• Clinical and Experimental Reproductive Medicine
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• 제47권1호
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• pp.1-11
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• 2020

Endometriosis is a common inflammatory disease in women of reproductive age and is one of the major causes of infertility. Endometriosis causes a sustained reduction of ovarian reserve through both physical mechanisms and inflammatory reactions, which result in the production of reactive oxygen species and tissue fibrosis. The severity of endometriosis is related to ovarian reserve. With regard to infertility treatment, medical therapy as a neoadjuvant or adjuvant to surgical therapy has no definite beneficial effect. Surgical treatment of endometriosis can lead to ovarian injury during the resection of endometriotic tissue, which leads to the deterioration of ovarian reserve. To overcome this disadvantage, a multistep technique has been proposed to minimize the reduction of ovarian reserve. When considering surgical treatment of endometriosis in patients experiencing infertility, it should be kept in mind that ovarian reserve can be reduced both due to endometriosis itself and by the process of removing endometriosis. In cases of mild- to moderate-stage endometriosis, intrauterine insemination with ovarian stimulation after surgical treatment may increase the likelihood of pregnancy. In cases of severe endometriosis, the characteristics of the patient should be considered in a multidisciplinary manner to determine the prioritization of treatment modalities, including surgical treatment and assisted reproduction methods such as in vitro fertilization. The risk of cancer, complications after pregnancy, and infection during oocyte retrieval should also be considered when making treatment decisions.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권4호
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• pp.283-292
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• 2022

Purpose: The prevalence of eosinophilic esophagitis (EoE) has been on the rise since it was first described in the 1990s. Several diseases and exogenous factors have been associated with EoE. Our aim was to investigate the epidemiology of EoE in cystic fibrosis (CF) patients. Methods: We identified individuals with CF from September 2014 to September 2019 within a database (IBM Explorys Solutions, Inc.). The prevalence of EoE in patients with CF was compared to the general population. Results: The database included 36,111,860 patients during the 5-year study period: 12,950 with CF (0.036%) and 28,090 with EoE (0.078%). EoE prevalence was higher in CF patients than the general population (46 in 10,000 vs. 7.8 in 10,000, p<0.001). Patients with CF and EoE were more likely to be male (50% vs. 33.5%, p<0.008), children (33.3% vs. 16.5%, p<0.001), and non-Hispanic (100% vs. 88.7%, p<0.001) than CF patients without EoE. CF with EoE patients were more likely to be children than EoE only (33.3% vs. 10.5%, p<0.001). Allergic conditions were generally more prevalent in CF with EoE than CF only (83.3% vs. 68.3%, p=0.01) and EoE only (83.3% vs. 69.3%, p=0.014). Conclusion: EoE is nearly 6-times more prevalent in CF patients. Those patients had higher incidence of other atopic conditions. EoE must be considered in the differential diagnosis of patients with CF presenting with dysphagia, refractory gastroesophageal reflux, vomiting, and other esophagus-related symptoms.

• 융합보안논문지
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• 제23권4호
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• pp.153-158
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• 2023

러시아-우크라이나전쟁에서 민간인학살이 자행되고 있고 예비전력이 부족하여 장기전으로 고착되고 있다. 한국은 인구감소가 급격히 진행되고 빠르게 고령사회로 진입하고 있는 현실은 감안하여 북한과의 전쟁양상도 변화되어야 할 시점에 와 있다. 그중 민간경비원을 중심으로 평소 치안방범인력으로 경찰의 통제하에 두고 전시 지역과 주민의 안전, 장기전에 대비하는 예비전력 대체자원으로 운용한다면 전투력 보존과 지속력 유지에 도움이 될 것이다. 민간경비는 일본이 더 발전되고 있는 상황을 고려하여 한국과 비교하면서 분단국가 예비전력으로 활용하는 방안에 대해 알아보고자 하였다. 저출산이 병력감소로 이어질 정해진 미래를 민간경비원들이 평시에는 지역 치안공백에 운용되고 전시에는 지역방위에 참여 한다면 한국군 예비전력 향상에 도움이 될 수 있을 것이다.

• 한국산학기술학회논문지
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• 제21권8호
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• pp.67-74
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• 2020

예비군을 관리하는 현역부대의 임무 중 하나는 동원령 선포 시 예비군이 전투력을 발휘할 수 있도록 신속하게 전투물자를 지급하는 것이다. 후방지역의 현역부대는 대규모의 지역예비군을 지원하지만 운용 할 수 있는 병력이 부족하고, 많은 수량의 총기와 탄약을 부대 내부에서 통합 보관하고 있기 때문에 어려움을 가지고 있다. 이러한 이유로 지역예비군은 총기와 탄약을 통합 보관된 장소인 현역부대의 무기고와 탄약고로 이동해서 분배 받는다. 현재 군에서 사용하는 분배계획(기존 계획)은 선입선출 방식으로 분배순서가 일정하지 않다. 분배순서의 변화는 분배 완료 시간을 증가시킬 수 있고, 증가된 시간은 지역예비군의 전투력 발휘를 지연시키므로 분배 시간을 최소화 하는 것이 중요하다. 따라서 본 연구에서는 지역예비군의 총기, 탄약 분배모형을 동적계획법에 기반하여 제시하였다. 제시한 모형의 검증을 위해 후방지역 대대급 현역부대에서 수집한 실제 데이터로 현재 군에서 사용하는 분배계획과 비교하였다. 그 결과 본 연구에서 제시한 모형이 기존 계획보다 분배 완료 시간을 줄이는 우수한 성능을 보였다는 것을 알 수 있었다.

• 한국산학기술학회논문지
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• 제21권9호
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• pp.358-372
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• 2020

본 연구는 성인의 인지예비능, 주관적 기억감퇴, 우울 및 삶의 질 등과 같은 요인들이 인지기능에 미치는 직·간접 효과를 규명하고자 하였다. 연구 대상자는 만 40세 이상 80세 미만의 성인 남녀 253명을 대상으로 설문 조사하였고, 본 연구에 사용된 도구는 인지기능 척도, 우울 척도, 삶의 질, 주관적 기억감퇴, 인지예비능 척도를 사용하였다. 데이터 결과는 SPSS 25.0를 이용하여 분석하였고, PROCESS macro for SPSS Version 3.3과 부트스트래핑 방법을 활용하였다. 연구결과, 성인의 인지예비능은 우울과 삶의 질에 영향을 미치는 것으로 나타났으며, 인지예비능과 인지기능의 다중 매개 결과는 우울 및 주관적 기억감퇴에서 매개효과가 나타나지 않았다. 그러나 삶의 질은 성인의 인지예비능과 주관적 인지기능 간의 관계에서 완전매개효과를 나타냈다. 본 연구결과를 토대로 성인들은 다양한 활동과 지속적인 훈련을 통해 인지예비능을 꾸준히 축적하여 인지기능이 긍정적인 방향으로 이어지도록 하는 것이 필요하다. 또한 건강한 성인들을 대상으로 한 인지예비능과 인지기능을 위한 많은 연구들이 실행되기를 제언한다.

• 한국전기전자재료학회:학술대회논문집
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• 한국전기전자재료학회 2004년도 하계학술대회 논문집 Vol.5 No.2
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• pp.924-926
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• 2004

• 디지털융복합연구
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• 제11권11호
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• pp.661-666
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• 2013

본 연구의 목적은 전북지역 성인들의 사위와 융합여력의 특성을 알아보자 하였다. 사시안, 안질환이 없는 20세에서 44세까지의 근시안을 가진 성인 116명을 대상으로 교정시력, 교정굴절력, 사위검사, 융합여력검사를 실시하였다. 프리즘분리법에 의한 수평사위검사에서 정위(26.7%) 외사위 (52.5%),내사위(20.7%)명이었다. 38.8%는 근거리에서 정상으로 간주되는 0-6${\Delta}$의 외사위를 가지고 있었고, 61.2%는 정상범위를 벗어난 사위를 가지고 있었다. 융합여력의 크기는 사위량이 많을수록 적어졌다. 사위안의 융합여력이 안정피로에 연관성이 있음을 알 수 있었고, 사위 처방시 융합여력을 검사하여야 할 것으로 생각된다. 또한 그래디앤트법으로 AC/A비를 측정한 결과 4.03이었으며, 굴절 이상과는 특별한 관계를 발견할 수 없었다.

• 비교문화연구
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• 제25권
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• pp.391-420
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• 2011

Christina Rossetti's novella Maude displays Tractarian influences in terms of Holy Eucharist, Puseyism, and the doctrine of Reserve. Tractarianism is High Church revival movement of nineteenth century. In the story a teenage girl, Maude went through hard time receiving Holy Eucharist due to self-consciousness and internal guilt according to Puseyism. She felt guilty when she enjoyed worldly things and outward beauty. Due to guilt Maude refused to receive Holy Communion, which is complete connection to God. Her cousin, Agnes suggested that in refusing Holy Communion Maude is following her own will not God's will. Later Maude overcame Puseyite thought of self-hatred and reconciled with her identity as a poet and a woman. Maude oscillates between concealing and revealing, secrecy and truth, sincerity and affectation, and modesty and display. Her marvelous poetic talent makes people praise her but she withholds private feelings and attempts to divert attention from herself. Like Maude herself, the meaning of her poems is at times reserved and withheld. This tendency goes with the doctrine of Reserve in Tractarianism. The doctrine of Reserve utilizes indirect methods to reveal divine attributes because finite human being can not accept infinite God. The doctrine of Reserve sees to it that the expression will be veiled, indirect, subdued and self-effacing. Rossetti adapts a poetic method of Reserve when Maude has anxiety over 'display and poetry' and generates the reticence, secrecy, mystery, renunciation, modesty and detachment. According to Mary Arseneau, by veiling and expressing herself through symbols she can rise above the self and employ the phenomenal to suggest a noumenal reality. Thus the poetry becomes an expression of longing for the divine. The poem "Three Nuns" exemplifies Maude's maturity and gradual progress in the relationship with God. Rossetti suggests the vision full of hopes and promises of reuniting with God. In conclusion, in some sense, authoritative and conservative Tractarianism affects Rossetti both ways. On the one hand, it makes Rossetti abnegate herself and leads her to asceticism, on the other hand, it makes Rossetti express her faith in God and write amazing devotional poems such as "Three Nuns". A poem within the poem has three voices that are in perfect harmony. In the poem the first and second nun show hesitation to fully commit to God's will and the desire for the world prevents them from having heavenly joy. Third nun reveals spiritual maturity and sings new life in God where their hopes and joys begin. Rossetti expresses the procedure of spiritual growth through the poem "Three Nuns". For Rossetti, self-abnegation and self-expression both are involved in the doctrine of Reserve, Puseyism and Holy Communion.

• Clinical and Experimental Reproductive Medicine
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• 제43권3호
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• pp.139-145
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• 2016

Measurements of ovarian reserve play an important role in predicting the clinical results of assisted reproductive technology (ART). The ideal markers of ovarian reserve for clinical applications should have high specificity in order to determine genuine poor responders. Basal follicle-stimulating hormone levels, antral follicle count, and serum anti-$M{\ddot{u}}llerian$ hormone (AMH) levels have been suggested as ovarian reserve tests that may fulfill this requirement, with serum AMH levels being the most promising parameter. Serum AMH levels have been suggested to be a predictor of clinical pregnancy in ART for older women, who are at a high risk for decreased ovarian response. We reviewed the prognostic significance of ovarian reserve tests for patients undergoing ART treatment, with a particular focus on the significance of serum AMH levels in patients at a high risk of poor ovarian response.

• Journal of Electrical Engineering and Technology
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• 제7권5호
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• pp.689-697
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• 2012

This paper proposes a new coordinated voltage control scheme between STATCOM (Static Synchronous Compensator) and reactive power compensation devices, such as shunt elements(shunt capacitor and shunt reactor) and ULTC(Under-Load Tap Changer) transformer in a local substation. If STATCOM and reactive power compensators are cooperatively used with well designed control algorithm, the target of the voltage control can be achieved in a suddenly changed power system. Also, keeping reactive power reserve in a STATCOM during steady-state operation is always needed to provide reactive power requirements during emergencies. This paper describes the coordinative voltage control method to keep or control the voltage of power system in an allowable range of steady-state and securing method of momentary reactive power reserve using PSS/E with Python. In the proposed method of this paper, the voltage reference of STATCOM is adjusted to keep the voltage of the most sensitive bus to the change of loads and other reactive power compensators also are settled to supply the reactive power shortage in out range of STATCOM to cope with the change of loads. As the result of simulation, it is possible to keep the load bus voltage in limited range and secure the momentary reactive power reserve in spite of broad load range condition.