• Title/Summary/Keyword: Alternative Activities

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Modern Treatment of Early Gastric Cancer: Comparison between Laparoscope Assisted vs Hand-Assisted Laparoscopic Distal Gastrectomy vs Open Distal Gastrectomy (조기 위암의 최신 치료 방법 : 복강경 원위부 위절제술, Hand-Assisted 복강경 원위부 위절제술과 소개복 원위부 위절제술의 비교)

  • Yoon, Ki-Young;Gagner, Michel;Lee, Sang-Ho
    • Journal of Gastric Cancer
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    • v.4 no.2
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    • pp.75-81
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    • 2004
  • Recently detection of early gastric cancer (EGC) has been increasing and the treatment strategies for gastric cancer have been changing. The purpose of this study was to compare clinical outcomes between laparoscopically assisted (LADG) and hand-assisted laparoscopic gastrectomy (HALDG) and open distal gastrectomy for early gastric cancer. This review is directed toward providing gastric surgeons with recent advances in the treatment of EGC. We investigated the English language literature for the past 12 years through computer searches which focused on : 1) Patient demographics, 2) Operation time, 3) Intra-operative blood loss, 4) Depth of invasion, 5) CBC, 6)Weight loss, 7) Analgesic requirement, 8)Time NPO, 9) Length of hospital stay, 10) Tumor stage, 11) Lymph node (LN) dissection, 12) Position of LN resected, 13) Complications. Improved operative techniques and surgical instrumentation have facilitated the development of minimally invasive gastric cancer surgery. The short-term benefits of laparoscopic gastrectomy included less surgical trauma, less pain, rapid return of gastrointestinal function, and shorter hospital stay, with no change in operative outcome. Laparoscopic gastrectomy was better accepted by the patients as a good procedure and promptly brought the patients back to their previous lifestyle and activities of daily living. But the advantages of HALDG for gastric cancer, extended lymph node dissection and intracorporeal anastomosis are feasible and easier with the presence of the internal hand. The hand-assisted laparoscopic (HALDG) method reported the best results in lymph node dissection.This method is an alternative to total laparoscopic radical gastrectomy. LADG and HALDG, when compared with conventional open gastrectomy, have several advantages. When performed by a skilled surgeon, LADG and HALDG are safe and useful techniques for patients with early-stage gastric cancer. Their appropriateness for gastric cancer surgery require further study.

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Production of Methanol by Resting Cells of Methylosinus trichosporium OB3b (Methylosinus trichosporium OB3b를 이용한 메탄올의 생산)

  • 박성훈;추석열
    • KSBB Journal
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    • v.8 no.4
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    • pp.341-350
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    • 1993
  • As an effort to develop an alternative transportation fuel, the production of methanol from methane gas was studied using the resting cells of an obligatory methanotroph, Methylosinus trichosporium OB3b. The reaction was carried out in high concentration phosphate buffer solutions with the flask-grown cells containing the exclusively cytoplasmic methane monooxygenase (sMMO) activity. The methanol accumulation rate was observed to be 79nmo1/mg·min during the initial 4.5hr. Phosphate-dependent inhibition was found for both sMMO and methanol dehydrogenase (MDH) activities, and the inhibition constants were 185mM and 42mM, respectively. The inhibition mode was noncompetitive. Methanol was found to be very inhibitory to the sMMO activity and the inhibition constant (noncompetitive) was 21mM when propylene was used as substrate. The sMO activity in the resting cells was declined very fast and the rate became very high during the methanol production. These results indicate that the use of M. trichosporium OB3b as a biocatalyst for the methanol production is heavily dependent on the stable maintenance of the whole-cell SMO activity as well as the effective alleviation of product inhibition.

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Efficient Problem-Solving Idea Generation in the Design Phase VE of Construction Projects using Business Creativity Codes(BCC) (건설 설계VE의 효율적 문제해결 아이디어 도출을 위한 비즈니스 창의성 코드(BCC) 활용방안)

  • Kim, Huy-Qyou;Park, Young-Taek
    • Journal of the Korea Institute of Building Construction
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    • v.16 no.4
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    • pp.367-379
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    • 2016
  • Although the importance of creative thinking is rapidly increasing in the new century, the generation of creative ideas and its application in the construction industry have been considered relatively difficult. Thus there have been a few studies on the subject that how to apply creative thinking tools with empirical evidence in the construction industry. Value engineering(VE) has been widely applied in the design phase of construction projects due to the government regulation, Brainstorming has been the most prevalent idea generation techniques in the VE activities during the past several decades. Contrary to popular belief, the performance of brainstorming is not so good. It is known as the brainstorming myth. This paper proposes the business creativity codes(BCC) as an alternative idea generation tool in the design phase VE of construction projects. In order to examine the effectiveness of the BCC, 50 successful field cases awarded in the design VE competition of government agency are used. The result shows that the BCC can be used as an effective idea generation tool in the design phase VE construction projects.

Quality Characteristics of Yanggeng Prepared with Different Concentrations of Mulberry Fruit Syrup (오디시럽을 이용한 오디양갱 제조 및 품질특성)

  • Kim, Ae-Jung
    • Journal of the East Asian Society of Dietary Life
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    • v.22 no.1
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    • pp.62-67
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    • 2012
  • In this research, mulberry fruit was processed into mulberry fruit syrup (MFS) using sugar and then used as stabilizer for anthocyanine pigment in yanggeng. MFS was added to the yanggeng in order to make mixture ratio of 0%, 5%, 10%, 15% and 20%. The resulting sensory and physicochemical aspects, as compared between the various MFS ratio were investigated. The yanggeng L and b values decreased with increasing ratio of MFS. With addition of MFS the sensory evaluation results for, taste, color, flavor, texture and overall acceptability improved. The yanggeng prepared using MFS found to possess more effective antioxidants behavior as observed by in vitro evaluating 1,1-diphenyl-2-picrylhydrazyl(DPPH) radical scavenging and superoxide radical activities. The $IC_{50}$ of the antioxidant was found to be proportional to the mulberry fruit syrup concentration in the yanggeng.

Antioxidative Effects of Several Compositae Plants (수 종의 국화과 식물의 항산화 쵸과)

  • 천상욱;김영민;한승관;최성규
    • Korean Journal of Plant Resources
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    • v.17 no.1
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    • pp.14-19
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    • 2004
  • Aerial parts of Compositae plants were harvested from pastures and crop fields of Sunchon area at vegetative stage to determine their antioxidant activity. Among 13 species, three species Taraxacum officinate, Breea segeta, and Artemisia princeps were selected as potent plant materials. Through measurement by Rancimat and TBARS method, antioxidative effect was the greatest in Taraxacum officinate among plant species. Antioxidative index (AI) investigated by Rancimat showed Siegesbeckia glabrescensi was 1.51 while commonly-used antioxidants, BHT and ascorbic acid were 3.86 and 2.43, respectively. The highest TBARS value was also obtained from Taraxacum officinate(0.18) at 4 weeks after storage, indicating the plant had the strongest antioxidant activity during long time. Even though TBARS value (0.18) in Taraxacum officinate sample showed lower in all plants than two synthetic antioxidants(0.05-0.09), antioxidant activities of the plants were much higher than that of a control (1.01). The results suggest that the plants have antioxidant potential as an alternative natural antioxidant based on natural plant resources.

The Development of Convergence Bench-making system on length of stay (융복합 재원일수 벤치마킹 시스템 개발)

  • Choi, Youn-Hee;Kim, Yun-Jin;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.89-99
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    • 2015
  • This study aims to develop a LOS(Length of Stay) bench-making system that can provide efficient by comparing the LOS management of other hospital and level evaluation for inducing the LOS to manage their own activities. The convergence LOS bench-making web program has been implemented to compare a variety of beds, regional group, followed reporting with excel files downloads by using the severity-adjusted LOS model of Korean National Hospital Discharge in-depth Injury Survey data. Features that are computed in real-time severity-adjusted LOS was also implemented. Trial operating results, bench-making system was confirmed efficient for management of LOS on the long-term care and group of disease in hospital from the staff or medical department, receive requests comparative statistics by area and disease group. Therefore the policy alternative on extension of severity-adjusted LOS is needed to utilized bench-making system on LOS.

A Study on The Effect Business Performance of Convergence Capabilities on Corporate (기업의 융합역량이 경영성과에 미치는 영향)

  • Choi, Seung-Il;Song, Seong-Bin
    • Journal of Digital Convergence
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    • v.13 no.1
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    • pp.177-184
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    • 2015
  • Modern society is rapidly going digital as blowing hot air about it Convergence castration. Iran fusion product management, technology, and services such as free from black-and-white logic of various activities such as management of alternative recognition by further series of management innovation in the way of trying to fill the other gaps win-win. In addition, the company is to survive through the creation and unceasing. Performance of firms in contemporary globalization, which is still more sensitive. In this study, based on the fusion needs of the enterprise and explores how this convergence competencies affect to business performance. Results showed that the fusion capacity is affecting the financial performance and non-financial performance. That fusion technology education learning capability and convergence capabilities appeared to affect the financial performance and non-financial performance.

The Development of Convergence Optimized LOS Management System (융복합 맞춤형 재원일수 관리 시스템 개발)

  • Choi, Youn-Hee;Kim, Yun-Jin
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.273-283
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    • 2017
  • This study aims to develop a convergence optimized LOS(Length of Stay) management system that can provide efficient by predicting LOS on outpatient information for inducing the LOS to manage their own activities. web program has been implemented to comput in real-time predicting LOS by using the predicted LOS model of outpatient information. The predict model was derived management targets of long term predicted patient group and intensive care patient group. The optimized LOS(Length of Stay) management system was confirmed efficient for optimizing management of LOS that can provide by the long-term predicting alarm and over LOS alarm service for long term predicted patient group and intensive care patient group. Therefore the trial operating policy alternative on extension of predicted LOS is needed to utilized convergence optimizing system on LOS.

Effect of Yam Extract on Body Weight Levels and Serum Lipid Profiles in C57BL/6J Mice Fed a High Fat Diet (마 추출물이 고지방식이로 유도된 C57BL/6J 마우스의 체중 및 혈청지질 수준에 미치는 영향)

  • Yoo, Hyun-Sook;Shin, Kwang-Soon
    • Journal of the East Asian Society of Dietary Life
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    • v.22 no.2
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    • pp.231-238
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    • 2012
  • $Dioscorea$ $batatas$ Decne is a type of yam that eaten raw and used as a traditional oriental medicine in Asian countries. In this study, we evaluated the functional effects of yam water extracts on body weight levels and serum lipid concentrations in mice fed high fat diet. Mice were divided into four groups: normal diet control (ND), high fat diet control (HFD), HFD+yam extract 100 mg/kg (HFD-Y100), and HFD+yam extract 200 mg/kg (HFD-Y200). Yam extract was administrated orally to mice fed a high fat diet for 5 weeks. Treatment with yam extract significantly reduced body weight levels and energy efficiency in a dose-dependent manner in HFD-fed mice. Yam extract also attenuated serum levels of triglyceride, total cholesterol, and LDL-cholesterol, as well as organ weights of liver and abdominal adipose tissue in mice fed a high fat diet. Moreover, blood levels of glucose, insulin, and leptin significantly decreased in a dose-dependent manner upon administration of yam extract. Blood activities of GPT, GOT, and LDH were lower in the yam extract-treated groups compared to the HFD group. These results indicate that yam water extract may reduce elevated body weight and serum lipid concentrations in mice fed a high fat diet, suggesting its usefulness as a functional food for reducing body fat and hyperlipidemia.

Analyses on the Cognitive and Affective Characteristics of the Mathematically Underachievers by Descriptive tests and Interviews (서술 및 면담 평가를 통한 수학학습부진아의 인지적.정의적 특성 분석)

  • Nam, Mi-Sun;Park, Man-Goo
    • Communications of Mathematical Education
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    • v.22 no.2
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    • pp.229-252
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    • 2008
  • The purpose of this research was to make fair assessment methods which took into account characteristics of mathematically underachievers. The researchers devised an descriptive tests and interviews and applied them to the mathematics underachievers who could not reveal their achievements in the traditional assessment and then analyzed their cognitive and affective characteristics in the alternative assessments. After selecting three students by the normal assessment made of simple subjective and multiple choice questions, the cognitive and affective characteristics found in the general assessment were reflected to the descriptive tests and interviews. The descriptive tests and interviews are comprised of descriptive narrations and informal interview questions. After the assessment, the teacher and students gave feedbacks one another. All the assessment activities were recorded by a camcorder to analyze cognitive and affective characteristics of the children. Throughout the research, the following conclusions were made. The mathematics underachievers showed the characteristics which didn't appeared in the normal assessment. They showed normal abilities of problem solving and communication In the cognitive area. Also they brought in positive result in most parts in the affective area. However, the student B displayed considerable ability of mathematical thinking that is over the average level of mathematical underachievers. This implies that we can definite the mathematical underachievers differently when we use the detailed and relief assessment method instead of the traditional assessment. On the other hand, one student tended to depend on the teacher and another student overheard what the others talk during the study. This defect should be complemented by the further studies about assessment method for the mathematical underachievers. Also appropriate assessment methods should be made for applying to the various mathematical underachievers. Many studies have been concentrated on the learning for mathematical underachievers but there is little concern about the assessment for the mathematical underachievers. However it is the fundamental way to reduce the number of mathematics underachievers that we construct consistent learning methods and assessments for the mathematical underachievers.

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