• 가정과삶의질연구
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• 제27권2호
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• pp.77-97
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• 2009

This study evaluates the poverty experiences of low-income single mothers according to the Capability Approach of Amartya Sen. In this approach, the capability to achieve the basic functionings of life, not income itself, is the criterion of poverty. 26 single mothers were interviewed using focus-group interviews and in-depth interviews. 21 functionings on the existence level, 18 on the relatedness level, and 15 on the growth level were found in the areas of work, health, food consumption, clothing, housing, child rearing, and leisure. The results of this study suggest that low-income single mothers can achieve only some of the existence level functionings with significant help from welfare services. They can scarcely achieve higher level functionings in any of these areas.

• 대한치과마취과학회지
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• 제14권4호
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• pp.227-232
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• 2014

The indication for submandibular intubation is the requirement for intraoperative maxillomandibular fixation (MMF) in the presence of injuries that preclude nasotracheal intubation. Thus, We reported 2 cased of endotracheal intubations via submandibular approach that is applicable in patients with skull base fractures for a reliable general anesthesia. Endotracheal intubation via submandibular approach was applied during general anesthetic procedures for open reduction in three patients with Le Fort II, III or nasoorbitoethmoid (NOE) fractures. No complications due to submandibular intubation, such as infection, postoperative scarring, nerve injury, hematoma, bleeding, or orocutaneous fistula, were observed following submandibular intubation. Endotracheal intubation via submandibular approach is effective in patients with skull base fractures. In our method, the tube connector is removed in orotracheal intubation in order to avoiding the tube removal or displacement. The advantages of this method are very simple, safe, and to provide the good operation field.

• 한국조경학회지
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• 제21권1호
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• pp.125-137
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• 1993

Ansan urban nature park is 197.8ha and located in Seodeamun-Gu of Seoul. Flora of Ansan consisted of 141 species, 76 genera, 40 families in woody plants. This study was conducted to analyze the natural environment and establish the park management plan with ecological approach. The result of this study is summarized as follows. 1. The short term plan shall be performed in six vegetation management zones; Robinia pseudoacacia community zone, Sorbus alnifolia community zone, Quercus acutissima community zone, Populus ${\times}$albagrandulosa community zone, Pinus densiflora community zone, and landscape planting zone. Pinus densiflora and landscape planting zones shall be managed artificially, the others managed with ecological approach. 2. The long term plan shall be performed in four vegetation management zones; Robinia pseudoacacia community zone, Quercus spp. community zone, Pinus densiflora community zone, and landscape planting zone. Pinus densiflora and landscape planting zones shall be managed artificially, the others managed with ecological approach. 3. Because soil of Ansan is acidified and the soil disturbed growth of plants, the improvement of soil is necessary. The fertilization shall be performed in three zones; evergreen confierous tree zone(ex. P. densiflora), Quercus spp. zone, and the other deciduous tree zone(ex. R. pseudoacacia).

• 한국임상수의학회지
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• 제34권3호
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• pp.200-203
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• 2017

The objective of this study was to evaluate the effectiveness of the minimally invasive plate osteosynthesis (MIPO) method for treatment of tibial shaft fractures in dogs by comparing MIPO radiographic and fracture healing time results with those from the popular open reduction and internal fixation (ORIF) technique. In this clinical study at the Royal Animal Medical Center, five consecutive dogs with diagnoses of comminuted tibial shaft fractures were treated with the MIPO surgical approach. For comparison, an additional five breed-, age-, and weight-matched dogs with comminuted tibial shaft fractures were treated with the ORIF technique. Mean healing time was $75.6{\pm}12.5$ days in the MIPO group and $131.8{\pm}18.6$ days in the ORIF group (p < 0.01). The mean surgery time in the MIPO group ($36.4{\pm}3.5$ minutes) was significantly shorter (p < 0.01) than that for the ORIF group ($47.0{\pm}2.2$ minutes). Based on the short surgical and healing times, the MIPO approach is clinically superior to the ORIF approach and should be the preferred approach in tibial fracture cases.

• 센서학회지
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• 제26권4호
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• pp.266-273
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• 2017

In this research a medical palpation guidance system for minimally invasive surgery (MIS) is proposed. Palpation is a useful tool for identifying a size and location of a lump during a surgery. However, conventional manual palpation is only available in open surgery, so there has been several researches about palpation assistant or guidance system for MIS. The previously developed systems are based on a pressure based or stiffness based approach. These previous approaches have some limitations in increasing complexity of the systems and lack of geometric information about the lump which is more important information for the lump removal than the stiffness information. We propose a palpation guidance system using a novel approach using contact pressure distribution. Since our approach gives the geometry information of the lump as well as the existence information, the operator can easily notice the currently identified lump region and the optimal position for the next palpation. The experiment results show that our approach can offer the geometry information of the lump correctly.

• International Journal of Advanced Culture Technology
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• 제7권4호
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• pp.145-155
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• 2019

The strength or resilience of refugees is a less emphasized area as the discourse in refugee mental health study mainly weighs on pathologizing the effects of refugee experiences. Within the lenses of strength and resilience, this study explored how refugees and asylum seekers, who experienced violence and loss, coped with trauma and hardship in their newly established lives in South Korea. In this study we analyzed survey data collected from 100 participants (55 asylum seekers and 45 refugees) through open-ended questions. We analyzed narratives for both content and form and provided evidence for factors that reflect coping strategies used by participants to overcome their life adversities. The findings gave rise to; (a) character traits like strong religiosity, personal determination, patience to forbear, hopefulness, and peaceful acceptance of current circumstance; (b) relationships, in the sense of meaningful strong bonds within family members and the instinctive personal resourcefulness to utilize support resources within and outside of their communities; (c) learned skills after migraing to korea; (d) knowledge sets in how to get by in korea; (e) personal talents, and (f) extra abilities that gave power to pass socio-economic difficulties. The findings underscore the importance of considering the strength-based approach either in discussing resilience or intervention. Our approach will allow practitioners to acknowledge that refugees and asylum seekers potentially have a unique set of strengths and abilities that they rely on to overcome their immediate and future problems. It will also guide practitioners as they devise their intervention schemes.

• 대한두경부종양학회지
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• 제21권1호
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• pp.10-14
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• 2005

Objectives: Various techniques of endoscopic thyroidectomy have been developed in thyroid resection since 1998 in the aspect of excellent cosmetic viewpoint. Of them, we evaluated our experiences and advantages of gasless axillary approach technique for resection of dominant thyroid nodules. Material and Methods: Twenty-nine cases of thyroid nodules were operated by the technique of gasless axillary approach during one year from December 2003 to December 2004. Twenty four patients underwent total lobectomy and five patients were partial lobectomy. Results: The operation time of first case took 300 minutes, however it became gradually shortened with case experiences down to 100-120 minutes. Pathologically, nodular hyperplasia was twenty cases, follicular adenoma five cases, papillary carcinoma three patients, and Hashimoto's thyroiditis one patient. There was no case of conversion to open thyroidectomy. Three cases of postoperative hoarseness were recovered spontaneously in 3 months. Hospital stay was four days for most patients. The cosmetic result was excellent without visible scar in anterior neck and chest. Conclusion: Endoscopic thyroidectomy via gasless axillary approach shows excellent result in cosmetic view point with hidden incision scar at axilla, and shorter hospitalization. However a question of longer operation time for dissection of the long plane over pectoral muscle is still remained.

• 국제학술발표논문집
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• The 8th International Conference on Construction Engineering and Project Management
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• pp.399-408
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• 2020

The construction industry is suffering from aging workers, frequent accidents, as well as low productivity. With the rapid development of information technologies in recent years, automatic construction, especially automatic cranes, is regarded as a promising solution for the above problems and attracting more and more attention. However, in practice, limited by the complexity and dynamics of construction environment, manual inspection which is time-consuming and error-prone is still the only way to recognize the search object for the operation of crane. To solve this problem, an image-processing-based automated object recognition approach is proposed in this paper, which is a fusion of Convolutional-Neutral-Network (CNN)-based and traditional object detections. The search object is firstly extracted from the background by the trained Faster R-CNN. And then through a series of image processing including Canny, Hough and Endpoints clustering analysis, the vertices of the search object can be determined to locate it in 3D space uniquely. Finally, the features (e.g., centroid coordinate, size, and color) of the search object are extracted for further recognition. The approach presented in this paper was implemented in OpenCV, and the prototype was written in Microsoft Visual C++. This proposed approach shows great potential for the automatic operation of crane. Further researches and more extensive field experiments will follow in the future.

• Advances in pediatric surgery
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• 제17권2호
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• pp.139-144
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• 2011

Hypertrophic pyloric stenosis (HPS) is the most common infantile surgical condition and the standard treatment is open pyloromyotomy. Recently, laparoscopic techniques have rapidly advanced, and the laparoscopic approach has become widely adopted by pediatric surgeons. The aim of this study was to compare the clinical outcomes between open and laparoscopic pyloromyotomy. We retrospectively evaluated outcomes of pyloromyotomy for HPS by the open (OP) and the laparoscopic (LP) method. The procedures were performed at the Samsung Medical Center between September 2001 and March 2009. We analyzed patient age, sex, birth weight, length of hospital stay, postoperative length of stay (LOS), operating time, time to feeding commencement, postoperative vomiting frequency, the time to full feeding without vomiting, and surgical complications. A total of 54 patients were included in the study. There were 26 OP and 28 LP patients. There was no statistically significant difference in age, sex, birth weight, operating time, postoperative emesis. In contrast, postoperative LOS in the LP group was statistically significantly shorter than that in the OP group (2.0 vs. 3.3 days, p=0.0003) and time to full feeding was significantly shorter following LP. (p=0.018) There were no wound complications. Laparoscopic pyloromyotomy significantly reduced postoperative LOS and time to full feeding compared to open pyloromyotomy.

• Journal of Gastric Cancer
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• 제12권4호
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• pp.243-248
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• 2012

Purpose: To evaluate the technical feasibility and oncologic safety, we assessed the short-term and long-term outcomes of laparoscopic resection of the small bowel gastrointestinal stromal tumors smaller than 5 cm by comparing those of open surgery by subgroup analysis based on tumor size. Materials and Methods: From November 1993 to January 2011, 41 laparoscopic resections were performed among the 95 patients who underwent resection of small intestine ${\leq}10$ cm in diameter. The clinicopathologic features, perioperative outcomes, recurrences and survival of these patients were reviewed. Results: The postoperative morbidity rates were comparable between the 2 groups. Laparoscopic surgery group showed significantly shorter operative time (P=0.004) and duration of postoperative hospital stay (P<0.001) than open surgery group and it was more apparent in the smaller tumor size group. There were no difference in 5-year survival for the laparoscopic surgery versus open surgery groups (P=0.163), and in 5-year recurrence-free survival (P=0.262). The subgroup analysis by 5 cm in tumor size also shows no remarkable differences in 5-year survival and recurrence-free survival. Conclusions: Laparoscopic resection for small bowel gastrointestinal stromal tumors of size less than 10 cm has favorable short-term postoperative outcomes, while achieving comparable oncologic results compared with open surgery. Thus, laparoscopic approach can be recommended as a treatment modality for patients with small bowel gastrointestinal stromal tumors less than 10 cm in diameter.