• 제목/요약/키워드: 50 Years

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Outcomes after repair of complete atrioventricular canal with a modified single-patch technique: a retrospective study

  • George Samanidis;Konstantinos Kostopanagiotou;Meletios Kanakis;Georgios Kourelis;Kyriaki Kolovou;Georgios Vagenakis;Dimitrios Bobos;Nicholas Giannopoulos
    • Journal of Yeungnam Medical Science
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    • 제40권2호
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    • pp.187-192
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    • 2023
  • Background: This study aimed to present the short- and midterm outcomes after complete atrioventricular canal defect (CAVC) repair using a single-patch technique. Methods: This study included 30 children who underwent surgical correction of the CAVC using a single-patch technique. Results: The median age of the patients was 5.7 months (interquartile range [IQR], 5.0-7.5 months), and 23 patients (76.7%) had type A CAVC. Fourteen patients (46.7%) were female and 17 (56.7%) had been diagnosed with Down syndrome. The in-hospital mortality rate was 0%. No deaths were observed during a median follow-up of 4 years (IQR, 3.5-5.0 years). Patients without Down syndrome were associated with late moderate mitral regurgitation (MR) (p=0.02). Late MR less than moderate degree was observed in 96.6%, 78.5%, and 50% of patients after 2, 4, and 5 years of follow-up, respectively, while late tricuspid valve regurgitation less than moderate degree was observed in 96.7%, 85.9%, and 59.0% of patients after 2, 4, and 6 years of follow-up, respectively. After a median follow-up of 4 years, only one patient had required surgical repair of a left ventricular outflow tract obstruction, which occurred 26 months after the first operation. Multivariable logistic regression analysis adjusted for the type of CAVC, sex, Down syndrome, age, and weight revealed that the absence of Down syndrome was a risk factor for late moderate MR (MR-2) (odds ratio, 0.05; 95% confidence interval, 0.006-0.50; p=0.01). Conclusion: A single-patch technique for CAVC surgical repair is a safe method with acceptable short- and midterm results.

심해저 망간단괴 개발사업의 경제적 타당성 재평가 (An Economic Feasibility Study of Manganese Nodule in Korea Area: Clarion-Clipperton Fracture Zone)

  • 남광현;오위영;권석재
    • Ocean and Polar Research
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    • 제26권2호
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    • pp.187-197
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    • 2004
  • The purpose of this paper is to investigate economic feasibility of manganese nodules in Korea area (Clarion-Clipperton Fracture Zone). We assumed that the production scale of manganese nodules were 3.0MT or 1.5MT and analyzed that the capital cost and operating cost were estimated in the four sectors, exploration, mining, transportation and metallurgical process. The capital cost and operating cost evaluation reflects the latest technical practices. First, for analyzing economic feasibility, the scenario suggests that the production of 4 metals can be made for 25 years. Assuming the discount rate at 8.0%, equity capital at 50% and tax at 27%. When manganese nodule were mininged 3.0 MT, economic feasibility analyses showed that IRR was 12.8 and pay-back period was 9.2 years, and when manganese nodules were mininged 1.5 MT, economic feasibility analyses showed that IRR was 4.0 and pay-back period was 11.8 years. This study indicated there is economic validity of at the product of manganese nodules 3.0 MT. In addition, we carried out a sensitivity analysis at the change of cobalt price on mining 1.5 MT. The result of sensitivity analysis clearly showed that economic validity is high at increasing of cobalt price 50% up.

정상인(正常人)의 안면고경(顔面高徑)에 대(對)한 계측학적(計測學的) 연구(硏究) (The Statistical Study of Vertical Dimension in Normal Korean Adult)

  • 원도수
    • 대한치과보철학회지
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    • 제9권1호
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    • pp.35-40
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    • 1969
  • The author measured vertical dimension of 675(326 of male and 349 of female) in normal Korean adult from 20 to 50 years of age between upper and lower muco-buccal fold on upper and lower central incisal portion at centric occlusion state. The following results were obtained.; 1) The distances from upper muco-buccal fold on upper anterior central incisal portion to lower muco-buccal fold on lower anterior central incisal portion at centric occlusion state were 37.57mm in male, 36.80mm in female and 37.19mm in average. The distances in male were longer than those of female. 2) According to increase age(from 20 to 50 years of age), the tendencies of vertical dimensional changes were increased slightly in 30~40 years group and decreased after 40 year in both sex. 3) The distances from upper muco-buccal fold on upper anterior central portion to upper central incisal edge were 20.77mm and from lower muco-buccal fold on lower anterior central incisal portion to lower central incisal edge were 18.88mm. The ratio between maxillary distances and mandibular distances was 1.4:0.9.

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대동맥 질환 수술의 임상적 고찰 (Clinical Analysis of Surgery for Aortic Disease)

  • 안정태
    • Journal of Chest Surgery
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    • 제28권10호
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    • pp.906-911
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    • 1995
  • From January 1991 to January 1995, 11 patients with aortic diseases underwent various surgical repairs. The age at operation ranged from 26 years to 63 years[ mean=50.9 years . The disease entities included 8 aortic dissections[ type I in 4, type II in 2 and type III in 2 cases , 2 Marfan`s syndrome with annuloaortic ectasia and 1 desecending thoracic aortic aneurysm The operative procedures we tried were 3 Bentall`s operation, 5 graft replacement of ascending aorta, and 3 graft interposition in descending thoracic aorta.Overall hospital mortality rate is 36.3%[4/11 . And causes of death are pump weaning failure in 2 cases and multiorgan failure in 2 cases. It was that 2 sternal dehiscence & mediastinitis, 1 acute renal failure, 2 hypoxic brain damages and 2 postoperative psychosis were complicated. Recently we tried surgical repair of aortic dissection five out of 6 cases using total circulatory arrest with deep hypothermia at 14$^{\circ}C$. Total circulatory arrest time ranged from 18 to 26 minutes[ mean 22.2 minutes , and mean aortic cross-clamping time was 48.2 minutes. One of 5 patient died on the 7th postoperative day due to multiorgan failure. Mortality of patients with TCA was 20%[1/5 , and it of remainders was 50%[3/6 . Our result for surgical repair using total circulatory arrest with deep hypothermia is satisfactory on the basis of our clinical data.

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NCAR 재해석 자료를 이용한 극한풍속 예측 (An Estimation of Extreme Wind Speeds Using NCAR Reanalysis Data)

  • 김병민;김현기;권순열;유능수;백인수
    • 산업기술연구
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    • 제35권
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    • pp.95-102
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    • 2015
  • Two extreme wind speed prediction models, the EWM(Extreme wind speed model) in IEC61400-1 and the Gumbel method were compared in this study. The two models were used to predict extreme wind speeds of six different sites in Korea and the results were compared with long term wind data. The NCAR reanalysis data were used for inputs to two models. Various periods of input wind data were tried from 1 year to 50 years and the results were compared with the 50 year maximum wind speed of NCAR wind data. It was found that the EWM model underpredicted the extreme wind speed more than 5 % for two sites. Predictions from Gumbel method overpredicted the extreme wind speed or underpredicted it less than 5 % for all cases when the period of the input data is longer than 10 years. The period of the input wind data less than 3 years resulted in large prediction errors for Gumbel method. Predictions from the EWM model were not, however, much affected by the period of the input wind data.

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지수치를 이용한 중국 성인여성의 체형 분석 -거주지역 및 세분시장을 중심으로- (The Analysis of Body Type of Chinese Women by the Body Index - Focusing on the residental district & specific markets -)

  • 김은희;손희순
    • 복식
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    • 제57권10호
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    • pp.35-49
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    • 2007
  • This study aims at strengthening the national competitiveness of Korea's clothing industry as it provides substantial information on type characteristics and body types for Chinese women and improves the fitness of clothing, considering human proportion in the production of clothing products for export to China. It divides the group by residental district and specific markets. It analyzes the part proportion of body types by each group. This selected specimen as 1,381 of Chinese women from 19 to 50 selected in random sampling in Shanghai and Beijing from 23th, June to 7th August in 2004. 1. Beijing women have long head length of 7.04 in proportion while Shanghai women have short head length of 7.14 in proportion. 2. For 19-24 years old women, head-to-height ratio (HHR) is 7.14, while 24-34 years old women and 35-50 years old women are 7.04 and 7.09 respectively.

발기부전 치료의 한의학적 접근방법에 관한연구 (Study on the Treatment of Erectile Dysfunction in Oriental Medicine)

  • 송봉근
    • 대한한의학회지
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    • 제17권2호
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    • pp.73-87
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    • 1996
  • Erectile dysfunction is defined as the inability to attain and maintain penile rigidity sufficient to allow sexual intercourse. Although erectile dysfunction is usually considered a benign disorder, it has a dramatic impact on quality of life of the patients as well as their sexual partners. And it is common in men between the age of 40 and 70 years, and its incidence increases with age. The prevalence is reported to occupy 10% at the age of 40 years, 20% in 50s, 30% in 60s and 50% at the age of 70 years, and is more prevalent as stress in modern life and interest onsexual behavior increase. This article has aims to investigate and summarize the current trend of treatment for erectiledysfunction so as to suggest the effective and available way to treat the disease. In oriental medicine, erectile dysfunction has been treated with herb medicine and acupuncture with good results. Some of herb drugs have the substances which induce penile erection. So it should be investigated on the neurotransmitter or endothelial mediator which can be included in herb drugs. The acupuncture therapy stimulates the erectile nerves and is reported to be effective for erectile dysfunction. And suppository, locus injection therapy and topical agent are found to be effective as well as stellate ganglion block and biofeedback treatment. So the study on the approach and application of these treatments on erectile dysfunction would be necessary.

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연령증가에 따른 한국성인의 영양섭취 상태가 지방대사에 미치는 영향 (Effects fo Nutritional Status of Korean Adults on Lipid Metabolism with Age)

  • 이혜양
    • Journal of Nutrition and Health
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    • 제27권1호
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    • pp.23-45
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    • 1994
  • It has been recently reported that degenerative diseases are increasing rapidly in many other countries as well as in Korea according to expansion of life expectancy, economic development and dietary patterns. The aim of this study was to investigate changes in lipid metabolism with age, to determine which dietary factors affect the serum lipid profiles, and to compare Korean and western diets. With clinically normal participants(made 60, female 63), this study was carried out in three phases : 1) to analyze blood lipid levels with age, 2) to analyze the effects of different dietary intakes on blood lipid levels according to age, and 3) to compare the effects of different food intakes on blood lipids between eastern and western coutries. The results are follows : 1) Mean serum values of triglyceride and cholesterol reached a peak level at the age of 50-60 years, although men has higher levels than women at earlier ages. LDL cholesterol percentage increased sharply after 50 years and continued to 70 years. 2) Differences of dietary calorie intake including carbohydrate, total fat and animal fat affected serum lipid profiles, such that high intake groups generally showed higher triglyceride and cholesterol values than the lower intake groups. 3) Compared with Americans(45%), Koreans consumed carbodydrates at 65% of their calorie intake. At this carbohydrate level dietary fatty acid P/S and W-6/W-3 ratio were 1.1 and 6, this could make Koreans continue this dietary pattern composed of carbohydrate at 65% of total calorie intake, and P/S ratio of fatty acid at 1 to 2.

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13년간 체류하였던 종격동 이물 (A Case of Retained Foreign Body in the Mediastinum for 13 Years)

  • 이양선;지중민;김정도;조영채
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1978년도 제12차 학술대회연제 순서 및 초록
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    • pp.3.3-3
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    • 1978
  • 식도이물은 이비인후과 영역에서 흔히 볼 수 있는 것이며 특히 근자에 와서는 유소아에서 식도이물의 대부분은 주화이물이 차지하고 있다. 주화이물은 식도경하에 대부분의 경우 용이하게 제거되나 때로는 여의치 않은 결과를 초래하는 경우도 있다. 최근 본교실에서는 13년간이나 50환 주화 일매가 기관분지의 상부에서 기관과 식도 사이에 개재하면서도 위험한 증상을 초래하지 않고 경과하다가, 본교실에 내방한 16세 소아에서 전신마취하에 관혈적으로 제거란 일례를 경험하였기에 문헌적 고찰을 가하여 보고하는 바이다.

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중.고령 건설근로자의 재해예방을 위한 안전관리 항목에 관한 연구 (A Study on the Safety Management Items for Preventing Accidents of Aged Construction Workers)

  • 이현철;송도흠;고성석
    • 한국안전학회지
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    • 제24권1호
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    • pp.50-59
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    • 2009
  • Korea reached an aging society in 2000, and it is progressed quickly now. Government forecasts that the number of aged people over 65 years old will increase from 7.2%(2000) to above 14.3% among total population in 2018. Workers over fifty years old are increasing in construction field every year. These aged workers are exposed to various construction accidents, and also their accident rate is very high because of physical and psychological changes by aging. Specially, a disaster of aged workers more than 50 years old is fronted at the serious situation in the construction industry which has variable working environment. Thus, the purpose of this study is to suggest the precaution by analysing disaster characteristics of aged construction workers. Also, this study aims to present a basic counter-plan according to important safety management list which is abstracted from the work, aged construction workers' accident rate is high.