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내시경 갑상선절제술 - 무기하 액와부 접근법의 시술 경험 - (Endoscopic Thyroidectomy - An Experience of Gasless Axillary Approach -)

  • 김태현;오상훈;김상효
    • 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.

탈경계와 이행의 문화정치학 - 미하일 바흐친의 민중-이미지 - (Cultural Politics of Transgredience and Transition : "people-image" in Bakhtinian Thought)

  • 최진석
    • 비교문화연구
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    • 제35권
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    • pp.35-58
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    • 2014
  • This article aims to explain the 'people-image' of Bakhtin's works in the light of "Transgredience" and "Transition." According to Bakhtin, the real core of every culture is the people. But he did try to answer the question "what is the people?" I think, the secret of Bakhtinian thought is located in the people-image, because it is the one of the territories that have not been explained. For this purpose, we have to examine four images represented by Bakhtin, - rogue, clown, fool, thief. These images are the concrete and individualized images of people, who can characterize the power of transgredience and transition. They commonly act for changing ordinary borders of identities formulated with nationality, property, status, classes, sex and so forth. In this sense, Bakhtin thinks that the masks are the real nature which can show the mutational power of Being. That is the kernel of Bakhtin's people-image that makes and changes every cultural world. When we accept and practise this perspective positively, we will realize that Bakhtin's position is close to the cultural politics, because a practical power of thought cannot help but being political. That's why we have to investigate Bakhtin's people-image from a vantage point of "Transgredience" and "Transition."

영화 <김씨표류기>: 현대 글로벌 소비사회의 사회학적 보고서 ('Castaway on the moon': A sociological report on the global consumer society)

  • 신정아;최용호
    • 비교문화연구
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    • 제25권
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    • pp.7-33
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    • 2011
  • In this paper we attempt to read a film by Haejoon LEE entitled 'Castaway on the moon' from the Bauman's modernity perspective that draws our attention to uncomfortable problems relative to wastes and wasted lifes in the global consumer society we all live in. The so-called consumer society is a post-modern society designed according to the following two criteria: on the one hand, beauty and ugliness and on the other hand, competence and incompetence. Classified as ugly as well as incompetent in this society, the two heros in this film are condemned to live their lifes isolated. Miss Kim is confined to her small room while Mr. Kim is exiled to an uninhabited island called 'Bamsum' in the Han River. In these spaces, neither inside nor outside, they perform what we would like to call 'surplus act', using wastes at their disposal. In this paper we ask ourselves whether or not this act is able to challenge the two criteria and the solidarity of the two wasted lifes can bring about change in the consumer oriented society. As well as Bauman, Agamben will help us approach this question from a theoretical point of view.

Reading Against the Grain: Whiteness, Class, and Space in William Faulkner's As I Lay Dying

  • Sa, Mi Ok
    • 영어영문학
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    • 제64권2호
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    • pp.239-252
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    • 2018
  • Many critics on William Faulkner's As I Lay Dying have read Addie Bundren as the disrupter of patriarchal power. By raising a question about the usefulness of language, which is the symbolic power of patriarchy and having an affair with the preacher Whitfield outside her wedlock, Addie directly challenges patriarchal power. From a quite different vantage point, however, we can read Addie as the faithful protector of the norm of whiteness in the South in light of the social hierarchy. As a former school teacher, Addie is from middle class before her marriage. By her marriage to Anse, who is a lower-class white, Addie has class anxiety that her social status in the stratum of whiteness could be degraded from a middle to a lower-class white, "white trash," which means that she is not white enough to be considered as the normative whiteness. Especially, Addie's anxiety increases due to the fact that her lazy husband is reluctant to work and relies on her neighbors, causing her family to be entrapped at the bottom in the stratum of whiteness. Therefore, she decides to take revenge on her husband after giving birth to her second child Darl by asking Anse to bury her dead body in her familial burial site in Jefferson. By rendering her family to suffer the hardship during her funeral procession, not only does she succeed in taking revenge on Anse on the surface, she regains her social status as a middle-class white by being buried in Jefferson fundamentally.

Analysis of Consumer Satisfaction on Career Guidance and Psychological Counseling at a University

  • PARK, Young-Taek;PARK, Hyeon-Young;LEE, Se-Rin;LIM, Hyeon-Jin;KWON, Young-Eun;KWON, Lee-Seung
    • 웰빙융합연구
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    • 제4권2호
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    • pp.26-34
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    • 2021
  • Purpose: The ultimate purpose of this study is to analyze this survey to understand the overall contents of college career guidance and psychological counseling, and to utilize it to improve the quality of learning and provide career guidance. Research design, data and methodology: The research period and survey subject are approximately one month from 2020.12.01(Tue) to 2021.01.03(Sun). Convenience sampling was conducted using a structured questionnaire composed of a 5-point Likert scale and 5 open-ended questions. As the analysis method, descriptive statistics such as reliability analysis and frequency analysis of Cronbach's α coefficient of internal consistency were mainly used. Data Analysis Statistical program was analyzed using SPSS 25 version. Results: The item with the highest score is that the counseling and counseling-related non-specialized programs offered by the Student Counseling Center are helpful for school life (3.56 points). Conversely, the lowest question is that seminars accompanied by priests are helpful for study (3.38 points). Conclusions: The average score of 5 questions in the career guidance and psychological counseling areas is 3.38 out of 5.

실시간 비대면 수업환경을 2년간 경험한 학생들의 만족도 조사 연구: 방사선전공학생들을 대상으로 (The Study on Satisfactory Rate with Students Which Experienced Non-face-to-face Online Class Environment for Two Years: For Radiology Majoring Students)

  • 손진현
    • 대한방사선기술학회지:방사선기술과학
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    • 제44권6호
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    • pp.679-688
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    • 2021
  • This study is a questionnaire about the lesson environment that radiation major students prefer in a non-face-to-face live online lesson environment for a total of 133 students, 65 second graders and 68 third graders who are enrolled in the department of radiology at a university located in the Seoul metropolitan area. And checked the satisfactory level by grade. The questionnaire consists of three categories: 1st real-time non-face-to-face lectures, 2nd professor lectures, and 3rd corona lectures. A total of 14 questions, with multiple choice and descriptive response methods. As an evaluation method, in the case of a multiple-choice question, the average was calculated using a 5-point Likert scale. As a result of conducting the independent sample T-test of the SPSS program, the response by grade was P > 0.05, and no significant result was shown by the contents of the questionnaire survey of the second grade. As for the lecture method of the department of radiology after the end of Covid-19 virus, it is better to promote face-to-face lessons in radiation training subjects and non-face-to-face real-time education in subjects centered on radiation theory.

From Zomia to Holon: Rivers and Transregional Flows in Mainland Southeastern Asia, 1840-1950

  • Iqbal, Iftekhar
    • 수완나부미
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    • 제12권2호
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    • pp.141-155
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    • 2020
  • How might historians secure for the river a larger berth in the recent macro-historical turn? This question cannot find a greater niche than in the emerging critique of the existing spatial configuration of regionalism in mainland Southeastern Asia. The Brahmaputra, Irrawaddy, Salween, Mekong and Yangtze rivers spread out like a necklace around Yunnan and cut across parts of the territories that are known as South, Southeast and East Asia. Each of these rivers has a different topography and fluvial itinerary, giving rise to different political, economic and cultural trajectories. Yet these rivers together form a connected "water-world". These rivers engendered conversations between multi-agentive mobility and large-scale place-making and were at the heart of inter-Asian engagements and integration until the formal end of the European empires. Being both a subject and a sponsor of transregional crossings, the paper argues, these rivers point to the need for a new historical approach that registers the connections between parts of the Southeast Asian massif through to the expansive plain land and the vast coastal rim of the Bay of Bengal and the China Seas. A connection that could be framed through the concept of Holon.

Innovative Capability and Its Connection with Worker's Environmental Performance

  • KANG, Eungoo
    • 산경연구논집
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    • 제13권7호
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    • pp.17-25
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    • 2022
  • Purpose: Environmental contamination has lately been seen as a consequence of the rise in environmental challenges brought on by rapid industrial expansion. At this point, the current research asks an important question about what the factors are to motivate employees' green performance, increasing corporate sustainability. Research design, data and methodology:The current author selected total 19 items to obtain real data and achieve the purpose of this research. For measuring of the causality between the worker's innovative capability and green performance, the current author used the multiple regression statistical tool using U.S. 215 responses in four industry. Results: The statistical finding definitely indicated that there exists the causal linkage between two key factors (Innovation capability and green performance) as well as the strong direction between two constructs. As a result, the current author could accept all hypotheses, checking no existing the multicollinearity of the present constructs with 'TOL' and 'VIF' values. Conclusions: The present research concluded that literature and business management scholars and practitioners will benefit from this study's statistical results. Furthermore, rewarding staff creativity, encouraging quick answers to market movements, and incorporating technology into everyday operations are all ways that companies may cultivate an environmental stewardship culture.

Analytical model of transverse pressure loss in a rod array

  • Ricciardi, Guillaume;Peybernes, Jean;Faucher, Vincent
    • Nuclear Engineering and Technology
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    • 제54권7호
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    • pp.2714-2719
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    • 2022
  • The present paper proposes some new computational methods and results in the framework of flow computation through congested domains seen as porous media, as it can be found in the core of a Pressurized Water Reactor (PWR). The flow is thus mostly governed by the distribution of pressure losses, both through the porous structures, such as fuel assemblies, and in the thin fluid layers between them. The purpose of the present paper is to consider the question of the interaction of a flow and a rod bundle from an analytical point of view gathering all the contributions through a set of equations as simple and representative as possible. It aims at demonstrating a sound understanding of the relevant phenomena governing the flow establishment in the geometry of interest instead of relying mainly on a posteriori observations obtained both experimentally and numerically. Comparison with two set of experimental results showed good agreement. The model proposed being analytical it appears easily implementable for studies needing an expression of fluid forces in a rod array as for fuel assembly bowing issue. It would be interesting to test the reliability of the model on other geometry with different P/R ratios.

A Study on Users' Perception of the Healing Power of Forest Environments: Focused on the Visitors of Bunseong Mountain

  • Han, Yeong-Seon;Koo, Chang-Duck
    • 인간식물환경학회지
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    • 제22권3호
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    • pp.299-307
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    • 2019
  • This study surveyed the general characteristics and forest use characteristics of forest visitors, the healing power of natural environments and Perceived Restorativeness Scale (PRS) to find out whether humans can feel the healing effects of natural environments. The target area of this study was the natural environments of Bunseong Mountain in Gimhae, Gyeongsangnam-do, Korea. A total of 50 questionnaires were analyzed. Female visitors and those aged between 40s to 60s accounted for 62% and over 70% respectively. All the surveyed respondents answered 'yes' to the question about the healing effects of Bunseong Mountain and natural environments, and 84% of them answered that they can get 'psychological and physical healing' in Bunseong Mountain. Many respondents chose oxygen, sunlight, and landscape as a healing factor. To the questions about the specific form or conditions of the natural environments that have the healing effects, those who answered 'forest' was the highest (72%), and they described thickness of forests, gentle slope and clean air as their conditions. The average score of the Perceived Restorativeness Scale (PRS) using a 7-point Likert scale was 5.14. The results of this study indicate that respondents perceive Bunseong Mountain as a restorative environment and think that they can enjoy the healing effects of Bunseong Mountain and natural environments.