• Title/Summary/Keyword: Continued Operation

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Management of osteoporosis patients for prosthetic restoration (보철치료를 위한 골다공증 환자의 관리)

  • Baek, Ji-Yeon;Jeon, Han-Sol;Lee, Jin-Han
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.2
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    • pp.93-101
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    • 2016
  • The average life expectancy has been increased, so the proportion of elderly patients that visit to the dental clinic for prosthetic restoration has increased. Elderly patients have various chronic diseases. Recent trends show an increase of osteoporosis in elderly patients, and thus, the number of osteoporosis patients is expected to escalate. Currently, the most widely used drug for osteoporosis is bisphosphonate. However, osteonecrosis of the jaw has been reported as a side effect derived from longterm oral administration or injection treatment of the drug. Surgical dental treatment was the main cause of medication related osteonecrosis of the jaw (MRONJ). As MRONJ is very difficult to cure, it is important to take preventive measures. Surgical operation may be needed for the mouth preparation before prosthetic restoration. For successful treatment, the dentist should have a full understanding of osteoporosis and show a continued interest toward this disease for careful management.

A Critical Review of Medical Humanities Education Curriculum Development Based on Kern's Curriculum Development Model (의료인문학 교육과정 개편에 대한 Kern의 교육과정개발 모델에 근거한 비판적 성찰)

  • Lee, I Re;An, Shinki
    • Korean Medical Education Review
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    • v.22 no.3
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    • pp.173-188
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    • 2020
  • Medical humanities education (MHE) is as essential as basic medical sciences and clinical medicine education. Despite the importance of MHE, MHE curriculum development (CD) has proven to be challenging. This critical review examines the MHE CD at one medical school. The critical review methodology was developed based on Kern's six step CD model to systematically examine the CD of "Doctoring and Medical Humanities (DMH)" at the Yonsei University College of Medicine. Five review questions were developed related to (1) necessity, (2) direction and purpose, (3) design, (4) operation, and (5) evaluation of CD based on Kern's model. The review showed that the process of DMH CD mapped to components of Kern's model. The DMH curriculum content selected was closely related to medical practice and aimed to combine the acquisition of understanding and skills by designing a student-participatory curriculum based on clinical cases. Assessment methods that emphasized students' reflections were actively introduced in the evaluation section. Since the regular committee for DMH continued the work of the special ad hoc committees for DMH CD, the CD was effectively completed. However, the planning and evaluation functions and responsibilities of the DMH committee need to be strengthened. Despite the apparent limitations, the fact that students showed a high satisfaction rate and preferred small group discussions based on clinical cases has significant implications in the instructional design of MHE, where changes in self-awareness and attitude are more important than the acquisition of information. It is necessary to systematically review and study students' reflection results produced by the changed assessment methods and to develop assessment indicators for MHE that reflect the achievements of the MHE competencies of students.

An Analysis of the Operation of the WTO Dispute Settlement System for the first four and a half years (WTO 분쟁해결제도(紛爭解決制度)의 운영사례분석(運營事例分析))

  • Park, No-Hyoung
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.13
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    • pp.699-733
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    • 2000
  • This article analyzes the state-of-play of WTO dispute settlement for first four and a half years. Remarkable points found on this analysis are as follows: First, the Quad consisting of the United States, the European Community (EC), Canada and Japan has participated in the WTO dispute settlement mechanism more frequently than any other WTO member. Second, among developing country members some leading countries such as Korea, Brazil and India have relied actively upon the mechanism to claim and defend their rights and obligations under the WTO rules. Third, bilateral dispute settlements generally have been preferred to multilateral dispute settlements by the panel or Appellate Body. Fourth, observation of the Appellate Body proceedings well shows WTO members' strategy to use every process available to them. Fifth, the provisions of GATT 1994 have been most frequently invoked by the members. GATS and TRIPS Agreement disputes are mainly involved in developed countries, in particular the U.S. and the EC. Sixth, very high winning ratio in the panel and Appellate Body process indicates that complaining parties review the possibility to get favorable rulings even before referring to the Dispute Settlement Body (DSB) and prepare for the case very thoroughly. Seventh, roughly speaking, disputes were settled within two or three years. Therefore, seeking bilateral dispute settlement can be more advantageous to a complaining party than referring to a panel or an arbitrator because of low costs and short time period in dispute settlement. Finally, the DSB approved retaliatory actions for winning complaining parties against the defending parties who had rejected implementation of its rulings and recommendations. In conclusion, it can be said that the WTO dispute settlement mechanism has been operated very successfully for the first four and a half years. It is hoped that continued study on state-of-play of WTO dispute settlement mechanism will be contributory to improved national interest of Korea.

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SME Learning Organization Based on Action Learning (액션러닝을 이용한 중소기업 학습조직 구축에 대한 사례 연구)

  • Park, Sang Hyeok;Seol, Byung Moon;Park, Kiho
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.10 no.6
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    • pp.99-106
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    • 2015
  • This is a case study on organizational learning with action learning. It targets B industry belonging to Shoe manufacturer. We apply action learning techniques as consulting skills to promote the organization of specific learning activities. Action Learning solves the challenges faced by the company with the ability to enhance the member while participating in the program. Therefore, it is a good methodology to overcome the uncertainty environment. Through a case study, in the maturing process of a learning organization can see the conditions that are necessary for the ongoing maintenance of that identity, organizational learning activities. Findings to the continued operation of the enterprise learning organization suggest the establishment of a learning organization, and direction and strategic importance. Systems and learning environments should be built and then repeat the process of practice to master the new learning organization. It suggests to learn a new organizations operating methods that require repetition of the course of action.

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Research on a Stability of Feedwater Control System after Stretched Power Uprate and Replacement Steam Generator for Ulchin Units 1&2 (울진1,2호기 출력최적화 및 증기발생기 교체가 주급수 제어계통 안정도에 미치는 영향연구)

  • Yoon, Duk-Joo;Kim, In-Hwan;Kim, Sang-Yeol
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.8 no.2
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    • pp.14-20
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    • 2012
  • Full load rejection capability of nuclear power plant depends primarily on steam dump capacity (SDCAP) and steam generator level control capability. Recently, Ulchin Units 1&2 have performed stretched power uprate (SPU) and replacement steam generator (RSG) projects, which increase the power by 4.5 percent. They change major design or operating parameters and especially reduces steam dump capacity at full power due to increase of the steam flow. The reduction of SDC after SPU results in degradation of heat removal capability in full load rejection transients. Therefore, we should perform evaluation to determine whether reactor trips occur in large load rejection transients. Uchin Units 1&2 have experienced full load rejection (FLR) three times from 2004 to 2010. Operating data from the plant occurrence of FLR at Ulchin Units 1&2 showed that steam generator (SG) level transients were limiting in point of reactor trip. However the plant had never reached reactor trip in the FLR and successfully continued in house load operation. The parameters and setpoints for the SG will be changed if the SG is replaced. Therefore, we evaluated the appropriateness of steam dump, main feedwater and steam generator water level control system preventing the plant from reactor trip in case of FLR by the parameter sensitivity study whether SG water level operated smoothly after SPU and RSG projects.

Development of New Feed Mill Model Applying Combined Grind System (복합분쇄 시스템을 도입한 배합사료 공장의 새로운 모델 개발)

  • 박상빈;박경규;김태욱;윤홍선
    • Journal of Biosystems Engineering
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    • v.22 no.4
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    • pp.439-450
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    • 1997
  • Most of Korean feed mill has a pregrind system which was suitable for the processing of less number of ingredients and finished products, and good for the mash type feed product. But industries has been changed in production volume and cost, and also from mash to further processed products such as pelleted and extruded. Therefore, Korea feed industries now should change the process, especially the grinding system from the current pregrind to other grind system, but this change will cost a lot of investment and also loosing current grinding system, and should have production shut down during the construction period. To solve these problems, combined grinding system based on a new model mill has been developed. The combined grind system is combination of pregrind and postgrind system, which has the advantages of those two grind systems, and also which can allow to utilize existing pregrind system continuously without any production interruption due to new postgrind system construction. This newly developed model has been applied to the feed mill expansion project of `B`feed company in 1994, and it was very successful application and showed excellent results as we intended. The new model mill, combined grind system applied can save fixed asset investment because old pregrind system can be used as is, and also can reduce production cost and improve product quality. And the possibility of critical production shut down can be much lowered. Within this new grinding model development, multi-screen combination system has been developed for the better grinding texture quality and safer operation. This new model mill with combined grind system will be applied by most feed manufacturing plant and may enhance their production competitiveness, and the further study and development should be continued.

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Odor Emission from Sediments in Sewer Systems and Odor Removal using an Electrolytic Oxidation Process (하수관거에 퇴적된 유기물에 의한 악취 발생과 산화전리시스템을 이용한 악취 저감)

  • Ahn, Hae-Young;Shin, Seung-Kyu;Song, Ji-Hyeon
    • Journal of Korean Society for Atmospheric Environment
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    • v.27 no.6
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    • pp.703-710
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    • 2011
  • Odor emission from domestic sewer systems has become a serious environmental problem. An investigation on a sewer manhole revealed that anaerobic decay of sediment organic matters (SOMs) and related declines of oxidation reduction potential (ORP) in the sediment layer were the main reason of the production of volatile sulfur compounds. In addition, as the anaerobic decaying period continued, the odor intensity rapidly increased with increasing concentrations of $H_2S$ and dimethyl sulfide. As a feasible method to control SOMs and to minimize odor emission potentials, an electrolytic oxidation process has been employed to the sediment sludge phase. In this study, voltages applied to the electrolytic oxidation process were varied as a main system parameter, and its effects on odor removal efficiencies and reaction characteristics were investigated. At the applied voltages greater than 20 V, the system efficiently oxidized the organic matter, and the ORP in the sludge phase increased rapidly. As a consequence, the removal efficiency of hydrogen sulfide was found to be >99% within 60 minutes of the electrolytic oxidation. Overall, the electrolytic oxidation process can be an alternative to control odor emission from sewer systems, and a threshold input energy needs to be determined to achieve effective operation of the process.

Debridement Arthroplasty for Post-Traumatic Stiff Elbow (후외상성 주관절 강직에서의 변연 관절 성형술)

  • Rhee Yong-Girl;Kim Hee-Seon;Chun Young-Soo;Cho Young-Lin
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.242-249
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    • 1998
  • Stiffness of the elbow joint is relatively common after trauma, ectopic ossification, bum, postoperative scar, and etc. Mild flexion deformity can be reduced by use of active or passive motion exercise, dynamic sling, hinged distractor device, or turnbuckle orthosis. But these methods have disadvantages of difficulty in gaining acceptable range of motion only with stretching exercise, re-contracture after conservative managements and poor results that flexion contracture remained. The common described operative exposures for treatment of the stiff elbow are anterior, lateral, posterior, and medial approach. Through Anterior, lateral and medial approach each has not access to all compartments of the elbow. But, posterior approach has benefits that access to posterior, medial and lateral aspects of the elbow and as needed, fenestration to the olecranon fossa that produces a communication between the anterior and posterior compartments of the elbow are possible. From June 1991 through April 1997, 11 patients who had posttraumatic stiff elbow, were treated with debridement arthroplasty through the posterior approach. The purpose of this study are to introduce technique of the debridement arthroplasty and to evaluate final outcomes. With regarding to preoperative pain degree, mild degree matches to 3 cases, moderate to 3 cases, and severe to 2 cases. In preoperative motion, flexion was average 85° and extension was 30°. Postoperatively nine patients had got the complete relief of pain and two patients continued to have mild pain intermittentely. Postoperative flexion improved to 127° and extension to 2°, so that elbow flexion had improved by an average of 42° and elbow extension by 28°. On the objective scale all patients had good or excellent results and they all felt that they were improved by operation. Debridement arthroplasty is one of excellent procedures for the intractable stiff elbow if it is not unstable or it has not incongrous. But it need a meticulous operative technique and a well-programmed rehabilitation.

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Annual Report of Thoracic and Cardiovascular Surgery in Korea[ I ] - 1991 - (흉부외과 진료통계( I ))

  • Sun, K.;Kwak, Y.T.;Kim, H.M.
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1383-1390
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    • 1992
  • This is the result of the annual statistic analysis of thoracic and cardiovascular surgical cases in 1991, Korea. 14,715 cases of surgery[thoracic 8,995/cardiovascular 5,720] were done by 53 institutes replied. The order of frequency of cell type in primary lung cancer was squamous [62.3%] / adeno [23.9%] / small [6.4%] / adenosquamous [3.0%], and in mediastinal tumor, neurogenic[27.l%] / thymoma [27.1%] / teratoma[26.4%] / congenital cystic[12.0%]. Surgery for tuberculosis was decreased to 15.8% of overall infectious disease from the recent 6 year`s average 35.7%. In general thoracic surgery, the single most frequent operation was closed thoracostomy[4,047 cases] for pleural pathology. The ratio of congenital to acquired heart disease was 2:1, and acyanotic to cyanotic was 3:1. The order of frequency of congenital acyanotic heart disease was VSD [45.6%] / ASD [25.6%] / PDA [20.4%] / PS [2.9%], and that of cyanotic heart disease was TOF [42.6%] / PA [12.9%] / TGA [9.9%] / DORV [8.8%]. In 1,364 cases of valvular surgery, single mitral pathology was the most frequent candidate[729 cases, 53.4%]. In 243 cases of coronary surgery, bypassing graft materials were great saphenous vein[41.6%], internal mammary [39.5%], and artificial vessel[18.9%]. There were no specific differences in aortic surgery, assisted device implantation, and antiarrhythmic surgery as compared to previous study. This nation-wide inquiry will be continued and reported annually by KTCS Society.

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A study on the mathematical disposition and communication level in process of applying mathematical journal writing to the 3rd graders in a mathematics classroom (수학일지 쓰기 활동이 초등학생의 수학적 성향과 수학적 의사소통 수준에 미치는 영향: 3학년 수와연산 영역을 중심으로)

  • Yang, Hyeonsu;Kim, Min Kyeong
    • The Mathematical Education
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    • v.57 no.3
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    • pp.247-270
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    • 2018
  • The purpose of this study is to investigate the mathematical disposition and mathematical communication level of elementary school students in the process of applying mathematical journal writing activities. For this study, 21 third grade students in elementary school were observed when they participated in mathematical journal writing activities while studying number and operation area. According to the Mathematical disposition pre-test and post-test results, mathematical confidence, mathematical flexibility, mathematical will, and mathematical reflection increased and it was statistically proved. Expression and explanation level of the mathematical communication writing area also increased as the mathematical journal writing activity continued. Thus, mathematical journal writing activities can help to enhance the core competencies of the 2015 revised mathematics curriculum while make students 'to develop and transform mathematical expressions' and 'to express oneself'. Also, it provides implications of including active writing activities such as mathematical journal writing activities into mathematics classroom. Furthermore, the change in mathematical communication level according to mathematical disposition level was not statistically significant. Therefore, when providing active writing activities including mathematical journal writing activities into classroom, it is necessary to understand students' individual characteristics and to encourage communication to be active rather than giving feedback based on one's mathematical disposition level.