• 제목/요약/키워드: Combined Effort

검색결과 160건 처리시간 0.025초

Risk Factors for Complications Following Resection of Gastric Cancer

  • Kim, Min-Soo;Park, Joong-Min;Choi, Yoo-Shin;Cha, Sung-Jae;Kim, Beom-Gyu;Chi, Kyong-Choun
    • Journal of Gastric Cancer
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    • 제10권3호
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    • pp.118-125
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    • 2010
  • Purpose: Operative morbidity and mortality from gastric cancer have decreased in recent years, but many studies have demonstrated that its prevalence is still high. Therefore, we investigated the risk factors for morbidity and mortality considering the type of complication in patients with gastric cancer. Materials and Methods: A total of 259 gastrectomies between 2004 and 2008 were retrospectively reviewed. Results: Overall morbidity and mortality rates were 26.6% and 1.9%, respectively. A major risk factor for morbidity was combined resection (especially more than two organs) (P=0.005). The risk factors for major complications in which a re-operation or intervention were required were type of gastrectomy, upper location of lesion, combined resection, and respiratory comorbidity (P=0.042, P=0.002, P=0.031). Mortality was associated with preexisting neurologic disease such as cerebral stroke (P=0.016). In the analysis of differen complication's risk factors, a wound complication was not associated with any risk factor, but combined resection was associated with bleeding (P=0.007). Combined resection was an independent risk factor for a major complication, surgical complication, and anastomotic leakage (P=0.01, P=0.003, P=0.011, respectively). Palliative resection was an independent risk factor for major complications and a previous surgery for malignant disease was significantly related to anastomosis site leakage (P=0.033, P=0.007, respectively). Conclusions: The risk factors for gastrectomy complications of gastric cancer were combined resection, palliative resection, and a previous surgery for a malignant disease. To decrease post-gastrectomy complications, we should make an effort to minimize the range of combined resection, if a palliative gastrectomy is needed for advanced gastric cancer.

관계형데이터베이스에서 FSQL 시스템의 설계 및 구현 (Design and Implementation of FSQL System in Relational Database)

  • 김병섭;박순철
    • 한국정보시스템학회지:정보시스템연구
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    • 제6권2호
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    • pp.147-163
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    • 1997
  • The usages of the relational database systems have been increased nowadays. However there is a constraint that the standard query language for a database system requests users to know the exact condition for a query. In this paper a FSQL(Fuzzy SQL) systems is proposed and implemented for the imprecise queries which do not include the exact condition. Moreover this system can supply the obvious results for the queries effectively. We define a simple fuzzy query language and use a method using the metadatabase to implement the FSQL system. This FSQL system can be combined with a relational database system without any painful effort.

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LP 모델에 의(依)한 Product Mix 실시사례(實施事例) (A Case Study on the Method for Finding the Product Mix by the Use of LP Model)

  • 이순요
    • 대한산업공학회지
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    • 제1권1호
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    • pp.41-56
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    • 1975
  • In the past the pattern of business down-trend usually appeared in the form of, first, decrease in facility investment, then decrease in inventory level, followed by reduced level of consumption. But the pattern nowadays is becoming just the opposite, that is, first, consumption decrease, then inventory level increase, followed by restriction of facility investment. Also in the past, the greater effort was placed in strengthening of hardware areas through optimization and modernization of production means on the premise of sales. But lately software areas take most of the main effort to establish production mean with sales as its objective. Under these circumstances one of the real problems facing production activities today is the conflicting relationship between sales and production functions. This occurs due to differences of their view points. Then, in order to achieve maximum profit at the least cost, which is the ultimate objective of a production activity, the need arises to effectively coordinate sales demand and plant production capacity. For this purpose strong control means and function must be devised. In our case study example we illustrate a management technique for a combined planning function, of optimal coordination of product mixes utilizing a computerized linear programming model as control means of attaining maximum profit. It is hoped that this example help achieve some of corporate objectives.

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병원원보에 나타난 간호사와 의사의 이미지 비교 (The Portrayal of Nurses and Physicians in Hospital Administration Journals)

  • 박선아;권혜진;김혜진
    • 임상간호연구
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    • 제16권2호
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    • pp.33-42
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    • 2010
  • Purpose: The current study was done to describe how nurses are portrayed in hospital administration journals as compared with physicians. Methods: A content analysis of the pictures was conducted using the framework of Goffman. The data were collected from all issues of four hospital administration journals published in 2005, 2006, and 2007 (n=465). Results: Overall, the analysis indicates that nurses were portrayed from the perspective of femininity and mothering. In group scenes, nurses were pictured as peripheral, compared with physicians. Sometimes the photos did not focus on nurses at all. Nurses were also placed standing in the periphery not like physicians at the center of the scene. In terms of professional portrayal, the photos in general present positive image of nurses similar to that of physicians. However, the number of photos including nurses was relatively small. Conclusion: The results of this study indicate that nurses appear less frequently in mass media and when they do it is at the periphery of the scene. It is, then, necessary to make greater effort to call upon mass media to cover more nurses showing a positive images of the profession. All stake holders such as individual nurses, hospitals and related associations should make a combined effort toward that end.

품질경영 실행방식과 성과에 대한 customization 및 R&D 전략의 조절 효과에 대한 탐색적 연구 (An Exploratory Research on Moderate Effect of Customization and R&D Strategy to Relationship between Quality Management Practices and Performances)

  • 박정수;장덕신;김연성;이동원
    • 품질경영학회지
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    • 제41권4호
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    • pp.611-621
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    • 2013
  • Purpose: The purpose of this study was to investigate if companies' efforts of quality management practices have positive impacts on the companies' performance as the first stage. In the second stage of this study, we tried to confirm if the degree of companies' making efforts on customization strategy and R&D strategy function as moderate variable on relationship between quality management practices and companies' performance. Methods: The collected data through survey were analysed using multiple regression for the first stage of the study and moderate regression for the second one of it. Results: The results of this study are as follows; quality management practices have positive effect on performances. Moreover, much effort on customization strategy has significant moderate effect on relationship between quality management practices and corporate performance. On the other hand, much effort of companies on R&D strategy has significant moderate effect on the relationship between the two as well. Conclusion: Manufacturing and services companies in Korea need to make effort of quality management practices in order to improve corporate performance. Moreover, if that efforts are combined with customization strategy and R&D strategy, they will expect synergy effect on performance improvement.

경영자의 자기과신적 어조 및 이익조정에 대한 감사인의 반응 (The Auditors' Responses to Management's Overconfident Tone Depending on the Level of Earnings Management)

  • 선우희연;신혜정
    • Journal of East Asia Management
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    • 제4권1호
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    • pp.23-51
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    • 2023
  • We investigate whether the association between management overconfident tone and the level of audit effort measured by audit fees and hours differs depending on the level of earnings management. Prior studies suggest that firms led by overconfident managers are likely to initiate risky investments, report low quality financial statements, and have material weaknesses in internal control system. These characteristics, combined together, result in higher audit risk. At the same time, auditors assess audit risk based on the quality of financial reporting, measured by level of earnings management. As a result, the assess audit risk is likely to reflect the combined effect of management overconfidence and the level of earnings management. In this paper, we investigate whether auditors differentiate the effects of real earnings management (REM) and accrual-based earnings management (AEM) when they assess the audit risk related management overconfident. Using the CEO's letter published in 2018, we measure the CEO's tone representing the degree of overconfidence (i.e., activity). Based on this measure, we find that the positive association between managerial overconfident tone and audit effort is more pronounced as the level of REM is higher. However, we find that the baseline association does not vary depending on the level of AEM. These results suggest that auditors consider the managerial overconfident severer when such characteristic accompany the higher level of REM, which can be outcome of aggressive business decisions possibly leading to the higher audit risks. We further find that these results are stronger for Big 4 auditors and continuing auditors. This paper contributes to the literature and practice as follows. First, we provide contextual evidence on how auditors reflect managerial characteristics in the audit process by documenting that auditors actively increase their audit efforts only when overconfident managerial characteristics are highly likely to lead to audit risk. This result suggests that auditors conduct external auditing considering both the efficiency and effectiveness of the audit process. Second, we suggest that auditors use information obtained from a wide range of sources to identify audit risks. Our results provide evidence of how the auditing standards, which do not provide detailed guidelines for audit risk assessment, are being applied in practice. Finally, our results also enhance the understanding of how audit fees are determined. Combined with the studies related to audit pricing, we provide the important reference for discussion between the auditor and the auditee about the audit fee that has created acute tension after the enforcement of the new External Audit Act.

온라인 게임 캐릭터에 나타난 신체와 복식의 표현 유형과 미적 특성 (Types of Expression and Aesthetic Characteristics of On-line Game Characters' Body and Costume)

  • 김미영
    • 복식문화연구
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    • 제13권3호
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    • pp.425-438
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    • 2005
  • This study is to examine the types of expression and aesthetic characteristics of on-line game characters by analyzing those game characters' body and their costume that appear in various domestic on-line game sites. It is shown in this study that types of the human bodies and costume expressed through the game characters are grouped into five categories such as exposure and tightness, enlargement and exaggeration, curtailment and simplification, gender stereotype and unification. Furthermore, there are four typical aesthetic characteristics resulting from those types of expressions; First, 'grotesque' is expressed in the form of extreme enlargement and exaggeration, extreme exposure and concealment, combined images among human, animal or machine, or monstrous devilish images. Second, in an effort to express 'eroticism', bodies are directly exposed, see-through costumes are used in order to emphasize the body lines or very tight designs are used. Third, 'futuristic' characteristics are shown through geometrical shape and silhouette, machine-like details, strong artificial colors or glossy hi-tech material. Lastly, 'pastiche' is expressed with reconciliation of variety of costumes of game characters. Various opposite or heterogeneous styles are combined or harmonized each other to show pastiche, of which examples are male and female, superior culture and inferior one, rich and poor, oriental and western, human and machine, human and nature or past and future, etc.

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한미 워게임모형 상호운용성의 현실태 및 향후 비전에 관한 연구 (Study on the Current Status and Future Vision of ROK-US Wargame Model Interoperability)

  • 권오정;이종호;이상헌
    • 한국시뮬레이션학회논문지
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    • 제17권1호
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    • pp.23-32
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    • 2008
  • 본 논문에서 한미 워게임 모델 상호운용성의 현 실태와 향후 비전에 대해 연구하고 미래의 페더레이션 구조를 제안한다. 한국군과 미군은 1999년부터 작전요구를 충족하기 위한 한미 워게임 모델의 상호운용성 향상을 위해 노력해 왔다. 현 상태에서 목표를 달성하기 위해 아직도 수행해야 할 과정이 더 남아 있지만 최종목표에 어느 정도 근접한 상태이다. 한미 워게임 체계의 기술적인 장점과 시스템 가용도를 고려한 향후 한미 워게임 체계 상호운용성 향상을 위한 시스템 구조를 제시한다. 이러한 새로운 체계는 한국군이 주도하는 향후 한미 연합연습과 한국군 자체 합동연습시 운용될 시뮬레이션 구조라고 할 수 있다.

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국부적 불연속을 갖는 도파관을 따라 전파되는 파동에 대한 파수 영역 유한 요소 해석 (Propagation of Structural Waves along Waveguides with Non-Uniformities Using Wavenumber Domain Finite Elements)

  • 유정수
    • 한국음향학회지
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    • 제33권3호
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    • pp.191-199
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    • 2014
  • 파이프, 평판과 같이 단면의 형상이 길이 방향으로 일정한 도파관 구조물을 따라 전파되는 진동의 반사 및 투과 특성은 여러 공학 분야에서 응용되는 중요한 주제이다. 도파관에 조인트 또는 균열 등의 국부적 불연속이 있는 경우, 스펙트럴 요소(spectral element)와 유한 요소(finite elment)를 결합한 SE/FE 방법이 주로 사용되고 있다. 그러나 이 방법은 보 이론에 기반한 스펙트럴 요소가 사용되므로 저주파수 대역 해석에 국한되는 단점이 있다. 고주파수 대역 해석에는 스펙트럴 수퍼 요소(spectral super element)와 유한 요소를 결합한 SSE/FE 방법이 제안되었으나 유한요소와 스펙트럼 요소의 연성으로 인해 많은 연산 시간이 요구된다. 이러한 문제점을 개선하고자, 본 연구에서는 국부적 불연속 구간의 단면이 일정한 경우에 대해 국부적 불연속 구간을 스펙트럴 수퍼 요소로 대체한 SSE/SSE 연성 해석을 시도하였다. 적용 모델로는 국부적 결함을 가진 레일의 파동 반사 및 투과, 그리고 주기적 보강재를 가진 평판의 진동전파에 대해 적용하였다. 결함을 가진 레일의 해석 예를 통해, 본 논문에서 사용한 SSE/SSE 방법과 기존의 SSE/FE 방법의 성능을 비교하였다. 보강재를 가진 평판의 예를 통해서는 반복 구조를 가진 도파관의 파동 전파 특성 해석에 SSE/SSE 방법이 유용함을 확인하였다.

The Effect of the Number of Clusters on Speech Recognition with Clustering by ART2/LBG

  • Lee, Chang-Young
    • 말소리와 음성과학
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    • 제1권2호
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    • pp.3-8
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    • 2009
  • In an effort to improve speech recognition, we investigated the effect of the number of clusters. In usual LBG clustering, the number of codebook clusters is doubled on each bifurcation and hence cannot be chosen arbitrarily in a natural way. To have the number of clusters at our control, we combined adaptive resonance theory (ART2) with LBG and perform the clustering in two stages. The codebook thus formed was used in subsequent processing of fuzzy vector quantization (FVQ) and HMM for speech recognition tests. Compared to conventional LBG, our method was shown to reduce the best recognition error rate by 0${\sim$}0.9% depending on the vocabulary size. The result also showed that between 400 and 800 would be the optimal number of clusters in the limit of small and large vocabulary speech recognitions of isolated words, respectively.

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