• Title/Summary/Keyword: First-Year Grade

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Penetrating chest trauma from a "less lethal" bean bag in the United States: a case report

  • Gloria Sanin;Gabriel Cambronero;Megan E. Lundy;William T. Terzian;Martin D. Avery;Samuel P. Carmichael II;Maggie Bosley
    • Journal of Trauma and Injury
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    • v.36 no.4
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    • pp.421-424
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    • 2023
  • This case report presents the case of a 49-year-old man who presented to our level I trauma center after sustaining injuries in an altercation with local law enforcement in which he was shot with a less lethal bean bag and tased. In a primary survey, a penetrating left supraclavicular wound was noted in addition to a taser dart lodged in his flank. No other traumatic findings were noted in a secondary survey. Given hemodynamic stability, completion imaging was obtained, revealing a foreign body in the left lung, a left open clavicle fracture, a C5 tubercle fracture, a possible grade I left vertebral injury, and a left first rib fracture. Soft tissue gas was seen around the left subclavian and axillary arteries, although no definitive arterial injury was identified. The bean bag projectile was embedded in the parenchyma of the left lung on cross-sectional imaging. The patient underwent thoracotomy for removal of the projectile and hemostasis. A thoracotomy was chosen as the operative approach due to concerns about significant bleeding upon foreign body removal. A chest tube was placed and subsequently removed on postoperative day 5. The patient was discharged on postoperative day 7. At a 2-week outpatient follow-up visit, the patient was doing well. This case report is the first to describe this outcome for a drag-stabilized bean bag. Although law enforcement officers utilize bean bag projectiles as a "less lethal" means of crowd control and protection, these ballistics pose significant risk and can result in serious injury.

First Successful Dynamic Cardiomyoplasty in Korea (심근 성형술 1례 보고)

  • ;;;;;;;;Igor Dubrovski, Ph.D.
    • Journal of Chest Surgery
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    • v.31 no.4
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    • pp.393-397
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    • 1998
  • A 25-year-old man with viral cardiomyopathy and chronic active hepatitis successfully underwent dynamic cardiomyoplasty for the first time in Korea on July 30, 1996. The patient had been intermittently dyspneic for 5 years and was admitted to our center twice because of heart failure. For the past 2 years, he was NYHA functional class III status with a left ventricular ejection fraction(LVEF) of around 30%. The patient was born with scoliosis and showed a short stature. The liver function showed elevated liver enzymes, and hepatitis B antigen was positive. The liver biopsy revealed chronic active hepatitis. The preoperative echocardiogram showed decreased left ventricular function with grade II mitral and grade II tricuspid regurgitation with dilated left and right atrium. Recently his symptoms worsened and we decided to perform a dynamic cardiomyoplasty. The left latissmus dorsi muscle(LDM) was mobilized and tested with lead placement on his right lateral decubitus position. The patient was positioned into supine and, after median sternotomy, the heart was wrapped with the mobilized muscle. The Russian made cardiomyostimulator(EKS-445) and leads (Myocardial PEMB for heart and PEMP-1 for LDM) were used. The total operation time was 8 hours and there were no perioperative episodes. Postoperatively the LDM had been trained for a 10 week period and currently the stimulation ratio is maintained at 1:4. The postoperative LVEF did not increase with the value of 30-35%. However, the patient feels better postoperatively with slightly increased activity.

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Analysis of Contents of Reorganization of Textbooks by Pre-Service Teachers' on 'Comparison of Distances from Solar System to Planets' in First Semester of Elementary Science 5th Grade (초등과학 5학년 1학기 '태양에서 행성까지 거리 비교'에 대한 초등예비교사들의 교재 재구성 내용 분석)

  • Kim, Hae-Ran;Lee, Yong-Seob
    • Journal of the Korean Society of Earth Science Education
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    • v.14 no.3
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    • pp.225-235
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    • 2021
  • The purpose of this study is to obtain implications for the improvement direction of astronomical education methods and development of educational materials or software. In connection with the 5th grade 1st semester elementary science 'Solar System and Stars' unit, elementary pre-service teachers were given a reorganization task to compare the relative distances from the sun to the planets, and then this was analyzed. Pre-service teachers are 11 male and 19 female students in the second year of the music education department at the elementary school teacher training university in B city. The implications of the study results are as follows. First, the 'distance comparison activity using a roll of tissue paper' is suitable for simply comparing the distances from the sun to the planet, but it has limitations in allowing students to experience the vastness of the solar system or inducing student participation-centered classes. Second, it is necessary to develop software materials for elementary school students that can simultaneously reflect the size of the planet and the distance to the planet that can be applied indoors, and also experience the vastness of the solar system, as well as a wide learning space. Third, textbook materials for students have an important influence on the class design of pre-service teachers.

Forage Quality and Production of Phragmites communis as a Native Grass According to Growth Stages (부존 조사료자원 갈대의 생육시기별 사료가치 및 생산량)

  • Seo, Sung;Kim, Won-Ho;Jung, Min-Woong;Lee, Sang-Hak;Kim, Chun-Man;Choi, Jin-Hyuck;Kim, Jin-Sook;Kim, Ha-Young;Lee, Joung-Kyong
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.32 no.2
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    • pp.109-116
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    • 2012
  • This study was carried out to determine the forage quality, production, and regrowth of Phragmites communis as a native grass according to growth stages. Experiment 1 was conducted in Ansan from May 2009 to April 2010 (7 stages), and experiment 2 was conducted in Cheonan from May to November 2011 (10 stages). In experiment 1, forage quality decreased rapidly with advance of growth from May. When harvested on late May, July, September and April of the following year, the contents of crude protein were 7.7%, 4.6%, 3.7%, and 2.2%, respectively. Relative feed value (RFV) were 80.2, 65.1, 61.8 and 52.8, and lignin contents were 7.1%, 9.9%, 12.0%, and 13.2%, respectively. In experiment 2, significantly higher forage yields were observed when harvested from late June to mid July. On the other hand, forage quality decreased with delayed harvest as was in experiment 1. Good regrowth of Phragmites communis was observed when harvested earlier than in August. When harvested on late May, June, July, August, September, October and November, the dry matter (DM) yields were 7,329 kg/ha, 12,527 kg, 9,593 kg, 8,279 kg, 7,649 kg, 5,822 kg and 5,540 kg, and in vitro digestible DM (IVDDM) yields were 3,924 kg/ha, 5,264 kg, 4,273 kg, 3,322 kg, 3,352 kg, 2,195 kg and 1,887 kg, respectively. Forage quality grades of Phragmites communis were 4th grade in May, 5th grade from June to Sept., and 6th grade in Oct., Nov., or in Apr. of the following year. However, all regrown Phragmites communis ranked the 4th in quality. In conclusion, we recommend that Phragmites communis should be harvested from late June to mid July (no later than the end of July) to obtain good forage quality with digestible nutrient contents greater than rice straw. Regrowth of Phragmites communis was poor, and more than 70% of annual forage yields were out of the first harvest. Therefore, we recommend only one harvesting per year for good regrowth and stable production of Phragmites communis.

A Study on students' consciousness regarding their plans after graduation Education of Guard and Security Major (경호관련학과 대학생의 진로의식에 관한 연구)

  • Kim, Chang-Ho;Jung, Jsug-Suk;Lee, Young-Oh
    • Korean Security Journal
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    • no.11
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    • pp.21-36
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    • 2006
  • This study aims to grasp the general conditions regarding university students in security related majors in Korea. Followings will be covered here: what motivated them to choose those majors, how much are they satisfied with major curriculum course after matriculation, whether they got jobs through the education, what is their consciousness on their majors, jobs, and courses like, and what effects their job preference. And this study also aims at helping the students with their future plans such as admission to a school of higher grade and choosing their job. For this study, we distributed 340 cpoies to the students in security related majors at 4 four-year colleges and 1 two-year college, and collected 298 copies by means of quota sampling method. For collected questionnaires, we used individual T-test verification and one-way ANOVA analysis to grasp the situation. Significance standard for the test results was set as p<0.05. Following are the test results. First, the analysis on students' satisfaction rate resulted in male students' average of 2.42, compared to female students' average of 2.10, which shows female students have higher satisfaction rate in choosing their majors than male students. Secondly, The results on analysis of satisfaction rate on their curriculums, classes, and majors show that students in security-related majors showed different satisfaction rate and different averages according to their sex and the year of the college. The study indicates that males have higher satisfaction rate on curriculum than females, with male students' average of 2.63 and female students' average 2.88. According to the year of the college, there was a significant difference statistically, Statistics show that students at two-year college have higher satisfaction rate than those at four-year college, with two-year college students' average of 2.48 and four-year college students' of 2.74. students have the average of 3.56. The higher year they were in, the more improvement the curriculum required. When it comes to convenience offer for employment, male students expected more from school than female students, with males' average of 2.74 and females' average of 4.07. Male students marked higher than female students in the extent of job information offer, with males' average of 2.96 and females' average of 2.59. Fourthly, when students in security-related majors were surveyed on their consciousness of their future plans such as getting jibs, two-year college students had more certificates of qualification for employment than four-year college students. What they do preponderantly in preparation for employment was studying foreign languages, which took up 40.4%. And when they were asked on their confidence for employment, positive answers were far more than negative ones with the percentage of 39.6%, while negative took up just 14.0%. Fifthly, when it come to the students in security-related students' job preferences, 49.2% preferred safe job conditions in public security area and 34% preferred private guard or private security organizations. And in the public security area, the highest percentage of 28.6 preferred to work in presidential security service. In the area of private security, 21.2% showed interests in private guard and private security organizations.

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Risk of Seizures after Operative Treatment of Ruptured Cerebral Aneurysms (뇌동맥류 파열 환자의 수술 후 경련발작의 위험인자)

  • Chang, In-Bok;Cho, Byung-Moon;Shin, Dong-Ik;Shim, Young-Bo;Park, Se-Hyuck;Oh, Sae-Moon
    • Journal of Korean Neurosurgical Society
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    • v.30 no.6
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    • pp.705-710
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    • 2001
  • Objective : Postoperative seizure is a well documented complication of aneurysm surgery. The purpose of the present study was to analyze risk factors for postoperative seizure. Methods : Between January 1990 and December 1996, we performed craniotomy for ruptured cerebral aneurysms in 321 patients. Among them 206 patients who could be followed up for more than 1 year(range, 1 to 4.6 years) were enrolled to present study. All patients were treated with anticonvulsants for 3 to 18 months postoperatively. We analyze the incidence of postoperative seizure in different sex and age groups, and risk factors associated with postoperative seizures following aneurysm rupture. For statistical processing chi-square test and Fisher's exact test were used. Results : In the follow-up period of 1 to 4.6 years(mean, 1.8 years) postoperative seizure appeared in 18 out of 206 patients(8.7%). Mean latency between the operation and the first seizure was 6 months(range, 3 weeks to 18 months). The age of the patients has significant influence on the risk of seizure, it occurred more often in younger patients(p =0.0014). Aneurysm location in the MCA was associated with a significantly a higher risk of seizure(p = 0.042). Eight patients(19%) out of 42 patients who suffered delayed ischemic neurologic deficit(DID) developed seizure. Delayed ischemic neurologic deficit was associated with significantly a higher risk of seizure(p =0.019). Infarct and hypertension were associated with significantly a higher risk of seizure(p <0.05). pre- or postoperative intracranial hematoma(intracerebral or epidural hematoma) was associated with significantly a higher risk of seizure(p <0.0001). H-H grade, Fisher grade, Glasgow Outcome Scale of patients and timing of operation after subarachnoid hemorrhage had no significant relation with the risk of seizure. Conclusion : Factors associated with the development of postoperative seizure were middle cerebral artery aneurysm, delayed ischemic neurologic deficit, infarct on late postoperative CT scan, hypertension, pre or postoperative intracranial hematoma(intracerebral or epidural hematoma). Identification of the risk factors may be help to focus the antiepileptic drug threapy in cases prone to develop seizures. Prospective evaluation is indicated.

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Primary Non-Hodgkin's Lymphomas Presenting with Extradural Spinal Cord Compression as the Initial Manifestation (초기 증상으로 척수 압박 증세를 보인 원발성 Non-Hodgkin 임파종)

  • Kim, Se Hoon;Lim, Dong Jun;Cho, Tai Hyoung;Park, Jung Yul;Chung, Yong Gu;Lee, Hoon Kap;Lee, Ki Chan;Suh, Jung Keun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.10
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    • pp.1365-1371
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    • 2000
  • Objectives : Spinal cord compression is a rare presentation of non-Hodgkin's lymphoma(NHL), occurring in 0.1% to 10.2% of patients. Primary spinal extradural NHL, i.e. occurring in the absence of any detectable extraspinal lymphoproliferative disorder, has a potentially favourable outcome if diagnosed and treated early. The authors describe two patients with a clinical picture of acute spinal cord compression as the first presentation of NHL. Methods : The patients were 48-year-old female and 27-year-old female. Both presented with back pain followed by acute paraparesis and voiding difficulty. One patient was diabetic. Plain radiographs of the spine were not specific. Thoracic spine magnetic resonance imaging(MRI) revealed evidence of extradural soft tissue mass extending multiple vertebral segments. Results : The patients underwent emergency laminectomy for decompression and tissue diagnosis. Histological and immunohistochemical study revealed B-cell lymphoma, intermediate grade in both patients. Postoperative staging did not reveal any additional lesions other than extradural manifestation of the malignant lymphoma. Surgery with additional chemotherapy and radiotherapy allowed the clinical improvement of both patients. Conclusion : The authors report two patients with a clinical picture of acute spinal cord compression as the first presentation of NHL, and stress that primary spinal epidural NHL should be a diagnostic consideration in the patient without prior history of malignancy who presents with a prodrome of back pain followed by a rapid neurological deterioration.

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The Effects of the Individual, Family and School Related Variables on the Maturity of Career Attitudes in Middle School Students (개인.가족.학교관련 변인이 중학생의 진로태도성숙에 미치는 영향)

  • Lee, Eun-Jeong;Jang, Yoon-Ok
    • Journal of Families and Better Life
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    • v.26 no.5
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    • pp.355-376
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    • 2008
  • The purpose of this study was to investigate the variables that had an effect on the maturity of career attitude in middle school students. Independent variables were categorized into three groups: individual-related variables, family-related variables, and school-related variables. The individual-related variables were gender difference, academic year, academic achievement, and self-efficacy. The family-related variables were socio-economic status of the family, communication about career with parents, parental support, sibling's support, and value orientation of the family. The school-related variables included communication about career with friends, teacher's support, and friend's support. The subjects of this study were 490 students who were selected at random from first, second, and third grade of middle school in Daegu. A questionnaire was used for the survey. It consisted of a career attitude maturity scale, a self-efficacy scale, a communication scale, a value orientation of the family scale, and a social support scale. The data was analyzed by factor analysis, multiple regression analysis, and hierarchical regression analysis. The major findings of this study are summarized as follow: First, among the individual-related variables that had an effect on the maturity of career attitude in middle school students, self-efficacy affected all sub-factors of how mature they were in matters relating to career. Academic achievement affected decisiveness and preparation-- maturity of career attitude subfactors. And gender difference and academic year affected preparation and goal orientation. Second, the results of the family-related variables that had an effect on the maturity of career attitudes in middle school students were that communication about career with parents affected decisiveness, preparation, and confidence-- maturity of career attitude sub-factors, socio-economic status of the family and sibling's support affected confidence. And value orientation of the family affected goal orientation and independence. Third, the results of the school-related variables that had an effect on the maturity of career attitude in middle school students were that communication about career with friends affected preparation-- a maturity of career attitude sub-factor; teacher's support affected decisiveness, preparation, and confidence; and friend's support affected confidence and independence. Fourth, decisiveness, preparation, and confidence among the maturity of career attitude sub-factors were affected the most by individual variables. And self-efficacy was the most significant. Goal orientation and independence were affected the most by family-related variables.

Influence of Youth Group Activities Experience to Sociality Development of Middle School Student (청소년단체 활동 경험이 중학생의 사회성 발달에 미치는 영향)

  • Lee, Jae-Cheol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.1
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    • pp.122-128
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    • 2014
  • The purpose of this study was to identify the influence of youth group activities experience to sociality development of middle school student. To achieve above study purpose, the subject of this study was selected 280 from middle school second-grade students(youth group activities participants 140, non-participants 140). Experience based activities were applied to the experimental group over 80 hours per year and the pre-post test was conducted using the sociality development inventory. The results of the data were analyzed by t-test using the SPSS(ver 18.0) program. The results were as follows: First, In the aspect of sociality development by youth group activities, the student participant showed somewhat significant differences compared to the non-participants. Second, considering the activity periods, the students with more than two-year experiences showed higher results than the ones with just one-year experiences. These results represent that various programs, which can develop the sociality, can be provided for youth when they join any group of activities in general and those programs are also very effective in developing the sociality of juveniles. Furthermore, It is suggested that youth group activities are a necessary element at the school education fields, which can solve the various problems caused by overemphasizing only the knowledge transfer, reinforced education of humanism and reduced school violence.

Exploring Transfer Students' University Life before Transferring (대학편입생의 편입 이전 대학생활 특성 탐색)

  • Seo, Jae Young;Choi, Won Seok
    • The Journal of the Korea Contents Association
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    • v.17 no.11
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    • pp.123-134
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    • 2017
  • This study examines the Korean Education Longitudinal Study 2005 7th-9th year data to analyze the university life of transfer students prior to their transferring by comparing them to that of non-transfer students. This study used two types of comparison groups: The first comparison group encompasses all who did not transfer and the second group was 1:1 matched sample of students who were enrolled in the same universities in the 7th year and were of the same gender. The 7th and 8th year experiences were compared, respectively. According to the result, transfer students in their previous universities compared to non-transfer students demonstrated higher grade point average, active class participation, and more interaction with faculty outside the class. On the other hand, these students demonstrated relatively lower satisfaction in university life, lower sense of belonging, and lower participation in student unions, campus events, and other student activities. They also tended to have less interaction with their colleagues. In other words, transfer students showed high competency and interests in academic activities like managing good grades and interacting with faculty but showed less interest in social activities such as interacting with peers and engaging in various campus activities. It is necessary to develope programs to help transfer students to adapt to school efficiently by utilizing the results of this study.