• Title/Summary/Keyword: Mid-course

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The Influence of Video-Assisted Thoracic Surgery on Hospital Course of Spontaneous Pneumothorax (비디오 흉강경 수술법이 자연기흉의 치료과정에 미치는 영향)

  • 김재영;이석열;이길노
    • Journal of Chest Surgery
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    • v.31 no.2
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    • pp.142-148
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    • 1998
  • Video-assisted thoracic surgery(VATS) is emerging as a viable alternative to thoracotomy when surgical treatment of spontaneous pneumothorax is required. 20 patients with spontaneous pneumothorax underwent bullectomy between July 1995 and May 1996. The patients were divided into two groups : Control group ; the patients who received with mid-axillary approach(n=10), Experimental group ; the patients who received with VATS (n=10). The results were as follows ; 1. The total sex distribution was male predominance (male:female=17:3). Mean age of control group was 29.6$\pm$9.8 years and experimental group was 27.2$\pm$11.9 years. 2. The mean period of postoperative chest tube indwelling duration and hospital stay were 3.3$\pm$0.8 days and 7.9$\pm$1.2 days in control group and 2.1$\pm$0.9 days and 5.2$\pm$3.1 days in experimental group(p=0.005 and p=0.02). 3. The mean time of operation, vital signs and arterial blood gas analysis did not showed any statistical differences between the groups. 4. Percent recovery of tidal volume and forced vital capacity were significantly improved in experimental group comparing with control group (p<0.05). 5. The patients undergoing VATS experienced significantly less postoperative pain and limitation of motion. In conclusion, VATS is safe and offers the potential benefits of shorter postoperative hospital stays and less pain with cosmetic benefits.

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Mid- to Long-term Results of Surgical Treatment of ASD in Patients over 60 Years Old

  • Jeong, In-Seok;Ahn, Byoung-Hee;Kim, Soon-Jin;Oh, Sang-Gi;Oh, Bong-Suk;Kim, Sang-Hyung
    • Journal of Chest Surgery
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    • v.44 no.2
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    • pp.137-141
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    • 2011
  • Background: There is controversy about the benefit of surgical correction of an atrial septal defect (ASD) in patients over 60 years old. The purpose of this study was to determine whether surgical treatment is beneficial in those 60 years of age or older. Materials and Methods: We reviewed the clinical course of 57 patients (mean age: $63.54{\pm}5.59$ years) diagnosed with an isolated secundum ASD after the age of 60. The 24 patients (group A) who underwent surgical repair were compared with the 33 patients (group B) who were treated non-surgically. The mean follow-up period was $6.8{\pm}4.5$ years. Results: One operative death, 5 late deaths (20.8%) in group A, and 9 deaths (27.3%) in group B occurred in the study period. Symptomatic improvement was noted in 18 patients (75%) of group A after surgery. However 13 patients (39.4%) of group B showed symptomatic improvement during the follow-up period (p=0.012). The incidence of new atrial arrhythmia of the two groups was significantly different (16.7% vs 36.7%, p=0.038). The actuarial 10 year survival rate was 79% in group A and 73% in group B. Conclusion: Although surgical correction of ASD did not increase survival in patients over 60 years old, the surgical outcomes of ASD showed low operative mortality and resulted in symptomatic improvement in the majority of these patients. This study has shown the benefits of surgical closure of ASD even in advanced age in comparison to medical treatment.

Change of Fish Fauna and Community Structure in the Naeseong Stream around the Planned Yeongju Dam (영주댐 예정지를 중심으로 한 내성천의 어류상과 군집구조의 변화)

  • Kang, Yeong-Hoon;Kim, Sang-Ki;Hong, Gi-Bung;Kim, Han-Sun
    • Korean Journal of Ecology and Environment
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    • v.44 no.2
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    • pp.226-238
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    • 2011
  • Ichthyological fauna and community structure were surveyed in the Naeseong Stream around the planed Yeongju Dam, Yeongju City, Gyeongsangbuk-do from April 2007 to October 2009, During the survey period, 27 species (25 genera, 10 families) were collected. Cyprinid fish comprised 63.0% (17 species) and cobitid fish comprised 7.4% (2 species). Ten of the 27 species (37.0%) were endemic species. The dominant and subdominant species based on the number of individuals was Zacco platypus (43.2%) and Zacco koreanus (15.8%), respectively. Introduced from the other native rivers and exotic fish were Opsariichthys uncirostris amurensis, Leiocassis ussuriensis, and Micropterus salmoides (11.1%). The declining population density of Zacco koreanus and its subdominant status represents a change, since, up until the mid 1990's, it was widely distributed throughout the area and was the dominant species. The distribution area of Zacco koreanus decreased in size; by 2009, it no longer inhabited the lower reaches of the Naeseong Stream. On the other hand, Zacco platypus remained the dominant species throughout the area, except for the upper-reaches of the water-course. Gobiobotia naktongensis inhabited all areas of Naeseong Stream, which mainly has a sandy bottom. Analyses of the fish community revealed species diversity, even-ness and dominant indices were 0.881, 0.615, and 0.230 respectively. These results showed that the main river, in which the water width and flow are abundant and which has various habitats, has a higher species diversity (0.829) than the tributary (0.735).

Metarercariae of Echinochusmus japonicus Encysted in a Fresh Water Fibh, Pseudorasboru purva, and Their Development in Experimental Mice (참붕어(Pseudorasbora parva)에서 분리한 Echinochasmus japonicus 피낭유충 및 마우스 실험감염)

  • 제종일;홍성종
    • Parasites, Hosts and Diseases
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    • v.23 no.2
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    • pp.221-229
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    • 1985
  • The echinostomatid metacercariae encysted in the gill of the fresh water fish, Pseudorasbora larva were identified through obtaining adult worms after eBperimental infection to mice. In addition, a brief course of worm development and maturation was observed in this experimental host. The results were as follows: 1. The echinostomatid metacercariae were elliptical, golden yellow, 0.073∼0.078 mm long and 0.0541∼0.065 mm wide. Their head portions were characterized by the presence of a head crown armed with collar spines of total 24 in number and interrupted at the mid-dorsal side of the oral sucker. 2. The average rate of worm recovery froth 12 mice (on the 1-2lth postinfection days) was 19.4 % and the rate revealed no decrease in accordance with the increase of infection duration. The worms were collected chiefly from the lower part of the small intestine. 3. After the infection, their sexual maturation was attained in 5 days and their growth in size nearly completed in 7 days. The early growth curve of genital organs was S shape while that of nongenital organs was C form. In 5 day old worms, 1 or 2 eggs were found from their uteri and the stools of mice revealed echinostomatid eggs from the 5-6th postinfection day. 4. The 7 day old adult worms were ovoid in shape, 0.54-0.69 mm long and 0.29-0.34 mm wide, and characterized by a well developed head crown with 24 collar spines and vitelline follicles distributed from the acetabular level down to the posterior end of body. Based on these characters they were identified to be Echinochasmus japonicus Tanabe, 1926. From these results, it is verified that p. larva is one of the second intermediate hosts of 5. jatonicus in Korea.

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The effecal of irradiance during leaf development on photoinhibition in Panag ginseng C. A. Meyer

  • Parmenter, Graeme;Littlejohn, Roger
    • Journal of Ginseng Research
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    • v.22 no.2
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    • pp.102-113
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    • 1998
  • This experiment used chlorophyll fluorescence techniques to assess the effect of irradiant during leaf development on photoinhibition of photosynthesis in Panax ginseng. Seedlings of p. ginseng were grown in the 91asshouse at four shade levels. The maximum mid-day irradiant in each treatment between emergence (January 4) and completion of the experiment (February 25) was 1220, 485, 235, 125 $\mu$mol/$\textrm{m}^2$/s. To assess the rapidity of photosynthetic readaptation to changes in light levels, fluorescence parameters (Fo, F, Fm, Fm', AF/Fm;, Fv/Fm) were measured for three days before and after transfer of plants (on February 21) from each light treatment into each of the other light treatments. Before transfer, dark adapted values of Fv/Fm in the 1220 (0.699) and 485 (0.739) treatments were different from each other and lower than values in the 235 (0.764) and 125 (0.768) treatments, indicating mild photoinhibition. Patterns of change in F during the day also differed between treatments, with low light treatments tracking irradiant levels, but F in the high light treatment (1220) declined in the morning, presumably due to fluorescence quenching. Although plants grown at high irradiant had relatively low photosynthetic efficiency, relative electron transport rate was greater than in lower irradiant treatments. After transfer, plants adopted the daily pattern of change in F of the treatment to which they were moved with little change in absolute levels of F, except in plants transferred from the highest (1220) to the lowest light level (125), where F increased over the course of the three days following transfer. After plants were transferred, Fm' converged on values similar to those in plants raised in the treatments to which they were moved. Values of Fv/Fm in plants moved from low to high light declined dramatically, but there was no decline in plants from 485 moved to 1220. Values of Pv/Fm in plants that were moved from high light to lower light increased to values above those recorded in plants raised in the lower light treatments. Reductions in quantum efficiency caused by photoinhibition at high irradiant may be more than compensated for by higher electron transport rates, although evidence suggests that under high irradiant this tends to be balanced by reduced leaf area and earlier senescence. Chlorophyll fluorescence techniques appear capable of indicating effects of irradiant induced stress in ginseng, yielding results comparable to those obtained with gas exchange techniques but in less time and with greater replication.

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Examination of the Restructuring of Korean Economy: Simulation of the Multisector Model (한국경제(韓國經濟)의 구조변화(構造變化) 전망(展望): 다부문모형(多部門模型)의 모의실험(模擬實驗))

  • Kim, Jung-ho;Park, Jun-kyung
    • KDI Journal of Economic Policy
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    • v.14 no.2
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    • pp.155-187
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    • 1992
  • The Korean economy has sustained high growth rate for almost three decades, that have been associated with the rapid expansion of manufacturing industries. In the beginning stage of development, the high growth of the Korean economy has been based on improvements in productivity obtained by the economies of scale. In that period, the improvements in productivity could be secured by the economies of scale in the export-oriented industries which are the labor- and material-intensive industries. In the latter half of the 1980s, the Korean economy went through rapid transition. Now Korea is at another juncture in its development process, where economic restructuring is critical to sustain high growth. However, economic restructuring in the 1990s call for much more concerted effort than before, since changes in internal and external conditions have profoundly altered the environment for economic development. If Korea is to sustain high growth in the 1990s, it has to promote balanced economic and social development in coordination with the smooth facilitation of industrial restructuring. There are no inherent conflicts among the issues involved, so they can be resolved by restructuring the economy to facilitate, in a global context, the development of knowledge- and technology-intensive activities and to ensure that the benefts of growth are reflected of qualitative improvements in national living standards. In this paper, we examined a scenario of structural changes using a mid- and long-term multisector model, in order to understand the conditions needed for realizing the growth potential. This examination explains the important features of the development course and policy directions that will help sustain high growth in the 1990s.

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A Study on the Effect of Skin Management which is based on the Lifestyle of Middleaged and Old Age Women (중.노년층 여성의 라이프스타일에 따른 외모 관리 효과에 관한 연구 - 피부 관리 효과를 중심으로 -)

  • Lim, Hee-Kyung;Choi, In-Ryu
    • The Research Journal of the Costume Culture
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    • v.18 no.4
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    • pp.670-686
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    • 2010
  • This study aims at clarifying the action types of skin management which is base on age, marriage or not, family composition, school career, and income which are demographic variables centering around the lifestyle of middleaged and old age women. As for study method, this researcher executed literature study and questionnaire on adult women over 45 years old who dwell in Seoul and Kyounggi area. Survey period was Mar. 1, 2009 to Jun. 30. And, after distributing 1,000 copies of questionnaire, this researcher used effective 869 copies of questionnaire for analysis out of collected questionnaire, 895 copies. As for analysis method, this researcher executed DUNCAN test with factor analysis, reliability analysis, manin component analysis, K-average, multitude analysis, dispersion analysis and post verification by using SPSS 12.0 program. As for demographic feature for middle aged and old age women, 50~59 years old women were most by age as 302 persons(33.7%). It is emerging that spouse existence is very high as 674 persons(75.3%) in the answer for marriage or not, couple family to live with unmarried children is very high as 483 persons(54.0%) in the answer for family composition, leaving high school in mid-course or gradation of high school are very high as 356 persons(39.8%) in the answer for school career, income from 3 million Won under 4 million won is very high as 260 persons(29.1%) in the answer for monthly income of family members, and women to use under 50 thousand won is very high as 510 persons(57.0%) in the monthly average expense to be used for skin management. In this study, this researcher extracted total 5 factors (economic saving, displaying consumption, confidence inclination, centering around family, and leisure application) by executing factor analysis with 12 question items of lifestyle so as to grasp factor structure of lifestyle of middleaged and old age people, and whole explanatory variable quantity was 70.9%. This researcher named as economic saving type, diplaying consumption style, and type centering around leisure and family, after making multitude analysis about 5 factors analyzed by measuring lifestyle feature. As the result of structure analysis of question items of skin management(pursuit of skin management, life of skin management, and inclination of skin management), this researcher extracted total 3 factors, and whole explanatory variable quantity was 71.30%. Thus, it emerged that there is significant difference among groups.

Effect of Heading and BMR types on the Agronomic Characteristics, Forage Yield and Quality of Sorghum × Sudangrass Hybrid (출수형태와 BMR이 수수×수단그라스 교잡종의 생육특성, 생산성 및 품질에 미치는 영향)

  • Kim, Jong-Duk;Ko, Ki-Hwan;Kwon, Chan-Ho
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.32 no.3
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    • pp.293-300
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    • 2012
  • This experiment was carried out to compare the agronomic characteristics, forage yield and quality of sorghum ${\times}$ sudangrass hybrid at two locations (Sungju and Cheonan) in 2009. The experiment was a randomized complete block design with three replications. The eight recommended hybrids used in this experiment were 'Sordan 79', 'SX17', 'Honey chew', 'Honey grazer', 'G7', 'Jumbo', 'Green star' and 'GT56' hybrids. The heading of four hybrids were headed at both region, Sungju and Cheonan. There are no big differences in general agronomic characteristics among hybrids, but brix scale of heading and BMR (brown mid rib) types were higher than those of other hybrids. Dry matter (DM) and plant height of heading type hybrids were higher than those of headless types. The fresh, DM and TDN (total digestible nutrients) yields of heading type hybrids were also higher than those of headless types, and BMR types were lower than others. The crude protein and crude ash contents of headless hybrids were higher than those of heading hybrids, while its non-fiber carbohydrate (NFC) content showed the opposite results. The acid detergent fiber (ADF) and NFC contents of BMR types were lower than others. The results of this experiment indicates that heading hybrids were more higher than headless hybrids in the agronomics and forage yield of sorghum ${\times}$ sudangrass. However heading types were lower headless types in quality of sorghum ${\times}$ sudangrass. And BMR hybrids were also high quality of sorghum ${\times}$ sudangrass hybrid because of higher brix content and lower ADF content among tested hybrids.

The Developmental History and Recent Trends of TOPIK: from the 1st TOPIK in 1997 through the 52nd TOPIK in 2016 (한국어능력시험 20년 발전사와 최근 동향 -1997년 제1회 시험부터 2016년 제52회 시험까지-)

  • Kim, Chungsook
    • Journal of Korean language education
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    • v.28 no.3
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    • pp.1-24
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    • 2017
  • This article explores the developmental history of TOPIK over the last 20 years and its recent trends. Over the last two decades, TOPIK underwent two major systematic reforms, achieving both quantitative and qualitative growth over the course of its 52 testing sessions. TOPIK has utilized a six-level evaluation system from its inception to the present. The evaluation system was amended from the earlier six-test set - whereby each level corresponded with a separate test (1997~2005: the $1^{st}{\sim}9^{th}$) - to the three-test set (2006~2014: the $10^{th}{\sim}34^{th}$), and finally to the two-test set (2014~present: the $35^{th}{\sim}42^{nd}$). In the earlier exams, abilities in Vocabulary Grammar, Writing, Listening, and Reading were assessed. However, beginning with the $35^{th}$ TOPIK, abilities in Listening, Reading, and Writing (only in TOPIK II) were assessed and the evaluation of the writing section was changed to a task-based process, improving TOPIK into a more qualified analysis of proficiency. Over the last 20 years, the number of countries TOPIK is administered in has greatly increased from 4 to 73 countries, and the annual number of test-takers has also significantly increased from 2,692 to 250,141. The distribution of proficiency levels of the test-takers has shifted over time - initially "Beginner>Intermediate>Advanced" in the earlier exams, to "Intermediate>Advanced>Beginner" after the mid 2000s - as the number of those studying the Korean language for specific purposes and continuing education increased. Test-takers have indicated a shift in their purpose for taking the exam, initially citing "to assess proficiency" and more recently selecting "to study abroad," and this could also correlate with changes in the proportion of test-takers' proficiency level. In general, 85~95% of beginner, 50~65% of intermediate, and 45~60% of advanced test applicants passed the respective proficiency level. To date, no practices have yet been implemented to standardize the difficulty level longitudinally across test sets.

On the Colonial History of African Continent : From France to China (아프리카 대륙의 식민 역사 : 프랑스부터 중국까지)

  • Kim, Tae-Hyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.541-551
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    • 2018
  • This paper is on the colonial history of the African continent. It was the origin of mankind, which was called "Hometown of humanity" or "Warm region" since ancient Greece and ancient Egypt. However, the place came to be the invasion target of Western powers. Western nations, based on strong military and economic power, slaughtered sturdy African men and stripped off major resources for their own interests, devastating many parts of the African continent since the 15th century. This unfortunate history seems to have met a happy ending in the mid-twentieth century, after the independence of many African nations that have been committed to national self-determination since World War II. However, African countries have not been recognized as equal partners in the international arena. They were only poor and powerless countries that could be maintained only through the aid of advanced nations like France, as before. Of course, in the 21st century, Africa has begun to be thought to be a new market with high potentiality for development. Various countries, including India, China, Russia and Brazil, as well as major European countries, which have traditionally maintained friendly relations with France, are making efforts to increase their influence in Africa. Therefore, to understand this new trend, it is necessary to give a top priority to grasp the colonial history surrounding African continent.