• Archives of Plastic Surgery
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• v.38 no.6
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• pp.791-797
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• 2011

Purpose: Angiosarcoma is a rare and aggressive malignant soft tissue tumor. Due to a lack of the established optimal treatment modalities, however, an extensive resection followed by an early detection has been reported to be the best treatment of choice. We analyzed the clinical course of six patients, hence attempted to contribute to making a treatment plan for patients with angiosarcoma. Methods: Six patients who have been surgically treated between 2005 and 2010 are included. Through a retrospective analysis of the medical records, we evaluated the pattern of disease detection, a past history, time span between the detection and the primary surgery, surgical treatment modalities, time span between the primary surgery and the recurrence/metastasis, the sites of metastasis and the secondary treatment modalities. Results: The mean age of patients was 70.5 years; all male; and the sites were the scalp. Four patients underwent the reconstruction using a local flap with a skin graft and two patients using a free flap. The mean period elapsed until the primary operation since the identification was 7.3 months and until a recurrence or a metastasis occurred following the primary operation was 12 months. Four patients had pulmonary metastasis. As a secondary therapy, four patients underwent the radiotherapy and one was treated with the chemotherapy. At the present, five patients died and one undergoes a monitoring of the clinical course. Conclusion: It would be mandatory to shorten the length of hospital stay and to return patients to their daily lives as the earliest as possible using relatively simpler surgical methods, thus attempting to give them opportunity to resume their previous normal life.

• Journal of Korean Neurosurgical Society
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• v.30 no.10
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• pp.1163-1169
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• 2001

Objective : To assess the surgical outcome for patients with primary spondylitis who were treated surgically. Materials and Methods : We retrospectively analyzed the clinical characteristics of 19 patients who underwent surgical treatment from september 1997 to October 1999 in our department. Results : The 19 patients presented 13 tuberculous spondylitis and 6 pyogenic spondylitis. The male to female ratio was 1.4 : 1 and average age 48.4 years(range 15-68 years). The most prevalent location was thoracic region(47%) and paraparesis was frequently seen in patients with middle and lower spinal lesions. Operative approaches were either anterior(13) or posterior(6). All patients with neurologic deficits improved after surgery. Autogenous rib and/or iliac strut bone grafting was performed, followed by spinal instrumentation. Solid bone fusion was obtained in all patients. There was no need for prolongation of duration of antituberculous drug therapy and no increased incidence of secondary infection due to spinal instrumentation. Conclusion : From the results, it may be advised that patients of primary spondylitis who had neurologic deficit should receive an aggressive opeation in their early stage.

• Advances in environmental research
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• v.9 no.4
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• pp.233-249
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• 2020

To date, there is no central wastewater (WW) treatment plant in Erbil city, Kurdistan region, Iraq. Therefore, raw WW disposes to the environment and sometimes it used directly for irrigation in some areas of Erbil city. Disposal of the untreated WW to the natural environment and using for irrigation it causes problems for the people and the environment. The aims of the current work were to study the characteristics, design of primary and different secondary treatment units and reusing of produced WW. Raw WW samples from Ashty city-Erbil city were collected and analyzed for twenty three quality parameters such as Total Suspended Solids (TSS), total dissolved solids, total volatile and non-volatile solids, total acidity, total alkalinity, total hardness, five-day Biochemical Oxygen Demand (BOD5), Chemical Oxygen Demand (COD), biodegradability ratio (BOD5/COD), turbidity, etc. Results revealed that some parameters such as BOD5 and TSS were exceeded the standards for disposal of WW. Design and calculations for primary and secondary treatment (biological treatment) processes were presented. Primary treatment units such as screening, grit chamber, and flow equalization tank were designed and detailed calculation were illustrated. While, Conventional Activated Sludge (CAS), Sequencing Batch Reactor (SBR) and Moving Bed Biofilm Reactors (MBBR) were applied for the biological treatment of WW. Results revealed that MBBR was the best and economic technique for the biological treatment of WW. Treated WW is suitable for reusing and there is no restriction on use for irrigation of green areas inside Ashty city campus.

• Research in Community and Public Health Nursing
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• v.4 no.2
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• pp.158-169
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• 1993

Health promotions have been identified as foundamental concepts for nursing practice, especially in community health nursing. Nurses have been regarded as having important role's in health promotion activities. According to a review of literature, the concepts of health promotion consist of prevention services, health protection. Health prevention services have three levels : Primary secondary and tertiary. The objectives of this study are (1) to analyze the health promotion activities in school nursing. (2) to analyze health promotion activities in community health nursing posts. (3) to analyze the health promotion activities in industrial nursing while suggesting future direction for health promotion in community health nursing areas. The major results are first, Prevention services are most actively performed rather than health protection, and health education in three areas: School, industries, and community. Health nursing, secondary prevention services follow emergency care, and ordinary diseases control are especially active. Health promotion can ultimately from changing life be accomplished styles, and health behavior. As a consequence, future directions promoting health in community health nursing are desirable areas. Focusing on health protection, and health education that is not activated presently.

• Korea Journal of Hospital Management
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• v.21 no.4
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• pp.55-62
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• 2016

Purposes: The industry has specialized and fragmented than in the past. As a factor of economic growth and industrialization, the number of people employed in primary industry decreased and the number of people employed in secondary and third industry continuously increased. In modern times, incidence of chronic disease is increasing according to industrial development. So, the purpose of this study was to analyze the chronic disease according to Clark's industrial classification. Methodology: Data were derived from the 2012 Korea Health Panel. The sample was made up of 7,132 adult participants aged 20 or over selected Korea Health Panel by probability sampling from Korea. Binary logistic regression analysis was conducted to examine the main factors associated with chronic disease. Findings: The significant factors associated with chronic disease were gender, age, marital status, household member, education level, insurance type, disability, BMI, and industrial classification. Female, elderly, divorced(including bereavement, missing and separation), one-person households, less than high school graduation, medical aid, disability, obese and primary industry were confirmed chronic disease increases. Practical Implications: The study finds that primary industry's prevalence of chronic disease was higher than secondary and third industry. Therefore, this study aims to management and effort of the worker who engaged in the primary industry. Policy development is required to address inequality or popularization of the differences in these factors by conducting a study to define the working conditions and socio-economic factors between industry.

• Journal of The Korean Association of Information Education
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• v.25 no.3
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• pp.511-525
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• 2021

The purpose of this study is to develop a design guideline to provide user-friendly experience and convenience for the online support system for the curriculum at primary/secondary schools. To achieve the objective, best practices of overseas on the online support system for curriculum as well as prior research were analyzed. In addition, UX/UI usability problems and needs were derived through a survey of 74 professionals and teachers who are monitoring NCIC and high school credit system sites. Based on the analysis of best practices of overseas and survey results, the draft of the design guideline was derived, and Delphi method was conducted by experts to re- vise the design guidelines and evaluate their validity. This study is meaningful in that it suggests the direction of improvement of the system currently being serviced and the direction of the design of the system to be developed in the future, by providing design guidelines that can be generally applied to online support systems that perform tasks related to the curriculum.

• Resources Recycling
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• v.28 no.4
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• pp.3-14
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• 2019

Lead is one of the common non-ferrous metals used in modern industry. The usage of lead continues to increase and has risen from 5 million tonnes per year worldwide in the 1970s to 11 million tonnes in the 2010s. In principle lead is virtually 100 % recyclable as an element without loss of quality. The recycling of lead scrap reduces the energy consumption and environmental burden, comparing to the primary metal production. Therefore production of secondary lead from scrap has been steadily growing and at present it meets approximately 60 % of usage worldwide. Lead scrap (mainly lead-acid battery) is smelted in primary and secondary smelter. Most secondary lead smelting were performed in a shaft-type furnace (blast furnace), rotary furnace and reverberatory furnace. The lead bullion is either cast into ingots and re-melted in refining kettles or refining is performed on the hot lead bullion immediately after production. This work provides an overview of the primary lead production and recycling process.

• Proceedings of the Korean Society of Crop Science Conference
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• 2017.06a
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• pp.323-323
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• 2017

In many sub-Saharan African countries, boosting rice production is a pressing food security issue. To contribute to the increase in rice production, we have developed lines of NERICA 1 introgressed with the gene for spikelet number, Gn1a, and the gene for primary rachis-branch number, WFP by cross breeding. The performance of rice lines introgressed with the genes for yield related traits can be affected by cultivation environment and management. Thus, in this study, we aimed to evaluate the lines of NERICA 1 introgressed with Gn1a or/and WFP for yield and yield components under different nitrogen fertilization conditions in Kenya. A field trial was conducted at a paddy field in Kenya Agricultural and Livestock Research Organization-Mwea, Kirinyaga County ($0^{\circ}39^{\prime}S$, $0^{\circ}20^{\prime}E$) from August 2016 to January 2017. Eight lines of NERICA 1 introgressed with Gn1a and/or WFP, and their parents, NERICA 1 and ST12, were grown under 0 (NF) and $75(SF)kg\;N\;ha^{-1}$. At maturity, five hills per plot were harvested to determine the yield and yield components. The number of primary and secondary rachis-branches per panicle was measured on the longest panicle in each hill. Under SF, the introgression of WFP to NERICA 1 increased the number of primary and secondary rachis-branches by 27 and 25%, respectively. On the other hand, Gn1a did not increase the number of primary rachis-branches, whereas the number of secondary rachis-branches was increased by 38% on average. The number of primary and secondary rachis-branches of the lines introgressed with both genes increased by 25 and 56%, respectively. Although grain number per panicle increased 33% by Gn1a, 34% by WFP, and 43% by Gn1a+WFP, the yield increase by Gn1a, WFP, and Gn1a+WFP was only 14, 7, and 14%, respectively. The suppression of the yield increase was mainly attributed to the decline in the filled grain ratio. Under NF, WFP increased the number of primary and secondary rachis-branches by 20 and 19%, respectively. The introgression of both genes increased the former and the later by 19 and 35%, respectively. However, Gn1a did not change them under NF. Thus, even under NF, grain yield increased 11% by WFP and 24% by Gn1a+WFP due to the increased grain number although filled grain ratio declined. Our findings suggest that the introgression of Gn1a and WFP could contribute to the rice productivity improvement in sub-Saharan Africa even under low fertility conditions. Improving filled grain ratio of the lines introgressed with these genes by further breeding and fertilization management will be the focus of subsequent work.

• The Journal of Sustainable Design and Educational Environment Research
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• v.2 no.2
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• pp.1-14
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• 2002

The purpose of this study was to develop the expert system based on the artificial neural networks for architectural design phases. The applied building was secondary school focussed in its space-relational-diagram. To implement this system, a data matrix derived from case based database was used as learning pattern, and its output data was lastly evaluated by the educational phase's behavior & activity analysis data. The results of this study were as follows; 1) the needs of educational system for real world spacing can be solved by this expert system based on neural networks. 2) FCM also can be applied for architect's needs. 3) Afterwards, for developing architectural planning & design processes, information technology (for example, internet, odbms, dca and etc.) can be used.

• Journal of Engineering Education Research
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• v.26 no.5
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• pp.29-41
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• 2023

Using text network analysis, this research aimed to identify significant keywords associated with each period of the revised High School Engineering curriculum from 2009-2022 and to examine their interrelationships in order to analyse the observed changes. The results of this study can be summarised as follows. Firstly, a significant increase in the number of words was observed throughout the curriculum revisions, with prominent occurrences of terms such as 'engineering', 'understanding', 'problem', 'solution', 'learning', 'evaluation' and 'diversity'. Secondly, network analysis and examination of connection centrality for each subject revealed the connection relationship that represented distinct subject characteristics. Thirdly, the study of the engineering curriculum revealed shifts in emphasised content with each revision. Based on these findings, recommendations were formulated. Firstly, given the growing importance of engineering, it is imperative to conduct systematic research on engineering education in primary and secondary school contexts. Secondly, efforts should be made to strengthen the link between Engineering and Technogy･Home-economics subjects in secondary schools. Finally, high school engineering subjects should be used not only to explore engineering careers, but also to cultivate talents with interdisciplinary expertise.