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Effectiveness of the Pico-toning Technique for the Treatment of Melasma with a Low Fluence 1,064-nm Nd:YAG Laser in Asian Patients

  • Kim, Dong Gyu;Nam, Seung Min;Shin, Jin Soo;Park, Eun Soo
    • Medical Lasers
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    • v.9 no.2
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    • pp.166-171
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    • 2020
  • Background and Objectives Melasma is an acquired pigmentary disorder characterized by brown or dark brown colored macules and patches which mostly involve the face. Compared to nanosecond lasers, picosecond lasers have fewer adverse effects on surrounding tissues and give better results for melanin fragmentation. The purpose of this study was to evaluate the efficacy of the pico-toning technique using a low fluence 1,064-nm Nd:YAG laser on melasma patients. Materials and Methods This study is a retrospective analysis of melasma cases treated using the pico-toning technique from June 2017 to November 2020. Based on photographic images, the modified Melasma Area and Severity Index (mMASI) score was blind evaluated by two independent plastic surgeons. Patient satisfaction was assessed through a 5-point Likert scale questionnaire after treatment sessions. All adverse effects and complications were reviewed based on medical records. Results A total of 23 patients were included in the study. The mMASI scores for baseline and 2 months after the last procedure were 5.1 ± 1.4 and 2.6 ± 0.4, respectively. The mean mMASI score reduced significantly after the treatment session (p < 0.05). The patient satisfaction score with the procedure was 3.8 ± 1.0. The subject satisfaction score and difference in the mMASI score before the procedure and 2 months after the last procedure showed a significant correlation. Adverse effects observed in this study were erythema (n = 1) and edema (n = 1). Conclusion The results of the study show that the pico-toning technique is effective in Asian patients with melasma. We believe that safety was enhanced by using low fluence, and thus better results were achieved with fewer adverse effects.

Evaluations for Fraud in L/C Transactions, and Counter-Measures

  • Lee, Jae-Sung
    • Journal of Korea Trade
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    • v.24 no.7
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    • pp.73-92
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    • 2020
  • Purpose - The letter of credit has been playing a major role to diminish overall risks which exist among concerned parties even though there are differences such as language, culture, law, and distance. This paper reviews essence of the letter of credit and its transaction principles, as well as overall practical questions based on the L/C transaction principle. It also investigates the risk of fraud occurrences in L/C transactions and the importance of fraud prevention and preventive measures in international L/C transactions, including the Fraud Rule, which is a major topic to consider in business transactions. Design/methodology - It is considered that an importing country's concerned parties and an exporting country's concerned parties face different situations. This study employs the existing framework to identify liability, responsibility, and obligation for all concerned parties across countries. Using a quite direct measurement of principles in the letter of credit, such as principle of independence, principle of abstraction, and principle of strictness and coincidence, we studied these differences. Findings - Our main findings can be summarized as follow. The paper enhances the efficiency of the L/C payment method to provide fraud generated from L/C transactions, presentation of a theoretical framework about fraud and fraud prevention, which international trading companies should acknowledge in a material way based on fraud risk resulting from taking advantage of L/C transaction principles. Originality/value - Existing studies focus on fraud accidents in L/C transactions by taking bad advantage of the characteristics of the letter of credit without suggesting risks of fraud. This paper attempts to evaluate and provide preventive measures as a solution for fraud and risky international business in a letter of credit transaction. This area of trade studies is underexplored, both empirically and theoretically, although the issue has long been important to Korean and world community foreign trade.

Child Observation Assessment Practice and Reflections of a First-year Early Childhood Teacher Through Collaborative Action Research (협력적 실행연구를 통한 초임 유아교사의 유아관찰 평가의 실천과 반성)

  • Yang, Jung-Eun
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.5
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    • pp.159-170
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    • 2020
  • Despite evidence that early childhood teachers play a critical role in guiding children through their child assessment, most beginning teachers in the survival stage face the greatest difficulties in this area. Using the intentional and purposeful tools of action research, this collaborative action study supports a beginning teacher in reflecting upon her perceptions of the 'child assessment' of young children and devising and evaluating good guidance practices. During the course of the study, the participating teacher became engaged in more reflective teaching which prompted her to perceive the "child assessment" of the children from different perspectives. As her understanding of the importance of making her curriculum and classroom climate more engaging and meaningful deepened and she reconceptualized her notion of child assessment, the teacher witnessed positive changes in her students' behaviors which, in turn, increased her sense of efficacy. These very positive, empowering results are strong recommendation for using collaborative action research especially in the novice years of teaching for it provides the teacher with a life-long transformative tool for professional development.

Naval Ship Evacuation Path Search Using Deep Learning (딥러닝을 이용한 함정 대피 경로 탐색)

  • Ju-hun, Park;Won-sun, Ruy;In-seok, Lee;Won-cheol, Choi
    • Journal of the Society of Naval Architects of Korea
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    • v.59 no.6
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    • pp.385-392
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    • 2022
  • Naval ship could face a variety of threats in isolated seas. In particular, fires and flooding are defined as disasters that are very likely to cause irreparable damage to ships. These disasters have a very high risk of personal injury as well. Therefore, when a disaster occurs, it must be quickly suppressed, but if there are people in the disaster area, the protection of life must be given priority. In order to quickly evacuate the ship crew in case of a disaster, we would like to propose a plan to quickly explore the evacuation route even in urgent situations. Using commercial escape simulation software, we obtain the data for deep neural network learning with simulations according to aisle characteristics and the properties and number of evacuation person. Using the obtained data, the passage prediction model is trained with a deep learning, and the passage time is predicted through the learned model. Construct a numerical map of a naval ship and construct a distance matrix of the vessel using predicted passage time data. The distance matrix configured in one of the path search algorithms, the Dijkstra algorithm, is applied to explore the evacuation path of naval ship.

Pseudo-BIPV Style Rooftop-Solar-Plant Implementation for Small Warehouse Case

  • Cha, Jaesang;Cho, Ju Phil
    • International journal of advanced smart convergence
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    • v.11 no.3
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    • pp.187-196
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    • 2022
  • In this paper, we propose an example of designing and constructing a roof-type solar power plant structure equipped with a Pseudo-BIPV (Building-Integrated Photovoltaic) shape suitable for use as a roof of a small warehouse with a sandwich-type panel structure. As the characteristics of the roof-type solar power generation facility to be installed in the small warehouse proposed in this study, the shape of the roof is not a general A type, but a right-angled triangle shape with the slope is designed to face south. We chose a structure in which an inverter for one power plant and a control facility are linked by grouping several roofs of buildings. In addition, the height of the roof structure is less than 20 cm from the floor, and it has a shape similar to that of the BIPV, so it is building-friendly because it is almost in close contact with the roof. At the same time, the roof creates a reflective light source due to the white color. By linking this roof with a double-sided solar panel, we designed it to obtain both the advantage of the roof-friendliness and the advantage of efficiency improvement for the electric power generation based on the double-sided panel. Compared to the existing solar power generation facilities using A-shaped cross-sectional modules, the power generation efficiency of roofs in this case is increased by more than 11%, which we can confirm, through the comparison analysis of monitoring data between power plants in the same area. Therefore, if the roof-type solar structure suitable for the small warehouse we have presented in this paper is used, the facilities of electric power generation is eco-friendly. Further it is easier to obtain facility certification compared to the BIPV, and improved capacity of the power generation can be secured at low material cost. It is believed that the roof-type solar power generation facility we proposed can be usefully used for warehouse or factory-based smart housing. Sensor devices for monitoring, CCTV monitoring, or safety and environment management, operating in connection with the solar power generation facilities, are linked with the Internet of Things (IoT) solution, so they can be monitored and controlled remotely.

Characteristics of injuries associated with electric personal mobility devices: a nationwide cross-sectional study in South Korea

  • Kim, Maro;Suh, Dongbum;Lee, Jin Hee;Kwon, Hyuksool;Choi, Yujin;Jeong, Joo;Kim, Sola;Hwang, Soyun;Park, Joong Wan;Jo, You Hwan
    • Journal of Trauma and Injury
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    • v.35 no.1
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    • pp.3-11
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    • 2022
  • Purpose: The increasing use of electric personal mobility devices (ePMDs) has been accompanied by an increasing incidence of associated accidents. This study aimed to investigate the characteristics of ePMD-related injuries and their associated factors. Methods: This cross-sectional study was conducted using data from the Emergency Department-based Injury In-depth Surveillance database from 2014 to 2018. All patients who were injured while operating an ePMD were eligible. The primary outcome was the rate of severe injury, defined as an excess mortality ratio-adjusted Injury Severity Score of ≥25. We calculated the adjusted odds ratios (AORs) of outcomes associated with ePMD-related injuries. Results: Of 1,391,980 injured patients, 684 (0.05%) were eligible for inclusion in this study. Their median age was 28 years old, and most injuries were sustained by men (68.0%). The rate of ePMD-related injuries increased from 3.1 injuries per 100,000 population in 2014 to 100.3 per 100,000 population in 2018. A majority of the injuries occurred on the street (32.7%). The most commonly injured area was the head and face (49.6%), and the most common diagnosis was superficial injuries or contusions (32.9%). Being aged 55 years or older (AOR, 3.88; 95% confidence interval, 1.33-11.36) and operating an ePMD while intoxicated (AOR, 2.78; 95% confidence interval, 1.52-5.08) were associated with severe injuries. Conclusions: The number of emergency room visits due to ePMD-related injuries is increasing. Old age and drunk driving are both associated with serious injuries. Active traffic enforcement and safety regulations regarding ePMDs should be implemented to prevent severe injuries caused by ePMD-related accidents.

Gluteal Region Reshaping of Massive Weight Loss Patients-A Decision-Making Strategy

  • Mahgoub, Mohamed Ali;Zeina, Ahmed Mahmoud;El-Din, Ahmed Mohamed Bahaa;El-Sabbagh, Ahmed Hassan;Bassetto, Franco;Vindigni, Vincenzo
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.289-295
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    • 2022
  • Background Massive weight loss (MWL) is a very common presentation that you may face as a plastic surgeon. Each patient has his own individual criteria, so, you should work according to a well-organized plan, especially when such cases have concerns about their gluteal area contour that were neglected before by many surgeons. A decision-making strategy was used to give a personalized treatment for targeting gluteal region reshaping of MWL patients. Methods This study considered all patients with MWL subjected to buttock reshaping. There was no randomization in treatment; there was a case-by-case assessment. We analyzed the features of the buttocks, the type of surgery performed, the outcomes, and the complications. Results Fifty two patients were included (41 females and 11 males), ages ranged between 21 and 66 years. Demographic data, preoperative body mass index (BMI), duration of surgery, type of surgery, and postoperative complications were collected. Statistically significant improvements were observed in gluteal ptosis and patient satisfaction grades. Conclusion Aesthetic improvement of the buttocks involves either augmentation or contouring that may be obtained by liposculpture, surgical lifting, or combination. Patients with MWL have high expectations and are often treated with multiple procedures. Thus, an easy strategic approach personalized on each patient to treat multiple adjacent areas in one operation is necessary. Adipose tissue distribution, gluteal skin status, and BMI were the main factors that can forcefully affect our plan to guarantee reduction of unpleasant results and complications and improve patient satisfaction.

Qualitative Study on the Narcotics Information Management System (NIMS) Experience of Doctors and Pharmacists Using Narcotic Analgesics (의료용 마약류 진통제 처방자와 조제자의 마약류통합관리시스템 사용경험에 관한 질적 연구)

  • Jinyi Kim;Young-jeon Shin
    • Korean Journal of Clinical Pharmacy
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    • v.33 no.1
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    • pp.22-34
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    • 2023
  • Background: With the increasing use of narcotic analgesics, the Ministry of Food and Drug Safety has been operating the National Narcotics Information Management System (NIMS) since 2018 in Korea. Some studies are related to the narcotic analgesics use, but the evaluation studies of system, including NIMS users are insufficient. Objective: This study evaluated the NIMS enforcement process through in-depth interviews on the experience of using NIMS of doctors and pharmacists who prescribe or dispense opioid analgesics. Methods: Participants in this study were selected through purposeful sampling as three doctors and two pharmacists in the metropolitan area. The interviews were conducted from August 27 to October 19, 2022. Each interview was analyzed using a phenomenological method. Results: Six components of this study included "Doctors and pharmacists come across drug abusers", "They respond individually to drug abusers", "They use NIMS tailored to the needs of system managers", "They are concerned about the role of NIMS in practice settings", "They face challenges against drug abusers" and "They find a way to utilize the system to deal with drug abusers." The interviews confirmed that doctors and pharmacists used NIMS little in their work, and they only reported data. Therefore, it might be difficult for doctors and pharmacists to take measures for the safe use of narcotic analgesics. Conclusion: It is likely that adding data-feedback and medication-check function can reduce the abuse of narcotic analgesics. In the future, further studies on the evaluation of the empirical results of NIMS and review of systems in other countries will be required.

A Study on Extraction of Skin Region and Lip Using Skin Color of Eye Zone (눈 주위의 피부색을 이용한 피부영역검출과 입술검출에 관한 연구)

  • Park, Young-Jae;Jang, Seok-Woo;Kim, Gye-Young
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.4
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    • pp.19-30
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    • 2009
  • In this paper, We propose a method with which we can detect facial components and face in input image. We use eye map and mouth map to detect facial components using eyes and mouth. First, We find out eye zone, and second, We find out color value distribution of skin region using the color around the eye zone. Skin region have characteristic distribution in YCbCr color space. By using it, we separate the skin region and background area. We find out the color value distribution of the extracted skin region and extract around the region. Then, detect mouth using mouthmap from extracted skin region. Proposed method is better than traditional method the reason for it comes good result with accurate mouth region.

The Influence of YouTube Recommendation Service on Reliability, Involvement and Subscription Intention: focused on the mediating effect of Reliability (유튜브 추천서비스가 신뢰와 몰입 및 구독의도에 미치는 영향 -신뢰의 매개효과를 중심으로-)

  • Eun, Chang-Ik
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.113-128
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    • 2022
  • The objective of this study is to pay attention to the personal media environment that is in the center of rapid changes in the media industry, to especially explore the activity area of one-person or minority media creators who lead the mobile media environment that could be connected, watched, and produced anywhere, and to closely examine the mutual ecosystem between creators and viewers. Especially, paying attention to the recommendation service YouTube provides, for example, based on the big data algorithm related to users' habitual use, when users' data used are provided more, the users face the advanced service, this study aimed to examine the effects of recommendation service on the formation of trust between user and producer, user flow, and subscription intention, and also to demonstrate the process of forming this mutual relation through concrete data. In the conclusion, implications that can be inferred based on the research results and suggestions for further research in the future were presented.