• 제목/요약/키워드: early ages

검색결과 750건 처리시간 0.028초

Anterior capsular reconstruction with acellular dermal allograft for subscapularis deficiency: a report of two cases

  • Raffy Mirzayan;Shane Korber
    • Clinics in Shoulder and Elbow
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    • 제27권1호
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    • pp.126-130
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    • 2024
  • Anterior glenohumeral instability with an irreparable subscapularis tear is a challenging problem for the orthopedic shoulder surgeon. Current techniques, including tendon transfers, yield inconsistent results with high rates of recurrent instability. Acellular dermal allografting has been used in young patients with massive superior rotator cuff tears with early success, but acellular dermal allografting is comparatively unstudied in anterior deficiency. We present two cases of anterior capsular reconstruction with an acellular dermal allograft in patients ages 66 and 58 years with irreparable subscapularis tendon tears. Follow-up for both patients exceeded 4 years, with forward flexion >140°, external rotation exceeding 60°, a Single Assessment Numeric Evaluation score >90 points, a visual analog scale score of 0 points, and an American Shoulder and Elbow Score of 98 points. In conclusion, acellular dermal allografting can be used to reconstruct the anterior capsule in patients with massive irreparable subscapularis tears, similar to its use in superior capsular reconstruction in patients with massive posterosuperior rotator cuff tears.

대동맥판 치환수술의 임상성적 (Isolated Aortic Valve Replacement with the Ionescu-Shiley Xenograft Valve)

  • 김종환
    • Journal of Chest Surgery
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    • 제18권1호
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    • pp.46-53
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    • 1985
  • A single aortic valve replacement using the lonescu-Shiley bovine pericardial xenograft valve was performed in 66 consecutive patients during the period from February, 1979 to June, 1984. They were 49 males and 17 females with ages ranging from 9 to 61 [mean, 31.113.1] years, and 9 of them were children younger than 15 years of age. Twenty-seven patients [40.9%] required the combined operative procedures to either other valvular lesions or congenital defects. There were 9 early deaths within 30 days of surgery [operative mortality rate, 13.6%] and 2 late deaths thereafter [late mortality rate, 3.0%; or 1.75%/patient-year]. The 57 early survivors were followed for a total duration of 114.2 patient-years [mean, 24.016.0 months]. Four patients experienced thromboembolic complication with no death [3.50%/patient-year]; one died from intracranial bleeding related to anticoagulation [0.88%/patient-year]; one recovered from prosthetic valve endocarditis [0.88%/patient-year]; and four developed aortic regurgitant murmur with none or minimal cardiac symptoms and they were classified into cases of tissue valve failure [3.50%/patient-year]. The actuarial survival rate was 82.34.7% at 6 years, and the actuarial probabilities of freedom from thromboembolism and valve failure were 93.33.9% and 89.15.8% at postoperative 6 years respectively Symptomatic improvement was excellent in most late survivors at the follow-up end with the mean of NYHA Classes of 1.040.19 while the one was 2.290.67 at the time of operation. Excluding the higher operative mortality rates, these clinical results are fully comparable with the ones of reports from the major institutions using the porcine aortic or the bovine pericardial tissue valves and warrants the continued use of the xenograft valve in the aortic position. The importance of more detailed preoperative evaluation of the myocardial function and the need of improved myocardial preservation during surgery for the improved early clinical results were discussed.

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3개월 이하의 영아에서의 개심술 (Open Heart Surgery During the first 3 Months of Life)

  • 서경필
    • Journal of Chest Surgery
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    • 제26권3호
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    • pp.180-185
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    • 1993
  • From February 1982 to December 1991, 49 neonates and 105 infants in less than 3 months of age underwent open heart surgery in Seoul National University Hospital. There were 98 males and 56 females, and their mean ages were 16 days in neonatal group and 67 days in early infant group. Their body weight and height were less than 3 percentile of normal developmental pattern. In order of decreasing incidence, the corrected conditions included Transposition of great arteries with or without ventricular septal defect [43], isolated ventricular septal defect [34], Total anomalous pulmonary venous return [21], Pulmonary atresia with intact ventricular septum [9] and others [47]. Various corrective or palliative procedures were performed on these patients; Arterial switch operation [36], patch closure for ventricular septal defect [34], Repair of total anomalous pulmonary venous return [21], RVOT reconstruction for congenital anomalies with compromised right ventricular outflow tract [17]. Profound hypothermia and circulatory arrest were used in 94 patients [ 61% ]: 42 patients [ 85.7% ] for neonatal group and 52 patients [ 49.5% ] for early infant group. The durations of circulatory interruption were within the safe margin according to the corresponding body temperature in most cases [ 84% ]. The hospital mortality was 36.4% ; 44.9% in neonatal group and 32.4% in infant group 1 to 3 months of age. The mortality was higher in cyanotic patients [ 46.6% ], in those who underwent palliative procedures [ 57.8% ], in patients whose circulatory arrest time was longer than safe periods [ 60% 0] and in patients who had long periods of cardiopulmonary bypss and aortic crossclamping. In conclusion, there has been increasing incidence of open heart surgery in neonates and early infants in recent years and the technique of deep hypothermia and circulatory arrest was applied in most of these patients, and the mortality was higher in cyanotic neonates who underwent palliative procedures and who had long cardiopulmonary bypass , aortic cross-clamping and circulatory arrest.

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수화도와 공극률을 고려한 초기재령 콘크리트의 강도 예측 모델 (Strength Estimation Model of Early-Age Concrete Considering Degree of Hydration and Porosity)

  • 황수덕;이광명;김진근
    • 콘크리트학회논문집
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    • 제14권2호
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    • pp.137-147
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    • 2002
  • 콘크리트의 강도를 예측하기 위하여 널리 사용되어 온 성숙도 모델은 양생온도와 재령을 이용하여 콘크리트 강도를 비교적 정확하게 평가할 수 있다. 그러나 수화생성물의 특성과 미세구조의 공극 분포와 같이 강도 발현과 관련이 있는 물리량을 고려하지는 못한다. 따라서, 본 연구에서는 강도에 대한 이러한 인자들의 영향정도를 규명하기 위해서 수화모델 및 모세관 공극률 계산방법을 정립하였고, 실험 변수로 재령과 양생 온도를 고려하여 다양한 물/시멘트비를 갖는 콘크리트의 압축강도실험을 수행하였다. 실험결과를 분석하여 수화도와 모세관 공극률과 같은 미세구조특성을 고려한 강도예측모델을 제안하였다. 실제 실험값과 모델식에 의한 강도 예측값을 비교하여 잘 일치하는 결과를 얻었다. 결론적으로, 본 연구에서 제안한 강도예측모델은 양생온도와 재령에 따른 초기재령 콘크리트의 압축강도를 일정오차 내에서 예측할 수 있다고 판단된다.

단령에 관한 연구 (A Study on Dan-Ryong)

  • 임재영
    • 한국의류학회지
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    • 제8권3호
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    • pp.31-42
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    • 1984
  • This paper is a research on the origins and the developing process of $Dan-Ry\={o}ng$ centering on the change of its form. From the beginning of A. D era Central Asia had played the important role of a traffic route connecting China and its western adjacent world. Through this route $Dan-Ry\={o}ng$ was introduced into China (South-North Dynasty era). The form of $Dan-Ry\={o}ng$ in early period was Ban-Gum-Po (Open-collared costume that turn down the collar to the outside), and it could be worn close-collared or open-collared. From the fact that the people who wore $Dan-Ry\={o}ng$ in early period were mainly Iranian and that it was also worn by lower class like a waiting maid, it can be said that $Dan-Ry\={o}ng$ was not the costume of Han race. In early period the motif of the inside of collar was Persian style, and the people of central Asia was mostif Iranian. In short, $Dan-Ry\={o}ng$ was the costum of the people lived in the adjacent world west of China, particulary Iranians. The form of $Dan-Ry\={o}ng$ changed from Ho-Bok to Ban-Gum-Po owing to the differences in climate. In conclusion, $Dan-Ry\={o}ng$ originated in Ho-Bok ana was introduced into the world west of china by the movement of Horrse-riding Race. Then its form was changed owing to the factors like climate, natural and cultural features, and consepuently it was introduced into China by way of Centeral Asia. In China it was settled as $Dan-Ry\={o}ng$ through the ages of T'ang dynasty, Sung dynasty, Ming dynasty.

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보육교사의 자기분화, 자기효능감이 심리적 안녕감에 미치는 영향 (The Effects of Early Childhood Teacher's Self-differentiation and Self-efficacy on Psychological Well-being)

  • 김경희;김선희
    • 한국콘텐츠학회논문지
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    • 제16권4호
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    • pp.289-300
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    • 2016
  • 본 연구는 보육교사의 자기분화, 자기효능감이 심리적 안녕감에 미치는 영향을 알아보고자 하였다. 연구 대상은 K시와 J지역에 재직하고 있는 39개 보육기관 교사 293명이다. 연구도구는 자기분화척도와 자기효능감척도, 심리적 안녕감 척도를 사용하였다. 자료는 t검증, 일원변량분석, 상관관계, 회귀분석으로 처리하였다. 연구결과, 보육교사의 일반적 배경인 연령에서 자기분화와 자기효능감, 심리적 안녕감에 차이가 나타났다. 자기분화와 자기효능감 그리고 심리적 안녕감은 상관관계가 있었으며, 심리적 안녕감에 자기분화와 자기효능감이 영향을 주는 변인임이 밝혀졌다. 즉, 심리적인 갈등과 불안을 경험하고 있는 교사는 유아를 따뜻하고 편안하게 지도하기에 미흡하다. 이는 보육교사가 자신과 유아를 긍정적으로 받아들이고 따뜻한 관계를 유지하며 자기성숙을 위한 전문인으로써 자신의 능력이나 소질을 개발해야 함을 시사한다.

청소년 전기 여학생의 하의 치수 규격에 관한 연구 (The Apparel Sizing System of Early Adolescent Girls - Focusing on Lower Garments -)

  • 정화연;서미아
    • 복식문화연구
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    • 제13권5호
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    • pp.671-685
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    • 2005
  • The purpose of this study was to develop a new size range and size interval for early adolescent girls. For this purpose, a total of 529 girls aged between 10 and 14 were measured and data were collected from 42 anthropometric measurements and 41 photographic measurements per a person. SAS 8.1 was used in data analysis including means, standard deviations, and frequency analysis. The stature was divided at 5cm intervals as in KS into 9 sizes from the lowest 130cm to the highest 171cm. If waist circumference were divided at the same intervals, the sizes cannot reflect the body growth of adolescent girls at these ages. Thus this study set intervals between sizes irregularly based on the mean of waist circumference by the type of body shape. Based on the results, this study proposed: for Type A - 6 sizes (140A-58, 145A-54, 145A-62, 150A-58, 150A-62, 155A-62); for Type X- 9 sizes (150X-59, 155X-63, 155X-66, 160X-59, 160X-63, 160X-66, 165X-59, 165X-63, 165X-66): and for Type H - 7 sizes (145H-68, 150H-68, 150H-70, 155H-68, 155H-73, 160H-68, 160H-73). For the sizes selected for each type, reference measurements were decided - centering on items necessary for manufacturing clothes. Reference measurements suggested for lower garments 8 items including waist circumference, hip circumference, slacks length and crotch length. The suggested sizes are distributed in a wider range, so they are considered to be helpful for students to find clothes fitting their bodies.

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옥천대(沃川帶)에서의 화성활동(火成活動) -특(特)히 옥천대동북부(沃川帶東北部)에서의 화성활동(火成活動)- (Igneous Activity in Ogcheon Geosynclinal Zone, Korea -with Special Reference to the Igneous Activity in its Northeastern Part-)

  • 이대성;김용준
    • 자원환경지질
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    • 제18권1호
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    • pp.23-39
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    • 1985
  • The northeastern part of Ogcheon zone which consisted mainly of Cambro-Ordovician arenaceous, argillaceous and calcareous formations and Carboni-Triassic arenaceous and argillaceous formations is delineated as the eastern mass of a thrust fault along Choongju-Moongyong-Cheongsan in the middle of the zone. The present study proposes a geotectonic line, Imgye-Samchog fault(see, figure 1) which divides the northeastern part into two blocks, Hambacksan block in the west and East coast block in the east. The igneous rocks in the Hambacksan block ranging from granite to gabbro are distributed in a symmetrical zones parallel to general direction of Ogcheon zone as follows (Fig. 2 and Table 2). Southeast igneous rock zone: it aligns Jurassic granites in its south and Precambrian leucocratic granites in its north. Central igneous rock zone: it aligns Cretaceous granites in its south and Jurassic granites, and some of diorite and gabbro in its north. Northwest igneous rock zone: aligns Jurassic granites in its south and huge batholithic granodiorite in its north. The distribution of the igneous rocks in the East coast block shows an entirely different features from those of Hanbacksan block. In the southern part of the block they assemble in a narrow area ranging in age from Early Proterozoic, through Middle to Late Proterozoic, Devonian, Jurassic, Cretaceous to Tertiary, whereas, the igneous rocks in the northern part of the block gathered to a restricted area, in ages of Middle Proterozoic and Cretaceous. The assemblage of the igneous rocks in the studied area shows a compositionally restricted, mixed S-type and I-type granites, $^{87}Sr/^{86}Sr$ > 0.706, rare volcanics and shortening with upright folding. These lithologic and structural features suggest that the igneous activity in this part related intimately to Hercynotype Orogeny of Pitcher(1979). Chronological episodes of igneous activity from Early Proterozoic to Early Tertiary in the northeastern part are figured.

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OSL 연대측정을 통한 제주 고산리 유적의 형성과 점유시기 결정 (Evaluation of the formation and occupation of Gosan-ri archaeological site in Jeju Island using OSL dating)

  • 김명진
    • 분석과학
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    • 제29권6호
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    • pp.269-276
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    • 2016
  • 고산리 유적은 우리나라 최초 토기로 알려진 고산리식 토기가 출토된 초기 신석기시대 유적이다. 이 연구에서는 고산리 유적의 형성 및 점유에 대한 절대연대 편년을 위하여 유적 내 표준 퇴적층에서 채취된 시료를 대상으로 OSL 연대측정을 수행하였다. 각 퇴적층의 고고선량은 $220^{\circ}C$ 열전처리 온도의 단일시료재현법을 적용하여 산출되었으며, 최종적으로 유적의 퇴적환경을 고려하여 maximum age model을 적용하여 결정하였다. 산출된 고고선량을 연간선량율로 나누어 고산리 유적 퇴적층의 OSL 연대를 결정하였다. 각 퇴적층의 OSL 연대와 14C 연대를 종합한 결과, 고산리 유적은 신석기인들에 의해 기원전 9천년 이후에 형성된 이후 고산리식 토기를 포함하는 신석기시대 초기 유적에서부터 다양한 시기의 다양한 유구가 존재해 오다가 기원전 4천년 중반에 폐기되어 현재에 이르렀다고 추론된다.

생활한복의 변천에 관한 연구 (A Study on Changes of Practical Korean Costume)

  • 최경순;김선령
    • 한국의류산업학회지
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    • 제1권1호
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    • pp.34-42
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    • 1999
  • The purpose of this study was to change practical korean costume in 20C. In the early 20C, inflow of western civilization started to change korean costume. Since then gradually changes to be simple in Korean costume. Results of this study can be summarized as follows: Traditional jacket (jeo-go-li) gradually began to be long to waist line. This jacket length was to be long and it sleeve is to be short in early 2OC. Traditional skirt (Chi-rna) length was short to the calf of the leg. Traditional wide skirt was gradually to be narrow and pleats shape look as if it in go-gu-Ryeo Dynasty. The width of pleats was about 3~5 cm, be one-sided, look as if it western style in today. But pleats skirt already existed on a women's of the upper classes in go-gu-Ryeo Dynasty. Women's long Coat (do-lu-ma-gi) length was short to under hip line in late 20c. In this way, the practical idea, the factor of design was because of western idea in civilization ages, early 20C. Since then gradually reformed to be simple in Korean costume. Assuming that the trend of simplification in Korean costume is related to the idea of practical. Therefore Korean costume of living or a reformed Korean costume to be design of practical, functional, convenient, economically. And it must have to traditional idea, it is only beauty of shape, pattern, line, fabric in Korean costume.

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