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Mitral Valve Reconstruction; Result of Operation Using Prosthetic Ring (승모판막 재건술;인공판륜[prosthetic ring]을 이용한 수술례)

  • 이재원
    • Journal of Chest Surgery
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    • v.26 no.3
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    • pp.191-195
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    • 1993
  • Among 25 consecutive cases having undergone mitral valve surgery between March 1991 and June 1992 in Gill General Hospital, 11 patients[44%] who had undergone mitral valve reconstruction using prosthetic rings is evaluated and presented. Patients` mean age is 43 + 19 years[range:16-72], and they are consisted with 4 males and 7 females. Mitral valve insufficiency is due to degenerative disease in 6 cases[55%] and rheumatic disease in 5 patients[45%]. Carpentier`s functional classification I is 2 cases, II is 6 cases, and III is 2 cases. Surgical techniques include prosthetic ring annuloplasty[11 patients, 100%], chorda shortening[6, 55%], leaflet mobilization[4,36%], new chorda formation[2, 18%], chorda transposition[1, 9%] commissurotomy[3, 27%], and papillary muscle splitting[3, 27%]. Average number of mitral anatomic lesions per patient are 2.7 and we used average 2.8 procedures upon mitral valve apparatus per patient. There were no surgical mortality and no late valve related admission during the mean follow up period of 17 months. The mean functional class[NYHA] is 2.81 preoperatively and improved to 1.10 postoperatively. Doppler echocardiography showed much improvement from grade II MR [1 case], grade III MR [1 case] and 9 cases of grade IV MR to 6 cases of patients showed no MR, only trace MR in 4 cases, and grade I MR was found only in one patient with NYHA functional class II postoperatively. The postoperative mean mitral valve area is $2.10+0.28cm^2$. We conclude that mitral reconstruction is a predictable and stable operation.

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A study on the Effective Utilization of Temperature Logging Data for Calculating Geothermal Gradient (지온경사 산출을 위한 효율적인 온도검층자료 이용방법 연구)

  • 김형찬
    • Economic and Environmental Geology
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    • v.32 no.5
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    • pp.503-517
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    • 1999
  • The purpose of this study is to verfify a more effecive techique for calculating geothermal gradient. this study examines 370 data of temperature-logging having been collected since 1985. The daya are divided into three different grades grades according to the type of temperature-depth plots: 204 data show typical linear gradient (Grade A); 126 data do not explicitily show the gradient becase of various external effects such as water flow (Grade B); and the rest 40 data do not show the gradient at all (Grade D). The new technique for calculating geothermal gradient is to be required to use Greade-B data more effctiviely. This new technique includes (1) calculating the independer depth of atmospheric temperature in the earth; (2) drawing a distribution map of subsurface tempurature by using the distribution map of subsurface temperature by using Grade-A data at the independent depth; and (3) recalculating geothermal gradient of Grade-B data by using the distrbution map of subsurface temperature, borehole depth, and bottom temperature of Grade-B data by using the distribution map of subsurface temperature, borehole depth, and bottom temperature of Grade-B data. As a result, 330 data-both Grade-A and Grade-B data--can be used to draw a distribution map of hot spradient. The map clearly distinguishes anomaly areas, and helps interpret their relations to the distribution of hot springs, geology, geological structures, and geophysical anomaly areas. These new results reveal that the average of geothermal in south Korea is 25.6$^{\circ}C$/km, when calculated to the Kriging method.

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Perfusion MR Imaging of Cerebral Gliomas: Comparison with Histologic Tumor Grade (대뇌 교종의 관류 자기 공명 영상: 조직학적 종양등급과의 비교)

  • 최충곤;정애경;김정훈;강신광;이호규
    • Investigative Magnetic Resonance Imaging
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    • v.5 no.2
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    • pp.130-137
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    • 2001
  • Purpose : Our purpose was to compare maximum relative cerebral blood volume (rCBV) with histologic grade of cerebral gliomas. Materials and methods : First-pass perfusion MR imaging was performed preoperatively in 16 patients with pathologically proven cerebral gliomas (7 glioblastoma, 2 anaplastic astrocytoma, 1 anaplastic oligodendroglioma, 5 low-grade astrocytoma, and 1 low-grade oligodendroglioma). Maximum rCBV was compared with histologic diagnosis and grade of the tumor. Results : Maximum rCBVs of glioblastomas were in the range of 433% to-1330% (average, 790 %), as compared with those of contra-lateral normal white matters. Maximum rCBVs of two non-enhancing anaplastic astrocytomas were 66% and 284%, respectively. Maximum rCBV of one well-enhancing anaplastic oligodendroglioma was 702%. Maximum rCBVs of low-grade astrocytomas were in the range of 80%-369% (average, 202%). Maximum rCBV of one low-grade oligodendroglioma was 1450%, even higher than those of glioblastomas. Conclusion : Maximum rCBV was higher in glioblastoma than in low-grade astrocytoma without overlapping. However, there was no difference of maximum rCBV between non-enhancing anaplastic astrocytoma and low-grade astrocrtoma.

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A study on knowledge and attitude of dental hygienics students in AIDS (치위생과 학생들의 에이즈에 관한 지식과 태도 조사 연구)

  • Sung, Bo-Kyun
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.3
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    • pp.259-271
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    • 2007
  • AIDS is increasing by geometric progression in the world with more seriousness and HIV/AIDS is still spreading. Thus, the study enforced a self-administered survey with 526 dental hygiennics students to carry out an upright recognition and education on AIDS by grasping knowledge and attitude of dental hygienics students who will work at dental hospitals or clinics after graduating in AIDS. As the result, the study got the following conclusion. 1. 51.1% of the students got knowledge on AIDS and the majority out of them got its knowledge through school(35.2%) or mass media(10.8%). 2. The average score of dental hygienics students' knowledge in AIDS was 87.67: The first-grade students(86.00), the second-grade students(88.88) and the third-grade students(88.37) (p=0.000). 3. They had an accurate recognition about AIDS' causes, its infection ways and interceptive methods of its infection way in knowledge of AIDS(p=0.000). 4. In their attitudes for AIDS, the average score was $57.43{\pm}$: The first-grade students(56.19), the second-grade students(57.70) and the third-grade students(58.70)(p=0.001). 5. In their attitudes for AIDS, the students($4.09{\pm}0.82$ scores) responded that they would prepare for AIDS' infection of their families(p=0.004) while, on the other hand, the students($4.06{\pm}0.82$ scores) responded that they wanted to avoid PWA's dental treatment(p=0.001). Therefore, it is judged that vocational education as a specialized worker as well as AIDS education should be realized since it was appeared that they had not enough thought as a mature professional worker. 6. Dental hygienics students who would work at dental hospitals or clinics after graduating were in the environment infected in all diseases and so most of the students($4.23{\pm}0.74$) responded that AIDS education should be included in curriculum.

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Elementary School High Grade Students' Perceptions of Sexual Violence (초등학교 고학년 아동의 성폭력 인식에 관한 연구)

  • Jang, Hee-Jung;Park, Kyung-Min
    • Research in Community and Public Health Nursing
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    • v.14 no.1
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    • pp.45-54
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    • 2003
  • Purpose: The purpose of this study is to identify sexual violence, sexual knowledge of elementary school high grade students and develop the sexual violence protect promotion program. Method: The subjects of the study were 365 elementary school high-grade students in Daegu, Gyeongbook. The instruments used in this study were sexual violence(8items) by Yom et al.(2001) and sexual knowledge (20items) by Ha(2000). The data were collected between November 26 and December 1, 2001 by using a self-administered questionnaire. Analysis of data was done by using descriptive statistics, Pearson correlation coefficient. t-test, A-NOVA and Duncan test with SPSS program. Result: 1) 78.4% of the subjects were educated for sexual knowledge. Source of knowledge for sex-related knowledge is the most teachers. 2) 50.9% of the subjects were educated for sexual violence. Source of knowledge for sexual violence is the most teachers. 3) 18.4% subjects experience sexual harassment. 8.8% of the subjects experienced serious sexual contact and 2.1% of the subjects were raped. 4) The average score of sex related knowledge was 8.93. The average score of misconception related sexual violence was 2.30. 5) Misconception of sexual violence was correlated with such demographic variables as grade(F=4.788, p=0.009), sex(t=2.971 p=0.003), region(t=3.614, p=0.000), father's education level(F=3.170, p=0.014), mother's education level(F=2.528, p=0.041), family income(F=5.577 p=0.004) 6) In the correlation between the scores of sex-related knowledge, misconception related sexual violence was a negative correlation. Conclusion: According to this study, it is needed to develop the program about sexual violence education for elementary school high-grade students.

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A Study on Applicability of Technology Grade to the Venture Certification System (기술등급(T등급)의 벤처인증제도 적용가능성에 대한 연구)

  • Lee, Jun-won
    • Journal of the Korea Management Engineers Society
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    • v.23 no.4
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    • pp.105-123
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    • 2018
  • The purpose of this study is to verify whether the technology grade, which is the result of technology appraisal by Technology Credit Bureau, can be extended and applied to the venture certification system. We confirmed that there was a significant difference in the average financial performance for three years after the certification and appraisal of the two groups after matching the venture certification enterprise group and the technology appraisal enterprise group in 2015 through the propensity score matching method. As a result, there was no significant difference in the financial performance of venture certified firms and technology appraisal firms, so we confirmed that the technology grade can be expanded and applied to the venture certification system. As a result of estimating the technology grade conforming to the venture certification system, it was concluded that technology outstanding firm(T1-T4) is a technology grade suitable for the venture certification system.

Health-related self-cognition and physical performance status of a elementary school children (일부 초등학교 고학년 학생들의 신체적 건강에 대한 자가-인식과 운동수행 상태)

  • Kim, Suhn-Yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.10 no.2
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    • pp.57-72
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    • 2004
  • Background : The part to be very important that we make the physical development rightly at elementary school student days. Objective : This study investigated the relation of a physical health status which itself recognizes and an exercise performance situation out for an elementary school students. Methods : This cross-sectional study examined health and exercise performance status of 1,032 elementary school children. To examine children's a physical injury experience and injury occurrence characteristic and a personal computer utility condition, a body alignment status of the student which parents recognize and the relation of a fatigue and concentration level was an investigation with other factors. Results: An average age of the children was the 10.95 yr and an average weight was the 39.02 kg and an average height was the 145.17cm. The student to be experiencing currently an pain occurrence was 192(19.07%). It was most high to the grade 6(23.33%) compared with different grade(p<.01). Physical pain occurrence rate did not exist by gender(p>.05). There is most an pain occurrence region the ankle(38.0%). They had a 27.19% an physical injury experience of the students. A injury rate was revealed that were high as were the high grade(grade 6, 36.72%)(p<.01). A reason of the injury rate was high in a collision at the body(19.84%), falling down(18.68%) sequence at a traffic accident(22.96%)(p<.05). There were the significant relation to the school year the reason of the injury (p<.05). Currently there was the student to be taking special exercises a 57.97%. This that they have the relation with exercise with physical pain students to recognize 23.8%. The significant relation did not exist in the physical exercise execution and pain occurrence on the body(p>.05).

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The Relationship between Occupational Basic Competencies, Job Searching Efficacy, and Career Preparation Conduct and Attitude of Occupational Therapy Students (작업치료과 대학생의 직업기초능력, 구직효능감 및 진로준비행동의 관계)

  • Park, Juyoung;Kim, Hunju
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.1
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    • pp.89-98
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    • 2019
  • Purpose : The purpose of this study was to understand the correlations between occupational basic competencies, job searching efficacy and career preparation behavior of department on occupational therapy students. Methods : The subjects of this study were 103 occupational therapy students in D college. The data collection period was from July 1, 2018 to July 30, 2018. The collected data was processed using SPSS 21.0 and were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient. Results : The mean scores for occupational basic competencies, job searching efficacy and career preparation behavior of the occupational therapy students were 3.61 (${\pm}0.59$), 3.58 (${\pm}0.61$) and 3.31 (${\pm}0.66$) respectively. The occupational basic competencies score of the Occupational Therapy students was significantly differed according to their age (t=-2.13, p=.03) and grade point average (F=15.01, p=.00). The job searching efficacy of the Occupational Therapy students was significantly different by grade point average (F=3.40, p=.02). There were no significant differences in job preparation behaviors among occupational therapy students according to gender, age, grade and grade point average. There was a positive correlation between occupational basic competencies and job searching efficacy (r=.675, p<.01), between occupational basic competencies and career preparation behavior (r=.455, p<.01), between job searching efficacy and career preparation behavior (r=.702, p<.01). Conclusion : The results of this study suggest the following: It is necessary to repeat this study with a greater number and range of subjects. In addition, it suggests that the progress of study should be developed and continued and refined in order to identify factors that affect the career preparation behavior of students of occupational therapy. In addition, the development of a program and the application of a curriculum to promote occupational basic competencies and job searching efficacy should be a priority.

A survey of learners' satisfaction with non-face-to-face online class execution and evaluation (비대면 온라인 수업실행 및 평가에 대한 학습자 만족도 조사)

  • Go, Eun-Jeong
    • Journal of Korean Clinical Health Science
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    • v.10 no.1
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    • pp.1543-1552
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    • 2022
  • Purpose: It is intended to investigate the satisfaction of dental hygiene students with non-face-to-face online classes and use them as basic data for successful lecture design and operation. Methods: The data collected in this study were analyzed using the lBM SPSS Statistics 21 program. The general characteristics of the study subjects were frequency analysis, non-face-to-face online class satisfaction, and test satisfaction were frequency analysis and technical statistics. Through the independent sample T test, a t-test was conducted to find out whether there was an average difference in online class and test satisfaction according to grade. Results: The advantages of non-face-to-face online classes were that repetitive learning was possible (57.7%), the disadvantage was that there was a lack of real-time communication (74.9%), and the most efficient teaching method was a mixed form of online and face-to-face classes (64.9%). The satisfaction level of online classes was 2.69 points for 'self-directed learning habits,' which was the highest compared to the overall average of 2.55 points, and 2.09 points for 'difficulty in interaction between instructors and learners in online classes.'Non-face-to-face test satisfaction was 2.68 points for 'short test time gives fairness to test results,' higher than the overall average of 2.45 points, and 2.07 points for 'no difficulty accessing the test.'In terms of satisfaction with the non-face-to-face test according to the grade, it was found that the third grade showed a more negative attitude than the second grade in terms of sexual fairness (p<0.05). Conclusions: Through the above results, non-face-to-face online classes require various content development and some mixed classes considering the level of students, and instructors' efforts to improve the quality of classes for interaction between instructors and learners are needed.

Multi-scale heat conduction models with improved equivalent thermal conductivity of TRISO fuel particles for FCM fuel

  • Mouhao Wang;Shanshan Bu;Bing Zhou;Zhenzhong Li;Deqi Chen
    • Nuclear Engineering and Technology
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    • v.55 no.3
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    • pp.1140-1151
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    • 2023
  • Fully Ceramic Microencapsulated (FCM) fuel is emerging advanced fuel material for the future nuclear reactors. The fuel pellet in the FCM fuel is composed of matrix and a large number of TRistructural-ISOtopic (TRISO) fuel particles which are randomly dispersed in the SiC matrix. The minimum layer thickness in a TRISO fuel particle is on the order of 10-5 m, and the length of the FCM pellet is on the order of 10-2 m. Hence, the heat transfer in the FCM pellet is a multi-scale phenomenon. In this study, three multi-scale heat conduction models including the Multi-region Layered (ML) model, Multi-region Non-layered (MN) model and Homogeneous model for FCM pellet were constructed. In the ML model, the random distributed TRISO fuel particles and coating layers are completely built. While the TRISO fuel particles with coating layers are homogenized in the MN model and the whole fuel pellet is taken as the homogenous material in the Homogeneous model. Taking the results by the ML model as the benchmark, the abilities of the MN model and Homogenous model to predict the maximum and average temperature were discussed. It was found that the MN model and the Homogenous model greatly underestimate the temperature of TRISO fuel particles. The reason is mainly that the conventional equivalent thermal conductivity (ETC) models do not take the internal heat source into account and are not suitable for the TRISO fuel particle. Then the improved ETCs considering internal heat source were derived. With the improved ETCs, the MN model is able to capture the peak temperature as well as the average temperature at a wide range of the linear powers (165 W/cm~ 415 W/cm) and the packing fractions (20%-50%). With the improved ETCs, the Homogenous model is better to predict the average temperature at different linear powers and packing fractions, and able to predict the peak temperature at high packing fractions (45%-50%).