• Title/Summary/Keyword: Revision period

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Surgical Experience of the Remnant Thoracoabdominal Aortic Replacement after Aortic Surgery (대동맥수술 후 잔존 흉복부대동맥치환술에 대한 임상 경험)

  • Cho, Kwang-Jo;Woo, Jong-Su;Choi, Pil-Jo;Bang, Jung-Hee
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.49-54
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    • 2008
  • Background: Aortic diseases tend to involve the entire aorta. Hence, there is the constant possibility of the need for a secondary operation at the remnant aorta. This study analyzed our cases of secondary aortic surgery in order to determine its characteristics and problems. Material and Method: Between April 2003 and June 2007, 12 patients (6 male and 6 female) underwent thoracoabdominal aortic replacement as a secondary aortic operation. Their clinical courses were analyzed. Four of the patients underwent lower thoracobadominal aortic replacement under the normothermic femorofemoral bypass, and the others underwent an entire thoracobdominal aortic replacement under deep hypothermic circulatory arrest. Result: There was no death or paraplegia. As local complications, there were 3 cases of wound infection and 2 cases of an immediate reoperation caused by bleeding and one case of delayed wound. revision for a contaminated perigraft hematoma. As a systemic complication, there was one case of renal insufficiency, which required hemodialysis and one case of respiratory insufficiency that needed prolonged ventilator care. The mean admission period was $30{\pm}21$ days. All the patients were followed up for $626{\pm}542$ days without reoperation or other problems. Conclusion: Using properly selected patients and a careful approach, thoracoabdominal aortic replacement can be performed safely as a secondary aortic surgery.

The Results of Surgical Treatment of Comminuted Fractures of Distal humerus (원위 상완골 분쇄 골절의 수술적 치료 결과)

  • Cho Nam-Su;Park Sung-Woo;Jung Ki-Yoen;Rhee Yong-Girl
    • Clinics in Shoulder and Elbow
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    • v.8 no.2
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    • pp.97-104
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    • 2005
  • Purpose: To report the results of surgical treatment of comminuted fractures of distal humerus and to identify factors that affect the results. Materials and Methods: Thirty-two patients who were treated with open reduction and internal fixation for comminuted fracture of distal humerus were enrolled. According to the AO classification, A2.3 was 1 case, A3.2, 2 cases, A3.3, 8 cases, B1.3, 1 case, B2.3, 1 case, C2.2, 5 cases, C2.3, 4 cases, C3.2, 3 cases and C3.3, 7 cases. As fixation technique, 17 cases were fixed by double plates, 4 cases by only K-wires, 4 cases by only screws, 3 cases by K-wires and screws and 4 cases by one plate and screws. The mean age at the time of the operation was 49 years(range, $19{\sim}77$ years). The mean follow-up period was 16 months(range, $8{\sim}51$ months). Results: At the last follow-up, the mean maximum flexion was $116.4^{\circ}\;(range,\;85{\sim}140^{\circ})$ and the mean loss of terminal extension was $11.8^{\circ}\;(range,\;0{\sim}40^{\circ})$. The average Mayo elbow performance score was $91.4^{\circ}\;(range,\;55{\sim}100^{\circ})$. Overall 29 cases(91%) showed good to excellent results. The mean range of motion of extraarticular and intraarticular fracture group was $105.5^{\circ}\;(range,\;65{\sim}140^{\circ})$ and $104^{\circ}\;(range,\;55{\sim}140^{\circ})$, respectively. The average elbow score of both groups was$93^{\circ}\;(range,\;70{\sim}100^{\circ})$ and $90.7^{\circ}\;(range,\;55{\sim}100^{\circ})$. Over 90% showed more than good results. 30 cases(94%) showed complete bony union but two cases, nonunion. One case of the nonunion cases underwent replating with bone graft as revision surgery and total elbow arthroplasty was performed in the other case. At the last follow-up, 27 patients(84.4%) showed subjective satisfaction. Conclusion: Open reduction and internal fixation with appropriate surgical technique for comminuted fractures of distal humerus showed good results, which were not affected by age at the time of operation, fixation methods and anterior transposition of the ulnar nerve. Transolecranon approach may be considered as good choice for intraarticular comminuted fractures of distal humerus.

A study on the Realtime Update of the Digital-Map by the General Survey Map (일반측량성과도에 의한 수치지도의 수시갱신방법 연구)

  • Lee, Sang-Gil;Kwon, Jay-Hyoun;Jeon, Jae-Han
    • Journal of Korean Society for Geospatial Information Science
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    • v.15 no.3
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    • pp.19-26
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    • 2007
  • The renewal update of the digital map constructed through NGIS has been conducted for the enhancement of usage, maintenance so that the latest data is guaranteed. The total update has been done every five years for five regions of the country using aerial photographs and satellite images. By launching the third phase of NGIS, the updating plan was changed from total to total or partial update including the real time update scheme. Furthermore, the update period was improved from five to two years and four years for a large and a small city, respectively. Therefore, it is necessary to develope a matching technique which combines various geographic information (such as drawing map, surveying drawing and map) with exact position on the digital map. In this study, we developed a matching algorithm based on central point and suggested a method which uses general surveying drawing for revision/update of the digital map. The general survey is conducted when a civilian development on lands are approved. Thus, the outcome from the survey, which is the general survey drawing, contains the latest various contents such as road, building, water pipe and manhole. A consistent and efficient method using the general survey drawing for near real time update of the digital map by applying the developed matching algorithm is presented.

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The Effect of TuRo (Qi dance therapy) on the psychological health in adolescent female students (투로(套路)(기무요법(氣舞療法) : TuRo)가 여중생들의 정신건강에 미치는 효과)

  • Lee, Hwa-Jin;Chae, Youn-Byoung;An, Kyung-Eh;Hahm, Dae-Hyun;Park, Hi-Joon;Lee, Hye-Jung
    • Korean Journal of Acupuncture
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    • v.23 no.2
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    • pp.69-78
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    • 2006
  • Objectives: TuRo, defined as a dance therapy applying the meridian Qi system into the dancing movements, may have effects on ameliorating the psychological symptoms that often appear in adolescent students in a stressful situation. The Objective of the present study was to examine whether TuRo training relieves the psychological symptoms in adolescent female students. Methods: Symptom Check List-90-Revision (SCL-90-R), a 5 point Likert scale, consisted of 90 items that represent psychological symptoms, were used to measure the psychological health status in healthy adolescent female. Twenty two adolescent female students were trained TuRo dancing for two months while 29 in control group were trained mimicked movements without the concept of Qi for the same period. Changes in Somatization, Obsessive-Compulsive behaviors, Interpersonal Sensitivity, Depression, Anxiety, Hostility, Phobic Anxiety, Parinoid Ideation and Psychotic symptoms by the two months of training were compared between TuRo and control groups using SCL-9Q-R. Results: Among the nine-categorized psychological symptoms, the somatization and hostility were significantly reduced in TuRo group (p

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The Changes in Goals and Contents of Geography Education according to the Structural Change of Integration in the Korean Social Studies Curriculum: The Case of the Middle School (우리나라 사회과교육과정의 통합구조 변화에 따른 지리교육의 목표와 내용 변화: 중학교를 중심으로)

  • Park, Sunmee
    • Journal of the Korean Geographical Society
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    • v.51 no.6
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    • pp.935-955
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    • 2016
  • This study aims to analyze the changes of goals and contents of middle school geography education following up the changes in the Korean social studies curriculum over time. The main findings are as follows. First, From the Syllabus period to the Third Curriculum, geography education, history education, general social studies education in the middle school social studies were directed and managed independently. However from the 4th to the 7th Curriculum, the demand for the virtual integration in middle school social studies increased sharply. Since 2009 revision, social studies suffered an identity crisis as integrated subject matter because history education was separated from the social studies and interdisciplinary units were abolished. In spite of much criticism, however, an odd form of social studies integrating geography and general social studies still remains. Second, the stronger the demand for the social studies integration in middle school, students' social studies learning load had become heavier due to severe competition with other areas to ensure more portion in the integrated structure of social studies. Since geography education did not reflect the new tendency of the geography in the integrated structure of middle school social studies, the gap between the geography and geography education has increased and knowledges of geography growing became separated from students' experience. In conclusion, the integrated structure of social studies in the middle school hindered the geography education development as it limited the autonomy of geography education in terms of curriculum development.

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A Study of Policy Change on K-ETS and its Objective Conformity (한국 배출권거래제 정책 변동의 목적 부합성 연구)

  • Oh, Il-Young;Yoon, Young Chai
    • Journal of Climate Change Research
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    • v.9 no.4
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    • pp.325-342
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    • 2018
  • The Korea Emissions Trading Scheme ( K-ETS), which manages roughly 70% of the greenhouse gas emissions in South Korea, was initiated in 2015, after implementation of its 1st basic plan and the 1st allocation plan (2014) for the 1st phase (2015-2017). During the three and a half years since the launch of K-ETS, there have been critical policy change such as adjustment of the institutions involved, development and revision of the 2030 national GHG reduction roadmap, and change in the allocation plans. Moreover, lack of liquidity and fluctuation of carbon prices in the K-ETS market during this period has forced the Korean government to adjust the flexibility mechanism and auction permits of the market stability reserve. To evaluate the policy change in the K-ETS regarding conformance to its objectives, this study defines three objectives (Environmental Effectiveness, Cost Effectiveness and Economic Efficiency) and ten indicators. Evaluation of Environmental Effectiveness of K-ETS suggests that the national GHG reduction roadmap, coverage of GHG emitters and credibility of MRV positively affect GHG mitigation. However, there was a negative policy change implemented in 2017 that weakened the emission cap during the 1st phase. In terms of the Cost Effectiveness, the K-ETS policies related to market management and flexibility mechanism (e.g. banking, borrowing and offsets) were improved to deal with the liquidity shortage and permit price increase, which were caused by policy uncertainty and conservative behavior of firms during 2016-2018. Regarding Economic Efficiency, K-ETS expands benchmark?based allocation and began auction-based allocation; nevertheless, free allocation is being applied to sectors with high carbon leakage risk during the 2nd phase (2018-2020). As a result, it is worth evaluating the K-ETS policies that have been developed with respect to the three main objectives of ETS, considering the trial?and?error approach that has been followed since 2015. This study suggests that K-ETS policy should be modified to strengthen the emission cap, stabilize the market, expand auction-based allocation and build K-ETS specified funds during the 3rd phase (2021-2025).

A Study of Analysis Current state of the Apprenticeship Curriculum in Vocational Education and Training High Schools Participating in the Apprenticeship System (산학일체형 도제학교의 도제 교육과정 편성 현황 분석 연구)

  • Ahn, Jae-Yeong
    • Journal of vocational education research
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    • v.36 no.4
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    • pp.57-78
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    • 2017
  • This study aimed to make proposals to develop an apprenticeship program and organize the apprenticeship curriculum by conducting an overall analysis of how vocational education and training high schools participating in the apprenticeship system(apprenticeship schools) organized the apprenticeship program in the school curriculum. To that end, the study analyzed the current state of the apprenticeship curriculum of 33 apprenticeship schools and came up with the following results: First, the apprenticeship class and the general class had a similar relevance between 'departments' and 'areas and goals of student training' and between 'departments' and 'qualifications,' while the apprenticeship class had a higher relevance between 'areas and goals of student training' and 'qualifications' than the general class. Second, both the required and optional competency units of the apprenticeship program were relatively evenly included in the Off-JT and OJT. Third, the competency units of the apprentice program were included in the technical subjects of the 2009 revised curriculum as well as the NCS practical subjects of the 2015 revised curriculum. Fourth, although most of the competency units of the apprenticeship program have a high correlation with the technical subjects of the school curriculum, there were also many schools showing a low correlation. Fifth, although the hierarchy of organizing the competency units of the apprenticeship program by semester was mostly high, there were a considerable number of schools with a low hierarchy. As a result, this study made the following policy proposals: granting a grace period for approval of the changes in the curriculum of the apprenticeship, distributing the matching table before and after the revision of the NCS competency units, organizing subjects not included in the national curriculum, creating subjects specialized for companies, and monitoring and consulting the curriculum of the apprenticeship schools.

Improvement on Surveying Performance Evaluation for Public Surveying of Underground Facilities (지하시설물의 공공측량 성과심사 방법 개선에 관한 연구)

  • Jung, Choong Ho;KIM, Chong-Mun;KIM, Ki-Su;CHOI, Yun-Soo
    • Journal of the Korean Association of Geographic Information Studies
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    • v.22 no.2
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    • pp.15-23
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    • 2019
  • When the public surveying system was introduced in 1961, large scale surveying performances, such as infrastructure construction work, were dominant. However, due to changes in the environment, most of the current surveying performances focused on small scale underground facilities. The method of surveying underground facilities is as follows: "method of measurement before refilling after burying the pipeline" and "method of using exploration after refilling." There are advantages and disadvantages to each method. It became difficult to obtain the accuracy of the location of the underground facilities due to the fact that there were sections of the pipeline that had not been observed through exploration. Therefore, the 2017 performance evaluation regulations were revised. The revision included the addition of the "Underground Facilities Creation Period," a system that allows for surveys to be evaluated based on actual measurements. However, in this particular field, concerns about the advantages of exploration and the purpose of this study was to investigate the background and purpose of the limitations of the survey have been continuously raised. The purpose of this study was to investigate the background and purpose of the public surveying system and to identify the proportion of underground facilities surveying in comparison to public surveying. This study conducted surveys on the implementers of public surveying and those who did the actual surveying. The researcher has summarized the improvements that incorporate the analysis results and the field comments in the revised performance evaluation regulations in 2017.

A Study on Current Status and Improvement Tasks of Records Classification in Government-funded Research Institutes (정부출연연구기관의 기록분류 현황과 개선과제)

  • Lee, Mi-Young
    • The Korean Journal of Archival Studies
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    • no.53
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    • pp.229-259
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    • 2017
  • The purpose of this study is to find out the level of the classification system of the government-funded research institutes and to search the future direction of the classification scheme of these research institutes. As a result of analyzing the classification system and regulations of the 23 government-funded research institutes, it is found that the regulations of the records management of most institutions are basically based on other regulations before Public Records Act. In addition, there are not many institutions in which the record production system that reflects the Public Records Act is introduced, and the production and classification of the records are performed separately, and the classification scheme in which the organization classification and the functional classification are mixed is often used only as a reference tool for setting retention period. To overcome this situation, it is necessary to improve the regulation, classification scheme and system. The revision of the law at the national level and establishment of records management regulations at the institutional level should be made. A special classification scheme for 'research' which is a core function of the research institute should be designed and this classification scheme must be applied from the registration stage of records. The fact that the record management obligation is ignored and the production records are not properly managed is to deny the value of the research field records by themselves. I hope that the records management of government-funded research institutes will be moved in place as soon as possible and practical issues will be communicated to academia and good ideas for better development will be returned to the field of practice.

A Study on Offshore Ship-to-Ship Mooring Characteristics through Numerical Analysis (수치해석을 통한 해상 Ship-to-Ship 계류 특성에 관한 연구)

  • Lee, Sang-Won;Lee, Yun-Sok;Cho, Ik-Soon
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2019.05a
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    • pp.135-137
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    • 2019
  • In recent years, the need for ship-to-ship has emerged around the world as the volume of tanker carriers increases. In the case of STS mooring, a safety review should be carried out on other standards since the characteristics are different from the mooring at a typical wharf. However, there is no separate standard about STS in Korea. Therefore, in this study, STS mooring simulation and sensitivity analysis were performed using OPTIMOOR program, a commercial numerical analysis program, to identify STS mooring characteristics. The target sea area is modeled at D2 anchorage of Yeosu Port in Korea, and modeling of the target ship is selected as the case of VLCC-VLCC. Based on this, we tried to establish the standard for STS mooring safety evaluation. Numerical simulation results show that the STS mooring changes depending on the ship load condition, weather condition(wave period and wave height), encounter angle and pre-tension of mooring line. In addition, a risk matrix was created to set the safe external force range in the sea area. It is expected that the mooring characteristics of the STS can be grasped by this result and contribute to the revision of the mooring safety assessment standard.

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