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Surgical Treatment of Ventricular Septal Defect Associated with Aortic Insufficiency (대동맥판 폐쇄부전을 동반한 심실중격결손의 외과적 치료)

  • 허동명
    • Journal of Chest Surgery
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    • v.24 no.2
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    • pp.135-142
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    • 1991
  • From January 1980 to December 1989, thirteen patients underwent operation for ventricular septal defect associated with aortic insufficiency in Kyungpook national university hospital. Ten male and three female patients ranged in age from 3 years to 25 years, with an average age of 11.5 years. Aortic cusp prolapse was found in eight cases[61.5%]. The aortic regurgitation was classified by Sellers` method with grade I in 2 cases, grade II in 9 cases, and grade III in 2 cases. Direct suture or patch repair of ventricular septal defect was performed through the right ventricle. Eight cases were treated only by closure of VSD, 3 cases by plication, but two of the letter were reoperated due to the persistent of aortic regurgitation and fungal endocarditis respectively. Aortic valve replacement were performed in 2 cases at the first operation. There was only one late death[7.7%], which was caused by postoperative fungal endocarditis. Follow-up for twelve patients except one death were followed up for 3 months to six years after operation. Residual aortic regurgitation was noted in six cases[46.2%], but the postoperative course of them were uneventful.

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Development of Landscape Resource Assesment Systems of Jeju Island's Stonewall Fencing Farming Land for the Introduction of Direct Payment System of the Landscape Preservation and its Application (제주밭담의 경관보전직불제 도입을 위한 경관자원(제주밭담) 평가시스템 구축과 적용)

  • Ko, Seong-Bo
    • Journal of Korean Society of Rural Planning
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    • v.13 no.3
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    • pp.123-133
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    • 2007
  • The purpose of this study is to develop the landscape resource assessment system(LRAS) to help evaluate the value of landscape resources(Jeju Island's Stonewall fencing farming land) for the introduction of direct payment system of the landscape preservation objectively and to applicate the model in the fields. Delphi survey on Jeju's stonewall experts shows that the order of priority among value evaluation elements on Jeju's stonewall is its harmony with surroundings(34%), the preservation of its original state(34%) and its density and scale(32%). Evaluation system development of landscape resources(Jeju's stonewall fencing filming land) and field observation survey utilizing it consists of the following five steps. Step 1 includes the first Delphi survey on Jeju's stonewall experts to decide its value evaluation elements and their priority. Step 2 is the second Delphi survey on Jeju's stonewall experts to grade pictures of landscape resources(Jeju's stonewall fencing farming land) on the basis of expert-proposed value evaluation standards. Step 3 consists of analysis work using the result of Delphi survey on experts. Step 4 is to select five grade standard pictures according to each of three grading elements of A, B, C belonging to each of the three standards. Then, it is necessary to make panels including five A-grade pictures, five B-grade pictures and five C-grade pictures according to each of the three elements of density, harmony, and original state preservation. Step 5 consists of field observation survey. According to the result of few experts' value evaluation of stonewall fencing farming land with the aid of NRAS developed in this research, the area of Pyeongdae-ri is ranked first, and then the area of Bukcheon-ri, Chocheon-up, the area of Gwakgi-ri, Ewol-up, the area of Shinum-ri, Ewol-up and the area of Yongsu-ri, hankyung-Myun are ranked in the order named. When those areas are graded, A Grade Areas includes the areas of Pyeongdae-ri, the area of Bukcheon-ri, the area of Gwakgi-ri, B Grade Areas consist of the area of Shinum-ri and the area of Yongsu-ri, and the areas of Onpyeong, wimi and youngrak belong to C Grade Area.

A Study of Primary School Students' Practicing Safety Procedure during Their School Life (초등학생들의 학교안전생활 실천에 관한 실태조사 연구)

  • Park, Pil-Nam
    • Journal of the Korean Society of School Health
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    • v.16 no.2
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    • pp.85-95
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    • 2003
  • This paper surveys and researches primary school students' situation of their school life. The purpose of this paper is to propose the basic information of the accident prevention teaching and the safety management in order to avoid accidents to occur beforehand. We selected m primary students out of the six primary schools in Taebaek City at which the nursing students of Kangwon Tourism College practiced school health. We used SPSS Win for analyzing data. We carne up with the general characteristics and percentage using frequency analysis, mean and standard deviation of each item, the mean difference using T-Test, and the different factors using one-way analysis. The results are as follows: 1. The 6th grade students don't practice safety procedures than the 5th grade students during outside the school. The older the student is, the less it practices safety procedures. 2. Boys practice safety procedures better than the girls during inside and outside the school. 3. Hot -tempered students don't practice safety procedures properly. 4. Most of the students who often use the health room of the school have high scores in safety procedures test and as a result, these students practice safety procedures thoroughly. 5. The grade of safety living activity is the highest during gymnastic class. Next is when the students use the stairs when they are going up and clown. Then, the use of science room In the playground is the lowest grade of safety for living activity.

The Development of Modular Program for Environmental Values Education (환경가치교육을 위한 모듈식 프로그램 개발)

  • Park, Mie-Jeong;Choi, Byung-Mo
    • Hwankyungkyoyuk
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    • v.16 no.2
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    • pp.51-64
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    • 2003
  • The ultimate objective of environmental education is to develop characteristics of the affective domain being the basis for environmental behavior. As this need, the researchers developed a modular program for environmental values education suited elementary school's actuality. In practice of program development, researchers analyzed the contents of environmental education in current curriculum. Researchers set up development principles of modular program according to the level of elementary moral development. The system of this modular program consists of three levels like environmental awareness, environmental literacy, environmental responsibility, and each module is made up of three subjects representing these levels. So this modular program is classified with three level's modular group like low grade, center grade, and high grade. And set in array after selecting value strategies suited each grade level. The expectant effects of this program for environmental values education are as follows: Students form sound environmental values and attitudes for environment through various strategies that develop environmental awareness and environmental literacy. And those strategies provides various experiences to construct knowledge, value, and attitude about environment by oneself working together with teacher. So teacher and students can utilize easily at school or in nature. Besides, since it relates with single environmental problem from awareness to participation about environment, teachers can conduct elementary environmental curriculum more systematically and effectively.

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Development of the Test Instrument to Assess Students' Progress in Understanding Nature of Science: Based on AAAS Benchmarks for Science Literacy

  • Choe, Seung-Urn;Lee, Eun-Ah
    • Journal of the Korean earth science society
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    • v.24 no.2
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    • pp.93-99
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    • 2003
  • The purpose of this study was to develop a new test instrument based on AAAS Benchmarks for Science Literacy, to assess k-12 students' progress in understanding nature of science (NOS). A total of 276 items were developed including 33 items for grade k-2, 36 items for grade 3-5, 78 items for grade 6-8 and 129 items for grade 9-12 and they were reviewed for validity and reliability. Key ideas that were the foundation of test items were extended, sophisticated and enriched according to the grade level. The general score of this test represents a student's cognitive state about an understanding of NOS. The result of this test can be expected to give some useful information for follow-up investigations, improving instructional design, and conducting further studies.

Necessity of Grade Designation for Location Information (위치정보 등급제 도입의 필요성)

  • Kim Tae-Sung;Yoo Hye-Won;Nam Kwang-Woo
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.31 no.2B
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    • pp.164-173
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    • 2006
  • It is essential to ensure public use of and privacy of location information for promoting the location based services. The grade designation for location information is required to accomplish them. The grade designation for location information can increase the reliability of location information and reinforce the right of choice for user. Therefore the institution of grade designation for location information should be introduced rapidly to keep up with the growth of the location based services industry.

Carcass Traits Determining Quality and Yield Grades of Hanwoo Steers

  • Moon, S.S.;Hwang, I.H.;Jin, S.K.;Lee, J.G.;Joo, S.T.;Park, G.B.
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.7
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    • pp.1049-1054
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    • 2003
  • A group of Hanwoo (Korean cattle) steers (n=14,386) was sampled from a commercial abattoir located in Seoul over one year period (spring, summer, autumn and winter) and their carcass traits were collected. Carcass traits assessed by an official meat grader comprised degree of marbling, meat color, fat color, texture and maturity for quality grade, and back fat thickness, ribeye area and carcass weight for yield grade. A heavier carcass with a higher marbling score, more red meat color and white fat color received better quality grade (p<0.05). Regression analysis showed that the marbling score was the strongest attribute (partial $R^2=0.88$) for quality grade. Lighter carcasses with a thinner back fat and larger ribeye area received higher yield grade score. The back fat thickness was the most negative determinant of yield grade (Partial $R^2=-0.66$). The slaughter season had a little effect on quality and yield grades. As slaughter weight increased, back fat thickness and ribeye area increased linearly, whereas marbling score reached its asymptotic level at approximately 570 kg. As a consequence, quality grade showed a considerable improvement up to 570 kg, but increases in slaughter weight afterward showed a little benefit on quality grade. There was a clear curvilinear relationship between slaughter weight and yield grade in that the yield grade reached its highest point at approximately 490 kg and decreased afterward. These results suggested that 570kg at the age of 24 months might be the economic slaughter weight for quality grade but 490 kg for yield grade.

Gamma Knife Radiosurgery for Low Grade Glioma - Long-Term Follow-up Results - (양성 신경교종의 감마나이프 방사선수술 - 장기 추적 결과 -)

  • Chun, Sae Myoung;Lim, Young Jin;Leem, Won;Kim, Tae Sung;Kim, Gook Ki;Rhee, Bong Arm
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.273-280
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    • 2001
  • Objectives : The purpose of this study is to assess the long-term outcome and delayed complications of Gamma Knife radiosurgery for low grade glioma(LGG). Methods : Among 31 patients of LGG who had been treated by using Leksell Gamma Knife between March 1992 and December 1996, we could follow up more than 5 years(range 5-9 years) in 17 patients and evaluated their clinical feature, changes of tumor volume and post-radiosurgical complications. Results : During the mean follow-up period of 7.6 years, the tumor was decreased in 5 patients(29.4%), unchanged in 4(23.5%), increased in 4(23.5%) and recurred in 4(23.5%). The tumor control rate was 52.9%(9/17). We have experienced eighteen postradiosurgical complications in 10 patients(58.8%). Early complication was none and delayed complications included radiation necrosis with cyst in ten cases, bleeding in five, radiation-induced edema in one and malignant transformation in one. Two patients ultimately died as a result of tumor progression during the follow-up period. The mortality rate was 11.7%. Conclusion : Gamma Knife radiosurgery may be useful as an adjunctive therapy for small volume, deep-seated LGG. Although radiosurgery can effectively prevent growth of solid tumor, several delayed complications such as radiation necrosis, cyst formation, bleeding or malignant transformation can develop during the long-term followup period. Because of the possible slow growth rate of LGG and development of the delayed complications, the long-term efficacy of radiosurgery requires further analysis.

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Clinical factors affecting the longevity of fixed retainers and the influence of fixed retainers on periodontal health in periodontitis patients: a retrospective study

  • Han, Ji-Young;Park, Seo Hee;Kim, Joohyung;Hwang, Kyung-Gyun;Park, Chang-Joo
    • Journal of Periodontal and Implant Science
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    • v.51 no.3
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    • pp.163-178
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    • 2021
  • Purpose: The aim of this study was to evaluate clinical factors affecting the longevity of fixed retainers and the influence of fixed retainers on periodontal health in periodontitis patients. Methods: In total, 52 patients with at least 2 years of follow-up after periodontal and orthodontic treatment were included in this study. After scaling and root planing, orthodontic treatment with fixed appliances or clear aligners was performed. Fixed retainers with twist-flex stainless steel wires were bonded to the palatal or lingual sides of anterior teeth. Changes in clinical parameters, including the plaque index, gingival index, calculus index (CI), probing pocket depth, and radiographic bone levels, were evaluated before bonding of fixed retainers and at a 12-month follow-up. Cumulative survival rates (CSRs) for retainer failure were evaluated according to sex, site, CI, stage of periodontitis, and the severity of the irregularity with the log-rank test and hazard ratios (HRs). Results: Twelve months after bonding of fixed retainers, improvements were observed in all clinical parameters except CI and radiographic bone gain. The overall CSR of the retainers with a CI <1 at the 12-month follow-up after bonding of fixed retainers was significantly higher than that of the retainers with a CI ≥1 at the 12-month follow-up (log-rank test; P<0.001). Patients with stage III (grade B or C) periodontitis had a higher multivariate HR for retainer failure (5.4; 95% confidence interval, 1.22-23.91; P=0.026) than patients with stage I (grade A or B) periodontitis. Conclusions: Although fixed retainers were bonded in periodontitis patients, periodontal health was well maintained if supportive periodontal treatment with repeated oral hygiene education was provided. Nonetheless, fixed retainer failure occurred more frequently in patients who had stage III (grade B or C) periodontitis or a CI ≥1 at 12-month follow-up after bonding of fixed retainers.

Necessity of Refining Domestic Limestone (국내(國內) 석회석(石灰石)의 품위(品位) 향상(向上) 필요성(必要性))

  • Kim, Hyung-Seok
    • Resources Recycling
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    • v.20 no.4
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    • pp.3-22
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    • 2011
  • Until recently, domestic high grade limestone have mainly mined so high grade limestone deposits have reduced. Because of exhaustion of high grade limestone, mine of limestone have moved from ground to deep position, the grade of limestone become lower because the amount of impurities and colored mineral increased as mining position become deeper. This paper was described about grade improvement of limestone to make a high grade limestone and suitable quality of limestone products by analysis of ore genesis and characteristics, supply and demand situation, use patterns and application standards of domestic lime-stone.