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Pericarditis Arisen from Liver Abscess: Report of 2 Cases (간농양에 병발한 심낭염 치험 2례)

  • 서충헌
    • Journal of Chest Surgery
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    • v.14 no.2
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    • pp.140-143
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    • 1981
  • Thymolipoma is extremely uncommon benign mediastinal tumor consisting of fatty and thymic tissue. Only 50 verified cases have been reported in the world literatures. This one case is the first reported example of surgically treated thymolipoma associated with spontaneous pneumothorax. A thirty-two year old male patient had been in good health until two days prior to admission, when he noted sudden dyspnea associated with an aching pain over the left precordium. The dyspnea and chest pain had become progressively worse. The physical examination revealed that left hemithorax was tympanic sound on percussion and absence of breathing sound on auscultation and point of maximal impulse was located on the 4th intercostal space at the left sternal border. Emergency closed thoracostomy was performed under the impression of tension type spontaneous pneumothorax of the left lung. After closed thoracostomy, point of maximal impulse was not changed inspire of full expansion of the left lung and chest X-ray was strongly suggested pericardial effusion or cardiomegaly which couldn`t account for by clinical course and hemodynamic evidence. EKG, echocardiogram, bronchofiberoscophy, bronchogram and diagnostic thoracentesis was performed. On Dec. 8, 1980, operation was performed under the impression of mediastinal tumor in the anterior mediastinum. At left posterolateral thoractomy, a large fatty mass, measuring 35 x 27 x 13 Cm in dimension and weighing 3350 gm, was resected and multiple bullae on the apicoposterior segment of the left upper lobe was resected and continuously sutured. The pathologic diagnosis of the fatty mass was thymolipoma. The postoperative course was uneventful and discharged in good general conditions.

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Thymolipoma associated with spontaneous pneumothorax: report of a case (자연기흉을 합병한 흉선지방종의 치험례)

  • 이철범
    • Journal of Chest Surgery
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    • v.14 no.2
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    • pp.135-139
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    • 1981
  • Thymolipoma is extremely uncommon benign mediastinal tumor consisting of fatty and thymic tissue. Only 50 verified cases have been reported in the world literatures. This one case is the first reported example of surgically treated thymolipoma associated with spontaneous pneumothorax. A thirty-two year old male patient had been in good health until two days prior to admission, when he noted sudden dyspnea associated with an aching pain over the left precordium. The dyspnea and chest pain had become progressively worse. The physical examination revealed that left hemithorax was tympanic sound on percussion and absence of breathing sound on auscultation and point of maximal impulse was located on the 4th intercostal space at the left sternal border. Emergency closed thoracostomy was performed under the impression of tension type spontaneous pneumothorax of the left lung. After closed thoracostomy, point of maximal impulse was not changed inspire of full expansion of the left lung and chest X-ray was strongly suggested pericardial effusion or cardiomegaly which couldn`t account for by clinical course and hemodynamic evidence. EKG, echocardiogram, bronchofiberoscophy, bronchogram and diagnostic thoracentesis was performed. On Dec. 8, 1980, operation was performed under the impression of mediastinal tumor in the anterior mediastinum. At left posterolateral thoractomy, a large fatty mass, measuring 35 x 27 x 13 Cm in dimension and weighing 3350 gm, was resected and multiple bullae on the apicoposterior segment of the left upper lobe was resected and continuously sutured. The pathologic diagnosis of the fatty mass was thymolipoma. The postoperative course was uneventful and discharged in good general conditions.

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The determinants of the Profitability of University Hospitals in Korea (대학병원 수익성에 영향을 미치는 요인 분석)

  • Yang, Jong-Hyun;Chang, Dong-Min;Suh, Chang-Jin
    • Korea Journal of Hospital Management
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    • v.15 no.4
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    • pp.43-62
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    • 2010
  • This study provides an evidence on the determinants of the profitability of university hospital by analyzing university hospital-level data set of hospital performance during the year 2007 (32 university hospitals in total). For the study, a multiple regression model is employed in which profitability index obtained from the DEA computations, operating margin to total asset and gross revenue are used as the dependent variables, and a number of hospital operating characteristics are chosen as the independent variables such as ownership type, location, bed size, period of establishment, bed occupancy rate, admission ratio of outpatients, patients per medical specialist, personnel cost per patient, liabilities to total assets, current ratio, fixed ratio, total asset turnover, medical assistance rate and public indicator. First, the results indicate that the bed occupancy rate and liabilities to total assets are positively and significantly associated with operating margin to total asset. Second, number of beds, the bed occupancy rate and number of patients per medical specialist are positively and significantly associated with operating margin to gross revenue. Third, the bed occupancy rate, number of patients per medical specialist, liabilities to total assets, total asset turnover are positively and significantly associated with profitability index revealed from DEA.

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Disease Prevalence, Parent's Educational Needs, and Disease Management according to Severity of Respiratory Infections in Early Childhood (영유아 호흡기 감염 중증도에 따른 이환실태, 부모의 교육요구 및 관리수행정도)

  • Han, Hye-Yul;Park, Sun-Jung;Lee, Myung Nam;Kang, Kyung-Ah
    • Child Health Nursing Research
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    • v.21 no.3
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    • pp.227-235
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    • 2015
  • Purpose: The purpose of this study was to investigate disease prevalence, parent's educational needs, and disease management according to severity of respiratory infections in early childhood. Methods: Participants for this study were 173 mothers whose child was admitted to I university hospital in Seoul and whose child was an infant or toddler. Data were collected from December, 17, 2014 to February, 15, 2015 using self-report structured questionnaires. Data were analyzed using IBM/SPSS 21.0 program. Results: There were significant differences in the severity of respiratory infection according to neonatal admission due to dyspnea, feeding type, atopic dermatitis in the infant or allergic disease in father and siblings. Parent's educational needs for the severe respiratory infection group were higher than for the non-severe group. Parent's disease management for the severe respiratory infection group was lower than the non-severe group. Conclusion: As important care factors in neonatal admissions include dyspnea, cow milk feeding, eczema, family history of allergies, parent's educational needs and disease management, they should be considered when caring for young children with respiratory infections and their parents.

Knowledge and Practice of Infection Prevention by Mothers of Young Children (아동초기 자녀를 둔 어머니의 감염예방 지식과 실천)

  • Lee, Dong-Won;Kwon, In-Soo
    • Child Health Nursing Research
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    • v.15 no.3
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    • pp.306-313
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    • 2009
  • Purpose: The purpose of this study was to investigate the knowledge and practice of mothers of young children in infection prevention in everyday life. The results will provide basic data for future interventions for infection prevention in early childhood. Methods: The participants included 313 mothers from three cities in Gyeongnam Province, Korea. The data were collected from December 2007 to January 2008 using a self-report questionnaire developed by there searchers and analyzed using the SPSS program. Results: Average rate for correct answers of knowledge of infection prevention was 81.1 %, and the mean score of practice in infection prevention was 3.18${\pm}$0.34, out of 5. There was a positive correlation in the relationship between knowledge and practice (r=.236, p<.001). There were differences in knowledge and practice according to mothers' education, monthly family income, and type of residence, but there were no differences according to number of children and admission history of child for infectious disease. Conclusion: The level of knowledge and practice infection prevention by the mothers was not enough to prevent infection in early childhood. Therefore,. effective strategies should be developed to help mothers in the prevention of infections during early childhood.

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Study on the Turbine Performance of 7 ton Liquid Rocket Engine Turbopump (7톤급 액체로켓 엔진 터보펌프 터빈 성능 연구)

  • Lee, Hanggi;Shin, Juhyun;Choi, Changho
    • Journal of Aerospace System Engineering
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    • v.11 no.1
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    • pp.8-13
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    • 2017
  • This study was performed to evaluate the turbine performance of a turbopump in the third stage engine of the Korea Space Launch Vehicle-II. The turbine is a supersonic impulse type with a single rotor. One nozzle is for starting and four remaining nozzles are for steady operation. A similarity test was carried out in the high air test facilities at the Korea Aerospace Research Institute. Test results showed that turbine efficiency changed much more from rotational speed variations than by pressure ratio variations. These results showed characteristics similar to other supersonic impulse turbines.

The Effect of a Hospital Life Guidance Movie for Elderly In-patients (노인을 대상으로 한 입원생활 안내 동영상의 효과)

  • Jeong, Hyeon-Cheol;Seong, Kea-Mi;Jeong, Mi-Yang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.2
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    • pp.142-148
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    • 2010
  • Purpose: This study was done to determine how a hospital life guidance movie enhanced the understanding of hospital life by elderly in-patients. Method: A non-equivalent control group post-test design was used for the study. The experimental group watched a movie on guidance for hospital life while an in-patient control group read corresponding guidance booklets. The understanding and satisfaction from the respective programs for the two groups were surveyed with a questionnaire. The data were analyzed using SPSS. Results: The group which watched the movie had a better understanding of hospital life than the group which read the booklets. The patients who watched the movie also expressed more satisfaction with their guide program than the patients who only read the booklets. Understanding of hospital life had relevance to satisfaction with the given program. Conclusion: The results of this study suggests that a movie on hospital life provides better guidance which helps the prospective patients understand and adapt better to their hospital life. Therefore, this type of movie is considered to be an effective medium to provide guidance to elderly in-patients.

QoS- and Revenue Aware Adaptive Scheduling Algorithm

  • Joutsensalo, Jyrki;Hamalainen, Timo;Sayenko, Alexander;Paakkonen, Mikko
    • Journal of Communications and Networks
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    • v.6 no.1
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    • pp.68-77
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    • 2004
  • In the near future packet networks should support applications which can not predict their traffic requirements in advance, but still have tight quality of service requirements, e.g., guaranteed bandwidth, jitter, and packet loss. These dynamic characteristics mean that the sources can be made to modify their data transfer rates according to network conditions. Depending on the customer&; needs, network operator can differentiate incoming connections and handle those in the buffers and the interfaces in different ways. In this paper, dynamic QoS-aware scheduling algorithm is presented and investigated in the single node case. The purpose of the algorithm is in addition to fair resource sharing to different types of traffic classes with different priorities ?to maximize revenue of the service provider. It is derived from the linear type of revenue target function, and closed form globally optimal formula is presented. The method is computationally inexpensive, while still producing maximal revenue. Due to the simplicity of the algorithm, it can operate in the highly nonstationary environments. In addition, it is nonparametric and deterministic in the sense that it uses only the information about the number of users and their traffic classes, not about call density functions or duration distributions. Also, Call Admission Control (CAC) mechanism is used by hypothesis testing.

New Ambulatory Hysteroscopic Septoplasty using Ballooning in a Woman with Complete Septate Uterus: A Case Report

  • Cho, Jung Hyun;Won, Hyung Jae;Kim, Mi Kyoung;Park, Ju Hee;Hwang, Ju Youn
    • Development and Reproduction
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    • v.22 no.1
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    • pp.105-109
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    • 2018
  • A 40-year-old G1 P0 L0 A1 woman was referred to our clinic with 6-year history of infertility. Before visiting the clinic, she had 3 cycles of In-Vitro Fertilization (IVF) procedures (2 cycles of Controlled Ovarian Stimulation-IVF and 1 cycle of frozen-thawed Embryo Transfer (ET)) at other clinic. She had medical history of abortion at early gestation following FET (frozen-thawed-ET). The patient had complete type of septate uterus, double cervix and longitudinal vaginal septum. Vaginal septotomy was done first and 1 month later, hysteroscopic septoplasty was followed using ballooning filled with dye. After septoplasty, we inserted ballooning and left for several days to compress septal endometrium on the septectomy area. All procedures were done in the ambulatory operating room without laparoscopy or admission. 3 months later, she had in vitro fertilization-embryo transfer (IVF-ET) and FET procedures in our clinic. She had successful pregnancy and now is at 22 weeks of gestation. New ambulatory septoplasty using dye-filled ballooning is easy, safe and minimally invasive surgery for treatment of complete septate uterus.

The Estimation of a Probability to visit the Yeosu Aquarium with an Ordered Logit Model (순서형 로짓 모형을 이용한 여수 아쿠아리움 방문확률의 추정)

  • Lee, Chang-Keun;Ha, Jae-Yeon;Kim, Eui-June
    • Journal of Korean Society of Rural Planning
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    • v.16 no.1
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    • pp.1-8
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    • 2010
  • The purpose of this paper is to estimate a probability to visit the Yeosu Aquarium with an ordered logit model. Ordered logit model is affordable to estimate the probability when the dependant variable represents likert-type scale. The estimated results are as follows. The more income induces the visiting-expectation. The experience for another aquarium and the visiting-expectation for the Yeosu EXPO are contributed to the visiting-expectation for the Yeosu Aquarium. The needs to visit the Yeosu Aquarium is low in Kyoungsang area and Seoul-Kyounggi-Incheun Metropolitan area. This is related to the Aquarium facilities, which were established in each area. In average level conditions regarding to all independent variables the probability to visit the Yeosu Aquarium is calculated to 15.75%. However, the probability to visit to the Yeosu Aquarium is decreasing according to the change of an admission fee.