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Full mouth rehabilitation with vertical dimension increase in patient with severely worn out dentition: A case report (과도한 치아 마모를 보이는 환자에서 수직고경 증가를 동반한 전악 수복 증례)

  • Kim, Dae-Sung;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, Hyeonjong;Lee, So-Hyoun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.210-219
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    • 2021
  • Excessive teeth wear can lead to reduced chewing efficiency, occlusal plane collapse, and facial changes. Full mouth rehabilitation with a change in vertical dimension may cause pain in the temporomandibular joint, masticatory muscle and teeth, so an accurate diagnosis and treatment plan is required. In this case, a 69-year-old man had excessive teeth wear with a loss of posterior support. We evaluated the degree of adaptation to the increased vertical dimension with the removable occlusal splint and provisional restoration. We report this case because the treatment result has been functionally and aesthetically satisfactory by providing stable anterior guidance, proper posterior teeth disclusion, and even contact of all teeth in centric occlusion.

Quality Improvement Priorities for Cosmetic Medical Service Using Kano Model and Potential Customer Satisfaction Improvement Index (Kano 모델 및 잠재적 고객만족 개선 지수를 이용한 미용성형의료서비스 품질 개선 우선순위)

  • Park, Youyoung;Jung, Hunsik
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.42 no.3
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    • pp.176-183
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    • 2019
  • The environmental changes in the Korean cosmetic medical service industry in the $21^{st}$ century are forming intense competition among medical institutions due to the quantitative expansion of its market. For stable growth of the cosmetic medical service industry, continuous quality improvement is necessary based on empirical research on the quality of cosmetic medical services rather than external expansion. The purpose of this study is to classify the quality attributes of cosmetic medical service using Kano model and to derive the degree of satisfaction and dissatisfaction of each quality attributes through Customer Satisfaction Coefficient (CSC). Through this, the study identified strategic priorities and suggested specific step-by-step approaches and quality improvement priorities that can increase customer satisfaction using the Potential Customer Satisfaction Improvement Index (PCSI Index). Based on SERVPERF, this study used measurement tools consisting of five dimensions : tangibles, reliability, responsiveness, assurance, and empathy. In addition, it was used of measurement items reconstructed into positive, negative, and satisfaction questions for Kano model analysis, CSC analysis, and PCSI Index analysis. A total of 300 medical consumers who experienced cosmetic medical services for the past one year in medical institutions such as plastic surgery and dermatology were collected with convenient sampling. As a result, urgent items for improving the quality of service using the PCSI Index, 'Consideration for customer benefits' in empathy category was followed by 'Immediate help' and 'Sincere response' in responsiveness category, and 'Understanding customer needs' in empathy category, respectively. That is, it is required to improve human service quality attributes such as empathy and responsiveness rather than physical service quality attributes. This study contributes practically in that it provides specific and discriminatory approaches to improve customer satisfaction on cosmetic medical service quality and suggests improvement priorities.

An Enzymolysis-Assisted Agrobacterium tumefaciens-Mediated Transformation Method for the Yeast-Like Cells of Tremella fuciformis

  • Wang, Yuanyuan;Xu, Danyun;Sun, Xueyan;Zheng, Lisheng;Chen, Liguo;Ma, Aimin
    • Mycobiology
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    • v.47 no.1
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    • pp.59-65
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    • 2019
  • Agrobacterium tumefaciens-mediated transformation (ATMT), as a simple and versatile method, achieves successful transformation in the yeast-like cells (YLCs) of Tremella fuciformis with lower efficiency. Establishment of a more efficient transformation system of YLCs is important for functional genomics research and biotechnological application. In this study, an enzymolysis-assisted ATMT method was developed. The degradation degree of YLCs depends on the concentration and digestion time of Lywallzyme. Lower concentration (${\leq}0.1%$) of Lywallzyme was capable of formation of limited wounds on the surface of YLCs and has less influence on their growth. In addition, there is no significant difference of YLCs growth among groups treated with 0.1% Lywallzyme for different time. The binary vector pGEH under the control of T. fuciformis glyceraldehyde-3-phosphate dehydrogenase gene (gpd) promoter was utilized to transform the enzymolytic wounded YLCs with different concentrations and digestion time. The results of PCR, Southern blot, quantitative real-time PCR (qRT-PCR) and fluorescence microscopy revealed that the T-DNA was integrated into the YLCs genome, suggesting an efficient enzymolysis-assisted ATMT method of YLCs was established. The highest transformation frequency reached 1200 transformants per $10^6$ YLCs by 0.05% (w/v) Lywallzyme digestion for 15 min, and the transformants were genetically stable. Compared with the mechanical wounding methods, enzymolytic wounding is thought to be a tender, safer and more effective method.

Relationship between Verbal Abuse Experience, Emotional Labor and Health-Promoting Behavior of Nurses in Small and Medium-Sized Hospitals (중소병원 간호사의 언어폭력 경험, 감정노동 및 건강증진행위와의 관계)

  • Cho, Jin-Young
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.211-219
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    • 2021
  • The purpose of this study is to investigate the level of verbal abuse experiences, emotional labor, and health-promoting behaviors of nurses in small and medium hospitals and to identify the relationship between them. Participants were 138 nurses from 2 small-medium sized hospitals. Collected data were analyzed using t-test, ANOVA, and Pearson's correlation coefficients with the SPSS 20.0 for Windows Program. As a result of the study, 82.7% of them experienced verbal abuse, and there were differences in the degree of health- promoting behavior according to gender (p=.032) and department (p=.009). Besides, it was found that emotional labor was related to health-promoting behavior (p=.039), and spiritual growth (p=<.01), and stress management (p=.028) as sub-factors. Accordingly, this study will be used as basic data for developing strategies and customized programs to reduce emotional labor, increase health-promoting activities, and contribute to the stable securing of nursing personnel.

A Study on the Performance of Early Adaptation Support Program for People with Mental Illness Living in Independent Housing : Focused on Comparing Housing Types (독립주거 정신장애인의 초기적응지원 프로그램 성과 연구 : 주거형태별 비교를 중심으로)

  • Choi, Hee-Chul;Bae, Eun-Mi
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.91-101
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    • 2021
  • The purpose of this study is to understand the performance of the initial adaptation support program for people with mental illness living in independent housing. The group of people with mental illness living in independent housing from T mental rehabilitation facilities in Seoul were assigned to the experimental group, and the other group of people with mental illness in living facilities and group home were assigned to the control group. After that, the degree of community performance between groups was compared with pre-post tests. As a result of the study, the pre-post analysis of the total social support of the experimental group showed significant differences. Also, the results were statistically insignificant in all of the control groups, so the initial adaptation support program was found effective in improving the total social support of the independent housing group. Based on the results of this study, the direction of housing support and establishment of a performance system for housing services for stable settlement of discharged people with mental illness into the community was suggested.

Analysis of Electrochemical Corrosion Resistance of Inconel 625 Thermal Spray Coated Fin Tube of Economizer (Inconel 625 용사코팅된 절탄기 핀튜브의 전기화학적 내식성 분석)

  • Park, Il-Cho;Han, Min-Su
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.27 no.1
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    • pp.187-192
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    • 2021
  • In this study, Inconel 625 was used as a thermal spray material to prevent dew point corrosion damage to the economizer tube, and sealing treatment was performed after applying the arc thermal spray coating technology. Various electrochemical experiments were conducted in the 0.5 wt% sulfuric acid solution to analyze the corrosion resistance of the thermal spray coating (TSC) layer. After the anodic polarization experiment, the degree of corrosion damage was determined through a scanning electron microscope and EDS component analysis. When measuring the open circuit potential, the effect of the sealing treatment was confirmed through stable potential formation of the TSC+sealing treatment (TSC+Sealing). As a result of the anodic polarization experiment, the passivation region was confirmed in TSC and TSC+Sealing, and corrosion resistance was improved as no corrosion damage was observed. In addition, the corrosion resistance of TSC+Sealing was the best when analyzing the corrosion potential and corrosion current density calculated by Tafel analysis.

The Role of Franchising on the Restaurant Firms' Performance during COVID-19 (코로나-19 팬데믹 상황에서 외식기업의 경영성과와 프랜차이즈의 역할)

  • SUN, Kyung-A;KIM, Seung-Hyun
    • The Korean Journal of Franchise Management
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    • v.13 no.4
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    • pp.39-48
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    • 2022
  • Purpose: COVID-19 has negatively influenced the financial performance of restaurant firms. Previous literature suggests that the franchising strategy effectively helps restaurant firms recover from difficult business conditions through various methods for expanding business size and enhancing business efficiency. According to risk-sharing theory, restaurant franchisors may minimize operational risks by sharing the risks with their franchisees. For instance, restaurant franchisors could generate more stable cash flow using franchise fees from their franchisees. However, research on the effect of franchise's risk reduction factor on business performance during pandemic is scarce. Thus, this study aims to examine the positive moderating effect of franchising between COVID-19 and restaurants' financial performance. Research design, data, and methodology: Panel data including financial information and franchising status of restaurant firms were collected for analysis. In order to control for unobserved firm-specific factors, generalized least squared estimation in fixed effects model was conducted. Huber-White robust standard errors were used to deal with heteroscedasticity issues. Results: It was found that COVID-19 pandemic has a negative effect on the restaurants' financial performance such as ROA (return on assets), ROE (return on equity), and PM (profit margins), which confirms the findings from existing literature. More importantly, results show that the degree of franchising has a positive moderating effect on the relationship between COVID-19 and financial performance of restaurant firms. This suggests that more active engagement in franchising may decrease negative impacts of COVID-19 on the restaurants' financial performance. Conclusions: The study supports existing literature related to risk-sharing theory, by confirming that pandemics, such as COVID-19, negatively affect financial performance of the restaurants. Furthermore, it was found that franchising strategy can help lessen negative impacts of pandemics on the firm performance. These findings can contribute to the franchise and restaurant management literature by suggesting the role of franchising in reducing business risks, thereby positively affecting financial performance. Moreover, this study offers business managers of franchisors and franchisees insights for utilizing franchising in restaurant risk management. Policymakers may also gain information on aiding restaurant firms during global crisis, such as COVID-19.

Division of a single free flap in multiple digit reconstruction

  • Kim, Jin Soo;Song, Cheon Ho;Roh, Si Young;Koh, Sung Hoon;Lee, Dong Chul;Lee, Kyung Jin
    • Archives of Plastic Surgery
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    • v.49 no.1
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    • pp.61-69
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    • 2022
  • Background Single free flaps are a commonly used reconstructive method for multiple soft tissue defects in digits. We analyzed the flap size, division timing, and degree of necrosis in cases with various types of flap division. Methods We conducted a retrospective review of the medical charts of patients who had undergone single free flap reconstruction for multiple soft tissue defects across their digits from 2011 to 2020. The flap types included were the lateral arm free flap, venous forearm free flap, thenar free flap, hypothenar free flap, anterolateral thigh free flap, medial plantar free flap, and second toe pulp free flap. Flap size, anastomosed vessels, division timing, and occurrence of flap necrosis were retrospectively investigated and then analyzed using the t-test. Results In total, 75 patients were included in the analysis. The success rate of the free flaps was 97.3%. All flaps were successfully divided after at least 17 days, with a mean of 47.17 days (range, 17-243 days) for large flaps and 42.81 days (range, 20-130 days) for the medium and small flaps (P=0.596). The mean area of flap necrosis was 2.38% in the large flaps and 2.58% in the medium and small flaps (P=0.935). Severe necrosis of the divided flap developed in two patients who had undergone flap division at week 6 and week 34. Conclusions In cases where blood flow to the flap has been stable for more than 3 weeks, flap division can be safely attempted regardless of the flap size.

Direct Decomposition of Nitrous Oxide over Fe-beta Zeolite (Fe-베타제올라이트 상에서 아산화질소의 직접분해반응)

  • Park, Jung-Hyun;Jeon, Seong-Hee;Khoa, Nguyen Van;Shin, Chae-Ho
    • Clean Technology
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    • v.15 no.2
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    • pp.122-129
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    • 2009
  • The effect of calcination temperature or hydrothermal treatment of commercial Fe-beta zeolites in the range of $450{\sim}900^{\circ}C$ were examined in the direct decomposition of $N_2O$. Fe-beta zeolites used were characterized using XRD, $N_2$ sorption, $^{27}Al$ MAS NMR and XPS. Although the surface area and micropore volume of Fe-beta zeolite after calcination at $900^{\circ}C$ and hydrothermal treatment at $750^{\circ}C$ decreased ca. 30%, a larger decrease in the surface area and micropore volume by hydrothermal treatment was observed than by calcination treatment alone. However, the Al sites in frameworks of zeolite were conserved in stable tetrahedral form resulting from low degree of dealumination which was related to the adjacent Fe ions on the Al sites. This could likely be correlated with the conservation of high surface area and micropore volume of Fe-beta zeolites. The increase in the calcination or hydrothermal treatment temperature caused the increase of decomposition temperature of $N_2O$ and the severe deactivation was observed after hydrothermal treatment than calcination treatment.

Hydrolysis of Triglyceride in Two Phase System Using Immobilized Lipase (이상계내에서 고정화리파제에 의한 트리글리세리드의 가수분해)

  • Kwon, Dae Y.;Kim, Kee H.;Rhee, Joon S.
    • Microbiology and Biotechnology Letters
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    • v.15 no.2
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    • pp.122-128
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    • 1987
  • Lipases from Candida rogosa and Rhizopus arrhizus were immobilized by entrapment with photo-crosslinkable resin prepolymer for the study of fat splitting and interesterification in isooctane-two phase system. Dioctylsulfosuccinate was selected as the most suitable surfactant during the immobilization. Lipase entrapped with hydrophobic photo-crosslinkable resin prepolymer(ENTP-3000) exhibited the highest activity, whereas lipase entrapped with hydrophilic gel(ENT-4000) was more stable in organic solvent. As the degree of hydrophobicity of the immobilization matrix was increased, Vm(app) of the lipase entrapped was increased, but Km(app) was approximately constant. While the optimum pH of the lipases entrapped on hydrophilic gel (ENT-4000) were around pH 7.0 for Candida lipase and Rhizopus lipase, the reaction rate of the lipases entrapped on hydrophobic gel were less dependent on pH variations for short reaction time. However, for longer reaction time, the lipnses from C. rugosa and R. arrhizus entrapped on hydrophobic gel yielded maximum rate at pH 6.0 and 6.5, respectively, Entrapment method endowed the lipase with thermal stability.

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