• Economic and Environmental Geology
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• v.27 no.1
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• pp.49-63
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• 1994

Paleomagnetic study of Tertiary rocks in Pohang area has been carried out to determine the characteristic directon of natural remanent magnetization, the position of paleomagnetic pole, the stratigraphic correlation, and the tectonic movement. A total of 196 specimens was collected from 5 sites in the Pohang Basin, 19 sites in the Janggi Basin, and 10 sites in the Eoil Basin, respectively. The mean declination and inclination of 4 sites (3 sites in the Yonil Group and 1 site in the Yonil Basalt) are $-3.2^{\circ}$ and $54.3^{\circ}$, and yield the paleomagnetic pole position $86.9^{\circ}N$ and $7.7^{\circ}E$. These are the characteristic direction and pole position of Miocene Epoch by comparison with contemporary Eurasian and Chinese data. The characteristic direction and pole position of remaining 30 sites are $47.6^{\circ}$ and $57.5^{\circ}$, and $52.3^{\circ}N$ and $201.5^{\circ}E$, respectively. These show clockwise rotation of $50.8^{\circ}$ with respect to the Miocene ones resulted by a tectonic movement before the deposition of the Hakjeon Formation of the Yonil Group about 15~16 Ma in the study area. The mechanism of the clockwise rotation is considered to be the dextral movement of the Yangsan Fault presumably caused by the opening of the East Sea. The Yonil Basalt is reclassified into pre- and post-deposition of the Yonil Group, i.e. the former is early Miocene and the latter late Miocene.

• Clinical and Experimental Pediatrics
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• v.59 no.2
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• pp.59-64
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• 2016

Purpose: Infantile Marfan syndrome (MFS) is a rare congenital inheritable connective tissue disorder with poor prognosis. This study aimed to evaluate the cardiovascular manifestations and overall prognosis of infantile MFS diagnosed in a tertiary referral center in Korea. Methods: Eight patients diagnosed with infantile MFS between 2004 and 2014 were retrospectively evaluated. Results: Their median age at the time of diagnosis was 2.5 months (range, 0-20 months). The median follow-up period was 25.5 months (range, 0-94 months). The median length at birth was 50.0 cm (range, 48-53 cm); however, height became more prominent over time, and the patients were taller than the 97th percentile at the time of the study. None of the patients had any relevant family history. Four of the 5 patients who underwent DNA sequencing had a fibrillin 1 gene mutation. All the patients with echocardiographic data of the aortic root had a z score of >2. All had mitral and tricuspid valve prolapse, and various degrees of mitral and tricuspid regurgitation. Five patients underwent open-heart surgery, including mitral valve replacement, of whom two required multiple operations. The median age at mitral valve replacement was 28.5 months (range, 5-69 months). Seven patients showed congestive heart failure before surgery or during follow-up, and required multiple anti-heart failure medications. Four patients died of heart failure at a median age of 12 months. Conclusion: The prognosis of infantile MFS is poor; thus, early diagnosis and timely cautious treatment are essential to prevent further morbidity and mortality.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.4
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• pp.1671-1674
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• 2014

Background: To study the clinical presentation of cervical carcinoma correlating with histopathological findings in a tertiary hospital situated in the southern part of India catering to rural and semi-urban populations Materials and Methods: 199 cases histopathologically diagnosed as cervical cancer over a period of one year were considered for the study. Clinical details of the patients were noted with the help of semi-structured proforma. The data was analysed by descriptive analysis using SPSS software. Results: Out of 199 patients, 109 had moderately differentiated squamous cell carcinoma, 51 poorly differentiated and 35 well differentiated. Adenocarcinomas numbered only four. 121 cases were in the age group of 40-59 years, 59 in 60-80 years and 19 in 20-39 years. All four cases of adenocarcinoma were seen between 40-59 years. 95 (47.7%) cases were in women who had 4 or more children, 120 presented with white discharge, 89 with bleeding per vagina and 68 had constitutional symptoms. Most of the patients with adenocarcinoma presented with bleeding per vagina. 151 was in stage IIIB, 29 in stage IIB, 14 in stage IVA and 5 in stage IB. Conclusions: Screening of cervical cancer should be emphasised in women with white discharge especially in rural areas for early detection of dysplastic cells and reduce mortality and morbidity in productive age. In addition health education has to be given to women regarding the awareness of hygiene, risk factors and symptoms of cervical cancer.

• 한국석유지질학회:학술대회논문집
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• autumn
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• pp.57-72
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• 2000

The Murzuk Basin covers an area in excess of $350,000{\cal}km^2$, and is one of several intra-cratonic sag basins located on the Saharan Platform of North Africa. Compared with some of these basins, the Murzuk Basin has a relatively simple structure and stratigraphy, probably as a result of it's location on a the East Saharan Craton. The basin contains a sedimentary fill which reaches a thickness of about $4,000{\cal}m$ in the basin centre. This fill can be divided into a predominantly marine Paleozoic section, and a continental Mesozoic section. The principal hydrocarbon play consists of a glacial-marine sandstone reservoir of Cambro-Ordovician age, sourced and sealed by overlying Silurian shales. The present day borders of the basin are defined by tectonic uplifts, each of multi-phase generation, and the present day basin geometry bears little relation to the more extensive Early Palaeozoic sedimentary basin within which the reservoir and source rocks were deposited. The key to the understanding of the Cambro-Ordovician play is the relative timing of oil generation compared to the Cretaceous and Tertiary inversion tectonics which influenced source burial depth, reactivated faults and reorganised migration pathways. At the present day only a limited area of the basin centre remains within the oil generating window. Modelling of the timing and distribution of source rock maturity uses input data from AFTA and fluid inclusion studies to define palaeo temperatures, shale velocity work to estimate maximum burial depth and source rock geochemistry to define kinetics and pseudo-Ro. Migration pathways are investigated through structural analysis. The majority of the discovered fields and identified exploration prospects in the Murzuk Basin involve traps associated with high angle reverse faults. Extensional faulting occurred in the Cambro-Ordovician and this was followed by repeated compressional movements during Late Silurian, Late Carboniferous, Mid Cretaceous and Tertiary, each associated with regional uplift and erosion.

• Journal of Trauma and Injury
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• v.32 no.2
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• pp.93-100
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• 2019

Purpose: Penetrating vascular trauma though less common poses a challenge to all Surgeons. This study was designed to analyse the profile, management modalities of vascular trauma and the outcomes thereof at a Trauma Care Centre in a Tertiary care setting in hostile environment in India. Methods: A prospective review of all patients with arterial and venous injuries being transferred to the Trauma Center at out Tertiary Care Center between June 2015 and May 2018 was done. Demographics, admission data, treatment, and complications were reviewed. Results: There were a total of 46 patients with 65 vascular injuries, 39 arterial injuries and 26 venous injuries. The age range was 21 to 47 years. Nineteen patients had both arterial and venous injuries. A total of 42 cases presented within 12 hours of injury and complete arterial transections were found in 33 cases (80.49%). There were three mortalities (6.52%) and three amputations (8.33%). The overall limb salvage rate was 91.67% with popliteal artery being the commonest injured artery. Poor prognosticators for limb salvage were increasing time to present to the trauma centre, hypovolemic shock, multi-organ trauma and associated venous injuries. Conclusions: Penetrating missile trauma leading to vascular injuries has not been widely reported. Attempting limb salvage even in cases with delayed presentation should be weighed with the threat to life before revascularisation and should preferably be done at a centre with vascular expertise. A team approach with vascular, orthopaedic, general surgeons, and critical care anaesthesiologists all aboard improve the outcomes manifold. Use of tourniquets and early fasciotomies have been emphasized as is the use of native veins as the bypass conduit. This is probably the largest study on penetrating Vascular trauma in anti-terrorism ops from the Indian subcontinent. It highlights the significance of prompt recognition and availability of vascular expertise in optimally managing cases of vascular trauma.

• Journal of Genetic Medicine
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• v.17 no.2
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• pp.73-78
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• 2020

Purpose: Congenital myasthenic syndrome (CMS) is a clinically and genetically heterogeneous group of disorders characterized by impaired neuromuscular transmission. This study aims to provide the clue for early diagnosis and improved therapeutic strategies in CMS. Materials and Methods: Through the targeted panel sequencing including twenty CMS causative genes, eleven patients were genetically confirmed and enrolled in this study. A retrospective medical record review was carried out for the clinical and laboratory data analysis. Results: The age of patients ranged from 5 to 23 years, with the median age of 16 years. The peak age at onset of symptoms was the neonatal period. Seven out of the eleven patients were symptomatic at birth. The most commonly reported initial finding was generalized hypotonia with poor sucking and crying. Mean time to accurate diagnosis was 9.3±5.0 years. Total fifteen different variants in seven genes associated with CMS (DOK7, AGRN, RAPSN, CHRNE, COLQ, SLC5A7, and GFPT1) were identified. Conclusion: We describe the clinical and genetic characteristics of CMS patients and treatment outcome in a single tertiary center. High clinical suspicion and timely molecular diagnosis is particularly important for the tailored therapy to maximize clinical improvement in CMS.

• Journal of Labour Economics
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• v.41 no.1
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• pp.1-38
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• 2018

The paper investigates the determinants of female, maternal, and male employment in a comparable setting using an unbalanced panel data of 29 OECD countries from 2000-2013. Our empirical results show that early childhood childcare and education (ECEC) is positively associated with female employment. Furthermore, we find that ECEC does not hurt male employment. We also find that tax rates on the second earner are negatively associated with male employment as well as female employment. The estimated coefficients of ECEC, social expenditure, tax rates, and tertiary education attainment rates in maternal employment regressions are much larger in the absolute value than those in female employment regressions. Policy implications of our analysis are that an expansion of ECEC, a lower tax on secondary earner, and education are key to promote the total employment as well as female employment.

• Journal of Preventive Medicine and Public Health
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• v.24 no.4 s.36
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• pp.485-495
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• 1991

This study examined the effects of referral requirements for insurance patients which have been enforced since July 1, 1989 when medical insurance coverage was extended to the whole population except beneficiaries of medical assistance program. The requirements are mainly aimed at discouraging the use of tertiary care hospitals by imposing restrictions on the patient's choice of a medical service facility. The expectation is that such change in the pattern of medical care utilization would produce several desirable effects including increased efficiency in patient care and balanced development of various types of medical service facilities. In this study, these effects were assessed by the change in the number of out-patient visits and bed-days per illness episode and the share of each type of facility in the volume of services and the amount of expenditures after the implementation of the new referral system. The data for analysis were obtained from the claims to the insurance for government and school employees. The sample was drawn from the claims for the patients treated during the first six months of 1989, prior to the enforcement of referral requirements, and those of the patients treated during the first six months of 1990, after the enforcement. The 1989 sample included 299,824 claims (3.6% of total) and the 1990 sample included 332,131 (3.7% of total). The data were processed to make the unit of analysis an illness episode instead of an insurance claim. The facilities and types of care utilized for a given illness episode are defined to make up the pathway of medical care utilization. This pathway was conceived of as a Markov Chain process for further analysis. The conclusion emerged from the analysis is that the enforcement of referral requirements resulted in less use of tertiary care hospitals, and thereby decreased the volume of services and the amount of insurance expenses per illness episode. However, there are a few points that have to be taken into account in relation to the conclusion. The new referral system is likely to increase the use of medical services not covered by insurance, so that its impact on national health expenditures would be different from that on insurance expenditures. The extension of insurance coverage must have inereased patient load for all types of medical service organizations, and this increase may be partly responsible for producing the effects attributed to the new referral system. For example, excessive patient load for tertiary care hospitals may lead to the transfer of their patients to other types of facilities. Another point is that the data for this study correspond to very early phase of the new system. But both patients and medical care providers would adapt themselves to the new system to avoid or overcome its disadvantages for them, so as that its effects could change over time. Therefore, it is still necessary to closely monitor the impact of the referral requirements.

• Economic and Environmental Geology
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• v.30 no.6
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• pp.603-612
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• 1997

Cretaceous sedimentary-volcanoclastic formations of the Kyeongsang Supergroup were intruded by granitic rocks in the late Cretaceous and early Tertiary. In the Euiseong and Shinryeong area, these intrusives have various compositions including gabbro, diorite，biotite granite and feldspar porphyry. Associated volcanic rocks consist of two chemically distinct types: the bimodal suite of basalt and rhyolite in the Keumseongsan caldera, and the felsic suite of andesite and rhyolite in the Sunamsan-Hwasan calderas. Most rocks are subalkaline, and follow a typical differentiation path of the calc-alkaline magma. The granitic rocks can be distinguished chemically from the volcanics by high Zr/Y ratios. Differences in Zr/Y and K/Y ratios between the two volcanic suites can be accounted for by mantle source and fractionation. Chondrite-normalized trace element abundances of granitic rocks are depleted in Th and K, whereas those of the Keumseongsan rhyolites are depleted in Sr and Ti. Rb, La and Ce is enriched in rhyolites of the Sunamsan-Hwasan calderas. $Rb-SiO_2$ and Rb-Y+Nb discrimination diagrams suggest that the intrusives and volcanics have a volcanic arc setting. K-Ar ages indicate four plutonic episodes : diorite (89 Ma), granite (66~62 Ma), granite and porphyry (55~52 Ma) and gabbro (52~45 Ma), and two volcanisms : bimodal basaltic and rhyolitic volcanism (71~66 Ma) in the Keumseongsan caldera, and felsic andesitic and rhyolitic volcanism (61~54 Ma) in the Sunamsan-Hwasan calderas. Geochemical and age data thus suggest that the igneous rocks are related to several geologic episodes during the late Cretaceous to early Tertiary.

• Clinical and Experimental Pediatrics
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• v.61 no.7
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• pp.210-216
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• 2018

Purpose: The present study aimed to evaluate progression and prognosis according to the palliation method used in neonates and early infants aged 3 months or younger who were diagnosed with pulmonary atresia with ventricular septal defect (PA VSD) or tetralogy of Fallot (TOF) with severe pulmonary stenosis (PS) in a single tertiary hospital over a period of 12 years. Methods: Twenty with PA VSD and 9 with TOF and severe PS needed initial palliation. Reintervention after initial palliation, complete repair, and progress were reviewed retrospectively. Results: Among 29 patients, 14 patients underwent right ventricle to pulmonary artery (RV-PA) connection, 11 palliative BT shunt, 2 central shunt, and 2 ductal stent insertion. Median age at the initial palliation was 13 days (1-98 days). Additional procedure for pulmonary blood flow was required in 5 patients; 4 additional BT shunt operations and 1 RV-PA connection. There were 2 early deaths among patients with RV-PA connection, one from RV failure and the other from severe infection. Finally, 25 patients (86%) had a complete repair. Median age of total correction was 12 months (range, 2-31 months). At last follow-up, 2 patients had required reintervention after total correction; 1 conduit replacement and 1 right ventricular outflow tract (RVOT) patch enlargements. Conclusion: For initial palliation of patients with PA VSD or TOF with severe PS, not only shunt operation but also RV-PA connection approach can provide an acceptable outcome. To select the most proper surgical strategy, we recommend thorough evaluation of cardiac anomalies such as RVOT and PA morphologies and consideration of the patient's condition.