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Congenital Quadricuspid Aortic Valve (선천성 사엽성 대동맥판막)

  • Na Chan-Young;Oh Sam-Sae;Whang Seong Wook;Lee Cheul;Kim Jae Hyun;Seo Hong Ju;Baek Man-Jong
    • Journal of Chest Surgery
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    • v.38 no.2 s.247
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    • pp.164-167
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    • 2005
  • Quadricuspid aortic valve is a rare congenital abnormality but it is well recognized as the cause of significant aortic regurgitation. We describe 5 patients who underwent surgery for severe aortic regurgitation associated with quadricuspid valve. In all patients, this abnormality had been incidentally detected during surgery. Two of the patients had infective endocarditis. In accordance with the Hurwitz and Roberts classification, two valves were type d, two were type a, and one was type c.

Characteristics of Electroantennogram Parameters for the Detection of Odorants

  • Yun, Eung-Sik;Ko, Hwi-Jin;Sun, Jong-Hwan;Park, Tai-Hyun
    • Journal of Microbiology and Biotechnology
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    • v.10 no.6
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    • pp.885-888
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    • 2000
  • Electroantennogram(EAG) can be applied to detect odorants since insects have highly specialized olfactory receptors inside their antennae. The characteristics of EAG parameters were investigated for the quantitative measurement of a general odorant using ammonia as a model odorant. The antennae of male silkworm moth, Bombyx mori, were used for the EAG. The electical signal curves generated from a pair of antennae originating from the same silkworm moth were never identical; however, they exhibited a typical type I or type II characteristic curve pattern for every pair of antennae. The correlation between the EAG parameters and the ammonia concentration was analyzed for the type I and type II antennae. The stability of each parameter was also investigated for each type of antenna. The results show the possibility of the quantitative measurement of general odorants using the EAG technique.

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Phase II Study of Preoperative Intra-Arterial Epirubicin, Etoposide, and Oxaliplatin Combined with Oral S-1 Chemotherapy for the Treatment of Borrmann Type 4 Gastric Cancer

  • Xiang, Xiao-song;Su, Yu;Li, Guo-li;Ma, Long;Zhou, Chang-sheng;Ma, Ru-feng
    • Journal of Gastric Cancer
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    • v.20 no.4
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    • pp.395-407
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    • 2020
  • Purpose: A phase II study was conducted to evaluate the safety and efficacy of preoperative, intra-arterial perfusion of epirubicin, etoposide, and oxaliplatin combined with oral chemotherapy S-1 (SEEOX) for the treatment of type 4 gastric cancer. Materials and Methods: A single-center, single-arm phase II trial was conducted on 36 patients with histologically proven type 4 gastric cancer without distant peritoneal or organ metastasis. Patients received 3, 21-day courses of SEEOX preoperative chemotherapy. The primary endpoint was overall survival (OS) and the secondary outcomes assessed were chemotherapeutic response, radical resection rate, pathological regression, toxicities, postoperative morbidity, and mortality. Results: All patients were at an advanced stage of cancer (stage III or IV) and completed the entire course of treatment. Based on changes in tumor volume and peritoneal metastasis, the objective response rate was 55.6% (20/36; 95% confidence interval [CI], 38.5%-72.6%) and the disease control rate was 69.4% (25/36; 95% CI, 53.6%-85.3%). The radical resection rate was 75% (27/36; 95% CI, 60.1%-89.9%) and the proportion of R0 resections was 66.7% (21/36; 95% CI, 50.5%-82.8%). The pathological response rate was 33.3%, of which 13.9% showed complete pathological regression. The median survival was 27.1 months (95% CI, 22.24-31.97 months), and the 2-year OS was 48.5% (95% CI, 30.86%-66.1%). Conclusions: Preoperative SEEOX is a safe and effective treatment for type 4 gastric cancer. Based on these preliminary data, a phase III study will be conducted to confirm the superiority of this regimen over standard treatment.

The Importance of On-line Store Characteristics Depending on On-line Store Type (온라인 의류 점포유형에 따른 점포속성 중요도)

  • Kim, Eun-Sook;Kim, Mi-Young
    • Journal of the Korean Society of Clothing and Textiles
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    • v.31 no.8
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    • pp.1310-1320
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    • 2007
  • This study investigated the differences in the importance of store characteristics depending on on-line clothing store type and consumer age. The questionnaires were given to female residents in the ages between 20-39 in Seoul and Kyung-gi province during October 2006. The results were summarized as follows: 1. By analyzing the differences in importances of on-line store characteristics factors it was found that buying process service factor and product searching system factor were important in on-line general merchandise store. and buying process service factor and product factor(all the factors, such as store credit, product, screen-displayed design, searching and approaching system, customer management service) were important in on-line specialty store. 2. By analyzing the differences in importances of on-line store characteristics depending on the store type, buying process system such as refund policy, shipping, high-speed payment and rapid searching, screen-displayed design system, approaching and searching system were more important in on-line general merchandise store when comparing to specialty store. It also showed that the consumer considered the reputation of the store and its image more important in on-line general merchandise store. 3. By analyzing the differences in of on-line clothing store importance depending on age, in the case of on-line general merchandise store, it showed that people in their thirties regarded buying process service factor more important than twenties, and when it came to the product and searching system, it was vice versa. Twenties had a tendency to consider the aspect of product important and, relatively, thirties regarded searching and approaching system factor important. in the case of specialty store. It was found that women in their twenties had a tendency to consider product factor more important.

Allergic reactions to local anesthetic mepivacaine in dental procedures: a case report

  • Yoonhyoung Nam;Seyeon Min;Wonse Park;Kee-Deog Kim
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.3
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    • pp.173-177
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    • 2023
  • Local anesthetics are an essential part of pain control during dental treatment. Despite its effectiveness and safety, patients should constantly be aware of potential adverse effects, including allergic reactions. Allergic reactions to amide-type local anesthetics (LAs), such as lidocaine and mepivacaine, are rare compared to those to ester-type LAs. Herein, we report the case of a patient with a history of allergy to lidocaine and mepivacaine, with symptoms of itching, diffuse erythema of the wrists and hands, dizziness, and pectoralgia. This case report emphasizes the importance of collecting medical and dental histories of patients is necessary, and how an allergy test in the allergy and clinical immunology department helps select safe LAs for patients.

Hatchet-type Gluteus Maximus Musculocutaneous Flap for Reconstruction of Sacral Pressure Sore

  • Bae, Sang Wook;Lim, Tae Kang;Kim, Hyong Suk;Song, Baek Yong
    • Archives of Reconstructive Microsurgery
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    • v.23 no.1
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    • pp.25-28
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    • 2014
  • One of the most frequently used flaps for coverage of sacral skin and soft-tissue defects is the gluteus maximus musculocutaneous flap. These authors encountered two cases of sacral pressure sore, for which reconstructive surgery was performed, using the hatchet-shaped gluteus maximus musculocutaneous flap - a modified flap type. We report on our experience in treatment of these two cases, with an excellent outcome.

Comparative Analysis of the Job Satisfaction by Personality Types of General Hospital Workers (의료기관 근로자의 성격유형별 직무만족 비교 분석)

  • Jong-Hyun, Yang
    • Korea Journal of Hospital Management
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    • v.27 no.4
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    • pp.1-12
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    • 2022
  • Purposes: This study is comparative analysis of the job satisfaction by enneagram personality types of general hospital workers. Methodology: The data were collected from 312 workers of 3 general hospitals using standardized questionnaires. Personality types were examined using the enneagram, and job satisfaction was analyzed according to personality 9 types. Findings: In all personality types, it was found that communication had the most important influence on job satisfaction. In 1 type, reward system, working environment·welfare, and communication had a significant positive(+) effect on job satisfaction. In 7, 9 types, empowerment and communication had a significant positive influence on job satisfaction. Practical Implications: According to the personality type of the hospital workers, job satisfaction factors were found to be different. These results are expected to be important reference materials for human resources management in hospitals.

Comparison between Screw Fixation and Modified Tension Band Wiring for Medial Malleolar Fracture (족관절 내과 골절에 대한 금속나사고정술과 변형 긴장대고정술의 임상적 비교)

  • Ko, Sang-Hun;Park, Young-Jun;Jeong, You-Young;Kim, Woo-Suk
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.1
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    • pp.54-59
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    • 2002
  • Purpose: To compare the clinical results between the screw fixation and modified tension band wiring in the treatment of medial malleolar fracture. Materials and Methods: From September 1998 to April 2002, 52 patients were treated by screw fixation and 43 patients were treated by modified tension band wiring for medial malleolar fracture. Results: Accoding to Lauge- Hansen classification, there were 28 cases of supination-external rotation type (53.8%), 9 of supination-adduction type (17.3%), 8 of pronation -external rotation type (15.4 %), 7 of pronation -abduction type (13.5 %) in screw fixation group and 21 (48.9%),11 (25.6%), 7 (16.3%) 4 (9.3%) of each type in tension band wiring group. The average time to union was 15.7 weeks in screw fixation group and 12.8 weeks in tension band wiring group.(p<0.05) In the functional outcome (according to Meyer and Kumler), 29 patients treated (76.2 %) with screw fixation showed excellent results and 34 patients (86.6%) treated with tension band wiring had excellent results (p<0.05). Conclusion: We concluded that more satisfactory result could be obtained with modified tension band wiring compared with screw fixation in the treatment of the medial malleolar fracture.

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Limited Internal Fixation and External Fixation of the Pilon Fractures (제한적 내고정술 및 외고정술을 이용한 경골 Pilon 골절의 치료)

  • Choi, Won-Tae;Eom, Doo-Seob;Lim, Young-Taeg;Yoo, Hyun-Jong;Jeong, Sang-Don
    • Journal of Korean Foot and Ankle Society
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    • v.3 no.1
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    • pp.26-32
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    • 1999
  • Fractures of the tibial pilon are the severe injuries to the ankle joint resulted from axial compression, shear and/or rotational forces. The pilon fractures have been difficult in management due to the severe comminution of articular surface and frequent soft tissue problem. Among many treatment options, limited internal fixation of the tibia with long screws and multiple pins augmented with external fixation or casting provide adequate stabilization without soft tissue compromise. Among the patients of pilon fracture admitted to our hospital from March 1993 to March 1997 who treated by limited internal fixation and external fixation or casting, 25cases are included who could be follow up for more than 10months. According to Ruedi and Allgower, typeI 3cases, typeII 14cases, typeIII 8cases. The authors analyzed the clinical and radiological results of the tibial pilon fractures according to Magnusson. The results were as follow. 1. 10cases at Ruedi-Allgower typeII were obtained above fair and 5cases at Ruedi-Allgower typeIII were obtained above fair. 2. The postoperative complications were skin problem(3cases) and infection(2cases), which were treated by antibiotics and flap surgery.

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