• Archives of Plastic Surgery
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• 제50권6호
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• pp.541-549
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• 2023

Background Despite its many advantages, prepectoral breast reconstruction also carries the risk of implant rippling. The recent introduction of partial superior implant coverage using a pectoralis muscle slip in prepectoral direct-to-implant (DTI) breast reconstruction has shown the potential to minimize upper pole rippling. The purpose of this study was to identify factors associated with rippling and the effectiveness of our surgical technique. Methods In total, 156 patients (186 breasts) who underwent prepectoral DTI breast reconstruction between August 2019 and March 2021 were identified retrospectively. Patient data were analyzed from medical records. Univariable and multivariable logistic analyses were performed to contextualize the risks associated with rippling deformity relative to demographic characteristics and other clinical factors. Retrospective propensity-matched analysis was performed to identify the relationship between rippling deformity and the reconstruction method. Results Patients with body mass index (BMI; odds ratio [OR], 0.736; p < 0.001), those with a postoperative chemotherapy history (OR, 0.324; p = 0.027) and those who received breast reconstruction via the superior coverage technique (OR, 0.2; p = 0.004), were less likely to develop rippling deformity. The median follow-up period was 64.9 weeks, and there were no significant differences between patients in types of mastectomy, implant, or acellular dermal matrix. Patients who underwent superior coverage technique-based reconstruction showed significantly reduced rippling (OR, 0.083; p = 0.017) Conclusion Patients with higher BMI and prior postoperative chemotherapy were less likely to develop rippling deformity. The superior coverage technique can be effective in minimizing upper pole rippling.

• 한국병원경영학회지
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• 제2권1호
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• pp.65-79
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• 1997

This study aims to measure in-patients' willingness to choose the same hospital, and to define the related factors. The willingness was measured by the fact whether in-patients would return to the same hospital for their future hospitalization and can be said as the essence of ascertaining patients' satisfaction. Data was collected from 236 patients hospitalized in two hospitals selected according to its superiority, one being superior in medical technique, the other being superior in facility and equipment. To enhance the comparability between the two hospitals, the department and the diagnosis were matched, and structured questionnaires were self-fill-up. The main findings are as follows. Hospitals were analyzed by their superiority : medical services, facility and equipment. In case of hospitals with superior medical services, the willingness was proportional to positive doctor-patient relationship, to satisfaction with the medical level, and to the acknowledgement of utility in cure. In case of hospitals with superior facility and equipment, the willingness was proportional to the satisfactory state of overall facility. Two types of hospitals were combined and analyzed. The willingness for choosing hospitals with superior medical services was stronger than that for choosing the other hospitals. The satisfaction with overall facility, satisfaction with medical level, acknowledgement of utility in cure, positive doctor-patient relationship, and better consultation produced higher willingness to choose the same hospital. The willingness for the option shows to what degree the hospital suffices patients' expectation. Patients' understanding views were obviously influential. The satisfaction level for medical aspect was more influential than the level for non-medical aspect.

• 수산해양교육연구
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• 제22권3호
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• pp.374-387
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• 2010

This study presumed that pre-service elementary teachers' stereotypical attitude toward foreign groups is critical factor to be considered in the context of Korean multicultural education. 422 pre-service elementary school teachers rated repeatedly seven ethnic groups on thirteen semantic differential scales which consist of four factors; attractiveness-unattractiveness, superiority-inferiority, rationality-irrationality, and aggressiveness-compliance. A series of repeated measure MANOVAs were used to test variability in pre-service elementary school teachers' stereotypical attitude across foreign groups. They rated Japanese the most positive, but Chinese the most negative, and others more or less positive in overall attitude. Their ratings of each ethnic group also varied across four attitude factors. Japanese and Whites were classified into the most attractive and superior, and moderately rational and aggressive groups. In contrast, Chinese were rated as the most unattractive, inferior, irrational, and moderately aggressive one. Southeast Asians were rated as attractive, compliant, and inferior one. In contrast, Arabians were rated as unattractive, aggressive, and moderately superior one. Finally, North Koreans were rated moderately superior, the most aggressive and irrational one. All these findings were discussed in terms of multicultural education in Korea.

• 한국콘텐츠학회논문지
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• 제7권3호
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• pp.197-206
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• 2007

본 연구에서는 공공조직에서의 공무원들을 대상으로 업무수행과정에서 상사에 대한 신뢰가 조직유효성 요인인 조직몰입과 의사결정참여 그리고 직무성과에 어느 정도 영향을 미치는지, 이러한 신뢰와 조직유효성이 세무공무원과 일반공무원에 있어서 차이가 있는지를 실증적으로 검증한 연구이다. 검증결과, 세무공무원과 일반공무원 모두 상사에 대한 신뢰가 높을수록 조직의 몰입도와 직무수행에 관련한 의사결정의 참여도 그리고 직무성과에 높은 영향을 미치는 것으로 나타났다. 신뢰와 조직유효성이 세무공무원과 일반 공무원들에 있어서 차이가 있는지에 대한 분석결과는, 상사신뢰는 세무공무원이 높은 것으로 나타났으며, 조직몰입은 일반공무원이 높은 것으로 나타났다. 의사결정의 참여정도에 대해서는 세무공무원이 높았으나 통계적으로 유의하지 않았고, 직무성과는 세무공무원이 높은 것으로 나타났다.

• 산업융합연구
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• 제3권2호
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• pp.3-28
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• 2005

In this study, an analysis has been conducted as to; (i) what factors(leadership style) affect organizational members trust in their superior, (ii) how does members trust in their superior affect the the variable of organizational effectiveness in an police organization? In order to attain the objective of this study, a model was established and also the hypothesis was verified on the basis of preceding studies.

• Annals of Clinical Neurophysiology
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• 제12권1호
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• pp.7-10
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• 2010

Chronic low back pain (CLBP) is a distinct disease entity in that its clinical course and response to the treatment are quite different from acute low back pain (ALBP). CLBP is also closely related with systemic or preexisting psychosocial factors rather than focal or localized factors. Since there has been little consensus in practice regarding the proper management of CLBP, clinicians tend to approach and manage patients with CLBP in an empirical manner rather than an evidence-based one. In this article, I will review the difficulties of therapeutic choice in CLBP and provide superior aspects of medical treatment over invasive interventional treatments.

• 디지털산업정보학회논문지
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• 제11권3호
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• pp.201-218
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• 2015

The purpose of this study is to verify a causal relationship between social tv services and intended acceptance of social tv service through the SERVQUAL five dimensions which mean generally assessment of superior user. Also I am going to analyze that how factors of intended acceptance of social tv service effect on intended acceptance through perceived usefulness and perceived ease of use based on Technology Acceptance Model which provides theoretical basis for behavior response of information technology. This study is significant that social tv combine the five dimensions of service quality that mean assessment of overall excellent or superior user and Technology Acceptance Model that provides theoretical basis for describing an behavior response of information technology.

• 대한안전경영과학회지
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• 제17권4호
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• pp.67-75
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• 2015

This paper reviewed the relationship between emotional labor and service quality, and the moderating effect of superior and coworker support. Based on the responses from 520 hotel employees, the results of multiple regression analysis appeared as follow; 1) deep acting affected positively on all service quality factors(responsiveness, empathy, reliability). 2) surface acting didn't affect significantly on all service quality factors(responsiveness, empathy, reliability). 3) coworker support affected positively on the relationship between deep acting and responsiveness. 4) superior support affected positively on the relationship between deep acting and responsiveness, and on the relationship between surface acting and responsiveness.

• Journal of Korean Neurosurgical Society
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• 제59권2호
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• pp.143-148
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• 2016

Objective : We evaluated postoperative outcomes in patients who have lumbar foraminal or extraforaminal disc herniation (FELDH) and suggested the risk factors for poor outcomes. Methods : A total of 234 patients were selected for this study. Pre- and post-operative Visual Analogue Scale (VAS) and Korean version Oswestry Disability Index (KODI) were evaluated and the changes of both score were calculated. Outcome was defined as excellent, good, fair, and poor based on Mcnab classification. The percentage of superior facetectomy was calculated by using the Maro-view 5.4 Picture Archiving Communication System (PACS). Results : Paramedian lumbar discectomy was performed in 180 patients and combined lumbar discectomy was performed in 54 patients. Paramedian lumbar discectomy group showed better outcome compared with combined discectomy group. p value of VAS change was 0.009 and KODI was 0.013. The average percentage of superior facetectomy was 33% (range, 0-79%) and it showed negative correlation with VAS and KODI changes (Pearson coefficient : -0.446 and -0.498, respectively). Excellent or good outcome cases (Group I) were 136 (58.1%) and fair or poor outcome cases (Group II) were 98 (41.9%). The percentage of superior facetectomy was 26.5% at Group I and 42.5% at Group II. There was significant difference in superior facetectomy percentage between Group I and II (p=0.000). Conclusion : This study demonstrated that paramedian lumbar discectomy with preservation of facet joints is an effective and good procedure for FELDH. At least 60% of facet should be preserved for excellent or good outcomes.

• Asian-Australasian Journal of Animal Sciences
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• 제30권2호
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• pp.160-166
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• 2017

Objective: This study identifies single-nucleotide polymorphisms (SNP) or gene combinations that affect the flavor and quality of Korean cattle (Hanwoo) by using the SNP Harvester method. Methods: Four economic traits (oleic acid [C18:1], saturated fatty acids), monounsaturated fatty acids, and marbling score) were adjusted for environmental factors in order to focus solely on genetic effects. The SNP Harvester method was used to investigate gene combinations (two-way gene interactions) associated with these economic traits. Further, a multifactor dimensionality reduction method was used to identify superior genotypes in gene combinations. Results: Table 3 to 4 show the analysis results for differences between superior genotypes and others for selected major gene combinations using the multifactor dimensionality reduction method. Environmental factors were adjusted for in order to evaluate only the genetic effect. Table 5 shows the adjustment effect by comparing the accuracy before and after correction in two-way gene interactions. Conclusion: The g.3977-325 T>C and (g.2988 A>G, g.3977-325 T>C) combinations of fatty acid-binding protein4 were the superior gene, and the superior genotype combinations across all economic traits were the CC genotype at g.3977-325 T>C and the AACC, GACC, GGCC genotypes of (g.2988 A>G, g.3977-325 T>C).