With the ligation of a patent ductus arteriosus by Gross in 1938, surgeons first entered the field of congenital heart disease, and treatment of the patent ductus is representative of the rapid advance made in thoracic surgery in the last 40 years. We have had clinical experiences about 36 cases of this in the department of Thoracic & Cardiovascular surgery, Pusan Paik Hospital, Inje medical college from March 1891 to June 1987. And the results were summarized as follows. 1. There were 11 males, 25 females. The age range of the patients were from 8 months to 36 years with the mean age of 7.9 years. 2. The chief complaints of the patients on admission were frequent URI[50%], dyspnea on exertion[29.8%], chest pain[11.1% k 1%], growth retardation[2%], cough[2.8%], anorexia[2.8%]. But there were 11 patients[30.6%] having no subjective symptoms. 3. In auscultation, the usual continuous machinery murmur was noticed in 30 patients[83.3%], only systolic murmur in 6[16.7%]. 4. In the preoperative chest P-A views, there were noticed cardiomegaly in 20 cases, enlarged pulmonary conus and / or pulmonary plethora in 22 patients[61.1%]. 5. In the preoperative EGG findings, there were noticed pattern of LVH in 8 patients[22.2`], RVH in 2[5.6%], BVH in 4[11.5%] and normal in 19[52.89o]. 6. The size of PDA[mean] was 9.5 mm[length] and 8.8 mm[width], the range of length was from 4 to 29 mm and the range of width was from 4 to 18 mm. 7. There were noticed 6 cases which were combined with other anomalies[VSD in 2 cases, Coarctation of aorta in 2, Mitral regurgitation in 1, and AP window in 1]. 8. On operation, simple ligation of the ductus was performed in 30 cases[83.3%], division and suture-ligation in 5[13.9%]. 9. Postoperative complications were noticed in 4 cases[pneumonia in one case, wound infection or disruption in 3], but there were no mortality.
Background: Male breast cancer accounts for less than 1% of all cancer in men and only around 1% of all diagnosed breast cancer. Despite a significant raise in the last 25 years, it still remains a rare disease. Materials and Methods: We conducted a retrospective study from 2004-2011 with 21 male breast cancer patients. We aimed to analyze the epidemiologic data (age, personal and family history), tumor characteristics (size, histological type, location, TNM stage, receptors), surgery, adjuvant chemotherapy and radiation therapy, hormonal therapy and survival (relapse, follow up, death) who reffered to our center with breast cancer. Results: The median age was $49.2{\pm}14.2$ years (range 30-83 years). A family history of breast cancer was noted in four cases. The main clinical complaint was a retroareolar mass in 85.7%of patients (n=18). Histologically, 85.7% (n=18)were invasive ductal carcinoma and 4.7% (n=1) had ductal carcinoma in situ and 9.4% (n=2) had mixed histology including invasive medullary and ductal carcinoma. Hormonal therapy was delivered to 16 cases (76.1%) due to ER or PR positivity. During median follow up of 30 months (3-84 month), distant metastases were evident in 4 cases (19%). During the follow-up period, only one patient died due to metastatic disease. The mean time to recurrence detection was 30 months. Conclusions: The percentage of cases of male breast cancer is very low compared to breast cancer in females, explaining why very few investigations have been conducted in Iran. Limited coverage in the literature make gender-specific findings difficult so future research of this entity involving multi-institutional cooperation and longer follow up is essential to provide new insights about the biological and clinical factors of this rare cancer.
The Health care program in Korea has now been systemized after 30 years of declaring the inauguration of the national health insurance system by the current government. The national health care covering all Korean citizens was achieved after 12 years of implementing the national health insurance and the health care program since 1977. Hundreds of multiple operational agencies managing the insured individually had undergone the amalgamation process from 1998 to 2000, and had been restructured as one agency, the National Health Insurance Corporation. In 2003, the community/area based financial management was also merged together with the employment based financial management. The National health care system of Korea offer various merits, compared with that of other countries, such as health care provision covering all Koreans, low insurance premium, accessibility of medical services/facilities etc. However, there are still some weak features which need to be addressed for improvement; below expectation insurance cover system, mistrust on the medical services, low medical charges resulted from excessive restrictions, and unstable financial status of the national health insurance etc. Therefore, the National health care system should continue to evolve to re-establish itself as more effective national health care system by further strengthening its merits, and by improving its weaknesses; with adopting the positive system to optimize the costs of prescribed medicines/drugs, applying simpler insurance coverage system to calculate the optimum medical charges, promoting private medical insurances, and increasing insurance premium etc.
This paper investigate to test the validity of the basic assumptions of strategic trading models with the broker and informed trader using daily closing data of KOSPI 200 stock index futures for the year 2001-2003. Major results are summarized as follows: (i) For these years, while foreign investors and brokerage companies traded for the directions consistent with the model, brokerage companies and individual investors traded for inconsistent directions. (ii) Cross correlation function (CCF) analysis shows no systematic dependency in the trading between all three participants(foreign investor, brokerage companies and individual investors) for these years. (iii) Chi-square validity test for the 30 days of the largest unexpected trading volume shows some systematic dependency in the trading between three participants for these years. Finally, some limitations of this paper and direction for further research were suggested.
The purpose of this study is to identify health problems and health behaviors of the middle-aged residing in urban areas and to plan and implement health promotion programs based on their health needs. The subjects' age ranged from 30-64 years in 1.040 middle-aged residing in an area of Kangbook-ku in Seoul. The data were collected from September 1998 to February 1999 with structured questionnaire using face-to-face or telephone interviews. The data were analyzed by SPSS-PC+ and identified by $X^2$ test and ANOVA. The results were as follows: 1. 35.4% of the males and 27.8% of the female responded that they were healthy regarding their perceived health status. In the order of chronic illness prevalence in the case of males was hypertension, diabetes, and digestive disorders and. in the case of females, was digestive disorders, hypertension, arthritis, anemia, and diabetes. 2. Male and female's smoking rates were 7.3% and 3.6% each and marked the highest rate of 30 to 40 years: drinking behavior was 66.9% in males and 32.2% in females. 3. The younger males had the worse dietary habits and had the lowest frequency of regular exercise. The older the females were, the more their weight increased. According to the results, health promotion programs by sex are recommended, especially in the target population of 30 to 40 years. and focused on the strategies for promoting self-care and actual health practice: it is strongly suggested that health promotion programs for adolescent and school-aged children before middle aged health behavior begins.
The purpose of this study was to evaluate the relationship between past smoking period and tooth loss in Korean elderly based on the data the Sixth Korea National Health and Nutrition Examination Survey (2013-2015). The study subjects were 4,037 elderly people (1,737 men and 2,300 women) over 65 years old. The statistical analyses were conducted by applying complex sample analysis technique using SPSS/WIN 22.0(${\alpha}=0.05$). The average number of tooth loss in Korean elderly was 11.14. The analysis result of the relationship of the tooth loss according to the past smoking period, the risk of tooth loss was more than twice higher in over 30 years past smoking period group than in under 10 years past smoking period group. In conclusion, the long term past smoking were associated with tooth loss in Korean elderly. Therefore, it seems to need a continuous oral health care through non-smoking policy and education.
Time dependent creep settlements are one of the most important causes of material deteriorations for the huge water structures such as concrete faced rockfill dams (CFRDs). For this reason, performing creep analyses of CFRDs is vital important for monitoring and evaluating of the future and safety of such dams. In this study, it is observed how changes viscoplastic behaviour of a CFR dam depending the time. Ilısu dam that is the longest concrete faced rockfill dam (1775 m) in the world is selected for the three dimensional (3D) analyses. 3D finite difference model of Ilısu dam is modelled using FLAC3D software based on the finite difference method. Two different special creep material models are considered in the numerical analyses. Wipp-creep viscoplastic material model and burger-creep viscoplastic material model were rarely used for the creep analyses of CFRDs in the last are taken into account for the concrete slab and rockfill materials-foundation, respectively. Moreover, interface elements are defined between the concrete slab-rockfill materials and rockfill materials-foundation to provide interaction condition for 3D model. Firstly, dam and foundation are collapsed under its self-weight and static behaviour of the dam is evaluated for the empty reservoir conditions. Then, reservoir water is modelled considering maximum water level of the dam and time-dependent creep analyses are performed for maximum reservoir condition. In this paper, maximum principal stresses, vertical-horizontal displacements and pore pressures that may occur on the dam body surface during 30 years (from 2017 to 2047) are evaluated in detail. According to numerical analyses, empty and maximum reservoir conditions of Ilısu dam are compared with each other in detail. 4 various nodal points are selected under the concrete slab to better seen viscoplastic behaviour changes of the dam and viscoplastic behaviour differences of these points during 30 years are graphically presented. It is clearly seen that horizontal-vertical displacements and principal stresses for maximum reservoir condition are more than the empty reservoir condition of the dam and significant pore pressures are observed during 30 years for maximum reservoir condition. In addition, horizontal-vertical displacements, principal stresses and pore pressures for 4 nodal points obviously increased until a certain time and changes decreased after this time.
Exotic conifer trees have been extensively planted in southern China because of their high apparent growth and yield. These fast-growing plantations are expected to persist as a considerable potential for temporary and long-term carbon sink to offset greenhouse gas emissions. However, information on the carbon storage across different age ranges in exotic pine plantations is often lacking. We first estimated the ecosystem carbon storage across different age ranges of exotic pine plantations in China by quantifying above- and below-ground ecosystem carbon pools. The carbon storage of each tree component of exotic pine (Pinus elliottii) increased significantly with increasing age in Duchang and Yiyang areas. The stem carbon storage except <10 years in Ji'an areas was the largest component among all other components, which accounts for about 50% of the total carbon storage followed by roots (~28%), branches (~18%), and foliage (~9%). The mean total tree carbon storage of slash pine plantations for <10, 10-20 and 20-30 years across three study areas was 3.69, 13.91 and $20.57Mg\;ha^{-1}$, respectively. The carbon stocks in understory and forest floor were age-independent. Total tree and soil were two dominant carbon pools in slash pine plantations at all age sequences. The carbon contribution of aboveground ecosystem increased with increasing age, while that of belowground ecosystem declined. The mean total ecosystem carbon storage of slash pine plantations for <10, 10-20 and 20-30 years across China was 30.26, 98.66 and $98.89Mg\;ha^{-1}$, respectively. Although subtropical climate in China was suitable for slash pine growth, the mean total carbon stocks in slash pine plantations at all age sequences from China were lower than that values reported in American slash pine plantations.
Purpose: The purpose of this study was to identify Happiness index according to job satisfaction and interpersonal problems of dental hygienists in some regions Methods: The subjects of this study were dental hygienists working in dental hospitals in Busan and Gyeongnam. from 1 July 2021 to 30 August 2021 a number of total 198. The structured questionnaire was surveyed and analyzed by self- entry. The collected data were analyzed using an IBM SPSS ver. 20.0. Results: The interpersonal problem were higher in the group under 25 years of age, with, less than 1 year of experience and less than 2-4 year of experience. Happiness index were higher over than 31 year of age. the happiness index was higher in the age group 31 years or older, with more than 5 years of experience, more than 7 days of vacation, work intensity that was tolerable and difficult, and the group with an annual salary of 30 million won or more. the higher the job satisfaction, the lower the interpersonal problems, the happiness index of dental hygienists was high. Conclusions: In order to increase the happiness index of dental hygienists working at dental medical institutions, it is necessary to develop a program that can form amicable interpersonal relationships in the workplace of dental hygienists with little experience. In addition, increase the job satisfaction of dental hygienists, it is necessary to adjust the intensity of work to fit the individual's abilities and aptitudes, and to develop a work system so that dental hygienists can increase their pride in their profession by signing a reasonable salary.
This study was conducted to know the respiration rate in different organ of 4 years old ginseng plant on June 14 and in different root conditions of 6 years old on October 1. Respiration rate of each organ was the increasing order of young berry, leaf, peduncle, stem and root at all temperature(15$^{\circ}C$ to 30$^{\circ}C$). Temperature coefficients of respiration rate from 15$^{\circ}C$ to 30$^{\circ}C$ of each organ were 2.39 in young berry, 1.75 in leaf, 1.57 in root, 1.17 in stem and 1.16 in peduncle. There was no difference between respiration rate of large size root (117${\pm}$8.8g) and that of small size (54${\pm}$4.0g) in 6 years old ginseng. Respiration rate was decreased with the decrease in the water content in root, especially in small size root. And respiration rate of red skin root was higher than that of healthy root.
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