• Journal of Chest Surgery
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• v.36 no.10
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• pp.794-797
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• 2003

Photodynamic therapy (PDT) is a local, endoscopically controlled nonoperative therapeutic technique based on selective sensitization of mucosal, malignant and precancerous lesions of the esophagus, trachea and bronchus prior to light-induced tissue destruction in the department of thoracic and cardiovascular surgery. PDT is effective and safe for palliative treatment of neoplasms in the stomach, esophagus, and lung. But skin phototoxicity is unsatisfactory, therefore optimization of management of post-PDT is necessary for preventing phototoxic side effects of skin. Careful patient education in photoprotection techniques, close patient follow-up, early dermatologic referral and medical treatment are recommended. We performed PDT in a patient with intrathoracic constructed stomach. We report this case with a brief review of literatures, therefore.

• The Journal of the Korea Contents Association
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• v.12 no.12
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• pp.269-281
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• 2012

The purpose of this study is to analyze effects of medical service quality on the customer satisfaction and intention of revisit in cancer patients. To achieve purpose of the research, the data was collected from 420 patients in university hospitals using a standardized questionnaires. Using the structural equation modeling(SEM), this study examines the relationship among medical service quality, customer satisfaction and intention of revisit. The results show that the medical service quality factors such as medical expertise, administrative service have positive effects on the customer satisfaction which positively relates to intention of revisit. Medical expertise, convenience, administrative service of the medical service quality factors have positive influence upon intention of revisit. Therefore, the results of this study show that the medical service quality factors which are medical expertise, administrative service leading to customer satisfaction are important factors to revisit hospitals.

• Journal of the Korean Society for Railway
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• v.20 no.4
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• pp.466-473
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• 2017

Recently, domestic railway related institutes are developing pantographs for high speed trains; to lighten the upper arm, this device has a composite structure of CFRP (Carbon Fiber Reinforced Plastic) and aluminum instead of conventional steel. In the case of KTX-Sancheon, the pantograph must have a large current capacity because this system is of power-car type, supplying all necessary power for the train through a single pantograph. If the thickness of the pipe is arbitrarily increased in order to increase the current carrying capacity, without analyzing the thermal characteristics of the aluminum pipe, the increase in the weight of the upper arm may cause degradation of the current collecting performance. Therefore, in this paper, using the thermal analysis technique, we analyze the temperature change characteristics of the aluminum pipe of the upper arm over time, while receiving power at the stationary state of the KTX-Sancheon; we also examine the adequacy of the minimum thickness of the aluminum pipe in accordance with the proposed pantograph flow capacity.

• Journal of agricultural medicine and community health
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• v.26 no.2
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• pp.59-78
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• 2001

Data on reported cancer mortality in the Gyeongsangbuk- do province from 1991 to 1998 were collected and analyzed using the existing mortality reporting system as well as the public health network to furnish accurate data on reported cancer death and to collect data to establish a high quality district health plan. The overall crude death rate in Gyeongsangbuk province in 1991 was 74.56 deaths per 100,000-person but this rate increased to 79.22 in 1998. Among the deaths, the overall death rate of cancer was 16.7% in 1991, which increased to 19.3% in 1998; specifically the death rate of men increased from 19.4% in 1991 to 22.3% in 1998 while that of women increased from 12.4% in 1991 to 15.5% in 1998, showing a more increase among women. The types of cancer and associated death rates in 1991 were gastric cancer(41.5%), followed by liver cancer (28.8%), and lung and bronchogenic carcinoma(8.7%) and in 1998, gastric cancer (24.7%), followed by liver cancer(22.7%), lung and bronchogenic carcinoma(19.3%), showing the same order. For men and women, gastric cancer(40.2% and 44.7%, respectively) was the most common cancer death, followed by liver cancer(33.7% and 16.7%, respectively), and lung and bronchogenic carcinoma(10.2% and 5.0%, respectively) in 1991. However, in 1998, gastric cancer(27.8%) was still the most common type among both men and women, followed by liver cancer (18.5%) and lung and bronchogenic carcinoma(12.7%), showing the most decrease in gastric cancer but most increase in lung and bronchogenic carcinoma. The age- adjusted mortality rates by gastric cancer, hepatoma, laryngeal carcinoma were decreased in both male and female, and also uterine cancer was decreased in female. The age- adjusted mortality rates by lung and bronchogenic carcinoma, pancreatic cancer, rectal cancer were increased in both male and female, and also breast cancer was increased in female. The calculated overall age-adjusted death rate based on the 1995 population was 84.25 in 1991, which decreased to 77.67 in 1998. Male death rate decreased significantly from 119.81 in 1991 to 101.82 in 1998 while the female death rate increased from 48.64 in 1991 to 53.80 in 1998. A census of cancer death rate using accurate death records is important for the establishment of proper and high-quality district health and medical plan and policy. The effort to improve the accuracy of death reports using the health facility network, as had been attempted by this study, can be continued. Furthermore, there must be a way for the Health and Welfare Department to use the death reports to improve the present reporting system. Lastly, additional studies need to be conducted to investigate how much the accuracy was improved by the supplemented death reports in this study.

• 한국어정보학회:학술대회논문집
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• 2016.10a
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• pp.79-84
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• 2016

본 연구는 전문기관에서 생산되는 검증된 문서를 웹상의 수많은 검증되지 않은 문서에 자동 주석하여 신뢰도 향상 및 심화 정보를 자동으로 추가하는 시스템을 설계하는 것을 목표로 한다. 이를 위해 활용 가능한 시스템인 인공 신경 정리 증명계(neural theorem prover)가 대규모 말뭉치에 적용되지 않는다는 근본적인 문제를 해결하기 위해 내부 순환 모듈을 단어 임베딩 모듈로 교체하여 재구축 하였다. 학습 시간의 획기적인 감소를 입증하기 위해 국가암정보센터의 암 예방 및 실천에 대한 검증된 문서들에서 추출한 28,844개 명제를 위키피디아 암 관련 문서에서 추출한 7,844개 명제에 주석하는 사례를 통하여 기존의 시스템과 재구축한 시스템을 병렬 비교하였다. 동일한 환경에서 기존 시스템의 학습 시간이 553.8일로 추정된 것에 비해 재구축한 시스템은 93.1분 내로 학습이 완료되었다. 본 연구의 장점은 인공 신경 정리 증명계가 모듈화 가능한 비선형 시스템이기에 다른 선형 논리 및 자연언어 처리 모듈들과 병렬적으로 결합될 수 있음에도 현실 사례에 이를 적용 불가능하게 했던 학습 시간에 대한 문제를 해소했다는 점이다.

• Journal of Chest Surgery
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• v.29 no.6
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• pp.681-688
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• 1996

Most patients with carcinoma of the cervico-thoracic esophagus present with locally advanced disease. For this reason, therapeutic efforts have been largely palliative, focused on eradicating locoregional dis- ease, and have been attended by high morbidity rates. A 61 year old man was diagnosed to advanced cervicothoracic esophageal cancer(Type 1) and reli ved concurrent chromo-radiotherapy for 2 months in St. Mary's Hospital. And then he underwent transhiatal subtotal esophagectomy and radical dissection of cervical and superior mediastinal Iymph nodes with thoracoscopy. The histologic diagnosis was early esophageal cancer(Type 0-llb, SM2) and the curability of operation was calculated to highly curative(Clll). And the postoperative course was unevenful.

• Annual Conference on Human and Language Technology
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• 2016.10a
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• pp.79-84
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• 2016

본 연구는 전문기관에서 생산되는 검증된 문서를 웹상의 수많은 검증되지 않은 문서에 자동 주석하여 신뢰도 향상 및 심화 정보를 자동으로 추가하는 시스템을 설계하는 것을 목표로 한다. 이를 위해 활용 가능한 시스템인 인공 신경 정리 증명계(neural theorem prover)가 대규모 말뭉치에 적용되지 않는다는 근본적인 문제를 해결하기 위해 내부 순환 모듈을 단어 임베딩 모듈로 교체하여 재구축 하였다. 학습 시간의 획기적인 감소를 입증하기 위해 국가암정보센터의 암 예방 및 실천에 대한 검증된 문서들에서 추출한 28,844개 명제를 위키피디아 암 관련 문서에서 추출한 7,844개 명제에 주석하는 사례를 통하여 기존의 시스템과 재구축한 시스템을 병렬 비교하였다. 동일한 환경에서 기존 시스템의 학습 시간이 553.8일로 추정된 것에 비해 재구축한 시스템은 93.1분 내로 학습이 완료되었다. 본 연구의 장점은 인공 신경 정리 증명계가 모듈화 가능한 비선형 시스템이기에 다른 선형 논리 및 자연언어 처리 모듈들과 병렬적으로 결합될 수 있음에도 현실 사례에 이를 적용 불가능하게 했던 학습 시간에 대한 문제를 해소했다는 점이다.

• Korean Journal of Head & Neck Oncology
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• v.31 no.1
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• pp.18-21
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• 2015

기관을 침범한 갑상선 악성종양을 제거한 후에 성문하부에 비교적 큰 기관 결손이 발생할 수 있다. 단단문합술은 넓은 부위의 결손부를 재건하는 방법으로 널리 받아들여지고 있지만, 문합부 파열, 반회후두신경마비, 재협착 등의 합병증이 발생할 수 있다. 본 증례는 기도를 침범한 갑상선 유두암종을 제거한 후 윤상연골과 기관연골의 비교적 큰 결손부를 흉쇄유돌근 근골막피판을 사용하여 안전하게 재건한 사례이다. 55세 남자 환자가 기도를 침범한 갑상선 유두상암으로 내원하였으며 기도침범은 윤상연골(둘레의 약 30%)과 4개의 기관연골(둘레의 약 50%)을 해당하는 넓은 부위였다. 수술 전 기관절개술을 시행하여 주위 기관연골의 상태가 좋지 않아 단단문합술 시행 후 문합부 파열 가능성이 있다고 판단하여 흉쇄유돌근 근골막피판을 이용하여 재건하기로 계획하였다. 갑상선 절제술, 경부림프절 절제술, 흉쇄유돌근 근골막피판을 이용한 재건술을 시행하였으며 수술 후 12일째 별다른 문제없이 퇴원하였다. 환자는 수술 후 현재 22개월 간 기도 협착 등의 별다른 합병증 없이 지내고 있다. 흉쇄유돌근 근골막피판은 성문하부나 기관지 전외측벽의 비교적 큰 결손부를 재건하는 데 유용하게 사용될 수 있다.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1983.05a
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• pp.7.2-8
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• 1983

Chronic laryngotracheal stenosis is becoming increasingly prevalent. Many acceptable procedures such as repeated dilation, laryngotracheoplasty and end-to-end anastomosis had been done according to it's indication, but it have given less than favorable results. Since 1972 the experimental and clinical experiences of Jako and Strong, the carbon dioxide laser has offered a valuable tool to the otolaryngologist. Mihashi (1976) and Lyons (1980) reported use of laser to the management of laryngotracheal stenosis with successful results. From April 82' to March 83', using the carbon dioxide laser, the various obstructing lesions were excised microendoscopically which include four patients considered failures from conventional surgical technique and one patient laryngeal stenosis occured after hemilaryngectomy and neoglottis formation. We concluded as follows, 1) Laser surgery is a useful method to the management of laryngotracheal stenosis in maintaining adequate airway. 2) Formation of granulation after laser surgery was less than other conventional methods.

• 월간낙농육우
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• v.35 no.8
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• pp.144-149
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• 2015

정부가 농업농촌정책의 기조로 삼고 이번 정부가 국정과제로 채택하며 농업의 미래로 간주되고 있는 6차 산업화. 6차 산업화를 강조하며 미래 농업의 대안으로 제시되고 있는 가운데 성공적인 6차 산업 모델로 낙농체험목장이 각광받고 있다. 정부 주도적인 사업이 아닌 민간 주도적인 사업으로 낙농진흥회라는 준정부기관이 사업주체로 있기는 하지만 농가들이 주도적으로 사업을 진행, 발전시켰다는 점에서 더욱 주목받고 있는 것이다. 낙농체험목장이 낙농진흥회 인증으로 첫 사업을 시작한 이후 10년이 흘렀다. 2004년 1개로 시작된 낙농체험목장은 전국 30여개 인증목장으로 양적 성장을 하고 있다. 그러나 5,000호가 넘는 목장에서 오직 30여개만 낙농체험목장으로 인증을 받았다는 점, 미래를 고민하며 낙농체험목장을 대안으로 생각하고 있는 목장이 늘어나고 있다는 점에서 낙농체험목장은 새로운 전기를 맞아야 한다. 낙농체험목장 10년, 미래를 준비하는 '한국형 체험목장'을 고민해 보고 명과 암을 살펴본다.