• Title/Summary/Keyword: Approach-Avoidance

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Indirect Inguinal Hernia in Pediatric Patients (소아의 간접 서혜부 탈장)

  • Chung, Sang-Young
    • Advances in pediatric surgery
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    • v.16 no.2
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    • pp.101-107
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    • 2010
  • Herniorrhaphy of Indirect inguinal hernia (IIH) is one of the most frequently performed surgical procedures in children. The overall incidence of inguinal hernias in childhood ranges from 0.8 to 4.4 %. The incidence is up to 10 times higher in boys than girls, especially much higher in premature infants. IIHs in children are basically an arrest of embryologic development rather than an acquired weakness, which explains the increased incidence in premature infants. In normal development, the processus vaginalis closes, obliterating the peritoneal opening of the internal ring between 36th and 40th week of gestation. This process is often incomplete, leaving a small patent processus in many newborns. However, closure continues postnatally, and the rate of patency is inversely proportional to age of the child. The presence of a patent processus vaginalis is a necessary but not sufficient variable in developing a congenital IIH. In other words, all congenital IIHs are preceded by a patent processus vaginalis, but not all patent processus vaginalis go on to become IIHs. The overall incidence of IIH in population is approximately 1 to 2 % and the incidence of a processus vaginalis is approximately 12 to 14%, clinically appreciable IIH should develop in approximately 8 to 12 % of patients with a patent processus vaginalis. Although the classic open inguinal hernia repair remains the gold standard for most pediatric surgeons, laparoscopic repair is being performed in many centers. Like open technique, laparoscopic technique is fundamentally a high ligation of the indirect hernia sac with or without internal ring ligation. The advantages of laparoscopic approach include the ease of examining the contralateral internal ring, the avoidance of access damage to vas and vessels during mobilization of cord, decreased operative time, and an ability to identify unsuspected direct or femoral hernias. Almost all groin hernias in children are IIHs and occur as a result of incomplete closure of processus vaginalis. The treatment is repair by high ligation of hernia sac, which can be done by an open or laparoscopic technique. The contralateral side can be explored by laparoscopy or left alone, open exploration is no longer indicated due to potential risk of infertility.

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Biomimetic approach object detection sensors using multiple imaging (다중 영상을 이용한 생체모방형 물체 접근 감지 센서)

  • Choi, Myoung Hoon;Kim, Min;Jeong, Jae-Hoon;Park, Won-Hyeon;Lee, Dong Heon;Byun, Gi-Sik;Kim, Gwan-Hyung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.05a
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    • pp.91-93
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    • 2016
  • From the 2-D image extracting three-dimensional information as the latter is in the bilateral sibeop using two camera method and when using a monocular camera as a very important step generally as "stereo vision". There in today's CCTV and automatic object tracking system used in many medium much to know the site conditions or work developed more clearly by using a stereo camera that mimics the eyes of humans to maximize the efficiency of avoidance / control start and multiple jobs can do. Object tracking system of the existing 2D image will have but can not recognize the distance to the transition could not be recognized by the observer display using a parallax of a stereo image, and the object can be more effectively controlled.

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A TCP-Friendly Congestion Control Scheme using Hybrid Approach for Enhancing Fairness of Real-Time Video (실시간 비디오 스트림의 공정성 개선를 위한 TCP 친화적 하이브리드 혼잡제어기법)

  • Kim, Hyun-Tae;Yang, Jong-Un;Ra, In-Ho
    • Journal of the Korean Institute of Intelligent Systems
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    • v.14 no.3
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    • pp.285-289
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    • 2004
  • Recently, due to the high development of the internet, needs for multimedia streams such as digital audio and video is increasing much more. In case of transmitting multimedia streams using the User Datagram Protocol (UDP), it may cause starvation of TCP traffic on the same transmission path, thus resulting in congestion collapse and enormous delay because UDP does not perform TCP-like congestion control. Because of this problem, diverse researches are being conducted on new transmission schemes and protocols intended to efficiently reduce the transmission delay of real-time multimedia streams and perform congestion control. The TCP-friendly congestion control schemes can be classified into the window-based congestion control, which uses the general congestion window management function, and the rate-based congestion control, which dynamically adjusts transmission rate by using TCP modeling equations and the like. In this paper, we suggest the square-root congestion avoidance algorithm with the hybrid TCP-friendly congestion control scheme which the window-based and rate-based congestion controls are dealt with in a combined way. We apply the proposed algorithm to the existing TEAR. We simulate the performance of the proposed TEAR by using NS, and the result shows that it gives better improvement in the stability needed for providing congestion control than the existing TEAR.

Design of the Model for Predicting Ship Collision Risk using Fuzzy and DEVS (퍼지와 DEVS를 이용한 선박 충돌 위험 예측 모델 설계)

  • Yi, Mira
    • Journal of the Korea Society for Simulation
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    • v.25 no.4
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    • pp.127-135
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    • 2016
  • Even thought modernized marine navigation devices help navigators, marine accidents has been often occurred and ship collision is one of the main types of the accidents. Various studies on the assessment method of collision risk have been reported, and studies using fuzzy theory are remarkable for the reason that reflect linguistic and ambiguous criteria for real situations. In these studies, collision risks were assessed on the assumption that the current state of navigation ship would be maintained. However, navigators ignore or turn off frequent alarms caused by the devices predicting collision risk, because they think that they can avoid the collisions in the most of situations. This paper proposes a model of predicting ship collision risk considering the general patterns of collision avoidance, and the approach is based on fuzzy inference and discrete event system specification (DEVS) formalism.

An Empirical Study on the Effects of Empowerment on International Marriage Migrant Women -focusing the Feasibility Approach with the Case of Korea - (국제결혼이주여성의 임파워먼트 효과 타당성에 관한 실증 연구 - 한국 사례를 중심으로 -)

  • Jung, Myung Hee
    • International Area Studies Review
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    • v.13 no.3
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    • pp.849-871
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    • 2009
  • This paper examined the effects of empowerment on international marriage migrant women. The assimilation, integration, separation, and marginality were as proxy for the cultural adaptiveness. The power distance, uncertainty avoidance, individualism, masculinity, long term orientation were as proxy for the cultural distance. The self-image, real power, the extent of social participation were as proxy for the empowerment. Based on the analysis of two hundred cases, the following results were found. First, international marriage migrant women's cultural adaptiveness have a positively significant influence on their empowerment. Second, international marriage migrant women's cultural distance have a positively significant influence on their empowerment. Third, international marriage migrant women's cultural adaptiveness and cultural distance have a positively significant influence on their empowerment. This study suggests that cultural adaptiveness and cultural distance are main factors for the empowerment of international marriage migrant women.

A Comparative Study on the Right to Avoid the Contract of the Buyer under SGA and CISG (SGA에서 매수인의 계약해제권에 관한 연구: CISG와의 비교를 중심으로)

  • Min, Joo-Hee
    • Asia-Pacific Journal of Business
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    • v.11 no.3
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    • pp.273-290
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    • 2020
  • Purpose - The purpose of this paper is to examine the buyer's right to avoid the contract under SGA and CISG. Design/methodology/approach - This paper has conducted literature reviews to analyze the right to avoid the contract of the buyer based on the comparative study. Findings - Under s. 11(3) of SGA, the breach of a condition and an intermediate which deprives the buyer substantially of the whole benefit of the contract may give rise to a right to treat the contract as repudiated. But under Art. 49 of CISG, the buyer has the right to terminate the contract where the seller's failure to performance amounts to a fundamental breach of contract. Regarding the breach of an intermediate and the breach under CISG, the buyer should take into account where the seller's breach is fundamental or not. Moreover, an anticipatory breach can give rise to a right to avoid the contract. The anticipatory breach of a condition justifies termination. The breach of an intermediate and the breach under CISG require an anticipatory fundamental breach of the contract. Under SGA, the buyer has to prove an anticipatory breach in fact but CISG does not require virtual certainty, which SGA has stricter criteria to assess an anticipatory breach. Research implications or Originality - Comparative study helps to understand the nature of provisions under SGA and CISG and suggests practical advice to choose applicable laws. SGA gives more certainty to classify a contractual term. In case of the breach of a condition including the anticipatory breach under SGA, the buyer does not have to ask how much serious the breach is. But CISG requires the fundamental breach of the contract, which means that the buyer has the more burden of proof compared with SGA.

Mediation Roles of Goal Types and Emotion in the Effects of Social Identity-Based Self-Discrepancy Type on Compensatory Consumption

  • CHOI, Nak-Hwan
    • The Journal of Industrial Distribution & Business
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    • v.12 no.6
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    • pp.75-88
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    • 2021
  • Purpose: This research aimed at exploring the functions of consumers' perceiving approach and avoidance roles and their feeling anger and disgust in the effect of the two types of self-discrepancy at social identity such as the ideal self-discrepancy and the ought self-discrepancy on within-self domain versus across-self domain consumption. Research design, data, and methodology - This study divided the self-discrepancy group into the ideal self-discrepancy and the ought self-discrepancy group as experimental groups for empirical study. Self-discrepancy type between-subjects design was used to develop two types of questionnaire according to the type of experimental groups. The platform, 'questionnaire stars' of 'WeChat' in China was used to collect 103 data from the ideal self-discrepancy group and 102 from the ought self-discrepancy group for empirical study. T-test and the structural equation model in Amos 21 were used to verify hypotheses developed through theoretical review. Results - First, ideal self-discrepancy positively affected the role-approaching goal and anger. Second, ought self-discrepancy positively affected the role-avoiding goal and disgust. Third, the role-approaching goal and anger positively influenced on the within- versus across- domain consumption. Fourth, the disgust negatively influenced on the within- versus across- domain consumption, however the role-avoiding goal did not influence on the consumption. Fifth, there was the mediation roles of anger (disgust) in the effects of ideal (ought) self-discrepancy on the consumption. Conclusions - When consumers feel anger at the ideal self- discrepancy induced by in-group, it is necessary for the marketers to promote their product brand used by the in-group. They should develop and advertise the messages priming the ideal self-discrepancy and the anger to increase the intent to purchase or use their product brand when the in-group members have used the brand by relating the brand to their social identity concerned with the ideal self-discrepancy. However, marketers should help consumers feel disgust by developing and advertising the messages expressing the ought self-discrepancy to lead the consumers to the place of purchasing or using their product brand when the members have used the brand based on keeping the consistence between the brand and other social identity not related to the ought self-discrepancy.

A Study on the Development and Application of Korean Medical Critical Pathway of Childhood Anorexia (소아 식욕부진의 한의표준임상경로 개발 및 시범 적용 연구)

  • Choi Seo Yeon;Jeong Yoon Kyoung;Bang Miran;Chang Gyu Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.37 no.3
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    • pp.1-16
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    • 2023
  • Objectives We aimed to investigate the effectiveness of the Korean medical critical pathway (CP) in treating childhood anorexia. Methods In total, 21 patients who met the criteria and agreed to provide information were assigned to the CP group, while 24 patients who met the criteria, agreed to provide information, but disagreed with CP application were assigned to the non-CP group. Demographic, clinical, and economic indices were compared between the two groups. Clinical indices before and after treatment were also compared between the two groups. Results In the CP group, height, weight, body mass index (BMI), BMI percentile, and food approach (FAP) increased significantly after treatment, and numeric rating scale (NRS) and food avoidance (FAV) scores decreased significantly. In the non-CP group, height, weight, weight percentile, BMI, BMI percentile, and FAP increased significantly, whereas NRS and FAV decreased significantly after treatment. Compared to the non-CP group, CP application increased FAP and decreased FAV, medical expenses per consultation, and the total treatment period. Conclusions The application of the Korean medical critical pathway for childhood anorexia is an effective cure system that decreases overall medical expenses with good-quality treatment by means of the standardization of medical practices.

Clinical Utility of the Minnesota Multiphasic Personality Inventory-Adolescent Restructured Form in the Assessment of Internalizing and Externalizing Disorders in Adolescents: A Preliminary Approach

  • Hye Ji Yun;Eun Hee Park;Hyun Ju Hong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.34 no.4
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    • pp.268-274
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    • 2023
  • Objectives: This study investigated whether the Minnesota Multiphasic Personality Inventory-Adolescent Restructured Form (MMPI-ARF) can differentiate between two groups of adolescents, one diagnosed with internalizing disorders and another with externalizing disorders, and examined the clinical utility of the MMPI-A-RF by examining which subscales can significantly discriminate between these two groups. Methods: A total of 105 adolescents aged 13-18 years completed the MMPI-A-RF (53 internalizing disorder and 52 externalizing disorder groups). Independent t-test, chi-square test (χ2), and discriminant analysis were used to examine whether MMPI-A-RF can distinguish between the two groups. Results: Sixteen MMPI-A-RF scales best predicted differences between the groups with internalizing and externalizing disorders. Fourteen scales (Higher-Order Scale [Emotional/Internalizing Dysfunction], Restructured Clinical [RC] Scale [RC demoralization, Somatic Complaints (RC1), and Low Positive Emotions (RC2)], Personality Psychopathology Five Scale [Introversion/Low Positive Emotionality-Revised, Negative Emotionality/Neuroticism-Revised], Somatic/Cognitive Scale [Malaise, Head Pain Complaints, and Gastrointestinal Complaints], Internalizing Scale [Stress/Worry, Self-Doubt], Externalizing Scale [Negative School Attitudes], Interpersonal Scale [Social Avoidance, Shyness]) were associated with the internalizing disorder group, whereas two scales (Externalizing Scale [Conduct Problems, Negative Peer Influence]) were associated with the externalizing disorder group. Conclusion: The MMPI-A-RF can be an efficient assessment tool for a quick diagnosis as it can classify individuals with internalizing and externalizing disorders in clinical settings that lack a variety of assessment tools for children and adolescents.

Dietary composition of two coexisting bat species, Myotis ikonnikovi and Plecotus ognevi, in the Mt. Jumbong forests, South Korea

  • Sungbae Joo;Injung An;Sun-Sook Kim
    • Journal of Ecology and Environment
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    • v.47 no.4
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    • pp.168-176
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    • 2023
  • Background: Many insectivorous bats have flexible diets, and the difference in prey item consumption among species is one of the key mechanisms that allows for the avoidance of interspecies competition and promotes coexistence within a microhabitat. In Korea, of the 24 bat species that are known to be distributed, eight insectivorous bats use forest areas as both roosting and foraging sites. Here, we aimed to understand the resource partitioning and coexistence strategies between two bat species, Myotis ikonnikovi and Plecotus ognevi, cohabiting the Mt. Jumbong forests, by comparing the differences in dietary consumption based on habitat utilization. Results: Upon examining their dietary composition using the DNA meta-barcoding approach, we identified 403 prey items (amplicon sequence variants). A greater prey diversity including Lepidoptera, Diptera, Coleoptera, and Ephemeroptera, was detected from M. ikonnikovi, whereas most prey items identified from P. ognevi belonged to Lepidoptera. The diversity index of prey items was higher for M. ikonnikovi (H': 5.67, D: 0.995) than that for P. ognevi (H': 4.31, D: 0.985). Pianka's index value was 0.207, indicating little overlap in the dietary composition of these bat species. Our results suggest that M. ikonnikovi has a wider diet composition than P. ognevi. Conclusions: Based on the dietary analysis results, our results suggests the possibility of differences in foraging site preferences or microhabitat utilization between two bat species cohabiting the Mt. Jumbong. In addition, these differences may represent one of the important mechanism in reducing interspecific competition and enabling coexistence between the two bat species. We expected that our results will be valuable for understanding resource partitioning and the coexistence of bats inhabiting the Korean forests.