• Archives of Plastic Surgery
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• v.50 no.4
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• pp.415-421
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• 2023

The revision of the Korea Organ Transplantation Act (KOTA) in 2018 included hand/arm among the organs that can be transplanted. The first hand transplantation since the revision of KOTA took place in January 2021. A 62-year-old male patient experienced hand amputation on July 13, 2018, by a catapult injury. The patient first visited our institute 3 months after the injury. After serial interviews and an overall evaluation, the patient was registered on the hand transplantation waiting list in January 2020. On January 9, 2021, the patient underwent hand transplantation at the right distal forearm level. The total operation time was 17 hours 15 minutes, and the cold ischemic time was 4 hours 9 minutes. Postoperative immunosuppression was administered based on the protocol used for kidney transplantation. Two acute rejection episodes occurred, on postoperative days 33 and 41. Both rejection episodes were reversible with rescue therapy of a higher tacrolimus trough level, steroid pulse therapy, and topical immunosuppressants. Controlled passive range of motion exercise was started on postoperative day 10. Dynamic splint was applied on postoperative day 18. At 1 year, graft maintenance and functional improvement were satisfactory, and the patient showed a Disabilities of Arm, Shoulder and Hand score of 25.8. We successfully performed the first hand transplantation surgery under the KOTA amendment. It came from the organic and effective cooperation of plastic, orthopaedic, and transplantation departments and we believe it will guarantee the future ongoing success.

• Journal of Internet Computing and Services
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• v.24 no.6
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• pp.145-153
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• 2023

This study emphasizes the essential need in the military for effective measurement and monitoring of soldiers' physical fitness, health, and exercise capabilities to enhance both their overall fitness and combat effectiveness. The effective assessment of physical fitness is considered a core element of management, aligning with principles of modern management. Particularly, preparing soldiers with robust physical fitness is deemed crucial for adapting to dynamic changes on the battlefield. In this research, the RFM (Recency, Frequency, Monetary) customer analysis and clustering methods, validated in e-commerce, are introduced as a basis for applying an AI-driven customer analysis approach to assess military personnel fitness. To achieve this, the study explores the incorporation of the RSC (Reveal, Sustainable, Control) analysis model. This model aims to effectively categorize and monitor military personnel fitness. The application of the RFM technique in the RSC analysis model quantifies and models military fitness, fostering continuous improvement and seeking strategies to enhance the effectiveness of fitness management. Through these methods, the study develops an AI customer analysis technique applied to the RSC clustering analysis method for improving and sustaining military personnel fitness.

• The Journal of Korean society of community based occupational therapy
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• v.6 no.2
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• pp.51-59
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• 2016

Objective : The purpose of study is to provide basic information about the effects of leisure time use and leisure activity performance for intellectual disabilities residing in a residential care facility by participating a regular rehabilitation sports program. Methods : Participants were recruited 8 individual with intellectual disability in a residential care facility in Yong-in city and the study period lasted 12 weeks, from september 1 to November 30 in 2015. As a program, participants participated a muscle strengthening exercise using a Gym-ball and a elastic band. In order to analyze leisure time-use, time questionnaire was used every month to analyze total time and exercise frequency. Also, analyze the effects of leisure activity performance, Canadian Occupational Performance Measure(COPM) was used to performance and satisfaction of dynamic leisure activity. Collected data was encoded by item and analyzed with SPSS ver18.0. Descriptive statistics were used for the participants' general information. A non-parametric test (the Friedman test) was used to analyze leisure time-use. A non-parametric test (the Wilcoxon's signed ranked test) was used to analyze to the effects of leisure activity performance. Statistical significance was accepted outside the 95% confidence interval. Results : The results of the total time and the exercise frequency showed significant increase. Also, the results of the performance and the satisfaction showed significant increase. Conclusion : Thus, the participation of the rehabilitation sports program is a vital element to lead to change leisure time use and leisure activity performance for intellectual disabilities residing in a residential care facility. Also, through the providing and the developing a regular rehabilitation sports program systematically, intellectual disabilities residing in a residential care facility have a higher quality of life and satisfaction of the daily routine and life in a residential care facility.

• The Korean Journal of Nuclear Medicine
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• v.28 no.2
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• pp.177-185
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• 1994

Pharmacologic coronary vasodilation in conjunction with myocardial perfusion scintigraphy has become an alternative to dynamic exercise test for the diagnosis and risk stratification of coronary artery disease, especially in patients who are unable to perform adequate exercise. Dipyridamole and adenosine have been used for pharmacologic stress testing with myocardial perfusion imaging. Adenosine is a potent coronary vasodilator with rapid onset of action, short half-life, near maximal coronary vasodilation and less serious side effects. ST segment depression has been reported in about 7-15% of patients with coronary artery disease receiving dipyridamole in conjunction with myocardial perfusion imaging. The exact cause and clinical significance are not known. In order to evaluate the relationship between adenosine-induced ST segment depression during $^{99m}Tc$-MIBI myocardial perfusion scintigraphy and the severity of coronary artery disease, we performed $^{99m}Tc$-MIBI imaging after intravenous Infusion of adenosine In 120 patients with suspected coronary artery disease. Of the 120 patients, 28 also performed coronary angiography. There were 24 patients with ST segment depression during $^{99m}Tc$-MIBI scintigraphy and 96 patients without ST segment depression. Adenosine was infused Intravenously at a dose of 0.14mg/kg per minute lot 6minutes and $^{99m}Tc$-MIBI was injected at 3 minute. We then com-pared the hemodynamic changes, side effects, scintigraphic and angiographic findings. Heart rate increased $90{\pm}19$ beats/minute in the group with ST depression compared with $80{\pm}16$ beats/minute in the group without ST depression(p<0.05). Baseline systolic blood pressure was significantly higher in the group with ST depression($152{\pm}27$ mmHg) than in the group without 57 depression($140{\pm}21$mmHg, p<0.05). Double product at baseline($10.90{\pm}2.77$ versus $9.55{\pm}2.34\;beats/minute{\times}mmHg$) and during adenosine infusion($12.72{\pm}3.89$ versus $10.83{\pm}2.98\;beats/minute{\times}mmHg$) were significantly higher in the group with ST depression(p<0.05). The incidence of anginal chest pain was also significantly higher in the group with ST depression(ST versus 29%, p<0.0001). The $^{99m}Tc$-MIBI images were abnormal in 23(96%) patients with ST segment depression and 66(69%) patients without ST segment depression(p<0.05). In patients with ST segment depression, there were more reversible perfusion defects than in patients without ST segment depression(83 versus 55%, p<0.05). The number of abnormal segments were significantly higher in the group with ST depression($3.05{\pm}2.01$ versus $1.51{\pm}1.45$, p<0.005). In patients with ST segment depression, there were more segments of reversible perfusion defects than in patients without segment depression($2.15{\pm}2.11$ versus $0.89{\pm}1.24$, p<0.05). There were no differences in the angiographic severity by vessel(p ; NS). We concluded that ST segment depression during $^{99m}Tc$-MIBI myocardial perfusion scintigraphy with Intravenous adenosine is related to the severity of coronary artery disease.

• Environmental and Resource Economics Review
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• v.24 no.2
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• pp.311-342
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• 2015

We evaluate two main rationales of massive policy intervention of Lee Administration in the Korean transportation fuel market: high market share of domestic refineries, perceived by the Administration as the result of high market concentration, and asymmetry in price adjustment, perceived as the result of collusion. Domestic refineries, huge in capacity and located at seaports, maintain international competitiveness in price. Considering market openness offering preferential treatment to importers, they set domestic prices competitively on the basis of MOPS prices. Yet, the price competitiveness of domestic refineries is so high that they are able to sustain high market share. We confirm that the Korean before-tax consumer prices of gasoline and diesel are lower than Japan's and the weighted averages of 27 EU countries by as much as 159KRW and 21KRW per liter in the case of gasoline and 170KRW and 63KRW in the case of diesel. Price asymmetry is caused by diverse economic and managerial reasons and, as FTC (2005) states, price asymmetry does not immediately imply exercise of market power or collusion. We analyzed price asymmetry in Korea, Japan and 14 EU countries, and found asymmetry in Korea and 11 EU countries in the case of gasoline and in Korea and 8 EU countries in the case of diesel.

• Journal of the Korean Society for Library and Information Science
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• v.51 no.4
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• pp.161-181
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• 2017

The present study aimed at investigating health information seeking behaviors of health information consumers who changed their health behaviors by using mobile health applications according to the dynamic stages of change. For this purpose, the study analyzed the changes of perception, health information needs and seeking behaviors of health information consumers in each stage by employing Stages of Change as a theoretical framework. A total of 30 college students participated in this study to change health behaviors such as smoking or alcohol cessation, and regular exercise, while using health applications for 3 months; then written interviews were conducted with these students based on their experiences. Findings indicated that the study participants used diverse information sources, including social media and the Internet, seeking for different types of sources of information according to information needs. Above all, the health information needs and seeking behaviors examined in active utilization of health applications by consumers in the stage of action suggest the implications of health information services, particularly through health applications. In addition, stress management and relapse that consumers experienced while attempting health behavior changes, and the positive and negative effects of behavior changes inform health information providers of insights for supporting consumers' changes of health behaviors.

• The Journal of the Korea Contents Association
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• v.11 no.6
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• pp.270-278
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• 2011

The purpose of this study was to compare acute and chronic LBP patient in twenties and forties, respectively by size measure paraspinal muscle (cross-sectional area; CSA). CSA of paraspinal muscle (psoas, multifidus, erector muscle) size was measured by free-handling technique of the picture archiving and communication system(PACS) using MRI at the level(lower end-plate of L4) in twenties(9 males, 10 females) and forties(9 males, 8 females) in acute and chronic LBP patient. The results of this study showed no significantly difference between acute and chronic LBP (p>0.05) in twenties patients. However, there was significant difference between acute and chronic LBP (p<0.05) in forties patients. Also, there was significant difference in paraspinal muscle CSA between chronic LBP patients in twenties and chronic LBP patients in forties (p<0.05). This study showed that paraspinal muscle atrophy was observed in forties with various cause, but Not chronic LBP patients in twenties. Accordingly it is required for chronic LBP patients in forties to minimize trunk muscle atrophy through immediate back muscle dynamic exercise and early functional activity.

• The Journal of the Korea Contents Association
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• v.11 no.3
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• pp.281-292
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• 2011

In this study, for examining an effect of lower limbs' muscle activity on balance capability when applying sprinter pattern among the PNF, the experiment was conducted as followed. Under the object of 24 people diagnosed by hemiplegia, they were divided into control group and experimental group and the experiment was conducted on the experimental group, three times per a week for six weeks. Experimental group received Sprinter pattern of combined PNF upper extremity and lower extremity pattern. For the lower limbs' muscle activity, effective values of Vastus medialis laterails, medial lateral hamstrings, lateral gastrocnemius' action potential were analyzed. The balance ability tests was conducted with FICSIT-4, FSST and MTD-Balance system. For the significance test of control group and experimental group for measuring time by exercise application method, two-way repeated measure ANOVA was conducted and for the significance test among the groups by each measuring time, independent t-test was conducted. Also, for examining the correlation among the measuring item, pearson correlation was used for the analysis. As the result, the application of sprinter pattern increased muscle activity of lower limbs in paretic side and improve static and dynamic balance ability effectively. Therefore, it will be necessary to develop new intervention by combining active application of the therapeutic intervention program for lower limbs' effective muscle mobilizing in paretic side with various exercising patterns.

• Cartoon and Animation Studies
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• s.48
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• pp.141-172
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• 2017

The film (2000) and (2016) are based on different time slips from each other. However, these two films have many common elements that make one illusion-based illusion. In the common elements, the main characters (being and thing) are traversed at different times and directed as a cyclical one. Also, among these, the movement link of the time and space has a commonality that it becomes possible through a medium ( - radio, you, there - pill). As a result, a series of scenes expressed in showed that the scene of produced in 2000 was greatly circulated. The reason why two movies have similar structure is that the basic framework of video media based on time slip is similar. Therefore, the purpose of this study is not to analyze the problem of quoting and borrowing of two films as mentioned in the paper. To add up, the material of video media is manifold which is a dynamic object of potential which is unlimited and opened, and by rearranging one media it can be created by escaping from one territory. Also, it is a study of analysis to contribute to producer or researcher as a time slip video creation reference connecting times based on the manifold arrangement from two films.

• Environmental and Resource Economics Review
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• v.26 no.4
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• pp.519-547
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• 2017

This paper explores whether it is better to forecast city gas demand in Korea using national level data directly or, alternatively, construct forecasts from regional demand models and then aggregate these regional forecasts. In the regional model, we consider gas demand for Seoul metropolitan and the other local areas. Our forecast evaluation exercise for 2013-2016 shows the regional forecast model generally outperforms the national forecasting model. This result comes from the fact that the dynamic properties of each region's gas demands can be better taken into account in the regional demand model. More specifically, the share of residential gas demand in the Seoul metropolitan area is above 50%, and subsequently this demand is heavily influenced by temperature fluctuations. Conversely, the dominant portion of regional gas demand is due to industrial gas consumption. Moreover, electricity is regarded as a substitute for city gas in the residential sector, and industrial gas competes with certain oil products. Our empirical results show that a regional demand forecast model can be an effective alternative to the demand model based on nation-wide gas consumption and that regional information about gas demand is also useful for analyzing sectoral gas consumption.