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A Clinical Study of Patent Ductus Arteriosus (동맥관개존증의 임상적 고찰)

  • Jo, Gap-Ho;Gu, Ja-Hong;Kim, Gong-Su
    • Journal of Chest Surgery
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    • v.24 no.9
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    • pp.853-860
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    • 1991
  • A clinical study on 139 cases of operated PDA was performed during period from Aug. 1982 to Apr. 1991 at the Dept. of Thoracic and Cardiovascular Surgery of Chonbuk National University Hospital. The following results are obtained. 1. The 35 males and 104 females ranged in age from 6 months to 40 years. [mean 10.2 yrs. ] 2. Chief complaints of the patients were frequent URI in 50%, dyspnea on exertion in 31.2%, palpitation in 11.1%, and no subjective symptoms in 28.78% 3. On auscultation, continuous machinery murmur heard in 79.86% and systolic murmur in 20.14%. 4. Radiologic findings of chest P-A showed increased density of pulmonary vascularity in 80.58%, cardiomegaly in 61.87%, and within normal limit in 19.42% of the patients. 5. The signs of LVH[44.4%], RVH[17.4%], BVH[7.6%] were noted on the EKC. 6. Cardiac catheterizations were performed in 114 patients. The mean Qp/Qs was 2.65 and the mean Pp /Ps was 0.41 and the mean systolic pulmonary artery pressure was 46.6 mmHg. 7. Operative methods were as followed: The 130 cases[93.52%] of ligation and 3 cases[2.16%] of division & suture for PDA were performed through the left posterolateral thoracotomy. And the remained cases were managed under the cardiopulmonary bypass. 8. Operative complications were hoarseness in 8 cases, atelectasis in 6 cases, intraoperative ductal rupture under the left thoracotomy approach 2 cases, recannalization 1 case and others in 3 cases. 9. One patient died due to ductal rupture intraoperatively and the overall mortality was 0.7%.

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A study of Status of Students' Health Problems by ICHPPC Method (ICHPPC에 의(依)한 학생(學生)들이 건강문제(健康問題) 분류(分類)에 관(關)한 연구)

  • Cho, Hee Soon
    • Journal of the Korean Society of School Health
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    • v.2 no.1
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    • pp.131-146
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    • 1989
  • This study was conducted for the development of recording system of students' health problems, and for the application of International Classification of Health Problem in Primary Care(ICHPPC) as a tool of morbidity classification in school health care. The data were collected from 12th of September to 24th of September in 1988. The objects were composed of health problems written by 10 school nurses who take service in the elementary school. The results were as follows: 1. The features of students' health problmes. The health problems of students were 68 problems from the total numbers of 361 codes of ICHPPC. The 93.4% of health problems was contained in 20 descriptive diagnoses and 97.0% was contained in 30 descriptive diagnoses. According to frequency of main health problems, There were abrasion, scratch and blister(26.7%); disorder of stomach function, other disease of stomach and duodenum (20.4%); headache(10.6%); bruise and contusion (5.3%); acute URI (5.0%); laceration and open wound(4.6%); Insect bite and sting(4.0%); epistaxis(3.4%): abdominal pain(2.6%): superficial tissue(1.7%). Out of all health problems, Category 17(accident, injury and poisoning was 44.7%. and Category 9(digestive system Disease) was 22.2%. 2. Applicability of ICHPPC by the school nurses. School nurses used 68 codes, among the total number of 361 codes from ICHPPC. According to ICHPPC method, school nurses can classified more diverse health problems systematically and objectively than that in other studies on school nurses activities. ICHPPC was found as a useful and applicable tool of morbidity classification in the practice of school nurses.

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Clinical Observation for Evaluation Protocol on Tinnitus (이명에 대한 평가지침 수립을 위한 임상 연구)

  • Kim Yaan Bum
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.2
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    • pp.403-407
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    • 2002
  • The objective of this study is to establish the new evaluating method of tinnitus and to evaluate the effect of acupuncture therapy. Fourteen patients with tinnitus were studied. The patients answered the questionnaire designed to identify and describe the subjective symptoms of tinnitus and discomfort in daily life due to tinnitus. After acupuncture therapy, the survey was conducted again among the patients and we evaluated the difference between pre-acupuncture therapy and post-acupuncture therapy. 1. Precipitating factors of tinnitus among the patients group consisted of 14 members were stress, noise, drug, overwork, URI, and otitis media in order. 2. Significant improvements in subjective symptoms of tinnitus and discomfort in daily life after acupuncture therapy were identified among the patient group of 14 members 3. Patient group of 14 members were divided into 2 groups by digestion status: patients who have poor digestion and patients who have good digestion. The patients who have good digestion showed significant improvement both in subjective symptoms of tinnitus and in discomfort in daily life after acupuncture therapy. 4. Patient group of 14 members were divided Into 2 groups by urination and defecation status: patients who have poor urination and defecation and patients who have good urination and defecation. The patients who have good urination and defecation showed significant improvement both in subjective symptoms of tinnitus and in discomfort in daily life after acupuncture therapy. 5. Patient group of 14 members were divided into 2 groups by sleeping status: patients who sleep well and patients who don't sleep well. The patients who sleep well showed significant improvement both in subjective symptoms of tinnitus and in discomfort in daily life after acupuncture therapy. This study shows that the subjective symptoms of tinnitus and discomfort in daily life due to tinnitus are involved in urination and defecation factor, sleep factor, and digestion factor. This study also shows that acupuncture therapy is effective in improving the subjective symptoms of tinnitus and discomfort in daily life due to tinnitus.

The Clinical Analysis of Patent Ductus Arteriosus (동맥관개존증의 임상적 고찰)

  • 김응중
    • Journal of Chest Surgery
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    • v.18 no.2
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    • pp.165-173
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    • 1985
  • A clinical analysis was performed n 706 uses of patent ductus arteriosus experienced at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital during 27 years period from 1958 to 1984. Of the 706 patients of PDA, 244 patients were male and 462 patients were female and ages ranged from 2 months to 53 years old with the average age of 8.5 years. The chief complaints on admission were dyspnea on exertion and frequent URI in 58.9%, non specific symptoms such as palpitation and easy fatigability in 9.7%, symptoms of CHF in 2.0% and no subjective symptoms in 29.4%. On auscultation of heart, continuous machinery murmurs were heard in 82% and only systolic murmurs were heard in 18% of patients. On simple chest PA of patients, cardiomegalies were detected in 78% and there were increased pulmonary vascularities in 93% of patients. EKG findings were as followed; LVH 56.9%, BVH 12.6%, RVH 2.9% and WNL 27.6%. Cardiac Catheterizations were performed in 512 patients and mean Qp/Qs was 2.56 and mean systolic pulmonary artery pressure was 45mmHg. Operation methods were as followed; in patients in whom operations were performed on PDA only, ligation 94.3%, division 3.7% and ligation [0.5%] or trans-pulmonary artery suture closure [1.5%] under cardiopulmonary bypass 2.0% and in patients in whom operations were performed with associated anomalies, ligation 17.6%, division 2.4%, and ligation [44.7%] or trans-pulmonary artery suture closure [35.3%] under cardiopulmonary bypass 80%. 52 postoperative complications [8.4%] were developed in 42 patients [6.8%] and its were as followed; permanent or transient hoarseness 16 [2.6%], intraoperative rupture of PDA 8 [1.3%], recannalization 6 [1.[%], operative death 5 [0.8%], late death 4 [0.6%] and other miscellaneous complications 13 [2.1%]. 140 associated cardiac anomalies [19.8%] were found in 105 patients [14.9%] and its were as followed; VSD 68 [9.6%], COA 15 [2.1%], Subaortic discrete membrane 7 [0.9%], ASD 6 [0.8%], TOF 5 [0.7%] and other miscellaneous and

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The Clinical Analysis of Patent Ductus Arteriosus (동맥관개존증의 임상적 고찰)

  • 박상섭
    • Journal of Chest Surgery
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    • v.21 no.3
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    • pp.510-517
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    • 1988
  • With the ligation of a patent ductus arteriosus by Gross in 1938, surgeons first entered the field of congenital heart disease, and treatment of the patent ductus is representative of the rapid advance made in thoracic surgery in the last 40 years. We have had clinical experiences about 36 cases of this in the department of Thoracic & Cardiovascular surgery, Pusan Paik Hospital, Inje medical college from March 1891 to June 1987. And the results were summarized as follows. 1. There were 11 males, 25 females. The age range of the patients were from 8 months to 36 years with the mean age of 7.9 years. 2. The chief complaints of the patients on admission were frequent URI[50%], dyspnea on exertion[29.8%], chest pain[11.1% k 1%], growth retardation[2%], cough[2.8%], anorexia[2.8%]. But there were 11 patients[30.6%] having no subjective symptoms. 3. In auscultation, the usual continuous machinery murmur was noticed in 30 patients[83.3%], only systolic murmur in 6[16.7%]. 4. In the preoperative chest P-A views, there were noticed cardiomegaly in 20 cases, enlarged pulmonary conus and / or pulmonary plethora in 22 patients[61.1%]. 5. In the preoperative EGG findings, there were noticed pattern of LVH in 8 patients[22.2`], RVH in 2[5.6%], BVH in 4[11.5%] and normal in 19[52.89o]. 6. The size of PDA[mean] was 9.5 mm[length] and 8.8 mm[width], the range of length was from 4 to 29 mm and the range of width was from 4 to 18 mm. 7. There were noticed 6 cases which were combined with other anomalies[VSD in 2 cases, Coarctation of aorta in 2, Mitral regurgitation in 1, and AP window in 1]. 8. On operation, simple ligation of the ductus was performed in 30 cases[83.3%], division and suture-ligation in 5[13.9%]. 9. Postoperative complications were noticed in 4 cases[pneumonia in one case, wound infection or disruption in 3], but there were no mortality.

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The Clinical Analysis of Patient with Patent Ductus Arteriosus (동맥관개존증의 임상적 고찰)

  • Kang, Meyun-Shick;Lee, Cheol-Joo;Lee, Dong-Hyup;Jung, Tae-Eun
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.287-292
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    • 1986
  • A clinical analysis was performed on 61 cases of patent ductus arteriosus experienced at Yeungnam University Hospital during 3 years period from Aprial, 1984 to December, 1986. Of the 61 patient of PDA, 13 patient were male and 48 patient were female and age ranged 2 months to 26 years old with the average age of 9.4 years. The chief complaints on admission were frequent URI and dyspnea on exertion. Main diagnostic procedure were Doppler Echocardiogram(in 53 among 61). All of the operations were performed the method of ligation of PDA. Three posterative complication were developed, but there was no operative mortality.

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A Study on the Considerations in Constructing BIBFRAME by Analyzing BIBFRAME 2.0 (BIBFRAME 2.0 특징 분석 및 BIBFRAME 구축시 고려사항에 관한 연구)

  • Lee, Mihwa
    • Journal of Korean Library and Information Science Society
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    • v.48 no.4
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    • pp.107-127
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    • 2017
  • This study is to suggest the considerations in constructing BIBFRAME by analyzing change feature of BIBFRAME 2.0 under recognizing the needs of the detailed methods for BIBFRAME construction in Korea through literature review as research methods. First, it is to add or to describe expression level as the core entity in BIBFRAME 2.0. Second, it is to extend classes and properties as BIBFRAME vocabulary to reflect the RDA elements by testing the various materials. Third, preferred title and preferred name is to be described in BIBFRAME and Korean Cataloging Rules related to authorized access point is to be regulated. This study could contribute to develop BIBFRAME development and revision under revising BIBFRAME vocabularies ongoing.

Analysis for FOD Automatic Detection System (FOD 자동탐지시스템 요구사항 분석)

  • Kim, Sung-Hoon;Park, Myoung-Kyu;Hong, Gyo-Young;So, Jun-Soo;Kim, Sang-kwon;Kim, Uri-Eol
    • Journal of Advanced Navigation Technology
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    • v.20 no.3
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    • pp.210-217
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    • 2016
  • Damage caused by FOD which is a foreign substance at the movement area in airports around the world has reached 200 million every year. In 2000, the casualties occurred 133 people at charles de gaulle airport due to FOD. The occurrence of damage by FOD has continuously influenced in domestic also it makes equipment repair indirectly or directly. Accordingly, One of the solutions to the problem is the development of FOD automatic detection system. That is ongoing for plane movement area in airport. As the analyzed result, the military airport prefered mobile type and the civil airport prefered fixed type due to the characteristics of the operating type. In this paper, we analyzed the minimum performance specifications meeting the domestic requirements by investigating military and private FOD detection systems.

The Comparative Study on Oriental Medicine Treatments of Ramsay Hunt Syndrome and Bell's Palsy (Ramsay Hunt Syndrome 환자군과 Bell's Palsy 환자군에 대한 한방치료 비교연구)

  • Moon, Sung-jae;Hur, Tae-young;Lee, Ok-ja;Yun, Min-young;Cho, Eun-hee;Kim, Kyung-sik;Cho, Nam-geun
    • Journal of Acupuncture Research
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    • v.19 no.5
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    • pp.46-56
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    • 2002
  • Objective: The purpose of this study is to compare the improvement of Ramsay Hunt Syndrome and Bell's palsy after Oriental Medicine treatment Methods : Twelve patients with Ramsay Hunt Syndrome and twenty patients with Bell's Palsy who visited the Iksan Oriental Medical Hospital of Wonkwang University were evaluated. Evaluation was carried out by facial palsy grading system of Yanagihara. Results : 1. In the analysis of causes. the most common cause was 'none' with 14 cases(43.8%). stress with 8 cases(25.0%). fatigue with 4 cases(12.5%), cold and URI with 3 cases(9.0%) each. 2. In the analysis of prodrome, there was retroauricular pain in 16 cases(50.0%). headache and 'none' in 8 cases(25.0%) each. 3. There was no significant difference between RHS and Bell's palsy in evaluation score. Conclusions : RHS and Bell's palsy showed no statistical significant difference between severity of before treatment and that of after treatment.

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Outpatient Prescription Pattern of Anti-inflammatory Drugs by Pediatricians and ENT Physicians in Ulsan City (울산 지역 소아청소년과 및 이비인후과에서의 항염증제 처방 형태 분석)

  • Kim, Sung-Chull;Kim, Young-Rok;Hwang, Jae-Yoon;Chang, Hyeun-Wook;Nam, Doo-Hyun
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.3
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    • pp.205-212
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    • 2010
  • The prescription sheets for outpatients from July 2008 to June 2009 from 7 community pharmacies in Ulsan City were surveyed for the anti-inflammatory drug (AID) prescription pattern. The AID prescription rate of pediatricians and ENT physicians were 30.0% and 34.8%, respectively. The oral steroidal anti-inflammatory drugs (SAIDs) were prescribed as much as 3.9% by pediatricians and 10.3% by ENT physicians. The chiefly prescribed oral SAID was prednisolone in pediatric clinics and methylprednisolone in ENT clinics. Meanwhile the prescription rate of oral non-steroidal anti-inflammatory drug (NSAID) was 22.5% by pediatricians and 21.4% in ENT physicians. The most favorable NSAIDs were propionate derivatives in both clinics. In case of externally-applied SAIDs, the prescription rate of pediatricians was 3.6% and that of ENT physicians was 2.8%. Among them, nasal spray, inhalant and gargle formulations for upper respiratory infection (URI) treatment occupied 35.8% of externally-applied SAIDs in pediatric clinics and 59.7% in ENT clinics. Further, it was observed that ENT physicians favored much stronger SAIDs in Group III of ATC classification (75.4% of externally-applied SAIDs) than pediatricians (49.2%). In the survey of AID combination rate, pediatric clinics showed much lower rate (1.4% of total AID prescriptions) than ENT clinics (7.5%). Among them, the combination rate of oral SAID and oral NSAID by ENT physicians (52.2% of total AID combinations) was much higher than pediatricians (36.6%), which might be over-prescription of AID agents. In conclusion, the AID prescription rate as well as AID combination rate, especially in SAID prescriptions, was much higher in ENT than pediatric clinics, which implies the higher confidency on AID drugs of ENT physicians even though the severity of patient's symptom could be considered.