• Title/Summary/Keyword: Early age

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Durability of the Ionescu-Shiley Valve in Mitral Position (이오네스큐 승모판막의 내구성)

  • 김종환
    • Journal of Chest Surgery
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    • v.22 no.2
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    • pp.246-255
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    • 1989
  • A total and consecutive 291 patients of isolated single mitral valve replacement using the Ionescu-Shiley bovine pericardial xenograft valve operated on between October 1978 and June 1983 were retrospectively studied for the durability of the substitute valves based on the structural degeneration of primary tissue failure which had been proved on their re-replacement surgery. The mean age at the initial surgery was 32.4*12.5 years, and the operative mortality rate was 5.2 %. The early survivors of 276 patients were followed up for a total 1148.3 patient-years[mean\ulcornerD, 4.16*2.57 years]at the follow-up end of June 1988. They experienced 4 major late complications: 1.045 % thromboembolism/patient-year [pt-yr]; 0.871 % bleeding/pt-yr; 0.610% endocarditis/pt-yr; and 3.309% overall valve failure/pt-yr or 1.655% primary tissue failure/pt-yr. The actuarial survival rates were 89.4*2.2% and 87.7*2.5% at 5 and 10 years after initial surgery respectively. The probabilities of freedom from thromboembolism were 95.1*1.6% and 93.2*2.0% at 5 and 10 years after surgery. Nineteen patients underwent re-replacement of the Ionescu-Shiley valve because of primary tissue failure, and there was no operative mortality. The incidence of primary tissue failure was highest for the patients less than 15 years of age occurring in 9 out of 27 patients [33.3 %] or 8.68 %/pt-yr, while it was 4.0 % or 0.96 %/pt-yr for the rest of patients older than this age. The probabilities of freedom from primary tissue failure were 96.7*1.4 % and 84.2*3.8% at 5 and 9 years after surgery. The freedom from tissue failure increased as the age limits of cumulative younger patients were increased while it decreased as the age limits of cumulative older patients were decreased. Although it is clear that the Ionescu-Shiley valve would degenerate prematurely in young patients, the definite age limit could not be identified when the risk of early failure was significantly high.

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An Analysis of Language Activity Contents for Young Children from the Nuri Curriculum Teacher's Guidebooks for Age 3-5 (3~5세 누리과정 교사용 지도서에 나타난 유아 언어교육 활동 내용 분석)

  • Han, Sun-Ah;Kwak, Jung-In
    • The Journal of the Korea Contents Association
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    • v.13 no.7
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    • pp.511-521
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    • 2013
  • The purpose of this study is to review the perspective on early childhood language education by analyzing language activities specified in the Teacher's guide to Nuri Curriculum for Children between Age 3 to 5. In the pursuit of this purpose, 966 language educational activities suggested in 32 guidebooks(10 for age 3, 11 for age 4, 11 for age 5 - divided by life themes) have been chosen as the analysis object and analyzed based on the following category; subordinate scope, and activity type. This analysis showed that children aged 3~5 start their language activities in the order of talking, listening, reading and writing (under the subordinate scope category), and favors activities in the order of 'fairy tale/poem', 'story telling' and 'verbal section'. In conclusion, it has been proven that each category is concentrating on 1~2 activities and the proportion varies depending on the age. Based on the above result, we intend to examine the current situation of language education and use this study as the preliminary data to provide a proper direction for early childhood language education.

Determinants of age at menarche in Korean elementary school girls (초등학교 여학생의 초경시기와 관련된 결정요인 분석)

  • Kwon, Mi-Kyoung;Seo, Eun Min;Park, Kyong
    • Journal of Nutrition and Health
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    • v.48 no.4
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    • pp.344-351
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    • 2015
  • Purpose: During the recent decades, the age at menarche continued to decline in Korea and worldwide. Prior studies have suggested that early menarche may increase the risk of various social, psychological, and physical health problems in young adolescent girls, but little is known about the determinants associated with early menarche. The purpose of this study is to evaluate independent determinants of early menarche among 5th~6th female graders in South Korea. Methods: Our analysis was conducted in 95 menarcheal girls and 95 age-matched pre-menarcheal girls residing in Daegu, South Korea. Demographic and lifestyle characteristics were collected using survey questionnaires for children and parents. Dietary information was assessed by 2 day~24 hour food records and survey questionnaires, which were completed by both children and their parents. Anthropometric data were obtained from the student health check-ups at the school. Results: A multiple logistic regression analysis using a conditional likelihood method was performed for simultaneous evaluation of several risk factors. There were significant differences in that higher proportion of obesity (OR, odds ratio = 5.60, 95% CI, confidence interval = 1.34~23.42), shorter sleep duration (OR = 0.45, 95% CI = 0.23~0.87), and younger mother's age at menarche (OR = 0.64, 95% CI = 0.44~0.93) were observed in the menarcheal group compared to the pre-menarcheal group. Conclusion: These findings indicate a possible association of sleep duration, mother's menarcheal age, and obesity with age at menarche. A well-planned, prospective cohort study is warranted to examine causal relationship.

Mix Design Conditions at Early Curing Age of PCS-Coating Material Effected on Improvement in Bond Strength of Coated Rebar (도장철근의 부착강도 개선에 영향을 미치는 초기재령에서의 PCS 도장재 배합조건)

  • Jo, Young-Kug;Park, Dong-Yeol;Kim, Wan-Ki
    • Journal of the Korea Concrete Institute
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    • v.25 no.1
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    • pp.73-80
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    • 2013
  • Polymer cement slurry (PCS) made from organic polymer dispersion and cement has good adhesion to steel, waterproofness and acid resistance due to being of polymer films formed in cement slurry. The purpose of this study is to evaluate the mix design conditions at early curing age of PCS-coating material effected on improvement in bond strength of coated rebar. The test pieces are prepared with two types of polymer dispersions such as St/BA and EVA, four polymer-cement ratios, two types of cement, four coating thicknesses and three curing ages, and tested for the bond strength test. From the test results, in general, bond strength of PCS-coated rebar is better than that of uncoated rebar and epoxy-coated rebar. It is also high bond strength at curing ages of 7-day or less, and coating thicknesses of $75{\mu}m$ and $100{\mu}m$. The maximum bond strength of PCS-coated rebar at curing age of 3-hour is almost same as that of curing age of 1-day and 7-day. The maximum bond strength of PCS-coated rebar with ultra high-early strength cement and St/BA at polymer-cement ratio of 80%, and coating thickness of $100{\mu}m$ is about 1.52 and 1.58 times respectively, the strength of uncoated rebar and epoxy-coated rebar. It is apparent that the curing age, coating thickness, type of polymer and cement are very important factors to improve the bond strength of PCS-coated rebar to cement concrete. We can have basic information that PCS-coated rebar with curing age at 3-hour and coating thickness of $100{\mu}m$ can replace epoxy-coated rebar.

Prediction of Time-dependent Moisture Diffusion Coefficient in Early-age Concrete (초기재령 콘크리트의 시간 의존적인 수분확산계수 예측에 관한 연구)

  • Kang, Su-Tae;Kim, Jin-Keun
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.9 no.4
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    • pp.141-148
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    • 2005
  • The nonlinear humidity distribution occurs due to the moisture diffusion when a concrete is exposed to an ambient air. This nonlinear humidity distribution induces shrinkage cracks on surfaces of the concrete. Because shrinkage cracks largely affect the durability and serviceability of concrete structures, the moisture diffusion in concrete must be investigated. The purpose of this paper is to propose a model of the moisture diffusion coefficient that governs moisture diffusion within concrete structures. To propose the model, numerical analysis was performed with several experiments. Because the moisture diffusion coefficient is changed with aging, especially at early ages, the proposed model includes aging effect by terms of the porosity as well as the humidity of concrete.

Determination of Age and Metallicity of Early-Type Galaxies hosting Type Ia Supernovae

  • Kang, Yijung;Kim, Young-Lo;Lim, Dongwook;Chung, Chul;Lee, Young-Wook
    • The Bulletin of The Korean Astronomical Society
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    • v.38 no.2
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    • pp.59.1-59.1
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    • 2013
  • Type Ia supernovae (SNe) are providing the most conclusive evidence for accelerating universe with dark energy in observational cosmology. In these investigations, look-back time evolution of SNe luminosity is regarded as negligible on the basic assumption. However, several recent works present some systematic differences among hosts which have different characteristics of stellar population. For more direct investigation, we are proceeding with our YONSEI (YOnsei Nearby Supernovae Evolution Investigation) project. Only early-type hosts in our catalogue were chosen in order to estimate the luminosity-weighted mean age and metallicity directly using Single Stellar Population (SSP) models and ignore the effect from the dust extinction. Observations using low-resolution spectrographs are still in progress at Las Campanas Observatory with 2.5m telescope and at McDonald Observatory with 2.7m telescope. We have thus far obtained spectra for 30 early-type hosts. After weak emission line correction, Lick/IDS absorption-line indices are measured and YEPS spectroscopic evolution model was applied to determine mean population ages and metallicities. Our preliminary results show that SNe Ia hosted in older galaxies seem to be brighter at 1.4 - 3 sigma levels, however, more observations and analyses are still needed to confirm this correlation.

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Form Integrated Wireless Sensor Network for Monitoring of Concrete Curing (콘크리트 양생 모니터링을 위한 거푸집 일체형 무선센서네트워크(WSN) 시스템)

  • Lee, Sung-Bok;Park, Won-Jun;Cho, Myoung-Won;Lee, Seung-Yeop;Lee, Han-Seung
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2012.11a
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    • pp.173-175
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    • 2012
  • Temperature during concrete curing can be effectively used to predict the early age strength of concrete However, various current methods have limits to provide the temperature data in real time due to harsh working environment including frequent cutting of wires. This paper presents the results of our investigation of an all-in-one Wireless sensor network (WSN) for the management of the curing temperature of in-placed concrete at early curing stages. Also, the network device for transmission can be easily separated from the probe sensor part and reused consistently. The field experiment entailed measuring the curing temperature of concrete using the WSN. After fresh concrete was poured into the formworks, the signals were measured at a 150 m radius from the field office. The signal was acquired for 28 days without any dispersion or interruption at the construction site; therefore, this study confirms the applicability of the proposed system to a construction site.

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Surgical correction of Total Anomalous Pulmonary Venous Connection - Review of 37 Cases treated surgically during 10 years (총폐정맥환류이상증에 대한 외과적 요법 및 장기 성적)

  • 나명훈
    • Journal of Chest Surgery
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    • v.20 no.4
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    • pp.695-705
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    • 1987
  • This report provides follow - up data on 37 patients, aged 7 days to 25 years [median: 6.5 months], who underwent repair of total anomalous pulmonary venous connection at Seoul national University Hospital between May, 1978 and June, 1987. The patients were 22 males and 17 females and the sex ratio was 1.6 to 1, showing a male predominance. Sixteen patients had supracardiac, 13 cardiac, 3 infracardiac and 5 had a mixed type. The duration of follow up was from 1 month to 60 months [median: 14 months] There were eight early and one late deaths, and the overall mortality was 24%. The deaths during 1 year of life were eight [89%] and only one death [11%] occurred above 1 year of age. The mortality of cardiac type was unusually high, accounting for 56 percent of the total death, which was probably due to the preoperative poor clinical condition such as pulmonary edema and congestive heart failure. The major cause of death was the perioperative myocardial failure, and the survival was closely related to the preoperative clinical status, age and moderately elevated pulmonary arterial pressure, the sign of the elevated pulmonary vascular resistance and pulmonary venous obstruction. Early diagnosis and early application of surgical intervention is essential to the improved postoperative survival

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A Characteristic EEG Pattern of Angelman Syndrome

  • Yoon, Joong-Soo;Song, Woon-Heung;Choi, Hwa-Sik
    • Korean Journal of Clinical Laboratory Science
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    • v.42 no.2
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    • pp.97-102
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    • 2010
  • The two new female cases of Angelman syndrome (AS) were described, which diagnosed on the basis of clinical features (dysmorphic facial features, severe mental retardation with absent speech, peculiar jerky movements, ataxic gait and paroxysms of inappropriate laughter) and neurophysiological findings. Failure to detect the deletion of the long arm of chromosome 15 or the absence of epileptic seizure were not considered sufficient to exclude a diagnosis of AS. Feeding problems, developmental delay and early signs of ataxia, especially tremor on handling objects and unstable posture when seated, proved effective as the clinical markers for early diagnosis of AS. Most of the authors agreed about the existence of three main EEG patterns in AS which may appear in isolation or in various combinations in the same patient. The most frequently observed pattern in children has prolonged runs of high amplitude rhythmic 2-3 Hz activity predominantly over the frontal region with superimposed interictal epileptiform discharges. High amplitude rhythmic 4-6 Hz activity, prominent in the occipital regions, with spikes, which can be facilitated by eye closure, is often seen in children under the age of 12 years. The EEG findings are characteristic of AS when seen in the appropriate clinical context and can be helpful to identify AS patients at an early age when genetic counselling may be particularly important.

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A Study on the Recognition and Qualities of Early Childhood Coding Education in Childcare Center Teachers (어린이집 교사의 유아코딩교육에 대한 인식과 자질에 대한 연구)

  • Chun, Hui Young
    • Korean Journal of Childcare and Education
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    • v.14 no.1
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    • pp.227-248
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    • 2018
  • Objective: The purpose of this study was to investigate the recognition and qualities of early childhood coding education in childcare center teachers. Methods: 158 childcare center teachers responded to 56 questions on a questionnaire extracted and revised from previous research. Frequency analysis and one-way ANOVA were applied for the data analysis. Results: Many teachers agreed that the software education policy was timely appropriate. Most of them needed the education in order to improve children's creativity and problem solving ability, and answered that it is appropriate to start the education at age 5. Most of them recognized that small group and free choice activities, play activities linked with daily life topics and coding programs by the childcare center teachers were desirable as educational methods. Provision of educational HW/SW environment was a relatively important element for effective implementation of the education. The coding educational qualities perceived by the teachers were not high, and were related to the age of the children they were in charge of and their computer literacy. Conclusion/Implications: The recognition of childcare center teachers was relatively positive, but it is necessary to educate the teachers to improve their recognition and qualities of the education in consideration of teachers' variables.