescents with pneumonia who visited Emergency Department (ED) in South Korea in 2012. Methods: We analyzed National Emergency Department Information System (NEDIS) records from 146 EDs in South Korea for all pediatric patients aged ${\leq}18years$ who were diagnosed with pneumonia between January and December 2012. Results: Among 38,415 subjects, the male-to-female ratio was 1:0.8. Patients aged <12 months comprised 18.0% of the study population; those aged 1 to 3 years, 54.4%; those aged 4 to 6 years, 16.8%; those aged 7 to 12 years, 7.4%; and those aged 13 to 18 years, 3.4%. Presentation rates were highest in April, followed by January, March, and May. The hospital admission rate was 43.5%, of which 2.6% were in intensive care units. The mortality rate was 0.02%. Based on the International Classification of Diseases, 10th Revision, diagnostic codes, the types of pneumonia according to cause were viral pneumonia (29.0%), bacterial pneumonia (5.3%), Mycoplasmal pneumonia (4.5%), aspiration pneumonia (1.3%), and pneumonia of unknown origin (59.3%). Conclusion: Despite the limited data due to the ED data from the NEDIS lacking laboratory results and treatment information, this study reflects well the outbreak patterns among children and adolescents with pneumonia. Our results provide a basis for future studies regarding ED treatment for children and adolescents with pneumonia.

Failing Prediction Models of KOSDADQ Firms by using of Logistic Regression (로지스틱회귀분석을 이용한 코스닥기업의 부실예측모형 연구)

  • Park, Hee-Jung;Kang, Ho-Jung
    • The Journal of the Korea Contents Association
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    • v.9 no.3
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    • pp.305-311
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    • 2009
  • The bankruptcy in Korea affects to all stakeholder of firms. Companies listed in KOSDAQ have high technology but the possibilities for success of business are low. The purpose of this study is to develop and to applicate falling prediction model of KOSDAQ firms using logistic regression analysis. The results of this study are as follows. First, the accuracy of classification of the models by years was between 76.5% and 77.5%, and that of the mean model was between 70.6% and 83.4%. Among the models, the mean model of -three years, -two years, and -one year was highest in the accuracy of classification (83.4%). Second, when the mean model of -three year, -two years, and -one years, the highest model in accuracy of classification, was selected to be verified on validation samples, the accuracy of prediction increased from -three years to -one year (71.7% for -three years, 75.0% for -two years, 90.0% for -one year). In indicating the superiority of developed model.

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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Seroprevalence of Dirofilaria immitis infections in Jindo dogs (진돗개의 심장사상충 감염 실태 조사)

  • Kim, Jong-Seok;Lee, Jeong-Chi
    • Korean Journal of Veterinary Service
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    • v.41 no.3
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    • pp.179-183
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    • 2018
  • A survey on the seroprevalence of Dirofilaria immitis infection among 2,197 Jindo dogs (371 males, 1,826 females) was conducted from 2011 to 2015 using an antigen test (SNAP 4Dx plus, IDEXX, USA). The overall seroprevalence of D. immitis infection in Jindo dogs was 21.8% (479/2,197), and an increase was observed in the seroprevalence of infection from 19.4% in 2011 to 25.8% in 2015. The infection rates were higher among male dogs (32.1%, 119/371) than female dogs (19.7%, 360/1,826)(P<0.01). The infection rates of D. immitis in Jindo dogs at the age of under 1 years-old, 1 to 2 years-old, 2 to 3 years-old and over 3 years old were 10.7% (76/710), 20.0% (190/950), 36.4% (156/428) and 52.3% (57/109), respectively. The older dogs had higher infection rates than the younger dogs (P<0.01). This study indicates that the prevalence rate of D. immitis in Jindo dogs is higher than previously reported in studies which utilized an antigen test.

Long-term clinical results of isolated mitral valve replacement with the Ionescu-Shiley bovine pericardial valve (이오네스큐 판막의 장기 임상성)

  • 김종환
    • Journal of Chest Surgery
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    • v.17 no.2
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    • pp.212-222
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    • 1984
  • A total of and consecutive 291 patients underwent isolated mitral valve replacement using the Ionescu-Shiley bovine pericardial xenograft valve during the 5-year period between October 1978 and June 1983. Thirty-two patients were the children under 15 years of age. There were 15 deaths within 30 days after surgery [operative mortality, 5.2%]. All early survivors except 6 children were placed on the long-term oral anticoagulation longer than postoperative 3 months. A total follow-up period extended for 398.2 patient-years, and 12 patients died [late mortality, 4.1%, or 3.0%/patient- year]. Ten patients experienced the thromboembolic complication [2.51%/patient-year], occurring in 8 patients within the first 3 postoperative months, and 4 died. Three patients had the late prosthetic valve endocarditis [0.75%/patient-year] and 2 died. The incidence of overall valve failure according to the criteria was 3.01%/patient-year, or 12 patients, and 2 had replacement of the failed bioprostheses [primary tissue failure, 0.5%/patient-year]. The long-term survival rate was 87.8%\ulcorner2.6% at 5 years postoperatively, and 84% of the late survivors were in NYHA Class I at the end of the follow- up. The probability remaining free from thromboembolism and overall valve failure was 89.8%\ulcorner6.3% and 81.2%\ulcorner.8% at 5 years respectively. These clinical results confirm the safety of mitral valve replacement. The only remaining clinical problem is the structural and functional durability of the bovine pericardial xenograft valve, and its use in young patients may be stopped in preference to the mechanical prosthetic valves.

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Comparison of Tranatrial-transpulmonary and Transventricular Repair of Tetralogy of Fallot (활로4징증의 완전한 교정술에 있어서 경심방-경폐동맥교정술과 경심교정술의 비교)

  • 김덕실
    • Journal of Chest Surgery
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    • v.27 no.3
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    • pp.202-208
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    • 1994
  • We reviewed 30 patients with tetralogy of Fallot who had underwent transannular patch reconstruction of the right ventricular outflow tract from January 1990 to May 1993. The patients were divided into two groups according to the approaching pattern for the corrective surgery: 12 patients[aged 11 months to 4 years; mean age, 2.3 years] in transatrial group who were repaired by transatrial-transpulmonary approach; 18 patients[aged 13 months to 6 years; mean age, 3.2 years] in transventricular group who were repaired by transventricular approach. The incidence of postoperative right bundle branch block was not statistically different between two groups. With follow up from 3 months to 32 months after operation, none in transatrial group revealed a remnant RVOT stenosis over 50mmHg or tricuspid regurgitation more than grade II with 2D-echocardiography, but two cases[7.7%] in transventricular group revealed these complications. Early postoperative death was 4 cases[13.3%] which all belonged to transventricular group. In conclusion successful repair of tetralogy of Fallot can be accomplished in most patients by transatrial-transpulmonary approach and we can anticipate better results by this approach in terms of postoperative right ventricular function and arrhythmia than conventional transventricular approach.

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Return to Work after an Acute Coronary Syndrome: Patients' Perspective

  • Slebus, Frans G.;Jorstad, Harald T.;Peters, Ron J.G.;Kuijer, P. Paul F.M.;Willems, J. (Han) H.B.M.;Sluiter, Judith K.;Frings-Dresen, Monique H.W.
    • Safety and Health at Work
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    • v.3 no.2
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    • pp.117-122
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    • 2012
  • Objectives: To describe the time perspective of return to work and the factors that facilitate and hinder return to work in a group of survivors of acute coronary syndrome (ACS). Methods: Retrospective semi-structured telephone survey 2 to 3 years after hospitalization with 84 employed Dutch ACS-patients from one academic medical hospital. Results: Fifty-eight percent of patients returned to work within 3 months, whereas at least 88% returned to work once within 2 years. Two years after hospitalization, 12% of ACS patients had not returned to work at all, and 24% were working, but not at pre-ACS levels. For all ACS-patients, the most mentioned categories of facilitating factors to return to work were having no complaints and not having signs or symptoms of heart disease. Physical incapacity, co-morbidity, and mental incapacity were the top 3 categories of hindering factors against returning to work. Conclusion: Within 2 years, 36% of the patients had not returned to work at their pre-ACS levels. Disease factors, functional capacity, environmental factors, and personal factors were listed as affecting subjects' work ability level.