• Journal of Chest Surgery
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• v.17 no.1
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• pp.48-52
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• 1984

Total anomalous pulmonary venous connection [TAPVC] defines a group of congenital heart disease which have in common the entire pulmonary venous drainage returning directly or indirectly to the right atrium instead of to the left atrium. Although this disorder represents only 1.3% of cases of congenital heart disease, if untreated the resultant mortality is greater than 80% in the 1st year of life. And since there is no satisfactory palliative treatment, correction of TAPVC Is high on the list of indications for open heart surgery in the 1st year of life. This paper describes 10 patients who underwent surgical correction of this disorder at SNUH between 1978 and 1983. 1. 7 were males and 3 females, with ages ranging from 5 months to 24 years. 2. 7 were supracardiac type, 2 cardiac type, and 1 mixed type TAPVC. We didnt experience infracardiac type. 3. All showed some degree of pulmonary hypertension preoperatively. 4. In 4 cases of supracardiac type, total circulatory arrest was used in brief period during anastomosis between common pulmonary venous trunk and left atrium. In the other cases, usual cardiopulmonary bypass with moderate to deep hyperthermia was used. 5. There were 2 cases of mortality; 1 died at operation, and the other at 4 months due to congestive heart failure. 6. Mortality seemed not closely related to age, body weight, or severity of pulmonary hypertension.

• Korean Journal of Head & Neck Oncology
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• v.12 no.1
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• pp.92-99
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• 1996

The primary treatment of the nasopharyngeal carcinoma is at this time, mainly based on radiotherapy. In most studies for patient treated with radiotherapy, overall 5-year survival rate is in the range of 35 to 55%. Obviously, these therapeutic results may be influenced by various factors such as clinical stages, histopathological types and radiation techniques, etc. Though the radiotherapy had a good therapeutic result, there is a limitation to apply the radiotherapy only in cases of the advanced nasopharyngeal carcinoma. Anatomical complexity of the skull base and difficulties in complete surgical intervention were the trouble of the surgery but in the case of radiation failure, there is no adequate choice of other curative modalities. So it is appropriate to investigate whether surgical resection may improve the outcome of treatment of nasopharyngeal carcinoma. The purpose of this papaer is to report our surgical experience of the nasopharyngeal carcinoma, then to take into consideration of the new model of treatment strategy of nasopharyngeal carcinoma.

• Journal of Chest Surgery
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• v.18 no.2
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• pp.265-272
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• 1985

Congenital aneurysm of sinus of Valsalva is one of the rare congenital heart disease, which is usually asymptomatic until rupture. The aneurysm usually ruptures into a cardiac chamber and produces an aorto-intracardiac fistula. Ruptured aneurysm is a grave lesion in that it causes heart failure and subsequent death. If, however, it is discovered in its early stages and operated on properly, it can be corrected with considerable success. Form January 1975 through December 1984, 18 consecutive patients with congenital aneurysm of sinus of Valsalva underwent corrective surgery using total cardiopulmonary bypass in our department of Thoracic Surgery. 1. The incidence was about 0.9% of surgical cases of congenital heart disease during that period. 2. 13 were males and 5 females, with ages ranging 12 years to 52 years. 3. Associated anomalies were VSD in 14, infundibular PS in 1, aberrant muscle band in RVOT in 1, and secondary aortic insufficiency in 9. 4. 17 were suggested to arise from right coronary sinus and 1 from noncoronary sinus; Among 17, 12 ruptured into right ventricle, and one from noncoronary sinus into right atrium. 5. Surgical correction was performed by means of direct suture closure with combined pledget or patch graft after aneurysm resection, and associated lesions were also corrected simultaneously. 6. There was only one case of operative mortality, and all the other patients were relatively uneventful in their follow-up studies.

• The Korean Journal of Pain
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• v.12 no.2
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• pp.268-271
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• 1999

Intrathecal phenol-glycerin block is a potent tool in stepwise approach to intractable perineal pain. At outpatient clinic, intrathecal phenol-glycerin block have been frequently used to control the cancer pain, as this procedure does not require special equipment. However, undesirable effects may occur with any given intrathecal injection. Although most side effects do not last long, they deserve well to prevent. Recently, we have been controlled the perineal and perianal cancer pain with intrathecal phenol-glycerin block without any specific complications. However, one patient we managed experienced that one patient, with this procedure for chronic non-malignant perineal pain control experience gait disturbance and one-week of voiding and defication difficulties. This research reports these practices, including the review of literature.

• Journal of the Korean Society of Safety
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• v.32 no.6
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• pp.89-97
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• 2017

The tuned mass damper (TMD) system was first proposed as an efficient vibration control method for high-rise buildings, and multiple TMD (MTMD) system was then proposed for the purpose of improving the robust performance. Thereafter, the active TMD (ATMD) is proposed to improve the vibration control performance over the TMD and MTMD systems. However, this system may experience an system-instability problem in case of the actuator malfunction. In order to overcome such limitations of actuator malfunction causing the instability of the structural system, in this study, we investigate the feasibility of the multiple ATMD (MATMD) system that facilitates both advantages of the MTMD and ATMD. Numerical example demonstrates that, when the proposed system is designed to have the same capacity as the ATMD, it shows a similar control performance to the ATMD, but also has very good adaptive control performance against the emergency situations such as actuator failures.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.4 no.3
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• pp.193-198
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• 2003

A rotor dynamic analysis is implemented to confirm the vibration stability of the high speed centrifugal chiller coupled with gear system. As the rotating speed of the centrifugal chiller under investigated is increased up to 17,605 rpm at the pinion rotating part, the bearing instability is getting higher and, furthermore, the rotor-bearing system might experience a few critical speed which lead to system failure due to the excessive vibration. In this study, considering the loading capacity and stability conditions, offset journal bearings are adopted for the pinion rotating system and general cylindrical bearing are used for motor part. From the modal analysis, the system is found to be stable as the synchronous rotating frequency does not come across with any whirl natural frequency and, in addition, the critical damping ratio which shows the damping characteristics of the system are positive over the all operating ranges. From these results the authors confirm the vibration stability of the rotor-bearing system suggested in this study.

• Journal of Chest Surgery
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• v.17 no.4
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• pp.666-671
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• 1984

During a fire-year period from March 1979 to February 1984, 559 patients underwent surgical treatment for rheumatic mitral valve disease at Seoul National University Hospital. Left atrial thrombus was found at surgery in 74 of these patients, an incidence of 13.2%. This report outlines the surgical experience with these seventy-four patients. They were 32 men and 42 women, and their age ranged between 23 and 57 with mean of 42 years old. All except one had the findings of atrial fibrillation on the preoperative electrocardiogram. Ten [13.5%] had experienced embolic events before surgery. A history of one or more episodes of cardiac failure requiring digitalis and diuretics was noted in all patients Nineteen were associated with the aortic and/or tricuspid valve disease and closed mitral commissurotomy had been performed previously in four patients. The average cardiac index was 2.68L/min/M2 [1.59 to 3.47 L/min/M2] The mean systolic pulmonary artery pressure was 57mmHg [26 to 120 mmHg]and pulmonary capillary wedge pressure 21.5 mmHg [12 to 40 mmHg]. There were no significant hemodynamic findings to suggest the presence of the left atrial thrombus. Operative mortality was acceptable with two early deaths [2.7%]. The follow-up of the hospital survivors has shown excellent functional status.

• Korean Journal of Human Ecology
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• v.15 no.1
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• pp.45-53
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• 2006

The goal of this study is to examine the relationship between efficacy belief and role performance of childcare teachers, and also to utilize the results as the basic data for teacher education. The subjects were 205 teachers at 48 childcare centers located in Jeonlabuk-do area. The instruments employed included efficacy belief, teachers' role performance, experiences, and age. The data were analyzed by t-test, Pearson correlation, and Regression Analysis. The results of this study are as follows: First, the role of child carer was the vest performance through childcare teachers' role. Second, the role of instructor, counselor, researcher, and others was significantly different among the types of childcare institution. Third, the social position of ability and personal teaching efficacy belief were correlated positively with teachers' experience. The activeness, the social position of ability, general teaching efficacy belief, personal teaching efficacy belief, and the role of child carer, instructor, counselor, researcher, and others were correlated positively with teachers' age. Fourth, the role of child carer, instructor, counselor, researcher, and others was correlated positively with the activeness and the social position of ability, whereas it was correlated negatively with failure anxiety. Lastly, the activeness was the most powerful variable influencing teachers' role performance.

• Knowledge Management Research
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• v.19 no.3
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• pp.135-171
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• 2018

Due to its nature, business foundation accompanies high levels of risk taking and responsibility. For this reason, entrepreneurs come to experience various negative emotions in the process of business foundation such as anxiety about risks, fear of failure, and pressure of success. However, entrepreneurs' negative emotions reduce individual inclinations for business foundation. Thus, it is necessary to research individual psychological characteristics that could reduce and attenuate entrepreneurs' negative emotions. To this end, this study examined the effects of Self-forgiveness, and Narcissism, psychological motivation variables, and Positive psychological capital and Career ambition, goal motivation variables, on entrepreneurial intentions. In order to verify research hypotheses, 326 questionnaires collected from prep-entrepreneurs were used for the empirical analysis. Looking at the analysis results, Self-forgiveness, Narcissism, Positive psychological capital and Career ambition had significant effects on entrepreneurial intentions. This study has a meaning in that it confirmed the influential relationship between the psychological characteristics reducing entrepreneurs' negative emotions and entrepreneurial intentions. In addition, this study suggested its implications, limitations, and future research directions based on the study results.

• Asian review of World Histories
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• v.2 no.2
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• pp.147-167
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• 2014

The urban modernity that became an irresistible model for elites in Asia in the decades before and after 1900 was far from being gender-neutral. It represented an exceptional peak of patriarchy in its exclusion of respectable middle class women from the work force, from ownership and control of property and from politics. Marriage was indissoluble and the wife's role in the male-headed nuclear family was to care for and educate the abundant children she produced. Puritan religious values underlined the perils for women of falling outside this pattern of dependence on the male. Though upheld as modern and civilized, this ideal was in particularly striking contrast with the pre-colonial Southeast Asian pattern of economic autonomy and balance between women and men, and the relative ease of female-initiated divorce. Although attractive to many western-educated Southeast Asian men, including religious reformers determined to 'save' and domesticate women, urban respectability of this type was a poor fit for women accustomed to dominant roles in commerce and marketing, and at least equal ones in production. Southeast Asian relative failure in the high colonial era to adapt to the modern market economy may also have a gendered explanation. We should not be surprised that patriarchy and puritanism became more important in Southeast Asia as it urbanized in the late 20th Century, since this was echoing the European experience a century earlier. The question remains how far Southeast Asia could retain its relatively balanced gender pattern in face of its eventual rapid urbanization and commercial development.