• Journal of Chest Surgery
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• v.16 no.1
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• pp.75-82
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• 1983

This report is concerned to our experience of 10 cases of open heart surgery under the extracorporeal circulation at the Department of Thoracic and Cardiovascular Surgery, Capital Armed Forces General Hospital during the period between May, 1982 and February, 1983. 1. Six cases were male and two cases were female. Age was varied from 21 years to 50 years and mean age was 34 years. 2. The cases included 2 Ventricular Septal Defects, 1 Atrial Septal Defect, I Tetralogy of Fallot and 6 acquired valvular heart diseases. 3. The surgical managements were 3 primary repairs for Ventricular Septal Defects and Atrial Septal Defect, I total correction for Tetralogy of Fallot and 6 mitral valve replacements with bovine xenograft by Ionescu-Shiley combining 3 Tricuspid annuloplasties [ De Vega method ] and 1 deauricularization of left atrial appendage for acquired valvular heart diseases. 4. The average cardiopulmonary bypass time was 37 minutes for acyanotic congenital heart diseases and 92 minutes for cyanotic heart disease and acquired valvular heart diseases. And the average aortic cross clamping time was 19 minutes for the former and 70 minutes for the latter. 5. Postoperatively, there were 1 hemolytic anemia, 1 congestive heart failure, 1 hemolytic jaundice and 1 thermal burn as complications, but there was no operative mortality. 6. All patients received valve replacement were recommended anticoagulation with Persantin and Aspirin.

• Journal of Chest Surgery
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• v.29 no.1
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• pp.90-94
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• 1996

New chords formation of mitral valve using expended-polytetrafluoroethylene sutures was performed in six patients with mitral regurgitation (MR) from April, 1994 to March, 1995. There were 3 men and 3 women whose mean age was 65 years, ranged from 55 to 75. A double-armed pledget suture was passed through the lateral portion of papillary muscle head and tied. Each arm of the suture was brought up to the free margin of the leaflet and passed through the area where the native chorda was attached. At leaflet surface, one more weaving was made. fter the lengths of the two arms were adjusted, the ends were tied. There were no operative deaths. Patients have been followed up from 2 to 13 months, mean 8. Echocardiographic sutudies were performed at 10 days after operation and revealed normal mitral valve function in all patients.

• Journal of the Korea Institute of Military Science and Technology
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• v.11 no.6
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• pp.142-147
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• 2008

The current study investigated the causality between the musculoskeletal injuries of the patients who visited our military hospital and their military-related activities. The surgeon diagnosed the patients and let them answer the questionnaire on pain and causes from April 1, 2008 to May 30, 2008. The included 287 male patients were mean 21 years old(mean height 175 cm and mean weight 69.4Kgf). The visiting time after injury was mean 53 days. The visual analog scale of pain was mean 5.1 points. The 30% of visiting patients answered the most common cause of injury was the military training. The Most common site of injury was the knee, in 38% of patients(111 of 287). Seventy two percent of patients suspected the causality between their injuries and military activities. In military activities, a special stretching program before training, especially for the knee, is required to reduce musculoskeletal injuries. And, the injured military people have to access the medical treat as soon as possible.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.31 no.6
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• pp.485-491
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• 2009

Postoperative skeletal stability was evaluated in combination of Le Fort I and U-shaped osteotomies for superior repositioning of maxilla in bi-maxillary surgeries in 30 consecutive patients. The fifteen patients underwent Le Fort I osteotomy alone and the other fifteen patients underwent Le Fort I and U-shaped osteotomies. In all patients, the maxilla was first osteomized and fixed with absorbable plates system. A bilateral sagittal split ramus osteotomy (BSSRO) of the mandible was then carried out and fixation was performed using absorbable plates. Maxillo-mandibular fixation with rubber ring was used for two weeks post-operatively in all patients. Lateral cephalograms were obtained pre-operatively, 1 day post-operatively, 6 months after surgery. The changes in anterior nasal spine (ANS), point A, upper incisior (U1), and point of maxillary tuberosity (PMT) were examined. The maxillas in the fifteen patients of both examination group were repositioned nearly in their planned positions during surgery and no significant post-operative changes in the examined points of the maxilla were found. These results suggest that a combination of a Le Fort I and U-shaped osteotomy is a useful technique for reliable superior repositioning of the maxilla. The post-operative change in the maxilla using this combination osteotomy was comparatively stable.

• Korean Journal of Adult Nursing
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• v.15 no.1
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• pp.137-145
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• 2003

Purpose: This research is a descriptive study to explore "patient respect" in nursing. Respect was analyzed as a concept in the domain of the patient. The Hybrid Model suggested by Schwartz-Barcott and Kim was used in this study. Method: For the theoretical phase, nursing and other literature were reviewed to analyze attributes and develop a working definition of the concept, respect. For the fieldwork phase, four subjects in two general hospitals in Seoul participated. With the participants' permission, the data was collected between January and April, 2002, through in-depth interview and participant observation. The data analysis progressed at the same time as the fieldwork. Data analysis proceeded according to the analysis method of Strauss and Corbin. Result: The final attributes of patient respect are suggested by consideration, recognition, cordial treatment, concern, honesty, acceptance. The final definition of patient respect as a concept in the domain the of patient is suggested by "Patient respect is that the patient is recognized as an individual with worth and is accepted, and considered to be that kind of an individual person. In addition, the patient is recognized to be an independent person and is treated with concern and honesty." Conclusion: The results of the analyses is helpful in integrating into a comprehensive description of the concept, Patient Respect.

• The Journal of Korean Academic Society of Nursing Education
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• v.26 no.3
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• pp.299-310
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• 2020

Purpose: This study is a content analysis to understand the nursing informatics competence of clinical nurses. Methods: Focus group interviews were used to collect data. Two focus group interviews were held with a total of nine clinical nurses. All interviews were recorded and transcribed. Content analysis was used to analyze data. Results: The five main categories of nursing informatics competence that emerged are 1) software program use, 2) use of nursing information, 3) use of information communication technology in nursing, 4) professional responsibilities and ethics, and 5) active attitudes and recognition. Next, there are three strategies to improve nursing informatics competence: 1) organizational approach, 2) opportunity of continuous education, 3) presentation of standards in nursing informatics competence. Conclusion: Further studies such as educational program development and evaluation tool development are necessary. Moreover, there is a need to enhance clinical nurses' nursing informatics competence by using the proposed strategies.

• Proceedings of the KSME Conference
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• 2004.04a
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• pp.531-536
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• 2004

In-arm type hydropeumatic suspension unit(ISU) is an equipment of armed tracked vehicle to absorb impact load and vibration from the irregular ground. During the operation of ISU, main piston moves forward and backward and oil flowing through damper transmits the external impact load to floating piston. Heat is generated in ISU by the oil pressure drop through the damper orifice and the friction between cylinder wall and two pistons. On the other hand, internal heat dissipatis outside via heat convection. Occurrence of high temperature can deteriorate durability of major components and basic function of ISU. And, it can cause fatal problem in the ISU life time and the sealing performance of piston rings. As well, the spring constant change of nitrogen gas that is caused by the temperature rise exerts the negative effect to the vehicle stability. Therefore, in this paper, we analyze the heat transfer analysis of the entire ISU unit, by finite element method, with the outside flow velocities 8m/s and 10m/s.

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 2017.05a
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• pp.201-204
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• 2017

An comparative analysis between two engine type certification specifications which are FAR Part 33 and EASA CS-E has been performed to provide fundamental information for validity assessment of civil certified engine when it is installed to a military rotorcraft. The analysis result has been used to build a traceability information between CS-E and MIL-HDBK-516C by which the substantiation data for engine type certification can be used as parts of aircraft propulsion system airworthiness substantiation.

• The korean journal of orthodontics
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• v.51 no.6
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• pp.397-406
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• 2021

Objective: The purpose of this study was to evaluate the effects of self-ligating brackets (SBs) and other factors that influence orthodontic treatment outcomes. Methods: This two-armed cohort study included consecutively treated patients in a private practice. The patients were asked to choose between SBs and conventional brackets (CBs); if any patient did not have a preference, he or she was randomly allocated to the CB or SB group. All patients were treated using an identical archwire sequence. Evaluated parameters were as follows: treatment duration, number of bracket failures, poor oral hygiene, poor elastic wear, extraction, use of orthodontic mini-implants (OMI), OMI failure, American Board of Orthodontics (ABO) Discrepancy Index (DI), arch length discrepancy, and ABO Cast-Radiograph Evaluation (CRE) score. Stepwise regression analysis was performed to generate the equation for prediction of the CRE. Results: The final sample comprised 134 patients with an average age of 22.73 years. The average DI, CRE, and treatment duration were 21.81, 14.25, and 28.63 months, respectively. Analysis of covariance showed a significant difference in CRE between the CB and SB groups after adjusting for the effects of confounding variables. Stepwise regression analysis using four variables, namely extraction, SB use, poor elastic wear, and additional appliance use, could explain only 25.2% of the variance in the CRE. Conclusions: Although the CRE was significantly better for CBs than for SBs, the clinical significance of this result seems to be limited. Extraction, SB use, poor elastic wear, and additional appliance use may have significant effects on treatment outcomes.

• Acta Via Serica
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• v.7 no.1
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• pp.105-130
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• 2022

This paper argues that the war in Syria is partly the result of a global Islamist wave that contributed to fuelling conflict across large regions of Asia and Africa. Of course, the war that has consumed Syria since 2011 most certainly has multiple interrelated causes and driving forces, and any attempt to isolate one or even two or three runs the risk of advancing an overly simplistic interpretation of history. This essay, therefore, does not aim to offer an appraisal of the multiple variables that contributed to the war in Syria. Instead, it zeroes in on how political Islam came to impact Syria and its people. In doing so, it demonstrates how competing varieties of political Islam represented leading causes of conflict. Indeed, different Islamist movements contributed to the outbreak of the war in 2011, fuelled the conflict for years on end, and to this day represent major obstacles to the achievement of sustainable peace. Four broad Islamist currents are especially relevant to the case of Syria: the Muslim Brotherhood; the Shia revivalist movement at the nexus of the alliance between Iran, Hezbollah, and Syria; Salafi jihadism and its volatile and fractious underworld of competing armed groups, from Al-Qaeda to the Islamic State; and Recep Tayyip Erdoğan's market-friendly Islamism, which induced Turkey to intervene in Syria's civil war.