Between May 1991 and September 1995, 7 patients underwent surgical repair of ventricular septal defect (VSD) complicated with myocardial infarction in Asan Medical Center. The patients included two male and five female. The ages of patients were ranged from 54 years to 76 years with a mean of 65 years. The sites of postinfarction ventricular septal defect were consist of anterior septal defect in 6 patients and anteroposterior septal defect in 1 patient. Preoperative 2D-echocardiography & angiography were performed in all patients in order to measure ventricular function and evaluate the extent of coronary artery disease. The operations were delayed till mean 24 $\pm$ 12days after myocardial infarction. All patients underwent infarctectomy and Teflon patch closures through the area of the left ventricle infarction or aneurysm in the anterior or apical aspect of postinfarction ventricular septal defect. The ventricular septal defect repaired simultaneously with coronary artery b pass graft in 3 patients, with ventricular aneurysmectomy in 5 patients, and with left ventricular thrombectomy in 1 patient. Patch fixation in the left side of interventricular septum by tracts-septal interrupted pledget suture reduced the recurrence rate of VSD. There were 2 postoperative complications : One with pneumonia, 1 patient with the skin necrosis of left thigh. There was ilo early death. The 6 patients except for one emigrant were followed up postoperatively between 3 and 63 months(mean .28 months), without any sequelae and late death. They are in New York Heart Association functional class I-II.
The objectives of this research are: to provide fundamental data for tourism policy and investigate medical tourism attributes by IPA(Importance-Performance Analysis) to attract Japanese medical tourists to Korea. Utilizing Japanese medical tourists as subjects of inquiry, this study evaluated the importance of medical tourism selection attributes and the rate at which these attributes were performed. Consequently, this study deduced 'convenience, service quality, differentiation, approximation' factors by factor analysis as well as the ranking among each selection attributes using T-test. The importance-performance analysis showed 'Concentrate Here' in quadrant I, 'Keep up the Good Work' in quadrant II, 'Low Priority' in quadrant III and 'Possible Overkill' in quadrant IV. The results show that "Concentrate Here" part in quadrant I is reservation procedure rapidity and information system simplicity. This means that these attributes are very important but they indicate low performance. Thus, concentration among tourism managers should be focused along these attributes. The study, then, suggests that employee who speaks Japanese fluently should be arranged during reservation procedure. Furthermore, Japanese class should become mandatory during basic employee training to improve reservation procedure rapidity. Moreover, clinic websites should concentrate on accessibility of Japanese users in such a way that they can consult their needs on line. Finally, managers should find diverse ways to bring about good service rapidly and conveniently.
The objective of this work was to analyze the relationship between ovine major histocompatibility complex (MHC) DRB1 gene polymorphism and genetic resistance to hydatidosis in Kazakh sheep. The Ovar (ovine MHC) class II DRB1 second exon was amplified by polymerase chain reaction (PCR) from DNA samples of 702 Kazakh sheep, including 302 sheep with hydatidosis and 400 health controls. PCR products were characterized by the restriction fragment length polymorphism (RFLP) technique using five restriction enzymes, i.e., MvaI, HaeIII, SacI, SacII and Hin1I, yielding 14 alleles and 28 genotypes. Comparing the frequency of genotypes in hydatidosis sheep with the control group, it was found that the genotype frequencies of MvaIbc, Hin1Iab, SacIIab, HaeIIIde, HaeIIIdf and HaeIIIdd in control sheep were significantly (p<0.01) higher than in hydatidosis sheep, indicating that a significant correlation existed between these genotypes and resistance to hydatidosis. Genotype frequencies of MvaIbb, SacIIaa, Hin1Ibb and HaeIIIef in sheep with hydatidosis were extremely significantly (p<0.01) higher than in the control group, and the genotype frequency of HaeIIIab was significantly higher (p<0.05), indicating that a marked correlation existed between these genotypes and susceptibility to hydatidosis. By way of analyzing haplotype with these resistant genotypes, the hydatidosis resistant haplotype MvaIbc-SacIIab-Hin1Iab of Kazakh sheep was screened out, and then verified through artificial hydatid infection in sheep. The results indicated that the infection rate of sheep with the resistant haplotype of hydatidosis was significantly lower (p<0.01) than without this resistant haplotype. It showed that the genic haplotype MvaIbc-SacIIab-Hin1Iab of Ovar-DRB1 exon 2 was the resistant haplotype of hydatidosis in Kazakh sheep.
Journal of the Korea Academia-Industrial cooperation Society
/
v.19
no.4
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pp.93-102
/
2018
This paper reports a Surge Protective Device (SPD) that is used to protect an automatic metering interface (AMI) power supplies of communication equipment on a low-voltage distribution system from a lightning current. The surge protective device (SPD) can be classified as one-port SPDs and two-port SPDs with decoupling elements depending on the connection type. The protection of internal systems against the lightning current may require a systematic approach consisting of coordinated SPDs. To deal with this, the definition of a lightning protection zone (LPZ) was studied and interpreted through a theoretical review. Because the lightning current resulting from a lightning surge is considerably high, there is limited protection from one SPD; therefore, coordinated cascaded MOV-based SPDs are installed to solve this problem. Regarding the power grid mentioned in this paper, a class II SPD for the low-voltage distribution system installed on the border of LPZ1 and LPZ2, which establish a protection coordination with the Arrester (LA, SA) that corresponds to the LPZO installed on the MOF stage connected to one system were designed to protect various communication (control) equipment, including the automatic meter reading system inside the branch-type electric supply panel of a building, not the incoming side of one system. In addition, performance-related tests were done by a comparison with the existing method through testing, and the optimal design was achieved for the 1-port SPD that uses a series connection and can bleed load current without any decoupling element.
Objective: To estimate dental maturity using the Demirjian Index for the mandibular third molar and investigate the relationships between dental maturity and skeletal maturity among growing children. Methods: The samples were derived from panoramic, lateral cephalometric and hand-wrist radiographs of 270 female subjects registered as patients at the orthodontic department, dental hospital, Yonsei University. Dental maturity [Demirjian Index (DI)] and skeletal maturity [skeletal maturation indicators (SMIs)] and cervical vertebrae maturation indicators (CVMIs)] were estimated from these radiographs. Results: There was a significant correlation (r = 0.64) between SMIs and DI, and a similar correlation (r = 0.59) was observed between CVMIs and DI (p < 0.001). If DI was above Stage E, then the SMI was above Stage 10 and the CVMI was above Stage 5. There was a weak correlation (r = 0.26) between age at menarche and DI (p < 0.001). There was no significant difference in DI among Class I, II or III malocclusions. Conclusions: Dental maturity evaluation using the mandibular third molar will be an adjunctive tool in combination with cervical vertebrae and hand-wrist maturity evaluations.
Kim, Min-Hee;Kang, Dong-Eun;Yoon, Ji-Hwan;Choi, Eun-Ji;Shim, Sang-Eun;Yun, Ju-Ho;Kim, Il
Clean Technology
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v.17
no.2
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pp.85-96
/
2011
Self-healing materials are a class of smart materials that have the structurally incorporated ability to repair damage caused by mechanical usage over time. A material (polymers, ceramics, metals, etc.) that can intrinsically correct damage caused by normal usage could lower production costs of a number of different industrial processes through longer part lifetime, reduction of inefficiency over time caused by degradation, as well as prevent costs incurred by material failure. The recent announcement from Nissan on the commercial release of scratch healing paints for use on car bodies has gained public interest on such a wonderful property of materials. This article is a second part of healing materials dealing with inorganic engineering materials such as metals, ceramics, and concrete. The healing mechanisms developed for the inorganic materials are to be discussed with the future prospect.
Kim, Kyung-Hwan;Won, Tae-hee;Kim, Ki-Bong;Ahn, Hyuk
Journal of Chest Surgery
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v.33
no.1
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pp.32-37
/
2000
Background: Reconstruction surgery of mitral valve regurgitation is now considered as an effective operative technique and has shown good long-term results. Although reconstructive surgery of mitral valve has been performed since 1970s, we have started only in early 1990s in full scale because of small number of the mitral regurgitation compared to mitral stenosis and lack of knowledge from the viewpoint of patients and physicians. Material and Method: From January 1992 to December 1996, 100 patients underwent repair of the mitral valve for mitral regurgitation with or without mitral stenosis in Seoul National University Hospital. 45(45%) of the patients were men and 55(55%) were women. The mean age was 39.9$\pm$14.4 years. The causes of the mitral regurgitation were rheumatic in 61, degenerative in 28 and others in 11. According to the Carpentier's pathological classification of mitral regurgitation 5 patients were type I. 55 patients were type II and 40 patients were type III. 7 patients underwent concomitant aortic valvuloplasty and 8 patients underwent aortic valve replacement. 7 patients underwent Maze operation or pulmonary vein isolation. Result: There were no operative death but 3 major operative complications: 2patients were postoperative low cardiac output syndrome(needed intra-aortic ballon pump support) and 1 patient was postoperative bleeding. There was one late death(1.0%) The cause of death was sepsis secondary to acute bacterial endocarditis. 3 patients required reoperation for recurred mitral regurgitation. There were no statistically significant risk factors for reoperation. The other 96 patients showed no or mild degree of mitral regurgitation 99 survivors were in NYHA functional class I or II. There were two throumboembolisms but no anticoagulation-related complications. Conclusion: We concluded that mitral valve repair could be performed successfully in most cases of mitral regurgitation even in the rheumatic and combined lesions with very low operative mortality and morbidity. The early results are very promising.
As seed production program is growing prosperously in various fishes in southern Korea, disease problems in larval and juvenile stages have emerged as a new research object. The following results were obtained from investigation about environmental factors related to mass mortalities of young Kinki red seabream, Pagrus major in process of artificial seedling production. Total length of red seabream larvae hatched was 2.93mm, and became 18.83~20.12mm at day 40. The first noticeable mortality of red seabream larvae (7.98~9.37mm) occurred in 25~30 day-old fish with the survival rates of 59.8~60.3%. Thereafter the mortality of larvae decreased, survival rate was 20.5~25.45% in day 40. After 20~30 days, the quality of pond water was bellow II class. During the experimental period COD, $PO_4$-P, $NO_2$-N, $NO_3$-N and $NH_$-N increased up to 3, 7, 34, 6 and 8 times, respectively, compared to initial ones. The number of viable bacteria in pond water and seabream larvae were $6.3{\times}10^6$~$2.3{\times}10^7$ cfu/ml, 4.3~$7.4{\times}10^6$ cfu/g in day 25, respectively. Among the isolated bacteria from the diseased red seabream in day 25, Vibrio spp. was considered to be the causative organism. External symptoms of this disease were floated, spined near the surface and inflated abdomen. When the isolated strain of the Vibrio was bathed to seabream larvae, $LD_50$ of seabream larvae was over $10^6$ cfu/ml of Vibrio spp.
Presently, the performance level of the college student has received a great deal of attention, particularly in the area of professional education. The problem of under achievement, especially in areas dealing with science and technology, has gone through considerable investigation by numerous Psychologists and Educators. Thus for, however, they have not been successful in determining conclusively the non-intellectual factors involved. The maladjustment problem of these students has been a thorn in the side of nursing education for some time. This topic has been discussed among nursing educators without any tangible results. Furthermore, the fact that the number of students who withdraw from nursing education programs before graduation has increased. This represents a major problem for nursing education. This problem area had increased attention drawn to it on October 1957, when Russia successfully launched to first satellite "Sputnik" into space. Various studies seem to indicate that factors related to over achievement and under.achievement can be found in the motivation of the students. This study is aimed at testing 3 hypotheses which hopefully will lead to a better understanding of the learning activities of nursing students and to determine some of their nonintellectually personality traits. Hypothesis I: learning activities in nursing students and persona1ity are correlated, there will be significant differences in personality need structures between 4 classes of nursing collegiate students. Sub-hypothesis: There will also be significant differences in the degree of student satisfaction in her major subject. Hypothesis I: If there is a special personality need structure which is required for the clinical learning activity in general, then there will be significant differences between the personality need structures of under-achievers and overachiever. Hypothesis II : If each clinical nursing subject requires different personality need structures, then there will be differences in personality need structure between the different clinical groups Methodology: 1. Tool: A Korean translation and correction of the Edwards Personal Preference Schedule of U.S.A. was used. 2. Subject and Test Method: Subjects were nursing students at Yonsei University, who enrolled for Fall semester of 1971. The Researcher herself executed the test for the test for the class as a group, and the absent students were tested indidually. Out of 307 students, 293 students (95.4%) were reported. 3. Statistical treatment: The mean and standard deviation for each of the 15 personality need variables were computed and the value of T-test was obtained to determine the differences in the personality need structures between each group. Results: 1, For the first hypothesis, the personality need structures between each of the 4 classes and the reported degree of satisfaction in major subject showed significant differences. Therefore the hypothesis I was accepted. 2. The comparison of personality need structure of under-achievers and over-achievers in clinical fields showed significant differences. Thus hypothesis II was accepted. 3. Personality need structure between clinical subject groups showed significant differences therefore the 3rd hypothesis was accepted.
This study investigates the influence of the developing and decaying El $Ni{\tilde{n}}o$-Southern Oscillation (ENSO) on the relation between typhoon intensity and its formation. From the long-tenn data of 57 years ($1950{\sim}2006$), we first defined the developing El $Ni{\tilde{n}}o$ years and the neutral years. During the developing El Nino years, the typhoon intensity has a strong relationship with formation region of the tropical cyclone, which results in an increase of the accumulated cyclone energy and intensity of energy of typhoon. During the developing El $Ni{\tilde{n}}o$ year based on $Ni{\tilde{n}}o$ 3.4 SST, the locations for the formation of the category 4+5 typhoon move to the eastward region. The genesis potential function and the low-level cyclonic vorticity have an important role on the formation of strong tropical cyclones, which eventually develop as a typhoon class. In this study, the dynamic potential (DP) function (Gray, 1977) and EOF 1 and EOF 2 time series (RMM 1 and RMM 2) of real-time multivariate MJO (Wheeler and Hendon, 2004) are used to measure the genesis potential and the low-level cyclonic vorticity, respectively. To investigate the influence of the developing and decaying ENSO, we defined the Type I case of the decaying El $Ni{\tilde{n}}o$ that turnovers to La Nina, and the Type II case of the recovering years to the neutral condition. During the decaying El $Ni{\tilde{n}}o$ years as Type I, the locations of the strong DP, RMM 1 and RMM 2 move to the westward more prominently to induce retard of the strong typhoon developing.
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