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Assessment of Regional Myocardial Wall Motion by Gated $^{99m}Tc-MIBI$ Myocardial SPECT (게이트 $^{99m}Tc-MIBI$ 심근 SPECT의 심근 분절 운동 평가능력)

  • Kim, S.W.;Lee, D.S.;Kim, S.H.;Hyun, I.Y.;Chung, J.K.;Lee, M.M.;Lee, M.C.;Koh, C.S.
    • The Korean Journal of Nuclear Medicine
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    • v.29 no.4
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    • pp.473-477
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    • 1995
  • Information about regional wall motion obtained with gated $^{99m}Tc-MIBI$ SPECT was compared in 23 subjects(4 normals) to echocardiography or contrast left ventriculography. Gated SPECT study using 20-30 mCi $^{99m}Tc-MIBI$ were aquired lot 8 frames/RR interval (aqusition time=40min.) and processed with Cine Mode computer protocol. Regional wall motion was assessed by visual analysis. The concordance with echocardiography was 88% and with contrast ventriculography was 78%. We conclude that gated $^{99m}Tc-MIBI$ SPECT was effective in assessing the regional wall motion with the information of regional perfusion in one study.

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Under-Reporting in Dietary Assessment by 24-Hour Recall Method in Korean Female College Students (24시간 회상법을 사용한 식이섭취조사에 나타난 한국 여대생의 과소응답 분석)

  • 이은영
    • Journal of Nutrition and Health
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    • v.32 no.8
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    • pp.957-966
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    • 1999
  • Underreporting of dietary intake is common and might distort analysis and interpretation of dietary surveys. This study was designed to investigate the degree of underreporting and characterastics of under-reporting group in Korean college female students. Dietary survey of 1-day 24-hour recall method was conducted on 379 college students in Seoul and Chonan areas. Physical activity and life style were aquired from questionnnaires. Underreporting was defined as energy intake(EI) lower than 0.9BMR(based metabolic rate), since EI<0.98BMR is statistically judged as bias in 1-day 24 hour recall. BMR was calculated from Schofield's equation. Proportion of underreporting was 18.7% and it's not so different from one of American or European women. Intake of nutrients except vitamin A by underreporting group was lower than other groups(p<0.001). Proportions of subjects with nutrient intake level less than 75% of Korean RDA were more than 80% in protein, Ca, Fe, vitamin A, riboflavin, niacin, zinc as well as energy. Dietary quality of underreporting group was also worse than other groups. Proportion of subjects less than 3 food groups among 5 food group was higher in underreporting group. The number of foods eaten by underreporting group were also less than those of other groups. BMI and body weight were the largest in underreporting group(p<0.05) and the trial of weight reduction was shown higher trend(p<0.01). Different in PAC and other characteristics between underreporting group and other group were not significant. Not only dietary quantity but also dietary quality were worse in the underreporting group. Furthermore underreporting in college female students seemed to be affected by body weight and concern for weight reduction.

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Localization and Subsidiary Performance of Korean Multinationals - Performance Factors by Sector and Country (한국 다국적기업 해외자회사의 현지화 수준과 경영성과 - 산업별·국가별 성과요인 비교 분석)

  • Hwang, Eunhye;Kim, Donghwan;Lee, Hongshik
    • International Area Studies Review
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    • v.20 no.3
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    • pp.81-100
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    • 2016
  • In this study we analyze the performance of overseas subsidiaries of Korean multinationals with localization in sales, purchase, and employment. We use the data of 2,116 overseas subsidiaries in 61 countries between 2008 and 2011 provided by The Export-Inport Bank of Korea. As a result, analysis shows that the effect of localization on the performance is quite different by sectors and countries which the subsidiaries have entered. In the manufacturing sector, increase of local sales has positive effect only in China, while local purchase improves the performance of the subsidiaries in developing counties excluding China. However, the subsidiaries which had made a foray to service sector in advanced countries aquired better performance with localization of sales, purchase, and employment, whereas those in China had no merit except localization of purchase.

The Effects of Productization, Organizational, Overseas Market Adaptation Competences on Export Performance: Focus on Korean Electromagnetic Wave Shielding Firms (기업의 제품화 역량, 조직역량, 해외시장 적응역량이 수출성과에 미치는 영향: 전자파 차폐 기업을 중심으로)

  • Park, Won-Cheol;Oh, Ka-Young
    • Asia-Pacific Journal of Business
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    • v.11 no.3
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    • pp.307-344
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    • 2020
  • Purpose - The purpose of this study is to examine effects of productization and organizational competences on export performance of electromagnetic shielding companies and to analyze moderating effects of overseas market adaptation competences. For this, hypotheses were established by reviewing previous studies and an empirical analysis was conducted for testing. Design/methodology/approach - For this study, a survey was conducted for workers at electromagnetic shielding companies and 250 valid responses out of 300 questionnaires were aquired. A frequency analysis of related variables was conducted. Through an exploratory factor analysis, validity and reliability tests of measuring tools were conducted and a descriptive statistics was analyzed for collected data result and hypotheses testing. Findings - A correlation analysis was conducted to examine relationships among variables. Construct, convergent and discriminant validities were analyzed after a confirmatory factor analysis and a multi-group confirmatory factor analysis. Finally, with a verified model, the hypotheses and the moderating effects were tested. The results are as follows: First, the productization competence has a positive effect on export performance; Second, the organizational competence has a positive effect on export performance. Especially, the organizational competence has more effect on export performance than the productization competence. Although a development of new technology and product is important in terms of performance, along with these competences, a way of acquiring new skills and knowledge, and internalization and adaptation in organizations have more effect on export performance. Third, overseas market adaptation competence moderates effects of organizational and productization competences. Research implications or Originality - It is necessary to seek out opportunities for workers to participate in actively, such as conferences and seminars, to strengthen organizational competence. It is strongly believed that a constant development of high quality product will contribute to export performance. Lastly, in a policy level, supports on SMEs by governments are to be strengthened by providing with finance and human resource.

Respiratory Hospital Infections of Patients with a Tracheostomy (기관절개술 환자의 호흡기계 병원감염양상에 관한 연구)

  • 양숙자;최영희;김문실
    • Journal of Korean Academy of Nursing
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    • v.19 no.3
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    • pp.240-248
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    • 1989
  • The increase in size and numbers of general hospitals in the process of conspicuous development of modem medicine has been accompanied by a serious increase in hospital acquired infections. Hospital aquired infections cause pain and discomfort, may threaten life, adds an economic burden, and delays recovery and return to society. Even though respiratory hospital infection rates resulting for tracheostomy and respiratory inhalation therapy, may be low, they are serious because of their bad prognosis and high mortality rates. This study was designed to assess certain aspects of respiratory infections of patients with a tracheostomy and thus provide baseline data for further research related to preventive or therapeutic nursing interventions. The specific objectives were to determine the incidence of colonization in the trachea, clinical signs, type of colonized bacteria and sensitivity to antibiotics. Data were collected from July 1 to December 10, 1989 at two university Hospital in Seoul. Subjects were 20 patients with a tracheostomy admitted to the Intensive Care Unit or Cerebral Vascular Accident Center. Clinical signs related to respiratory infection were observed using a checklist based on previous study outcomes. Bacterial culture, sensitivity test to antibiotics, WBC counts and chest X-ray were also performed. Cultures were done on the day of tracheostomy, and on the third, fifth and seventh day. Cultures were then done on seventh days after the first colonization. The results were as follows : 1. The incidence of bacteria colonization in a week was 90%(18 patients) 50% (10/20 patients) on the day of tracheostomy, 70%(7/10 patients) on the third day, and 0% on the fifth day, and 33%(1/3 patient) on the seventh day. 3 of 18 patients (16.7%) were colonies of mixed growth isolated. 2. The observed clinical signs related to respiratory infection were high fever 38.9%(7 patients), prulent secretion 16.7%(12 patients) and infiltration seen on chest X-ray 33.3%(6 patients). 3. The total number of types of bacteria isolated among the 18 subjects was 21 ; gram negative 71.4%, gram postive 28.6%. The dominant bacteria type was Staphylococcus aureus(5 cases) for gram(equation omitted) and Pseudomonas aeruginosa(3 cases), Klebsiella (4 cases), Enterobacter(3 cases) for gram (equation omitted). The results of culture on 7th day after the first colonization, 6 cases showed same type of bacteria, 3cases showed different type of bacteria and 1 cases showed no growth. 4. The sensitivity tests to antibiotics showed that Pseudomonas aeruginosa and Staphylococcus were strongly resistant to most kinds of antibiotics, but Klebsiella and the rest of gram negative bacteria were moderately sensitive to antibiotics.

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The Study on the Development of the Korean Elderly's Successful Aging Scale (한국 노인의 성공적 노화 척도 개발을 위한 연구)

  • Kim, Dong-Bae
    • Korean Journal of Social Welfare
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    • v.60 no.1
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    • pp.211-231
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    • 2008
  • In phase 1 of the study, data for the construct and items of KESAS(The Korean Elderly's Successful Aging Scale) were collected by indepth interviews with a purposive sampling group of 25 elderly people and focus group interviews with four groups. Content analysis was applied to the data and from this analysis were emerged six key categories of successful aging. In phase 2 of the study, 78 items were collected from the data of 2 sets of interviews mentioned above. Through pilot test, preliminary 66 items are selected. In phase 3 of the study, 597 cases collected from the survey were divided randomly into 345 developmental samples and 252 validity samples. The items were examined exploratorily with the developmental samples and confirmatorily factor analysis with validity samples. Confirmatory factor analysis supported the hypothesized six-factor structure of KESAS, which finally resulted in consisting of 31 items. Six factors are as follows: 'autonomous life', 'self-completion orientation', 'positive life participation', 'satisfaction with one's offsprings', 'self-acceptance', 'other-acceptance'. Cronbach's alpha estimate and split-half estimates of the scale were .903 and .845, which confirms that the scale has reliability. This six-factor model exhibited a good fit on the basis of the overall fit measure criteria(TLI=.983, RMSEA=.057) aquired by using the confirmatory factor analysis. Moreover, KESAS was significantly related highly(r=.72) to the 'Quality of Life for the Korean Elderly'. This proved concurrent validity of the scale.

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Anaerobic Acid Tolerance Response in Salmonella typhimurium (Salmonella typhimurium의 혐기적 산내성도 평가)

  • Kim, Young-Chan;Lee, Sun;Lee, Kyung-Mi;Im, Sung-Young;Park, Yong-Geun;Baek, Hyung-Seok;Park, Kyung-Ryang;Lee, In-Soo
    • Journal of Life Science
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    • v.9 no.2
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    • pp.169-175
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    • 1999
  • Salmonella typhimurium can encounter a wide variety of environments during its life cycle. In nature, S. typhimurium can experience and survive dramatic acid stresses that occur in diverse ecological niches ranging from pond water to phagolysosomes. These survival mechanism is aquired by the Acid Tolerance Response(ATR) in Salmonella. The ATR of S. typhimurium is a complex inducible phenomenon in which exposures to slight or moderate low pH will produce a stress response capable of protecting the organism against more severe acid challenges. ATR in Salmonella has two different systems that are called RpoS dependent and independent. We found that ATR in anaerobic was showed RpoS independent because rpoS$\Omega$AP had ATR as S. typhimurium UK1. Using the P22 MudJ(Km, lacZ) operon fusion technique and a lethal selection procedure combining low pH(pH4.5) and sodium acetate(10mM, pH4.5), we isolated LF487 aatA::MudJ which showed acid sensitive in anaerobic condition. aatA locus was determined at 12 min on Salmonella Genetic Map. The survival rate of aatA mutant was showed significantly diminished at pH4.3 than virulent wild type Salmonella in anaerobic condition(5% $CO_2$, 5% H$_2$, 90% $N_2$). Therefore isolated gene was confirmed important gene for anaerobic ATR system.

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Long-Term Result of Tricuspid Valve Replacement (삼첨판막 치환술의 장기성적)

  • Lim, Cheong;Kang, Moon-Chul;Kim, Kyung-Hwan;Kim, Ki-Bong;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.34 no.9
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    • pp.680-685
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    • 2001
  • Background: Tricuspid valve replacement is very rarely performed procedure and its long-term result is not yet satisfactory. Moreover, it is not well known whether bioprosthesis or mechanical prosthesis is the best selection for artificial valve. We reviewed 72 cases of tricuspid valve replacements in 71 patients between January 1989 and December 1998, trying to analyze the overall results and risk factors for mortality and morbidity. Material and Method: Average age of the patients at the time of operation was 42$\pm$13 years(range 16 to 65 years) and the sex ratio of male versus female was 32/39. Primary diagnosis consisted of 50 cases of aquired valvular heart disease and 18 cases of congenital heart disease, such as Ebstein’s anomaly. 4 cases had isolated tricuspid valve regurgitation. Implanted valves were 69 mechanical prosthesis and 3 bioprosthesis. Concomitant mitral or aortic valve replacements were performed in 50 cases. One patient received concomittant pulmonary valve replacement. Result: There were 7(9.72%) operative deaths and 7(13.0%) late deaths. Actuarial survival at 10 years was 59.2$\pm$7.2%. Prosthetic tricuspid valve thrombosis occurred 11 times in 5 patients. Reoperation for prosthetic tricuspid valve failure was performed in 1 patient. In this case, examination of the explanted prostheses showed that the tricuspid stenosis was the result of valve thrombosis. Among the 47 survivors, 46 patients(98%) were in functional class I or II. Conclusion: In our ten-year experience of tricuspid valve replacement, mortality and morbidity were satisfactory. Mechanical prosthesis in tricuspid position showed comparable clinical results as bioprosthesis.

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A NEW HARDWARE CORRELATOR IN KOREA: PERFORMANCE EVALUATION USING KVN OBSERVATIONS

  • Lee, Sang-Sung;Oh, Chung Sik;Roh, Duk-Gyoo;Oh, Se-Jin;Kim, Jongsoo;Yeom, Jae-Hwan;Kim, Hyo Ryoung;Jung, Dong-Gyu;Byun, Do-Young;Jung, Taehyun;Kawaguchi, Noriyuki;Shibata, Katsunori M.;Wajima, Kiyoaki
    • Journal of The Korean Astronomical Society
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    • v.48 no.2
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    • pp.125-137
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    • 2015
  • We report results of the performance evaluation of a new hardware correlator in Korea, the Daejeon correlator, developed by the Korea Astronomy and Space Science Institute (KASI) and the National Astronomical Observatory of Japan (NAOJ). We conduct Very Long Baseline Interferometry (VLBI) observations at 22 GHz with the Korean VLBI Network (KVN) in Korea and the VLBI Exploration of Radio Astrometry (VERA) in Japan, and correlated the aquired data with the Daejeon correlator. For evaluating the performance of the new hardware correlator, we compare the correlation outputs from the Daejeon correlator for KVN observations with those from a software correlator, the Distributed FX (DiFX). We investigate the correlated flux densities and brightness distributions of extragalactic compact radio sources. The comparison of the two correlator outputs shows that they are consistent with each other within < 8%, which is comparable with the amplitude calibration uncertainties of KVN observations at 22 GHz. We also find that the 8% difference in flux density is caused mainly by (a) the difference in the way of fringe phase tracking between the DiFX software correlator and the Daejeon hardware correlator, and (b) an unusual pattern (a double-layer pattern) of the amplitude correlation output from the Daejeon correlator. The visibility amplitude loss by the double-layer pattern is as small as 3%. We conclude that the new hardware correlator produces reasonable correlation outputs for continuum observations, which are consistent with the outputs from the DiFX software correlator.

Submentoplasty for esthetic improvement of the neck-lower facial region : Two cases report (하안면과 경부의 심미성 증진을 위한 지방흡입술을 동반한 Submentoplasty 술식: 증례보고)

  • Park, Young-Ju;Nam, Jeong-Hun;Song, Jun-Ho;Yeon, Byung-Moo;Kim, Da-Young;Ahn, Jang-Hun;Gang, Tae-In;Kang, Hae-Jin;Kim, Jun-Hyun
    • The Journal of the Korean dental association
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    • v.47 no.11
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    • pp.750-757
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    • 2009
  • Purpose : The purpose of this study is to evaluate the clinical availability of submentoplasty for esthethic improvement of the cervico-facial region of patients with obtuse chin-neck angle. Materials and methods : Case 1. We evaluate the changes of submental line length and chin-neck angle of 35-year-old woman with skeletal Class III and mandibular excess with excessive submental fat before and after surgery: Bilateral sagittal split ramus osteotomy(BSSRO) setback(5mm), Mandibular Angle Reduction, Reduction Malarplasty and Submentoplasty. In this case, It was done simultaneously with orthognathic surgery. Case 2. The changes of submental line length and chin-neck angle of 20-year-old man with skeletal class III and maxillary defiency were evaluated before surgery, at first surgery : Lefort I osteotomy(6mm posterior Impaction), BSSRO setback(9mm), Paranasal Augmentation and at second surgery: genioplasty(6mm advanced) with submentoplasty. In this case, submentoplasty and advancement genioplasty were done after 2 months post-operative periods. Results : Case 1. In case of the Skeletal Class III mandibular excess with submental fat deposit, It showed the improvement of submental angle and length of submental line after simultaneous submentoplasty. Submental angle is changed from $177^{\circ}$ (pre-op) to $151^{\circ}$ (post-op) and submental line length is changed from 8mm(pre-op) to 36mm(post-op). Case 2. The improvement of submental angle and length of submental line after delayed submentoplasty was aquired in case of the skeletal class III maxillary defiency. Submental angle is changed from $154^{\circ}$ (pre-op) to $161^{\circ}$ (first surgery) and to $153^{\circ}$ (second surgery) and submental line length is changed from 25mm(pre-op) to 19mm(first surgery) and to 23mm(second surgery). Conclusion : The results suggest that Submentoplasty is useful surgical procedure for esthethic improvement of the cervicofacial region of patients with obtuse chin-neck angle.

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