• Journal of Chest Surgery
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• v.26 no.5
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• pp.422-426
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• 1993

We report three cases of children who underwent definitive conversion to the Fontan circulation using a new surgical technique, Extracardiac Epicardial Lateral Tunnel. This new procedure allows the operation to be performed as a totally extracardiac operation [especially in ventricular dysfunction] and allows it to be performed in a very small atrium and in cases with unsuitable pulmonary venous drainage.Our data suggest that this procedure may achieve satisfactory hemodynamics of the total cavopulmonary connection.

• Journal of Korean Academy of Nursing
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• v.2 no.1
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• pp.87-96
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• 1971

This Study was undertaken to evaluate the present health status and fatigue of the workers in T. Industrial Company in Pusan in Jan. 1971. The results were based on a question are from 354 working girls. The results of this study are as follows: 1. The largest portion of the workers, 20.2% of the questioned employees, were observed to lie at age 20. 2. Regarding their formal education, 76.0% of them had completed middle school. while only 7. 1% had graduated from high school, . 3. 63.0% receive 7-8 hrs. of sleep a day while 18.4% receive S-6 hrs. of sleep a day. 4. 36.4% spend leisure time reading: while 15.5% spend it resting and thinking. 5. 53.8% of them live in the company′s dormitory and 31.6% live at home. 6. Time spent in travel to work: 32.8% spent 40-49 min., 23.6% spent 10-29 min. 7. The shift times were reported as: 44.1% wonting from 8 A.M. to 4 P.M. and 33.9% working from 6. A.M. to 2. P.M. which is what they are doing now. 8. Regarding symptoms of fatigue: 1) Physical symptoms were: 48.3% complained of "feeling bean in the legs, ", and 39.3% complained of "general exhaustion. " 2) Psychological symptoms were: 37.6% said that "it is boring to talk"and 26.3% said" they had a desire to be alone". 3) Nitrogenic symptoms were 49.7% complained of "asthenopia"and 37.0% complained of"vertigo and "staggering legs". 9. When asked about the most fatiguing time during work, the following information was reported: 25.2% felt the first hour in the morning was most fatiguing while 22.9% felt the sixth hour in the evening, and 22.8% eelt the fifth hour at night was. 10. 38.4% complained of sleepiness at 3 A.M. and 35.0% at 4 A.M. during night work. 11. 38.1% found Sunday the most fatiguing work day and 20.% found Monday. 12. The results of the effects of their work on certain diseases: 51.1% showed those with anemia as most effected by work. 13. In their Response to the question, "do you eat breakfast\ulcorner"57.0%, the largest portion, answered, " none at all ": 36.3%, enough. 14. Regarding the accident rate relating to the length of time employed at the company 28.5% was the highest accident rate from 5year to 6 year. As a result of this study, it could be concluded that the employer should consider the following points: 1. employ according to the worker′s vocational aptitude. 2. adjust the shifts. 3. offer rest time and off days, and establish recreational facilities. In the end we can contribute to the promotion of the workers of the workers and to the prevention of accidents due to industrial fatigue.