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Clinical Considerations of the Surgical Closure of the PDA in the Premature Infants (미숙아 동맥관 개존증의 외과적 교정에 관한 임상적 고찰)

  • 김상익;박철현;현성열;김정철;권진형;박국양
    • Journal of Chest Surgery
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    • v.32 no.8
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    • pp.702-708
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    • 1999
  • Background: Surgical closure of the PDA in premature infants with complications or contraindications to indomethacin use, or recurrence of symptomatic PDA is a safe and effective procedure with low operative risk and minimal complications. Material and Method: From April 1996 to August 1998, 11 premature infants with body weight under 1.5 kg at operation underwent operation for a symptomatic PDA (male:5, female: 6). Associated dise ases were congenital heart disease(7), hyaline membrane disease(6), intraventricular hemor rhage(4), pneumonia(4), pneumothorax(3), hyperbilirubinemia(2), necrotizing enterocolitis(2), renal failure(1), epilepsy(1), and hydrocephalus(1). Surgical techniques are hemoclipping(8) and ligation(3). The size of PDA was 3~6 mm (5.0$\pm$1.2). Result: Systolic and diastolic blood pressure rised and heart rates decreased after PDA closure. ABGA improved postoperatively. There were no surgical complications. Six infants with improved ABGA data were weaned from mechanical ventilatory support. The follow-up durations after discharge were 3 month to 12 month. Five deaths were not related to operation. The causes of death were hyaline membrane disease(2), bronchopulmonary dysplasia with pneumonia(1), sepsis(1), and con gestive heart failure with respiratory distress syndrome(1). Conclusion: Early operative closure is the treatment of choice in most premature infants with a hemodynamically significant shunt(PDA), recurrence of symptomatic PDA, complications of Indomethacin, or contraindi cations to Indomethacin.

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Tense and Aspect in English (영어 시제와 상)

  • Kim, Jeong-O
    • The Journal of the Korea Contents Association
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    • v.13 no.3
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    • pp.502-510
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    • 2013
  • The purpose of this paper investigate the general definition of Tense and the concepts about Aspect. I consider the correlation between the lexical and the grammatical aspect. Tense is an inflection type of a verb that indicates the time, tense is grammatical categories. Tense has the current tense and the past tense in English. If we recognize aspect as a grammatical category, that the subject of in description will be confined to the grammatical expression. In contrast, when considered as a category of meaning, lexical and grammatical representation is the expression target. Therefore, aspect is stated as a grammatical category. Specially, the aspect of English, there is only a progressive tense and perfect tense. In this case, the progressive aspect is progressive tense and the perfect aspect is perfect tense. Chapter 2, I investigate the definition of the tense of many scholars and define the usage of each tense. In Chapter 3, I exhibit the definition of the Aspect. Aspect is grammatical and semantic one. Tense and Aspect is a simple grammar category, but they have a various spectrum. Therefore, As the definition of the Tense and Aspect becomes clear it will be helpful to students who are received English education. In addition, the definition about tense and aspect needs in variety of areas, more research is needed.

Efficient Policy for ECC Parity Storing of NAND Flash Memory (낸드플래시 메모리의 효율적인 ECC 패리티 저장 방법)

  • Kim, Seokman;Oh, Minseok;Cho, Kyoungrok
    • The Journal of the Korea Contents Association
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    • v.16 no.10
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    • pp.477-482
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    • 2016
  • This paper presents a new method of parity storing for ECC(error correcting code) in SSD (solid-state drive) and suitable structure of the controller. In general usage of NAND flash memory, we partition a page into data and spare area. ECC parity is stored in the spare area. The method has overhead on area and timing due to access of the page memory discontinuously. This paper proposes a new parity policy storing method that reduces overhead and R(read)/W(write) timing by using whole page area continuously without partitioning. We analyzed overhead and R/W timing. As a result, the proposed parity storing has 13.6% less read access time than the conventional parity policy with 16KB page size. For 4GB video file transfer, it has about a minute less than the conventional parity policy. It will enhance the system performance because the read operation is key function in SSD.

A study to contribute to a philosophy of nursing education in Korea (한국 간호교육의 이념 정립을 위한 기초조사)

  • Ha Y.S;Han Y.B
    • The Korean Nurse
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    • v.15 no.6 s.86
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    • pp.42-60
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    • 1976
  • 1.행동특성별 제언 1 기본 지식면 첫째, 간호원리, 법칙에 관한 지식을 갖게 한다. 둘째, 간호학의 용어, 기호, 단어 및 개념에 대한 지식을 갖게 한다. 셋째, 간호원리, 의견, 활동을 검증하고 판단하는 기준에 관한 지식을 갖게 한다. 넷째, 간호현상의 과정, 경향, 원인, 순서에 관한 지식을 갖게 한다. 다섯째, 간호문제 요구를 처리하는데 필요한 수단 형식, 체제, 용법에 관한 지식을 갖게 한다. 여섯째, 학설에 관한 지식을 갖게 한다. 일곱째, 간호학 분야에서의 특수한 문제나 현상을 다루는데 쓰이는 탐구방법에 관한 지식을 갖게 한다. 여덟째, 간호 문제나 자료의 분류에 관한 지식을 갖게 한다. 아홉째, 특수한 사실의 성질, 특징, 정확성에 관한 지식을 갖게 한다. 제언 2 이해능력면 첫째, 간호문제를 창조적으로 해결하고 연구, 발전 시킬 수 있는 능력을 기른다. 둘째 간호현상을 정확하게 추리하고 검증하여 결론을 추출하며 진술하는 능력을 기른다. 셋째, 간호문제를 해석하고 자료를 재정리, 재배열, 또한 새로운 견지에서 해설하는 능력을 기른다. 넷째, 관찰된 간호현상을 설문화 또는 도표화 하는 능력을 기른다. 제언 3 태도면 첫째, 정서적 안정감을 유지하면서 환자와의 인간 관계를 원만하게 유지할 수 있는 태도를 기른다. 둘째, 확신을 갖고 간호활동에 임하는 태도를 기른다. 셋째, 한국사회가 필요로 하는 간호원의 역할을 스스로 감지 적응하고 간호활동 개선에 이바지하는 태도를 기른다. 넷째, 약품을 신중히 다루는 태도를 기른다. 다섯째, 새로운 직을 배워 개척하고자 하는 의욕을 갖게 한다. 제언 4 기능면 첫째, 환자를 이해하고 안정시킬 수 있는 능력을 갖게 한다. 둘째, 간호를 포괄적으로 수행할 수 있는 능력을 기른다. 셋째, 간호문제를 창의적으로 처리할 수 있는 능력을 기른다. 넷째, 새로운 간호지식이나 기술에 대해서 자율적으로 연수, 학습할 수 있는 능력을 기른다. 다섯째, 간호 문제에 대한 흥미와 호기심을 갖게 한다. 여섯째, 병실기구를 과학적이고 합리적으로 관리하는 기능을 기른다. 일곱째, 의료(진료)기구를 조작할 수 있는 능력을 기른다. 제언5 비판능력면 첫째, 간호문제나 현상 방법에 있어서 그 가치를 논리적 또는 주관적 기준에 의해 자료를 평가하는 능력을 기른다. 둘째, 일반적인 이론, 학설, 표준 사실에 입각해서 자료를 평가할 수 있는 능력을 기른다. 제언 6 분석능력면 첫째, 요소 및 부분들간의 관련과 상호작용 또는 인간관계를 관찰하고 분석할 수 있는 능력을 기른다. 둘째, 복잡한 간호문제를 부문별, 요소별로 분석하는 능력을 기른다. 셋째, 자료의 형태, 구조, 형식의 특징과 조직을 분석하는 능력을 기른다. 제언 7 종합 능력면 첫째, 간호계획 절차를 창안할 수 있는 능력을 기른다. 둘째, 자기의 생각을 효율적으로 전달하는 능력을 기른다. 셋째, 특수한 간호 현상이나 기본적 명제에서 어떤 추상적 관계를 연역해 낼 수 있는 능력을 기른다. 제언 8 응용능력면 첫째, 간호문제를 해결하는데 실제로 응용 할 수 있는 교육을 시킨다. 둘째, 간호이론을 구체적인 상황에 효율적으로 응용할 수 있는 능력을 기른다. 셋째, 지역사회의 특성에 알맞은 간호기술이나 간호절차를 창안할 수 있는 능력을 기른다. 넷째, 간호방법을 모색하고 이용하는 능력을 기른다. 다섯째, 조사를 통해 합리적이고 논리적인 결론을 내릴 수 있는 능력을 기른다.

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Clinical Course according to Antipsychotics Prescription Pattern in Delirium (섬망 환자에서 항정신병약물 처방 유형에 따른 임상 경과의 차이)

  • Park, Jaesub;Kim, Jae-Jin;Park, Sungjong;Kim, Sungmin;Park, Jin Young
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.2
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    • pp.120-128
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    • 2017
  • Objectives : Although antipsychotics are commonly used to control symptoms of delirium, there is a lack of research on the prescription pattern and its clinical effects. The purpose of this study was to investigate the effect of antipsychotics prescription pattern on clinical course of delirious patients consulted to psychiatry. Methods : During the period from July 2016 to February 2017, 212 patients who were referred for delirium were reviewed for their medical records. The duration of delirium was monitored using CAM-ICU, and duration of admission, mortality, and delirium at discharge were reviewed. Clinical course was compared among three groups according to the antipsychotic drug administration pattern: Continuous use group, optimal use group and PRN use group. Results : The pattern of taking antipsychotic medication longer than duration of delirium did not associated with better clinical course compared with the pattern of adapting to the period of delirium and rather increased the risk of taking antipsychotic medication at discharge. When used for a shorter period than the delirium period, it was associated with poor clinical course. Conclusions : The results of this study suggest that a strategy to administer antipsychotics for a minimum period, according to periods of delirium, is appropriate. Also, efforts are needed to minimize the use of antipsychotic drugs after recovery from delirium.

A Study on the Manufacturing Properties of Soil Mural's Finishing Layer with Different Types and Concentration of Natural Adhesives (천연 보강 매제의 종류 및 농도에 따른 토벽화 마감층 제작특성 연구)

  • Moon, Hye Young;Lee, Kyeong Min;Chung, Yong Jae
    • Journal of Conservation Science
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    • v.34 no.3
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    • pp.143-155
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    • 2018
  • In this study, we investigated the properties and manufacturing methods of soil mural finishing layers fabricated using animal glue, starch adhesive(wheat paste), and Dobak glue. We assessed the workability and weatherproofing properties of the earthen plaster and finishing layers fabricated using concentrations of 3%, 5%, 7% and 10% for each adhesive. The results showed that a mixture using 3% or 5% starch adhesive or 3% Dobak glue was suitable for constructing the finishing layer. For finishing layers made with animal glue, earthen plaster had poor workability. It was dry and easily broken as the concentrations of animal glue increased. However, specimens made with low concentrations of animal glue did not exhibit surface deterioration after a freezing-thawing test. Therefore, animal glue mixtures could possibly be used for constructing finishing layers in concentrations lower than 3%. Mixtures containing starch adhesive produced plasters with good workability. Additionally, starch adhesive enhanced compression strength. However, when starch adhesive was mixed at concentrations above 7%, the surface exhibited roughening and staining in freezing-thawing tests. When Dobak glue was used in mixtures, it enhanced compression strength, but concentrations above 5% produced specimens with surface cracking. For concentrations of 3%, there were no cracks and the specimens were stable after freezing-thawing tests, so concentrations below 3% of Dobak glue are suitable for constructing finishing layers. We expect this study will be useful for restoring the traditional technology of soil mural finishing layers and suggest using adhesives to construct the finishing layer.

Evaluations of Recreational and Aesthetical Values for the Cut River Considered as a Wetland (폐천의 습지 활용에 대한 레크리에이션 및 심미적 가치평가)

  • Lee, Sang-Sik;Kim, Hung-Soo;Jeong, Sang-Man
    • Journal of the Korean Society of Hazard Mitigation
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    • v.2 no.1 s.4
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    • pp.127-134
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    • 2002
  • The cut river is widely used for the agricultural and housing purposes in Korea and this study is to evaluate the economic value of the cut river. Say, the study is to evaluate and compare the economic values for the cases of which the cut river can be used as the agricultural or housing site and a wetland or recreational site. The study area is the downstream part of Kok-Neung stream which is a main tributary of Han River. For the case of assuming the cut river is used as the agricultural purpose, the value is estimated from the Agricultural & Forestry Statistical Yearbook 2000. For the case of assuming the cut river is used as a wetland or recreational site, the value for a wetland or recreation is estimated by the enquete using questionnaire. That is to say, the results of enquete is used for the estimation of a recreational value by the Travel Cost Method (TCM) and the aesthetical value is estimated by the enquete based on the presumed value in USA. As a results, for the case of which the cut river is used as an agricultural purpose, the equal-payment-series is estimated as 7.06 million won. For wetland purpose, the series is estimated as 1931.40 million won and for the recreational purpose, the series is as 6284.86 million won. The aesthetical value is estimated as 140 thousand won per annum. Therefore, the wetland or recreational use of the cut river is more valuable than agricultural or housing purpose.

Studies on the effect of split application of potash on paddy -Effect of split application of two different rates at various growth stages- (수도(水稻)에 대(對)한 가리분시(加里分施)에 관(關)한 연구(硏究) - 생육기(生育期) 및 시용량별(施用量別) 분시효과(分施効果) -)

  • Oh, Wang Keun;Lee, Sang Bum;Park, Chan Ho;Kim, Sung Bae
    • Korean Journal of Soil Science and Fertilizer
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    • v.7 no.2
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    • pp.107-112
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    • 1974
  • In order to establish a rational application method of potash to paddy rice(Oryza sativa L. Jinheung, a Japonica variety) field and pot experiments on split application of two rates (6kg and 12kg $K_2O$ per 10a) of potash at a certain critical growing stage have conducted in 1973 and the results were as follows: 1. At the treatment where a rate of 6kg $K_2O$ per 10a(lower dose) of potash was supplied in two split doses, a half at transplanting time and the other half at young panicle formation stage, the yield of paddy rice appeatred to be low due to less number of panicles per hill. (Field experiment) 2. The treatment where potash supply ceased at transplanting time or at effective tillering stage but supplied at the other two stages (including panicle initiation stage) have failed to increase K content in the flag leaf and have shown low maturity and low thousand grain weight, which resulted in low paddy rice yield. (pot experiment) 3. From above two facts, it is concluded that the application of potash at transplanting time is an important practice for the high yielding of paddy rice. 4. The application of lime seemed to stimulate later growth of paddy depressing the unnecessary increase of poor miserable tillers in early stages of growth.

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Phase II Study of Irinotecan Plus Cisplatin as First Line therapy in Extensive Small-Cell Lung Cancer (확장기 소세포폐암에서 1차 치료로서 Irinotecan + Cisplatin 복합요법의 임상적 결과)

  • Hwang, Ki Eun;Kim, So Young;Jung, Jong Hoon;Park, Seong Hoon;Park, Jung Hyun;Kim, Hwi Jung;Kim, Hak Ryul;Yang, Sei Hoon;Jeong, Eun Taik
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.2
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    • pp.143-149
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    • 2006
  • Background: Irinotecan (topoisomerase I inhibitor) is effective as a monotherapy against small-cell lung cancer(SCLC). Cisplatin is also an important drug against SCLC. A phase II study of irinotecan combined with cisplatin was carried out to evaluate the efficacy and toxicity of this combined regimen as a first line treatment in patients with extensive SCLC. Methods: Thirty-nine patients with previously untreated extensive SCLC were enrolled in this study. Irinotecan $60mg/m^2$ was administered intravenously on days 1, 8 and 15, and in combination with cisplatin $60mg/m^2$ on day 1 and every 28 days thereafter. Four cycles of chemotherapy were given to the patients. Results: The overall response rate was 77% with a complete response (CR) rate of 8%. The median survival time, 1- and 2-year survival rate were 14.8 months, 60.9% and 27.6%, respectively. The median progression free survival time, 6-and 12-month progression free survival rate were 8.4 months, 75% and 18.8%, respectively. The WHO grade 3 or more toxicity encountered were leukopenia (23%), diarrhea (26%). Two patients changed their chemotherapeutic regimen and one patient died from severe diarrhea. Conclusion: The combination of irinotecan and cisplatin is effective as a first line therapy in extensive SCLC is effective, but has severe or fatal diarrhea as toxicity.

A Basic Study on the Estimating the Value of Sand Beach using amenities (어메니티요소를 활용한 백사장 가치평가의 기초적 연구)

  • Shin, Bum-Shick;Kim, Kyu-Han
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.24 no.6
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    • pp.373-380
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    • 2012
  • The sandy beach along the east coast of Korea offers beautiful scenery with high-quality sand for leisure, and is also famous for the white-sand and pine-tree which is an important scenic resource. Furthermore, the sandy beach helps to maintain natural environment of the costal area and functionates as a disaster prevention system against high waves. There are two major value evaluation methods, Travel Cost Method and Contingent Valuation Method, to assess the value of coastal sandy beach. Contingent Valuation Method is considered to be more appropriate for simultaneous evaluation on the usefulness and the uselessness of the beach. But in order to apply Contingent Valuation Method to coastal sandy beach evaluation, close examination and investigation on the potential bias, such as on questionnaires, surveys and replies, are required. In this study, the characteristic of primary amenity of sandy beach users is investigated, in prior to evaluating the usefulness and the uselessness of the beach measured by contingent valuation method. The characteristic of amenity on major sandy beaches on the east coast of Korea is studied and compared by diverse value evaluation methods.