• Journal of Chest Surgery
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• v.30 no.10
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• pp.966-972
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• 1997

Between June 1994 to August 1996, 13 patients underwent emergency coronary artery bypass operations. There were 3 males and 10 females and ages ranged from 56 to 80 years with the mean of 65.5 years. The indications for emergency operations were cardiogenic shock in 12 cases and intractable polymorphic VT(ve'ntricular tachycardia) in 1 case. The causes of cardiogenic shock were acute evolving infarction in 6 cases, PTCA failure in 4 cases, acute myocardial infarction in 1 case, and post-AMI VSR(ventricular septal rupture) in 1 case. Pive out of 13 patients could go to operating room within 2 hours. However, the operations were delayed from 3 to 10 hours in 8 patients due to non-medical causes. In 12 patients, 37 distal anastomoses were constructed with only 3 LITA's(left internal thoracic arteries) and 34 saphenous veins. In a patient with post-AMI VSR, VSR repair was added. In a patient with intractable VT and critical sten sis limited to left main coronary artery, left main coronary angioplasty was performed. Pive patients died after operation with the operative mortality of 38.5%. Three patients died in the operating room due to LV pump failure, one patient died due to intractable ventricular tachycardia on postoperative second day, and one patient died on postoperative 7th day due to multi-organ failure with complications of mediastinal bleeding, low cardiac output syndrome, ARF, and lower extremity ischemia due to IABP. In 8 survived patients, 3 major complications (mediastinitis, PMI, UGI bleeding) developed but eventually recovered. We think that the aggressive approach to critically ill patients will salvage some of such patients and the most important factor for patient salvage is early surgical intervention before irreversible damage occurs.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.7 no.1
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• pp.1-7
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• 2004

Purpose: Alvarado scoring system was evaluated regarding its usefulness for the early diagnosis of acute appendicitis in adult and in reduction of the incidence of negative appendicectomies. To evaluate the accuracy of diagnosing appendicitis using the Alvarado score in children. Methods: Prospectively, we surveyed 122 patients (male 67, female 55) suffering from abdominal pain, who had visited to the emergency department of Chosun University Hospital from June 2002 to May 2003. The Alvarado score has been computed from the white blood cell count, neutrophil count, body temperature, resistance in the right lower quadrant, length of symptoms, nausea and vomiting. Each patient was evaluated by a pediatric resident and then by a general surgeon independently. Results: Out of 170 total children who visited to the emergency department due to abdominal pain, 122 patients were associated with appendicitis. A total of 122 patients (67 male and 55 female) were visited to the emergency room with suspected appendicitis. From 105 operated patients, 92 (87.6%) were diagnosed acute appendicitis and erronous diagnostic rate was 12.4%, pathologically. Mean alvarado score of appendicitis group was $5.40{\pm}1.24$ whereas those of non-appendicitis group was $3.73{\pm}1.82$ (p<0.05). From 6 Alvarado score high sensitivity (86.4%) and high specificity (80.0%) were observed. Sensitivity of ultrasonography or computed tomography was 92.5%. Conclusion: We found that Alvarado score system is a noninvasive, safe diagnostic method, which is simple, reliable and repeatable. Alvarado score is useful system for a first, rapid and economic evaluation for the appendicitis in children.

• Journal of Korea Entertainment Industry Association
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• v.15 no.1
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• pp.131-142
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• 2021

Purpose: Clinical practicums via non-face-to-face methods were inevitable due to the COVID-19 pandemic. We developed an online program for emergency nursing care and identified the feasibility of the program and the learning achievements of students. Methods: This was a methodological study. The program was developed by three professors who taught theory and clinical practicum for adult nursing care and clinical experts. Students received four hours of video content and two task activities every week in four-week program. Real-time interactive video conferences were included. Qualitative and qualitative data were collected. Results: A total of 96 students participated in the program. The mean score for overall satisfaction with the online program was 4.72(±1.02) out of 6. Subjects that generally had high learning achievement scores were basic life support care, fall prevention, nursing documentation, infection control, and anaphylaxis care. As a result of a content analysis of 77 reflective logs on the advantages of this program, students reported that "experience in applying nursing process," "case-based learning and teaching method," and "No time and space constraints" were the program's best features. Conclusion: Collaboration between hospitals and universities for nursing is more important than ever to develop online content for effective clinical practicum.

• Proceedings of the KSR Conference
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• 2011.10a
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• pp.836-842
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• 2011

The lateral stability of bridge foundations against train moving load, emergency stopping load, earthquakes, and so on is very important for a railway bridge foundation. A borehole test is much more accurate than laboratory tests since it is possible to minimize the disturbance of ground conditions on the test site. The representative borehole test methods are Dilatometer, Pressuremeter and Lateral Load Tester, which usually provide force-resistance characteristics in elastic range. In order to estimate P-y curves using those methods, the non-linear characteristics of soil which is one of the most important characteristics of the soil cannot be obtained. Therefore, P-y curves are estimated usually using elastic modulus ($E_O$, $E_R$) of lateral pressure-deformation ratio obtained within the range of elastic behavior. Even though the pile foundation is designed using borehole tests in field to increase design accuracy, it is necessary to use a higher safety factor to improve the reliability of the design. A Large Displacement Borehole Testmeter(LDBT) is developed to measure nonlinear characteristics of the soil in this study. P-y curves can be directly achieved from the developed equipment. Comparisons between measured P-y curves the LDBT developed equipment, theoretical methods based on geotechnical investigations, and back-calculated P-y curves from field tests are shown in this paper. The research result shows that the measured P-y curves using LDBT can be properly matched with back-calculated P-y curves from filed tests by applying scale effects for sand and clay, respectively.

• Journal of the Korea Concrete Institute
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• v.26 no.1
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• pp.47-55
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• 2014

As increasing number of large-size earthquake around Korean peninsula, many interests have been focused to the earthquake strengthening of existing structures. The brittle fracture of Non-seismic designed columns lead to full collapse of the building. In the past, cross-sectional extension method, a steel plate reinforcing method and fiver-reinforced method are applied to Seismic Rehabilitation Technique mainly. However, the reinforcement methods have drawbacks that induce physical damage to structures, large space, long duration time. So, in this study, performance evaluation of previously developed FRP seismic reinforcement which do not induce physical damage and short duration time was enforced. The specimens were constructed with 80% downscale. FRP seismic reinforcement are manufactured of glass fiber or aluminum plate with holes and glass fiber. From the experiment results, seismic performance of specimens which reinforced with FRP seismic reinforcement were increased.

• Parasites, Hosts and Diseases
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• v.55 no.4
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• pp.425-428
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• 2017

Human diphyllobothriasis is a parasitic disease caused by ingestion of larvae (plerocercoids) in raw or undercooked fish and commonly found in temperate areas. Rare cases were reported in tropical or subtropical areas especially in children. The first documented case of pediatric diphyllobothriasis in Taiwan had been reported 11 years ago. Here, we report another 8-year-old girl case who presented with a live noodle-like worm hanging down from her anus, with no other detectable symptoms. We pulled the worm out and found the strobila being 260 cm in length. Examination of gravid proglottids showed that they were wider than their lengths, containing an ovoid cirrus sac in the anterior side and the rosette-shaped uterus. Eggs extracted from the uterus were ovoid and operculated. Diphyllobothrium latum was confirmed by molecular analysis of the mitochondrial DNA cytochrome c oxidase subunit 1 (cox1) gene. The girl was treated with a single oral dose of praziquantel, and no eggs or proglottids were observed from her stool in the subsequent 3 months. The reemergence of human diphyllobothriasis in non-endemic countries is probably due to prevalent habit of eating imported raw fish from endemic areas. This pediatric case raised our concern that human diphyllobothriasis is likely underestimated because of unremarkable symptoms.

• Fire Science and Engineering
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• v.31 no.3
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• pp.127-136
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• 2017

In Korea, the "Act on Emergency Medical Care" was enacted in 1994, which was a trigger for first aid training. Currently, first aid training including AED for the general public is done, but the actual use of AED is not enough. The reason for this is that there may be a problem with non-uniform BLS training. The personal and social factors that hinder the intent for AED use were identified through previous studies and applied to BLS training improvement. As a result, 200 subjects (41.6%), who had no intention to use AED, among a total of 481 subjects, were reduced to 43 subjects (8.9%) after receiving the improved BLS training. As a detailed method to increase the intention of using AED, the need for AED location training was highest after the training. Based on this, it is important to convey accurate contents in AED training and the training for location awareness of AED should be done at the same time.

• Journal of muscle and joint health
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• v.6 no.1
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• pp.37-50
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• 1999

The purpose of this study was to identify the risk factors of osteoporosis. The data were collected from women who visited Physical Examination Center of a university hospital located in Taejon during the period of September 1997-August 1998. The sample was divided into two groups(the osteoporosis group of 44 cases and the control group of 66 cases). The results were summarized as follows ; 1. Sociodemographic characteristics(education and family income) and BMI showed no significant difference between the osteoporosis group and the control group. 2. There was no significant difference in coffee, unbalanced diet, diet method and meal habit between the osteoporosis group and the control group. 3. The osteoporosis group reported more incidence of operative menopause due to hysterectomy and oophorectomy, but this was not statistically significant. There was no significant difference in use of oral pill use, past disease and family history of fracture between the osteoporosis group and the control group, but the odds ratio(OR 3.11, 95% CI : 1.30-7.41) of present illness was statistically significant in the osteoporosis group. 4. There was no significant difference in the reproductive history including number of delivery and abortion and feeding method between the osteoporosis group and the control group. 5. The osteoporosis group showed significant results of lower menopausal age, shorter duration of menstruation and longer duration after menopause compared to the control group. 6. The osteoporosis group reported significantly lower level of physical activity in such variables as work activity and walking time. 7. A logistic analysis showed that shorter period of menstruation, lower level of physical activity, non-alcohol drinking group, and presence of disease were related to the possibility of occurring of osteoporosis.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.31 no.2
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• pp.151-157
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• 2013

The law for indicating the address based on the street name has taken effect in 1997. The address based on land-lot number will be changed to the address based on the street name giving odd numbers to the buildings situated on the left side and even numbers to the buildings situated on the right side per street. Searching locations by street name addresses is possible for residential areas, on the other hand, the system of finding locations is insufficient for farmlands, mountains and others, so it is unable to cope with crimes and emergency rescue. In order to make up for the weak points of street name address, the national point number, grid reference system was introduced for finding location of non-residential areas. Therefore, the purpose of this paper is to help the introduction the national point number. In this paper, we proposed a territory-oriented control point and grid range for the national point number. Numbering scheme of grid zone shall be alphanumeric, a two-letter pair Hangul and the grid coordinates in terms of Easting and Northing. We also proposed the notice area for the national point number and location of signs, application about the public and private sector.

• Archives of Plastic Surgery
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• v.43 no.1
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• pp.71-76
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• 2016

Background The purpose of this study was to identify comprehensive hand injury patterns in different pediatric age groups and to assess their risk factors. Methods This retrospective study was conducted among patients younger than 16-year-old who presented to the emergency room of a general hospital located in Gyeonggi-do, Republic of Korea, and were treated for an injury of the finger or hand from January 2010 to December 2014. The authors analyzed the medical records of 344 patients. Age was categorized according to five groups. Results A total of 391 injury sites of 344 patients were evaluated for this study. Overall and in each group, male patients were in the majority. With regard to dominant or non-dominant hand involvement, there were no significant differences. Door-related injuries were the most common cause in the age groups of 0 to 3, 4 to 6, and 7 to 9 years. Sport/recreational activities or physical conflict injuries were the most common cause in those aged 10 to 12 and 13 to 15. Amputation and crushing injury was the most common type in those aged 0 to 3 and 4 to 6 years. However, in those aged 10 to 12 and 13 to 15, deep laceration and closed fracture was the most common type. With increasing age, closed injuries tended to increase more sharply than open injuries, extensor tendon rupture more than flexor injuries, and the level of injury moved proximally. Conclusions This study provides a comprehensive overview of the epidemiology of hand injuries in the pediatric population.