• 제목/요약/키워드: Qualified

검색결과 1,154건 처리시간 0.031초

잠김 압박 금속판(LCP)을 이용한 상완골 근위부 이분 및 삼분 골절의 치료 (Treatment of Two- and Three-Part Fracture of Proximal Humerus using LCP)

  • 신성일;송경원;이진영;이승용;김갑래;현윤석;박덕용
    • Clinics in Shoulder and Elbow
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    • 제10권2호
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    • pp.204-211
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    • 2007
  • 목적: 본 연구는 잠김 압박 금속판(LCP)을 이용한 상완골 근위부 골절 치료의 결과와 합병증을 평가하고자 하였다. 대상 및 방법: 2004년 부터 2006년 까지 잠김 압박 금속판으로 치료한 상완골 근위부의 이분 골절과 삼분 골절을 가진 21명의 환자를 대상으로 하였다. 평균 나이는 54.9세 였다. 술후 평균 추시 기간은 22.9개월 이었다. 정복과 합병증의 평가는 최종 방사선 소견을 이용하였고, 기능적 평가는 Neer의 기능적 평가기준을 사용하였다. 결과: Neer의 기능적 평가기준에 의해 견관절 기능의 평균 점수는 86.3 이었고, 18예에서 만족스러운 결과를 보였다. 불유합은 1예 발생하였으며, 상완골 두의 감염이나 무혈성 괴사는 없었다. 최종 결과와 골절의 유형, 나이, 성별 또는 정복의 양상과는 임상적 연관을 보이지 않았다. 결론: 본 연구에서는 상완골 근위부 골절의 치료에서 잠김 압박 금속판 고정으로 만족스러운 결과를 얻었다. 상완골 근위부 골절의 치료에서 잠김 압박 금속판을 이용한 고정은 만족스러운 정복, 강한 고정 그리고 조기 관절 운동을 얻는 좋은 방법이라고 생각된다.

In Vitro Culture of Primary Testicular Stromal Cells derived from Mouse with Different Genetic Background : Optimization of Culture Temperature

  • Park, Hye Jin;Yun, Jung Im;Choi, Jung Hoon;Lee, Eunsong;Gong, Seung Pyo;Lee, Seung Tae
    • 한국수정란이식학회지
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    • 제28권4호
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    • pp.373-379
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    • 2013
  • Spermatogonial stem cells (SSCs) developed into sperms through spermatogenesis have been utilized as a useful tool in the field of regenerative medicine and infertility. However, a small number of highly qualified SSCs are resided in the seminiferous tubule of testis, resulted in developing effective in-vitro culture system of SSCs for solving simultaneously quantitative and qualitative problems. Presently, SSCs can be enriched on testicular stromal cells (TSCs), but there are no systematic researches about TSC culture. Therefore, we tried to optimize culture condition of TSCs derived from mouse with different strains. For these, proliferation and viability were measured and compared by culturing ICR outbred or DBA/2 inbred mouse-derived TSCs at 35 or $37^{\circ}C$. In case of ICR strain, primary TSCs cultured at $37^{\circ}C$ showed significantly higher proliferation and viability than those at $35^{\circ}C$ and significant increase of proliferation and viability in sub-passaged TSCs was detected in the $35^{\circ}C$ culture condition. Moreover, sub-passage of primary TSCs at $35^{\circ}C$ induced no significant effects on proliferation and viability. In contrast, in case of DBA/2 strain, significantly improved proliferation were detected in the primary TSCs cultured at $35^{\circ}C$, which showed no significant difference in the viability, compared to those at $37^{\circ}C$. Furthermore, sub-passaged TSCs cultured at $37^{\circ}C$ showed no significant differences in proliferation and viability, compared to those at $35^{\circ}C$. However, with significant decrease of proliferation induced by sub-passage of primary TSCs at $35^{\circ}C$, no significant effects on proliferation and viability were resulted from sub-passage of primary TSCs at $37^{\circ}C$. From these results, culture temperature of primary TSCs derived from outbred and inbred strain of mouse could be separately optimized in primary culture and subculture.

전문대학 치위생과 학생의 학과선택 및 실습실에 대한 만족도 (A Study on Post-Admission Satisfaction Level among Dental Hygiene Students in Colleges)

  • 박일순;이경희
    • 한국치위생학회지
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    • 제6권4호
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    • pp.349-359
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    • 2006
  • The purpose of this study was to help improve the quality of education to keep up with fast-changing environments in educating sector. Relevant literature and data were reviewed, and the subjects in this study were dental hygiene juniors at seven two-year colleges in the Seoul metropolitan area and other regions, on whom a survey was conducted for about three months from August through October, 2004, to assess their satisfaction level with their major and educational environments. And it's concluded that in order to attract more new students and foster qualified students, dental hygiene practice labs should be improved on a large scale, and that there should be a great deal of investment in teaching facilities. The major findings of the study were as follows: 1. As for satisfaction with major choice, 57.5% of the students investigated, the largest percentage, expressed satisfaction with their major. 27.8%, the second largest group, found their choice not to be bad. 2. Regarding satisfaction with the state of practice labs, 41.9% were pleased with practice labs. This rate was quite lower than that of nursing students, as 64.2% of nursing students were pleased with their practice labs.7) 3. As to satisfaction with individual practice labs, oral prophylaxis labs were considered most satisfactory, as 53.9% were satisfied with them. Digital radiation labs appeared to be satisfactory the least, which made 77.0% dissatisfied. 4. Whether there were any connections between their working experience as a clinical worker and satisfaction level was investigated. In terms of their satisfaction with major choice and the state of practice labs, the students who had ever worked as a clinical worker were relatively pleased with the state of practice labs. As for satisfaction with each practice lab, those who had ever served as a clinical worker before being admitted into college expressed more satisfaction with radiation practice labs(p<0.05) and digital radiation labs(p<.05) than the others who hadn't. The gap between the two was statistically significant. 5. In regard to the causes of dissatisfaction with practice labs, 93.7 and 80.0% were respectively dissatisfied with digital radiation labs and basic dental hygiene labs because their colleges were devoid of those labs. 51.6%, the largest group, found oral prophylaxis labs unsatisfactory because of their frequent breakdown. In the event of most of the other practice labs, the greatest percentage were discontented due to a shortage of equipment.

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ENUM 디렉터리 서비스 설계 및 성능 평가 (Design and Performance Analysis of EU Directory Service)

  • 이혜원;윤미연;신용태;신성우;송관우
    • 한국정보과학회논문지:정보통신
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    • 제30권4호
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    • pp.559-571
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    • 2003
  • PSTN(Public Switched Telephone Network)과 IP Network의 연동을 제공하는 새로운 프로토콜 ENUM(tElephone Numbering Mapping)은 전 세계적으로 유일성을 가지는 전화번호를 DNS 기반의 구조에서 사용되는 F.Q.D.N.(Fully Qualified Domain Name)으로 변환함으로써 E.164 번호를 사용하여 PSTN에서 제공하는 서비스와 IP 네트워크에서 제공하는 서비스를 동시에 사용 가능케 하는 새로운 인터넷 주소체계이다. 본 논문에서는 미국과 유럽에서 활발히 진행중인 ENUM 모델 표준화 연구 및 개발에 발맞추어 ENUM 기반의 서비스를 사용할 때 ENUM resolution 성능 향상을 위한 Tier 2 네임서버 관리기법을 제시한다. ENUM 위임구조에서 Tier 2 네임서버 제공업자가 지역번호 별로 ENUM 등록 대행업 및 NAPTR RR(Naming Authority PoinTeR 리소스 레코드)을 제공함으로써 ENUM resolution의 성능이 향상됨을 증명하기 위해 ENUM 기반의 네트워크 모델링을 사용하였다. ENUM 프로토콜이 IP 네트워크 사용자와 PST리 사용자에게 유연성 및 편의성을 제공하는 반면 사용자가 ENUM을 사용할 때 지불해야할 인내력을 측정할 척도가 없는 현재 이 논문에서 제안하는 방법은 사용자의 ENUM 서비스 선택 결정에 긍정적인 영향을 미치고, ENUM Tier 2 네임서버 관리를 위한 정책에 도움이 될 것으로 기대된다.

경호무도 수련생의 도장선택과 수련지속의 관계 (The Relationship between Gymnasium Selection and Training Adherence of Security Martial Arts Trainees)

  • 송규근;이기세;민재기
    • 시큐리티연구
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    • 제27호
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    • pp.107-128
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    • 2011
  • 본 연구는 경호무도의 저변확대와 더불어 경호무도 체육관의 경영활성화를 목적으로 경호무도 수련생의 도장선택과 수련지속의 관계를 규명하고자 하였다. 이러한 연구의 목적을 달성하기 위해 경인지역 소재 8개 경호무도 체육관 수련생 중 초등학교 4학년이상 220명을 대상으로 설문지를 배포하여 이중 응답내용이 부실하거나 분석대상으로 적합하지 않다고 판단된 14부를 제외하고 총 206부를 최종 분석하였다. SPSS 18.0 프로그램을 이용하여 탐색적 요인분석, 신뢰도 분석, 빈도분석, MANOVA, 상관분석, 다중회귀분석을 실시하였고, 다음과 같은 결과를 도출하였다. 첫째, 수련생의 성별에 따른 도장선택은 지도자배경요인, 수련프로그램요인, 홍보요인에서 유의한 차이가 나타났다. 둘째, 수련생의 학년에 따른 도장선택은 수련프로그램요인, 주요타자요인, 홍보요인에서 유의한 차이가 나타났다. 셋째, 수련생의 성별과 학년에 따른 수련지속은 유의한 차이가 나타나지 않았다. 넷째, 도장선택의 지도자배경요인, 수련프로그램요인, 홍보요인과 수련지속의 운영프로 그램요인, 외적요인, 사회적 관계요인 간 정적 상관이 나타났다. 다섯째, 도장선택의 일부 하위요인은 수련지속에 영향을 미치는 것으로 나타났다. 따라서 경호무도장 경영자 및 지도자는 신규 입관생 유치를 위해 성별과 학년에 맞는 마케팅 전략 수립이 필요하겠다. 또한, 경호무도 지도자는 신규 및 기존 수련생의 계속적인 수련을 위한 전문화되고 차별화된 수련프로그램 및 수련생 관리시스템을 구축하여야 할 것으로 판단된다.

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고등학교 교사들의 물리치료사에 대한 인식도에 관한 조사 (A Survey on the Understanding of High School Teachers about Physical Therapist)

  • 홍완성
    • The Journal of Korean Physical Therapy
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    • 제3권1호
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    • pp.39-58
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    • 1991
  • This study was carried out to recognize the understanding of high school teachers about physical therapist during September in 1988, The study population was comprised of 511 high school teachers who had lived in Seoul and Kyunggi Province. Mate teachers were $56\%$ and the rest of them were females. In age distribution $45.4\%$ of them belonged to the 3rd decade, in religion $36.2\%$ of them were Christians, and in their carrier $45.8\%$ of them were less then 5 years. The results obtained were as follows. 1. The high school teachers who knew about department of physical therapy is amounted to $62.6\%$ in male and $49.8\%$ in female. The high school teachers ($41.7\%$ in male and $38.6\%$ in female) considered that students aptitude was the most important thing to keep in mind in counselling those who wished to become physical therapists. There were difference in opinion between male and female teachers as to the counselling criteria (p<0.05). 2. The high school teachers who knew that the students would beemployed in sport center and health clubs after graduation amounted to $24.3\%$ in males and in general hospital to $27.1\%$ in female. There was significant difference in the knowledge for their field of employment between male and female teachers (p<0.05). 3. As to the effectiveness of the physical therapy, $41.3\%$ of male and $29.8\%$ of the female teachers responded to 'satisfactory', but indicating no statistical difference both sexes. 4. As for the attitude of physical therapiest, $43\%$ of them answered that kindness and service devotion were the prerequisite for them. There were statistical difference between male and female teachers in concepts about attitude (p<0.05). To the social level of physical therapist, majority of the teachers thought that physical therapist belong to moderate level in social class. 5. Those who considered that the physical therapy was necessary means for treatment of trauma amounted to $73\%$. The reason why teachers thought that physical therapy was not necessary was that it required too long period of time for the treatment. 6. Those who knew fully the job of physical therapist amounted to $55\%$ and the 55. $9\%$ knew that physical therapists work only at hospitals as the therapist and the rest of them misunderstood the job of physical therapist. 7. As for the academic background to be qualified as physical therapist, $76.2\%$ of them said that graduation of Junior College was required, $12.9\%$ graduation of Senior College and the rest of them had no ideas at all. There was no statistical difference between male and female teachers.

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정부출연연구기관의 창의적 인적자원 양성전략 : 전주기적 인력관리의 관점에서 (Creative Human Capital Development Strategy of Korean Government-sponsored Research Institutes: From the Perspectives of the Life Cycle Management of Human Capital)

  • 정선양;조성복;석재진
    • 기술혁신연구
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    • 제17권2호
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    • pp.187-206
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    • 2009
  • 우리나리는 기존의 모방형 혁신체제에서 창조형 혁신체제로의 전환을 통하여 과학기술적 지식의 효율적 창출 확산 활용이 필요하다. 이를 위해서는 과학기술혁신의 주체인 연구인력의 육성이 핵심적인 필수조건으로 대두되고 있다. 본 논문은 우리나라 국가혁신체제의 핵심 구성요소인 출연연구기관의 창의적 인적자원 양성전략에 관해 논의한다. 본 논문에서는 출연(연)이 과학기술혁신활동을 직접 다루기 때문에 창의적 인적자원의 효율적 관리가 매우 중요성을 강조하고, 이를 위해 '전주기적 인적자원관리 모델'을 제시하고 있다. 이 모델은 우수 연구인의 유치, 연구원의 유동성 강화, 우수연구원의 특정자격 부여, 퇴직연구원의 효율적 활용의 네 단계로 구성되어 있으며 각 단계별 여러 정책과세를 제시하고 있다. 아울러 본 논문은 본 모델의 각 단계가 서로 선순환 구조를 가져야 할 것을 강조한다. 본 논문에서는 출연(연)은 전주기적 인력관리 모델의 추진을 바탕으로 연구인력을 전공분야의 심층적 지식과 관련 분야의 폭넓은 시식을 가지는 '역T자형 인력'으로 육성하여야 함을 강조하고 있다.

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고지혈성 급성 췌장염에 대한 대시호탕의 효과 : 체계적 문헌고찰과 메타분석 (The Effect of Dachaihu Decoction for Hyperlipidemic Acute Pancreatitis: A Systematic Review and Meta-Analysis)

  • 김윤정;정유진;박동일
    • 대한한방내과학회지
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    • 제41권3호
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    • pp.306-325
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    • 2020
  • Objectives: The aim of this study is to investigate the effect of a Dachaihu decoction for hyperlipidemic acute pancreatitis (HLAP) by systematic review and meta-analysis of Chinese clinical studies. Methods: China National Knowledge Infrastructure (CNKI) was utilized as the major search engine. The date of the literature search was March 7, 2020. Randomized controlled trials (RCTs) about using a Dachaihu decoction for HLAP were included in this study. Meta-analysis was performed by synthesizing outcome data, including total effective rate, abdomen pain relief time, first bowel movement time, blood amylase recovery time, and triglyceride (TG) levels (mmol/L). The selected literature was assessed using Cochrane's risk of bias (RoB). Results: Twelve of 44 RCTs met the inclusion criteria. Most studies were evaluated with RoB as having unclear risk. The total effective rate of herbal medicine treatment based on the Dachaihu decoction was significantly higher than that of symptomatic supportive treatment in 10 articles (risk ratio=1.15, 95% CI: 1.08 to 1.21, p<0.00001, I2=0%). Herbal medicine treatment based on a Dachaihu decoction was significantly more effective than symptomatic supportive treatment in terms of reducing abdomen pain relief time (in all articles; mean difference=-1.70, 95% CI: -1.91 to -1.41, p<0.00001, I2=45%), first bowel movement time (in 7 articles; mean difference=-1.46, 95% CI: -1.86 to -1.05, p<0.00001, I2=73%), blood amylase recovery time (in 8 articles; mean difference=-1.48, 95% CI: -2.04 to -0.92, p<0.00001, I2=90%), and TG levels (in 8 articles; mean difference=-1.59, 95% CI: -2.28to -0.91, p<0.00001, I2=90%). Only one article reported side effects of treatment among the intervention group and control group, citing pancreatic ulcer and pancreatic pseudocyst formation. Conclusions: This study suggests that herbal medicine treatment based on a Dachaihu decoction could yield higher efficacy for HLAP than symptomatic supportive treatment alone. However, the results might be somewhat biased because of the poor quality and small sample size of the included RCTs. Well-qualified clinical studies are needed to prove the effectiveness of Dachaihu decoction therapy for HLAP.

한국형 호스피스 케어 개발을 위한 기초 조사 연구 (The National Hospice Care Service Development in Korea)

  • 이소우;이은옥;안효섭;허대석;김달숙;김현숙;이혜자
    • 대한간호
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    • 제36권3호
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    • pp.49-69
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    • 1997
  • The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

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SEED 프로세스 중심 소프트웨어 개발 환경을 위한 프로세스 프로그래밍 언어 및 수행지원 시스템 (A Process Programming Language and Its Runtime Support System for the SEED Process-centered Software Engineering Environment)

  • 김영곤;최혁재;이명준;임채덕;한우용
    • 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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    • 제5권6호
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    • pp.727-737
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    • 1999
  • 프로세스 중심 소프트웨어 개발 환경(PSEE : Process-centered Software Engineering Environment)은 소프트웨어 개발자를 위한 여러가지 정보의 제공과 타스크의 수행, 소프트웨어 개발 도구의 수행 및 제어, 필수적인 규칙이나 업무의 수행등과 같은 다양한 행위를 제공하는 프로세스 모형의 수행을 통하여 소프트웨어 개발 행위를 지원한다. SEED(Software Engineering Environment for Development)는 효율적인 소프트웨어 개발과 프로세스 모형의 수행을 제어하기 위해 ETRI에서 개발된 PSEE이다.본 논문에서는 SEED에서 프로세스 모형을 설계하기 위해 사용되는 SimFlex 프로세스 프로그래밍 언어와, 수행지원시스템인 SEED Engine의 구현에 대하여 기술한다. SimFlex는 간단한 언어 구조를 가진 프로세스 프로그래밍 언어이며, 적절한 적합화를 통하여 다른 PSEE에서 사용될 수 있다. SimFlex 컴파일러는 SimFlex에 의해 기술된 프로세스 모형을 분석하고, 모형의 오류를 검사하며, SEED Engine에 의해 참조되는 중간 프로세스 모형을 생성한다. 중간 프로세스 모형을 사용하여 SEED Engine은 외부 모니터링 도구와 연관하여 사용자를 위한 유용한 정보뿐만 아니라 SimFlex에 의해 기술된 프로세스 모형의 자동적인 수행을 제공한다. SimFlex 언어와 수행지원 시스템의 지원을 통하여 소프트웨어 프로세스를 모형화하는데 드는 비용과 시간을 줄일 수 있으며, 편리하게 프로젝트를 관리하여 양질의 소프트웨어 생산물을 도출할 수 있다. Abstract Process-centered Software Engineering Environments(PSEEs) support software development activities through the enaction of process models, providing a variety of activities such as supply of various information for software developers, automation of routine tasks, invocation and control of software development tools, and enforcement of mandatory rules and practices. The SEED(Software Engineering Environment for Development) system is a PSEE which was developed for effective software process development and controlling the enactment of process models by ETRI.In this paper, we describe the implementation of the SimFlex process programming language used to design process models in SEED, and its runtime support system called by SEED Engine. SimFlex is a software process programming language to describe process models with simple language constructs, and it could be embedded into other PSEEs through appropriate customization. The SimFlex compiler analyzes process models described by SimFlex, check errors in the models, and produce intermediate process models referenced by the SEED Engine. Using the intermediate process models, the SEED Engine provides automatic enactment of the process models described by SimFlex as well as useful information for agents linked to the external monitoring tool. With the help of the SimFlex language and its runtime support system, we can reduce cost and time in modeling software processes and perform convenient project management, producing well-qualified software products.