• Title/Summary/Keyword: 합의문

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Finite element analysis of the artery and PTFE end-to-side anastomosis with $45^{\circ}$ anastomotic angle. ($45^{\circ}$ 문합각을 가진 동맥과 PTFE 단측 문합의 유한요소해석.)

  • Han, Geun-Jo;Kim, Hyung-Tae;Shin, Jung-Woog;Kim, Young-Ho
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.05
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    • pp.104-108
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    • 1995
  • Von Mises stress and compliance distribution was evaluated using a finite element analysis on the anastomosis of an artery with length of 20mm, inner diameter of 4mm, thickness of 0.5mm and a PTFE graft with length of 5.7mm, Inner diameter of 2mm. thickness of 0.2mm. When anastomotic angle was taken as $45^{\circ}$ and inner pressure of $1330\;dyne/mm^2$ was applied inside the 2 conduits. From the analysis results were obtained as follows. (1)Artery diameter increased in both horizontal x and vertical y directions and the magnitude of that in x direction was bigger than in y direction. (2) The compliance was maximum on the anastomosis. especially on that with acute angle. This reduced approaching to the right or left end. (3) The equivalent stress was maximum on top in the y direction and winimum on the nodes around $110^{\circ}$ in circumferential direction from the top. (4) The equivalent stress was maximum in the vicinity of anastomosis with acute angle along the longitudinal direction of the artery. This trend was also observed along the PTFE graft.

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Policy Decision and its Impact on German Nuclear Phase-Out (독일의 탈원전 정책결정과 영향)

  • Yun, Sung Won;Ryu, Jae Soo;Kim, Yeun Jong
    • Proceedings of the Korea Technology Innovation Society Conference
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    • 2017.11a
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    • pp.1473-1487
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    • 2017
  • 2017년 6월 19일 고리 원전 1호기 영구정지 기념식에서 문재인 대통령의 '탈원전' 선언을 계기로, 국내에서는 후쿠시마 원전 사고 이후 탈원전으로 복귀한 독일의 사례에 대한 관심이 고조되었다. 독일은 1986년 체르노빌 원전 사고 이후 탈원전에 대한 논의가 본격적으로 이루지면서 집권 정부의 성향과 사회 경제적 요인에 따라 "2000년 탈원전 선언 ${\rightarrow}$ 2010년 탈원전 보류 ${\rightarrow}$ 2011년 탈원전 복귀"의 결정 과정을 거쳤다. 이러한 정책 변화의 배경에는 간헐성의 재생에너지를 뒷받침(back-up)할 수 있는 자국의 풍부한 갈탄 매장량, 지리적으로 주변국과 연결된 전력망을 통해 전력을 상시 주고받을 수 있는 전력 수급 환경, 탈원전에 대한 정부 국민 산업계의 40여년에 걸친 합의형성 등 '독일 자국의 실정을 반영한 정책적 판단'이 자리하고 있다. 그럼에도 불구하고, 2011년 후쿠시마 원전 사고 직후 독일의 즉각적인 탈원전 복귀는 화석연료 사용의 증가로 인한 온실가스 배출량 증가, 재생에너지 보조금 증가 및 송전망 확대로 인한 전기요금 상승, 간헐성의 재생에너지로 인한 불안정한 전력 수급, 과잉 생산된 전력의 수출로 인한 주변국 전력계통 혼란 등의 문제를 초래하고 있다. 이에 본고에서는 독일의 탈원전 정책이 '어떤 정책결정 과정을 거쳤으며, 현실적으로 어떤 문제에 직면해 있는지'를 살펴보고 우리나라의 에너지 수급 현실을 반영한 정책적 시사점을 도출하고자 한다.

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Documents to Produce for the Recognition and Enforcement of Arbitral Awards (중재판정의 승인.집행을 위하여 제출할 서류)

  • Lee, Ho-Won
    • Journal of Arbitration Studies
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    • v.23 no.2
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    • pp.141-164
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    • 2013
  • The current Korean Arbitration Act (KAA) ${\S}37(2)$ requires that a formal copy of an arbitral award or a duly certified copy thereof and the original arbitration agreement or a duly certified copy thereof be produced for the recognition and enforcement of a arbitral award. But as the KAA provides that the recognition and enforcement of a foreign arbitral award to which the New York Convention applies shall be granted in accordance with the Convention, the duly authenticated original award should be produced instead of a formal copy in that case. The provision on the documents to produce for the recognition and enforcement of an arbitral award is set to establish a reasonable and transparent standard and to facilitate the recognition and enforcement of awards by prohibiting parochial refusal of the recognition and enforcement on the grounds of formalities. Therefore it is necessary to simplify those documents according to the internationally acknowledged standard. It would be desirable to amend KAA ${\S}37(2)$ to require only "the original arbitral award or a copy thereof" without authentication or certification and a translation into Korean without any condition, adopting the 2006 amendment to the UNCITRAL Model Law on International Commercial Arbitration.

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집단적 과제 수행에서 구성원들의 상호작용 기능과 요소에 따른 역할 분배 양상

  • Jeong, Won-Yeong;Sin, Hyeon-Jeong;Lee, Go-Eun;Cha, Hyeon-Jeong;Kim, Chan-Jong
    • 한국지구과학회:학술대회논문집
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    • 2010.04a
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    • pp.25-25
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    • 2010
  • 본 연구는 에너지와 물질 순환을 주제로 한 대학생들의 집단적 과제 수행 상황에서 구성원들의 상호작용 기능과 요소에 따른 역할 분배의 양상을 밝히고자 하였다. 집단 내 구성원에게 개별적인 역할이 주어져 있지 않은 상태에서 과제가 부여되었을 때, 집단 내에서 자연스럽게 형성되는 역할의 종류를 상호작용 기능과 양상에 따라 유형화해보았다. 연구 참여자는 9명의 환경 교육 전공 대학생으로, 2008년 11월에 열린 한중일 환경교육 캠프에 참여한 한국 학생들이다. 캠프 활동 중 하나로 충남 홍성 문당리 환경농업마을의 에너지와 물질 순환에 대해 토의하고 그 결과를 그림으로 표현하여 발표하는 활동이 있었는데, 본 연구에서는 발표를 위해 준비하는 과정을 연구 맥락으로 하였다. 그리고 약 2시간에 걸친 과제 수행 과정을 촬영 후 전사하여 연구 자료로 삼았다. 관련 선행 연구 고찰과 연구 자료에의 적용 및 수정을 통해 상호작용 기능과 요소를 코딩하기 위한 분석틀을 마련하였으며, 문제가 제기되고 그 문제에 대한 합의가 이루어지는 대화를 분석의 단위로 정하였다. 대화 단위별로 구성원 간 말차례가 오고간 모습을 화살표로 도식화하여 대화 패턴을 분류하였으며, 대화를 말차례별로 상호작용 기능과 요소에 따라 코딩화하였다. 화살표로 도식화된 대화 패턴과 상호작용 코딩 결과에 따라 집단 내에서 자발적으로 형성되는 구성원의 역할을 분류하고 명명하였다. 이렇게 집단적 과제 수행 상황에서 학생들에 의해 자생되는 역할을 상호작용의 관점에서 유형화해봄으로써 협동 학습이나 토의 활동 등 집단적 상호작용을 통한 과제 수행에 있어서 학생이나 교사의 역할에 대해 시사점을 줄 수 있을 것이다.

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Resection and End-to-End Anastomosis in Pediatric Tracheal Stenosis (소아 환자에서의 단단문합술에 의한 기관협착 치험 9 례)

  • 김광현;성명훈;이재서;신진성;최승호
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.81-81
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    • 1993
  • Tracheal stenosis in children are often the result of prolonged intubation and its treatment depends on the severity and extent of the involved segment. Repeated surgical endoscopic procedures may be indicated in those with mild stenoses mainly consisting of granulation tissues, However, surgical reconstruction of the airway should be performed in patients with severe, extensive stenoses composed of mature scar tissue. The senior author has successfully managed such patients with cartilage graft augmentation and tracheal resection anastomosis. This is a presentation of 9 pediatric patients with tracheal stenosis who have been successfully treated by resection anastomosis. The details of the cases and indications for this type of surgery are discussed.

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Comparison of Tracheal Anastomosis by Interrupted and Continuous Technique of Absorbable polydioxanone (PDS) Suture Material in Rabbit (가토에서 흡수성 PDS 봉합사의 단속봉합술식과 연속봉합술식에 따른 기관문합의 비교)

  • 이석열;양성린;이길노
    • Korean Journal of Bronchoesophagology
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    • v.7 no.1
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    • pp.9-13
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    • 2001
  • Background: Tracheal resection and end-to-end anastomosis are the preferred treatment for tracheal tumor or tracheal stenosis. Absorbable suture material has been commonly used in case of tracheal anastomosis. But anastomosis technique is controversial. This experimental study compared between interrupted suture and continuous suture using Polydioxanone (PDS) absorbable suture material after tracheal resection and end-to-end anastomosis in rabbits. Methods : Twenty-four rabbits were used, divided into two groups of 12 animals each. The trachea was resected and then anastomosed with continuous 6-0 polydioxanone (PDS) (group 1), and intermittent 6-0 polydioxanone (PDS) (group 2). The animals were followed up for 6 months. Stenosis of the trachea was assessed at the time of death. Results : In two groups, anteroposterior diameter, transverse diameter, cross sectional area, and perimeter were greater in group 2 than in group 1 but, not significantly different. In addition, histologic findings were not different in two groups. Conclusions : This study suggest that stenosis after tracheal resection and end-to-end anastomosis using absorbable polydioxanone (PDS) suture material be not significantly different in both groups.

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A Study of Anastomotic Stricture after EEA Stapled Esophagogastrostomy (EEA stapler를 이용한 식도-위 문합술 후 발생한 문합부 협착에 대한 연구)

  • 전도환;조성래;천수봉
    • Journal of Chest Surgery
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    • v.31 no.12
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    • pp.1217-1221
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    • 1998
  • Background: The advent of EEA stapler has lowered the leakage rate of esophagogastric anastomoses and thereby contributed to a decrease in the operative mortality of the easophageal resection. Recent surgical reports, however, have documented 10% to 20% prevalence of benign anastomotic stricture formation after the use of EEA stapler to construct an esophagogastric anastomosis. We analyzed the cases of anastomotic strictures to reduce the incidence of anastomotic strictures with EEA stapled esophagogastrostomy. Material and Method: EEA stapled esophagogastrostomy was performed in 195 parients during the period of over 11 years from Jan. 1986 to Dec. 1996 in Kosin Medical Center. Ten patients of them died in the early postoperative days. In the remaining 185 patients, we studied the incidence and the onset time of anastomotic strictures, relationship between the patients' ages, the anastomotic sites, and the size of the cartridges with incidence of anastomotic stricture. We also studied the method of treatment and its effect in the anastomotic strictures. Result: Benign anastomotic strictures occurred in 39 cases among 185 patients(21%), 25 cases(64.1%) of the 39 cases developed in one to three months postoperatively. The patients' ages and the anastomotic sites did not effect with the incidence of anastomotic stricture, but high incidence of anastomotic stricture in EEA stapled esophagogastrostomy(p=0.04)was observed in small cartridge sizes. One or two balloon dilatation(89%) relieved the anastomotic strictures. Conclusion: We conclude that a larger size cartridge is recommended in EEA stapled esophagogastrostomy to reduce the incidence of anastomotic stricture if possible, and one or two balloon dilatation would seem to be a safe and reliable method in treating anastomotic stricture when the anastomotic stricture was occurrs.

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Typology Study on and Attendant Assistant Image of ODA(Official Development Assistance) Experts (공적개발원조(ODA) 전문가의 이미지에 관한 Q유형 분석)

  • Jeong, Baek;Kim, Kyoung-Won
    • Management & Information Systems Review
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    • v.35 no.1
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    • pp.117-141
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    • 2016
  • This Research Paper was based on practical method to examine a subjectivity of ODA experts' images. It was used Q-methodology to solve the research problems. I found 4 types of images out throughout the process totally. The perception patterns came out in the research were divided into 4 types in Q-methodology. The results is following ; Those are separated 4 types like Type 1(called operationally individual type), Type 2(arbitrary type), Type 3(mellow type), Type 4(onlooking type). These types consist of each elements to evaluate ODA experts from the people minds. Therefore, This study give us one way to take an assessment of ODA projects. The results reveal that korean ODA policy more has to depend on the scientific evaluation of the person participated in each projects. And the findings demonstrate good questions in comparing with trends of ODA distributors of international development cooperation such as OECD/DAC.

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A Study of Establishing the Plan of Lodging for the Workers of Gaesung Industrial Complex (개성공단 근로자 기숙사 건립 계획 연구)

  • Choi, Sang-Hee;Kim, Doo-Hwan;Kim, Sang-Yeon;Choi, Eun-Hee
    • Land and Housing Review
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    • v.6 no.2
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    • pp.67-77
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    • 2015
  • Now that it is the current situation that the smooth supply and demand are necessary for 2nd phase of beginning construction and stable development of Gaesung Industrial Complex, this study was willing to offer the planning criteria and model to establish the lodging for the workers in Gaesung Industrial Complex based on the agreement that both South and North Korea agreed in 2007. Regarding the plan, its standard and the alternative were reviewed considering welfare of workers, economic efficiency, technical validity, possibility of agreement and long-term development. The exclusive area per capita was calculated through Labor Standards Act of Korea and status survey of lodging for the workers provided to border line area between China and North Korea and the economic alternative based on one room for 6 persons with the public restroom was compared with that of development type based on one room for 4 persons with indoor restroom. Especially regarding the proposed site, the area with the optimized position was set by considering gradient, accessibility and convenience of development out of the area of Dongchang-ri where was agreed already and the priority of the proposed site that can keep the existing building site and provide was offered. The necessary period for whole construction was set as approximately 36 months. Regarding construction method, RC Rahmen method was selected as the optimized alternative considering the workmanship of manpower of North Korea and conditions of supply and demand of materials and cluster-type vehicle allocation plan based on 4~6 units considering the efficiency of supplying service facilities and convenient facilities along the simultaneous accommodation of 15,000 people was offered. It was analyzed that total business expenses of approximately 80~100 billion Korean Won would required though there were the difference for each alternative in the charged rental way that the development business owner develops by lending the inter-Korea Cooperation Fund and withdraws the rent by the benefit principle. The possibility of withdrawing the rent was analyzed assuming that the period of withdrawing the investment is 30 years. Especially for the operation management after moving, the establishment of the committee of operating the lodging for the workers of Gaesung Industrial Complex (tentative name) was offered with the dualized governance that the constructor takes charge of operational management, collecting fees and management of infrastructure and human resource management is delegated to North Korea.

Suggested Protocol for Efficient Medical Image Information Exchange in Korea: Breast MRI (효율적 의료영상정보교류를 위한 프로토콜 제안: 유방자기공명영상)

  • Park, Ji Hee;Choi, Seon-Hyeong;Kim, Sungjun;Yong, Hwan Seok;Woo, Hyunsik;Jin, Kwang Nam;Jeong, Woo Kyoung;Shin, Na-Young;Choi, Moon Hyung;Jung, Seung Eun
    • Journal of the Korean Society of Radiology
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    • v.79 no.5
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    • pp.254-258
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    • 2018
  • Purpose: Establishment of an appropriate protocol for breast magnetic resonance imaging (MRI) in the study of image quality standards to enhance the effectiveness of medical image information exchange, which is part of the construction and activation of clinical information exchange for healthcare informatization. Materials and Methods: The recommended protocols of breast and MRI scans were reviewed and the questionnaire was prepared by a responsible researcher. Then, a panel of 9 breast dedicated radiologists was set up in Korea. The expert panel conducted a total of three Delphi agreements to draw up a consensus on the breast MRI protocol. Results: The agreed breast MRI recommendation protocol is a 1.5 Tesla or higher device that acquires images with prone position using a breast dedicated coil and includes T2-weighted and pre-contrast T1-weighted images. Contrast enhancement images are acquired at least two times, and include 60-120 seconds between images and after 4 minutes. The contrast enhancement T1-weighted image should be less than 3 mm in thickness, less than 120 seconds in temporal resolution, and less than $1.5mm^2$ in-plane pixel resolution. Conclusion: The Delphi agreement of the domestic breast imaging specialist group has established the recommendation protocol of the effective breast MRI.