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Results of Two-stage Surgical Treatment of Tetralogy of Fallot (고식적 단락술후 활로 4 징증의 완전교정수술)

  • Lee, Jae-Dong;Han, Seung-Se;Kim, Gyu-Tae
    • Journal of Chest Surgery
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    • v.21 no.1
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    • pp.101-108
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    • 1988
  • Between July, 19S4. and July, 1987, 9 two-stage repair of symptomatic tetralogy of Fallot were carried out at the department of thoracic and cardiovascular surgery, Kyungpook national university hospital. Their age ranged from 5 years to 18 years [mean age 9.4 years] at the time of total correction, and there were improvement of systemic oxygen saturation values by 10% and decrease of hemoglobin by 1.6gm/dl after shunt procedures. The interval between the initial shunting procedure and total correction ranged for 7 to 101 months with a mean of 32.7 months. Four of these patients required patching of the infundibulum alone, three required patching of the right ventricular outflow tract across the pulmonary annulus, and valved conduit was used in one due to coronary artery anomaly. Aortic cross clamping time averaged 122.2minutes [range from 60minutes to 150minutes], and cardiopulmonary bypass time averaged 174.4 minutes [range from 80minutes to 300minutes]. The operative mortality rate was 22% [2/9].

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Time and Motion Study of Community Health Practitioners and Community Health Aids in Ocku Area (보건진료원 및 보건진료보조원의 근무시간활용에 대한 조사연구)

  • 황인담;기노석
    • Korea journal of population studies
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    • v.3 no.1
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    • pp.42-51
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    • 1979
  • A study on analysis of daily activities and time allocations of Community health Practitioners(CHP) and Community Health Aids(CHA) who assigned to Ocku Demonstration Health Project of the Korean Health Development Institute was conducted for one week from 3rd through 8th December 1979. The purpose of this study was to determine the efficacy including productivity of the community Health Workers developed by KHDI for rural areas. Five Community Health Practitioners and eight Community Health Aids were selected for the studies and their activities and time allocations were measured by designed format for one week. The following are the summary of the findings. 1. The mean age of the CHPs was 34.4 years with standard deviation 4.8 years, while that of CHAs was 26.9 years with standard deviation 3.1 years. 2. On educational background, all of the CHPs were graduated from Junior Nursing College, six CHAs were from high school and the rest of them from middle school. 3. On marital status, all CHPs were married, meanwhile four CHAs were married and the rest of them were single. 4. On service duration in public health fields, all of the CHPs have worked for less than three years, meanwhile five CHAs for 5 to 9 years and one CHA for more than 10 years. 5. Only one CHP lives in the myon where she works, and the rest of them live in other areas. Three CHAs live in the same myon where they work, and five live in other areas. 6. On types of work, the CHPs have worked on technical areas for 3.6 hours per day and on supportive and administrative activities for 2.7 hours and other activities for 1.8 hours on average. 7. The CHAs have spent 2.9 hours a day on technical activities, 4.2 hours on supportive and administrative activities and 1.6 hours on other activities in terms of time spent on average. 8. The average hours per day spent by CHPs on functional areas were 2.2 hours for clinic activities, 13.7 minutes for maternal health, 30.1 minutes for infant and child health, 13.4 minutes for family planning, 1.1 hours for supporting activities and 1.7 hours for administrative affairs. 9. The average hours per day spent by CHAs on functional areas were 4.1 hours for administrative affairs, 2.6 hours for supportive activities and only 2.9 for maternal health, infant and child health an family planning, and other technical works. 10. The average time spent by CHPs on clinical works were 1.0 minutes for history takings on disease, 2.6 minutes for physical examinations, 1.1 minutes for measurements, 3.8 minutes for administration of medications, 1.5 minutes for educations and 0.9 minutes for others. 11. On the average 92.8 percent of whole working hours of CHPs were spent in the substations, meanwhile 70.4 percent of CHAs were spent in the substations. 12. 17.8 percent of field working hours of CHAs were spent on the roal for their transportations. 13. The average time for unit service performance by CHPs were 10.9 minutes on clinical case, 18.1 minutes on maternal health, 14.8 minutes on infant and child health, 20.5 minutes on family planning and 29.9 minutes on tuberculosis control. 14. The average time for unit service performance by CHAs were 19.4 minutes on clinical work, 19.9 minutes on maternal health, 20.1 minutes on infant and child health, 17.2 minutes on family planning, 22.2 minutes on tuberculosis control.

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Observation of the change of body temperature during the adaptation time in D.I.T.I (2) (적외선체열진단을 위한 외부온도 적응과정 중 체온변화 관찰 (2))

  • Park, Dae-Soon;Cho, Jung-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub
    • Journal of Oriental Medical Thermology
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    • v.3 no.1
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    • pp.52-59
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    • 2004
  • Purpose This study was peformed to observe the change of body temperature during preparatory period. Method This study was carried out on 92 patients by D.I.T.I. The temperature was measured on Chondol(CV22), chonjung(CV17), the abdominal region and palm of Rt. and Lt. hand on every minutes for ten minutes. Result and Conclusion In male and female, until 6 minutes mean body temperature decreased but from 7 minutes it increased a little. In chonjung(CV17) and the abdominal region, temperature increased continously for ten minutes. However in palm of Rt. and Lt. hand it decreased continously for ten minutes

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Analgesic Effect of Combination of Ketamine Hcl/Propionyl promazine HCI and Tiletamine HC1/Zolazepam HCl for Scaling in Dog (개의 치석제거를 위한 마취에 있어 Ketamine HCl/Propionyl promazine HCI과 Tiletamine HCl/Zolazepam HCl의 투여효과)

  • Shin Nam-Sik;Choi Youn-Ju;Kwon Soo-Wahn;Han Duk-hwan;Park Hyun-Jong;Kweon Oh-Kyeong
    • Journal of Veterinary Clinics
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    • v.10 no.2
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    • pp.221-226
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    • 1993
  • To study effective dossage and administration route for scaling, ketamine HCl/propionyl promazine HCl(ketamine) combination and tiletamine HCl/zolazepam HCl(zoletil) were administered in one hundred six dogs. The dogs were toy poodle, Yorkshire Terrier, Pekingese and Chihuahua. Scaling and polishing time, possible treatment time after the first injection of anesthetics, the number of anethesia added, presence of tongue movement during anesthesia, the presence of swaying sign during recovery and respiration were evaluated. The possible treatment time after the first Injection of anesthetic in toy poodle were 26.3${\pm}$3.0 minutes with intravenous(IM) treatment of ketamine 10mg/kg, and 21.4${\pm}$6.6 minutes with intramuscula(IM) treatment of zoletil 8mg/kg, In Yorkshire Terrier were 19.51: 1.7 minutes with IV treatment of ketamine 10mg/kg. 19.0${\pm}$5.2 minutes IM and 20.8${\pm}$6.1 minutes with IM treatment of zoletil 5mg/kg,24.8${\pm}$3,5 minutes with IM treatment of zoletil 8mg/kg. In pekingese were 27.5${\pm}$2.1 minutes with IM treatment of ketamine 10mg/kg,28.0${\pm}$4.2 minutes with IM treatment of zoletil 8mg/kg. In Chihuahua were 19.5${\pm}$1.9 minutes with IV treatment of ketamine 7mg/kg, 17.5${\pm}$1.7 minutes with IM treatment of ketamine 10mg/kg and 20.3${\pm}$3.8 minutes with IM treatment of zoletil 5mg/kg, 21.2${\pm}$5.5 minutes with IM treatment of zoletil 8mg/kg. Swaying sign was observed in all group during recovery time, espically, in toy poodle and Yorkshire Terrier which administered zoletil 8mg/kg IM showed more severe swaying sign. The present results suggested that injection of zoletil 8mg/kg IM might be relatively effective for scaling in Chihuahua Within 20 minutes treatment for scaling in Yorkshire Terrier and Chihuahua, IM treatment of ketamine 7 to 10mg/kg is recommended.

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The Reverse Effects by Electroacupunture on Jun Chung (GV-26) in Dogs (개에서 정중(GV-26) 혈위 전침이 마취 회복에 미치는 영향)

  • 김경인;윤영민;이주명;강태영;김근형;정종태;이경갑
    • Journal of Veterinary Clinics
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    • v.20 no.3
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    • pp.312-316
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    • 2003
  • This study was performed to investigate the reverse effects of Jen Chung(Ren Thong, Shui Gou, GV-26) electroacupuncture after tiletamime-zolazepam administration in dogs. Seven healthy dogs ranging in weigh from 3.5 to 6.5 kg were used in this experiment. The treatment group was electrostimulated to Jen Chung(+) and Su Liao(Shan Gen, GV-25, -) for 20 minutes after 10 minutes of anesthesia. The control group I was anesthetized with tiletamine-zolazepam. The control group II was electrostimulated to nonacupuncture point for 20 minutes after 10 minutes of anesthesia. Various parameters were evaluated including the onset and recovery time of anesthesia, heart rates, body temperature, respiratory rates and electrocardiogram. The recovery time of the treatment group was shorter than that of the control group I and the control group II(p < 0.05). The treatment group had an increase in the heart rate from 20 minutes to 30 minutes after administration of tiletamime-zolazepam compared to the control group I and control group II(p < 0.05). The decrease in the body temperature was observed in all groups, but the body temperature of the treatment group was higher than the body temperature of the other groups. Respiratory rates gradually increased in all groups, but the treatment group had an increase in the respiratory rates from 20 minutes to 30 minutes after administration of tiletamime-zolazepam compared to the other groups. In the three groups, there was no specific finding on the electrocardiogram. In the result, the electroacupuncture on Jen Chung in dogs was effective for the reversed effects the tiletamine-zolazepam anesthesia 20 minutes after induction.

The effect of calcium administration on the blood coagulationmechanism during heparin infusion (헤파린 투여 중 칼슘 투여가 혈액응고 기전에 미치는 영향)

  • Kim, Il-ryong;Kim, Gon-hyung;Kim, Byungsun;Yun, Young-min;Lee, Kyoung-kap
    • Korean Journal of Veterinary Research
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    • v.44 no.3
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    • pp.469-473
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    • 2004
  • This study was performed to investigate the effects of calcium administration on the blood coagulation mechanism through APTT in the calf. Five male calves (70~90 kg) were used in this experiment. In the control group, heparinized normal saline (1 IU/kg/min) had been infusing into the jugular vein for 100 minutes. For the analysis of calcium effects on the APTT, the same solutions had been infusing during the first 40 minutes, subsequently the solution including calcium gluconate (3.3 mg/ml/min) had been infusing for 60 minutes. Blood samples were serially collected every 10 minutes for the APTT and platelets count and every 20 minutes for the calicum level during the infusion. In the calcium-treated group, after 70 minutes the APTT ratio (APTT heparin/APTT baseline) was higher than the therapeutic range. APTT was significantly increased at 50, 60 and 70 minutes in the calcium-treated group as compared to the control group (p<0.01). In the control group, calcium level was decreased significantly after heparin infusion (p<0.01). The platelet count was gradually decreased without significant variation in the both control and calcium-treated groups. These results suggested that APTT is slightly increased in combined heparin and calcium administration.

The Effect of a Submaximal Exercise Load on the Change in Blood Components. (최대하 운동부하가 혈액성분변화에 미치는 영향)

  • 이충훈
    • Korean Journal of Health Education and Promotion
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    • v.14 no.1
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    • pp.173-182
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    • 1997
  • This study presents the results observed in the change in blood components of ten female students of “K” university's physical Education Department during submaximal exercise, relaxation and recovery periods. 1. After ecercise, the WBC value is higher than in relaxation time. Also within thirty minutes of the relaxation period it does not return to the normal range. 2. After exercise, the RBC value is higher than during relaxation time. Also in the recovery period, within 30 minutes it returns to the normal range. 3. After exercise. the RCT value is higher than during relaxation time. Also in the 30 minutes recovery period it returns to the normal range of relaxation. 4. After exercise, the Hb value is higher than during relaxation time. It rises slowly after exercise and returns to the relaxation range in the 30 minutes recovery period. 5. After exercise and in 10 minutes of the recovery period, the value of Glucose is lower than during relaxation time. It returns to the relaxation range in 30 minutes of the recovery period. 6. After exercise the value of protein is higher than during relaxation time. It returns to the relaxation range within ten to thirty minutes of the recovery period.

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Synthesis and thermotolerance of heat shock proteins in campylobacter jejuni (Campylobacter jejuni에서 고온충격 단백질의 합성과 내열성)

  • 김치경;김현옥;이길재
    • Korean Journal of Microbiology
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    • v.29 no.1
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    • pp.49-55
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    • 1991
  • The heat shock responses of Campylobacter jejuni were studied by examination of their survival rates and synthesis of heat shocd proteins. When C. jejuni cells were treated at the sublethal temperatures of 48.deg.C for 30 minutes, most of the cells maintained their viabilities and synthesized the heat shock proteins of 90, 73, and 66 kD in molecular weight. By the method of two-dimensional electrophoresis, the heat shock proteins of C. jejuni were identified to be Hsp90, Hsp73, and Hsp66. During the heat shock at 48.deg.C, the heat shock proteins were induced from about 5 minutes after the heat shock treatment. Their synthesis was continued upto 30 minutes, but remarkably retarded after 50 minutes. When C. jejune cells were heat shocked at 51.deg.C for 30 minutes, the survival rates of the cells were decreased by about $10^{3}$ fold and synthesis of heat shock proteins and normal proteins was also generally retarded. The cells exposed to 55.deg.C for 30 minutes died off by more than $10^{5}$ cells and the new protein synthesis was not observed. But when C. jejuni cells were heat-shocked at the sublethal temperature of 48.deg.C for 15 to 20 minutes and then were exposed at the lethal temperature of 55.deg.C for 30 minutes, their viabilities were higher than those exposed at 55.deg.C for 30 minutes without pre-heat shock at 48.deg.C. Therefore, the heat shock proteins synthesized at the sublethal temperature of 48.deg.C in C. jejuni were thought to be responsible for thermotolerance. However, when C. jejuni cells heat-shocked at various ranges of sublethal and lethal temperatures were placed back to the optimum temperature of 42.deg.C, the multiplication patterns of the cells pretreated at different temperatures were not much different each other.

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The Effects of Massage and Stretching on Muscle Contraction Force for Muscle Fatigue Caused by Isometric Contraction (등척성수축으로 근피로 유발 후 스트레칭과 마사지가 근수축력 회복에 미치는 영향)

  • Lee, Jong-Dae;Bae, Jun-Ho;Bae, Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.18 no.1
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    • pp.53-64
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    • 2006
  • Purpose: The present study purposed to examine the effects of massage and stretching on the recovery of muscle contraction force for muscle fatigue caused by sustained isometric contraction. Methods: The subjects of this study Were 64 healthy men and women (women: 30, men: 34). They Were divided into massage group (23), stretching group (21) and rest group (20), and using Biodex System we observed the pattern of changes in maximal voluntary contraction force (MVC) after causing muscle fatigue in quadriceps femoris muscle through sustained isometric contraction. Results: We measured the point of fatigue occurrence by sustained isometric contraction with 50% MVC and changes in isometric contraction force at 0, 10, 20 and 30 minutes after fatigue and compared them according to gender and treatment group. Conclusion: 1. According to the result of measuring the point of time when fatigue occurred, a difference was observed in time to task failure between men and women. It was significantly longer in women. 2. By gender, MVC changed significantly in all time frames in women, but it showed significant increases only at 10 minutes after fatigue in men. 3. In the comparison of MVC among the treatment groups, it showed significant differences among the groups at 10 minutes after fatigue. 4. In the comparison of changes in MVC among the time frames for each group, the rest group showed significant differences in MVC between 0 and 10 minutes after fatigue and between 20 and 30 minutes after fatigue. The massage group showed significant differences in MVC between 0 and 10 minutes after fatigue and between 10 and 20 minutes after fatigue. The stretching group showed a significant difference in MVC between 10 and 20 minutes after fatigue and between 20 and 30 minutes after fatigue.

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The effects of electroacupuncture and laser at Da-zhui and Shen-shu on hematologic changes and blood concentration of endocrine substances in dogs (대추혈(大椎穴) 및 신유혈(腎兪穴)에 대한 전침 레이저자극이 개의 혈액학적 변화와 내분비물질의 혈중농도에 미치는 영향)

  • Cho, Yong-seong;Bae, Chun-sik
    • Korean Journal of Veterinary Research
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    • v.39 no.5
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    • pp.986-994
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    • 1999
  • This study was carried out (a) to investigate the variations of blood chemistry and (b) to examine the secretion trend of endocrine substances in a dog model after electroacupuncture and laser stimulation at different time period(9 to 11a.m. and 6 to 8p.m.). Two acupuncture points ; Da Zhui(GV-14) and Shen Shu(BL-23) were electroacupunctured for 20 minutes with 2Vol, 20Hz and irradiated for 5 minutes with 8,000Hz. Before stimulation and after a lapse of time(10-minutes, 30-minutes and 60-minutes) all dogs were checked the following parameters ; cortisol, ACTH, RBC, hemoglobin, hematocrit, WBC, Ca, P, SGPT, SGOT and creatinine. The results were as follow : The levels of cortisol and ACTH have been increased 10 minutes after the stimulation of the electroacupuncture and laser. The higher levels of cortisol and ACTH have been decreased to keep the normal levels from 30 minutes after the stimulation of the electroacupuncture and laser. The RBC, hemoglobin, hematocrit and WBC showed the physiological phenomena in the electroacupuncture and laser stimulation. In sero chemical analysis, calcium, phosphate, SGOT, SGPT and creatinine levels were within normal physiological ranges.

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