• Journal of Chest Surgery
• /
• v.35 no.3
• /
• pp.177-181
• /
• 2002

Background: Follow-up studies have shown that although outcomes have improved substantially over time, results of the Fontan operation and its modifications remain suboptimal. In this study, we reviewed our experience with the extracardiac conduit Fontan operation, with a focus early and midterm change of internal diameter of PTFE conduit. Material and Method: Between April 1997 and July 2000 were reviewed. Twelve patients (M:6, F:6, mean age 42.04 $\pm$ 12.43months, mean body weight 13.80$\pm$ 1.94kg) underwent extracardiac conduit Fontan operation with expanded PTFE graft. Mean cardiopulmonary bypass time was 109.7$\pm$26.99minute and mean operation time was 455$\pm$89.51minute. Intraoperative fenestration was performed in 10 patients. The aortic cross clamping was not performed in all patients. Result: There was no early deaths and no postoperative dysrhythmia. Postoperative protein losing enteropathy and prolonged pleural effusion occurred in 1(8.3%) and 4 patients(33.3%). Conduit patency was evaluated by magnetic resonance imaging studies. A 9.84$\pm$3.84% mean reduction in conduit internal diameter and there was no statistical correlation between the change of internal diameter of conduit and the postoperative duration after partial correlation analysis(r=0.019, p=0.955). Conclusion: These results demonstrate that the extracardiac conduit Fontan operation provies good early and midterm results and may reduce the prevalence of late arrhythmia. And there is no correlation between the change of internal diameter of conduit and the postoperative duration after extracardiac conduit Fontan operation with the expanded PTFE graft conduit.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.8
• /
• pp.557-562
• /
• 2020

In the non-face-to-face learning environment forced into effect by the COVID-19 pandemic, online learning is being adopted as a major educational technique. Given the lack of research on how online learning patterns affect academic performance, this study focuses on the number and duration of online video learning sessions as a major factor based on midterm and final exams, and with a formative assessment for each type of learning. The correlation of the learning effects was analyzed. The analysis focused on computer programming subjects, which are among the most difficult liberal arts subjects for arts and science students at the university level. The analysis of cases of actual students showed no correlation among weekly formative assessments, the number of learning sessions, and the learning duration. On the other hand, the number of learning sessions (r=.39 p<0.05) and learning duration (r=.42 p<0.05) were correlated with the midterm and final exams. Elements, such as SMS text, bulletin board, and e-mail, were excluded from the analysis because not all students have access to them. Therefore, the results can be improved if future analysis of the students' learning patterns in a non-face-to-face lecture environment is performed considering more factors/elements and the learners' needs.

• Journal of Chest Surgery
• /
• v.47 no.3
• /
• pp.225-232
• /
• 2014

Background: Redo coronary artery bypass grafting (CABG) is still associated with increased morbidity and mortality as compared to the first-time operation. Further, the application of the off-pump technique to redo CABG is limited due to technical difficulties. The aim of this retrospective study was to analyze early and midterm results after redo CABG and compare the outcome of redo on-pump and off-pump CABG. Methods: From June 1996 to October 2011, elective redo CABG was performed in 32 patients. Mean age was 64.8 years (on pump 64.3 years vs. off pump 65.5 years; p=0.658), and 21 patients were male. Among these patients, 14 (43.8%) underwent on-pump CABG, and 18 (56.2%) underwent off-pump CABG. Results: Internal thoracic artery was used in 22 patients (68.8%), and total arterial revascularization was achieved in 17 patients (53.1%). The average number of distal anastomoses was 2.13, and the rate of incomplete revascularization was 43.8%. The rate of total arterial revascularization was higher in the off-pump group (14.3% vs. 83.3%, p<0.001), and the use of saphenous vein graft was more in the on-pump group (78.6% vs. 16.7%, p<0.001). Overall hospital mortality was 3.1% (n=1) and was comparable in both groups (on pump 7.1% vs. off pump 0%; p=0.249). Postoperative complications occurred in 9 patients (64.2%), and the rate of complications was high in the on-pump group without statistical significance (64.2% vs. 33.3%, p=0.082). The mean follow-up duration was 5.4 years, and overall survival at 10 years was $86.0%{\pm}10.5%$. There was no significant difference in the 10-year survival rate between the two groups (79.6% vs. 100%, p=0.225). Conclusion: Redo CABG can be safely performed with acceptable mortality. Redo off-pump coronary artery bypass is feasible with low mortality and morbidity, comparable target vessel bypass grafting, and long-term survival. The off-pump technique might be considered a safe option for redo CABG in high-risk patients.

• Journal of Korean Foot and Ankle Society
• /
• v.24 no.4
• /
• pp.135-141
• /
• 2020

Purpose: This study evaluated the results of two groups-the early group and midterm group-comparatively in the treatment of hallux valgus using a scarf osteotomy. Materials and Methods: From January 2005 to December 2009 (Group 1) and from January 2010 to December 2013 (Group 2), this study compared hallux valgus cases treated by a scarf osteotomy by a single surgeon with at least a five-year follow-up. Results: The average ages of Group 1 and Group 2 were 50.5 and 51.7 years old, respectively. The average follow-up of Groups 1 and 2 were 7.4 and 6.2 years, respectively. Groups 1 and 2 had 86 cases (53 patients) and 93 cases (64 patients) with at least a five-year follow-up, respectively. The average hallux valgus angle (HVA) and 1-2 intermetatarsal angle (IMA) of Group 1 were improved from 31.3° and 13.9° preoperatively to 11.3° and 6.8° at the final follow-up, respectively (p<0.001). The average HVA and 1-2 IMA of Group 2 were improved from 31.7° and 13.4° preoperatively to 8.9° and 6.6° at the final follow-up, respectively (p<0.001). The mean American Orthopaedic Foot and Ankle Society (AOFAS) score of both groups increased from 48.5 and 45.0 points preoperatively to 73.7 and 82.4 points at the final follow-up, respectively. The numbers of patient-assessed subjective satisfaction of Groups 1 and 2 at the final follow-ups were as follows: excellent, 27 and 36 (31.4%, 38.7%); good, 34 and 49 (39.5%, 52.7%); fair, 13 and 5 (15.1%, 5.4%); poor, 12 and 3 (13.9%, 3.2%); respectively. Neither troughing nor stress fractures occurred in both groups. Conclusion: Scarf osteotomy for treating hallux valgus is an excellent surgical method with a relatively low incidence of complications. The results in Group 2 were better than those in Group 1, showing that more surgical experience and evolution of the techniques provided better results.

• Journal of Educational Research in Mathematics
• /
• v.24 no.4
• /
• pp.573-594
• /
• 2014

Capacity of making assessment items among teacher's assessment competency is essential element in validity and reliability of assessment. Errors in test items on the formal and content aspects can be a big stumbling block to derive a correct evaluation result. Through this assessment, the positive feedback can not be derived. In this study, By analyzing midterm and final 60 exam papers for geometry and vector in 45 high Schools of Seoul GyeonggiIncheon area, We argue error items and improvements on the formal and content aspect the paper-based assessment of mathematics. Through this, Our intention is to improve the skills of teachers for making assessment items.

• Journal of Korean Neurosurgical Society
• /
• v.52 no.3
• /
• pp.187-192
• /
• 2012

Objective : Stent-assisted coiling on intracranial aneurysm has been considered as an effective technique and has made the complex aneurysms amenable to coiling. To achieve reconstruction of intracranial vessels with preservation of parent artery the use of stents has the greatest potential for assisted coiling. We report the results of our experiences in ruptured wide-necked intracranial aneurysms using Y-stent coiling. Methods : From October 2003 to October 2011, 12 patients (3 men, 9 women; mean age, 62.6) harboring 12 complex ruptured aneurysms (3 middle cerebral artery, 9 basilar tip) were treated by Y-stent coiling by using self-expandable intracranial stents. Procedural complications, clinical outcome, and initial and midterm angiographic results were evaluated. The definition of broad-necked aneurysm is neck diameter over than 4 mm or an aneurysm with a neck diameter smaller than 4 mm in which the dome/neck ratio was less than 2. Results : In all patients, the aneurysm was successfully occluded with no apparent procedure-related complication. There was no evidence of thromboembolic complication, arterial dissection and spasm during procedure. Follow-up studies showed stable and complete occlusion of the aneurysm in all patients with no neurologic deficits. Conclusion : The present study did show that the Y-stent coiling seemed to facilitate endovascular treatment of ruptured wide-necked intracranial aneurysms. More clinical data with longer follow-up are needed to establish the role of Y-stent coiling in ruptured aneurysms.

• Journal of Chest Surgery
• /
• v.41 no.5
• /
• pp.640-642
• /
• 2008

Advanced age is known to be a risk factor for early mortality after heart transplantation and is considered to be a relative contraindication. However, recent studies have shown that there are no significant differences in early and midterm survival rates between older and younger recipients. With rising life expectancy and improvements in medical support, the demand for heart transplantation in elderly patients continues to grow. We present a successful case of heart transplantation in a 78-year-old patient.

• The Journal of the Korea Contents Association
• /
• v.20 no.7
• /
• pp.282-291
• /
• 2020

This study was conducted to explore the effects of students' problem solving ability according to the level of structuring of curriculum tasks in PBL activities. The study was conducted on 60 college students in curriculum classes. Problem solving ability was measured at the beginning of the semester. And after the midterm exam, PBL activities were conducted. 30 experimental groups performed unstructured tasks. 30 comparison groups performed semi-structured problems. After the task was completed, problem solving ability was measured at the end of the semester. Collected data were analyzed using ANCOVA. As a result, it was verified that the experimental group had a statistically significant improvement in information collection, evaluation, and feedback level than the comparative group.

• 보존과학연구
• /
• s.29
• /
• pp.255-278
• /
• 2008

Considering the physical quality of the wall body in this study we tried to select a replenishing that is proper for filling the cracked part of the painting wall layer and apply the natural adhesives that have traditionally been used, investigating whether it is possible to substitute those for the chemical adhesive which is used at present time. The result of this study showed the red algae adhesive was, in a weathering environment, as safe as the synthetic resin originated from the polyvinyl acetate which is used generally on the present spot, and it was concluded that although the starch adhesive displayed its superiority in enhancing the strength of the earth mortar and its work disposition, it seemed proper for it to be used as a filling adhesive for the first or midterm layer because it showed a surface hardening phenomenon. And also the glue and fish glue were judged they were not qualified as a filling adhesive due to mold occurring in a environment of high moisture that is a biological problem, showing at same time a weak physical feature in a weathering environment. Therefore it would be possible to use the red algae adhesive or starch one substituting them for the original one sold on the present market, if among natural adhesives the weak points of the them were to be corrected.

• Fashion & Textile Research Journal
• /
• v.5 no.5
• /
• pp.539-544
• /
• 2003

The purpose of this study is to research source of soil which is available for non-detergent course, and to develop optimum non-detergent course of washing machine for water soluble soil. The water soluble soil such as grape juice, soy bean paste and soy sauce were easily removed from the fabric but the oil soluble soils such as sesame oil and steak sauce were insurfficiently removed in washing solution without detergent. In the absence of detergent, amount of residual soils increased linearly with increasing number of soiling and washing. To search optimum conditions of washing for non-detergent course, the effect of temperature, washing time and washing method on detergency of soil in non-detergent washing solution was examined. The optimum washing temperature and washing time for non-detergent course were about $40^{\circ}C$, and 7 minutes, respectively. And in the non-detergent washing solution, midterm drain-resupply of water during washing process was good for removal of water soluble soil.