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Aortic Stenosis: New Insights in Diagnosis, Treatment, and Prevention

  • Saki Ito;Jae K. Oh
    • Korean Circulation Journal
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    • v.52 no.10
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    • pp.721-736
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    • 2022
  • Aortic stenosis (AS) is one of the most common valvular heart diseases and the number of patients with AS is expected to increase globally as the older population is growing fast. Since the majority of patients are elderly, AS is no longer a simple valvular heart disease of left ventricular outflow obstruction but is accompanied by other cardiac and comorbid conditions. Because of the significant variations of the disease, identifying patients at high risk and even earlier detection of patients with AS before developing symptomatic severe AS is becoming increasingly important. With the proven of efficacy and safety of transcatheter aortic valve replacement (TAVR) in the severe AS population, there is a growing interest in applying TAVR in those with less than severe AS. A medical therapy to reduce or prevent the progression in AS is actively investigated by several randomized control trials. In this review, we will summarize the most recent findings in AS and discuss potential future management strategies of patients with AS.

An Experimental Study on the Quality of Mortar Strength using the Quenched Blast-Furnace Slag (수재사 모르터의 강도특성에 관한 연구)

  • 임남기;이영도;양범석;김영회;최문식;정상진
    • Proceedings of the Korea Concrete Institute Conference
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    • 1997.10a
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    • pp.207-214
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    • 1997
  • Strength experimental on mortar which use Quenched Blast-Furnace Slag as aggregate was carried our for a fundamental study of application possibility of Quenched Blast-Furnace Slag as aggregate. It gives the following results. The strength of mortar use Quenched Blast-Furnace Slag is decrease as substitution rate is higher. As W/C rate increase, the strength decrease, but the strength decrease of fine aggregate rate 1:3 is lower than 1:2. The relation with fine aggregate is that the amount of fine aggregate is inversely proportional to strength. Th relation with age is proportional to strength and strength rate of going is lower than general mortar in 28 age the change of strength proportionately with W/C rate is that as W/C rate increases, th strength is drop ; it shows that it has same tendency as general mortar sand or crushed sand, but while W/C rate increase the strength is as high as general mortar. The reason can be assumed that water content per unit needed to Quenched Blast-Furance Slag is more than in case of sand. In addition, the relation with substitution rate is that the strength is the strongest at substitution rate 25% and 50% ; that is , sometimes it is higher than mortar which use sand 100%. In addition, long age strength of mortar which use Quenched Blast-Furnace Slag as aggregate is about to be studied in the last.

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A Study on the Basic Property of Mortar as the Grading Distribution of Copper Slag Used as Fine Aggregate (잔골재로 사용한 동슬래그의 입도에 따른 모르타르의 기초적 특성 연구)

  • Lee Jong-Chan;Lee Mun-Hwan;Lee Sea-Hyun
    • Proceedings of the Korea Concrete Institute Conference
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    • 2005.05b
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    • pp.97-100
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    • 2005
  • The purpose of this study is to research the basic property of mortar as the grading distribution of copper slag used as fine aggregate and the results are as follows. The compressive strength of mortar as the size of largest diameter of copper slag granule is the highest when the largest size is in 2.5-5mm, and flow of mortar is in proportion to the size. As the largest size of copper slag particle is under 2.5mm(Type 1) the compressive strength and flow is higher as the big granules is more included than small ones. As the largest size of copper slag granule is under 5mm(Type 2) the compressive strength and flow is similar to situation of Type 1, except compressive strength is higher as the percent of the size of granule in $2.5\~5mm$ is under 35$\%$. F.M.(Fine Modulus), compressive strength and flow is relative each other except the batch with 2.5$\∼$5mm granule size of copper slag.

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The Exploration of the Dialectical Interface of Other and Subject: A Reading of Christina Rossetti's "Goblin Market" (대타자와 주체의 변증법적 인터페이스 탐색 -크리스티나 로제티의 「도깨비 시장」 읽기)

  • Kim, Kyung-Soon
    • Journal of English Language & Literature
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    • v.53 no.2
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    • pp.219-241
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    • 2007
  • This study takes its point of departure from Lacanian psychoanalysis and explores the point that an irremediable gap in the human subject can be illuminated in terms of the Lacanian categories, fantasy, symptom, gaze or voice as cause of desire of the Other. With respect to the category of the symptom, Lacan claims that the Other is always already there in the constitution of the subject, that is, the relation of the subject to the Other that is overwhelming as well as attracting the subject. Chapter II deals with the unthought, excessive ground of the conscious that borders on the subject, as is the case of self-excentric aspect of the man. Indeed, in Lacan's early work, the subject is essentially a relationship to the Other as desire(objet petit a), and there is no such thing as a symptom or fantasy without some subjective involvement. Lacanian unknown real, perpetual excess as the cause of desire animates the subject even as it threatens to blast it apart. The structures that establish the lines of desire in every individual are derived from an ineluctably intersubjective field. The Other is always already there in the constitution of the subject. In the final years of Lacan's teaching we find a kind of universalization of the symptom and almost everything that is becomes in a way symptom. Symptom, embodied in Laura in "Goblin Market," is her only substance, the only positive support of her being. By looking at the Laura's symptom in chapter III we gain an insight into the forbidden domain, into a real space that should be left unseen and unthought. The voice of goblin men therefore functions as a sublime object that is animating as well as dominating element even as it threatens to disintegrate the subject. Objet petit a as a sublime object that must be excluded in reality returns in the real, taking on a certain materiality which has an effect on Laura, that is, animates Laura's desire. Objet petit a is a real object, signifying nothing. In conclusion, the theoretical importance of Lacanian psychoanalysis is the relation between a subject and an Other as Objet petit a.

The TIME AS SPACE Metaphor in English and in French: A Cognitive Analysis

  • Hamdi, Sondes
    • Cross-Cultural Studies
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    • v.28
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    • pp.67-86
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    • 2012
  • Metaphors were conceived of as a figure of speech whose role consisted in merely ornamenting the language. However, with their seminal book Metaphors we live by (1980), Lakoff and Johnson have revolutionized the conception of metaphors by placing them as central to human language, thought and action. Cognitive linguists argue that humans tend to conceptualize abstract concepts, such as time, through more experiential and tangible concepts. For instance, it has been observed that the abstract concept of time is conceptualized as space in several unrelated languages. According to the Conceptual Metaphor Theory (CMT), TIME AS SPACE metaphor covers two more specific metaphors: (1) The MOVING TIME metaphor wherein the observer is conceived as a stationary entity, as in The end of the academic year is getting closer; and (2) The TIME AS A LOCATION metaphor wherein times are conceived as stationary points and the observer is conceived as moving relative to these locations, as in We are first approaching the end of the year. This paper aims at probing the validity of the CMT representations of time on the basis of an analysis of time metaphors in two languages: English and French. This analysis is conducted within the framework of CMT. The results corroborate the CMT representations of time, suggesting that in both languages the abstract concept of time is expressed in spatial terms. In English, as in French, time is conceptualized as a moving entity and as having extension in space. In both languages, time can be seen as bounded; therefore, one can perform actions within defined limits of time.

Switching Phenomena of AsTe Glass Semiconductor (AsTe계 유리반도체의 스위칭현상)

  • 박창엽
    • 전기의세계
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    • v.21 no.1
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    • pp.17-21
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    • 1972
  • Electrical resistivity and switching phenomena in glass semiconductor of AsTe and AsTeGa is studied. Samples sliced from ingot which is air quenched or water quenched, show high resistivity at room temperature. The resistivity of the AsTe and AsTeGa is 1*10$^{6}$ .ohm.-cm and 5*10$^{6}$ .ohm.-cm at 27.deg. C. Switching phenomena take place in thin the thick samples. Holding voltage is different with the thickness of the samples and the characteristics of switching in the thin and thick samhles are similar. When square wave pulse voltage is applied, delay time is detected to 5.mu.sec by oscilloscpoe.

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Men's Role Conflicts in Dual-Earner Family (맞벌이 가족 남서의 역할갈등에 관한연구)

  • 김태현
    • Journal of Families and Better Life
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    • v.16 no.1
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    • pp.81-94
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    • 1998
  • The purpose of this study is to examine men's role conflicts of dual-earner family based on man's role type. Man's role type is composed of man's sex role attitude and family-role performance and categorized in four types such as traditionalism type neo-traditionalism type equalitarianism type and inconsistancy type. The test analysis can be summarized as follows; First test analysis can be summarized as follows; role performance and man's role conflict as working hours is long wife's role requirement is high family-role conflict as working hours is long wife's role requirement is high family-role is not commit man's role conflict directly affected. In addition indirect affect through family-role performance shows that man's role conflict level is low as level of income is high level of income difference between man and wife is low child is younger and intent to modern sex-role attitude. Second looking into the difference role conflict to man's role type it shows that equalita ianism type's role conflict is low and man's role conflict in traditionalism and neo-traditonalism types is high.

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A Study on the Categorization and Characterization of Light in Space (공간에서 빛의 유형분류와 특성에 관한 연구)

  • Shin, Moon-Young;Kim, Joo-Yun
    • Korean Institute of Interior Design Journal
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    • v.19 no.4
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    • pp.22-30
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    • 2010
  • Light has primary function to enlighten the darkness. However, as development and progresses in media has caused big change in our life, the range of usage and application of light is broadened. And these days, light is actively used as a communication tool in a space. This thesis is based on an idea that a new prospect of light is required and at the same time the theoretical foundation should be established to take active advantage of light. In Chapter two, analysis criteria are established to verify study hypothesis. The applied methodology is to analysis the contents based on literature review. Key words related light in space design are extracted and the frequency of those key words are quantitatively measured. Taking advantage of the result, the characteristics of light are divided into three categories, 'light as symbolic information', 'light as communication medium' and 'light as topological form'. In chapter three, analysis of cases is performed. The cases are selected based on space analyzing criteria established in Chapter two. Qualitative analysis is performed on the cases categorized into natural light and artificial light. Basic analysis elements are evaluated for each case. And each case is allocated to one of three categories, 'light as symbolic information', 'light as communication medium' and 'light as topological form'. Through this analysis, it is found that light in space has prevailing characteristics of 'light as symbolic information' and 'light as communication medium'.

An Analysis of The Fusion Cuisine Recipe on Mass Media (주요 매체에 게재된 퓨전요리의 레시피 분석)

  • 신애숙;안형기
    • Culinary science and hospitality research
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    • v.7 no.3
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    • pp.163-178
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    • 2001
  • The purpose of this study is analysis of fusion cuisine recipe a gathering datum and informations for development of the fusion cuisine. The fusion cuisine is a new creative cuisine that come from a mixing between different cuisine recipe especially eastern cuisine wi th western cuisine. The fusion food is becoming a world popular food since 1980's. In Korea, the fusion food is favorite food is needed for development of the fusion cuisine, and we are able to get the datum and informations from mass media such as cuisine journals, newspapers and internet web site. Results of the analysis are as follows : 1. The fusion cuisine that core stuff is the grain have features that make a use of a spice and fat such as butter and olive oil. Boiling is used most frequently as a way of cooking among the grain centred fusion cuisine. Spagetti is used very after as a stuff for the fusion food. 2. The fusion cuisine that core stuff is meat make use of unusual meat such as the pigeons and spicery, and its popular cooking way is a baking. 3, The fusion cuisine that core stuff is a fish make use of herbs and alchole to get rid of a fishy smell, and various sauces are used for promoting taste and styling. 4. The fusion cuisine that core stuff is fruit and vegetables make use of boiling as cooking ways most frequently, but in the case that cook try to keep nutritive qualities, baking is used most frequently. 5. In beverage centred fusion cuisine, mixing of alchole with juice is most popular, its taste and color is unusually gorgeous.

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An Analysis Study on Stressor Experienced by Emergency Medical Technology Students during Clinical Practice (응급구조과 학생이 임상실습시 경험하는 스트레스요인에 관한 분석)

  • Jun, Hoa Yuen;Kim, Gul;An, Hong Gi
    • The Korean Journal of Emergency Medical Services
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    • v.3 no.1
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    • pp.43-54
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    • 1999
  • This study is attempted for the purpose of clearly understanding the stressors which emergency medical technology students experience during clinical practice, giving guidance in desirable direction and improvement of clinical practice, and giving the basic materials so that emergency medical technology students may practice effectively. The design of this study was a descriptive survey. The subjects in this study were 59 emergency medical technology students who were 2nd grade in D college. The collection of questionnaires took 3 days from September 1, 1999 to September 3, 1999. This researcher explained the purpose of this study to students, after they agreed to this survey, the researcher gave the questionnaire to them, had them answer the questions and collected the questionnaire immediately. Data analysis included percentage, mean and standard deviation, t-test and ANOVA trough SPSS computer program. The results of this study are, briefly, as follows; 1. In 'satisfaction-degree to specializing in the science of emergency medical technology' 27.1% of the subjects is revealed as 'satisfied' and in 'satisfaction-degree of clinical practice', 8.5% of the subjects is revealed as 'satisfied'. 2. Viewed from each of the categories of stressors which emergency medical technology students experience during clinical practice, 'ideals and values' is the category in which emergency medical technology students experience most severe stress at a mean 3.25 and 'personal relations' is the category in which emergency medical technology students experience mildest stress at a mean 2.82. The total stress degree mean is 3.06, which emergency medical technology students experience during clinical practice is revealed as 'moderate' stress. 3. Considering the stressor involved in each category, the results are as follows; (1) In 'environment', 'orientation to the hospital before clinical practice' is revealed as the most severe stressor at a menu 3.44. (2) In 'personal relations', 'relations with doctor and nurse' is revealed as the most severe stressor at a mean 3.59. (3) In 'role', 'unilaterally when their role is seems to be obscure' is revealed as the most severe stressor at a mean 4.10. (4) In 'ideals and values', 'difference between college practice and hospital practice' is revealed as the most severe stressor at a mean 3.88. (5) In 'activity', 'repetition of simple and functional work during clinical practice' is revealed as the most severe stressor at a mean 3.98. (6) In 'total stress factors', 'unilaterally when their role is seems to be obscure' is revealed as the most severe stress factor at a mean 4.10 and 'relations with comrade students' is revealed as the stress factor causing mildest stress at a mean 2.20. 4. Considering the relationship between the categories of stressors and the general characteristics, the results are as follows; (1) 'Environment' is revealed as being positively correlated with 'satisfaction degree of clinical practice'(F=3.53, p= .0359). (2) 'Ideals and values' is revealed as being correlated with 'sex'(t=-2.31, p= .0240) and 'satisfaction degree of clinical practice'(F=3.31, p= .0438).

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