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Long-Term Results of Double Mitral and Aortic Valve Replacement (승모판과 대동맥판 중복치환환자의 장기임상성적)

  • 김종환
    • Journal of Chest Surgery
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    • v.24 no.6
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    • pp.541-546
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    • 1991
  • The Ionescu-Shiley bovine pericardial xenograft valve was the most common cardiac substitute valve at Seoul National University Hospital. Since the follow-up extended for longer than 10 years, a total of and consecutive 107 patients with double mitral and aortic valve replacement using this valve from May 1979 to June 1984 were studied for the long-term clinical results. Their ages were 34.0$\pm$11.9 years at surgery, and eight patients died within 30 days of surgery with operative mortality rate of 7.5%. Ninety-nine early survivors were followed up for a total of 488.1 patient-years[Mean$\pm$SD, 4.9$\pm$2.7 years], and nine died with the linearlized late mortality rate of 1.84% /patient-year[pt-yr]. They experienced major complications: thromboembolism, 0.615% /pt-yr bleeding, 0.205% /pt-yr; endocarditis, l. 639%/pt-yr; overall valve failure, 6.146% /pt-yr; and primary tissue failure, 1.639%/ pt-yr. The actuarial survival rates were 91.4$\pm$2.9% and 89.6$\pm$3.4% at postoperative 5 and 10 years, and the probability of freedom from thromboembolism was 95.8$\pm$2.5% at 10 years. The primary tissue failure began to occur from postoperative 6 years and the probabilities of freedom from structural valve failure were 80.2$\pm$7.9% and 62.3$\pm$12.7% at 8 and 10 years after surgery respectively. Although there was increasing number of patients with valve tissue failure after 6 years, the evidence of expected premature and accelerated valve degeneration among young population was not clear on the age-related analysis. And, no definite cumulative patient groups beyond the various age limits could be suggested for or against the use of this valve.

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An Epidemiological Study on the Accidental Mortality in Various Industries in Busan Area (부산지역 산업인구의 사고사에 관한 역학적인 조사연구)

  • Chung, Young-Sun
    • Journal of Preventive Medicine and Public Health
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    • v.10 no.1
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    • pp.166-175
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    • 1977
  • The author have performed an epidemiological study on the accidental deaths at industry from 1970 to 1975, in order to seek for the preventive measures of industrial accident with the under-standing of its cause and characteristics of the accidental deaths. The obtained results were as follows; 1. Total number of deaths for 6 years were 361 (350 males, 11 females). and the mean death rate was 33.8 per 100,000 industrial workers during 6 years. By the highest as 52.9 was in 1974 and the lowest as 13.7 in 1970. By the industry group, the death rate of Electricity, Gas and Water was 149.3, Construction 83.9 and the lowest was Manufacturing as 18.3. 2. Standardized mortality rate of the cases by the age group showed that 20-29 years old group was 43.0, 40-49 years old group 38.1, 30-39 years old group 32.0, and the lowest as 17.9 was under 19 years old group. 3. The cumulative percentage of the cases by years of service showed that under 6 months was 60.4%, under 1 year 72.9%, under 2 years 83.1%. 4. By the month of occurrence, the highest was 15.8% which occurred in August and the lowest was 5.8% in February. The highest as 19.1% was on Friday and the lowest as 11.9% on Monday by the day of a week. 5. By the causes of accident, car accidents was 28.3%, fall accidents 19.1%, accidents by a crash 9.1% in that order. By the location of injury, head was 44.6%, multiple injuries 33.0%, chest 10.5%, and back was the lowest as 1.9%. The distribution of the cases by nature of injury shelved that cerebral contusion and hemorrhage was 39.4%, fracture and dislocation 33.2%, asphyxia 8.0% in that order. 6. The cumulative percentage of the cases by the duration from injury to death showed that the injuried day was 74.2%, within 3 days after injury 88.5%, within 7 days 96.1%. Therefore most of the cases were occurred within 7 days after injury. 7. Byythe daily mean wages, most of the cases as 91.7% were under 2,000 won, and more 4,000 won was 1.6% merely.

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Soybeans Fermented with Bacillus po/yfermenticus KJS-2 Protects Oplegnathus fasciatus from Iridovirus and Pathogenic Bacterial Infection (Bacillus polyfermenticus KJS-2에서 발효된 콩의 돌돔에 대한 이리도바이러스 및 병원성균에 대한 예방효과)

  • Kim, Kang-Min;Na, Hae-Choon;Park, Jung-Hee;Kang, Jae-Seon
    • Journal of Life Science
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    • v.19 no.6
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    • pp.720-727
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    • 2009
  • Lyophilized powder (BP2FS) of soybeans fermented with Bacillus polyfermenticus KJS-2 (B. polyfermenticus KJS-2) exhibited in vitro antibacterial activities against eight pathogenic bacteria. BP2FS was used as a fodder additive for Oplegnathus fasciatus (0. fasciatus) culture. One group (UFD) of O. fasciatus was fed a commercial fodder, while another group (FD) was fed the same fodder, but including BP2FS ($6{\times}10^{4}$ cfu $g^{-1}$ fodder), two times daily for 120 days. The mean body weight of the FD group (67.29${\pm}$12.62 g) was higher than that of the UFD group (56.56${\pm}$8.21 g) after 120 days. The survival rate of FD was 80% compared to 40% for the UFD group. Cumulative mortalities in the FD and UFD groups were 18.95% and 60.98% respectively. B. polyfermenticus KJS-2 was isolated from the intestines of the FD group and the number of viable colonies was estimated to be $1.04{\times}10^{4}$ cfu $g^{-1}$. Iridovirus and Vibrio vulnificus was detected in the organs of the UFD group but not in the FD group. All of the infected fish showed typical clinical symptoms of hemorrhage in their tail fins. Dissection of the infected internal organs revealed liver congestion and spleen enlargement - typical symptoms caused by iridovirus infection. These results clearly show that BP2FS is highly beneficial in preventing O. fasciatus from iridovirus infection.

Development and Oviposition Characteristics of Protaetia brevitarsis (Coleoptera: Cetoniidae) Fed Fermented Mulberry Sawdust (뽕나무발효톱밥 급여에 따른 흰점박이꽃무지의 발육 및 산란 특성)

  • Moon, Hyung-Cheol;Lim, Ju-Rak;Park, Na-Young;Chon, Hyong-Gwon
    • Korean journal of applied entomology
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    • v.57 no.4
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    • pp.373-379
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    • 2018
  • This study investigated the developmental and ovipositional characteristics of Protaetia brevitarsis individuals that were fed with fermented mulberry sawdust. The developmental periods of larvae were 164.0, 73.3, and 64.8 days at 25, 28, and $30^{\circ}C$, respectively. The maximum larval weight was 2.94 g at $25^{\circ}C$, and the weight of larvae decreased as temperature increased. The average weight of female adults were 0.94, 0.51, and 0.54 g at 25, 28, and $30^{\circ}C$, respectively. The weight of male adults was higher than that of females. The addition of 10% or 30% wheat bran to the fermented mulberry sawdust increased larval weight. It was possible to sell larvae from 75 days after mass rearing, when the cumulative rate of larvae that were heavier than 2.5 g was approximately 75%. The average number of eggs per female was 83.2 at $25^{\circ}C$, and this was the highest in the 5th week. Most of the eggs (73%) were oviposited between 3 and 8 weeks after adults emergence.

Seasonal Phenology of the Cryptic Mealybug, Pseudococcus cryptus (Homoptera: Pseudococcidae) Based on Attraction of Adult Males to a Sex Pheromone Trap (성페로몬 트랩에 유인된 수컷 성충에 의한 귤애가루깍지벌레의 연중 발생특성)

  • Song, Jeong-Heub;Choi, Kyung-San;Hong, Soon-Yeong;Lee, Shin-Chan
    • Korean journal of applied entomology
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    • v.51 no.3
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    • pp.207-213
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    • 2012
  • The cryptic mealybug, Pseudococcus cryptus, has been increasingly damaging citrus, particularly those plants grown in plastic greenhouses. This study was conducted to monitor the seasonal phenology of adult male cryptic mealybugs and to determine the timing for control using a sex pheromone trap. Adult males responded to a synthetic sex pheromone and trap color. An increasing number of males were attracted to the traps with increasing concentrations of sex pheromone up to 5 mg. The males occurred annually four times and had three cohorts at a time due to different overwintering developmental stages. After overwintering the adult males began to in mid-late April. A positive correlation was observed between the number of adult males caught in traps and the mean density per twig of all motile stages except first stage nymphs of the cryptic mealybugs. The peak time for the first nymph to occur was estimated from the maximum attraction time of the males, and the cumulative degree days (DD) was 350 DD, similar with the preoviposition period.

Growth and Cut-Flower Productivity of Spray Rose as Affected by Shading Method during High Temperature Period (차광방법에 따른 고온기 절화용 스프레이 장미의 생장 및 절화 생산성)

  • Cheong, Dong-Chun;Lee, Jin-Jae;Choi, Chang-Hak;Song, Young-Ju;Kim, Hee-Jun;Jeong, Jong-Sung
    • Horticultural Science & Technology
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    • v.33 no.2
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    • pp.227-232
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    • 2015
  • This experiment was carried out to investigate the effects of shading materials (aluminum specific-shading screen and polypropylene non-woven fabric) and shading ratio (50% and 70%) on climatic changes, cut-flower quality, and yield of spray rose cultivars for export during high temperature periods. The daily cumulative solar radiations were higher with the aluminum specific-shading screen, especially with 50% shading compared to polypropylene non-woven fabric. Air temperature and root zone temperature within rockwool media greatly decreased with the aluminum specific-shading screen, but relative air humidity was not different among shading methods. Chlorophyll contents (SPAD values) were slightly higher with aluminum-specific shading screen than with polypropylene non-woven fabric, and were higher with 50% than with 70% aluminum specific-shading screen. Except for 'Lovely Lydia', marketable and exportable yields of all cultivars were higher with 50% than with 70% aluminum shading treatment. In addition, flowers talk length, stem diameter, number of node and 7ea-leaflet, and floret number tended to be better with aluminum specific-shading screen. Flower stalk length was higher with 70% than with 50% aluminum shading treatment. Chromaticity of petals slightly increased, and vase life was 0.5-2.5 days longer for each cultivar with aluminum specific-shading screen than with polypropylene non-woven fabric.

Economic Injury Level of Mamestra brassicae L. (Lepidoptera: Noctuidae) on Early Stage of Cabbage (Brassica oleracea L. var capitata L.) (양배추에서 생육초기 도둑나방의 경제적피해수준 설정)

  • Kang, Taek-Jun;Jeon, Heung-Yong;Kim, Hyeong-Hwan;Yang, Chang-Yeol;Kim, Dong-Soon
    • Korean journal of applied entomology
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    • v.48 no.2
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    • pp.237-243
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    • 2009
  • This study was conducted to develop economic injury level (ElL) and economic threshold (ET) of Cabbage armyworm, Mamestra brassicae L. on cabbage (Brassica oleracea L. var). The changes of cabbage biomass and M. brassicae density were investigated after introduction of larval M. brassicae (2nd instar) at different densities: 0, 1, 2, 4, 8, and 16 larvae per plant at 40 d after planting for an open field experiment, and 0, 2, 5, 8 and 12 larvae per plant at 25 d after planting for a glass house experiment. In the field experiment, the yield loss of cabbage was not significantly different among treated-plots at 30 d after the larval introduction, showing an over-compensatory response of cabbage plants to M. brassicae attack. In the glasshouse experiment, however, the biomass of cabbage at 15 d after the larval introduction significantly decreased with increasing the initial introduced number of M. brassicae, resulting in 38.3, 36.7, 21.7, 23.3 and 16.7g in above treated-plots, respectively. The relationship between cumulative insect days (CID) and yield loss (%) of cabbage was well described by a nonlinear logistic equation. Using the estimated equation, ElL of M. brassicae on cabbage was estimated at 44 CID per plant based on the yield loss 14%, which take into account of an empirical gain threshold 5% and marketable rate 91% of cabbage. Also, ET was calculated at 80% of the EIL: 35 CID per plant. Until a more elaborate EIL-model is developed, the present result may be useful for M. brassicae management at early growth stage of cabbage.

Effect of Root Zone Warming by Hot Water on Rhizosphere Environment and Growth of Greenhouse- grown Oriental Melon (Cucumis melo L.) (온수 지중가온이 참외의 근권환경 및 생육에 미치는 영향)

  • 신용습;이우승;도한우;배수곤;최성국
    • Journal of Bio-Environment Control
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    • v.6 no.2
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    • pp.103-109
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    • 1997
  • This experiment was conducted to investigate the effects of root zone warming on rhizosphere temperature of Oriental melon (Cucumis melo L. var. Makuwa) in winter season. Root zone was warmed by hot water flowing through pipe set at 35cm depth from the ridge. Treatments of minimum soil temperature at 20cm depth were 17, 21, $25^{\circ}C$, and non-warmed from Jan. 18 to Apr. 18. The results are summarized as follows. 1. The cumulative soil temperature for 1 month after planting oriental melon was 441, 558, 648, and 735$^{\circ}C$ at control, 17, 21, and $25^{\circ}C$ plot, respectively. 2. As soil temperature was higher, air temperature in tunnel was higher. The lowest temperature in control plot at night was 9.5$^{\circ}C$, 11.$0^{\circ}C$ in 17$^{\circ}C$ plot, 13.5$^{\circ}C$ in 21$^{\circ}C$ plot, and 16.5$^{\circ}C$ in $25^{\circ}C$ plot, respectively. 3. The xylem exudate amount of control plot for 24 hours just after basal stem abscission was 8.1$m\ell$. It was 1.2 times higher in 17$^{\circ}C$ plot, 1.3 times higher in 21 $^{\circ}C$ plot, and 4.8 times higher in $25^{\circ}C$ plot than in control plot at 30 days after planting. The xylem exudate amount at 67 days after planting of control plot was 10.4$m\ell$, those of 17, 21, $25^{\circ}C$ plots were 1.1, 3.2, and 3.3 times as compared to control plot. 4, Early growth in leaf length, stem diameter, leaf number and leaf area for 30 days after planting were better in higher temperature plots than in control plot. Particularly, the increase of leaf area was striking in higher temperature plots. Leaf area of control plot was 279.5$\textrm{cm}^2$ for 30 days after planting, 153.4% in 17$^{\circ}C$ plot, 745.6% in 21$^{\circ}C$ plot and 879.4% in $25^{\circ}C$ plot were increased as compared to in control plot.

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Determinants of Reduced Bone Mass in Postmenopausal Women with Rheumatoid Arthritis (폐경 후 류마티스 관절염 여성의 골량감소 판별요인)

  • Lee, Eun-Nam
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.2
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    • pp.193-205
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    • 1999
  • This study was carried out to identify the important risk factors for reduced bone mass of postmenopausal RA patients and to develop discriminant function which can classify postmenopausal RA patients with either reduced or normal bone mass. Through the literature review, individual characteristics such as age, body weight, height, age of menarche, duration of menopause, gravity, parity, and breast feeding period and factors of life style such as milk consumption exercise habit, alcohol intake, cigarette smoking, coffee consumpt ion , disease activity, corticosteroid therapy were identified as influencing factors of reduced bone mass in RA patients Sixty eight postmenopausal women with rheumatoid arthritis aged between 42 and 76 were selected among those who checked bone mineral density in lumbar spine and femur from october, 1998 to Apr il, 1999 at Dong-a university hospital in Pusan. Assessment of disease activity, duration of disease and corticosteroid therapy were made by the same rheumatologist and included Ritchie articular index, erythrocyte sedimentation rate, and C-reactive protein on measuring bone mineral density. Cumulative steroid dosage was calculated from the daily dosage multiplied by t h e number of days received. The information of other risk factor including health assessment score, individual characteristics and life style factors were collected by questionnaire. Bone mineral density(BMD) was measured using DXA at lumbar spine and femoral Ward's triangle. Discriminant function(regression equation) was developed for estimating the likelihood of the presence or absence of reduced bone mass. The results are as follows: Among the subjects, thirteen(19.1%) exhibited osteoporosis in lumbar spine and twenty four(35.3%) exhibited osteoporosis in femoral Ward's triangle. For lumbar spine, the variables significant were age, body weight, health assessment score, while for femoral Ward's triangle, age, body weight, duration of disease. But disease activity and corticosteroid therapy were not signigicant to distinguish reduced bone mass from normal bone mass. When the discriminant function was evaluated by comparing the observed out come with predicted out come, the discriminant function correctly classified 85.4% of patients with reduce bone mass and 63.0% of patients with normal bone mass in the lumbar spine and 100% of patients with reduced bone mass and 9.1% of patients with normal bone mass in the femoral Ward's triangle. In summary, we found that osteoporosis in postmenopausal women with RA is more evident at the femur than the lumbar spine. Also the important discriminant factors of reduced bone mass postmenopausal women with RA were age, body weight , duration of disease and health disability. In nursing situation, the efforts to improve of functional capacity of postmenopausal women with rheumatoid arthritis should be considered to prevent osteoporosis and fractures. Also we recommend those postmenopausal women with RA who are classified as a group of the reduced bone mass in the discriminant function should examine the bone mineral density to further examine the usefulness of this discriminant function.

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Measuring the Public Service Quality Using Process Mining: Focusing on N City's Building Licensing Complaint Service (프로세스 마이닝을 이용한 공공서비스의 품질 측정: N시의 건축 인허가 민원 서비스를 중심으로)

  • Lee, Jung Seung
    • Journal of Intelligence and Information Systems
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    • v.25 no.4
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    • pp.35-52
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    • 2019
  • As public services are provided in various forms, including e-government, the level of public demand for public service quality is increasing. Although continuous measurement and improvement of the quality of public services is needed to improve the quality of public services, traditional surveys are costly and time-consuming and have limitations. Therefore, there is a need for an analytical technique that can measure the quality of public services quickly and accurately at any time based on the data generated from public services. In this study, we analyzed the quality of public services based on data using process mining techniques for civil licensing services in N city. It is because the N city's building license complaint service can secure data necessary for analysis and can be spread to other institutions through public service quality management. This study conducted process mining on a total of 3678 building license complaint services in N city for two years from January 2014, and identified process maps and departments with high frequency and long processing time. According to the analysis results, there was a case where a department was crowded or relatively few at a certain point in time. In addition, there was a reasonable doubt that the increase in the number of complaints would increase the time required to complete the complaints. According to the analysis results, the time required to complete the complaint was varied from the same day to a year and 146 days. The cumulative frequency of the top four departments of the Sewage Treatment Division, the Waterworks Division, the Urban Design Division, and the Green Growth Division exceeded 50% and the cumulative frequency of the top nine departments exceeded 70%. Higher departments were limited and there was a great deal of unbalanced load among departments. Most complaint services have a variety of different patterns of processes. Research shows that the number of 'complementary' decisions has the greatest impact on the length of a complaint. This is interpreted as a lengthy period until the completion of the entire complaint is required because the 'complement' decision requires a physical period in which the complainant supplements and submits the documents again. In order to solve these problems, it is possible to drastically reduce the overall processing time of the complaints by preparing thoroughly before the filing of the complaints or in the preparation of the complaints, or the 'complementary' decision of other complaints. By clarifying and disclosing the cause and solution of one of the important data in the system, it helps the complainant to prepare in advance and convinces that the documents prepared by the public information will be passed. The transparency of complaints can be sufficiently predictable. Documents prepared by pre-disclosed information are likely to be processed without problems, which not only shortens the processing period but also improves work efficiency by eliminating the need for renegotiation or multiple tasks from the point of view of the processor. The results of this study can be used to find departments with high burdens of civil complaints at certain points of time and to flexibly manage the workforce allocation between departments. In addition, as a result of analyzing the pattern of the departments participating in the consultation by the characteristics of the complaints, it is possible to use it for automation or recommendation when requesting the consultation department. In addition, by using various data generated during the complaint process and using machine learning techniques, the pattern of the complaint process can be found. It can be used for automation / intelligence of civil complaint processing by making this algorithm and applying it to the system. This study is expected to be used to suggest future public service quality improvement through process mining analysis on civil service.