• Journal of the Korean Orthopaedic Association
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• v.55 no.2
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• pp.143-153
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• 2020

Purpose: To evaluate the timing of the improvement in surgical skills of the direct anterior approach for hip arthroplasty through an analysis of the clinical features and learning curve in 58 cases. Materials and Methods: From November 2016 to November 2018, 58 patients, who were divided into an early half and late half, and underwent hip arthroplasty by the direct anterior approach, were enrolled in this retrospective study. The operation time and complications (fracture, lateral femoral cutaneous nerve injury, heterotopic ossification, infection, and dislocation) were assessed using a chi-square test, paired t-test, and cumulative sum (CUSUM) test. Results: The mean operation times in total hip arthroplasty (26 cases) and bipolar hemi-arthroplasty were 132.1 minutes and 79.7 minutes, respectively, demonstrating a significant difference between the two groups. CUSUM analysis based on the results revealed breakthrough points of the operation time, decreasing to less than the mean operation time because of the 16th case in total hip arthroplasty and 14th case in bipolar hemiarthroplasty. Complications were encountered in the early phase and late phase: five cases of fractures in the early phase, no case in the late phase; eight and two cases of lateral femoral cutaneous nerve injury, respectively; three and two cases of heterotopic ossification, respectively; and one case of dislocation, one case of infection and three cases of others in the early phase. The CUSUM chart for the fracture rate during operation in the early phase revealed the following: five cases fracture (17.2%) in the early phase and no case in the late phase (0%). This highlights the learning curve and the need for monitoring the inadequacy of operation based on the complications. Conclusion: Hip arthroplasty performed by the direct anterior approach based on an anatomical understanding makes it difficult to observe the surgical field and requires a learning curve of at least 30 cases.

• Korean Journal of Human Ecology
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• v.6 no.2
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• pp.15-26
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• 1997

The purpose of this study was to investigate the teacher's and parent's recognition of kindergarten and elementary school about the public education in early childhood education. Especially they included the recognition of concept and necessity, preconsideration, and the direction of future policy of early childhood education to public one. The subjects were 182 teachers and 190 parents in kindergarten and elementary school in Korea. The data was analyzed by Frequency, Percentage, and Chi-Square. The main results were as follows; 1. Teachers and parents defined the concept of public education of the early childhood education as a system which puts a direction in operation and support the finances of national and local government for public and private kindergarten. In addition, teachers and parents thought that the public education was necessary because early childhood was important in developmental aspects. 2. Teachers and parents insisted that the expansion of understanding about public education should be preconsidered and various early childhood programs should be developed. 3. Teachers and parents also agreed that the public education policy should be based on the model and should be progressed sequentially. But they distrusted the current policy.

• Journal of Gastric Cancer
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• v.1 no.1
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• pp.64-67
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• 2001

An exceedingly rare case of perforated early gastric cancer is reported. A 68-year-old man developed peritonitis due to perforation of early gastric cancer. An emergency radical operation was performed and was followed by an uneventful recovery. Histologic examination of the surgical specimen showed type III early gastric cancer composed of a signet ring cell carcinoma. Five years after surgery, the patients was alive with no evidence of tumor recurrence. The rarity of this complication in early gastric cancer is discussed, and a review of the literature is presented.

• Journal of Chest Surgery
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• v.21 no.6
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• pp.957-969
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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 congenita heart disease. So there is the need to find the creiterion which saves the patients from early postoperative hemodynamic disturbances. We reviewed the 26 patients who had been performed Rastelli operation at Seoul national University hOipital from January 1981 to June 1988. mean age of the patients was 7.8 $\pm$ 3.4 years (range 2.5-1.5 years), mean body surface area(BSA) 0.79 $\pm$ 0.25 $m^{2}$(range 0.49-1.51 $m^{2}$) and mean hematocrit 57.95 $\pm$ 12%(range 48-80%). We diveded these patients into survived group and died group before postoperative 72 hours, and analysed preoperative arterial oxygen saturation($SaO_{2}$), the ratio of diameter of fight pulmonary artery to ascending aorta(RA:/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 significatn factors to influence early postoperative cardiac death rate (P<0.05). Especially there were good linear correlations between PA index(X) and perpheral 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 betterperipheral 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 discrimant analysis showed that patients with PA index over 221 $mm^{2}$/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.

• Proceedings of the KSRS Conference
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• 2004.10a
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• pp.464-466
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• 2004

Ranging and 2-way Doppler measurements are very essential source for orbit determination in LEOP (Launch and Early Operation). This paper shows ranging system features of 13M TT &C antenna and test results recently acquired with KOMPSAT-l. Ranging and 2-way Doppler measurements were compared with KOMPSAT-I GPS telemetry data. Through comparison, it was found that constant and accurate ranging measurements are available with 13M antenna system. Ranging and Doppler measurement function is expected to be used for KOMPSAT-1 and KOMPSAT-2.

• 한국방재학회:학술대회논문집
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• 2008.02a
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• pp.119-122
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• 2008

Recently, Geographical Information System (GIS) has been progressed in the fields of not only earth sciences and disaster problems, but also medical sciences, economical and social sciences. the southern region of Mid Niigata Region was attacked by intensive earthquake of M.6.8 on Richter Scale on October 23, 2004. The aim of this study was to improve efficiency of restoration operation for early victims relief. Significant issue is achieving the information processing required in restoration operation by spatial temporal information system.

• Journal of Chest Surgery
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• v.18 no.4
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• pp.549-556
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• 1985

Since the first report on a successful method of correcting tricuspid atresia by Fontan and Baudet in 1971, several alternative surgical techniques have been described. Bjrk`s modification was performed three patients, 3, 8, and 9 years of age, in our Hanyang University Hospital. The diagnoses were tricuspid atresia type lb, tricuspid atresia type lib and d-TGA with huge VSD and valvular PS. None had previous palliative procedures. The patients were operated on with good results. The CVP after operation was 10-14 mmHg and early extubation was done. Postoperatively, none had peripheral edema or ascites. Postoperatively, all three were acyanotic and had improved physical capacity compared with their preoperative status.

• Transactions of the Korean Society of Automotive Engineers
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• v.6 no.2
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• pp.32-42
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• 1998

Lean burn gasoline engine is recognized as a promising way to meet better fuel economy. Lean burn engine is classified into port injection and direct injection(DI), DI is more active technique for improving fuel economy with ultra-lean operation, Nowadays, port injected lean burn engine has been produced by many Japan maker. Also, DI engine is also possible for production owing to improvement in control technique of spray, flow air fuel ratio. DI engine uses either homogeneous stoichiometric mixture or stratified mixture by controlling injection timing to be early or late respectively. HM(homogeneous mixture) is worse than SM(stratified mixture) in view of ultra-lean operation in partical load and Nox reducion by using EGR control. But, HM has advanteges in cold starting and emission reduction during transient operation, This paper describes experimental variables and bench test results of HM GDI engine.

• Journal of the Korean Professional Engineers Association
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• v.19 no.2
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• pp.21-25
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• 1986

Structure-borne noise due to forced vibration which is originated from subway operation and transmitted to buildings in order of rail-wood tie-concrete bed-structure-soil-building foundations-members of building results in social problem of environmental pollution. Moreover this becomes a serious problem because of the increment of surface traffic and subway operation made by meeting traffic system in crowded cities. Since subway is constructed along the principal road or through the residential area and as the worst case may be, building foundations is contact with top part of subway structure, it is possible that vibration resonance results in fatal damage of buildings. And, structure-borne vibration noise due to subway operation at late and early hours have the residents suffer from insonmia, restlessness and so on. Therefore, to satisfy the future need concerning the environmental protection, this report deals with the influence of structure-borne vibration noise on the basis of the characteristics of Seoul Subway System.

• Journal of Korean Neurosurgical Society
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• v.37 no.2
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• pp.141-145
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• 2005

We report five patients of esophageal injuries confirmed by clinical signs and radiological evidences. They include a partial tear and a perforation which were not noticed during the operation, a perforation which was primarily repaired during the operation, and two perforations which occurred during the reoperations for the removal of mal-positioned screws or plate. The partial tear was not repaired. The perforation which occurred during the operation was primarily sutured and didn't receive further treatment. Two perforations which occurred during the reoperations were treated by irrigation, debridement with surgical drainage, and systemic antiobiotics. One who was diagnosed later after the operation showed the poorest outcome and required longest hospital days among our series. Early detection and appropriate treatment of esophageal injury following anterior spinal surgery can only improve the prognosis by preventing secondary complications.