• Journal of the Korean Institute of Rural Architecture
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• v.13 no.2
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• pp.31-38
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• 2011

The domestic rural villages have faced on the many problems in future society. The major purposes of this paper are to clarify in space program for the Rural Activating through the Urban-Rural Exchange. Firstly, it has examined the rural amenities of rural resources, such as natural surroundings, culture, history, landscape, economy, community power etc. Secondary, it was checked about analysis of operation programs corresponding to the rural resources. Thirdly, These space program of Urban-Rural Exchange, which has been archived process of spacial planning, was investigated the spacial conditions corresponding to the operation programs. To make Urban-Rural Exchange Center, it was necessary to analyze physical spacial size of building gross area, by data of cross checking with the area per capita and area per household in the rural village. According to the research, Urban-Rural Exchange Center was to be included visiting center, multipurpose room and dining room, exhibiting space, conference room, experience room, welfare space and specialized room with activation of rural village. However additional conditions are required that it is based on the sustainable development, environmentally friendly architecture both operation program and space program for the value of common society, citizen and villagers.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.12 no.1
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• pp.113-120
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• 2005

Purpose: To identify risk factors for surgical site infections in patients undergoing general surgery, to analyze the prolonged hospital stay and extra cost for antibiotics, and to provide basic data for control of surgical site infections. Method: Surgical site infection was defined using the definition of the CDC and the data were analyzed by $x^2$-test and unpaired t-test. Results: The prevalence of surgical site infections was 9.7%, and it was related to wound class, duration of operation, number of operations, whether the operation was an emergency, trauma, drains, preoperative stays, presence of remote infection during operative period, and previous history of recent surgery. The mean duration for post-operative stay when a surgical site infection occurred was 9.5 days and in 56.9 % of the patients the surgical site infection appeared 7 days after the operation. Post-operative stays for infected patients were 20.3 days longer than that of uninfected patients. The mean cost of antibiotics for infected patients was higher than that for uninfected patients by 561,067 won per person. Conclusion: Surgical site infection results in an increased length of stay and extra-cost, thus, hospitals need to create strategies to reduce nosocomial infections through effective infection surveillance and by considering factors related to surgical site infections.

• Journal of Korean Clinical Nursing Research
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• v.23 no.1
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• pp.120-129
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• 2017

Purpose: The purpose of this study was to identify the degree of menopause symptoms and associated factors in patients with breast cancer who were receiving hormone therapy. Methods: Data were collected with questionnaires from 150 patients with breast cancer who had been on hormone therapy at a hospital in Seoul. Data were analyzed with the t-test, ANOVA, and Pearson correlation coefficient to compare the degree of menopause symptoms by demographic, clinical and psychological factors. Results: The mean menopause symptoms score was $13.39{\pm}7.97$. Most participants reported having hot flushes and sweating (75.3%), physical and mental exhaustion (82.7%) and sexual problems (64.7%). Menopause symptoms and depression were correlated with each other (p<.01). Somato-vegetative symptoms were different significantly by age, menopausal status at time of operation, occupation and tumor. Psychological symptoms were different significantly by marital status, operation type and chemotherapy. Urogenital symptoms were different significantly by prior history of cancer, occupation, operation type and radiation therapy. Conclusion: These findings can be used to provide tailored nursing interventions by identifying high risk groups for menopausal symptom among breast cancer patients receiving hormone therapy.

• Journal of the Earthquake Engineering Society of Korea
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• v.27 no.6
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• pp.283-291
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• 2023

Unlike other facilities, maintaining processes is essential in industrial facilities. Pipe racks, which support pipes of various diameters, are important structures used in industrial facilities. Since the transport process of pipes directly affects the operation of industrial facilities, a fragility curve should be derived based on considering not only the pipe racks' structural safety but also the pipes' transport process. There are several studies where the fragility curves have been determined based on the structural behavior of pipe racks. However, few studies consider the damage criteria of pipes to ensure the transportation process, such as local buckling and tensile failure with surface defects. In this study, an analysis model of a typical straight pipe rack used in domestic industrial facilities is constructed, and incremental dynamic analysis using nonlinear response history analysis is performed to estimate the parameters of the fragility curve by the maximum likelihood estimation. In addition, the pipe rack's structural behavior and the pipe's damage criteria are considered the limit state for the fragility curve. The limit states considered in this paper to evaluate fragility curves are more reasonable to ensure the transportation process of the pipe systems.

• Korean Journal of Head & Neck Oncology
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• v.39 no.2
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• pp.27-30
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• 2023

A 65-year-old patient who underwent total thyroidectomy 10 years ago was suspected of having a parathyroid adenoma, and minimally invasive parathyroidectomy was planned. Preoperative ultrasonography(USG) and 99mTc MIBI scan indicated a left lower parathyroid lesion. In the first operation, intraoperative parathyroid hormone monitoring (IOPTH) was not possible due to hospital circumstances. Although no adenomatous lesion was found in the expected surgical field, surgery was completed after removing lesions around the left lower parathyroid gland. However, post-surgery, parathyroid hormone did not decrease at all, so a second operation was performed with IOPTH preparation. In the second operation, intraoperative ultrasonography was performed, and a suspected adenoma lesion was removed from the left upper lesion. He has been under follow-up for 3 years without complications. Surgeon-peformed intraoperative USG and preoperative scintigraphy had advantages in determining the localization of parathyroid lesion even withiout IOPTH.

• Journal of architectural history
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• v.24 no.6
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• pp.67-82
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• 2015

With regard to Gung-jung Yeon-hyang(宮中宴享; court banquet), the frequency of banquets that were held at one time beginning Mu-ja J in-jak(戊子進爵; a royal banquet held in 1828) in 1828 (the 28th year of King Sunjo (純祖)'s reign). In proportion to this frequency, there was an increase in the need and importance of Suk-seol-so(熟設所; a kitchen built in temporarily house for court banquet) and Jung-bae-seol-cheong(中排設廳; a temporary place to put offerings) as a space to assist court banquets. Although Suk-seol-so was a temporary but large-scale facility, it was frequently used for long periods. This facility was flexibly established using the variability of Dong-gung(東宮; Palace for Crown Prince) and enhanced the efficiency of censorship and security in conjunction with palace gates and Suk-wi-cheo(宿衛處; guard station, guard room). In addition, it was reused according to the period when the nation and royal family gave finances or banquets. Jung-bae-seol-cheong was established in the place connected to the central space of court banquets and worked as buffer space to resolve the tension on the day of the event. The location where Jung-bae-seol-cheong was established enabled us to confirm the applicability of Bok-do(複道; corridor) connected to Chimjeon(寢殿; royal residence) when holding court banquets. In short, Suk-seol-so and Jung-bae-seol-cheong were auxiliary spaces, but were considered importantly in the palace operation when holding court banquets.

• Journal of Korean Neurosurgical Society
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• v.61 no.1
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• pp.35-41
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• 2018

Objective : Rehemorrhage is the most severe complication of postoperative patients with spontaneous intracerebral hemorrhage. The aim of the present study was to assess independent predictors of rehemorrhage and find the possibility of preventing rehemorrhage in postoperative patients with spontaneous intracerebral hemorrhage (sICH). Methods : Medical records of 263 postoperative patients with sICH from our Hospital were reviewed. The relationships between rehemorrhage and parameters were examined by univariate and multivariate analyses. The parameters include time from onset to surgery, hematologic paremeters, neuroimaging characteristics, level and variability of systolic blood pressure, medical histories, operation duration, and blood loss. In addition, relationship between rehemorrhage and clinical outcome were analyzed by using multivariate analyses. Results : Thirty-five (13.31%) patients experienced rehemorrhage after operation. Multivariate analyses indicated that the following factors were independently associated with rehemorrhage : history of diabetes mellitus (odds ratio [OR], 2.717; 95% confidence interval [CI], 1.005-7.346; p=0.049), and midline shift (for every 1 mm increase, OR, 1.117; 95% CI, 1.029-1.214; p=0.009). Rehemorrhage was an independent risk factor of poor functional outcome (OR, 3.334; 95% CI, 1.094-10.155; p=0.034). Conclusion : Our finding revealed that history of diabetes mellitus and admission midline shift were possibly associated with rehemorrhage in postoperative patients with sICH.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.19 no.2
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• pp.180-191
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• 2006

Objectives : The purpose of this clinical report was to investigate the general characteristics of the patients with nasal polyps and estimate the efficacy of the oriental medical treatment on nasal polyps. Methods : We performed a clinical analysis of 50 patients who visited Kabsan oriental clinic due to nasal polyps. We inquired into distribution of age, sex, operation history related to nose, grade of nasal polyps, efficacy of treatment, etc. Results and Conclusions : 1. The sex ratio was 2.3 : 1. The average age was 40.02 years. 2. In the nasal operation history, inexperienced patients were 35 cases and experienced patients were 15 cases. 3. In the region of nasal polyps, there were 35 cases of bilateral types of nasal polyps, which is mon than in unilateral types. In the number of nasal polyps, multicentric types of 26 cases were similar in the number with solitary type of 24 cases. 4. In the predisposing or concomitant diseases, chronic sinusitis was the most frequent followed by allergic rhinitis, chronic rhinitis, septal deviation chronic otitis media, asthma, tonsilitis and allergic dermatitis. 5. In the main symptoms, nasal obstruction was the most important. In the concomitant symptoms, patients had frequent rhinorrhea, smell disturbance, postnasal drip, headache, etc. 6. The average treatment period was 3,58 months and the average number of treatment was 12.94 sessions. 1. In the amount of herbal medicine, 2 and 3 Ji(劑) were the most. The most frequently used herbal medicine to treat was Hyangbujamogeuntanggagam(香附子茅根湯加減) 8. In the change of grade after treatment, Grade I was the most. In the efficacy of treatment, 'good' was the most, followed by 'excellent' and 'uneffective'.

• Advances in pediatric surgery
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• v.10 no.2
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• pp.92-98
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• 2004

The history of esophageal replacement in infants or children is the history of development of various kinds of alternative conduits such as stomach, colon, and small bowel. The gastric tube has been the most widely used conduit. From January 1988 to May 2003, 23 esophageal replacements with gastric tube were performed at the Department of Pediatric Surgery, Seoul National University Childrens Hospital. Statistical analysis was performed using Windows SPSS11.0 Pearson exact test. There were Gross type A(n=10), type B(n=1), type C(n=11), type D(n=1). Ten patients who had long gap esophageal atresia (type A-8, type B-1, type C-1) and 13 patients (type A 2, type C-10, type D-1) who had stenosis, leakage, recurred tracheoesophageal fistula, and esophagocutaneous fistula after previous corrective operations, had esophageal replacement with gastric tube. Mean follow-up periods were 4 year 2 months (7 months-15 year 1 month). There were postoperative complications including GERD in 16 (69.6 %), leakages in 7 (30.4 %), diverticulum at anastomosis in 2 (8.7 %), anastomosis site stenosis in 4 (17.3 %), and distal stenosis of the gastric tube in 1 (4.3 %). There was no statistical significance between operation types and postoperative leakage and gastroesophageal reflux. In conclusion, esophageal replacement with gastric tube may be a useful surgical option in esophageal atresia with long gap and esophageal atresia complicated by previous corrective operation.

• Journal of architectural history
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• v.25 no.2
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• pp.7-19
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• 2016

Shenyang was one of the representative transportation hub of Northeast China during the modern period. The formation and development of the railway network gave great influence on Shenyang's city development. In order to understand the relationship between railway and city development, first, we classified Shenyang's city development period by the railway network's formation and expansion process. Then, we analyzed the relationship between railway and city space by five categories. The results of this study are as follows. First, before railway was constructed, Shenyang was a castle city, which also was the economic center of Northeast China. This was the main reason Shenyang was chosen as a railway zone. During the modern period, the castle structure became an obstacle to city transportation and environment, therefore, it was disposed. During the period of railways' expansion, South Manchuria, Jingfeng and Shenhai railway line was constructed in Shenyang. Since each line had different operation organizations, city sites along the railways were planned separately. However, these operation organizations had one common purpose, which was to use railway as an accelerator for economic development. During the period of railway's military usage, railway was reorganized as military supply transport for the Japanese, which also was used as a tool for the expansion of colonialism. Second, after Shenyang's city space was reconstructed along the railway, it created a close connection with city structure, city facilities, landscape and city transportation system. Hence, the railway system played a key role in modern city planning.