• 제목/요약/키워드: Second Primary

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선천성 심장기형에 대한 2차수술로서의 개심술 (Reoperation for congenital heart disease)

  • 안혁;성숙환;김용진;노준량;서경필
    • Journal of Chest Surgery
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    • 제19권2호
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    • pp.280-287
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    • 1986
  • Between March 1978 and August 1985, 29 cases at various congenital heart diseases were reoperated because of remnant shunt of residual anomalies at Seoul National University Hospital. They were consisted of 10 cases of Tetralogy, 4 simple VSD, 6 complicated VSD. 3 partial ECD, and 5 other rare congenital anomalies. The interval between the initial and the second procedure ranged from 1 day to 122 months [mean; 26.9 months]. In 4 cases of them, the second procedure was done during initial hospitalization within 3 weeks post-operatively. The primary operation intended to be corrective surgery except four whose primary operation was palliative or exploratory one even though it was done with extracorporeal circulation. The indication for second operation was mainly residual shunt or valvular obstruction due to patch detachment or inadequate relief of stenotic lesion. Others were paravalvular leak, valvuloplasty failure, prosthetic valve failure, and inadequate primary diagnosis. Four patients were dead [14.3%]; three complicated VSD`s and one Tetralogy. There were 7 cases of nonfatal complication with subsequent improvement except one [diffuse cerebral dysfunction].

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A Long-Term Survival Case of a Primary Malignant Intracerebral Nerve Sheath Tumor

  • Lee, Byung Sun;Kim, Young Gyu;Kim, Dong Ho;Lee, Mou Seop
    • Journal of Korean Neurosurgical Society
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    • 제54권3호
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    • pp.261-264
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    • 2013
  • We report a long-term survival case of a primary malignant intracerebral nerve sheath tumor (MINST) occurring in the right frontal lobe of a 13-year old boy. After the gross total resection (GTR), we have performed radiation therapy but it recurred 50 months after the surgery, so the second GTR was performed. Later, second tumor recurrence was found 4 months after the second surgery. Subsequently the third GTR, radiotherapy, and chemotherapy were carried out. At present, the patient has been remaining alive for 77 months without evidence of tumor recurrence. According to the previous reports, the primary MINST is very rare : there are only 8 cases reported. It is also a fast-growing, invasive tumor with poor outcome. This is the first case that had no recurrence for 50 months after the surgery among the reported cases that had been followed up for more than 5 years. It is supposed that a period of recurrence free survival after GTR and low mitotic activity are associated with the patient's prognosis. A GTR followed by adjuvant radiation therapy and chemotherapy will be recommended to patients of MINST.

위치부정맹출(位置不正萌出)에 관(關)한 상하악골(上下顎骨)의 비교관찰(比較觀察) 증례(症例) (DIFFERENCE IN THE PATTERN OF ECTOPIC ERUPTION BETWEEN MAXILLA AND MANDIBLE : REPORT OF CASE)

  • 손동수
    • 대한소아치과학회지
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    • 제8권1호
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    • pp.21-24
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    • 1981
  • The author observed a case of ectopic erupted maxillary second premolars and impacted mandibular second premolars due to premature loss of the primary second molars. The treatments were done as follows: 1. In the maxilla, the teeth arrangement problem was corrected with removal of the ectopic erupted second premolars. 2. In the mandible, normal dentition was established with surgical removal of the left second premolar and removal of the permanent first molar in right side combined by orthodontic therapy.

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이차목을 갖는 초음속 이젝터 작동압력에 대한 연구 (Study of Starting Pressure of a Supersonic Ejector with a Second-Throat)

  • 진정근;권세진;김세훈
    • 대한기계학회논문집B
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    • 제29권8호
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    • pp.934-939
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    • 2005
  • Starting pressure of a supersonic ejector with a second-throat was investigated. In case of mixing chamber length longer than a critical length, starting pressure is in proportion to length of the mixing chamber. In this study, we assumed that the ejector starts when the primary supersonic flow reaches inlet of the second-throat and the distance of the supersonic flow traveling can be expressed by multiplying an empirical factor to the first diamond shock length of overexpanded flow. To calculate the overexpanded supersonic flow, a mixing model was employed to compute secondary flow pressure and the result was applied to back pressure condition of overexpanded flow calculation. In the result, for three cases of primary nozzle area ratio, we could get accurate model of predicting the starting pressure by selecting a suitable empirical factors around 3.

On the application of artificial intelligence in acute myeloid leukemia therapy

  • Meng, Jie;Zhong, Ruilan;Wu, Zhiqiang;Dong, Min
    • Advances in nano research
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    • 제13권2호
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    • pp.175-186
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    • 2022
  • This study is a randomized pretest-posttest design that aims to investigate the effect of early entrepreneurship education on cognitive and non- early entrepreneurship education, non-cognitive skills, creativity, self-efficacy, Bizworld cognitive skills of male sixth-grade primary school students. A total of 45 students were selected by multi-stage random sampling method and were assigned randomly to experimental, active-control and control groups. The experimental group received entrepreneurship education based on the Bizworld entrepreneurship program. The results indicate that early entrepreneurship education had an effect on non-cognitive skills (such as risk taking propensity, creativity, self-efficacy, persistence and need for achievement. It seems that early entrepreneurship education is a proper strategy to develop children's non-cognitive skills in late years of primary school. These skills will affect children's individual, educational, social and occupational future and can have long term benefits for students, families and society.

영·유아의 양육책임자에 따른 가정환경자극의 영향 (The Relationship of the HOME to the Characteristics of Primary Caregivers of Infants and Toddlers)

  • 손영숙
    • 아동학회지
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    • 제6권2호
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    • pp.1-20
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    • 1985
  • The relationship between home environment variables for infants and toddlers and the nature of primary caregivers were examined in the present study. The purpose of the study was to explore the possibility of home stimulation deprivation when infants were not cared by their own mothers. Primary caregivers were classified into mothers, blood related adults, and unrelated adults. The home environment was assessed with the Korean version of HOME (Home Observation for Measurement of the Environment) by means of interview and observation. The subjects of this study were 126 infants aged 3 to 36 months and their primary caregiver, adults who provided more than 8 hours day-time care for infants at home. The results were as follows : 1) The primary caregiver had an effect on the infants' home environmental stimulation. That is, the group of mothers as primary caregivers had the highest HOME scores, the second highest were blood related adults, and the unrelated adults were the last. 2) There were no sex differences in HOME scores. 3) There were significant relationships between the educational level of the caregiver and HOME. That is, the higher educational levels showed higher HOME scores.

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초등학교 입학 초기 적응 교육에 관한 교사들의 관심도 분석 (An Analysis of Concerns of Primary School Teachers on Transitional Education from Early Childhood Phase to Primary Education)

  • 박소영
    • 수산해양교육연구
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    • 제23권3호
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    • pp.533-548
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    • 2011
  • This study examined the concern levels of primary school teachers regarding transitional education from early childhood phase to primary education. Concern Based Adoption Model (CBAM) instrument of Hall and Hord (2006) was used to survey 104 primary school teachers. The results indicated that the majority of respondents' concern level was at 'informational' level (stage 1). And first peak of concern level was at 'unconcerned' level (stage 0). The first-second peak analysis of stage 0 (unconcerned) group indicated that there were 5 types of groups and each had distinguished features. Finally there were statistical differences at the unconcerned stage by in-service training and career of the first-year class. A discussion of the limitations of this study and implications for teacher education programs and operational support systems were suggested.

탄성의치를 이용한 유구치 조기 상실의 치료 (Management of Premature Loss of Primary Molars with Flexible Denture)

  • 송기언;남옥형;김미선;이효설;최성철
    • 대한소아치과학회지
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    • 제43권2호
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    • pp.187-191
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    • 2016
  • 제2유구치의 조기상실은 제1대구치의 근심이동이나 근심경사를 야기할 수 있다. 5세 여아에서 다수의 하악 유구치 조기상실 증례를 보고하는 바이다. 환아는 계승 영구치의 소포염으로 인해 하악 좌측 제1유구치와 제2유구치의 발거가 필요하였다. 탄성의치를 이용하여 저작 기능을 회복하는 동시에 제1대구치의 맹출을 유도하였다.

초등학교 비만예방 및 관리를 위한 교육용 CD 프로그램 개발 (The Development of Educational CD-Program for Obesity Prevention and Management for Primary School Students)

  • 김이순;주현옥;송미경;신유선
    • 대한간호학회지
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    • 제33권1호
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    • pp.60-70
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    • 2003
  • Purpose: The study is designed to develop an educational CD-Program for prevention and control of obesity among primary school students. Method: The study is conducted from June 15, 2000 to April 15, 2002. Based on the course of program development suggested by Dick and Cray (1990), the study followed the planning, development, education and evaluation of a program. Result: The developed CD-Program consists 2 parts each for lower and higher grades of primary school students. The introduction part of the first trial for lower grade students uses quiz to encourage their motivations, the body proceeds with motion pictures and animations to trigger their interests. The introduction part of the second trial for the lower grades consists of remembering the exhibition lecture. The first trial for higher grades of primary school students builds on the contents of the low grades. Its body part, how to determine obesity and calculate ones own obesity, puts ones own weight and height in by the mouse. For the second trial of the higher grades, the body consists of life-style, diet, and regiments. Conclusion: The merits of this CD-Program are that to be possible an interaction between teachers and students.

유초연계의 중요성에 대한 초등 1학년 교사의 인식이 학습자중심 수업활동을 매개로 아동의 학교적응에 미치는 영향 (Korea Institute of Child Care and Education)

  • 이완정;김미나
    • 한국보육지원학회지
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    • 제15권4호
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    • pp.21-36
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    • 2019
  • Objective: Using data from the Panel Study on Korean Children, this study investigated the influence of teacher'thoughts about the transition from ECEC to primary school in relation to learner-centered teaching methods and children's school adjustment. Methods: We analyzed the longitudinal data of 658 seven-year-olds from the 8th and 9th waves of the panel study of Korean children collected by the Korea Institute of Child Care and Education in 2015 and 2016. The main analysis method was Structural Equation Modeling(SEM). Results: First, theachers' thoughts about the transition from ECEC to primary school was noteworthy. Second, the more concern a theacher' had about transition, the higher their learner-centered teaching method. Third, teacher' concern about transition influenced children's school adjustment. Fourth, a teacher's learner-centered teaching method mediated concern about children's transition and school adjustment in the first year and the second year. Conclusion/Implications: According to the results of this study, 1st grade teachers' concern about the transition from ECEC to primary school has been found to be predictors of children's school adjustment.