• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제30권2호
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• pp.150-156
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• 2004

The etiology of the obstructive sleep apnea includes the various factors such as anatomical abnormality in upper airway, craniofacial structure, obesity and personal habit. To establish reasonable treatment plan, multi-department approach is should be emphasized because the treatment modality is depend on the result of analysis for degree & site of obstruction and various behavioral factors. In Sleep Clinic in Keimyung University Medical Center, the standard of care for sleep apnea patient was established according to the Standard of practice committee of Americal Sleep Disorders Association. After one year experience of comprehensive approach for sleep apnea we could achieve following recommendation for the treatment. 1) The multi-department examination and diagnosis could prevent unnessesary treatment because the treatment plan could be established under comprehensive discussion. 2) Determination of the site of obstruction is important for treatment planning. However, no single determinant could be found. We expect multi-department approach can reduce the mistake in detection of obstruction. 3) Further evaluation of treatmet outcome should be succeeded to establish Korean standard of care for sleep apnea treatment.

• Industrial Engineering and Management Systems
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• 제9권3호
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• pp.227-241
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• 2010

A memory module industry's supply chain usually consists of multiple manufacturing sites and multiple distribution centers. In order to fulfill the variety of demands from downstream customers, production planners need not only to decide the order allocation among multiple manufacturing sites but also to consider memory module industrial characteristics and supply chain constraints, such as multiple material substitution relationships, capacity, and transportation lead time, fluctuation of component purchasing prices and available supply quantities of critical materials (e.g., DRAM, chip), based on human experience. In this research, a directed graph-based supply network planning (DGSNP) model is developed for memory module industry. In addition to multi-site order allocation, the DGSNP model explicitly considers production planning for each manufacturing site, and purchasing planning from each supplier. First, the research formulates the supply network's structure and constraints in a directed-graph form. Then, a proposed genetic algorithm (GA) solves the matrix form which is transformed from the directed-graph model. Finally, the final matrix, with a calculated maximum profit, can be transformed back to a directed-graph based supply network plan as a reference for planners. The results of the illustrative experiments show that the DGSNP model, compared to current memory module industry practices, determines a convincing supply network planning solution, as measured by total profit.

• 국제학술발표논문집
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• The 6th International Conference on Construction Engineering and Project Management
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• pp.602-603
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• 2015

Despite all efforts to reduce construction disaster, construction site accident rate has steadily increased in Korea since 2008. As a different approach from traditional research, there is a growing issue about design for safety concept to prevent construction disaster. The notion is that construction worker's safety need to be considered at design phase, not only at construction phase. Globally, the notion has been noted that to improve the safety of the worker and used in practice. However, in Korea, most of safety management guidelines are limited to construction phase. From recent statistics, only 1.4 percent of designer feel responsible for safety accident at construction site. In this circumstance, this research find out safety guidelines through literatures reviews and practical experience of safety management in other country which apply design for safety concept. Selected guidelines are verified by survey which is evaluated with risk, function, cost, time and aesthetic view categories. Through the survey, define guidelines which could be effectively applied in Korea. By using proposed safety guidelines for design phase, preventing construction accident and improving designer's recognition of safety issue at design phase are expected.

• Archives of Plastic Surgery
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• 제50권5호
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• pp.523-528
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• 2023

The Gustilo IIIB tibiofibular fractures often result in long bone loss and extensive soft tissue defects. Reconstruction of these complex wounds is very challenging, especially when it includes long bone grafts, because the donor site is limited. We describe our experience using a set of chimeric ipsilateral vascularized fibula grafts with a thoracodorsal artery perforator free flap to reconstruct the traumatic tibia defects. A 66-year-old male suffered a severe comminuted tibia fracture and segmented fibula fracture with large soft tissue defects as a result of a traffic accident. He also had an open calcaneal fracture with soft tissue defects on the ipsilateral side. All the main vessels of the lower extremity were intact, and the cortical bone defect of the tibia was almost as large as the fractured fibula segment. We used an ipsilateral vascularized fibula graft to reconstruct the tibia and a thoracodorsal artery perforator flap to resurface the soft tissue, using the distal ends of peroneal vessels as named into sequential chimeric flaps. After 3 weeks, the calcaneal defect was reconstructed with second thoracodorsal artery perforator free flap. Reconstruction was successful and allowed rapid rehabilitation because of reduced donor site morbidity.

• Advances in pediatric surgery
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• 제15권2호
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• pp.113-120
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• 2009

Pediatric lymphangioma can occur at any site. However the neck is the most common site. There are two treatment modalities (surgical excision and intralesional injection) for lymphangiomas. But, the treatment guide line for lymphangioma has not been established, yet. The aim of this study is to establish the treatment guide line based on our experience with lymphangiomas. Medical records of 82 cases of lymphangioma were reviewed retrospectively. On MRI (magnetic resonance image) findings, lymphangiomas were divided into 4 groups by the proportion of the cyst bigger than 2 cm in diameter of the tumor; group A-proportion of cyst occupies more than 75%, group B-proportion of the cyst 50~75%, group C-25~50%, and D in less than 25%. All patients were treated with OK-432 intralesional injection as the initial treatment. The effective response rates of OK-432 in group A & B were 88.2% and 88.8%, respectively. Group C response was 38.0% and D only 20.0%. Twenty-three patients received surgical excision. The result of surgical excision was generally satisfactory. Surgical site infection occurred in 1 case and postoperative bleeding in 1 case. Theses results indicate that intralesional injection of OK-432 could be the first line therapy in group A & B. In group C, OK-432 would be better as the first line therapy than surgery. For the group D, surgical excision should be the first line of treatment.

• 한국건설관리학회논문집
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• 제10권1호
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• pp.16-25
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• 2009

건설산업에서 자재와 관련된 비용은 프로젝트 특성에 따라 다르지만 일반적으로 원가구성비 측면에서 40% 이상을 차지한다. 최근 대형화, 전문화, 복잡화 되어가는 건축 공사에서 자재의 반입, 이동 및 적재공간의 협소로 인해 자재관리가 매우 복잡하다. 하지만 대부분의 경우 자재관리는 현장 관리자의 경험에 의존해 관리되고 있으며 건설관리분야 중 자재관리의 중요성에 대한 인식도 낮은 실정이다. 이에 대한 건설 산업에서 자재관리에 대한 연구도 활발히 진행되고 있다. 본 연구에서는 자재의 속성에 따른 MTS(Make-to-stock), ATO(Assemble-to-order), MTO(Make-to-order), ETO(Engineered-to-order)의 네 가지 분류 방법과 자재 조달 특성 및 자재 고유 특성 분석을 통하여 현장 자재의 효율적인 공급관리를 위한 자재의 속성별 관리체계를 분석한다. 이를 이용하여 자재 속성별 자재관리 프로세스를 제안한다.

• 대한치과마취과학회지
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• 제7권1호
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• pp.1-5
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• 2007

Background: It is well known that nasotracheal intubation is comfort for patient compared to oral intubation. We sometimes delay extubation when it is thought that the patient can not maintain airway, or there may be other emergency associated with airway. And we sometimes experience complaint of discomfort of nasotracheal tube. But, we could not find any report on degree of discomfort of delayed nasotracheal intubation. Methods: Eighteen patients in whom extubation of nasotraceal tube was delayed after operation because of difficulties of airway mamagement were selected. We surveyed the discomfort of nasotracheal tube with 0 to 10 visual analogue scale (VAS) and compared with the pain of operation site (VAS). Result: The VAS of nasotracheal intubation was $6.7{\pm}3.4$, and VAS of the primary operation site was $3.5{\pm}2.4$, and VAS of flap harvest site was $5.5{\pm}2.7$. 10 of the patients complained of nasotracheal suction extremely and 6 patients complained of respiratory difficulties. Conclusions: Nasotracheal intubation was discomfort and there must be intervention.

• The International Journal of Costume Culture
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• 제7권2호
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• pp.123-134
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• 2004

This study tried to suggest the effective future marketing strategies by analysing marketing strategies of five brands which were selected by sales amount and the growth rate among young casual brands in the L-Department store from 2001 to 2002. According to analysis, brand marketing could summarize to five marketing strategies such as culture marketing, emotion marketing, co-marketing, on-line marketing, and propose marketing. Culture marketing includes 'BB family marketing, star marketing, core marketing, experience marketing. One of the emotion marketing is 'Kidult marketing' which affects cute concept. Co-marketing includes 'Charisma marketing' that cooperates with distribute industry, 'Movata marketing' which cooperates with mobile communication industry, and 'Game marketing' which cooperates with game industry. There are some other marketing strategies such as consumer calling marketing, A.S.A. marketing which is for buyers, QR marketing for quick response, Web site's differentiate marketing and Logo marketing. The suggested marketing strategies for on-coming brands are 'distinguished strategy of the online contents', 'consumer calling strategy' and 'loyalty maximizing strategy'.

• 한국생산제조학회지
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• 제9권1호
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• pp.128-135
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• 2000

This paper presents a polishing expert system integrated with sensor information which can modify the polishing sequence and conditions initially determined by the system depending on the on-site polishing status. A practical system using AE sensor to detect the on-line polishing status is developed for the rotational polishing and the smoothly curved sur-face. Database and knowledge base for polishing processes are established by using the results of experiments and also expert's experience. Evaluations are performed for a die of headlight lamp by using both the sensor integrated expert sys-tem and the expert system without sensor. The test results show that the sensor integrated expert system provides more optimal polishing conditions since the proposed system takes advantage of on-line sensor information.

• 화약ㆍ발파
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• 제13권4호
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• pp.73-81
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• 1995

Explosives demolition mothod is allowed for more efficient time-saving and safer demolitioni operations as compared to conventional / mechanical demolition methods. CDI has to minimize the effects of noise, dust and various demolition hazards to the public areas, and residences that are located adjacent to the project site. CDI's explosives demolition work on the Nam san Foreigner's Apartment Complex and chosun trading Co's factory are backed by over 45 years of explosives experience in the demolition of over 6,000 structures worldwide, many of these structures are similar to the Nam san Foreigner's Apt. and Chosun trading's factory in construction and proximity to sensitive adjacent exposures. Recoginized worldwide as the founder of the leader in explosives demolitioni technology, CDI always will applied "State-of-the-Art" explosives techniques to safely and successfully achieve the desired demolition results on these project. CDI has never injured, much less caused any fatality, to either a worker on one of our sites or to a third party during the implosion of high-rise structure.