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Surgical treatment of primary heart tumor -Report of 22 cases- (원발성 심장 종양의 수술적 치료)

  • 강면식
    • Journal of Chest Surgery
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    • v.22 no.1
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    • pp.116-122
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    • 1989
  • During 22-year period ending in June 1988, operation was performed on 22 patients with primary heart tumor at Yonsei University College of Medicine. Mean age was 38.8*3.03[mean \ulcornerEM] ranging from 14 to 63 years old. Twenty cases were myxomas. Others were fibromyxoma and rhabdomyosarcoma. All patients complained of dyspnea on exertion. Nine cases had palpitation. Other constitutional symptoms were weight loss [7 cases], headache [4 cases], generalized edema [3 cases] and cough [3 cases]. Five cases had neurological symptoms and signs preoperatively. Preoperative NYHA Class was poor [Class II; 8 cases, III; 9 cases and IV; 5 cases]. The most common site of tumor origin was fossa ovalis limbus [16 cases; 72.8%]. Because of severe mitral regurgitation and of recurrent myxoma, 2 cases were reoperated for mitral valve replacement. Postoperative complications were postoperative mitral regurgitation [5 cases; 22.8%] and arrhythmia [4 cases; 18.2%], one of which was supra-His bundle block. All patient survived operation. Follow-up of 15 patients [mean 28.95*8.3 months] was good as functional class 1[8 cases] or II [7 cases]. More effective adjuvant therapy will be necessary to improve long-term prognosis for malignant primary heart tumor.

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Surgical Treatment of Mitral Stenosis (승모판 협착증의 외과적 요법)

  • 이동준
    • Journal of Chest Surgery
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    • v.11 no.4
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    • pp.393-403
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    • 1978
  • A total of 54 patients with mitral stenosis were treated in the Dept.of Thoracic and Cardiovascular Surgery. Chonnam National University Hospital, during the 17-year period from Jan., 1962 to June, 1978. There were 35 men and 19 women with sex ratio of 1.8 : 1. The age of the patient varied widely from 15 years of the youngest to 48 years of the oldest. Preoper ative functional levels according to N.Y.H.A. classification were class II in 19% of cases, class III in 69%, and class IV in 12%. 53 patients were underwent closed operations; 43 cases had closed digital mitral commissurotomy and 10 cases had closed dilator mitral commissurotomy, Hospital mortality was I case (1. 9%). Results of operations were good and excellent in 48cases(91%).Most of the survivors left hospital in a good and improved condition.

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Early Surgical Intervention of Active Infective Endocarditis (심내막염 환자의 수술적 치료)

  • 박국양
    • Journal of Chest Surgery
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    • v.21 no.1
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    • pp.121-130
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    • 1988
  • During one year period from Sep. 1986 to Sep. 1987, we have experienced 6 cases of infective endocarditis requiring surgical interventions. All 6 patients had class IV or V cardiac disability at the time of surgery. The indication for surgery was rapidly progressive congestive heart failure in all cases. Four patients underwent aortic valve replacement including one double valve replacement. Two other patients required other surgical procedures, removal of large left atrial vegetation mass in one patient and excision of destroyed pulmonary valve and aortic vegetation in the other patient. Two patients died; one of mitral annulus rupture after release of aortic clamp and the other of mediastinal bleeding 3 months after replacement of aortic valve. Three out of 4 survivors are in NYHA Class I and the remaining patient is in Class II. We emphasize that early operative intervention is life-saving in patients with persistent or progressive congestive heart failure, irrespective of the activity of the infective process or the duration of antibiotic therapy.

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The Effects of Flipped Learning(FL) Methods of Dental Hygiene Practice Satisfaction (플립드러닝(Flipped Learning) 학습법이 치위생 실습수업 만족도에 미치는 영향)

  • Kim, Jin-Kyoung
    • Journal of Korean Clinical Health Science
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    • v.8 no.1
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    • pp.1355-1361
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    • 2020
  • Purpose: This study was conducted to investigate the effect of flipped-learning method on dental hygiene practice satisfaction. Methods: The study was a patient-group crossover design involving 53 third-year students at D's Department of Dental Hygiene. The study tools used self-questionnair and the analysis program used SPSS Ver 25.0. Results: Class satisfaction increased to 3.85 in the first semester and 4.23 in the second semester (p <0.05). Satisfaction with the flip learning method was 4.26, and most answered yes. In addition, it showed a positive effect on class satisfaction (p <0.01). As a result, it can be seen that the flip-learning learning method has a positive effect on the learners' learning motivation, academic achievement, and class satisfaction. Conclusions: it is considered that the flip learning method for hands-on classes should be expanded for the purpose of fostering job competency and high quality clinical practice experts.

A SURVEY OF TRAUMATIZED ANTERIOR TEETH IN A SCHOOL POPULATION (서울지역(地域) 중(中).고등학생(高等學生)의 전치외상(前齒外傷)에 관(關)한 연구(硏究))

  • Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.6 no.1
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    • pp.21-25
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    • 1979
  • The author surveyed traumatized anterior teeth of 12~17 year old 9453(male 4740, female 4713) school students. The results were as follows: 1. The prevalence of traumatized anterior teeth was $10.3{\pm}0.6%$. 2. The prevalence of traumatized anterior teeth of male was $12.2{\pm}0.9%$, and that of female was $8.4{\pm}0.8%$. The prevalence of male was higher than that of female. 3. The distribution of traumatized teeth by severity was as follows: Class I-65.3%, Class II-20.7%, Class III-8.2%, Missing teeth-5.4%, Others-0.4%. 4. Maxillary central incisors had the highest trauma frequence. 5. Single fractures were found to occur more commonly than multiple fractures. 6. The percentage of treated person was 5.1%. 7. 72.3% of the sample was not affected by the traumatized anterior teeth, and 27.7% of the sample thought the traumatized anterior teeth ugly.

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동화를 활용한 《중국어강독》 수업 방안 연구 - 대학의 경우를 중심으로

  • Hwang, Ji-Yu
    • 중국학논총
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    • no.61
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    • pp.255-277
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    • 2019
  • This paper presented a course plan based on the ideas I gained from conducting a lecture on Chinese language for students in the second semester of the Chinese language department at a four-year university. In the paper, we sought to deviate from the traditional grammar-translation teaching style and find ways for students to enjoy learning without difficulty in all areas by using the 'total language approach' such as writing, speaking, listening and reading through reading skills. Therefore, we discussed the educational significance and expression of the 'Chinese Languages' class, and introduced the class stages and methods of progress. In other words, they suggested introduction of text plots, explanation of vocabulary and grammar, presentation of original text, questions about text, arrangement of words, ordering sentences to fit the plot, and understanding the plot while looking at the picture.

The Distribution and Trend of Malocclusion Patients Visited at Department of Dentistry in Orthodontics (영남대학교 의과대학 부속병원 치과교정과에 내원한 부정교합 환자의 분포 및 변동추이)

  • Kim, Jong-Sup;Park, Jin-Ho;Yun, Hong-Sik;Yim, Nan-Hee;Chin, Byung-Rho;Lee, Hee-Kyung
    • Journal of Yeungnam Medical Science
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    • v.11 no.2
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    • pp.323-331
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    • 1994
  • 1,050 patients who visited orthodontic dental department from 1983 to 1994, were surveyed on the yearly tendency of orthodontic patient distribution and state by means of Angle's classification. The results were as follows: 1. There was increased visiting rate of patient per year and higher visiting rate in female than in male. 2. 8-15 age group was 61.4% in total visiting patients and over 20 age group was 18.5%, under 7 age group was 8.1% 3. Class I malocclusion was 42.2%, class II div 1 was 22.5%, class II-2 was 3.9%, class III was 29.1% and cleft lip & palate was 2.0% in total visiting patient. 4. As showed the living distribution, Namgu and Susunggu's patients were 43.7% of the total patients. 5. There was increased tendency for the number of the patient to be recieved orthognathic surgery.

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The Influence of Task Value on Class Participation in Nursing Students: Mediating Effect of Academic Self-efficacy (간호대학생의 과제가치가 수업참여도에 미치는 영향: 학업적 자기효능감 매개효과)

  • Jin, Hye Kyung;Yun, Mi Jin
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.543-551
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    • 2022
  • The purpose of this study was to investigate the mediating effect of academic self-efficacy in the process that nursing students' task value affects class participation. The subjects of this study were 161 second-year students of the Department of Nursing at K University located in G city, and the data collection period was from October 5 to October 14, 2020. The mediating effect of academic self-efficacy in the relationship between task value and class participation was analyzed using Baron and Kenny's 3-step mediating effect verification procedure using simple and multiple regression analysis and the statistical significance of mediating effects was verified by the Sobel test. As a result of this study, task value and academic self-efficacy were major factors influencing class participation, and academic self-efficacy was found to be a significant partial mediating variable in the relationship between task value and class participation. These factors explained 55% of class participation. In order to increase learners' class participation, an integrated approach that can improve task value and academic self-efficacy is needed.

A Study on the Mental Health and Parental Efficacy of Mothers of Multicultural Adolescents: Focusing on Latent Profile Analysis

  • Hyoung-Ha, Lee
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.3
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    • pp.137-148
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    • 2023
  • The purpose of this study is to classify the potential types of mental health of mothers of multicultural youth by applying Latent Profile Analysis, analyze the influence of predictors, and find out how differences in potential types affect parental efficacy. To this end, panel data for the 9th year (2019) of the Multicultural Youth Panel Survey (MAPS) were used. As a result of the analysis, first, the mental health types of mothers of multicultural adolescents were analyzed in the order of 'middle risk type of mental health'(class3) > 'high risk type of self-esteem'(class1) > 'high risk type of mental health'(class4) > 'cultural adaptation and daily life stress'(class2). Second, compared to the "class 1" group, the lower the family economy level of multicultural youth mothers, the lower the educational background of multicultural youth fathers (husbands) graduate from middle school, the lower the level of Korean, and the lower the level of communication with children, the higher the odds of belonging to the 'mental health medium risk' group (Ods). Third, compared to the 'middle risk type of mental health'(class3) and 'high risk type of mental health'(class4), the 'high risk type of self-esteem'(class1) group was found to have a significant positive (+) effect on parental efficacy.

Long-term clinical results of isolated mitral valve replacement with the Ionescu-Shiley bovine pericardial valve (이오네스큐 판막의 장기 임상성)

  • 김종환
    • Journal of Chest Surgery
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    • v.17 no.2
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    • pp.212-222
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    • 1984
  • A total of and consecutive 291 patients underwent isolated mitral valve replacement using the Ionescu-Shiley bovine pericardial xenograft valve during the 5-year period between October 1978 and June 1983. Thirty-two patients were the children under 15 years of age. There were 15 deaths within 30 days after surgery [operative mortality, 5.2%]. All early survivors except 6 children were placed on the long-term oral anticoagulation longer than postoperative 3 months. A total follow-up period extended for 398.2 patient-years, and 12 patients died [late mortality, 4.1%, or 3.0%/patient- year]. Ten patients experienced the thromboembolic complication [2.51%/patient-year], occurring in 8 patients within the first 3 postoperative months, and 4 died. Three patients had the late prosthetic valve endocarditis [0.75%/patient-year] and 2 died. The incidence of overall valve failure according to the criteria was 3.01%/patient-year, or 12 patients, and 2 had replacement of the failed bioprostheses [primary tissue failure, 0.5%/patient-year]. The long-term survival rate was 87.8%\ulcorner2.6% at 5 years postoperatively, and 84% of the late survivors were in NYHA Class I at the end of the follow- up. The probability remaining free from thromboembolism and overall valve failure was 89.8%\ulcorner6.3% and 81.2%\ulcorner.8% at 5 years respectively. These clinical results confirm the safety of mitral valve replacement. The only remaining clinical problem is the structural and functional durability of the bovine pericardial xenograft valve, and its use in young patients may be stopped in preference to the mechanical prosthetic valves.

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