• 제목/요약/키워드: Alternative methods

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제7차 체육과 교육과정의 효과적 운영 방안 (Effective Management Methods of the 7 Physical Education Curriculum)

  • 김영식;이연숙
    • 한국학교ㆍ지역보건교육학회지
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    • 제4권
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    • pp.157-169
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    • 2003
  • This research was intended to have a grasp of the problems in physical education curriculum, After making an alternative plans of effective management. those were integrated and analyzed their own relations on the purpose of suggesting alternative plans to foster professionality of physical education teacher in order to improve real class of physical education. For this purpose, I referred to sundry records related with instruction of physical education teacher and also conducted a survey with 10 interviews such as researchers of central government education administration, and school commissioners in the ministry's provincial offices of education, professors in the university of pre-teacher training, and teachers involved in physical education. The conclusions were as follows; Physical education curriculum should be organized to reduce and diversify of the sport contents in various levels. Also, it should instruct students based on physical educational knowledge, and it is made up to know the achievement of goals through evaluation tools and development of rules having propriety and reliability. Such a physical educational curriculum developed from real class should inform continuously throughout the Ministry of Education & Human Resources Development and educational organization of physical education teachers and network of the school and mass media. So, it makes most people's recognition raise up, and we need discretionary authority of physical education teacher about time allocation of 45 minutes or 50 minutes for variety of lessons. And we need systematic installation such as reorganization of completion field in level of school.

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The Abdominal Approach for Epiphrenic Esophageal Diverticulum as an Alternative to the Thoracic Approach

  • Kim, Shin;Cho, Jong Ho
    • Journal of Chest Surgery
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    • 제52권4호
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    • pp.227-231
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    • 2019
  • Background: There is no established surgical procedure for the treatment of epiphrenic esophageal diverticulum. The aim of this study was to compare the clinical outcomes of esophageal diverticulectomy using abdominal and thoracic approaches. Methods: We retrospectively reviewed 30 patients who underwent esophageal diverticulectomy through the thoracic or abdominal approach for an epiphrenic diverticulum at a single center between 1996 and 2018. We compared clinical outcomes, including the postoperative length of stay, time from the operation to oral feeding, leakage rate, and reoperation rate between the 2 groups. Results: The median age was 56 years. Of the 30 patients, 18 (60%) underwent diverticulectomy via the thoracic approach and 12 (40%) underwent the abdominal approach. The median hospital stay was 10 days (range, 5-211 days) in the thoracic approach group and 9.5 days (range, 5-18 days) in the abdominal approach group. The median time from the operation until oral feeding was 6.5 days (range, 3-299 days) when the thoracic approach was used and 5 days (range, 1-11 days) when the abdominal approach was used. In the thoracic approach group, the leakage rate was 16.67% and the reoperation rate was 27.78%. However, there were no cases of leakage or reoperation in the abdominal approach group. Conclusion: The abdominal approach for esophageal diverticulectomy is a feasible and appropriate alternative to the thoracic approach.

Nucleic acid-based molecular diagnostic testing of SARS-CoV-2 using self-collected saliva specimens

  • Hwang, Eurim C.;Kim, Jeong Hee
    • International Journal of Oral Biology
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    • 제46권1호
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    • pp.1-6
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    • 2021
  • Since the outbreak of coronavirus disease 2019 (COVID-2019), the infection has spread worldwide due to the highly contagious nature of severe acute syndrome coronavirus (SARS-CoV-2). To manage SARS-CoV-2, the development of diagnostic assays that can quickly and accurately identify the disease in patients is necessary. Currently, nucleic acid-based testing and serology-based testing are two widely used approaches. Of these, nucleic acid-based testing with quantitative reverse transcription-PCR (RT-qPCR) using nasopharyngeal (NP) and/or oropharyngeal (OP) swabs is considered to be the gold standard. Recently, the use of saliva samples has been considered as an alternative method of sample collection. Compared to the NP and OP swab methods, saliva specimens have several advantages. Saliva specimens are easier to collect. Self-collection of saliva specimens can reduce the risk of infection to healthcare providers and reduce sample collection time and cost. Until recently, the sensitivity and accuracy of the data obtained using saliva specimens for SARS-CoV-2 detection was controversial. However, recent clinical research has found that sensitive and reliable data can be obtained from saliva specimens using RT-qPCR, with approximately 81% to 95% correspondence with the data obtained from NP and OP swabs. These data suggest that self-collected saliva is an alternative option for the diagnosis of COVID-19.

자동차분쟁에 있어서 중재절차에 관한 고찰 (A Study of the Arbitration Procedures for Disputes Regarding Automobiles)

  • 김용길
    • 한국중재학회지:중재연구
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    • 제30권4호
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    • pp.71-94
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    • 2020
  • When a dispute or conflict occurs, standard methods for resolving them include resolution by trial or resolutions outside of courts. An alternative dispute resolution method called ADR that aims at remedying disputes instead of filing lawsuits is used commonly throughout the world, including the US and China. ADR, which is a remedy method outside of courts, includes negotiation, arbitration, or mediation between the concerned parties, and the arbitration system has several advantages. The Lemon Law is a consumer protection law of the United States that was enacted in 1975. This law prescribes that when specified quality standards are not met repeatedly due to defects in vehicles or electronic products, the manufacturer must provide exchanges or refunds to consumers. Korea also enacted a newly revised automobile management act, the Korea "Lemon Law," on January 1, 2019, which allows consumers to receive exchanges or refunds from the manufacturer if the same malfunction repeatedly occurs after purchasing a new automobile. There have recently been many cases of large fires occurring while driving import vehicles, causing huge public rage; therefore, interest is being focused on the revised automobile management act. Part 5-2 of the automobile management act was newly added to implement automobile exchange or refund arbitration systems. It is desirable to utilize the arbitration system to smoothly resolve automobile-related disputes that have recently increased significantly, and it is thus being used frequently for practical purposes.

Surgical versus Vacuum Bell Therapy for the Correction of Pectus Excavatum: A Comparison of 1-Year Treatment Outcomes

  • Jung, Younggi;Yi, Eunjue;Lee, Kwanghyoung;Chung, Jae Ho;Cho, Seonghyun;Lee, Sungho
    • Journal of Chest Surgery
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    • 제54권6호
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    • pp.473-479
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    • 2021
  • Background: The purpose of this study was to compare 1-year clinical outcomes between patients who underwent a Nuss operation or vacuum bell therapy and to present vacuum bell therapy as a possible alternative treatment modality for patients who prefer non-surgical correction of pectus excavatum. Methods: We conducted a retrospective review of pectus excavatum patients who had undergone vacuum bell therapy for more than 1 year and examined patients who had undergone Nuss bar removal more than 1 year previously. The treatment outcomes were evaluated by comparing changes in the Haller index before and after treatment in both patient groups. Results: We included 57 patients in this study and divided them into 2 groups according to the type of treatment received. Both groups showed no significant difference in the post-treatment Haller index after 1 year of follow-up, although the Nuss operation group showed a greater change in the Haller index than the vacuum bell group. Conclusion: Although the Nuss operation is a well-established and effective treatment of choice to correct pectus excavatum, vacuum bell therapy showed comparable outcomes and could become an alternative treatment modality for select patients who prefer non-invasive treatment.

Cytokine Release from Organotypic Human Oral Tissue Following Exposure to Oral Care Product Chemicals

  • Yang, Song-Yi;Piao, Yin-Zhu;Kim, Kwang-Mahn;Kwon, Jae-Sung
    • Journal of Korean Dental Science
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    • 제14권2호
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    • pp.51-60
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    • 2021
  • Purpose: Measuring viability of a three-dimensional in vitro organotypic human oral tissue model has been suggested as an alternative test method to the oral mucosa irritation test of oral care products. The aim of this study was to investigate the production of two different cytokines using organotypic human oral tissue model following exposure to chemicals that are commonly used in oral care products. Materials and Methods: The organotypic human oral tissues were exposed to ethanol, sodium lauryl sulphate or hydrogen peroxide for 90 minutes. Following exposure, interleukin (IL)-1α and IL-8 productions were assessed and correlated with cell viability testing as well as histology of the organotypic human oral tissues. Result: High levels of IL-8 were released from organotypic human oral tissues in all of the test and control groups without any significant differences between them. In contrast, differences were found in IL-1α release between the test and control groups. Additionally, the trend of IL-1α release corresponded to the phenotypes observed in histological analysis while different trend existed between IL-1α release and cell viability. Conclusion: The study concluded the non-specific release of IL-8 for the assessment of oral care product chemicals' toxicity, while potential of measuring IL-1α cytokine level as the possible alternative test method.

119구급대원이 경험한 폭력대응에 대한 문제점과 정책대안의 주관적 인식유형 (Type of subjective recognition on the problem and policy alternatives to violence response experienced by emergency medical technicians)

  • 이가연;최은숙
    • 한국응급구조학회지
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    • 제26권1호
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    • pp.37-56
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    • 2022
  • Purpose: This study aimed to identify and present suitable recognition types of policy alternative for before and after response, according to the recognition types of problems in response to violence. Methods: This study investigated 36 EMT's of 17 cities and provinces nationwide. The study was approved by the Kongju National University Institute Review Board (KNU_IRB_2021-17). Data were collected from May 1, 2021 to August 30, 2021 and analyzed by Q factor analysis using the PC-QUNAL program. Results: Recognition types of the problem in 119 EMT's response to violence were described as "I type; lack of professional manpower," "II type; inadequate policy on violence," and "III type; lack of awareness on the emergency field." Recognition types of policy alternative on response to violence by 119 EMT's were described as "Itype; training and public relations oriented," "II type; work environment improvement," "III type; violence handling specialization demand," and "IV type; recovery support seeker." Conclusion: This study provides the foundation required to develop and implement the policies regarding the response to violence; therefore, contributing to EMT's provision.

Optimization of RC polygonal cross-sections under compression and biaxial bending with QPSO

  • de Oliveira, Lucas C.;de Almeida, Felipe S.;Gomes, Herbert M.
    • Computers and Concrete
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    • 제30권2호
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    • pp.127-141
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    • 2022
  • In this paper, a numerical procedure is proposed for achieving the minimum cost design of reinforced concrete polygonal column cross-sections under compression and biaxial bending. A methodology is developed to integrate the metaheuristic algorithm Quantum Particle Swarm Optimization (QPSO) with an algorithm for the evaluation of the strength of reinforced concrete cross-sections under combined axial load and biaxial bending, according to the design criteria of Brazilian Standard ABNT NBR 6118:2014. The objective function formulation takes into account the costs of concrete, reinforcement, and formwork. The cross-section dimensions, the number and diameter of rebar and the concrete strength are taken as discrete design variables. This methodology is applied to polygonal cross-sections, such as rectangular sections, rectangular hollow sections, and L-shaped cross-sections. To evaluate the efficiency of the methodology, the optimal solutions obtained were compared to results reported by other authors using conventional methods or alternative optimization techniques. An additional study investigates the effect on final costs for an alternative parametrization of rebar positioning on the cross-section. The proposed optimization method proved to be efficient in the search for optimal solutions, presenting consistent results that confirm the importance of using optimization techniques in the design of reinforced concrete structures.

고등학교 현장 교육에서의 암모니아 저감용 축분첨가제 개발 (Development of Livestock Manure Additives for Ammonia Reduction in High School Field Education)

  • 장우환;문상철;최인학
    • 한국환경과학회지
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    • 제32권10호
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    • pp.741-744
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    • 2023
  • This study focused on high school laboratory research and the main purpose was to develop alternative additives for livestock waste and ammonia volatilization methods with high school students as participants and to provide information to business owners based on the results. Compared to the control groups, The bentonite and illite treatment groups had similar ammonia volatilization, pH, EC, and total nitrogen content. In particular, the alum and aluminum chloride mixed treatment group showed low pH and ammonia volatilization, and high EC and total nitrogen content for poultry litter. As a result, when focusing on high school laboratory research, the alum and aluminum chloride mixed agent treatment fulfilled its role as an alternative additive for ammonia reduction. In addition, this approach can be suggested as a method to solve difficulties in adapting to the field through a practical cooperative relationship with livestock farms.

The "Swing-Door" Regrafting of Donor Site: An Alternative Method for Split-Thickness Skin Graft in the Hand

  • Jin Soo Kim;Chan Ju Park;Sung Hoon Koh;Dong Chul Lee;Si Young Roh;Kyung Jin Lee
    • Archives of Plastic Surgery
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    • 제51권1호
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    • pp.102-109
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    • 2024
  • Background Skin defects in the hands are common injuries, and autologous skin grafting is the ideal treatment. However, complications can occur at the donor and recipient sites. This study compares the "Swing-door" technique with conventional skin grafting. Methods From August 2019 to February 2023, 19 patients with skin defects of hand underwent the "Swing-door" split-thickness skin graft (STSG) technique. The thin epithelial layer was elevated with proximal part attached. Skin graft was harvested beneath. Donor site was then closed with epithelial flap like a "Swing-door". The outcomes were evaluated in terms of healing time, scar formation, and pain at the donor and recipient sites. The data were compared with the conventional STSG. Results The "Swing-door" group had lower graft take percentages, but complications did not significantly differ between the two groups. The "Swing-door" technique resulted in better cosmetic outcomes, as evidenced by lower Vancouver Scar Scale scores, faster donor site epithelialization, and reduced pain and discomfort during the early postoperative period, as measured by Visual Analog Scale. Conclusion The "Swing-door" STSG is a useful alternative for treating hand skin defects.