• Title/Summary/Keyword: Early experiences

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A Clinical Study on Primary Lung Cancer (폐암의 임상적 고찰)

  • Lee, Jeong-Cheol;Lee, Jong-Tae;Kim, Gyu-Tae
    • Journal of Chest Surgery
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    • v.19 no.1
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    • pp.140-147
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    • 1986
  • A clinical study was made on 72 cases of primary lung cancer operated in the department of thoracic & cardiovascular surgery, Kyungpook national university hospital from January 1975 to May 1985. The ratio of male to female was 13.4: I and mean age was 53. Histologically, squamous cell carcinoma comprised 72.2% of 72 operated cases. Before admission to our hospital, the erroneous diagnoses were made at local clinics on the 43 cases[59.7%] and a large percentage of them was diagnosed as pulmonary tuberculosis. And then, total of 56 cases received inadequate treatment or delayed the operation. For the location of the tumor, right to left ratio is 1.2:1 and the right upper lobe was most often involved [23.6%]. Operation was performed on the 72 cases and resection on the 59 cases[8.2%]. Postsurgical staging showed that stage III was found most frequently [59.4%] and T,N,M, was 28% of total cases. Two common surgical complications were bleeding in 7 and acute respiratory failure in 6 cases, and these 6 cases of acute respiratory failure were all died. On the basis of these experiences, we conclude that aggressive effort is needed for the early accurate diagnosis and adequate treatment of lung cancer.

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Assessment of the Implementation of a Neutron Measurement System During the Commissioning of the Jordan Research and Training Reactor

  • Bae, Sanghoon;Suh, Sangmun;Cha, Hanju
    • Nuclear Engineering and Technology
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    • v.49 no.3
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    • pp.504-516
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    • 2017
  • The Jordan Research and Training Reactor (JRTR) is the first research reactor in Jordan, the commissioning of which is ongoing. The reactor is a 5-MWth, open-pool type, light-water-moderated, and cooled reactor with a heavy water reflector system. The neutron measurement system (NMS) applied to the JRTR employs a wide-range fission chamber that can cover from source range to power range. A high-sensitivity boron trifluoride counter was added to obtain more accurate measurements of the neutron signals and to calibrate the log power signals; the NMS has a major role in the entire commissioning stage. However, few case studies exist concerning the application of the NMS to a research reactor. This study introduces the features of the NMS and the boron trifluoride counter in the JRTR and shares valuable experiences from lessons learned from the system installation to its early commissioning. In particular, the background noise relative to the signal-to-noise ratio and the NMS signal interlock are elaborated. The results of the count rates with the neutron source and the effects of the discriminator threshold are summarized.

Improvement of Multicultural Family Education and Welfare Policy in Korea (우리나라 다문화 가족 교육 및 복지정책의 개선방안)

  • Kim, Un-Sam
    • Industry Promotion Research
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    • v.4 no.2
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    • pp.29-38
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    • 2019
  • This study suggests that multicultural education should not be limited to educational sites such as kindergartens. Since the multicultural attitudes and consciousness of young children are unconsciously acquired through parents' words and school education, they emphasized the implementation of multicultural education at home and kindergarten. In other words, multicultural education should not only be carried out in the field of education, but also in the homes of children. However, there are still few studies on multicultural education for parents. In this regard, this study highlights the importance of parents on multicultural education by examining the socio-economic status of parents with early childhood children and their actual experiences in multicultural education. To provide basic data.

Early experiences with robot-assisted prosthetic breast reconstruction

  • Ahn, Sung Jae;Song, Seung Yong;Park, Hyung Seok;Park, Se Ho;Lew, Dae Hyun;Roh, Tai Suk;Lee, Dong Won
    • Archives of Plastic Surgery
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    • v.46 no.1
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    • pp.79-83
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    • 2019
  • Robotic surgery facilitates surgical procedures by employing flexible arms with multiple degrees of freedom and providing high-quality 3-dimensional imaging. Robot-assisted nipple-sparing mastectomy with immediate reconstruction is currently performed to avoid breast scars. Four patients with invasive ductal carcinoma underwent robot-assisted nipple-sparing mastectomy and immediate robot-assisted expander insertion. Through a 6-cm incision along the anterior axillary line, sentinel lymph node biopsy and nipple-sparing mastectomy were performed by oncologic surgeons. The pectoralis major muscle was elevated, an acellular dermal matrix (ADM) sling was created with robotic assistance, and an expander was inserted into the subpectoral, sub-ADM pocket. No patients had major complications such as hematoma, seroma, infection, capsular contracture, or nipple-areolar necrosis. The mean operation time for expander insertion was 1 hour and 20 minutes, and it became shorter with more experience. The first patient completed 2-stage prosthetic reconstruction and was highly satisfied with the unnoticeable scar and symmetric reconstruction. We describe several cases of immediate robot-assisted prosthetic breast reconstruction. This procedure is a feasible surgical option for patients who want to conceal surgical scars.

Chronic non-bacterial osteomyelitis in the jaw

  • Kim, Soung Min;Lee, Suk Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.45 no.2
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    • pp.68-75
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    • 2019
  • Chronic recurrent multifocal osteomyelitis (CRMO) is one of the most severe form of chronic non-bacterial osteomyelitis (CNO), which could result in bone and related tissue damage. This autoinflammatory bone disorder (ABD) is very difficult for its clinical diagnosis because of no diagnostic criteria or biomarkers. CRMO in the jaw must be suspected in the differential diagnosis of chronic and recurrent bone pain in the jaw, and a bone biopsy should be considered in chronic and relapsing bone pain with swelling that is unresponsive to treatment. The early diagnosis of CRMO in the jaw will prevent unnecessary and prolonged antibiotic usage or unnecessary surgical intervention. The updated researches for the identification of genetic and molecular alterations in CNO/CRMO should be studied more for its correct pathophysiological causes and proper treatment guidelines. Although our trial consisted of reporting items from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), there are very few articles of randomized controlled trials. This article was summarized based on the author's diverse clinical experiences. This paper reviews the clinical presentation of CNO/CRMO with its own pathogenesis, epidemiology, recent research studies, and general medications. Treatment and monitoring of the jaw are essential for the clear diagnosis and management of CNO/CRMO patients in the field of dentistry and maxillofacial surgery.

Characteristics of Spatial Formation of Foreign and Domestic Settlement in Yokohama during early Open Port Area (개항초기 요코하마 내·외국인 거류지 형성과 공간적 차별성)

  • Kim, Jun;Hong, Ji-Wan;Kim, Dong-Su;Yoo, Jae-Woo
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.34 no.3
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    • pp.35-44
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    • 2018
  • The purpose of this study is to elucidate the formation process and spatial characteristics of the first and largest open port of Foreign Settlement in Yokohama, Japan. Based on the reference records and maps, we traced the process of modernization, example of opening the park and introduction of technology, industrial & infra-structural facilities. And found out the characteristics of formation process of port city Yokohama as the modernized city. The results of this study are as follows: First, the spatial characteristics and significance of the public space of the port open space; second, the difference of the road and parcel systems between the Japanese and the foreign settlements; and third, the meaning of the port open space as the space of separation in that times. These experiences about the open port in Yokohama could be worked as the basic for domestic and colonial city planning.

Trauma Surgery and War: A Historical Perspective

  • Hwang, Kun
    • Journal of Trauma and Injury
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    • v.34 no.4
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    • pp.219-224
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    • 2021
  • The aim of this review is to introduce the progress in trauma surgery made during war. In the 16th century, Paré reintroduced ligature of arteries, which had been introduced by Celsus and Galen, instead of cauterization during amputation. Larrey, a surgeon in Napoleon's military, adapted the "flying artillery" to serve as "flying ambulances" for rapid transport of the wounded. He established rules for the triage of war casualties, treating wounded soldiers according to the seriousness of their injuries and the urgency of medical care. To treat fractures and tuberculosis, Thomas created the "Thomas splint", which was used to stabilize fractured femurs and prevent infection; in World War I (WWI), use of this splint reduced the mortality of compound femur fractures from 87% to less than 8%. During WWI, Cushing systematized the treatment of head injuries, reducing mortality among head injury patients. Gillies repaired facial injuries, and his experiences became the basis of craniofacial and aesthetic surgery. In WWII, McIndoe discovered that immersion in saline promoted burn healing and improved survival rates, and thus began saline baths and early grafting instead of using tannic acid. A high mortality rate in patients with acute renal failure was noted in WWII and the Korean War. In the Korean War, Teschan used the Kolff-Brigham dialyzer. The first use of medevac with helicopters was the evacuation of three British pilot combat casualties by the US Army in Burma during WWII. As a lotus blooms in the mud, military surgeons have contributed to trauma surgery during wartime.

A Review of HAZID/Bowtie Methodology and its Improvement (해지드/보우타이 기법의 한계와 개선에 대하여)

  • Kim, Sung-Hoon
    • Journal of the Society of Naval Architects of Korea
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    • v.59 no.3
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    • pp.164-172
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    • 2022
  • A HAZID is a brainstorming workshop to identify hazards in an early phase of a project. It should be flexible to capture all probable accidents allowing experienced participants to exploit their expertise and experiences. A bowtie analysis is a graphical representation of major accident hazards elaborating safety measures i.e. barriers. The result of these workshops should be documented in an organized manner to share as good as possible details of the discussion through the lifetime of the project. Currently results are documented using a three-step representation of an accident; causes, top event and consequences, which cannot capture correctly sequence of events leading to various accidents and roles of barrier between two events. Another problem is that barriers would be shown repeatedly leading to a misunderstanding that there are an enough number of safety measures. A new bowtie analysis method is proposed to describe an accident in multiple steps showing relations among causes or consequences. With causes and consequences shown in a format of a tree, the frequencies of having the top event (Fault tree analysis) and various consequences (Event tree analysis) are evaluated automatically based on the frequency of initiating causes and the probabilities of failure of barriers. It will provide a good description of the accident scenario and help the risk to be assessed transparently.

The Impact of Other-Race Perceptual Individuation Training on Five- to Six-Year-Olds' Categorization of Mixed-Race Faces (타인종에 대한 지각적 개별화 연습이 5-6세 유아의 혼합 인종 범주화에 미치는 영향)

  • Kang, Eun;Park, Youjeong
    • Korean Journal of Childcare and Education
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    • v.18 no.2
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    • pp.85-103
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    • 2022
  • Objective: This study examined five- to six-year-old children's categorization of mixed-race faces and how it was affected by perceptual individuation training (PIT) for other-races. Methods: Sixty-five children attending classes for 5-year-olds in childcare centers were shown happy and angry faces of Korean and African American mixed-race people, along with neutral faces of Korean and African American monoracial people. They were asked to categorize the faces into same-race or other-race. After the pretest, participants received a PIT for either African American (other-race) or monkeys. Then the racial categorization task was administered again as a posttest. Results: Children showed no general tendency to categorize mixed-race faces as out-group in the pretest. Yet, the PITs further reduced children's categorization of mixed-race faces as out-group. In particular, the effect was clearly evident in children who received the PIT for other-race. Conclusion/Implications: The results suggest that the tendency to categorize mixed-race faces as an out-group may not be evident in early childhood and that experiences of perceptually identifying other-race individuals may help children view mixed-race individuals as being in the ingroup, at least perceptually.

Predictors of Suicidal Attempts in Adolescents over 5 Years after Dropout Experience: A Longitudinal Study (청소년들의 학업중단 경험 이후 5년 동안 자살시도 예측요인: 종단연구)

  • Park, Hyunju
    • Journal of the Korean Society of School Health
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    • v.34 no.3
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    • pp.151-160
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    • 2021
  • Purpose: The purpose of this study was to identify predictors of suicidal attempts in adolescents over 5 years after school dropout. Methods: The data of the Panel Survey of School Dropouts (of 2013 to 2017) conducted by the National Youth Policy Institute were analyzed. The analysis used the 2013 survey data as the baseline and examined suicidal attempts from 2013 to 2017. A total of 776 adolescents were included in the analysis. Descriptive statistics, 𝝌2 test, t-test, and multiple logistic regression were carried out using SAS 9.2. Results: About 11% (87 out of 776) of the adolescents with an experience of dropout attempted suicide between 2013 and 2017. The risk of suicidal attempts was significantly lower in female (AOR: 0.57, 95% CI: 0.87~0.93) than in male adolescents. The higher the self-esteem, the lower the risk of suicidal attempts (AOR: 0.87. 95% CI: 0.78~0.97). The higher the depression level (AOR: 1.10, 95% CI: 1.05~1.16) and the rate of parental abuse (AOR: 1.09, 95% CI: 1.02~1.18), the higher the risk of suicidal attempts. Conclusion: The findings of the study suggest that those who are male, depressed, have low self-esteem or have been abused by their parents are at high risk of suicidal attempts among the adolescents with dropout experiences. Therefore, early intervention is necessary for those at high risk.