• Title/Summary/Keyword: early operation

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The Effects of Estimation Activities on Operation and Measurement Abilities of Children (어림하기 활동이 유아의 수 연산과 측정 능력에 미치는 효과)

  • Chung, Chung-Hee;Choi, Hyo-Jung;Kwon, Mi-Jung
    • Korean Journal of Child Studies
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    • v.30 no.1
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    • pp.109-125
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    • 2009
  • This study examined the effects of estimation activities on children's operation and measurement abilities. Subjects were 60 five-year-old children. This experiment used the untreated control group design with pretest and posttest. Instruments used to collect data were the Number and Operation and Measurement tests part of the Test of Mathematics Ability for Young Children (TMAYC) developed by Hong, Lee and Chung (2006). ANCOVA was employed for statistical analysis. Results of the posttest showed that children in the experimental group scored significantly higher on children's operation and measurement abilities than the control group. Results imply that an estimation program can be an effective teaching model for improving children's operation and measurement abilities.

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Development of Simulation Model Based Optimal Start and Stop Control Daily Strategy (시뮬레이션 모델기반 냉난방 설비 일별 최적 기동/정지 제어기법 개발)

  • Lee, Chanwoo;Koo, Junemo
    • Journal of the Korean Society for Geothermal and Hydrothermal Energy
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    • v.14 no.1
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    • pp.16-21
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    • 2018
  • This work aims to develop a platform to investigate the effect of operation schedules on the building energy consumption and to derive a simulation model based optimal start and stop daily strategy. An open-source building energy simulation tool DOE2 is used for the engine, and the developed simulation model is validated using ASHRAE guideline 14. The effect of late-start/early-stop operation of HVAC system on the daily building energy consumption was analyzed using the developed simulation model. It was found that about 10% of energy consumption cut was possible using the control strategy for an hour of advance of the stop operation, and about 3% per an hour of delay of the start operation.

Launch Site Activities for the Launch of an Earth Observation Satellite

  • Im, Jeong-Heum
    • The Bulletin of The Korean Astronomical Society
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    • v.37 no.2
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    • pp.195.1-195.1
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    • 2012
  • Korea Aerospace Research Institute has developed an earth observation satellite whose primary mission objective is to provide high resolution electro optical earth images for Geographical Information Systems (GIS) establishment and the applications for environmental, agriculture and ocean monitoring. It was successfully launched into its mission orbit by using a commercial launch vehicle on 18th of May, 2012. This paper describes a series of launch activity at the launch site including its transportation to the launch site. Before conducting the launch site operation, satellite operation plane was prepared. Combining the satellite operation plan and launch vehicle activities, an integrated launch site operation plan and schedule have been drawn up. After arrival of the spacecraft at the launch site, post-ship check out has been conducted. And then it was fuel loaded and integrated with launch vehicle hardware. After completion of final electrical check out, count down procedure was executed. on 18th of May, it was launched into the space and was separated from the launch vehicle as planned. About 3 months of early operation and calibration/validation, now the satellite is conducting its normal mission.

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The Extracardiac Fontan Operation in Adult -A case report- (성인에서의 심외도관 Fontan 수술 - 1예 보고 -)

  • 배윤숙;정승혁;정성철;김우식;윤소영;이정호;김병열
    • Journal of Chest Surgery
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    • v.37 no.1
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    • pp.72-75
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    • 2004
  • The Fontan operation is commonly practiced for the physiologic correction of univentricular heart diseases. However, for the patients who have risk factors against this operation, it is recommended to take the initial palliative operation rather than going to the Fontan operation at once. The proper timing to the Fontan operation after palliation is decided by assessing several factors such as patient's age and other risks of maintaining palliative state, etc. Usually, the Fontan operation is done relatively early after palliation stage. Here, we report a 36 years old-adult-female with univentricular heart disease who underwent the successful Fontan operation at 17 years after unidirectional Glenn procedure.

Treatment Results of Early Laryngeal Carcinoma (조기후두암의 치료 성적)

  • Kim Kwang-Hyun;Sung Myung-Whun;Yun Ja-Bock
    • Korean Journal of Head & Neck Oncology
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    • v.12 no.2
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    • pp.206-211
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    • 1996
  • On 147 patients with early laryngeal cancer undertaken surgery or radiation therapy at Seoul National University Hospital from January 1987 through December 1994, retrospective analysis with reviewing the medical record was performed. The number of recurred cases was twenty six. The recurrence rate was higher in the cases with radiation therapy than in those with surgical therapy. And the recurrence rate was remarkable in the cases with T2 in supraglottic cancer and in those with T1 in glottic cancer. Of the patients undertaken surgery, recurrence rate was higher in the patients with laser operation than in those with other procedures. It was, however, lower in the patients with laryngofissure with cordectomy than in those with other surgical techniques. The overall three year disease free survival rate was 72 % in early laryngeal carcinoma.

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Case Report of Early Esophageal Carcinoma (조기 식도암 치험 1례 보고)

  • 김경훈
    • Journal of Chest Surgery
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    • v.28 no.1
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    • pp.85-89
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    • 1995
  • The early esophgeal carcinoma is limited to the mucosa or submucosa without lymph node metastsis which shows good 5-years survival rate. It is nearly 85-90% nowadays,if we just find and manage it.It is really helpful to use the endoscope in management and diagnosis, in addition the biopsy under the endoscopic finding.We experienced one case of early esophageal carcinoma. The patient was 57years old female,who ingested lye 27years ago for suicidal attempt, after 10years, the dysphagia was aggravated slowly. Before admission dysphagia was severely aggravated during 2months. Confirmation of diagnosis was made by endoscopic biopsy.Operation method was substernal colon bypass and total esophagectomy through right thoracotomy. Postoperative course was smooth.We report early esophgeal carcinoma related to lye stricture that was detected by the method of endoscopic examination and biopsy. It is important to screen the patients with longstanding history of benign esophageal stricture by the endoscopic biopsy.

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What is the Prognosis for Early Gastric Cancer with pN Stage 2 or 3 at the Time of Pre-operation and Operation (pN2 이상인 조기위암 환자의 수술 전과 수술 중의 평가)

  • Kim, Chan-Young;Lee, Se-Yul;Yang, Doo-Hyun
    • Journal of Gastric Cancer
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    • v.6 no.2
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    • pp.114-119
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    • 2006
  • Purpose: The purpose of this study is to determine whether it is possible to evaluate patients with pN2 or pN3 early gastric cancer (EGC) as being in an advanced stage before and during the operation. Materials and Methods: 4,430 patients underwent a gastrectomy for cancer from 1990 to 2003. Eight of the 552 patients with EGC included pN2 or pN3. The estimated clinical and surgical stage before and during the operation were compared to the pathological results, and a follow-up of progression was done. Results: The patients were evenly distributed among all age groups with seven men and one woman. The pre-operative estimate of T1 by CT was 25% (2/8). In the main, the cT stage was over estimated. The estimate of over N2 was 50% (4/8). One patient was preoperatively staged as la sT1 during operation was 57.1% (4/7), and the estimate of over N2 was 67% (4/6). Two patients were intraoperatively evaluated as Ia. Only one patient survived over 5 years, and the mean survival of these patients was 15 months $(95%\;Cl:\;0{\sim}35.5)$. Conclusion: It was generally possible to evaluate patients with EGC of over pN2 as being in an advanced stage before and during the operation. Although very rare (2/552, 0.04%), there were EGC patients whose stages were not predictable at all. Therefore, more precise preoperative and intraoperative staging methods are warranted.

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Effect of Diltiazem Cardioplegia on the Myocardial Protection and Functional Recovery of the Isolated Perfused Rat Heart (적출된 작업성 쥐심장에서 Diltiazem 심정지액이 심근보호 및 심근기능 회복에 미치는 영향)

  • 최종범
    • Journal of Chest Surgery
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    • v.21 no.6
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    • pp.970-978
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    • 1988
  • There is tendency of increasing number and decreasing age of patients who are indicated for Rastelli operation for their cyanotic congenital heart disease. So there is the need to find the criterion which saves the patients from early postoperative hemodynamic disturbances. We reviewed the 26 patients who had been performed Rastelli operation at Seoul national University Hospital from January 1981 to June 1988. mean age of the patients was 7.8*3.4 years[range 2.5-15years], mean body surface area[BSA] 0.79*0.25m2[range 0.49-1.51m2] and mean hematocrit 57.95*12%[range 48-80%]. We divided these patients into survived group and died group before postoperative 72 hours, and analyzed preoperative arterial oxygen saturation[SaO2], the ratio of diameter of right pulmonary artery to ascending aorta[RPA/AA], the ratio of both right and left pulmonary artery diameter to descending thoracic aorta[RPA+LPA/DTA], pulmonary artery index[PA index], cardiopulmonary bypass time, aorta cross-clamping time, postoperative perfusion state and total amount of dopamine infused postoperatively. The results showed that RPA+LPA/DTA and PA index were statistically significant factors to influence early postoperative cardiac death rate[P< 0.05]. Especially there were good linear correlations between PA index[X] and peripheral perfusion index[Y][Y= - 1.15+0.02 X, r=0.86, P<0.01]and between PA index[X] and total amount of dopamine infused before postoperative 72 hours[mg/kg, Y][Y=61.94 - 0.15 X, r=-0.80, P < 0.01]. Also there were tendencies that the higher RPA+LPA/DTA[Y], the better peripheral perfusion [X] and the lower need of dopamine[X], but no statistical significance.[Y=0.78+1.60 X, r =0. 49, P >0.05] And the discriminate analysis showed that patients with PA index over 221 mm2/BSA could undergo correction with 25 per cent of error rate. In conclusion, early postoperative hemodynamic states could be predicted by preoperatively measured PA index, and which can be used as a criterion for Rastelli operation performed on cyanotic congenital heart disease.

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Nationwide Gastric Cancer Report in Korea (전국 위암 등록사업 결과 보고)

  • Yang, Han-Gwang
    • Journal of Gastric Cancer
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    • v.2 no.2
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    • pp.105-114
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    • 2002
  • In this study, the Korean Gastric Cancer Association collected 12,152 gastric cancer patients (5,380 in 1995, 6,772 in 1999) from 29 hospitals. Twelve clinicopathological factorssex, age, operation date, tumor location, size, operation method, gross type of early gastric cancer, Borrmann type, depth of invasion, lymph node metastasis, distant metastasis, stage-were summarized in a database file and analyzed. Chronological change has been evaluated between the patients in 1995 and those in 1999. Proportion of early gastric cancer has been increased from $28.6\%$ in 1995 to $32.8\%$ in 1999. The UICC staging was $25.3\%$ (1995), $29.3\%$ (1999) for stage Ia, $12.7\%,\;13.9\%$, for stage Ib, $15.7\%,\;14.8\%$, for stage II, $15.2\%,\;13.2\%$, for stage IIIa, $8.2\%,\;6.3\%$, for stage IIIb, and $20.1\%,\;18.1\%$, for stage IV. The operation of each year was subtotal gastrectomy ($67.6\%,\;67.3\%$), total gastrectomy ($26.6\%,\;24.1\%$), proximalgastrectomy ($0.3\%,\;3.6\%$), wedge resection ($0.1\%,\;0.5\%$), bypass surgery ($2.3\%,\;1.8\%$), and open biopsy ($3.1\%,\;2.7\%$). In early gastric cancer, type IIc was the most common ($44.5\%$ in 1995, $42.8\%$ in 1999). The incidence of upper one-third cancer was slightly increased in 1999 ($12.5\%$) than 1995 ($11.2\%$), which is reflected in the increased prox-imal gastrectomy in 1999 (207 cases, $3.6\%$). There was no significant difference between either groups regarding the regional differences.

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