• Journal of Chest Surgery
• /
• v.28 no.6
• /
• pp.606-609
• /
• 1995

We have experienced ten cases of emergent operation for the complications of cardiac catheterization during the period from 1985 to September 1994.Catheterization was done for the evaluation of the cardiac or vascular problem in 8 cases and 2 cases of neurosurgical problem. The extracardiac injection of contrast material have occurred in 3 cases[primum ASD,Trilogy,VSD . Six cases were unable to remove the catheter from femoral artery or vein. The catheters were knotted, coiled, impacted or broken. An embolectomy was done 40 years old man who suffered from chronic left subclavian artery obstruction a day after angiography. Open heart surgery was performed in 5 cases of cardiac perforation,impacted catheter in left inferior pulmonary vein and broken catheter of VSD. Arteriotomy was done in 4 cases to remove the knotted and coiled catheter. There was no complication or mortality for the emergent operation.

• English Language & Literature Teaching
• /
• v.10 no.3
• /
• pp.143-157
• /
• 2004

Sam Shepard is one of the leading American playwrights who represented Off-Off Broadway in the l960s and 1970s. In his early days, he wrote many experimental plays but later he turned to realism. However, under the superficial realism in his later plays, we find that they contain experimental devices and themes. True West (1980) is the last play of ills realistic family trilogy. This play shows that the tradition of Old West, which is symbolized and replaced by desert, disappeared in the industrialized clues of modern West. The Old West is compared which the modern West through the struggle of two brothers, Lee and Austin. Their father, 'Old Man', ran out on his family and went to the desert but did not succeed there. He shows that he failed in achieving the American Dream. The family appears unusual and demolished The relationships of the characters are not based on love and belief. The family symbolizes the negative aspects of modern American society. After Austin recognizes the actual situation finding that there is no real life in the modern West, he tries to leave the city and his family. He wants to go to the desert in search of a new life. However, in the last tableau Lee blocks the exit and the two brothers square off. It implies that they are doomed to continue their struggle. The message Implies that American society today is lacking the same positive values they once had in the Old West.

• Journal of Chest Surgery
• /
• v.11 no.4
• /
• pp.481-487
• /
• 1978

Seventeen patients of the congenital pulmenic stenosis were operated at the department of Thoracic Surgery, Seoul National University Hospital. There were thirteen male and four females, and ranging from six to thirty years of age. And it's incidence was 2.7% of congenital heart disease cases that were operated on. (Total 628) Seven case of trilogy of Fallot were excluded. Two cases of bacterial endocarditis were found. Right heart catheterization was done in all patients. Average right ventricular pressure was $121{\pm}35.8$mmHg, pulmonary artery $20{\pm}6.8$mmHg, and RV-PA pressure gradient $98{\pm}34.5$mmHg. The preoperative average time interval of A2-P2 which was checked at phonocardiography was $0.08{\pm}0.016$second, and was reduced to $0.03{\pm}0.009$second postoperatively. One was operated by Varco's procedure, another one was done by Brock's procedure, and fifteen patients were done by open heart surgery with heart-lung machine. Pure valvular stenosis was found in sixteen and infundibular stenosis in one case. And the combining anormalies were two patent ductus arteriosus, two patent foramen ovale, and one tricuspid valve hypoplasia. Two expired postoperatively at the begining stage of cardiac surgery in this Department. The remaining fifteen showed excellent operative results.

• Korean Medical Education Review
• /
• v.22 no.1
• /
• pp.9-15
• /
• 2020

Currently, accreditation within medical education is a priority on the agenda for many countries worldwide. The World Federation for Medical Education's (WFME) launch of its first trilogy of standards in 2003 was a seminal event in promoting accreditation within basic medical education (BME) globally. Parallel to that, WFME also actively spearheaded a project to recognize the accrediting agencies within individual countries. The introduction of competency-based medical education (CBME) with the two key concepts of "entrusted professional activity" and milestones has enabled researchers to identify the relationship between patient outcomes and medical education. Recent data driven by CBME has been used for the continuous quality improvement of trainees and training programmes as well. The goal of accreditation has shifted from the single purpose of quality assurance to balancing quality assurance and quality improvement. Even though there are a plethora of types of postgraduate medical education (PGME), it may be possible to accredit resident programmes on a global scale by adopting the concept of CBME. In addition, the alignment of the accreditation for BME and PGME, which center on competency, will be achievable. This argument may extend the possibility of measuring the outcomes of the accreditation itself against patient outcomes as well. Therefore, evidence of the advantages of costly and labor-consuming accreditation processes will be available in the near future and quality improvement will be the driving force of the accreditation process.

• Journal of English Language & Literature
• /
• v.57 no.4
• /
• pp.599-624
• /
• 2011

Cormac McCarthy's Blood Meridian (and the Border Trilogy) can be used as a touchstone with which the limit of American literature is tested. For his text is particularly significant in the sense that its language mixes English with Spanish; its characterization confronts Americans with non-Americans; and its narrative structure traverses the geographical and symbolic borderlands between America and Mexico. In this sense, his novels deserve to be reexamined under the rubric of Chicano/a Studies, Hemispheric American Studies, transnationalism, etc. Rereading McCarthy's Blood Meridian, this paper attempts to rethink its historical complexity in relation to Manifest Destiny, focusing on the border-crossing motifs of filibustering and scalp-hunting. For this purpose, I pay due and careful attention to the ways in which the ideology of Manifest Destiny was created, circulated, and manipulated among the 19th century American expansionists and border-crossing agents. Of course, my discussion does not omit the significance of the U.S.-Mexico borderlands in the contemporary Chicano/a Studies and Hemispheric American Studies. In these historical and interdisciplinary contexts, I investigate how the 19th century filibusters like Captain Smith and his followers fall prey to the imperial practice of Manifest Destiny. I would also interrogate whether and how the Glanton Gang's scalp trade is involved in the capitalist desire of Manifest Destiny.

• Journal of English Language & Literature
• /
• v.58 no.1
• /
• pp.69-91
• /
• 2012

Marina Carr's By the Bog of Cats.... (1998) is the last play of the trilogy of "the midlands plays" which can be regarded as her re-writing of both Euripides' Medea and J. M. Synge's The Playboy of the Western World by resetting the two plays in the midlands of contemporary Ireland. Carr intends to courageously explore into the dangerous liminal space, i.e., the middle between the past and the present, the high Greek and the Irish folk culture, dealing with the ghosts of the dead writers for her own Irish feminist theatre. Thus, in the middle Carr can build a new Irish theatre by minorating and abjecting the Greek tragedy and subverting and expanding Synge's theatre of grotesque realism. This paper attempts to read By the Bog of Cats... as Carr's final project of exploration into the midland of Ireland to establish a new Irish feminist theatre and at the same time a new Irish folk theatre. By focusing on her strategies of minoration and subversion through grotesque imagery and carnival rituals it argues that Carr put Hester's becoming-ghost in the middle, the bog of the cats as both grave and womb, waiting for the birth of a new Irish people. And it emphasizes that the ghost of Hester, merging with the ghosts of her mother and daughter by the bog of cats will haunt the official society as a threatening abjection, challenging the restoration of the social order.

• The Journal of Fisheries Business Administration
• /
• v.51 no.2
• /
• pp.25-50
• /
• 2020

The aim of this study is to overview what changes happened on the maritime field during the early Meiji period, how the compilation of 'Japan Fisheries' linked to the changes, and when the 'Japan Fisheries' was launched, completed and published. The trilogy of Japan Fishing Method, Japan Fishery Products, and Japan's Useful Marine Products are called "Japan's Fishery." These were completed in 1895 for almost ten years since the compilation project was launched in 1886 at the Agricultural and Commercial Ministry. Japan Fishing Method selected, improved and recorded excellent fishing and fishing methods in various Japanese regions at that time whereas Japan Fisheries Products chose excellent fish products from various methods of manufacturing and recorded the enactment and sale of fishery products. Japan's Useful Marine Products is not currently passed on, so it is not known what kind of useful marine products are recorded. However, it can be assumed that the classification method of the "Japanese Fishing Classification Table" published in 1889 was based on the Japan Fishing Index. The cited texts in Japan Fisheries Products are up to 55 documents, including Engisiki and Wakansanzaizukai's "Report of the Great Japan Fishery Association," "Ariticle of the Fisheries Fair," "The Western Fishery Manufacturing Technique" and "Trade Situation with China." Completed with extensive research from old books to the latest fishery information, "Japan's Fishery" is Japan's best "Marine Products Encyclopedia" at the time. It is also a valuable literature that can trace fishing and fishing techniques and methods of manufacturing marine products in each Japanese fishing village before the end of the nineteenth century.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.41
• /
• pp.58.1-58.8
• /
• 2019

Background: The aim of this study is to investigate the relationship between gender-specific and obesity-related airway anatomy in patients with obstructive sleep apnea (OSA) by using cephalometric analyses. Methods: We retrospectively evaluated 206 patients with suspected OSA undergoing polysomnography and anthropometric measurements such as body mass index, neck circumference, and waist-hip ratio. We checked lateral cephalometry to measure tissue landmarks including angle from A point to nasion to B point (ANB), soft palate length (SPL), soft palate thickness (SPT), retropalatal space (RPS), retrolingual space (RLS), and mandibular plane to hyoid (MPH). Results: Male with OSA showed significantly increased SPL (P = .006) compared with controls. SPL and MPH had significant correlation with apnea-hypopnea index (AHI) and central obesity. Female with OSA showed significantly increased ANB (P = .013) and SPT (P = .004) compared with controls. The receiver operating characteristic curves revealed that SPT in male and ANB and SPT in female were significant in model 1 (AHI ≥ 5) and model 2 (AHI ≥ 15). MPH was also significant for male in model 2. Conclusion: Male and female with OSA had distinct anatomic features of the upper airway and different interactions among soft palate, mandible, and hyoid bone.

• Journal of English Language & Literature
• /
• v.57 no.6
• /
• pp.1151-1171
• /
• 2011

Conrad's novels, specifically the Lingard Trilogy-Almayer's Folly, An Outcast of the Islands, and The Rescue-and Lord Jim, set in the Southeast Asian or Malay Archipelago can be considered travel literature that played a significant role in British imperial expansion. Conrad's Malay novels were based not only on his experience in the region during his commercial journey but also on information from earlier travel writings about the Malays and their customs, including James Brooke's journals. The English traders in Conrad's novels, namely Lingard and Jim, were partly modeled on Brooke, the White Rajah, who founded and ruled the English colony on the northwest of Borneo in the 1840s. The white traders in Conrad's novels, who act as enlightened rulers, represent the British commercial expansionism, which was obscured by the phenomenon of the civilizing mission in the late nineteenth century. On the other hand, the colonial official Clifford's tales and novels about British Malaya demonstrate the typical travel accounts of the late nineteenth century that stress the civilizing mission over commercial exploitation. The concept of the enlightening mission was rooted in evolutionary anthropological thinking, which developed as part of the natural history in the early nineteenth century. In fact, the development of natural history, stimulating British expansion in search of commercially exploitable resources and lands, enabled travel writing as the collection of natural knowledge to become a profitable business. In Conrad, the white characters are mainly traders acting as colonial rulers, while in Clifford, they are scientific rulers with their commercial interests rarely apparent. In sum, Conrad's novels reveal that the new imperialism of the civilizing mission is still a commercial one, which disturbs rather than contributes to the imperial expansion-in contrast to other travel literature such as Clifford's.

• SUVANNABHUMI
• /
• v.6 no.1
• /
• pp.193-221
• /
• 2014

Archipeligiality, a concept continuously being developed by the scholar, is one that attempts to articulate the Filipino sense of place as discoursed in/through its literatures. As a country composed of 7,107 islands, the very fragmentation and division of the country, as well as its multiculturality and multilinguality, have become the very means by which Filipino writers have "imagined" so to speak-that is, also, constructed, into a singular, united frame-the "nation." This, the author supposes, is an important aspect to explore when it comes to discoursing the larger Southeast Asian imagination, or poetic, as similar situations (i.e. Indonesia, Malaysia, and Singapore), may soon compel for a comparative critico-literary perspective. This paper continues this exploratory "geoliterary" discourse by looking at a Filipino canonical work in English by Cirilo F. Bautista, the epic The Trilogy of Saint Lazarus, the title of which already signals a geographic allusion to the first map-name granted by the Spanish colonizer to the Philippines in the region, and consequently the first signification of the country's subjected existence in the colonial imagination. The work, published between 1970 and 1998, is composed of three parts: The Archipelago, Telex Moon, and Sunlight on Broken Stones, which won the 1998 Philippine Independence Centennial Literary Prize. In these epics, notions of Philippine history and situation were discoursed, and Filipino historical figures were engaged in dialogue by the poet/the poet's voice, with the end of locating the place [where history and time had brought it; or its direction or trajectory as a nation, being true to the Filipino maxim of ang di lumingon sa pinanggalingan, di makararating sa paroroonan (the one who does not look back to his origins would not reach his destination)]. of the Philippines not only in the national imagination, but in this paper, in the wider regional consciousness. The paper proposes that the archipelagic concept is an important and unique characteristic of the Southeast Asian situation, and thus, may be a means to explicate the clearly connected landscapes of the region's imagination through literature. This paper focuses on Sunlight on Broken Stones.