• 제목/요약/키워드: years of operation

검색결과 3,612건 처리시간 0.031초

치과종사자들의 치과 Implant에 대한 지식 및 이행실태 - 대전광역시 치과 병·의원을 중심으로 - (A study on Knowledge and Compliance among dental personnels in dental implants)

  • 안권숙
    • 한국치위생학회지
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    • 제7권4호
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    • pp.481-493
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    • 2007
  • It follows in increase of the old age population and the loss of teeth increases, also the supplement prosthetics treatment which is caused by loss of teeth is various and it develops and the dentistry implant demand is increasing. This study enforced a self-administered survey with 197 dental personnels employed in dental hospitals, dental clinics from August 15, 2007, to September 15, in the area of Daejeon. It's ultimately intended to serve as a basis for the preparation of more effective, appropriate dental implants education programs for personnels, who take a crucial part in dental implants operation, provide better dental services to patients who are in need of dental implants operation. As the result, the study got the following conclusion. 1. The population sociological feature of dental hospital and dental clinic showed that significant differences of dental service career. Dental service career of dental personnels shows; below 3 years 43.1%, 4~6 years 35.3%, more than 7 years 21.6% in dental hospitals, below 3 years 29.5%, 4~6 years 28.1%, more than 7 years 42.5% in dental clinics(p=0.027). 2. The average score of personnels knowledge in dental implants was 3.67point, from analyzing the knowledge on dental implants of dental personnels from dental health-care settings, dental personnels employed in dental hospitals scored relatively higher than in dental clinics(p=0.129). Dental personnels with 4~6 years of experience scored the highest(p=0.002). 3. The average score of dental personnels compliance in dental implants was 3.92point, from analyzing the compliance of dental implants of dental personnels from dental health-care settings, dental personnels employed in dental hospitals scored relatively higher than in dental clinics(p=0.006). Dental personnels with 4~6 years of experience scored the highest(p=0.707). 4. The contingency coefficient between dental implants general knowledge and the general compliance(r=0.233, p=0.001), operation knowledge and operation compliance(r=0.332, p=0.000), maintenance knowledge and maintenance compliance(r=0.236, p=0.001). 5. Recently dental implants is emerging as one of the important medical services in the dental treatment sector. From analyzing the compliance of dental implants of dental personnels in dental health-care settings, dental personnels employed in dental hospitals scored relatively higher than in dental clinics. Consequently, the effort of the dentist and the dental personnels demanded to be earnestly to improves the difference of the knowledge and compliance against the dental implants of the dental personnels in dental health-care settings, it is thought that with reinforcement of effective role share and professionalism to success of dental implants, more system and the specialty dental implants education which is standardized continuously must be provided to all dental personnels.

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위전절제시 단순공장간치술의 임상적 의의 (Jejunal Interposition after Total Gastrectomy)

  • 배진선;노승무;정현용;이병석;조준식;신경숙;송규상;이태용
    • Journal of Gastric Cancer
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    • 제1권4호
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    • pp.210-214
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    • 2001
  • Purpose: The aim of this study was to evaluate the shortterm outcome of a jejunal interposition, by comparing it with a conventional Roux-en-Y gastrojejunostomy, after a total gastrectomy. Materials and Methods: For 28 patients (20 men and 8 women) with a gastric adenocarcinoma, who underwent an isoperistaltic simple jejunal interposition, weight, hemoglobin, hematocrit, serum protein and albumin, and cholesterol levels were checked before the operation and at 1 year and 2 years after the surgery. Also, endoscopy was performed to confirm reflux esophagitis. In this study, the data were collected between January 1993 and July 1999 at Chungnam National University Hospital, and the results were compared with those of the Roux-en-Y procedure. Results: The body weights at 1 year and 2 years after the surgery had returned to $86.0\%$ and $87.6\%$ of the recent original body weight in the jejunal interposition (JI) group and to $90.8\%,\;87.0\%$, respectively in the Roux-en-Y (RY) group. The levels of hemoglobin (g/dl) were 13.3, 12.5, and 11.9 in the JI group, and 13.8, 12.6, and 12.1 in the RY group at the time of the operation and at 1 year, and 2 years after the surgery, respectively. The total serum protein (g/dl) levels were 7.1, 7.2, and 7.5 in the JI group and 7.1, 7.0, and 7.2 in the RY gropu at the time of the operation and at 1 year and 2 years after the surgery, respectively. The serum albumin (g/dl) levels were 4.2, 4.1, and 4.2 in the JI group and 4.2, 4.2, and 4.2 in the RY group at the time of the operation and at 1 year, and 2 years after the surgery, respectively. The total serum cholesterol (mg/dl) levels were 186.5, 174, and 164 in the JI group and 213.7, 171.1, and 141.0 in the RY group at the time of the operation and at 1 year and 2 years after the surgery, respectively. The endoscopic finding showed that reflux esophagitis occurred in $7.1\%$ of the patients in the JI group and in $3.5\%$ in the RY group. Conclusion: We think that from the view point of quality of life, a jejunal interposition, as well as a Roux-en-Y procedure, is a useful reconstruction methods for a total gastrectomy.

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일부 제련 및 리사지 사업장에서 공기중 납 노출농도의 변화 (The change of air lead concentrations in litharge making and smelting industries)

  • 최재욱;김남수;조광성;함정오;이병국
    • 한국산업보건학회지
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    • 제20권1호
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    • pp.10-18
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    • 2010
  • To provide necessary information for future environmental monitoring of smelting and litharge making industries in Korea, environmental monitoring dataset of air lead concentration of 4 lead industries(1 primary smelting, 2 secondary smelting and 1 litharge making industry) were analyzed from 1994 to 2007. Data were compared using geometric mean and standard deviation with minimum and maximum values according to year of measurement, type of lead industries and type of operation of lead industries. The geometric mean and standard deviation of air concentration for a total of 1140 samples in all lead industries for overall 14 years were 70.7${\mu}g/m^3$ and 5.51 with minimum of 1${\mu}g/m^3$ and maximum of 9,185 ${\mu}g/m^3$. The overall geometric means of air concentration were above the permissible exposure levels(PEL) until year of 2001 and thereafter they were remained at the level of half of PEL. The geometric means of primary smelting, secondary smelting and litharge making industry for overall 14 years were 21.7${\mu}g/m^3$(number of samples: 353), 82.5${\mu}g/m^3$(number of samples: 357) and 164.2 ${\mu}g/m^3$(number of samples: 430) respectively. In primary smelting industry, the highest geometric mean air concentration was 35.4 ${\mu}g/m^3$ in the secondary smelting operation; followed by casting operation (24.9 ${\mu}g/m^3$) and melting operation (14.9 ${\mu}g/m^3$), respectively. On the other hand, in secondary smelting industries, the highest geometric mean air concentration was 125.4${\mu}g/m^3$ in melting operation; followed by casting operation (90.5${\mu}g/m^3$) and pre-treatment operation (43.4${\mu}g/m^3$), respectively. However, in litharge making industries, there were no significant differences of geometric mean air concentrations between litharge operation and stabilizer operation. The proportion of over PEL (50${\mu}g/m^3$) was highest in litharge industry and followed by secondary smelting industries. However The proportions of over PEL(${\mu}g./m^3.$) were decreased by the years of environmental monitoring. The significant reduction of mean air lead concentration since year of 2000 was observed due to more active environmental engineering control and new introduction of new operation in manufacturing process, but may be also influenced by non-engineering method such as reduction of operation hours or reduction of exposure time during actual environmental measurement by industrial hygienist according to more strict enforcement of occupational and safety law by the government.

EXTENSION OF OPERATIONAL LIFE-TIME OF WWER-440/213 TYPE UNITS AT PAKS NUCLEAR POWER PLANT

  • Katona, Tamas Janos;Ratkai, Sandor
    • Nuclear Engineering and Technology
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    • 제40권4호
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    • pp.269-276
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    • 2008
  • Operational license of WWER-440/213 units at Paks NPP, Hungary is limited to the design lifetime of 30 years. Prolongation by additional 20 years of the operational lifetime is feasible. Moreover, enhancement of the reactor thermal power by 8% will increase both the net power output and the competitiveness of the plant. Paks NPP is a pioneer considering the power up-rate and preparation of long-term operation of WWER-440/213 design. Systematic preparatory work for long-term operation of Paks NPP has been started in 2000. A regulatory framework and a comprehensive engineering practice have been developed. According to the authors view, creation of a gapless engineering system via consequent application of best practices, and feed-back of experiences together with proper consideration of WWER-440/V213 features are the decisive elements of ensuring the safety of long-term operation. That systematic engineering approach is in the focus of recent paper. Key elements of justification and measures for ensuring the safety of long-term operation of Paks NPP WWER-440/213 units are identified and discussed. These are the assessment of plant condition and review of adequacy of ageing management programmes, also the review, validation and reconstitution of time limited ageing analyses as core tasks of licence renewal.

술후 심전도 변화가 예후에 미치는 영향에 관한 고찰 -선천성 심질환을 중심으로- (The prognostic implication of postoperative ECG changes in congenital heart surgery)

  • 정황규
    • Journal of Chest Surgery
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    • 제19권3호
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    • pp.363-373
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    • 1986
  • Even though the pathogenesis is still controversial, electrocardiographic changes after congenital open heart surgery depend on various etiologic factors. Author reviewed 261 cases of congenital open heart surgery patient experienced in the Dept. of Thoracic & Cardiovascular Surgery, Pusan National University Hospital, since July, 1981 to Sept., 1985. The results were summarized as followed: 1. The age distribution was from 3 to 29 years old with mean age 10.8 years. And the most frequent congenital heart defect we had done operation was VSD. 2. Preoperatively, the most frequent ECG finding was abnormal QRS complex and postoperatively the most frequent ECG change was arrhythmia. 3. The most frequent arrhythmia before operation was intraventricular conduction disturbance. 4. Right ventriculotomy incision produced the more frequent abnormal ECG changes postoperatively than right atriotomy or pulmonary arteriotomy. 5. According to the operative technique, outflow patch graft of TOF repair produced the highest frequency of ECG changes after operation, and in comparing simple and patch closure of VSD, the latter was higher frequency of ECG changes, in valvotomy and infundibulectomy of PS, the latter was higher too. 6. The common symptom and signs in abnormally ECG changed patients after operation were palpitation, dyspnea, congestive heart failure and murmur in this order., 7. The longer the time of CPB, the more number of abnormally ECG changed patients had been developed after operation. 8. The most of postoperative ECG changed patients recovered spontaneously or with only medication and were clinically insignificant. And the rest other minor group recovered with temporary pacing. Eight cases out of 261 [3.1%], these with abnormal QRS complex and arrhythmia couldn`t recover in spite of every effort and eventually succumbed.

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An Analysis of Fraction Operation Sense to Enhance Early Algebraic Thinking

  • Lee, Jiyoung;Pang, Jeongsuk
    • 한국수학교육학회지시리즈D:수학교육연구
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    • 제16권4호
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    • pp.217-232
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    • 2012
  • While many studies on early algebra have been conducted, there have been only a few studies on the operation sense as the fundamental element of algebraic thinking, especially the fraction operation sense. This study explored the dimensions of fraction operation sense and then investigated students' fraction operation sense. A total of 183 of sixth graders were surveyed and 5 students who showed high operation sense were clinically interviewed in order to analyze their algebraic thinking in detail. The results showed that students had a tendency to use direct calculation or employ inappropriate operation sense rather than to use the structure of operation or the relation between operations on the basis of algebraic thinking. This study implies that explicit instruction on early algebra is necessary from the elementary school years.

무인운전 전동차 ATC 설계를 위해 필요한 차량 성능 자료에 대한 고찰

  • 곽호승;김재기;이기철
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2006년도 추계학술대회 논문집
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    • pp.695-700
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    • 2006
  • Kimhae light subway started complete unmanned operation electromotive car starting construction. It stepped on the first step which approaches at time of the unmanned operation electromotive car there is a possibility of doing. During the 30 years, the electromotive car market of domestic developed. Finally we will start into a plan and a production for the initial commerce operation. The Canada unmanned operation electromotive car which we are advancing, It means becomes the good example in the relation technical experts

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The Efficacy of Microvascular Decompression in Hemifacial Spasm over the Course of Time

  • Kang, Young-Soo;Lee, Hyuk-Gee;Ryu, Kee-Young;Cho, Jae-Hoon;Kang, Dong-Gee;Kim, Sang-Chul
    • Journal of Korean Neurosurgical Society
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    • 제39권4호
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    • pp.265-270
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    • 2006
  • Objective : Microvascular decompression[MVD] at root exit zone[REZ] of the facial nerve has been largely popularized and it has become the standard treatment for patients with hemifacial spasm[HFS]. This sturdy is performed to evaluate the efficacy of MVD over the course of time. Methods : From 1994 to 2003, 50 patients with HFS who underwent MVD were followed up for more than 6 months. We retrospectively analyzed results with medical records and telephone researches. Results : The mean age of patients at the time operation was 57.6 years and 84% of the patients were female. The mean duration of follow-up after operation was 3.4 years [range $0.5{\sim}7.8\;years$]. One day after MVD, 54% of patients had complete relief of spasm immediately. Continuous improvements of HFS were observed during the follow-up period and these improvements were statistically significant with time (P< 0.05). Until 6 months after operation, complete relief of spasm was observed in 84% of patients. The delayed relief of spasm was observed in 35.7% of our patients who experienced complete relief. Conclusion : The efficacy of MVD in HFS is improves with time. Continuous follow-up evaluations for the duration of more than at least 6 months after MVD are important for the decision of its clinical results because delayed relief of spasms occurs.

단일심실증의 수술요법 (Surgical management ofuniventricular heart)

  • 노준량;김응중
    • Journal of Chest Surgery
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    • 제19권4호
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    • pp.618-626
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    • 1986
  • Univentricular heart is a rare congenital cardiac anomaly in which the atrial chambers are connected to only one ventricular chamber and it consists of a diverse group of cardiac malformation characterized by both AV valves or a common AV valve opening into the same ventricle, or the presence of only a solitary AV valve. In spite of recent development in cardiac surgery, corrective operations for univentricular heart still have high mortality and complication rate. Twenty eight patients underwent corrective operation for univentricular heart at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital from February 1979 to July 1986. Of the 28 patients, 7 patients were operated on by ventricular septation and 21 patients by modified Fontan operation. Of the 28 patients, 19 patients were male and 9 patients female and ages ranged from 5 months to 18 years old with the average age of 7.3 years. There were 2 mortalities in 7 patients operated on by septation with the mortality rate of 28.6% and 5 complications, 3 complete AV block, 1 low cardiac output and 1 arrhythmia. All survived patients are being followed up without specific problem till now. There were 10 mortalities in 21 patients operated on by modified Fontan operation with the mortality rate of 47.6% and 10 complications, 2 low cardiac output, 2 respiratory failure necessitating tracheostomy, 2 persistent cyanosis, 2 arrhythmia, 1 missing of left AV valve in situs inversus patient due to misdiagnosis and one rupture of closed right AV valve. Incremental risk factors for operative mortality are young age less than 5 years old, anomalous pulmonary and systemic venous drainage and atrial septation procedure. In 11 survived patients, 9 patients show good follow-up results but one patient complains of persistent cyanosis and another one patient is suffered from CHF. In our series, results of corrective operation for univentricular heart shows continuing improvement but still high mortality and complication rate. So there must be continuing improvement in surgical result by selection of patient, by adequate decision making for timing and method of operation and by improving operative methods.

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고장데이터를 이용한 대용량 전력설비 통계적 수명분석 (Statistical Lifetime Analysis for Large Electric Power Equipments using Failure Data)

  • 김정태
    • 전기학회논문지
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    • 제66권11호
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    • pp.1605-1611
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    • 2017
  • In this study, the characteristic lifetime of power facilities such as power transformers and GIS were investigated as the basis of power facility asset management. It is difficult to obtain the operation and failure data of the facilities in Korea. Therefore, the number of failures of the electric power facilities was calculated from the operation data and hazard rate shown in the overseas literatures, and the statistical analysis was performed using the Weibull distribution function. As a result of extracting and analyzing the data of the UK National Grid for power transformers, the characteristic lifetime (scale parameter) of 116.45 years was considered to be a very appropriate value for power transformer management and can be used as a comparative data of the analysis of the domestic transformers. As for the GIS, based on the Bays and Bay-Years data and the hazard rate according to the operation years of the 123kV GIS in Germany, it is found out that the characteristic lifetime of GIS is not so meaningful. It is necessary to decide a maintenance strategy and lifetime expectancy considering the characteristics of the design, materials and manufacturing process of GIS.