• 제목/요약/키워드: Time Delay System

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1930년대 중국 문서당안 행정개혁론의 이해 (The Records and Archives Administrative Reform in China in 1930s)

  • 이원규
    • 기록학연구
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    • 제10호
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    • pp.276-322
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    • 2004
  • Historical interest in China in 1930s has been mostly focused on political characteristic of the National Government(國民政府) which was established by the KMT(中國國民黨) as a result of national unification. It is certain that China had a chance to construct a modern country by the establishment of the very unified revolutionary government. But, it was the time of expanding national crises that threatened the existence of the country such as the Manchurian Incident and the Chinese-Japanese War as well as the chaos of the domestic situation, too. So it has a good reason to examine the characteristic and pattern of the response of the political powers of those days. But, as shown in the recent studies, the manifestation method of political power by the revolutionary regime catches our attention through the understanding of internal operating system. Though this writing started from the fact that the Nationalist Government executed the administrative reform which aimed at "administrative efficiency" in the middle of 1930s, but it put stress on the seriousness of the problem and its solution rather than political background or results. "Committee on Administrative Efficiency(行政效率委員會)", the center of administrative reform movement which was established in 1934, examined the plan to execute the reform through legislation by the Executive Council(行政院) on the basis of the results of relevant studies. They claimed that the construction of a modern country should be performed by not political revolution anymore but by gradual improvement and daily reform, and that the operation of the government should become modern, scientific and efficient. There were many fields of administrative reform subjects, but especially, the field of records and archives adminstration(文書檔案行政) was studied intensively from the initial stage because that subject had already been discussed intensively. They recognized that records and archives were the basic tool of work performance and general activity but an inefficient field in spite of many input staff members, and most of all, archival reform bring about less conflicts than the fields of finance, organization and personnel. When it comes to the field of records adminstration, the key subjects that records should be written simply, the process of record treatment should be clear and the delay of that should be prevented were already presented in a records administrative meeting in 1922. That is, the unified law about record management was not established, so each government organization followed a conventional custom or performed independent improvement. It was through the other records administrative workshop of the Nationalist Government in 1933 when the new trend was appeared as the unified system improvement. They decided to unify the format of official records, to use marker and section, to unify the registration of receipt records and dispatch records and to strengthen the examination of records treatment. But, the method of records treatment was not unified yet, so the key point of records administrative reform was to establish a unified and standard record management system for preventing repetition by simplifying the treatment procedure and for intensive treatment by exclusive organizations. From the foundation of the Republic of China to 1930s, there was not big change in the field of archives administration, and archives management methods were prescribed differently even in the same section as well as same department. Therefore, the point at issue was to centralize scattered management systems that were performed in each section, to establish unified standard about filing and retention period allowance and to improve searching system through classification and proper number allowance. Especially, the problem was that each number system and classification system bring about different result due to dual operation of record registration and archives registration, and that strict management through mutual contrast, searching and application are impossible. Besides, various problems such as filing tools, arrangement method, preservation facilities & equipment, lending service and use method were raised also. In the process this study for the system improvement of records and archives management, they recognized that records and archives are the identical thing and reached to create a successive management method of records and archives called "Records and Archives Chain Management Method(文書檔案連鎖法)" as a potential alternative. Several principles that records and archives management should be performed unitedly in each organization by the general record recipient section and the general archives section under the principle of task centralization, a consistent classification system should be used by classification method decided in advance according to organizational constitution and work functions and an identical number system should be used in the process of record management stage and archive management stage by using a card-type register were established. Though, this "Records and Archives Chain Management Method" was developed to the stage of test application in several organizations, but it was not adopted as a regular system and discontinued. That was because the administrative reform of the Nationalist Government was discontinued by the outbreak of the Chinese-Japanese War. Even though the administrative reform in the middle of 1930s didn't produce practical results but merely an experimentation, it was verified that the reform against tradition and custom conducted by the Nationalist Government that aimed for the construction of a modern country was not only a field of politics, but on the other hand, the weak basis of the government operation became the obstacle to the realization of the political power of the revolutionary regime. Though the subject of records and archives administrative reform was postponed to the future, it should be understood that the consciousness of modern records and archives administration and overall studies began through this examination of administrative reform.

중재합의와 중재판정에 관한 소고 -건설분쟁을 중심으로- (Brief Observation on Arbitration Agreement and Arbitral Award - Focusing on Construction Disputes -)

  • 조대연
    • 한국중재학회지:중재연구
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    • 제14권1호
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    • pp.273-314
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    • 2004
  • There is a belief in the construction industry that the traditional court system may not be an ideal forum to effectively and efficiently resolve construction disputes due to the protracted proceedings and the three tier appeal system resulting in a long delay in the final and conclusive settlement of the dispute, relatively high costs involved, the lack of requisite knowledge and experience in the relevant industry, etc. Hence, they assert that certain alternative dispute resolution ('ADR') methods, such as mediation, conciliation, arbitration or a new system for dispute settlement in the form of any combination thereof should be developed and employed for construction disputes so as to resolve them more promptly and efficiently to the satisfaction of all the disputants concerned. This paper discusses certain merits of such assertions and the need for additional considerations for effective resolution of the construction disputes in light of the complexity of the case, importance of expert witnesses, parties' relationship and non-level playing field of the construction industry and so on. At the same time, however, given the inherent nature of disputes rendering the parties involved in an adversarial position, it would rather be difficult, if not practically impossible, to satisfy all the parties concerned in the dispute. Accordingly, in this study, it is also purported to address the demerits of such assertions by studying the situation from a more balanced perspective, in particular, in relation to the operation of such ADRs. In fact, most of such ADRs as stipulated by special acts, such as the Construction Industry Basic Act of Korea, in the form of mediation or conciliation, have failed to get support from the industry, and as a result, such ADRs are seldom used in practice. Tn contrast, the court system has been greatly improved by implementing a new concentrated review system and establishing several tribunals designed to specialize in the review and resolution of specific types of disputes, including the construction disputes. These improvements of the court system have been warmly received by the industry. Arbitration is another forum for settlement of construction disputes, which has grown and is expected to grow as the most effective ADR with the support from the construction industry. In this regard, the Korean Commercial Arbitration Board ('KCAB') has established a set of internal rules end procedures in operation to efficiently handle construction disputes. Considering the foregoing, this paper addresses the most important elements of the arbitration, i.e., arbitration agreement and arbitral award, primarily focusing on the domestic arbitrations before the KCAB. However, since this parer is prepared for presentation at the construction disputes seminar for the public audience, it is not intended for academic purposes, nor does it delve into any specific acadcmic issues. Likewise, although this paper addresses certain controversial issues by way of introduction, it mainly purports to facilitate the understanding of the general public, including the prospective arbitrators on the KCAB roster without the relevant legal education and background, concerning the importance of the integrity of the arbitration agreement and the arbitral award. In sum, what is purported in this study is simply to note that there are still many outstanding issues with mediation, conciliation and arbitration, as a matter of system, institutional operation or otherwise, for further study and consideration so as to enhance them as effective means for settlement of construction disputes, in replacement of or in conjunction with the court proceeding. For this purpose, it is essential for all the relevant parties, including lawyers, engineers, owners, contractors and social activists aiming to protect consumers' and subcontractors' interests, to conduct joint efforts to study the complicated nature of construction works and to develop effective means for examination and handling of the disputes of a technical nature, including the accumulation of the relevant industrial data. Based on the foregoing, the parties may be in a better position to select the appropriate dispute resolution mechanism, a court proceeding or in its stead, an effective ADR, considering the relevant factors of the subject construction works or the contract structure, such as the bargaining position of the parties, their financial status, confidentiality requirements, technical or commercial complexity of the case at hand, urgency for settlements, etc.

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식재료 아웃소싱이 경제적 주방에 미치는 영향에 관한 연구 - 특1급호텔 양식조리를 중심으로 - (Study on economic effects of outsourcing of food materials on the hotel kitchen - Focus on cooking Western food in the first class hotel -)

  • 성태종
    • 한국관광식음료학회지:관광식음료경영연구
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    • 제13권2호
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    • pp.45-69
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    • 2002
  • This study is designed to examine feasibility and limitation of outsourcing in cooking Western food in a hotel, to interpret importance of outsourcing(eg. outside order, outside procurement, outside supply) in a broad sense in order to reinforce the core capacity in the cooking department, and to know whether the cooking human power is efficiently used and how much the chefs recognize outsourcing of food materials. As many companies conduct restructuring to cut down its size, the reduction of human power led the Western food cooking in the hotel to lower core capacities, lower quality, and lower efficiency. In addition, the sagging morale of chefs undermined creativity. To change from the traditional kitchen to an economic kitchen needs to look into importance of outsourcing, cognitive attitude of chefs, relation with outside suppliers. Here suggests performance of positive changes in the structure The study examined feasibility and limitation of outsourcing in the hotel kitchen as well as chefs' cognitive attitude toward outsourcing of food materials to reinforce core capabilities of the hotel kitchen. 1. Companies of outsourcing are selected according to variability of price conditions, flexibility of contract conditions, popularity of the outsourcing company, and reputation of the outsourcing company. 2. The importance of outsourcing in the Western food cooking is divided into 4 factors such as standard of selecting outsourcing companies, policies of cooking manu, quality of cooking, and quantity of cooking. 3. The most feasible section in outsourcing of food materials is a process of kneading flour for bread, which shows that many Western-food chefs expect to put higher possibility of outsourcing on the kneading. In other words, when it comes to confectionery and bakery, there are many outside expert processing companies supplying high quality products. In the order of outsourcing feasibility, sauce is followed by processed vegetable, garnish of main dish, and soup. The least feasible section in outsourcing of food materials is appetize. Appetize includes a concept of a improvised dish and needs speed. Due to its color, freshness, and sensibility of taste, the appetize plays a key role in the Western food cooking. 4. When outsourcing is taken in place, the highest risk is to lower the inner cooking skills. Therefore chefs in charge of the Western food sequently recognize both internal problems including storage of cooking skills, unstability of layoffs, and loss of cooperation between departments, and external problems including inferior goods, difficulty of differentiating manu, delay of delivery, and expiration date. It shows that most of the Western food chefs consider risks of the internal problems at first. 5. A effective outsourcing needs appropriate selection of outsourcing companies, maintenance of credibility, active communication, check and management of hygiene. However regardless of their position or career, chefs in charge of the Western food have the same cognitive attitude toward selecting successful outsourcing companies after the outsourcing system is enforced. The core of cooking, or a final stage in the full process of so-called artistic cooking, should be treated with insourcing. Reduction of several cooking processes resulted in shortened cooking time, increased efficiency, faster cooking, cutting the waiting-lines, and finally more room for customers. The outsourcing system can reduce or eliminate the following processes in cooking: buying various food materials, checking, storing, preparing, and processing. Especially in the Western food cooking department of a hotel, the outsourcing system should be enforced to make an economic kitchen and to efficiently manage it. Wow it's time to change from the traditional kitchen to an economic kitchen in the hotel cooking department. For that, the cooking department should become a small but strong organization by outsourcing except its core work.

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L1/L2 혼합형 중계 방법을 적용한 이더넷 기반 비압축 오디오 분배 시스템의 성능 분석 (Performance of Uncompressed Audio Distribution System over Ethernet with a L1/L2 Hybrid Switching Scheme)

  • 남위정;윤종호;박부식;조남홍
    • 대한전자공학회논문지TC
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    • 제46권12호
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    • pp.108-116
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    • 2009
  • 본 논문에서는 고품질 비압축 오디오 트래픽의 분배 시에 요구되는 낮은 지연 및 지터를 보장하고 이더넷 환경에서 데이터 트래픽의 효율적인 교환을 가능하게 하는 새로운 L1/L2 혼합형 중계 방식을 적용한 이더넷 기반 오디오 분배 시스템을 제안하고 성능을 분석하였다. 제안하는 방식이 적용된 오디오 분배 시스템은 마스터 노드와 다수의 중계 노드로 구성되며 이들은 상호간에 상향 하향 링크를 통하여 데이지 체인 형태로 연결된다. 마스터 노드는 스테레오 24채널에서 PCM샘플링된 16비트 오디오 채널을 수납할 수 있는 오디오 프레임을 125us의 주기마다 생성하여 하향 링크를 통해 전송한다. 하향 링크를 통하여 오디오 프레임을 수신한 중계 노드들은 생성한 오디오 트래픽을 해당 노드에게 할당된 오디오 채널에 수납하고 다음 중계노드로 물리 계층 기반(L1)의 전송을 한다. 망의 종단 노드는 수신되는 오디오 프레임을 상향 링크를 통하여 마스터 노드로 루프백시키고 오디오가 상향 링크를 통하여 전송되는 과정에서 모든 중계 노드들은 자신이 수신해야 할 오디오 채널을 복사하여 오디오를 재생한다. 오디오 프레임의 송신이 완료되면 남은 기간 동안 중계 노드들은 L2 스위치로 동작하면서 데이터 프레임을 데이터 링크 계층 기반(L2)에서 교환한다. 이와 같은 L1/L2 혼합형 중계 방식의 동작을 위해 노드 입력 부의 물리 계층과 데이터 링크 간에 존재하는 MII에 오디오 프레임과 데이터 프레임을 구분하는 기능을 가지는 글루로직을 새로 추가하였다. 제안된 방식에 대하여 네트워크 시뮬레이터인 OMNeT++를 사용하고 다양한 파라미터를 통하여 제안된 방식이 오디오 트래픽의 지연 특성과 데이터 트래픽의 전송 효율 면에서 우수한 특성을 제공할 수 있음을 보였다. 제안된 방식은 물리 계층 기반의 전송 또는 데이터 링크 기반의 전송 방식을 사용하는 기존 이더넷 기반 오디오 분배 기술에 비하여 향상된 지연 성능 및 전송 효율을 제공할 수 있어 오디오분배 시스템뿐만 아니라 비디오분배 시스템, 디지털 AV장치 간의 연결 등에도 활용될 수 있다.

변압기의 화재확산 방지를 위한 부싱 방화구조체 적용에 관한 연구 (A Study on the Application of Bushings Fire Prevent Structure to Prevent Fire Spread of Transformer)

  • 김도현;조남욱;윤충호;박필용;박근성
    • 한국화재소방학회논문지
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    • 제31권5호
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    • pp.53-62
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    • 2017
  • 경제 및 산업의 원천 에너지원인 전력은 생산과 소비의 지역적 상이함으로 장거리 수송을 필수로 하며, 다중환상망(Multi-loop) 형식의 송배전계통으로 전력을 공급한다. 실질적 사용에 앞서, 변전소내 변압기를 통해 변전과정을 거쳐 각 사용처의 특성을 고려하여 전력공급이 이루어지고 있으며 변압기는 본체, 권선, 절연유, 부싱등의 구조로 결합되어 있다. 변전소에서 발생하는 변압기화재는 가구와 상업시설등에 전기공급을 중단시키고 각종 안전사고를 발생시키는 1차 손실뿐만 아니라 2차적으로 경제 손실을 야기한다. 화재의 원인은 부싱 하부파손에 따른 절연유 유출과 약 1초 이내 발화점에 도달하는 절연유에 의한 화재의 연쇄반응으로 파악된다. 화재피해의 최소화를 위해 연기감지기, 자동소화설비 등이 구축되어있으나 감지기의 동작 및 소화가스 방출지연 등으로 화재진화를 위한 골든타임 확보의 부재가 문제되고 있다. 이에 본 연구는 초기 화재진화에 따른 골든타임 확보의 중요성에 따라 화재확산을 방지하고 절연유 누출을 차단하는 능동적 메커니즘의 필요에 따라 수행되었다. 따라서 화염에 의해 팽창하는 고온형상 유지물질과 기계적 화염차단장치를 적용한 부싱방화구조체를 개발하였다. 실제 부싱 및 프렌지규격을 적용하여 제작된 변압기모형에 부싱방화구조체를 설치하여 실규모 화재실험을 수행하였다. 초기화염으로부터 3초내에 정확한 위치와 높이에 부싱방화구조체가 작동함을 확인하였으며 이는 실제 변압기화재 시 화염 확대를 효과적으로 차단할 수 있을 것으로 사료된다.

딥러닝 기법을 이용한 제주도 중제주수역 지하수위 예측 모델개발 (Development of Deep-Learning-Based Models for Predicting Groundwater Levels in the Middle-Jeju Watershed, Jeju Island)

  • 박재성;정지호;정진아;김기홍;신재현;이동엽;정새봄
    • 지질공학
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    • 제32권4호
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    • pp.697-723
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    • 2022
  • 본연구에서는 제주도의 중제주 수역 내에 위치하는 총 12개 지하수 관정에서 미래 30일 기간의 지하수위를 예측할 수 있는 모델을 개발하였다. 예측 모델개발을 위해 시계열 예측에 적합한 딥러닝 기법의 하나인 누적 장단기 메모리(stacked-LSTM) 기법을 이용하였으며, 2001년에서 2022년 동안 관측된 일 단위 강수량, 지하수 이용량 및 지하수위 자료가 예측 모델개발에 활용되었다. 특히, 본 연구에서는 입력자료의 종류 및 과거 자료의 순차 길이에 따라 다양한 모델을 구축하고 성능을 비교함으로써 딥러닝 기반 예측 모델개발에서 고려하여야 할 사항에 대한 검토와 절차를 제시하였다. 예측 모델개발 결과, 강수량, 지하수 이용량 및 과거 지하수위를 모두 입력자료로 활용하는 모델의 예측성능이 가장 뛰어난 것으로 확인되었으며, 입력으로 활용되는 과거 자료의 순차가 길수록 예측의 성능이 향상됨을 확인하였다. 이는 제주도의 깊은 지하수위 심도로 인하여 강수와 지하수 함양 간 지연시간이 길기 때문으로 판단된다. 이뿐만 아니라, 지하수 이용량 자료의 경우, 모든 이용량 자료를 활용하는 것보다 예측하고자 하는 지점의 지하수위에 민감한 영향을 주는 관정을 선별하여 입력자료로 이용하는 것이 예측 모델의 성능 개선에 긍정적 영향을 주는 것을 확인하였다. 본 연구에서 개발된 지하수위 예측 모델은 현재의 강수량 및 지하수 이용량을 기반으로 미래의 지하수위를 예측할 수 있어 미래의 지하수량에 대한 건전성 정보를 제공함에 따라 적정 지하수량 유지를 위한 다양한 관리방안 마련에 도움이 될 것으로 판단된다.

시뮬레이션을 이용한 소프트 핸드오프 방식의 성능 분석 (Performance Analysis of Soft Handoff Methods using Simulation)

  • 한경숙;김태정
    • 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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    • 제6권4호
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    • pp.411-420
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    • 2000
  • CDMA 이동 통신 시스템의 소프트 핸드오프의 성능에 잠재적으로 영향을 줄 수 있는 요소들은 핸드오프 관련 시스템 파라미터 (T_ADD, T_DROP, T_COMP, T_TDROP) 이외에도 가입자의 이동성, 서비스 지역, 기지국의 용량 등 여러 가지가 있다. 이동 통신에서 핸드오프가 차지하는 중요성으로 인하여, 여러 가지 핸드오프 방식이 제안되었고, 제안된 방식의 우수성을 시뮬레이션 프로그램을 수행하여 실험적으로 증명하기 위한 연구가 많이 행하여졌지만, 핸드오프 관련 시스템 파라미터, 가입자의 이동성과 환경, 기지국 용량 등을 어떻게 모델링하였느냐에 따라 시뮬레이션의 객관성과 신빙성이 달라진다. 본 논문은 이동국의 속도를 고려하여 소프트 핸드오프의 지연 시간을 제어하는 새로운 핸드오프 방식을 제안하고, 컴퓨터 시뮬레이션을 이용하여 이 방식과 기존 방식을 비교 분석한 연구에 관하여 논한다. 시뮬레이션 결과는 이동국의 속도 이외에도 이동 영역과 방향에 따라 핸드오프 방식의 성능이 현저하게 다르게 나타날 수 있다는 것을 보였다. 구체적으로, 본 논문에서 제안한 핸드오프 방식의 성능은 자유 이동을 하는 이동국의 경우에 기존 방식보다 우수하지만, 이동 영역과 방향이 제한된 이동을 하는 이동국의 경우에 기존방식과 차이가 없는 것으로 나타났다. 또한, 같은 핸드오프 방식이라도 서비스 지역을 2차원 공간으로 모델링하였느냐 아니면 3차원 공간으로 모델링하였느냐에 따라서 시뮬레이션 결과가 달랐다. 따라서, 핸드오프의 성능 분석 연구에서 이동국의 이동성 모델이 중요하며, 특히 이동 통신 시뮬레이션 연구에서 그 동안 무시되었던 이동국의 이동 영역과 방향성도 중요한 이동성의 특성으로서 고려되어야 할 것을 시사한다.

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UWB 시스템을 위한 1.8V 8-bit 500MSPS 저 전력 CMOS D/A 변환기의 설계 (Design of an 1.8V 8-bit 500MSPS Low-Power CMOS D/A Converter for UWB System)

  • 이준홍;황상훈;송민규
    • 대한전자공학회논문지SD
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    • 제43권12호
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    • pp.15-22
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    • 2006
  • 본 논문에서는 UWB(Ultra Wide Band)통신시스템을 위한 1.8V 8-bit 500MSPS의 D/A 변환기를 제안한다. 전체적인 D/A 변환기의 구조는 높은 선형성과 낮은 글리치 특성을 갖는 상위 6-MSB(Most Significant Bit) 전류원 매트릭스(Current Cell Matrix)와 하위 2-LSB(Least Significant Bit) 전류원 매트릭스로 구성된 2단 매트릭스 구조로 설계하였다. 또한 동일한 지연시간을 갖는 Thermometer Decoder와 고속 동작에서 전력을 최소화하기 위한 저 전력 스위칭 디코더(Current Switching Decoder Cell)를 제안함으로서 D/A 변환기의 고속 동작에서 성능을 향상시켰다 설계된 DAC는 1.8V의 공급전압을 가지는 TSMC $0.18{\mu}m$ 1-poly 6-metal N-well CMOS 공정으로 제작되었으며, 제작된 D/A 변환기의 측정결과, 매우 우수한 동적성능을 확인하였다. 500MHz 샘플링 클럭 주파수와 50MHz의 출력신호에서 SFDR은 약 49dB, INL과 DNL은 각각 0.9LSB, 0.3LSB 이하로 나타났으며, 이 때의 전력소비는 약 20mW로 기존의 8-bit D/A변환기에 비해 매우 낮음을 확인 할 수 있었다 D/A 변환기의 유효 칩 면적은 $0.63mm^2(900um{\times}700um)$이다.

파성이 다른 보리의 월동전 예취회수에 따른 청예 및 종실 겸용 재배에 관한 연구 (Practice in Dual-purpose Barley for Forage and Grain with Early-sown Barley having Different Winter Habits)

  • 김대호;김은석;김수경;손길만;송근우
    • 한국작물학회지
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    • 제48권6호
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    • pp.495-500
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    • 2003
  • 남부지방 벼-맥류 이모작 작부체계에서 단기성 벼를 수확한 후 맥류를 조기 파종하여 월동전에 예취하여 겨울동안 신선한 청예사료로 활용하고 다음 해에 종실을 수확하여 사용하는 재배법을 확립하여 맥류의 부가가치를 높이고 사료작물 자급도 향상을 꾀하고자 수행한 결과는 다음과 같았다. 1. 간장은 모든 품종이 2회 예취시 1회 예취보다 길었으며, 조기 파종맥류를 월동전 예취했을 때 관행 적파에 비해 간장단축은 없었다. 2. 단위면적당 수수는, 예취처리가 관행 적파보다는 감소되었으나, 2회 예취에서 1회 예취보다 많은 수수를 확보하여 수량구성에 기여하였다. 3.조기 파종 맥류의 월동전 예취에 의한 청예수량은, 예취 횟수별로는 12월 10일에 1회 예취하는 것이 청예수량도 많았고 효율적이었으며, 파성이 IV인 큰알보리와 II인 새장보리가 높은 청예수량을 보였다. 4. 보리 품종별 예취에 따른 TDN수량은 보리에서는 대백보리와 큰알보리가, 그리고, 2회 예취에서 높은 경향이었다. 5. 조기 파종 맥류의 월동전 예취에 의한 출수 및 성숙기는 관행 적파에 비하여 지연되지 않았으며, 2회 예취시 1회 예취보다 1-2일 빨랐다. 6. 종실수량은 월동전 예취시 관행 적파에 비하여 다소 감수되거나 비슷하였으며, 예취 횟수별로는 2회 예취시에 1회 예취보다 높은 수량을 보였다. 그리고, 청예$.$종실 겸용 보리는 파성이 II-III인 품종이 적합할 것으로 생각되었다.

악골절 치료후 부정유합에 관한 임상적 연구 (Malunion of the Jaw Fractures Complicated Following the Primary Managements)

  • 김대성;김명래
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제25권4호
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    • pp.356-360
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    • 1999
  • PURPOSE : This is to review the complicated jaw fractures that had been referred for revision of the unsatisfactory results, and to provide proper managements for the easily complicated jaw fractures. MATERIALS & METHODS : Twenty-nine patients who had been revised due to malunion or complicated fractures of facial bones for last 3 years were reviewed. The main problems required for revision, type of fractures complicated, the primary managements to be reclaimed, the specialties to be involved, the management to be reclaimed, time elapsed to seek reoperation, type of revision surgeries, residual complication were analysed with medical records, radiographs and final examinations. RESULTS: The major complaints were malocclusion(79.3%), facial disfigurement(41.3%), TMJ problems (13.7%), neurologic problems(10.3%), non-union(10.3%), and infection(6.8%). Unsatisfactory results were occurred most frequently after improper management of the multiple fractures of the mandible (62.2%), combined fractures of maxilla and mandible (20.6%), fracture of zygomatico-maxillary complex and midpalate (17.2%). The complications to be corrected were widened or collapsed dental arches (79.3%), improperly reduced condyles (41.3%), painful TMJ (34.4%), limited jaw excursion (31.0%), over-reduction of zygoma (13.7%), and nonunion with infection(13.7%). and dysesthesia (10.3%). The primary managements were nendereet by plastic surgeons in 82.7%(24/29) and by oral surgeons in 7.6%(2/29). Main causes of malunion are inadequate ORIF in 76%, unawareness & delay in 17%, and delayed due to systemic cares in 17%. 76% of 29 patients had been in state of intermaxillary fixation for over 4 weeks. Revision were done by means of "refracture and ORIF"in 48.2%(14/29), orthognathic osteotomies with bone grafts in 55.1%(16/29), and camouflage countering & alloplastic implantations in 37.9%(11/29), TMJ surgeries in 17.2%, micro-neurosurgeries in 11.6%. Residual complications were limited mouth opening in 24.1% (7/29), paresthesia in 13.7%, resorption of reduced condyle in 10.3%. CONCLUSIONS : Failure of initial treatment of jaw fractures is due to improper diagnosis and inadequate treatment with lack of sufficient knowledge of stomatognathic system. It is crucial to judge jaw fracture and patients accurately, moreover, the best way of treatments has to be selected. Consideration of these factors in treatment could minimize the complication of jaw fractures.

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