• Archives of Plastic Surgery
• /
• 제42권5호
• /
• pp.544-551
• /
• 2015

Background Changes in the composition of the extracellular matrix (ECM) occur between the proliferating and involuted phases of infantile hemangiomas (IH), and are associated with angiogenic growth. We examined the composition of the ECM in proliferating and involuted IHs and assessed correlations between the composition of the ECM and whether the IH was in the proliferating or the involuted phase. Methods We evaluated IH samples from a cohort of patients who had five proliferating IHs and five involuted IHs. The following ECM molecules were analyzed using enzyme-linked immunosorbent assays and immunohistochemistry: laminin, fibronectin, collagen type I, collagen type II, and collagen type III. Results The involuted IHs had higher levels of deposition of collagen type III than the proliferating IHs. The median values (interquartile ranges) were 1.135 (0.946-1.486) and 1.008 (0.780- 1.166) (P=0.019), respectively. The level of laminin was higher in involuted IHs than in proliferating IHs, with median values (interquartile ranges) of 3.191 (2.945-3.191) and 2.479 (1.699- 3.284) (P=0.047), respectively. Abundant collagen type III staining was found in involuted IHs. Laminin ${\alpha}4$ chain staining was clearly present within the basement membrane adjacent to the blood vessels, and was significantly more intense in involuted IHs than in proliferative IHs. Conclusions Involuted hemangiomas showed extensive deposition of collagen III and laminin, suggesting that differences in the composition of the ECM reflect stages of the development of IHs. This pattern may be due to the rapid senescence of IHs.

• Journal of Acupuncture Research
• /
• 제26권2호
• /
• pp.207-212
• /
• 2009

Objectives : The purpose of this report is to report the effect of acupotomy for patients with congestive heart failure. Methods: We treated 1 patient who has dyspnea due to congestive heart failure with acupotomy. To check the effect and satisfaction of acupotomy we used New York Heart Association class(NYHA class), Modified Borg Scalw Dyspnea Index(Borg Index), Baseline Dyspnea Index(BDI), Five-point Likert scale. Results : After 1 month of treatment, the patient felt much better in breathing, and had better score in NYHA class, Borg Index, BDI. Conclusions : This report demonstrates that acupotomy therapy has useful effect on congestive heart failure, but the more cases and researches are needed.

• 한국언론정보학보
• /
• 제30권
• /
• pp.175-201
• /
• 2005

본 논문은 '다양성'이라는 규범적 가치에 입각해 뉴스 기사 선별 및 취재 경로와 관련한 미 신문의 뉴스 제작 방식에는 어떤 변화가 진행돼 왔는지를 통시적으로 살펴보고 있다. 이에 따라 본고에서는 '뉴스 토픽'과 '정보원' 등 두 가지 분야에서 지난 50년간 뉴욕 타임스와 시카고 트리뷴, 로스앤젤레스 타임스 등 3대 유력 일간지의 1면 기사를 분석, 연대기적인 가치 변화를 추적해 보았다. 데이터 분석 결과, 지난 반세기 동안 미 신문에서 정부 및 정치권에 대한 정보원의 의존도는 지속적으로 줄어들고 있는 반면, 기업/산업체발 정보원의 등장은 점차 빈번해 지고 있는 것으로 나타났다. 이와 함께, 뉴스 주제의 분포에 있어서는 사건, 사고 기사의 감소와 군사, 안보기사의 퇴조 속에, 경제, 건강, 교육 등과 같은 주제가 점차 활발하게 다뤄지고 있는 것으로 조사됐다. 그러나 전통적인 비인기 주제였던 빈곤, 노동, 소수자, 사회 갈등 등과 같은 토픽들은 시대를 거듭해도 제자리를 맴돌거나 오히려 줄어들고 있는 것으로 나타났다.

• 한국지역지리학회지
• /
• 제22권4호
• /
• pp.774-791
• /
• 2016

최근 아시아인 인구의 교외화 연구에 따르면 이들의 취락 패턴은 과거 이민자들의 격리 과정과는 다른 궤도를 따르며, 또한 소수민족 집단이 집중되는 주거 입지도 상이하여 교외 지역에서 복잡한 민족 모자이크가 재현한다는 것이다. 본 논문은 이를 확인하기 위해 뉴욕 시 외곽에 위치한 웨체스터 카운티의 아시아인 소수민족의 거주지 패턴을 조사하였다. 이 지역의 주요 아시아인 민족인 인도인, 중국인, 필리핀인, 일본인, 한국인 등 5개 주요 집단의 거주지 패턴을 2000년과 2010년 센서스 인구 자료에 기초한 지도화와 병행하여 격리 지수를 이용하여 분석하였다. 이를 통해 이 지역 아시아인 민족 집단의 거주지 분리 현상은 분산된 집중화로 특징을 지울 수 있었다. 또한 각 민족 집단의 인구가 집중하는 근린 사이에 뚜렷한 차이를 발견하였다.

• Journal of Chest Surgery
• /
• 제28권9호
• /
• pp.817-821
• /
• 1995

The CarboMedics Medical valve has become our mechanical valvular prosthesis of choice because of favorable hemodynamic results that associated with marked clinical improvement and low incidence of thromboembolism after it,s uses. The data for this study was collected from August 1988 to July 1993,five years period. There were total of 57 patients[female 40,male 17 in this series with 4 isolated aortic valve,26 isolated mitral valve,11 double valve and a triple valve replacement. The mean follow up time was 32 months. Postoperatively,58% of cases were in New York Heart Association[NYHA functional class I,and mild and moderate symptoms[NYHA class II were present in 36% and there were very few patients remaining in higher functional classes. In postoperative echocardiographic study, showed marked improved cardiac function. The overall early mortality was 3.5% and the late mortality was one case after triple valve replacement due to sudden death. The causes of early death were attributed to early prosthetic valve endocarditis and heart failure.

• 성인간호학회지
• /
• 제27권2호
• /
• pp.242-250
• /
• 2015

Purpose: To evaluate heart failure knowledge and adherence to self-care behaviors, and to identify factors affecting adherence to self-care behaviors among Korean patients with heart failure. Methods: Correlational research using the European Heart Failure Self-care Behavior Scale, the Duke Activity Status Index, the Dutch Heart Failure Knowledge Scale, the New York Heart Association Functional Classification, and the Medical Outcomes Study Social Support Survey was conducted. A total of 280 outpatients with heart failure responded to the five questionnaires. Results: The mean scores for self-care adherence and heart failure knowledge were $31.98{\pm}6.81$ and $8.78{\pm}2.53$, respectively, indicating lower adherence and knowledge than those previously reported. Subjects with lower functional status, more social supports, and greater knowledge of heart failure are more likely to adhere to prescribed regimens. Conclusion: Nurses should focus on patient education and support to improve their adherence to self-care behaviors.

• 한국정보시스템학회지:정보시스템연구
• /
• 제13권2호
• /
• pp.155-172
• /
• 2004

The purpose of this study is to investigate factors which can lead small buyers to participate in a Reverse Aggregation Electronic Market (RAEM). Five factors including search, selection, price, delivery, and Internet literacy were selected as possible factors which are expected to influence small buyers' participation in a RAEM. This paper focused on a RAEM of the Korean automotive industry in which the third party aggregator formed a group of small automobile repair shops (ARS) and amassed buying power for them by building a buyer' oriented electronic market (EM). Survey data were collected from small ARS in South Korea. The results of the empirical analysis indicated that fast delivery and support for Internet illiteracy are potential incentives that could influence buyers' decisions to join a RAEM.

• Journal of Chest Surgery
• /
• 제26권12호
• /
• pp.904-908
• /
• 1993

Twelve patients had undergone repair of atrioventricular septal defects. Age at operation ranged from 2.4 years to 17 years[mean, 8.25 years]. Five patients were male and seven were female. Three patients had complete atrioventricular septal defect[Rastelli type A] associated with Down`s syndrome. One of the three patient with complete atrioventricular septal defect had tetralogy of Fallot. Three patients had the intermediate form and seven patients had the partial form. The primum atrial septal defect was closed with pericardial patch. The atrioventricular valve septal commissure[mitral cleft] was closed with pledgeted sutures. Three complete atrioventricular septal defect were undergone by two-patch technique. A crescent-shaped Dacron patch was used to occlude the ventricular septal defect. One patient of partial form was sudden death 5 days postoperatively. There were no another complications after surgery. One patient underwent reoperation for opened mitral cleft 2.5 years postoperatively. New York Heart Association functional class of patients was improved postoperatively.

• 국제초고층학회논문집
• /
• 제5권2호
• /
• pp.137-144
• /
• 2016

This paper discusses the economics of skyscraper construction in Manhattan since 1990. First the paper reviews the economic theory of skyscraper height. Next it documents the frequency and heights of skyscraper construction in the last 25 years. Then the paper reviews the relative movements of office rents, condominium prices, and construction costs. Statistical results suggest that the resurgence of Manhattan's skyscraper construction is being driving by the rise in the average price of apartments, and is not being driven by rising office rents or falling construction costs. Statistical evidence shows that the height premium has not been rising over the last decade. Developers have been purchasing air rights (and bidding up the prices) in order to satisfy the demand for supertall buildings. In the next five to ten years, Manhattan is likely to see over thirty 200-meter or taller buildings, as compared to only four since 2010.

• 국제초고층학회논문집
• /
• 제9권1호
• /
• pp.1-15
• /
• 2020

The evolution in the use of the elevator and the iron frame to build ever-taller buildings that would eventually be called "skyscrapers" is still somewhat shrouded in the mist of history. This two-part paper is an attempt to document the significant persons and events in that evolution, showing that these had a greater continuity than that previously recorded. In this first part, I discuss how the exploitation of the elevator in the design of buildings allowed "skyscrapers" to be built taller than the five-six story limit imposed by stairways, so that their owners could include more and more rental square footage needed to offset the increasing cost of Manhattan real estate. The use of iron framing for the interior framing in these taller buildings would reduce the amount of square footage lost to construction, thereby also increasing the rental return from the building. By the start of the Great Depression of the 1870s in 1873, New York architects had erected two ten-storied skyscrapers.