• Archives of Plastic Surgery
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• 제43권6호
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• pp.506-511
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• 2016

Background The indications for surgical airway management in patients with Robin sequence (RS) and severe airway obstruction have not been well defined. While certain patients with RS clearly require surgical airway intervention and other patients just as clearly can be managed with conservative measures alone, a significant proportion of patients with RS present with a more confusing and ambiguous clinical course. The purpose of this study was to describe the clinical features and objective findings of patients with RS whose airways were successfully managed without surgical intervention. Methods The authors retrospectively reviewed the medical charts of infants with RS evaluated for potential surgical airway management between 1994 and 2014. Patients who were successfully managed without surgical intervention were included. Patient demographics, nutritional and respiratory status, laboratory values, and polysomnography (PSG) findings were recorded. Results Thirty-two infants met the inclusion criteria. The average hospital stay was 16.8 days (range, 5-70 days). Oxygen desaturation (<70% by pulse oximetry) occurred in the majority of patients and was managed with temporary oxygen supplementation by nasal cannula (59%) or endotracheal intubation (31%). Seventy-five percent of patients required a temporary nasogastric tube for nutritional support, and a gastrostomy tube placed was placed in 9%. All patients continued to gain weight following the implementation of these conservative measures. PSG data (n=26) demonstrated mild to moderate obstruction, a mean apneahypopnea index (AHI) of $19.2{\pm}5.3events/hour$, and an oxygen saturation level <90% during only 4% of the total sleep time. Conclusions Nonsurgical airway management was successful in patients who demonstrated consistent weight gain and mild to moderate obstruction on PSG, with a mean AHI of <20 events/hour.

• Journal of Preventive Medicine and Public Health
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• 제11권1호
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• pp.41-48
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• 1978

To examine the result of the government Medical Aid Program which began in January, 1977 as a part of social security policy implementation, all the medical records of the clients and official statistics in the year were analysed. The specific objectives this study pursues include the magnitudes and patterns of morbidity and utilization, and the characteristics of clients. One Korean rural area, Koje county was selected as the study area and subsequently all the clinics and hospitals assigned to work out the Aid Program are the subjects for the survey. A brief summary of the sutdy results as follows: a. The clients of Koje county are 6.4% of the total population in the area, more than the average percentage of the clients in Korea. It reflects on low level of economic status of the residents of the area. b. The population structure of the clients indicates that the large proportions of young and old age group are overwhelming, while the middle age group share very small portions. c. The utilization rates for primary care are 2.0 persons, 11.6 visits and 22.6 treatment days per 100 persons per months. Annual hospitalization is rated as 13.7 cases and 164 days per 1,000 persons, The utilization rates are slightly lower than those expected rates during planning period but eventually become higher than those of general population in rural Korea. d. The factors which influence the utilization rates are identified with client group (low income vs indigent), age and sex. e. The utilization pattern for primary care demonstrates seasonal variation similar to the pattern of general rural population in the low income group, but none in the indigent group. f. The most common diseases revealed at the primary care clinics are the acute respiratory infection (26.9%), acute gastritis (10.8%), skin and subcutaneous infection (6.8%). The cases of acute conditions are outnumbered than the cases of chronic condition. 8. The clinics, hospitals and other related health institutions are well cooperated in dealing health care services in their own capacities. Considering the above results Medical Aid Program generated satisfactory results at least in the utilization aspect.

• 멤브레인
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• 제21권2호
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• pp.163-170
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• 2011

수처리 분리막 공정에서 막 오염 제어 기술은 현장 적용 기술 및 경제성 확보에 있어 매우 중요하다. 본 연구에서는 형광 나노 입자 및 형광 분광 분석법을 도입함으로써 수처리 분리막 공정에서 막 오염 정도를 실시간으로 측정 모니터링 할 수 있는 센싱 기술을 개발하고자 하였다. 막 오염 정도를 모니터링 할 수 있는 분리막 제조를 위해 세 종류의 형광물질 OB, FP, KCB를 담지한 다공성 polysulfone (PSf) 비대칭 막을 제조하였다. 형광 분광 분석 시스템을 이용하여 분리막 표면에서의 오염 정도를 실시간으로 측정한 결과, 형광 물질을 첨가한 막은 막 오염이 진행됨에 따라 형광 신호가 크게 감소함을 보여 막 표면 오염층의 모니터링 분석이 가능함을 확인하였다.

• 한국측량학회지
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• 제31권5호
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• pp.411-419
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• 2013

3차원 건물을 모델링하기 위해 항공영상 또는 라이다 데이터를 이용하여 건물 외곽선 추출이나 지붕을 구성하는 패치를 추출하는 단계를 거친다. 이러한 3차원 정보를 자동으로 획득하는 알고리즘 개발과 같은 효과적인 정보의 획득에 대한 연구가 활발히 진행되고 있으나, 추후 추출된 정보의 활용이나 유지관리에 대한 연구는 미흡한 상태이다. 본 연구는 3차원 정보를 얻었다는 가정 하에 건물의 형태에 따른 검색을 위한 연구이다. 이를 위하여 벽면, 분할 지붕면, 바닥과 같은 건물의 구성체를 노드(node)로 표현하고 이들의 인접성 관계를 그래프 구조로 객체의 형태를 정의하는 토폴로지 설계 방법을 제안하였다. 제안된 방법에 의해 생성된 토폴로지를 건물 그래프 데이터베이스에 저장하고, 토폴로지 정보를 이용한 패턴매칭을 수행하여 건물을 검색한 결과의 분석을 통해 제안된 객체 토폴로지 설계방법의 효용성을 입증하였다. 그래프 구조의 토폴로지를 기반으로 건물을 검색할 수 있었으며, 검색 조건을 부여하여 건물의 유사 정도를 조절하며 검색할 수 있었다. 또한 축척 및 회전에 불변한 객체의 형태묘사 방법으로 사용될 수 있다고 사료된다.

• 방송공학회논문지
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• 제11권4호
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• pp.458-470
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• 2006

본 논문에서는 MPEG-4 Systems 기반 복수시점 영상 서비스를 위한 저작 기술에 대해 제안한다. MPE-4는 이전의 MPEG-l/2 등의 비디오 정보 압축 규격과 달리, 사용자와 콘텐츠 간의 객체 기반 대화형(interactivity) 기능에 대한 다양한 방법을 포함하고 있다. 따라서 MPEG-4 Systems 규격은 현재까지 개발된 표준들 중에서 복수시점 영상 서비스가 제공하려고 하는 목적에 가장 잘 부합하는 기능을 제공하고 있다. 본 논문에서는 MPEG-4 Systems 표준 기술을 기반으로 제공될 수 있는 복수시점 영상 서비스에 대해 기술하였고, 해당 서비스를 제공하기 위한 MPEG가 장면 기술(scene description) 프로파일을 제안하였다. 또한 제안된 프로파일에 기반을 둔 대화형 복수시점 영상콘텐츠 저작시스템을 설계하고 구현하였으며, 실험결과를 통해 그 가능성을 보여 주었다.

• Journal of Positioning, Navigation, and Timing
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• 제6권4호
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• pp.181-194
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• 2017

In recent years, research has been actively conducted on the navigation in an indoor environment where Global Navigation Satellite System signals are unavailable. Among them, a study performed indoor navigation by integrating pseudolite carrier and Inertial Measurement Unit (IMU) sensor. However, in this case, there was no solution for the cycle slip occurring in the carrier. In another study, cycle slip detection and compensation were performed by integrating Global Positioning System (GPS) and IMU in an outdoor environment. However, in an indoor environment, cycle slip occurs more easily and frequently, and thus the occurrence of half cycle slip also increases. Accordingly, cycle slip detection based on 1 cycle unit has limitations. Therefore, in the present study, the aforementioned problems were resolved by performing indoor navigation through the integration of pseudolite and ultra-low-cost IMU embedded in a smartphone and by performing half cycle slip detection and compensation based on this. In addition, it was verified through the actual implementation of real-time navigation.

• 건축역사연구
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• 제20권2호
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• pp.23-38
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• 2011

France is known to be making particular efforts to maintain its traditional urban architectural culture by diverse measures including the implementation of urban policies. However, France is facing up to the need to pursue modern urbanization in keeping with the requirements of the current times. Thus, this paper examines with what priority France is attempting to reflect in its current urban policies its determination to retain its urban architectural tradition and to recreate its capital city of Paris as a future European hub city. To that end, the paper first seeks to analyze Paris' policies for urban architecture from diachronic perspectives in a bid to determine Paris' urban architectural culture. Second, the study attempts to examine within the purview of the paradigm of contemporary urban architectural designs how Paris is pursuing the two conflicting purposes of the preservation of tradition and modern urbanization through the Paris Local Urbanization Plan (or Plan Local d'Urbanisme [PLU]). First, the findings indicate that Paris is applying the principle of a sustainable development plan in all fields of environment, economy and society. In terms of environmental sustainability, Paris is trying to improve the life quality of its citizens through the establishment of efficient mass transportation systems and the expansion of its green belt areas. In terms of social sustainability, Paris is implementing policies to ensure social diversity through housing policies. Also, in terms of economic sustainability, Paris is trying to expand employment and bolster its urban functions by conserving commercial activities and developing peripheral urban areas. Second, the findings indicate that Paris' policy of recovering its traditions takes priority over that of creating a sustainable city.

• 대한간호학회지
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• 제36권8호
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• pp.1324-1330
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• 2006

Purpose. This study developed a web-based wound care course for undergraduate nursing students and evaluated the course's content, system, and student-satisfaction. Methods. This study was done in three stages, the development of the web-based wound care course, the implementation and evaluation of the course. The course was developed based on the ARCS model. 80 under-graduate nursing students to Y University in Korea used the web-based wound care program during four weeks. After that, they completed questionnaires, evaluating the contents, system, and their satisfaction. Results. Eighteen learning objectives were used to create the web-based wound care course and the course was developed with 7 chapters and 20 subsections. The analysis of the questionnaires showed a mean score for content and system-related items of 3.04 each, out of a possible 4 points. Student satisfaction items had a mean score of 2.89. Conclusions. The web-based course allowed students access to the course anytime and anywhere, and according to their own learning abilities. However this advantage would only be possible when nurse educators develop qualitative web-based course to meet the demand of a complex health care system as well as the needs of the students and the effectively incorporate it into traditional lectures.

• 한국경영과학회:학술대회논문집
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• 대한산업공학회/한국경영과학회 2006년도 춘계공동학술대회 논문집
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• pp.373-378
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• 2006

Recently the technical advances and complexities have generated much of the difficulties in managing the project resources, for both scheduling and costing to accomplish the project in the most efficient manner. The project manager is frequently required to render judgments concerning the schedule and resource adjustments. This research develops an analytical model for a schedule-cost and risk analysis based on visual PERT/CPM. We used a three-step approach: 1) in the first step, a deterministic PERT/CPM model for the critical path and estimating the project time schedule and related resource planning and we developed a heuristic model for crash and stretch out analysis based upon a time-cost trade-off associated with the crash and stretch out of the project. 2) In second step, we developed web-based risk evaluation model for project analysis. Major technologies used for this step are AHP (analytic hierarchy process, fuzzy-AHP, multi-attribute analysis, stochastic network simulation, and web based decision support system. Also we have developed computer programs and have shown the results of sample runs for an R&D project risk analysis. 3) We developed an optimization model for project resource allocation. We used AHP weighted values and optimization methods. Computer implementation for this model is provided based on GUI-Type objective-oriented programming for the users and provided displays of all the inputs and outputs in the form of GUI-Type. The results of this research will provide the project managers with efficient management tools.

• 상하수도학회지
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• 제21권6호
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• pp.653-661
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• 2007

The Disinfectants/Disinfection By-products (D/DBP) Rule proposed by the US Environmental Protection Agency requires the implementation of enhanced coagulation as a control strategy for natural organic matter (NOM) removal and as a means of limiting the formation of all DBPs, i.e., not just the trihalomethanes and haloacetica acids. To control DBP formation, several best available technologies (BATs) were determined for removal of DBPs and DBP precursors. The enhanced coagulation is one of the BATs for DBP precursors removal. Treatment facilities that achieve a specified percent removal of total organic carbon (TOC) prior to the application of a continuous disinfectant or that achieve a residual TOC concentration < 2mg/L prior to the application of a continuous disinfectant are considered to be in compliance with enhanced coagulation. The enhanced coagulation was applied to raw water in Korea, the Han River. Raw water were examined and effects of different raw water qualities on enhanced coagulation were investigated. Three analyses were used for raw water characteristics, water quality measurement, molecular weight distributions, hydrophobic/hydrophilic fractionation. The Han River had the relatively low alkalinity and low organic carbon concentration. The results of molecular weight distributions showed significant portions of low molecular weight organics, which is very different from most water in USA. The alum doses for the required TOC removal guided from USEPA manual were quite low (i.e. 10~30 mg/L alum) for the water, probably due to the specific water quality of the Han River.