• Title/Summary/Keyword: Mid-course

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Extended Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy -Report of a case- (비후형 심근증 환아에서 시행한 광범위 중격절제술 - 1예 보고 -)

  • Lee Jae-Hang;Kwak Jae-Gun;Jung Eui-Suk;Oh Se-Jin;Chang Myoung-Woo;Kim Woong-Han
    • Journal of Chest Surgery
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    • v.39 no.10 s.267
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    • pp.775-778
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    • 2006
  • Hypertrophic cardiomyopathy is characterized by inappropriate hypertrophy of the myocardium and is associated with various clinical presentations ranging from complete absence of symptoms to sudden, unexpected death. These are caused by dynamic obstruction of the left ventricular outflow tract and surgical approaches were initiated. But, the complete resection of hypertrophied midventricular septum is impossible by standard, transaortic approach, because of narrow vision and limited approach. And it leads to inadequate excision, will leave residual left ventricular out-flow tract obstruction or systolic anterior motion of mitral leaflet, and limit symptomatic improvement and patient's survival. We report a case of extended septal myectomy for hypertrophic cardiomyopathy of mid-septum in a child. The extended septal myectomy was performed by aortotomy and left ventricular apical incision, and made possible the complete resection of mid-ventricular septum, abnormal papillary muscles and chordae. The patient's symptom was improved and the postoperative course was uneventful.

Analysis of Syllabi for Landscape Architectural Design Courses as Project-Based Classes and Improvement Strategies (프로젝트 기반 수업으로서의 조경설계 교과목 수업계획서 분석과 개선방안)

  • Kim, Ah-Yeon
    • Journal of the Korean Institute of Landscape Architecture
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    • v.44 no.1
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    • pp.51-65
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    • 2016
  • A syllabus can be considered to be a masterplan for good educational results. This study tries to diagnose the current status of landscape architectural design education and suggest improvement strategies for better landscape design courses through the analysis of the syllabi of mid-level landscape design studio classes collected from the four-year undergraduate programs. The findings and suggestions are as follows. First, it is necessary to take advantage of a syllabus as a contract as well as a plan and a learning tool. Second, it is crucial to make more detailed statement from the perspectives of learners. Third, more customized components for design courses should be developed; the syllabus should give the structure of a design class as an integration and synthesis of other courses. Fourth, it is necessary to increase the interrelationship and relevance among the components, especially between course objectives and evaluation criteria, and course activities and references. Fifth, a syllabus needs to function as a communication tool in a flexible manner. Sixth, a syllabus needs to give a comprehensive information about the site and the design project. Finally, instructors need to introduce a set of detailed evaluation rubrics or criteria acceptable to students in order to increase the fairness and transparency of the evaluation.

The Effects of Acupuncture Stimulation on Acupoints Related to Mind (정신기능과 관련된 경혈에 대한 침 자극이 인체에 미치는 영향)

  • Lee, Seung-Gi;Choi, Woo-Jin;Shim, Seong-Youn
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.2
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    • pp.85-99
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    • 2009
  • Objectives : This study aimed to understand the influence of acupuncture on the human body by comparing changes within human bodies before and after people in normal health are treated with acupuncture at the acupoints HT7 and PC9, which are related to mental functions. Methods : The study was performed from January 3, 2008 to March 5, 2008 on 60 healthy males and females in their 20s. HRV, EEG, skin conductance response, respiration and peripheral skin temperature were measured for 5 minutes before acupuncture simulation was applied to the acupoints HT7 and PC9. During 20 minutes of acupuncture treatment, the same items were continuously measured to determine whether there had been any changes, and they were then measured for 5 minutes after the removal of the acupuncture needles in order to implement a comparative analysis. Results : 1. The HRV measurement showed that in the course of before, during and after acupuncture stimulation, heart rate, HF and HF norm decreased significantly (P<0.05) at HT7. LF, LF norm, and LF/HF ratio increased significantly (P>0.05), while heart rate, HF and HF norm decreased significantly (P<0.05) at PC9. 2. Skin conductance response increased significantly (P<0.05) at PC9 during and after the acupuncture simulation periods, compared with the pre acupuncture period. 3. the peripheral skin temperature increased significantly (P<0.05) both at HT7 and PC9 in the course of before, during and after acupuncture stimulation. 4. Compared with the pre-acupuncture period, respiration rate increased both at HT7 and at PC9 during and after the acupuncture simulation periods, but not in a statistically significance. 5. In the EEG measurement, when compared with the pre-acupuncture period at HT7, mid ${\beta}$ wave decreased significantly (P<0.05) during acupuncture treatment. Compared with the measurements during acupuncture treatment at PC9, low ${\beta}$ wave increased significantly (P<0.05) after the acupuncture needles were removed. Conclusions : When acupuncture treatment is applied at the acupoints HT7 and PC9, the activation of parasympathetic nerves decreases and the activation of sympathetic nerves increases in the HRV measurement. It was determined that PC9 makes the sympathetic nerves become highly activated in a skin conduction response. The effect of stability in the brain wave seemed to bo shown at HT7 than PC9.

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Green management of using with Trinexapac-ethyl (식물생장조절제 Trinexapac-ethyl을 이용한 그린관리)

  • Hong, Beom-Seok;Tae, Hyun-Sook;Jeon, Jae-Chan;Cho, Yong-Sup;Oh, Sang-Hun
    • Asian Journal of Turfgrass Science
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    • v.23 no.2
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    • pp.287-294
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    • 2009
  • This study conducted to evaluate the growth characteristics of creeping bentgrass in summer after application of the plant growth regulator, Trinecapac-ethyl, and these data may provide basic information to golf course turf maintenance. The results showed that the shoot density of creeping bentgrass was increased an average density of 1.7 $ea/cm^2$ with the trinexapac-ethyl application, especially about 2 $ea/cm^2$ during the growth retarded period of June and July. The root length increased also in June and August. The visual quality was improved significantly with trinexapac-ethyl treatment all the experimental periods, moreover, the effect was significant by reducing a summer decline stress of creeping bentgrass during the warm and humid period of summer. The green speed was significantly improved by this growth regulator treatment and those effect was prominent during stressed season of late June to mid July. Overall of the result, we found that shoot density, visual quality and green speed of bentgrass green were improved by trinexapac-ethyl treated from early growing season of spring and these effects were continued during summer. It should be very beneficial to manage the bentgrass green in stressed season. In future, the possibility and efficiency of mixture with fungicides and/or fertilizers might be needed. The spring green-up test with trinexapac-ethyl will be followed in next spring.

Functional Characterization of Mammary Gland of Holstein Cows under Humid Tropical Summer Climates

  • Lu, C.H.;Chang, C.J.;Lee, P.N.;Wu, C.P.;Chen, M.T.;Zhao, X.
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.7
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    • pp.988-995
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    • 2003
  • Physiological parameters were measured on six primiparous, non-pregnant Holstein cows prior to peak lactation over a 3-month summer season in southwestern Taiwan. The objectives were to characterize heat stress-induced change in functionality of mammary gland under natural climates of tropical summer and to establish physiological indices applicable to this environment in referring to this change. Environmental and physiological readings, milk and blood samples were taken at 15:00 h biweekly for totally five time points during the study. Climate readings showed that the afternoon humidex value reached the highest (53.5) around mid summer. Rectal temperature of cows taken simultaneously varied between $38.26^{\circ}C$ and $40.02^{\circ}C$ in parallel to humidex. Milk production declined drastically from 29.2 to 22.2 kg/d the first month entering summer but leveled up at end of the summer season suggesting effects exerted by heat stress rather than stages of lactation. Lactose content decreased linearly (p<0.05) with times in summer, from 4.69 to 4.38%. On the other hand, activity of N-acetylglucosaminidase (NAGase) in milk increased linearly to over two folds (p<0.05) during the same intervals. Elevations of fractional constituent of BSA in whey protein and serum cortisol level were also noticed in the course. Measurement of arteriovenous concentration (A-V) difference across the mammary gland demonstrated net uptake of glucose and net release of urea throughout the study period. The amount of urea released from mammary gland increased (p<0.05) progressively from 1.54 to 7.76 mg/dl during summer. It is concluded that gradual regression of mammary gland occurred along the humid tropical summer season. This regression is likely initiated through elevation of body temperature, which is irreversible above certain point. The increased release of urea from mammary gland during heat stress suggests its potential role as an early indicator of suboptimal mammary function.

Efficient Teaching Method for the Underachieving Students through Level Differentiated Classes (수학 기초학력 미달자의 수준별 수업에서 효율적인 지도 방법)

  • Shin, Joonkook;Yun, Sang-In;Kim, Yang-Hee
    • Communications of Mathematical Education
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    • v.28 no.1
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    • pp.81-96
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    • 2014
  • Now, most of programs developed were presented as form of item pool by dividing problems by section and level for the level differentiated course, so the utilization is decreasing at the field caused by unconsidered school underachievement elements by achievement. Especially, the study on teaching materials and effective measures map for mid-low level students with low utilization is more urgent. Therefore, in this study we will promote teaching method for improving learning achievement at high school. The development teaching materials(the performance evaluation and diagnostic assessment, reconstruction of textbooks) will be applied to classes for the underachieving students directly, and the achievement in the experimental class was significantly improved compared to the comparative class and the meaningful conclusions could be drawn as results of conducting same assessment based on the experimental class and the comparative class.

The Butterfly Community in Is. Guleopdo, Korea and the Dominance of the Endangered Species Argynnis nerippe (굴업도의 나비군집과 멸종위기종 왕은점표범나비의 우점현상)

  • Kim, Sung-Soo;Lee, Cheol-Min;Kwon, Tae-Sung
    • Korean journal of applied entomology
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    • v.50 no.2
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    • pp.115-123
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    • 2011
  • Although Guleopdo is small island of only $1.71\;km^2$, the endangered butterfly species, Argynnis nerippe, is abundant there. This study was carried out to estimate the abundance of A. nerippe in Guleopdo, using quadrate, mark-recapture, and line-transect methods. Although the study was insufficient, the population size was estimated at 4,467 to 6,700 larvae and approx. 1,000 adults. A. nerippe was the most abundant among butterfly species in Guleopdo, and it comprised 32% of the total butterflies. A total of 28 butterfly species were observed in this study, and 3 species of these species were migrating species. When the abundance of A. nerippe throughout the country during the period from 1938 to 2010 was studied, we found that it decreased abruptly in the 2000s. Presently, A. nerippe inhabits a few locations in the mid-northern region and western islands. The relatively high numbers of A. nerippe in Guleopdo was due to conservation of natural grasslands and grazing of livestock, which provides adequate habitat for this species.

Naval Arms Race in Northeast Asia (동북아 해군력 군비경쟁)

  • Kim, Duk-ki
    • Strategy21
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    • s.43
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    • pp.125-174
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    • 2018
  • The purpose of this paper is to analyze the status of naval arms race in Northeast Asia. To this end, the scope of the research was limited to national security strategies, maritime strategies and naval strengthening of the United States, China, Russia and Japan. The major powers' active maritime strategies and naval arms race give some strategic implications to the Republic of Korea Navy as follows. First, China and Japan, unlike the past, are actively using submarines in offshore waters including the Korean Peninsula. Therefore, the ROK Navy must successfully promote the Jangbogo-III-class submarine, which is currently constructed, and get a nuclear-powered submarine and P-8 MPA capable of long-range and long-time operations to enhance ASW capability. Second, North Korea's current building submarines capable of loading SLBMs and SLBMs are a new threat to the ROK Navy. The current building KAMD, which focuses on terminal phase defense, cannot effectively respond to North Korea's SLBMs and should be converted to a multi-layered defense system including SM-3 at a mid-course phase. Third, as China militarizes the South China Sea, the instability of the South China Sea is growing. Therefore, the ROK Navy should strengthen its maritime cooperation with the regional countries such as Japan and ASEAN navies to protect SLOC. In conclusion, the ROK Navy needs to build a strong naval power to keep in mind that the 21st century naval rivalry in Northeast Asia is accelerating. The navy must do one's best to protect national strategic and vital interests by strengthening cooperation with regional countries. South Korea is also accelerating its defense reforms in accordance with the pattern of future warfare and the ROK Navy do one's best to have a balanced naval capability capable of actively operating in the offshore waters.

Turfgrass Establishment of USGA Putting Greens Related with Soil Physical Properties (USGA 공법으로 조성된 그린의 토앙물리성과 Bentgrass의 생육)

  • Kweon Dong-Young;Lee Jeong-Ho;Lee Dong-lk;Joo Young-Kyoo
    • Asian Journal of Turfgrass Science
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    • v.19 no.2
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    • pp.95-102
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    • 2005
  • USGA green specification is currently accepted in construction method of Korea. This study was carried out to find the factors influencing growth of turfgrass associated with soil physical properties of soil root-zone on golf green constructed with USGA method. Three putting greens in poor turfgrass and one in good turfgrass condition were selected for investigation on one golf course site at mid-South Korean peninsula. Soil hardness, moisture content, root length, and turf density were measured on-site greens, and soil physical properties and soil chemical properties also analyzed in laboratory. As a result of on-site surveys and soil physical tests in laboratory, soil physical properties were most important factors which influenced on turfgrass growth at tested greens. The results of soil particle analysis on green No. 2, in good turf condition, matched USGA sand particle recommendations. But those greens such as Nos. 1, 11 and 16, in poor putting greens, showed high soil compaction and improper soil particle distribution. Those factors created low leaf density, poor root depth, and higher moisture content compared with lower part of topsoil. Such phenomena caused inadequate turfgrass growth with soil hardening associated with poor drainage. Therefore, declines of soil physical properties associated with improper particle distribution caused a major factor influencing on turfgrass growth in golf green. Adequate test of soil particle analysis by USGA specification and proper construction method followed by adequate turf maintenance should be performed to obtain optimal turf quality on putting green.

Evolution of Vertical Integration in the Korea Broiler Industry (한국육계산업의 수직통합(계열화) 전개상황)

  • 박영인
    • Korean Journal of Poultry Science
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    • v.18 no.1
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    • pp.57-66
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    • 1991
  • The broiler industry in Korea has been gradually changing its structure of independent operation into integrated and coordinated production and marketing system. It was in 1960s when the broiler industry first tried the integrated effort, but never succeeded as it was expected since due mainly to growers' attitudes favorable for traditional operation and agribusiness' passive response on structure change. Until mid 1980s, however, a bit of partially integrated system had been evolved by several factor suppliers. Recent years have furthered its progress toward completely integrated pattern, the ultimate goal of broiler integration. It is true that the external factors including the GATT Negotiations through the Uruguay Round stimulated the people involved in the industry to find the way of making it competitive to survive in the open, liberalized world economic system rapidly emerging through the process of globalization. Once the industry realized the necessity of reducing the cost of production and improving the quality of it, the conclusion tended to come to the point of an entire structural alteration by means of integration rather than an improvement of a certain segment such as marketing. It is very obvious. therefore. that the movement toward the complete integration will speed up in a coming few years under the leadership of not only entrepreneurs but also producers group. According to a report. there were three almost complete integrators and thirteen partial integrators as of December, 1990, all of which eagerly directed toward the completely integrated system in due course . Among others as an advantage of integrated structure. the cost saving must be pointed out as the greatest one In a survey, it was estimated that the cost of dressed and ready-to-eat chicken could be lowered by 31.8 percent and 41.5 percent, respectively, over that to be under the independent, non-integrated system. As long as everybody concerned about the future of the industry in the open market mechanism realizes the importance of the structure change through an integration, the broiler sector of Korean agriculture shall be moving toward the direction of vertically and completely integrated structure in order to make it competitive, even to export, hopefully before 1995 or by the end of this century in any case.

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