• Title/Summary/Keyword: 추세식

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Comparative Analysis of Laparoscopy-assisted Gastrectomy versus Open Gastrectomy (복강경 보조 위절제술과 개복 위절제술의 비교 분석)

  • Lim, Jung Taek;Kim, Byung Sik;Jeong, Oh;Kim, Ji Hoon;Yook, Jeong Hwan;Oh, Sung Tae;Park, Kun Choon
    • Journal of Gastric Cancer
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    • v.7 no.1
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    • pp.1-8
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    • 2007
  • Purpose: There has been increased the number of early gastric cancer and laparoscopy-assisted gastrectomy (LAG), due to early detection through mass screening program. We started the LAG in April 2004 and performed 119 cases of gastric cancer in 2005, so we report a surgical outcome compared with that of open gastrectomy (OG). Materials and Methods: 119 patients underwent LAG in 2005, and for open group, 126 patiens of early gastric cancer were selected sequentially from January 2005 to March 2005. We compared clinicopathologic characteristics, postoperative courses and complications between two groups. Results: There was no significant difference between age, a length of hospital stay, distal resection margin and a number of retrived lymph nodes. The operation time was longer in LAG group (239.2 vs 123.3 mins, P<0.001) and a diet progression was faster in LAG group (first flatus: 3.05 vs 3.70 days, SOW: 2.86 vs 3.22 days, liquid diet: 3.87 vs 4.19 days, soft diet: 4.84 vs 5.26 days, P<0.001). But there was no difference statistically in postoperative discharge date (7.73 vs 8.25 days, P=0.229). The additional requirement of analgesic injection was less frequent in LAG group (2.97 vs 4.92 times, P<0.001). The harvested lymph nodes were similar in both groups (23.9 vs 23.1, P=0.563). A complication rate was lower in LAG group (4.9% vs 9.5%), but there was no statistical significance (P=0.179). There was no mortality in both groups and no conversion to open gastrectomy in the LAG group. Conclusion: LAG can be performed safely and accepted in view of curative procedure in treatment of early gastric cancer. But we need the follow up of long-term period to evaluate the survival rate and recurrence, and a prospective randomized controlled study should be done to establish that LAG will be a standard operation for early gastric cancer.

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Association of Lifestyle with Blood Pressure (생활양식과 혈압의 관련성)

  • Joo, Ree;Chung, Jong-Hak
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.3 s.58
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    • pp.497-507
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    • 1997
  • This study was conducted to evaluate the association of various lifestyle with blood pressure. The data were obtained from the individuals who got routine health examination in Department of Occupational Medicine, Yeungnam University Hospital from June to September, 1996. Among these people, we selected 130 cases of hypertensives (97 males, 33 females) and 150 normotensives(70 males, 80 females) and study was conducted. The authors collected the information of the risk factors related to hypertension such as age, family history of hypertension, fasting blood sugar, serum total cholesterol, alcohol consumption(g/week), smoking history, relative amount of salt intake (low, moderate, high), the frequency' of weekly meat consumption, BMI, daily coffee consumption(cups/day) and the frequency of regular exercise(frequency/week) through questionnaire and laboratory test. By simple analysis, BMI was significantly associated with hypertension in male(p<0.05), and the frequency of weekly meat consumption was significantly associated with hypertension in female(p<0.05). Using logistic regression model, elevated odds ratio was noted for fasting blood sugar, serum total cholesterol, family history of hypertension, alcohol consumption, salt intake and BMI, and reduced odds ratio was noted for coffee consumption and exercise in male but fasting blood sugar(odds ratio=1.022, 95% CI=1.000-1.044), family history in both of parents(odds ratio=3.301, 95% CI=1.864-4.738), salt intake(odds ratio=1.690, 95% CI=1.082-2.298) and BMI(odds ratio=1.204, 95% CI=1.065-1.343) were statistically significant(p<0.05). In female, elevated odds ratio was noted in serum total choles terol, family history of hypertension, BMI and meat consumption. Of all these variables, the family history of hypertension in either of parents(odds ratio=4.981, 95% CI=3.650-6.312), family history in both of parents(odds ratio=16.864, 95% CI=14.577-19.151), BMI(odds ratio=1.167, 95% CI=1.016-1.318) and meat consumption(odds ratio=2.045, 95% CI=1.133-2.963) showed statistically significant association with hypertension in female(p<0.05).

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A Study on Time Charter Party For Offshore Service Vessels 2005 - Focusing the Dispute Resolution Clause - (2005년 해양플랜트 지원선박용 정기용선계약서에 관한 소고 - 분쟁해결약관을 중심으로 -)

  • Lee, Chang-Hee;Kim, Jin-Kwon
    • Journal of Navigation and Port Research
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    • v.38 no.1
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    • pp.81-87
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    • 2014
  • Today, it is a trend that the demand of offshore plants is constantly growing, along with the advances in technology which are thoroughly needed to the rise of international oil price as well as offshore energy development. In addition, The main sectors of ship building, sale & purchase and chartering market regarding various kind of offshore supporting vessels that supports the business of offshore energy development is now maintaining its steady growth. However, in domestic case, the contract of time charter occasions regarding the offshore support vessel are almost non-existing situation. Thus, the relevant practical study regarding to implementation of various kinds of legal disputes and applicable laws that can be properly applied in time charter and the field of sale & purchase needs to be conducted actively. Therefore, the concept of this study has included the wide comparisons of other special provisions with the existing time-charter by making its base on "Supply Time 2005" which is the worldwide standard form of time charter in offshore support vessel market and its investigation, aiming to provide practical guidance and procedure for implementation of arbitration and applicable law issues which can be applied in legal disputes between parties.

Age and Growth of Juvenile Limanda yokohamae in the Shallow Water off Gaduk-do as Indicated from Microstructure in Otoliths (이석의 미세구조를 이용한 가덕도 천해역 문치가자미(Limanda yokohamae) 유어의 연령과 성장)

  • Moon, Hyung-Tae;Lee, Tae-Won
    • Korean Journal of Ichthyology
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    • v.11 no.1
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    • pp.46-51
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    • 1999
  • Age, hatching date and growth in length of juvenile Limanda yokohamae were determined by analysis of microstructure in otoliths. Monthly samples were collected by a beach seine in the shallow water off Gaduk-do from January to December, 1998. The juveniles were collected between February and April. Mean total length was $22.6{\pm}1.77\;mm$ ($\pm$SD) in February, $23.6{\pm}3.86\;mm$ in March, and $38.2{\pm}8.38\;mm$ in April. The core of otoliths ranged from 18 to $21\;{\mu}m$ in diameter and the growth increments were deposited concentrically from the hatching mark. The secondary growth layer began to appear at the 48 to 56-th increment. It indicates that L. yokohamae larvae may be completed the metamorphosis at this time of ca. 52 d after hatching, and moved into the shallow water for demersal stage. The hatching date calculated from the number of daily increments was between late November and early January, showing a peak in December. The total length (L, mm) was related to otolith radius (R, ${\mu}m$); L=0.055 R+5.81 ($r^2=0.88$). The growth in total length was represented by the Gompertz growth curve; $L_t=3.39e^{4.51(1-e^{-0.0067t})}$ ($r^2=0.81$). Daily growth rate was 0.35 mm/d at the age of 70 d and increased up to 0.55 mm/d at the age of 120 d.

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Applicability of Emergency Preemption Signal Control under UTIS (UTIS를 이용한 긴급차량 우선신호 제어방안)

  • Park, Soon-Yong;Kim, Dong-Nyong;Kim, Myung-Soo;Lee, Jung-Beom
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.11 no.5
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    • pp.27-37
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    • 2012
  • Even thought the firefighters have to hurry to the scene to extinguish the blaze, the fire engines could not rushed out due to the worst of traffic condition. Traffic signal control is one of the most important methods to minimize the fire engines's travel time. The focus of this paper is to develop a traffic control strategy, which is emergency vehicle preemption algorithm considering pedestrian in order to reduce travel time of emergency vehicle. This algorithm also includes recovering strategy after preemption signal to minimize the other vehicle's delay. In order to estimate the effectiveness of traffic control, traffic simulation was performed using VISSIM micro simulation tool for two different kinds of networks, which were non-coordinated corridor and coordinated corridor. The differences of travel time and average delay between emergency vehicle and ordinary vehicle were respectively estimated under pre-existed pretimed signal and preemption traffic control at two respective networks. The results of the simulation for the emergency vehicle, travel time was reduced to 36.8~43.3% under "Add or Subtract" method whereas it was reduced to 30.7~46.0% under "Dwell" method. In addition, in non-coordinated corridor case of ordinary vehicle, average control delay of "Dwell" method was increased 33.5% whereas it grew 0.5% under coordinated corridor. And "Add or Subtract" method was confirmed that average control delay of ordinary vehicle was increased 0.7% under non-coordinated corridor whereas it swelled 4.5% under coordinated corridor.

A Study on Operating Condition of Test-Bed Plant using Membrane filtration of D Water Treatment Plant in Gwang-Ju (D정수장 정밀여과막 실증플랜트의 최적 운전조건 연구)

  • Yang, Hyung-Jae;Yi, Seung-Hoon;Moon, Kyung-Ran
    • Journal of Korean Society of Environmental Engineers
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    • v.39 no.3
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    • pp.155-163
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    • 2017
  • Membrane filtration has become more popular in drinking water treatment recently, since the filtration can control not only particulate matters but also pathogenic microorganisms such as giardia and cryptosporidium very effectively. Pilot-scale ($120m^3/d$ of treatment capacity) and test-bed ($25,000m^3/d$ of treatment capacity) microfiltration experiments were conducted to find optimum operating mode and the critical flux. Optimum operating mode of pilot-test was assessed as inflow 1.0 min, filtration 36.5 min, air backwash 0.9 min, backwash 1.0 min and outflow 1.0 min with 50 LMH ($L/min{\cdot}m3^$) of critical flux. Critical Flux was calculated to be $50L/m^2-h$ (within TMP 0.5 bar) based on the increase formula of the transmembrane pressure difference according to the change of time at Flux 20, 40, 56 and 62 LMH in pilot operation. Chemical cleaning was first acid washed twice, and alkali washing was performed secondarily, and a recovery rate of 95% was obtained in the test-bed plant. The results of operating under these appropriate conditions are as follows. Turbidity of treated water were 0.028, 0.024, 0.026 and 0.028 NTU in spring, summer, autumn and winter time, respectively. Microfiltration has superior treatment capability and performance characteristics in removing suspended solids and colloidal materials, which are the main cause of turbidity and important carrier of metal elements, and it has shown great potential in being an economically substitute to traditional processes (sand filtration).

Analysis of Accident Characteristics and Improvement Strategies of Flash Signal-operated Intersection in Seoul (서울시 점멸신호 운영에 따른 교통사고 분석 및 개선방안에 관한 연구)

  • Kim, Seung-Jun;Park, Byung-Jung;Lee, Jin-Hak;Kim, Ok-Sun
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.13 no.6
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    • pp.54-63
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    • 2014
  • Traffic accident frequency and severity level in Korea are known to be very serious. Especially the number of pedestrian fatalities was much worse and 1.6 time higher than the OECD average. According to the National Police Agency, the flash signals are reported to have many safety benefits as well as travel time reduction, which is opposed to the foreign studies. With this background of expanding the flash signal, this research aims to investigate the overall impact of the flash signal operation on safety, investigating and comparing the accident occurrence on the flash signal and the full signal intersections. For doing this accident prediction models for both flash and full signal intersections were estimated using independent variables (geometric features and traffic volume) and 3-year (2011-2013) accident data collected in Seoul. Considering the rare and random nature of accident occurrence and overdispersion (variance > mean) of the data, the negative binomial regression model was applied. As a result, installing wider crosswalk and increasing the number of pedestrian push buttons seemed to increase the safety of the flash signal intersections. In addition, the result showed that the average accident occurrence at the flash signal intersections was higher than at the full signal-operated intersections, 9% higher with everything else the same.

Studies on Development of Functional Herbal Food Based on Yaksun - Focusing on the Relevant Chinese Literature - (약선(약선)을 이용한 건강 기능식 개발에 관한 연구 - 중국 문헌을 중심으로 -)

  • 박건태;김도완
    • Culinary science and hospitality research
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    • v.9 no.4
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    • pp.191-202
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    • 2003
  • A growing interest in health has been leading to more interest in function of food rather than its taste and nutrition. Usually we think chemical-free or oriental food to be good for health. Yaksun is a food with herbal stuff, which reflects our desire for health and longevity and China's splendid food culture. It is based on the traditional medical thought of the Orient that both medicine and food have the same origin. Yaksun is a traditional functional or nourishing food with both nutritive and medicinal elements, which therefore provides such effects as epicurean pleasure, prevention of diseases and improvement of health. It is recorded that in China there was a dietitian in the royal court from the period of Seoju(B.C. 11∼7), who was responsible for supervising and controlling the health, nutrition and disease of an emperor. Therefore, herbal food has a very long history. Currently, there are many Yaksun stores in Japan and Taiwan as well as China, which are one of popular tourist destinations. Basically Yaksun follows the theory of the Oriental medicine. Yaksun is categorized into four(cold, cool, hot and warm) according to its temperature and into five basic tastes(bitter, sweet, pungent, salty and sour). Yaksun has the functions such as preventing diseases and aging improving internal organs, and healing diseases. In China many colleges of medicine have a department of Yaksun studies through which systematic researches have been being made since a long time ago. For Korea, the discipline of Yaksun studies is still at the beginning stage. To respond to a growing interest in health and prevent chronic adult diseases, it is required to develop a functional food by establishing a systematic theory of Yaksun and making more researches into it.

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Analysis of Wikipedia Citations in Peer-Reviewed Journal Articles (학술논문에서의 위키피디아 인용에 관한 연구)

  • Shim, Wonsik;Byun, Jeayeon;Kim, Minjung
    • Journal of the Korean Society for Library and Information Science
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    • v.47 no.2
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    • pp.247-264
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    • 2013
  • Wikipedia represents a revolutionary experiment in the sense that it allows anonymous Internet users to contribute, change, and edit Encyclopedia contents used by tens of millions of people. While a very popular information source on the Internet, because of its questionable information credibility and accuracy, citing Wikipedia articles is being regarded as a risky behavior for scholars. The present study identified 282 scholarly articles from Thomson Reuters' Web of Science citation database that cite Wikipedia at least once. Out of the millions of articles indexed in Web of Science, the proportion of articles citing Wikipedia is extremely small. On the other hand, the numbers are showing a marked increase since 2011. Wikipedia citing articles are distributed in subject areas, such as library and information science, business, psychology, education, and communication more often than in other areas. The distribution of a total of 577 citations from 267 articles for which we were able to obtain full texts shows that Wikipedia is being cited mainly in studies of Wikipedia (139 citations, 24.1%) or as a ready reference source (331 citations, 57.4%). At the same time, about 15% of total citations turned out to be cases of potentially risky behaviors in which Wikipedia is being cited as a crucial basis or data source for study.

Transformation of Endocrine Disrupting Chemicals (EDCs) by Manganese(IV) Oxide (망간산화물을 이용한 내분비계장애물질의 변환에 관한 연구)

  • Lee, Seung-Hwan;Choi, Yong-Ju;Chung, Jae-Shik;Nam, Taek-Woo;Kim, Young-Jin;Nam, Kyoung-Phile
    • Journal of Soil and Groundwater Environment
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    • v.14 no.1
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    • pp.44-50
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    • 2009
  • The occurrence of endocrine disrupting compounds (EDCs), chemicals that interfere with human hormone system, are increasing in the freshwater, waste water and subsurface as well. In this study, we determined the reactivity of three EDCs in the presence of birnessite. In aqueous phase, bisphenol A, 2,4-dichlorophenol and 17${\beta}$-estradiol, which possesses phenoxy-OH, were very rapidly transformed by birnessite: up to 99% of initial concentrations (50 mg/L for bisphenol A, 100mg/L for 2,4-dichlorophenol, and 1.5mg/L for 17${\beta}$-estradiol) were destroyed within 60 minutes. Especially, bisphenol A was the most reactive chemical, disappearing by 99% in a few minutes. The reaction occurred on the surface of birnessite, showing a linear increase of first-order kinetic constants with the increase of the surface area of birnessite. In soil slurry phase, the reactivity of birnessiteto EDCs was faster than in aqueous phase probably due to the cross coupling reaction of phenoxy radicals with soil organic matter. Considering the rapid transformation of the EDCs in the both phases, this oxidative cross coupling reaction mediated by birnessite would be an effective solution for the remediation of EDCs in environmental media, especially in soil.