• Title/Summary/Keyword: second primary

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Reoperation for congenital heart disease (선천성 심장기형에 대한 2차수술로서의 개심술)

  • Ahn, H.;Sung, S.W.;Kim, Y.J.;Roh, J.R.;Suh, K.P.
    • Journal of Chest Surgery
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    • v.19 no.2
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    • pp.280-287
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    • 1986
  • Between March 1978 and August 1985, 29 cases at various congenital heart diseases were reoperated because of remnant shunt of residual anomalies at Seoul National University Hospital. They were consisted of 10 cases of Tetralogy, 4 simple VSD, 6 complicated VSD. 3 partial ECD, and 5 other rare congenital anomalies. The interval between the initial and the second procedure ranged from 1 day to 122 months [mean; 26.9 months]. In 4 cases of them, the second procedure was done during initial hospitalization within 3 weeks post-operatively. The primary operation intended to be corrective surgery except four whose primary operation was palliative or exploratory one even though it was done with extracorporeal circulation. The indication for second operation was mainly residual shunt or valvular obstruction due to patch detachment or inadequate relief of stenotic lesion. Others were paravalvular leak, valvuloplasty failure, prosthetic valve failure, and inadequate primary diagnosis. Four patients were dead [14.3%]; three complicated VSD`s and one Tetralogy. There were 7 cases of nonfatal complication with subsequent improvement except one [diffuse cerebral dysfunction].

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A Long-Term Survival Case of a Primary Malignant Intracerebral Nerve Sheath Tumor

  • Lee, Byung Sun;Kim, Young Gyu;Kim, Dong Ho;Lee, Mou Seop
    • Journal of Korean Neurosurgical Society
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    • v.54 no.3
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    • pp.261-264
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    • 2013
  • We report a long-term survival case of a primary malignant intracerebral nerve sheath tumor (MINST) occurring in the right frontal lobe of a 13-year old boy. After the gross total resection (GTR), we have performed radiation therapy but it recurred 50 months after the surgery, so the second GTR was performed. Later, second tumor recurrence was found 4 months after the second surgery. Subsequently the third GTR, radiotherapy, and chemotherapy were carried out. At present, the patient has been remaining alive for 77 months without evidence of tumor recurrence. According to the previous reports, the primary MINST is very rare : there are only 8 cases reported. It is also a fast-growing, invasive tumor with poor outcome. This is the first case that had no recurrence for 50 months after the surgery among the reported cases that had been followed up for more than 5 years. It is supposed that a period of recurrence free survival after GTR and low mitotic activity are associated with the patient's prognosis. A GTR followed by adjuvant radiation therapy and chemotherapy will be recommended to patients of MINST.

DIFFERENCE IN THE PATTERN OF ECTOPIC ERUPTION BETWEEN MAXILLA AND MANDIBLE : REPORT OF CASE (위치부정맹출(位置不正萌出)에 관(關)한 상하악골(上下顎骨)의 비교관찰(比較觀察) 증례(症例))

  • Sohn, Dong-Su
    • Journal of the korean academy of Pediatric Dentistry
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    • v.8 no.1
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    • pp.21-24
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    • 1981
  • The author observed a case of ectopic erupted maxillary second premolars and impacted mandibular second premolars due to premature loss of the primary second molars. The treatments were done as follows: 1. In the maxilla, the teeth arrangement problem was corrected with removal of the ectopic erupted second premolars. 2. In the mandible, normal dentition was established with surgical removal of the left second premolar and removal of the permanent first molar in right side combined by orthodontic therapy.

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Study of Starting Pressure of a Supersonic Ejector with a Second-Throat (이차목을 갖는 초음속 이젝터 작동압력에 대한 연구)

  • Jin, Jung-Kun;Kwon, Se-Jin;Kim, Se-Hoon
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.29 no.8 s.239
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    • pp.934-939
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    • 2005
  • Starting pressure of a supersonic ejector with a second-throat was investigated. In case of mixing chamber length longer than a critical length, starting pressure is in proportion to length of the mixing chamber. In this study, we assumed that the ejector starts when the primary supersonic flow reaches inlet of the second-throat and the distance of the supersonic flow traveling can be expressed by multiplying an empirical factor to the first diamond shock length of overexpanded flow. To calculate the overexpanded supersonic flow, a mixing model was employed to compute secondary flow pressure and the result was applied to back pressure condition of overexpanded flow calculation. In the result, for three cases of primary nozzle area ratio, we could get accurate model of predicting the starting pressure by selecting a suitable empirical factors around 3.

On the application of artificial intelligence in acute myeloid leukemia therapy

  • Meng, Jie;Zhong, Ruilan;Wu, Zhiqiang;Dong, Min
    • Advances in nano research
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    • v.13 no.2
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    • pp.175-186
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    • 2022
  • This study is a randomized pretest-posttest design that aims to investigate the effect of early entrepreneurship education on cognitive and non- early entrepreneurship education, non-cognitive skills, creativity, self-efficacy, Bizworld cognitive skills of male sixth-grade primary school students. A total of 45 students were selected by multi-stage random sampling method and were assigned randomly to experimental, active-control and control groups. The experimental group received entrepreneurship education based on the Bizworld entrepreneurship program. The results indicate that early entrepreneurship education had an effect on non-cognitive skills (such as risk taking propensity, creativity, self-efficacy, persistence and need for achievement. It seems that early entrepreneurship education is a proper strategy to develop children's non-cognitive skills in late years of primary school. These skills will affect children's individual, educational, social and occupational future and can have long term benefits for students, families and society.

The Relationship of the HOME to the Characteristics of Primary Caregivers of Infants and Toddlers (영·유아의 양육책임자에 따른 가정환경자극의 영향)

  • Shon, Young Sook
    • Korean Journal of Child Studies
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    • v.6 no.2
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    • pp.1-20
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    • 1985
  • The relationship between home environment variables for infants and toddlers and the nature of primary caregivers were examined in the present study. The purpose of the study was to explore the possibility of home stimulation deprivation when infants were not cared by their own mothers. Primary caregivers were classified into mothers, blood related adults, and unrelated adults. The home environment was assessed with the Korean version of HOME (Home Observation for Measurement of the Environment) by means of interview and observation. The subjects of this study were 126 infants aged 3 to 36 months and their primary caregiver, adults who provided more than 8 hours day-time care for infants at home. The results were as follows : 1) The primary caregiver had an effect on the infants' home environmental stimulation. That is, the group of mothers as primary caregivers had the highest HOME scores, the second highest were blood related adults, and the unrelated adults were the last. 2) There were no sex differences in HOME scores. 3) There were significant relationships between the educational level of the caregiver and HOME. That is, the higher educational levels showed higher HOME scores.

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An Analysis of Concerns of Primary School Teachers on Transitional Education from Early Childhood Phase to Primary Education (초등학교 입학 초기 적응 교육에 관한 교사들의 관심도 분석)

  • Park, So-Young
    • Journal of Fisheries and Marine Sciences Education
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    • v.23 no.3
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    • pp.533-548
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    • 2011
  • This study examined the concern levels of primary school teachers regarding transitional education from early childhood phase to primary education. Concern Based Adoption Model (CBAM) instrument of Hall and Hord (2006) was used to survey 104 primary school teachers. The results indicated that the majority of respondents' concern level was at 'informational' level (stage 1). And first peak of concern level was at 'unconcerned' level (stage 0). The first-second peak analysis of stage 0 (unconcerned) group indicated that there were 5 types of groups and each had distinguished features. Finally there were statistical differences at the unconcerned stage by in-service training and career of the first-year class. A discussion of the limitations of this study and implications for teacher education programs and operational support systems were suggested.

Management of Premature Loss of Primary Molars with Flexible Denture (탄성의치를 이용한 유구치 조기 상실의 치료)

  • Song, Kiun;Nam, Okhyung;Kim, Misun;Lee, Hyoseol;Choi, Sungchul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.2
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    • pp.187-191
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    • 2016
  • Early loss of a primary second molar can cause mesial drift or tilting of the permanent first molar. We present a case of the early loss of the mandibular primary molars in a 5-year-old girl. The patient required extraction of the mandibular left primary first and second molars due to folliculitis on the successors. A flexible denture was used for eruption guidance of the permanent first molar and the recovery of masticatory function simultaneously.

The Development of Educational CD-Program for Obesity Prevention and Management for Primary School Students (초등학교 비만예방 및 관리를 위한 교육용 CD 프로그램 개발)

  • 김이순;주현옥;송미경;신유선
    • Journal of Korean Academy of Nursing
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    • v.33 no.1
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    • pp.60-70
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    • 2003
  • Purpose: The study is designed to develop an educational CD-Program for prevention and control of obesity among primary school students. Method: The study is conducted from June 15, 2000 to April 15, 2002. Based on the course of program development suggested by Dick and Cray (1990), the study followed the planning, development, education and evaluation of a program. Result: The developed CD-Program consists 2 parts each for lower and higher grades of primary school students. The introduction part of the first trial for lower grade students uses quiz to encourage their motivations, the body proceeds with motion pictures and animations to trigger their interests. The introduction part of the second trial for the lower grades consists of remembering the exhibition lecture. The first trial for higher grades of primary school students builds on the contents of the low grades. Its body part, how to determine obesity and calculate ones own obesity, puts ones own weight and height in by the mouse. For the second trial of the higher grades, the body consists of life-style, diet, and regiments. Conclusion: The merits of this CD-Program are that to be possible an interaction between teachers and students.

Korea Institute of Child Care and Education (유초연계의 중요성에 대한 초등 1학년 교사의 인식이 학습자중심 수업활동을 매개로 아동의 학교적응에 미치는 영향)

  • Lee, Wan jeong;Kim, Mee na
    • Korean Journal of Childcare and Education
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    • v.15 no.4
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    • pp.21-36
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    • 2019
  • Objective: Using data from the Panel Study on Korean Children, this study investigated the influence of teacher'thoughts about the transition from ECEC to primary school in relation to learner-centered teaching methods and children's school adjustment. Methods: We analyzed the longitudinal data of 658 seven-year-olds from the 8th and 9th waves of the panel study of Korean children collected by the Korea Institute of Child Care and Education in 2015 and 2016. The main analysis method was Structural Equation Modeling(SEM). Results: First, theachers' thoughts about the transition from ECEC to primary school was noteworthy. Second, the more concern a theacher' had about transition, the higher their learner-centered teaching method. Third, teacher' concern about transition influenced children's school adjustment. Fourth, a teacher's learner-centered teaching method mediated concern about children's transition and school adjustment in the first year and the second year. Conclusion/Implications: According to the results of this study, 1st grade teachers' concern about the transition from ECEC to primary school has been found to be predictors of children's school adjustment.