• Archives of Plastic Surgery
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• 제37권2호
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• pp.169-174
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• 2010

Purpose: Reduction mammaplasty is a procedure with a relatively high patient satisfaction rate, however, associated scarring around the areola can be a serious problem. This study proposes a new modification of the breast reduction procedure by means of an inframammary incision alone. Methods: The breast is marked out preoperatively with standing position. Under the general anesthesia, an inframammary incision of approximately 7 - 8 cm is done. The subcutaneous plane is made in the lower pole of the breast, then the subglandular plane is entered and a sharp dissection is made up to 2 cm below the areola. The breast is mobilized from the chest wall and a cone-shaped parenchyme is removed in en-block except from the retroareolar central part. The remaining both pillars are gathered together with absorbable sutures and the base of the gland is narrowed to project the breast forward. The wound is closed in a layered fashion and taping of the breast mound is applied to redistribute the breast skin. Results: 21 patients (36 breasts) underwent this procedure from December 2004 to December 2009. Average follow up was 9 months (ranged from 6 months to 12 months). No major complication occurred. Most patients were pleased with the breast size, shape, and scars. However, 2 patients complained their hypertrophic scars which were corrected by revision. Conclusion: This technique is a simple approach to mild to moderate breast reduction through an inframammary incision alone. And, this technique provides an option with minimal complications and invisible scarring, which is especially important in the young patient group.

• 농촌지도와개발
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• 제9권2호
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• pp.199-213
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• 2002

The purpose of this study uses agricultural knowledge system theory to explore how the extension system in South Korea was developed and have worked well. By agricultural knowledge system we emphasized the dynamic networks of actors, processes of negotiation, and the diverse ways in which knowledge is constructed and performed. It was possible that individuals may participate in and utilize multiple knowledge systems. The knowledge systems reflected the idea that the boundaries between knowledge groups were not closed and that there could be considerable overlap between knowledge systems. The constructions of agricultural knowledge systems thus included social interactions, communication, and the diverse processes individuals employ to create, use, and evaluate multiple types and sources of information. As such, there were six priorities to development agricultural extension system; the linkage between agricultural colleges, Rural Development Administration(RDA), branch of RDA, establishing the research institution of research and extension linkage. exchange research agent with extension agent, developing information technology system, bottom-up approach, the linkage between national project and regional within extension projects, enforcement of informal learning.

• 보건행정학회지
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• 제4권2호
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• pp.111-125
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• 1994

In developing total hospital information system, large amount of time and expense are to be spent while its results are likely to lead itself to end-users' dissatisfaction. Some of the main complaints on the part of end-users come from insufficient consideration of end-users environment as well as inappropriate representation of their requirement in the system alalysis and design. This papre addresses some advantages of Essential Logical Modeling Process for better analysis and design, explaining by example the developmental process of the Patent Management and Accounting System for a tertiary care hospital. In the case, the Essential Model, suggested by McMenamin and Palmer, proved to be an effective tool for clear separation of analysis and design phase and for better communication among system developers and with end-users. The modeling process itself contributed to better program modularity as well, shown in a Structured Chart. Difficulties in learning how to identify' essential activities' for the modeling practice were experienced in the beginnins stage, which were, however, overcome by elaborating some heuristic guideling and by rdferring to necessary tools including State Transition Diagram, Control Flow Diagram, and so many. While full evaluation of the Essential Model usag remains to wait till the completion of the case project, its strengt in making clear distinction between analysis and design phase was enough to be attractive to system analysts. The model concepts are open to many further application fields, particularly such areas as business re engineering, process remodeling, office automation, and organizational restructuring.

• 한국보건간호학회지
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• 제12권1호
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• pp.1-12
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• 1998

This study was conducted to grasp the progress of the health management program in small scale industries with phenomenological approach. The industrial health care system compose of manpower, devices, and facilities such as medical resources, organization, service delivery system, financial resources, payments, and management system is important for the industrial health. Especially health management program should be provided feasible conditions to workers. The data collection period was 2 months from September 1 to October 30, 1997. The indepth interview results for health monitor, labors, and occupational health nurses were analyzed by Giorgis' phenomenological method. The major results were as follows: 1. The workers, health monitors and nurses felt that the subsidiary program of health management in small scale industries were necessary. This project for small-size industry can be set-up through complementary education for health monitors and resolvement of nurses' six suggestions. It is necessary to provide followings ; 1) Properly devision of industry 2) More clear guidance for health management at visiting time 3) Legitimate incentive system 4) Health education materials and devices 5) Change of fee and material payments at visiting 6) Budgets and system for medication and vaccination at visiting 2. Above all, it is suggested that the strategics of the health management program should be developed.

• Journal of Advanced Research in Ocean Engineering
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• 제1권2호
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• pp.115-133
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• 2015

This paper describes an approach for the numerical analysis of container ship slamming and whipping and various parameters that influence slamming and whipping. For validation purposes, the numerical analysis results were compared with experimental results obtained as part of the Wave-Induced Loads on Ships Joint Industry Project. Water entry problems for two-dimensional (2D) sections were first solved using a 2D generalized Wagner model (GWM) for various drop conditions and geometries. As the next step, the hydroelastic numerical analysis of a 10,000-TEU container ship subjected to slamming and whipping loads in waves was performed. The analysis method used is based on a fully coupled model consisting of a three-dimensional (3D) Rankine panel model, a 3D finite element model (FEM), and a 2D GWM, which are strongly coupled in the time domain. Parametric studies were carried out in both numerical and experimental tests with various forward speeds, wave heights, and wave periods. The trends observed and the validity of the numerical analysis results are discussed.

• 정보학연구
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• 제1권2호
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• pp.25-37
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• 1998

경영전략수립에 있어서 자본비용 평가는 중요한 의미를 갖는다. 이는 자본비용은 기업가치 평가 및 새로운 Project 심사에 매우 중요한 위치를 차지하고 있기 때문이다. 상장기업의 경우 자본비용은 일반적으로 자본자산가 격결정모형(capital asset pricing model : CAPM)에서 주식시장을 이용한 베타($\beta$)를 구함으로서 쉽게 구할 수 있다. 그러나 비상장기업은 주가를 이용할 수 없다. 따라서 비상장기업의 경우 주가에 가장큰 영향을 미치는 회계정보가 주가를 대신하여 자본비용 계산시 유용한 베타를 구할 수 있는지에 대한 많은 연구가 계속하여 이루어지고 있다. 이러한 사실에 비추어 본 연구는 재무정보와 시장의 체계적 위험(또는 시장베타)과 어떤 관련성이 있는가를 분석하는데 초점을 두고 있으며 특히 순수접근기법(Uure-play technique)과 회계정보에 의한 기본적접근방법(fundamental approach)을 이용하여 베타가 어떻게 추정되는지를 분석했다. 그리고 캐나다 자본시장에서 재무정보와 주가의 상호관련성을 실증 분석한 Patterson의 베타예측모형을 추가적으로 검토했다. 한편 향후 이 논문은 Patterson의 베타예측모델을 가지고 우리 나라에 적용 재무정보와 체계적위험간의 관계를 실증분석하기 위한 선행연구라는 점을 밝히고 싶다.

• 한국군사과학기술학회지
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• 제18권5호
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• pp.558-565
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• 2015

The current methods, such as Binomial Probability Distribution or T-test, to calculate the number of samples of Precise Guided Missiles(PGMs) for test and evaluation are statistically problematic to make reasonable decisions thus use the budget efficiently. Also, the method to verify an accuracy rate of the PGMs using these old methods seems to be lack of objectiveness. This paper presents an effective, efficient solution adapted from the clinical medicine testing method of healthcare industry research, which may overcome our problems. This method considers and addresses both manufacturers' and consumers' risk simultaneously. By taking into account the weapon system project characteristics which take a relatively longer time and require higher-level budget, this approach also suggests a reasonable and feasible method to determine the amount of samples of the PGMs and making a criterion to verify an accuracy rate of the missiles that are required to test. Thus, this method is expected to contribute to acquisition and operations of high-reliability PGMs by MND and its field-users.

• 한국실내디자인학회논문집
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• 제20호
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• pp.17-25
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• 1999

The curriculum analysis of lighting design course in the Interior architecture departments in American universities reveals they share a major concern in the basic lighting theories, the sorts of light source and lighting equipment, daylighting, and interior lighting plav. The curriculum is usually composed of two semesters, the first semester being about lighting theory and simple project, while the second one abut more professional fields of design studio. The curriculum of lighting design at the Interior architecture departments in Korean colleges and universities usually consists of introductory courses in the field. Almost every institution allocated only one semester for the courses, and as the courses should cover the broad range within a short time, they were lacked in the required depth and systematic approach. The analysis also reveals the curriculum in Korea puts emphasis on the interior lighting equipment design, while disregarding the importance of daylighting. In comparison, American institutions have their curriculum focused upon the use of daylighting. The curriculum of lighting design courses in Korea, a major part of space rendering methods in the field of Interior Architecture, should be improved without delay. The courses should be included in the required subjects and the educational aims should be changed from offering a general understanding of the concepts to providing professional knowledge and skills, which would contribute to the competitiveness of the departments.

• 산업공학
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• 제17권spc호
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• pp.122-130
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• 2004

Since the cost of software maintenance occupies about 50~75% in a general successful organization, the software maintenance plays an important role in software life cycle. In particular, if the managed system needs to be operated in a long term or the system is very large and complex, then the maintenance is especially more important. Software maintenance is defined as software modification activities after customer delivery, such as improvement of performance or functionality, error correction, adaptation to environmental changes, etc. In this paper, software cost estimation models are proposed, that is based on productivity of manpower in maintenance projects. In order to do this, the activities of maintenance are classified into function change, non-function change, user support and application operation. The proposed models are constructed and verified based on the real size and cost information of projects in the real world. The approach in this paper is to discriminate the heterogeneous activities in maintenance projects, and then to calculate the respective cost of each discriminated activity. By using the proposed models, the total cost of maintenance project is summed from the costs of four activities. In addition the number of conflicts between owner and order receiver about the amount of cost will be reduced and the reasonable cost estimation system will be established.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권5호
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• pp.411-422
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• 2020

With the increasing number of children with inflammatory bowel disease (IBD), very early-onset IBD (VEO-IBD), defined as IBD that is diagnosed or that develops before 6 years of age, has become a field of innovation among pediatric gastroenterologists. Advances in genetic testing have enabled the diagnosis of IBD caused by gene mutations, also known as monogenic or Mendelian disorder-associated IBD (MD-IBD), with approximately 60 causative genes reported to date. The diagnosis of VEO-IBD requires endoscopic and histological evaluations. However, satisfactory small bowel imaging studies may not be feasible in this small population. Both genetic and immunological approaches are necessary for the diagnosis of MD-IBD, which can differ among countries according to the available resources. As a result of the use of targeted gene panels covered by the national health insurance and the nationwide research project investigating inborn errors of immunity, an efficient approach for the diagnosis of MD-IBD has been developed in Japan. Proper management of VEO-IBD by pediatric gastroenterologists constitutes a challenge. Some MD-IBDs can be curable by allogenic hematopoietic stem cell transplantation. With an understanding of the affected gene functions, targeted therapies are being developed. Social and psychological support systems for both children and their families should also be provided to improve their quality of life. Multidisciplinary team care would contribute to early diagnosis, proper therapeutic interventions, and improved quality of life in patients and their families.