• Title/Summary/Keyword: Case finding

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The Dynamic Modeling of Conflicting Issues in Public Organization : The System Simulation of Dynamic Interaction Between Environmental System and Regional Development System. (조직의 상충적 이슈에 관한 동태적 모델링 : 환경 시스템과 경제 시스템 간의 동태적 상호작용 분석과 시스템 시뮬레이션)

  • 홍민기
    • Korean System Dynamics Review
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    • v.1 no.1
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    • pp.159-183
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    • 2000
  • How to protect the environment without sacrificing the human environment and economy at the level of region is on of the most difficult issues of recent times. The dynamic Interactions between economic activities and environmental pollution control activities determine whether social welfare is increased of decreased by such activities and provides a basis for saying whether they help or hurt the economy. Bureaucratic Approach of Local government has failed, and an Impetus has arisen to develop new tools of analysis, useful for finding policy leverages focused on sustainability. This paper focus on understanding dynamic relationships between regional economic system and environmental system, and presenting possible framework for finding policy leverages in dynamic interaction behaviors. The case, selected in this study, is Nacdong river regions case, which is related many meaningful issues about sustainable development: two big metropolitan government and dwellers have different opinion with regard to construction of large scale Industrial pack, drinking water supply, and environment model consisting of three sectors: regional economy sector, river pollution and drinking water sector, environmental protection and investment policy sector Finally, this paper deal with how to link policy leverage to causal loop structure for the sustainable development of two regions.

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A Study on Improving Lecture Satisfaction using Taguchi Method (다구찌 기법을 적용한 강의만족도 향상 사례 연구)

  • Ree, Sangbok
    • Journal of Korean Society for Quality Management
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    • v.42 no.1
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    • pp.63-70
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    • 2014
  • Purpose: This article introduces a case study of using Taguchi Method to improve lecture satisfaction. Developed by Taguchi Genichi, this method has its strength in finding the control factor that is robust against noise factor. Finding the condition for such control factor has an effect of reducing the dispersion of the Lecture satisfaction. Methods: There are various factors in university classrooms. The factors which influenced the Lecture Satisfaction are analyzed by control factors and noise factors, control factors which is controllable are lecture completeness and thoroughly test the degree of supervision and noise factors which is not controllable is degree of physical and psychological Lecturer tired, then the experiment is conducted as guided by Taguchi's experimental design, one semester are experimented by eight professor with 2 classes, after discussion of the results the optimal lecture condition is suggested. Results: To improve Lecture Satisfaction under noise factor of physical and psychological Lecturer tired, optimal condition are that lecture completeness have scenario note during lecture and thoroughly test the degree of supervision have two proctors during test. Conclusion: In this paper, we have succession case by applying Taguchi methods in Lecture Satisfaction. We can apply to improve service by applying the Taguchi methods. In the future we hope to have many succession cases.

Surgical Management for Incidental Finding of an Intrapulmonary Foreign Body - A case report (우연히 발견된 폐내 이물의 수술적 치료 -1예 보고-)

  • Ko, Moo-Sung;Lee, Sub;Park, Ki-Sung
    • Journal of Chest Surgery
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    • v.39 no.3 s.260
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    • pp.248-250
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    • 2006
  • A 48-years-old woman was visited to our hospital because of incidental finding of intrapulmonary foreign body. Chest X-ray showed a 4cm sized foreign body in left upper lung field without adjacent fibrosis. Chest CT showed a sewing needle shaped foreign body of metallic density, located in the 113ft upper lobe. The foreign bodies including the needle were removed surgically using a wedge resection. The extracted needle was divided into three 4 cm pieces. Patient was discharged without other respiratory symptoms after surgery. We report a case of wedge resection in a patient with intrapulmonary needle in the left upper lobe, with review of literatures.

Morning Glory Syndrome associated with Autosomal Dominant Alport Syndrome with a Heterozygous COL4A4 Mutation

  • Kim, So Jeong;Lee, Jeong Eun;Kwak, Hyun Duck;Kang, Mi Seon;Yu, Seong Ah;Seo, Go Hun;Oh, Seung Hwan;Chung, Woo Yeong
    • Childhood Kidney Diseases
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    • v.25 no.2
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    • pp.128-132
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    • 2021
  • Morning glory syndrome (MGS) is a rare congenital optic disc anomaly with a characteristic fundal finding with severe visual impairment. It may occur in association with various systemic manifestations, even though most of the reported cases were isolated. A 6-year-old male visited the nephrology clinic with a history of microscopic hematuria and at the age of 12 years, he was diagnosed thin glomerular basement membrane nephropathy by kidney biopsy. After the following years, the patient had progressive deterioration of visual acuity, and diagnosed as MGS. Whole Exome Sequencing of this patient and his mother revealed heterozygous COL4A4 mutations [c.81_86del (p.Ile29_Leu30del)]. It is more reasonable to consider MGS seen in this patient as a coincidental finding of autosomal dominant Alport syndrome. To our knowledge, this case represents the first case report of autosomal dominant Alport syndrome associated with MGS.

Atypical Giant Cell Tumor: A Case Report (비전형적 거대세포종의 치험례)

  • Hwang, So Min;Ahn, Sung Min;Jung, Pil Ku;Oh, Kyoung Seok;Kim, Jin Hyeong
    • Archives of Plastic Surgery
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    • v.34 no.6
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    • pp.796-798
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    • 2007
  • Purpose: Giant cell tumor is the second most common benign neoplasm in upper extremity. Unlike usual chief complaint of painless mass, an atypical case with giant cell tumor presented a distinguishing characteristics of which accompany pain and tenderness and is histologically giant-cell free. Methods: A 31-year-old male patient complained of a rapid growing painful mass on the proximal phalanx of the left ring finger. Under microscopic operation, a $1.6{\times}1.3cm$ sized mass was found to be surrounded by areolar tissue and attached to a tendon sheath, encircling the digital nerve and artery. Diagnostic confirmation was assisted by positive finding in histologic immunohistochemical stain-CD68. Characteristic pathologic finding is an atypical distribution of spindle cells & histiocytes without giant cells in fascicular pattern. Results: Giant cell tumor was carefully removed under microscopic approach, while preserving digital nerve & artery. In postoperative 13th month, the patient presented with a 6mm of static two-point discrimination test, similar to that of the adjacent fingers. Conclusion: We report an atypical case with painful mass on tendon sheath, surrounding the digital nerve and artery that was diagnosed of giant cell tumor, but without giant cells on pathology. This case provides broader understanding of the giant cell tumor that should not only rely its typical findings of the painless mass and positive sign on H&E stain.

Colon Cancer with a Nonspecific Inflammatory Colonoscopic Finding (대장내시경검사에서 비특이적 염증형태로 나타난 대장선암 1예)

  • Park, Jae-Hyun;Jang, Byung-Ik;Lee, Ho-Chan;Kim, Sung-Joon;Park, Jun-Seok
    • Journal of Yeungnam Medical Science
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    • v.26 no.2
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    • pp.114-119
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    • 2009
  • Colon cancer is the second most common malignancy in Korea. It is classified as superficial type, the mass type, the ulcerative type, the ulceroinfiltrative type, the diffuse infiltrative type and the unclassified type according to the colonoscopic findings. We report here on a case of colon cancer that was initially misdiagnosed as acute infectious colitis at the initial presentation. A 64-year-old man visited to Yeungnam University Hospital for watery diarrhea and lower abdominal pain. Colonoscopy revealed long segmental edematous mucosa and hyperemic mucosa with stenosis in the transverse colon. He was diagnosed as having acute infectious colitis according to the colonoscopic finding. However, two days later after colonoscopy, he visited the emergency room for hematochezia. We performed computerized tomography (CT) and obtained blood samples to find the origin of the bleeding. We found thickening of the transverse colon lumen and ascites on the CT finding and an elevated level of tumor markers; we also obtained the results of the colonoscopic biopsy that was done via colonoscopy. He was finally diagnosed as having colon cancer with carcinomatosis, a poorly differentiated adenocarcinoma.

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Isolated aortic valvular heart disease : analysis of etiology and surgical experience (대동맥판막질환의 임상적 고찰 -판막병리 및 임상성적에 대하여-)

  • 이승구
    • Journal of Chest Surgery
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    • v.20 no.2
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    • pp.300-308
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    • 1987
  • Clinical and pathologic data were reviewed in 20 patients who had have surgery for isolated aortic valvular heart disease between April 1978 and April, 1987. Hospital mortality was 10%, with no additional late mortality during a mean follow-up period of 24.1 months. Prosthetic valve failure developed in 3 patients and two had reoperation. Niety four percent of the survivors who were in NYHA Funtional class III or IV before operation are now in class I or II. Ninety percent of all patients are still alive at a maximum follow up of 9 years. The clinical histories, gross and histologic examination of valves estabilished the causes for isolated aortic valve disease: 3 rheumatic, 2 congenital bicuspid, 2 hypertention, 2 aortitis and each one case of floppy valve, medial cystic necrosis of aorta, bacterial endocarditis. But etiology was unknown in 8 cases. Sixteen patietns had myxoid degeneration, defined as significant disruption of the valve fibrosa and its replacement by acid mucosaccharides and cystic changes. Myxoid degeneration was also the primary pathologic abnormality in the patients with 2 hypertention, 2 rheumatic, 1 aortitis, 1 bacterial endocarditis, 1 floppy valve, 1 congenital bicuspid. The patients with myxoid degeneration of uncertain origin were 8. Histologic finding of all of them revealed nonspecific patients with myxoid degeneration of uncertain orgin were 8. Histologic finding of all of them revealed nonspecific chronic valvulitis with myxoid degeneration. This finding may indicate that the etiology w uld be infectious.

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Constructing a Prototype Union Database of Encoded Archival Descriptions - A Case of the Online Archive of California Project - (EAD를 이용한 기록자료 자동화방안 - Online Archive of California 프로젝트를 중심으로 -)

  • Park, Eun-Kyung
    • Journal of Korean Society of Archives and Records Management
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    • v.2 no.2
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    • pp.93-106
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    • 2002
  • Finding aids are descriptive tools for archival materials in order to physically and intellectually understand and control archival collections. For electronic finding aids, encoded archival description has been developed as part of the Online Archive of California project for direct and comprehensive access to a variety of archival materials across the California state. The purpose of this article are: to understand a brief history of EAD development; to examine EAD encoding, format conversion, structure, and representation used in OAC; and to necessarily suggest that a customized EAD model should be developed for Korean contexts.

Cardiac Rhabdomyoma in Neonate; A Case Report (태아에서 발생한 Cariac Rhabdomyoma 치험 1례)

  • 박성동
    • Journal of Chest Surgery
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    • v.26 no.10
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    • pp.804-807
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    • 1993
  • We experienced a case of cardiac rhabdomyoma,which is incidentally found at perinatally checked sonography.The cardiac rhabdomyoma is the most common cardiac tumor of infants & children, and second most common cardiac tumor of all age groups, which is usually multiple in the case of 90%, invariably involves the ventricles affecting the left & right side equally. In more than fifty percents, the size of cardiac rhabdomyoma is enough large to threatening the life of newborn within 24hrs of birth. Cardiac rabdomyoma is actually a myocardial harmatoma rather than a true neoplasm,because of the finding of complete lack of mitotic activities. Recently,more advanved instruments such as ultrasonography or echocardiography allows to us early detection & surgical intervention of this tumor. In our case, the tumor was found at both ventricles, which occupied nearly total chambers of both ventricles. The patient was operated on 3 day after birth. The operation was removal of the tumor through left ventriculotomy and right ventriculotomy respectively. He expired in the immediate postoperative period due to low cardiac output syndrome, despite of massive inotropic agents.

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Customer Relationship Management in Telecom Market using an Optimized Case-based Reasoning (최적화 사례기반추론을 이용한 통신시장 고객관계관리)

  • An, Hyeon-Cheol;Kim, Gyeong-Jae
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2006.11a
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    • pp.285-288
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    • 2006
  • Most previous studies on improving the effectiveness of CBR have focused on the similarity function aspect or optimization of case features and their weights. However, according to some of the prior research, finding the optimal k parameter for the k-nearest neighbor (k-NN) is also crucial for improving the performance of the CBR system. Nonetheless, there have been few attempts to optimize the number of neighbors, especially using artificial intelligence (AI) techniques. In this study, we introduce a genetic algorithm (GA) to optimize the number of neighbors that combine, as well as the weight of each feature. The new model is applied to the real-world case of a major telecommunication company in Korea in order to build the prediction model for the customer profitability level. Experimental results show that our GA-optimized CBR approach outperforms other AI techniques for this mulriclass classification problem.

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