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Early Results of Coronary Bypass Surgery in Patients with Severe Left Ventricular Dysfunction (심한 좌심실 기능저하를 동반한 환자에서의 관상동맥 우회로 조성수술의 조기성적)

  • 정윤섭;김욱성
    • Journal of Chest Surgery
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    • v.30 no.4
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    • pp.383-389
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    • 1997
  • From March, 1992 to March, 1996, a total of 279 patients underwent coronary bypass surgery at the Sejong General Hospital, Puchon. We selected 22 patients with severe left ventricular(LV) dysfunction from them. The criteria were the presence of global or segmental abnormalities of left ventricular contraction and LV ejection fraction(EF) less than 35% based on biplane LV angiography by planimetry method. The mean age of 17 male and 5 female patients was 60$\pm$5.6years(range:47~73 years). All had the anginas, which were Canadian class II in 6, class 111 in 12 and class IV in 4. All patients except one had the history of previous myocardial infarction more than once. Seven of them had the symptoms and signs of congestive heart failure, such as dyspnea on excertion and increased pulmonary vascular markings. Their mean LVEF was 29.4$\pm$4 5%(range : 18~35%) and mean LV end-diastolic pressure was 18.7 $\pm$8. 2mmHg(range:10~42mmHg). 21 patients had 3 vessel-disease and 1 had 2 vessel-disease. Complete revascularization was tried with the use of 16 internal mammary arteries and 60 sapheuous veins and 3 radial arteries grafts. The mean number of distal anastomosis was 3.5$\pm$ 1.1. Concomitantly, one mitral valvuloplasty and annuloplasty was performed in the patient with moderate mitral regurtigation. The hospital mortality was 4.5%. During the follow-up, there were 3 late deaths. Of 18 survivors, 2 patients were lost in follow-up 24 and 27 month respectively after operation and the remaining 16 patients have bcen followed up with an average of 30.4 $\pm$ 13.4 months.15 patients had improvement with respect to angina but 8 patients still have the continuing or progressing heart failure. The 1-year, 2-year and 3-year actuarial survival rate was 85.2, 69.1, 46.1%, respectively. This study indicates that coronary artery bypass sur ery can be performed in the patients with severe LV dysfunction at acceptable risk but does not greatly contribute to the improvement of congestive heart failure.

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A Research of the suitable Area and Module in Elementary School Classroom - Focusing on Elementary Schools of Northern Province of Gyeonggi-do - (초등학교 일반교실의 필요 면적과 모듈에 관한 연구 - 경기북부지역 초등학교를 중심으로-)

  • Yoon, Hee-Cheol
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.20 no.3
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    • pp.1-10
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    • 2021
  • Before long the number of Elementary School students per class will be 20 in Korea, but the current Area and Module of Elementary School are planned for 30 students. Therefore, necessary Area and Module for less than 20 students should be prepared. The purpose of this research is to find out necessary Area and Module for less than 20 students in Elementary School Classroom. I researched 60 Classrooms of 10 Elementary Schools before 2 researches of mine, and researched the sizes of every path in the classrooms. With the Plans for 20 students, I found the conclusion as follows: First, the one-way class requires a minimum of 5.4m×8.1m (43.74m2), a maximum of 5.4m×8.7m (48.6m2). Second, the 3-row alignment class requires a minimum of 7.2m×7.2m (51.84m2), a maximum of 7.5m×7.5m (56.25m2). Third, the group study class requires a minimum of 6.0m×8.7m (52.2m2), a maximum of 6.3m×9.3m (58.59m2). Fourth, the group study class requires a minimum of 2.34m2, a maximum of 14.85m2 more than the one-way class. Fifth, the suitable module which fits both 2-row alignment class and group study class except the 3-row alignment class is 6.0m×8.7m (52.2m2).

Elementary Education in Korea : A Look to the Future (초등교육)

  • Kim, Chang-Bok;Lee, Kyung-Soon
    • Korean Journal of Child Studies
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    • v.30 no.6
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    • pp.223-235
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    • 2009
  • Elementary education in Korea has variously changed and developed during the last thirty years. Among all the progressive changes, the improvement of teaching conditions is considered to be the most fundamental one. The number of students assigned to a class or a teacher has decreased to a considerable extent. Cyber teaching-learning has been peformed at school and home, and English education has been emerged as a significant part of the Korean public education. The research issues constantly considered essential over the past three decades starting in the 1980's are those related to curricula, teaching-learning methods, training of teachers in-service, and education for upright characters. The practical and political issues should be dealt with to revise the three integrated subjects and text books into a sole integrated subject and text book, to double the credential of teachers in terms of professionalism and to decrease the number of students per teacher in Korea to the OECD level.

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Factors Affecting Patient Moving for Medical Service Using Multi-level Analysis (환자이동에 영향을 미치는 개인 및 병원요인 분석)

  • Kim, Sun Hee;Lee, Hae Jong;Lee, Kwang Soo;Shin, Hyun Woung
    • Korea Journal of Hospital Management
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    • v.19 no.4
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    • pp.9-20
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    • 2014
  • The purpose of this study is to find out factors affecting patient moving to receive medical service. This study is analyzed by multi-level model with patient and hospital level by using SAS 9.3. Total number of patients is 600,000 persons for inpatients and 550,000 patients for outpatients. The degree of the factors, which is combined with personnel factor and hospital factor, can be analyzed by Intra-Class Correlation (ICC). The percentage of group(hospital) level variance of the total variance for out-bound moving case are 30.6% at inpatients, and 28.3% at outpatients. And the percentage of hospital level variance of the total variance for moving distance, are 26.7%, 32,5% respectively. Conclusionally, although the main factor of moving is patient level, hospital is also very important factor to make decision to go out-bound. It contributed to about 1/3 for hospital choice. And, when the one make decision, he will consider the hospital type, number of bed, and training institute in hospital level. Through this study to find out hospital factors affecting patient moving for medical service, it must be continued to find out which factors have more influence to choice the hospital among disease type after this.

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Growth Characteristics and Demography of Polygonatum involucratum and Polygonatum humile Ramet Population (용동굴레와 각시둥글레의 생장특성과 라메트 개체군의 동태)

  • Choung, Yeon-Sook
    • The Korean Journal of Ecology
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    • v.14 no.3
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    • pp.305-316
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    • 1991
  • Growth hadit and demograph in a mature population of polygonatum and polygonatum humile in kanghwa island were studied for two growing seasons. Shoots of two species emerged early spring from the growing apices of the underdground rhizomes which had persisted for up to 1~5 year.after flowering, the ramets produced two rhizome buds at the shoot base. Bacause of the apical dominance in the rhizome system, a new rhizome was developed from only one bud, an actual bud,and the other latent buds were suppressed sothat remained dormant. The latent dud produced a new rhizome only when the actual dud was severed by the herbivores or by the physical obstacles. Therefore, the ramet number is not increased by the new rhizome from the latent bud. however, new ramets dould sometimes grow from latent buds which had been produced more than a year ago. Production of these ramets was main means increasing the ramet numbew and widening the potential zone of exploitation. Changes in size class of each ramet were noyiceable after a tear in small size-classes. Small ramets replaced themselves with larger-sized ramet, while large ramets with similar-sized or smallar-sized ramets. ramet numbers were average 0.82and 1.14 times of those fromthe previous year inp. involucratum and p. humile, though there was between-site variation. Almost all the ramets in the quadrats were alive during the growing season. when the entire rhizome systems were excavater next spring, there were many rhizomesegments without shoots, especially in p. involucratum. therefore, the drcrease of ramet number in p. involucratum in probably due to the climatic factors of winter.

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First Annulus Formation and Age Determination for Otoliths of Chub Mackerel Scomber japonicus (고등어(Scomber japonicus) 이석의 초륜 형성 및 연령 사정)

  • Kang, Sukyung;Jung, Kyung-Mi;Cha, Hyung Kee
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.48 no.5
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    • pp.760-767
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    • 2015
  • First annulus formation and age determination of otoliths were examined for chub mackerel Scomber japonicus collected in Korean waters over the one year from January to December in 2009. Translucent zone was regarded as an annual mark. Age interpretation criteria was based on the data of the number of translucent zone, capture date, and edge type of the otolith, assuming the nominal birthday to be 1 January. Monthly changes in mean marginal index indicated that translucent zone was formed once a year, mainly in June. The otolith of 0-ring group was detected comparing the progression by month of the smaller fish length, appearing to be a single first opaque zone. The average distance from the core to the first translucent zone was ~1.77 mm, provided as supplementary information to increase ageing accuracy. The ageing criteria for chub mackerel was made to determine correct year-class with the purpose of effective stock assessment. This method using nominal birthdate and edge type analysis could estimate age of fish closer to the true age than purely counting the number of translucent zone on a whole otolith.

Clustering Characteristics and Class Hierarchy Generation in Object-Oriented Development (객체지향개발에서의 속성 클러스터링과 클래스 계층구조생성)

  • Lee Gun Ho
    • The KIPS Transactions:PartD
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    • v.11D no.7 s.96
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    • pp.1443-1450
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    • 2004
  • The clustering characteristics for a number of classes, and defining the inheritance relations between the classes is a difficult and complex problem in an early stage of object oriented software development. We discuss a traditional iterative approach for the reuse of the existing classes in a library and an integrated approach to creating a number of new classes presented in this study. This paper formulates a character-istic clustering problem for zero-one integer programming and presents a network solution method with illustrative examples and the basic rules to define the inheritance relations between the classes. The network solution method for a characteristic clustering problem is based on a distance parameter between every pair of objects with characteristics. We apply the approach to a real problem taken from industry.

A Study on the Consciousness of Dental Technicians about the Courses of Dental Technology Dept., Junior College, Korea (한국(韓國) 치과기공사(齒科技工士)들의 전문대학(專門大學) 치기공과(齒技工科) 교육(敎育)에 대한 의식구조(意識構造) 조사(調査) 연구(硏究))

  • Choi, Un-Jea
    • Journal of Technologic Dentistry
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    • v.19 no.1
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    • pp.63-89
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    • 1997
  • This survey aimed at the analysis of the consciousness of the dental technicians on the college education ; 205 dental technicians who graduated the relavant school answered. Following is the result of the analysis with its ststistcal number. 1. About the time when they chose their major, 84 people(41.1%) answered the prepartion period for the college. And, 74(36.1%) said that they applied on their own thought to their major. The reason why they chose it was first the prosperity expected in the near future, 93(45.4%) replied. 2. 161(78.5%) were satisfied with their college days. On the other hand, the most regretful one those days, 69(33.7%) answered, was the scarcity of the study seminar. 3. About the exercise courses, 120(58.6%) showed dissatisfaction, and 66(32.3%) people of the dissatisfied pointed out the lack of the instruments. 4. The suitable number in a class, 124(60.5%) supported, is 20 heads. The appropriate period of education was said three years by 71(34.6%), four years 53(25.9%) and the extension to the graduate school by 41(20.0%) 5. About the tips for the professors, 147(71.7%) proposed they would research and lecture further more. To the college administration, 116(56.5%) suggested it should accomo-data enough instruments for practicing.

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Exhaust Plasma Characteristics of Direct-Current Arcjet Thrusters

  • Tahara, Hirokazu
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2004.03a
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    • pp.327-334
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    • 2004
  • Spectroscopic and electrostatic probe measurements were made to examine plasma characteristics with or without a metal plate for a 10-㎾-class direct-current arcjet Heat fluxes into the plate from the plasma were also evaluated with a Nickel slug and thermocouple arrangement. Ammonia and mixtures of nitrogen and hydrogen were used. The NH$_3$ and $N_2$+3H$_2$ plasmas in the nozzle and in the downstream plume without a plate were in thermodynamical nonequilibrium states. As a result, the H-atom electronic excitation temperature and the $N_2$ molecule-rotational excitation temperature intensively decreased downstream in the nozzle although the NH molecule-rotational excitation temperature did not show an axial decrease. Each temperature was kept in a small range in the plume without a plate except for the NH rotational temperature for NH$_3$ gas. On the other hand, as approaching the plate, the thermodynamical nonequilibrium plasma came to be a temperature-equilibrium one because the plasma flow tended to stagnate in front of the plate. The electron temperature had a small radial variation near the plate. Both the electron number density and the heat flux decreased radially outward, and an increase in H$_2$ mole fraction raised them at a constant radial position. In cases with NH$_3$ and $N_2$+3H$_2$ a large number of NH radical with a radially wide distribution was considered to cause a large amount of energy loss, i.e., frozen flow loss, for arcjet thrusters.

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Circle Detection Using Its Maximal Symmetry Property

  • Koo, Ja Young
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.6
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    • pp.21-28
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    • 2016
  • Circle detection has long been studied as one of fundamental image processing applications. It is used in divers areas including industrial inspection, medial image analysis, radio astronomy data analysis, and other object recognition applications. The most widely used class of circle detection techniques is the circle Hough transform and its variants. Management of 3 dimensional parameter histogram used in these methods brings about spatial and temporal overheads, and a lot of studies have dealt the problem. This paper proposes a robust circle detection method using maximal symmetry property of circle. The basic idea is that if perpendicular bisectors of pairs of edges are accumulated in image space, center of circle is determined to be the location of highest accumulation. However, directly implementing the idea in image space requires a lot of calculations. The method of this paper reduces the number of calculations by mapping the perpendicular bisectors into parameter space, selecting small number of parameters, and mapping them inversely into image space. Test on 22 images shows the calculations of the proposed method is 0.056% calculations of the basic idea. The test images include simple circles, multiple circles with various sizes, concentric circles, and partially occluded circles. The proposed method detected circles in various situations successfully.