• Journal of Chest Surgery
• /
• 제52권1호
• /
• pp.16-24
• /
• 2019

Background: Optimal graft selection for coronary artery bypass grafting (CABG) in patients with severe left ventricular (LV) dysfunction remains debatable. We report an analysis of our experiences of isolated CABG in patients with severe LV dysfunction and the impact of graft strategy on long-term outcomes. Methods: We analyzed 209 patients with severe LV dysfunction (ejection fraction [EF] <30%) who underwent primary isolated CABG. Of these, 169 were revascularized with a bilateral internal thoracic arterial (ITA) graft (BITA group) and 40 were revascularized with a single ITA graft (SITA group). The mean follow-up duration was $22{\pm}32$ months. Results: There were 18 early deaths (8.6%). Overall survival at 5 years was 66.7%. The rate of freedom from cardiac-related death at 5 years was 74.1%, and was significantly higher in patients who underwent off-pump CABG (p=0.005) and in the BITA group (p=0.023). Multivariate analysis demonstrated that old age (hazard ratio [HR], 2.548; 95% confidence interval [CI], 1.134-5.762; p=0.024), off-pump CABG (HR, 0.245; 95% CI, 0.090-0.661; p=0.006), and BITA grafts (HR, 0.333; 95% CI, 0.146-0.757; p=0.009) were correlated with cardiac mortality. Conclusion: CABG in patients with severe LV dysfunction (EF <30%) showed reasonable long-term outcomes. The rate of freedom from cardiac-related death was significantly higher in patients who underwent off-pump CABG and in the BITA group. Off-pump BITA grafting strategies can be accepted as a viable primary option in patients with severe LV dysfunction if performed by an experienced surgeon.

• 한국치위생학회지
• /
• 제18권6호
• /
• pp.987-1001
• /
• 2018

Objectives: This study aimed to provide basic data for future development and promotion of oral health care educational material. We examined the perception of teachers and parents on the use of smartphone applications as educational materials and the factors affecting the intent to use such materials in infants and toddlers. Methods: Teachers and parents of children enrolled in educational institutions in Seoul and Gyeonggi Province, Korea, participated in this study for a one-month period starting from August 2018. Results: The intent to use a freely available smartphone application for oral health education in infants and toddlers was high for both parents and teachers at 81.7% and 78.4%, respectively. The intent to use increased 10.089-fold when a child had unrestricted access to mobile devices, and 4.435-fold when the execution path required modification; however, the ease of use was not compromised. Additionally, the intent to use also increased 2.488-fold when a child had used an educational oral healthcare material that is currently available, and by 2.431-fold and 2.219-fold when a child had previous experiences with an educational mobile application developed for infants and toddlers. Conclusions: Our findings showed that the teachers and parents had a positive perception towards the use of mobile applications for oral health care education in infants and toddlers. We recommend the development and promotion of mobile-based educational applications on oral health care, which are tailored to the needs and oral characteristics of infants and toddlers to help develop good oral care habits.

• Journal of Korean Neurosurgical Society
• /
• 제64권1호
• /
• pp.23-29
• /
• 2021

Objective : Although stent-assisted coiling (SAC) has been reported to be safe and effective in treating wide-necked aneurysms, the technique has procedure-related complications. Thus, we reported our experiences of SAC using the Neuroform Atlas stent in treating wide-necked aneurysms and evaluated the incidence of and risk factors for procedure-related complications. Methods : From March 2018 to August 2019, we treated 130 unruptured wide-necked aneurysms in 123 patients with Neuroform Atlas stents. Angiographic results and clinical outcomes were reviewed retrospectively. Clinical and angiographic follow-up were performed in all cases (mean, 12.4 months) after the procedure. Results : There were eight cases (6.2%) of procedure-related complications (two dissections, five thromboembolisms, and one hemorrhage) and two (1.5%) of delayed complications (one ischemia and one hemorrhage). There was one case (0.8%) of failure of stent deployment and one (0.8%) of suboptimal positioning of the stent. Follow-up angiography showed complete obliteration in 103 (79.2%), residual neck in 16 (12.3%), and residual aneurysm in 11 cases (8.5%). Aneurysm locations in the middle cerebral artery (odds ratio [OR], 2.211; p=0.046) and the anterior communicating artery (OR, 2.850; p=0.039) were associated with procedure-related complications on univariate analysis. However, no independent risk factor for procedure-related complications was noted in multivariate analysis. Conclusion : The Neuroform Atlas showed a high rate of technical success. Good clinical and radiographic outcomes in early follow-up suggests that the device is feasible and safe. SAC of aneurysms on the middle cerebral artery or anterior communicating artery may require more attention to prevent possible procedure-related complications.

• 한국지형학회지
• /
• 제25권4호
• /
• pp.89-101
• /
• 2018

In Mt. Halla, an arctic-alpine plant Diapensia lapponica var. obovata largely clings to rock surfaces. We observed the rock-surface temperatures of a rocky ridge on the summit area of the mountain from late April 2009 to early May 2010 in order to examine the diurnal and annual temperature variations and the thermal amplitude. We also investigated temperature regimes such as the frequency of freeze-thaw cycles and the temperature change, which might endanger the habitat through frost weathering. For comparison of slope aspects, temperature monitoring was carried out on the north and south faces of the same rocky ridge. The south face experiences the high daily maximum rock-surface temperatures and the high thermal amplitudes during the unfreezing season of May to November 2009. The temperature regimes are considered to exert physiological stress to the arctic-alpine plant. In addition, the south face shows the high frequency of freeze-thaw cycles during the seasonal freezing period of December 2009 to April 2010. This indicates that the south face is susceptible the exfoliation and granular disintegration of rock surfaces, which results in habitat destruction. As a consequence, the south face is believed to be less favorable for the establishment and growth of the arctic-alpine plant than the north face on the summit area of Mt. Halla.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제32권3호
• /
• pp.118-125
• /
• 2021

Objectives: Childhood adversity is a risk factor for anxiety symptoms, but it affects anxiety symptoms in attention-deficit/hyperactivity disorder (ADHD). The current study aimed to examine the association between childhood adversity and anxiety symptoms in participants with and without ADHD. Methods: Data were obtained from a school-based epidemiological study of 1017 randomly selected children and adolescents. The ADHD and non-ADHD groups were divided using the Diagnostic Interview Schedule for Children Predictive Scale (DPS). The DPS was also used to assess comorbidities such as anxiety and mood disorders. The childhood adversities were assessed using the Early Trauma Inventory Self Report-Short Form, and the anxiety symptoms were assessed using the Screen for Child Anxiety Related Disorders. Linear and logistic regression models were used to investigate the association between childhood adversity and anxiety in the ADHD and non-ADHD groups with adjustments for age and sex. Results: This study found that the ADHD group did not show any significant association between anxiety symptoms and childhood adversities, whereas the non-ADHD group always showed a significant association. In a subgroup analysis of the non-ADHD group, the normal group without any psychiatric disorders assessed with DPS demonstrated a statistically significant association between childhood adversities and anxiety symptoms. These results were consistent with the association between childhood adversities and anxiety disorders assessed using DPS, as shown by logistic regression. Conclusion: The association between anxiety symptoms and childhood adversities statistically disappears in ADHD; ADHD may mask or block the association. Further longitudinal research is necessary to investigate this relationship.

• 한국초등과학교육학회지:초등과학교육
• /
• 제40권2호
• /
• pp.210-226
• /
• 2021

본 연구의 목적은 초등교사가 과학 수업과 관련하여 어떠한 지향을 추구하는지, 실제로 마주한 현실은 무엇이며, 그 속에서 어떻게 좌절과 실패를 극복해 나가는지 이해하기 위한 것이다. 이를 위해 두 초임교사인 박 교사와 최 교사의 과학 수업 실천 경험을 내러티브 탐구를 통해 살펴보고자 하였다. 박교사는 학습자 중심의 탐구 수업을 실천하길 원했지만, 현실에서는 교사 주도로 수업을 하게 되는 자신의 모습을 마주하였다. 최 교사는 구성주의에 바탕을 둔 과학 수업을 실천하길 원했지만, 현실에서는 스캐폴더가 아닌 지식 전달자로서의 자신의 모습을 마주하였다. 그러나 그들은 과학 수업에 대한 자신의 지향을 포기하거나 좌절에 머물기보다는 각자가 생각하는 방식으로 자신의 지향에 다가가려고 노력하였다. 본 연구는 자신의 과학 수업 지향이 잘 구현되지 않을 때 초임교사가 어떠한 전략을 만들어 가는지 이해함으로써 예비교사에서 교사로의 성공적인 전환을 이끌 단서를 제공할 수 있을 것이다.

• 문화기술의 융합
• /
• 제8권5호
• /
• pp.241-249
• /
• 2022

본 연구는 테크놀로지를 활용하여 PBL의 적용가능성을 확대한 e-PBL의 교육적 효과를 탐색하기 위하여 수행되었다. 연구 목적을 달성하기 위하여 C교육대학교의 전공 선택 교과목의 한 학기 수업활동 중 4주 분량의 활동을 체계적 설계 절차에 따라 e-PBL 활동으로 재구성하여 운영하였다. e-PBL 운영 기간 동안 참여 수강생의 반응 자료를 수집하여 분석하였다. 분석 결과 참여 수강생들은 초기의 어려움과 혼란스러움을 극복하고 점진적으로 e-PBL 활동에 동화되는 모습을 보여주었으며 전반적으로 e-PBL 활동 경험에 대하여 만족스러워했다. 참여 수강생들은 e-PBL을 통해 이루어진 실제적인 문제해결을 통해 주인의식을 갖고 활동에 참여하였고, 팀 구성원들과의 빈번한 소통과 협력을 통해 문제해결을 효율적이고 효과적으로 수행할 수 있었다. 본 연구 결과를 통해 e-PBL을 활용한 교원양성대학의 교육혁신 가능성을 확인할 수 있었다. 본 연구 성과를 바탕으로 e-PBL 적용 수업을 확대하여 분석하고 이를 통해 e-PBL의 교육적 효과를 추가적으로 검증하기 위한 후속연구가 수행될 필요가 있다.

• 영어영문학
• /
• 제57권5호
• /
• pp.813-838
• /
• 2011

Toni Morrison's ninth novel A Mercy delves into the colonial American history of the seventeenth century when Europeans began to migrate to the New World and when the first slaves were brought to Virginia. Morrison presents a diverse group of people such as white Europeans, an American Indian, a free black man, indentured servants, and slaves from Africa in order to explore the subjects of ownership, freedom and racism. She emphasizes the fact that most of the Europeans who came to America in the early seventeenth century were the people who were thrown out from the society such as felons, prostitutes, servants and children. By portraying how these castaways tried to settle in a new environment surrounded by unknown dangers and challenges, Morrison demystifies and reconstructs the myth of the birth of America as a nation state. In continuation of Morrison's writings about love and the betrayal of love, her novel A Mercy explores the subjects of trauma, memory and subjectivity by choosing the topic of motherly love and its betrayal which she dealt with poignantly in Beloved. The female protagonist, Florens, is given away by her mother in partial payment of debt incurred by the owner of Florens's mother. The traumatic memory of Florens's separation from her mother shapes Florence's character. She has to revisit the site of the original traumatic experiences of being given up by her mother in order to reconstruct her fragmented memory and past. The recurring dream of the traumatic incident that takes hold of Florens can be explained by the trauma theory of Freud, Cathy Caruth, Suzette Henke, and Judith Herman. The paper explores the self journey of Florens in which she faces the traumatic past and comprehends its meaning which enables her to construct her subjectivity by understanding the true meaning of being free and of owning oneself. In particular, it demonstrates how the process of writing a confession, a story about one's history, enables one to reclaim the traumatic experience and to locate it in the narrative memory.

• Nutrition Research and Practice
• /
• 제17권6호
• /
• pp.1155-1169
• /
• 2023

BACKGROUND/OBJECTIVES: Unhealthy food choices among young adults are common globally, and the incidence of chronic diseases, such as obesity, is rising. Food literacy (FL) is important for improving and maintaining individual health in a rapidly changing food environment and can form the basis for following a sustainable diet. Therefore, it is essential to improve FL among young adults, particularly college students, who are in the formative years of their lifelong food habits. This study examined the facilitators and barriers of FL and related dietary behavior among college students in South Korea. SUBJECTS/METHODS: This study recruited 25 college students with different residence types using convenience and snowball sampling. In-person, telephone, and video interviews were conducted from March to November 2021. The interview data were analyzed using framework analysis based on the socio-ecological model. RESULTS: At the individual level, prior good experiences with food were the most frequently mentioned facilitator. In contrast, the major barriers were a lack of knowledge, financial hardship, irregular schedules, and academic stress. At the interpersonal level, the influences of family and peers, such as early exposure to healthy eating habits and opportunities to have easy accessibility to farms and farming, are major facilitators, but the lack of a sense of community was the major barrier. At the environmental level, the major barriers were unfavorable food environments at home and in neighborhoods, such as the absence of kitchens in housing and large packaging of produce at markets. CONCLUSIONS: Many factors affected the students' FL and related healthy eating practices. These findings suggest that a campus-based FL program should be developed by reflecting on these facilitators and barriers.

• 한국산업정보학회논문지
• /
• 제29권2호
• /
• pp.1-14
• /
• 2024

본 연구는 다문화가족의 건강욕구 및 관련 정책들을 파악하고, ICT를 활용한 건강정보의 접근성을 개선할 수 있는 방안을 모색하는 것을 목적으로 하였다. 본 연구에서 사용된 방법은 질적 연구로서, 선행문헌 검토를 통해 다문화가족의 건강실태를 1차적으로 분석한 후, 다문화가족을 대상으로 심층인터뷰를 진행하였다. 본 연구결과, 그간 다문화가족의 건강정책은 타 부문에 비해 정책우선순위가 밀려 있고, 다문화가족의 건강정보 접근성 향상을 위한 ICT 활용 논의가 미미한 것으로 분석되었다. 다문화가족을 심층인터뷰한 결과, "한국사회 진입초기 경험", "의료기관 이용시 높은 언어장벽", "다양한 이유로 인한 미충족의료 경험", "보건의료 관련 서비스 욕구가 높은 영역" 등의 4개 주제가 도출되었다. 다문화가족의 건강권 보장 및 건강정보 접근성을 향상하기 위해서 의료기관의 언어적 지원체계 강화, 정부의 다문화가족을 위한 정책적 노력, 수요자 중심의 쌍방향 ICT 플랫폼 설계 등을 제언하였다.