• Journal of Chest Surgery
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• v.23 no.2
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• pp.309-315
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• 1990

The introduction of end-to-end anastomosis stapler [EEA stapler] into esophageal surgery has reduced the mortality and morbidity associated with esophageal resection mainly owing to a reduction in the incidence of accidence of anastomotic leak. We now report the results of the 37 patients undergoing esophagectomy or esophagogastrectomy with EEA stapler in the department of cardiothoracic Surgery, Kosin Medical Center No leakage was demonstrated in the 37 esophagogastric anastomotic sites, but dehiscence of the TA stapled gastrotomy suture line occurred in two patient One patient was recovered with conservative treatment but the other patient was died due to hepatic metastasis of esophageal carcinoma during conservative treatment. And one severe esophagogastric anastomotic stricture was developed at the 30th postoperative day, but improved after dilatation with balloon dilatation catheter of Swiss Med. Tech. Company. The other complications were postoperative pneumonia[1 case], wound disruption and infection[3 cases], but all of 4 patients were recovered with conservative treatment. We experienced relative good postoperative results with use of EEA stapler in esophageal surgery. On the basis of our experience, we believe that the EEA stapler has definite place in esophageal surgery.

• Quality Improvement in Health Care
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• v.7 no.2
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• pp.204-216
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• 2000

Background : There has been a concern that the quality of care provided to end-stage renal disease (ESRD) patients in the United States may not be as good as recommended. This paper illustrates a composite measure to assess, the quality of care received by ESRD patients undergoing in-center hemodialysis by incorporating outcomes for 4 major treatment areas. The 4 treatment areas are: dialysis treatments, anemia control, nutritional management, and blood pressure control. Methods : The major data source for the study was the United States Renal Data System (USRDS) Dialysis Morbidity and Mortality Study Wave 1 (DMMS-1) d Sixteen categories of a composite quality indicator were constructed by combining 4 dichotomous variables (16=2*2*2*2). representing the optimal vs. less than optimal level of outcome for each of the 4 treatment outcome measure respectively. Optimal outcome level for each treatment area was defined based on the recommendation from the National Kidney Foundation: (a) delivered dialysis doses (Kt/V) ${\geq}$ 1.2; (b) hematocrit level ${\geq}$ 30%; (c) serum albumin concentration ${\geq}$ 3.8g/dl ; and (d) blood pressure of <140 / <90mmHg. The 16 quality indicator were ranked according to their relative quality weights, which were estimated from its association with the relative risk of survival, adjusting for patient's baseline severity and dialysis facility characteristics. Results : Out of the entire sample of 2,179 patients, only 229 (10%) meet th recommended outcome levels for all 4 treatment areas. Overall, the study patients were distributed evenly over the 16 quality indicators, indicating a great variation in the quality of ESRD care. It appears that the rank of the 16 quality-indicators is driven by serum albumin concentration, suggesting that serum albumin concentration may be the most powerful predictor of ESRD patient survival among the 4 outcome measures. Conclusion : The developed quality indicator has the advantage of describin a range of care for dialysis patients and thus providing a more complete picture of care as compared to previous studies that have focused on only single or few components of the ESRD care.

• KSCI Review
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• v.14 no.2
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• pp.255-262
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• 2006

A Malicious code is used to SMiShing disguised as finance mobile Vishing, using Phishing, Pharming mail, VoIP service etc. to capture of personal information. A Malicious code deletes in Anti-Virus Spyware removal programs. or to cure use. By the way, the Malicious cord which is parasitic as use a DLL Injection technique, and operate are Isass.exe, winlogon.exe. csrss.exe of the window operating system. Be connected to the process that you shall be certainly performed of an exe back, and a treatment does not work. A user forces voluntarily a process, and rebooting occurs, or a blue screen occurs, and Compulsory end, operating system everyone does. Propose a treatment way like a bird curing a bad voice code to use a DLL Injection technique to occur in these fatal results. Click KILL DLL since insert voluntarily an end function to Thread for a new treatment, and Injection did again the Thread which finish an action of DLL, and an end function has as control Thread, and delete. The cornerstone that the treatment way that experimented on at these papers and a plan to solve will become a researcher or the revolutionary dimension that faced of a computer virus, and strengthen economic financial company meeting Ubiquitous Security will become.

• Journal of Gastric Cancer
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• v.15 no.2
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• pp.87-104
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• 2015

Purpose: To assess real-world treatment patterns, health care utilization, costs, and survival among Medicare enrollees with locally advanced/unresectable or metastatic gastric cancer receiving standard first-line chemotherapy. Materials and Methods: This was a retrospective analysis of the Surveillance, Epidemiology, and End Results-Medicare linked database (2000~2009). The inclusion criteria were as follows: (1) first diagnosed with locally advanced/unresectable or metastatic gastric cancer between July 1, 2000 and December 31, 2007 (first diagnosis defined the index date); (2) ${\geq}65$ years of age at index; (3) continuously enrolled in Medicare Part A and B from 6 months before index through the end of follow-up, defined by death or the database end date (December 31, 2009), whichever occurred first; and (4) received first-line treatment with fluoropyrimidine and/or a platinum chemotherapy agent. Results: In total, 2,583 patients met the inclusion criteria. The mean age at index was $74.8{\pm}6.0years$. Over 90% of patients died during follow-up, with a median survival of 361 days for the overall post-index period and 167 days for the period after the completion of first-line chemotherapy. The mean total gastric cancer-related cost per patient over the entire post-index follow-up period was United States dollar (USD) $70,808{\pm}56,620$. Following the completion of first-line chemotherapy, patients receiving further cancer-directed treatment had USD 25,216 additional disease-related costs versus patients receiving supportive care only (P<0.001). Conclusions: The economic burden of advanced gastric cancer is substantial. Extrapolating based on published incidence estimates and staging distributions, the estimated total disease-related lifetime cost to Medicare for the roughly 22,200 patients expected to be diagnosed with this disease in 2014 approaches USD 300 millions.

• Journal of the Korea Society of Computer and Information
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• v.11 no.5 s.43
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• pp.251-258
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• 2006

A Malicious code is used to SMiShing disguised as finance mobile Vishing, using Phishing, Pharming mail, VoIP service etc. to capture of personal information. A Malicious code deletes in Anti-Virus Spyware removal programs, or to cure use. By the way, the Malicious cord which is parasitic as use a DLL Injection technique, and operate are Isass.exe, winlogon.exe, csrss.exe of the window operating system. Be connected to the process that you shall be certainly performed of an exe back, and a treatment does not work. A user forces voluntarily a process, and rebooting occurs, or a blue screen occurs, and Compulsory end, operating system everyone does. Propose a treatment way like a bird curing a bad voice code to use a DLL Injection technique to occur in these fatal results. Click KILL DLL since insert voluntarily an end function to Thread for a new treatment, and Injection did again the Thread which finish an action of DLL, and an end function has as control Thread, and delete. The cornerstone that the treatment wav that experimented on at these papers and a plan to solve will become a researcher of the revolutionary dimension that faced of a computer virus, and strengthen economic financial company meeting Ubiquitous Security will become.

• Journal of Korean Foot and Ankle Society
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• v.26 no.4
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• pp.151-156
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• 2022

The proportion of patients with end-stage ankle arthritis is increasing. The leading surgical methods for treating patients with end-stage ankle arthritis are ankle arthrodesis and total ankle arthroplasty. Ankle arthrodesis is considered the standard treatment for end-stage ankle arthritis. Many studies have been conducted on the two procedures, but it is unclear which is superior, and total ankle arthroplasty cannot be said to be a clear indication. Therefore, this review compares the advantages and disadvantages of two representative surgical methods for treating end-stage ankle arthritis.

• The korean journal of orthodontics
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• v.25 no.3 s.50
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• pp.323-331
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• 1995

This study was undertaken to investigate the changes of tooth contacts following orthodontic treatment , using T-Scan system. Occlusal contacts in maximum intercuspation were examined in 26 patients at the end of the active phase of orthodontic treatment and again 3 months into the retention phase to abbess the initial posttreatment occlusal changes. The obtained results of this study were as follows : 1. The mean total number of contacts increased from 11.27 at the end of orthodontic treatment to 13.15 at the fellow up visit, which was found to be statistically significant (P<0.05). 2. The change of number of contacts on anterior teeth was unchanged. 3. The change of number of contacts on posterior teeth was found to be statistically significnat (P<0.01). 4. The change of fetal number of teeth in contact was significant (P<0.05). 5. The number of ant. teeth in contact was slightly increased. but Which was not found to be statistically significant (P>0.05). 6. The number of post. teeth in contact significantly increased, which was statistically significant (P<0.05). 7. A statistically significant relationship was found between the total number of contacts at the end of treatment and the change in the contacts over time. The fewer the number of tooth contact was at the end of orthodontic treatment, the greater number of tooth contact increased over time(r=-0.38, P<0.05).

• Herbal Formula Science
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• v.28 no.4
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• pp.443-450
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• 2020

Objectives : The aim of this study is to evaluate the long-term effect of Jeongjeongamiijin-tang-gamibang by measuring the symptom-free-period after treatment through sensory and subjective evaluation. Methods : We administered Jeongjeongamiijin-tang-gamibang to 10 patients diagnosed with stomach heat pattern. The asymptomatic period was measured from the end of treatment by sensory and subjective evaluation. Results : The total dose of medication administered to the patients was dose of 3 to 7 months and the mean was 4.1 months. Symptom-free period from the end of treatment was 24.5 to 69.4months, and the mean of treatment was 46.97 months. Conclusions : Jeongjeongamiijintanggamibang is effective for the treatment of halitosis and its effect is sustained for a long time.

• Journal of Acupuncture Research
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• v.32 no.4
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• pp.195-201
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• 2015

Objectives : The purpose of this study is to report on the improvement of respiratory function of a fascioscapulohumeral muscular dystrophy patient after receiving Korean medical treatment. Methods : This study was carried out on a 60 year-old male patient who suffered from fascioscapulohumeral muscular dystrophy. While we carried out Korean medical treatment, we observed $EtCO_2$ (end-tidal carbon dioxide), Vte (exhaled tidal volume) and PIP (peak inspiratory pressure). Results : $EtCO_2$ count decreased from 34 mmHg to 24 mmHg during the treatment period, and PIP count became stable. Vte count also did not worsen in this study. Conclusions : Based on this study, we concluded that Korean medical treatment could be effective in treating fascioscapulohumeral muscular dystrophy patients with respiratory failure.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.1 no.1
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• pp.33-36
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• 2005

Manifestations in tuberous sclerosis such as seizure, mental retardation, end-stage renal disease (ESRD), and heart problems present a number of challenges to the dentist and anesthesiologist. Lack of cooperation in addition to the severe medical condition makes dental treatment more difficult. General anesthesia is often required for mentally and physically handicapped patients undergoing extensive dental treatment. We experienced a case of dental treatment under general anesthesia in a 36-year-old male patient with tuberous sclerosis associated with ESRD and mental retardation. He was treated on an outpatient basis followed by hemodialysis without any complications.