• Journal of Chest Surgery
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• 제49권2호
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• pp.85-91
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• 2016

Background: This study was conducted to determine the efficacy of staple line coverage using a polyglycolic acid patch and fibrin glue without pleural abrasion to prevent recurrent postoperative pneumothorax. Methods: A retrospective analysis was carried out of 116 operations performed between January 2011 and April 2013. During this period, staple lines were covered with a polyglycolic acid patch and fibrin glue in 58 cases (group A), while 58 cases underwent thoracoscopic bullectomy only (group B). Results: The median follow-up period was 33 months (range, 22 to 55 months). The duration of chest tube drainage was shorter in group A (group A $2.7{\pm}1.2day$ vs. group B $3.9{\pm}2.3day$, p=0.001). Prolonged postoperative air leakage occurred more frequently in group B than in group A (43% vs. 19%, p=0.005). The postoperative recurrence rate of pneumothorax was significantly lower in group A (8.6%) than in group B (24.1%) (p=0.043). The total cost of treatment during the follow-up period, including the cost for the treatment of postoperative recurrent pneumothorax, was not significantly different between the two groups (p=0.43). Conclusion: Without pleural abrasion, staple line coverage with a medium-sized polyglycolic acid patch and fibrin glue after thoracoscopic bullectomy for primary spontaneous pneumothorax is a useful technique that can reduce the duration of postoperative pleural drainage and the postoperative recurrence rate of pneumothorax.

• 농촌지도와개발
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• 제22권1호
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• pp.43-54
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• 2015

This study explored the effects of adoption of innovation and resistant attitude on farmers' perspectives and also was deigned for developing prompt spread of ICT and facilitating stronghold support center in the convergence agricultural field. To closely examine the variation for exploitation intent of stronghold support center in the ICT convergence agriculture, 110 farmers who had experienced introduction for ICT hybrid environmental control system were participated in the study using the questionnaire. The results revealed the several findings. Firstly, there was no significant differences between the self-efficacy such as confidence of application technology for farmers and adoption of innovative technique (p=.075). Secondly, suitability of using ICT hybrid environmental control system showed a significant difference in the adoption of innovation (p=2.750) while complexity of using ICT hybrid environmental control system indicated the negative effects on the adoption of innovation (p=3.591). Thirdly, introduction cost of ICT hybrid environmental control system showed the negative effects in the adoption of innovation (p=2.278), whereas adoption of innovation indicated a significant difference in the stronghold support center in the convergence agricultural field (p=5.500). Finally, resistance of ICT adoption of innovative technique revealed the negative effects on the stronghold support center in the ICT convergence agriculture. This study, therefore, demonstrated that educational assistance for acquiring ICT technique, suggestion of influences for productivity, and development for skills were needed to extend ICT convergence technology. Additionally, the study indicated the strategies related with promotion as well as ways of minimizing introduction cost.

• 멤브레인
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• 제25권3호
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• pp.287-294
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• 2015

태양전지는 태양복사에너지를 반도체의 광전효과를 통해 전기에너지로 변환시키는 친환경 에너지변환장치를 의미한다. 수분을 포함하는 다양한 화학물질들에 대한 높은 차단성을 갖는 다층형 필름인 백시트는 태양전지의 중요한 요소이다. 대표적인 백시트는 polyvinyl fluoride (PVF)와 poly(ethylene terephthalate) (PET)의 다층필름으로 구성된다. PVF는 높은 내후성을 가지는 반면, 가격이 상대적으로 비싼 단점을 보인다. 따라서, 백시트의 제조가격을 낮출 수 있으면서, 동시에 실제 태양전지모듈에 적용할만한 수명특성을 만족시킬 수 있는 대체소재의 개발이 필수적이다. 본 연구에서는 일정수준의 결정성을 갖는 PET 필름을 PVF 필름 대신 사용하였다. 그러나, PET 소재는 다양한 pH 조건에서 trans-esterification 및 가수분해에 의해 분해될 수 있기 때문에, 태양전지의 구동조건에서 PET의 분해거동을 이해할 필요가 있다. 단시간 내 화학적 분해거동을 평가하기 위해서, 가속화된 PET 분해실험 프로토콜이 개발되었다. 마지막으로, 제안 개념의 효용성은 태양전지모듈의 장기운전성능 평가를 통해 확인하였다.

• 한국의료질향상학회지
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• 제5권1호
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• pp.152-165
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• 1998

Background : In this paper patient outcomes research is going to be reviewed and described, to be compared with relevant studies, and to consider the application in Korea. Methods : We compiled and reviewed the articles and materials related to patient outcomes research especially by PORT(Patient Outcomes Research Team) and rearranged them for seeking the main point and comparing with relevant studies. Results : Patient outcomes research emphasizes patient outcomes as well as conventional clinical outcomes. It is prospective study observing effectiveness in real situation instead of efficacy in ideal condition. Patient outcomes research comprises of 6 fields ; literature review and meta-analysis, use of claims data, decision modeling, outcomes assessment, cost of care, dissemination of research findings. SAA(small-area variations analysis), appropriateness study and clinical practice guideline are connected with patient outcomes research. Conclusion : In view of the fact that current medical policy in Korea is shifting its focus from accessibility to the improvement in quality and cost containment, and is stressing patient-based research, patient outcomes research is one direction for which the medicine is accountable and assessable. Considering that the number of patient receiving medical treatment in Korea is higher than the West, patient outcomes research has competitive power as against the West.

• Annals of dermatology
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• 제30권6호
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• pp.668-675
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• 2018

Background: Drug survival, defined as the time until discontinuation, is a parameter reflecting real-world therapeutic effectiveness. Few studies have examined the influence of economic factors on the drug survival of biologic agents for psoriasis, particularly in Asian countries. Objective: To determine the drug survival for ustekinumab in real-life settings and investigate the factors affecting drug survival for psoriasis patients in Korea. Methods: We evaluated 98 psoriasis patients who were treated with ustekinumab at a single center. We analyzed the efficacy and drug survival of ustekinumab. Cox proportional hazard analysis and competing risk regression analysis were performed to reveal the factors affecting the drug survival of ustekinumab. Results: The overall mean drug survival was 1,596 days (95% confidence interval [CI], 904~2,288). Among the 39 cessations of ustekinumab treatment, 9 (23.1%) patients discontinued treatment after experiencing satisfactory results. Multivariate Cox proportional hazard analysis revealed that paying on patients' own expense was the major predictor for the discontinuation of ustekinumab (hazard ratio [HR], 9.696; 95% CI, 4.088~22.998). Competing risk regression analysis modeling of discontinuation because of factors other than satisfaction of an event also revealed that ustekinumab treatment at the patient's expense (HR, 4.138; 95% CI, 1.684~10.168) was a predictor of discontinuation rather than satisfaction. Conclusion: The results of our study revealed that the cost of biologics treatment affects the drug survival of ustekinumab and suggested that economic factors affect the drug survival of ustekinumab treatment in Korea.

• Elastomers and Composites
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• 제58권1호
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• pp.44-56
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• 2023

Additive manufacturing (AM) or three-dimensional (3D) printing of metals has been drawing significant attention due to its reliability, usefulness, and low cost with rapid prototyping. Among the various AM technologies, fused deposition modeling (FDM) or fused filament fabrication is receiving much interest because of its simple manufacturing processing, low material waste, and cost-effective equipment. FDM technology uses metal-filled polymer filaments for 3D printing, followed by debinding and sintering to fabricate complex metal parts. An efficient binder is essential for producing polymer filaments and the thermal post-processing of printed objects. This study involved an in-depth investigation of and a fabrication route for a novel multi-component binder system with steel alloy powder (45 vol.%) ranging from filament fabrication and 3D printing to debinding and sintering. The binder system consisted of polyvinyl pyrrolidone (PVP) as a binder and thermoplastic polyurethane (TPU) and polylactic acid (PLA) as a carrier. The PVP binder held the metal components tightly by maintaining their stoichiometry, and the TPU and PLA in the ratio of 9:1 provided flexibility, stiffness, and strength to the filament for 3D printing. The efficacy of the binder system was examined by fabricating 3D-printed cubic structures. The results revealed that the thermal debinding and sintering processes effectively removed the binder/carrier from the cubic structures, resulting in isotropic shrinkage of approximately 15.8% in all directions. The scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDX) patterns displayed the microstructure behavior, phase transition, and elemental composition of the 3D cubic structure.

• Asia Marketing Journal
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• 제14권3호
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• pp.185-197
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• 2012

Caffe Bene, one of the most notable coffeehouse chain brands in Republic of Korea, gives us some thought-provoking issues in terms of sustainable success. Despite harsh competition among various coffeehouse brands, Caffe Bene has been accomplished astonishing outcomes in domestic market and now ranked 2^nd place in sales among the global coffeehouse franchise in 2010 and 2011. These achievements were possible mainly because Caffe Bene adopted distinctive shop design, maintained aggressive marketing strategy, developed new menu, and combined the unique Korean culture with ordinary concept of café to make its place attractive. However, since Korean coffeehouse market is getting saturated and consumers are becoming savvy about coffee, Caffe Bene needs to find a new solution to overcome growth stagnation. Besides, many experts pointed out that irrational increase in the number of stores might hurt its business in the aspect of managing distribution channel and providing consistent services. Also, customers of Caffe Bene have shown that it has to complement its critical weaknesses: inferior coffee taste and relatively high price for a cup of coffee. Especially, some people view that the company is shifting its high rental fee, interior cost and PPL marketing cost to consumers by charging high price for coffee. To get over the problems, Caffe Bene is currently using C/S Consumer Management System though experts are questioning about the efficacy because of the conflict between purpose of the system and the headquarters' plan. Present CEO Kim also announced that the company will complete its logistics system in the latter half of 2012 to provide stores with more high quality coffee beans to improve taste of coffee. Thus, in this case, we describe how Caffe Bene succeeded in Korean market and enumerate its key success factors. Also, we specify the long-term goals of Caffe Bene and introduce the current policies and strategies to show how the company is working on to achieve its ultimate goal. By reading and analyzing this business case, students could get useful insights regarding franchise management and think about issues on competing in a saturated market. Also, it would be worthwhile to generate creative solutions for the problems that Caffe Bene is now facing to broaden the practical perspective.

• 한국심리학회지 : 문화 및 사회문제
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• 제14권1호_spc
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• pp.223-253
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• 2008

이 글은 한국심리학회지: 사회문제, 13(5), 특집호, 제 3권의 주제인 한국사회 성취의 그늘에 있는 청소년 일탈행동의 형성과 심리적인 역동에 대해 다루고 있다. 이를 위해 최근에 발표된 한국 일탈청소년과 관련된 경험과학적 연구결과들을 개관함으로써, 앞으로 한국 일탈청소년에 대한 연구 및 실제적 지도의 방향에 대한 시사점을 탐색하고자 하였다. 이러한 목적을 위해 이 글은 크게 네 부분으로 구성되었다. 첫째, 이 글의 목적과 내용을 소개하였으며, 일탈행동에서 벗어나서 질적으로 다른 성취를 해 나갈 수 있는 가능성의 세계에 주목하였다. 둘째, 일탈청소년 주변의 인간관계 특징을 부모의 거부, 또래 따돌림, 교사와의 적대적인 관계 등을 중심으로 살펴보았다. 셋째, 일탈행동의 형성과정에 작용하는 변인들 중에 특히 부모양육태도의 문제, 친구 일탈행동의 영향, 청소년 도덕적이탈의 심리, 과거의 일탈경험을 중심으로 선행연구 결과들을 분석 종합하였다. 넷째, 한국 일탈청소년 삶의 질 향상을 위해 토착심리적 접근의 중요성을 지적하였다.

• Geomechanics and Engineering
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• 제36권2호
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• pp.111-119
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• 2024

In the realm of rock excavation projects, precise estimation of the drilling rate index stands as a pivotal factor in strategic planning and cost assessment. This study introduces and evaluates two pioneering computational intelligence models designed for the prognostication of the drilling rate index, a pivotal parameter with direct implications for cost estimation in rock excavation projects. These models, denoted as the Relevance Vector Regression (RVR) optimized with the Invasive Weed Optimization algorithm (IWO) (RVR-IWO model) and the RVR integrated with the Shuffled Frog Leaping algorithm (SFL) (RVR-SFL model), represent a groundbreaking approach to forecasting drilling rate index. The RVR-IWO and RVR-SFL models were meticulously devised to harness the capabilities of computational intelligence and optimization techniques for drilling rate index estimation. This research pioneers the integration of IWO and SFL with RVR, constituting an unprecedented effort in forecasting drilling rate index. The primary objective of this study was to gauge the precision and dependability of these models in forecasting the drilling rate index, revealing significant distinctions between the two. In terms of predictive precision, the RVR-IWO model emerged as the superior choice when compared to the RVR-SFL model, underscoring the remarkable efficacy of the Invasive Weed Optimization algorithm. The RVR-IWO model delivered noteworthy results, boasting a Variance Account for (VAF) of 0.8406, a Mean Squared Error (MSE) of 0.0114, and a Squared Correlation Coefficient (R²) of 0.9315. On the contrary, the RVR-SFL model exhibited slightly lower precision, yielding an MSE of 0.0160, a VAF of 0.8205, and an R2 of 0.9120. These findings serve to highlight the potential of the RVR-IWO model as a formidable instrument for drilling rate index prediction, particularly within the framework of rock excavation projects. This research not only makes a significant contribution to the realm of drilling engineering but also underscores the broader adaptability of the RVR-IWO model in tackling an array of challenges within the domain of rock engineering. Ultimately, this study advances the comprehension of drilling rate index estimation and imparts valuable insights into the practical implementation of computational intelligence methodologies within the realm of engineering projects.

• Pediatric Infection and Vaccine
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• 제12권2호
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• pp.124-134
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• 2005

목 적 : A군 사슬알균에 의한 인두염의 진단에 있어 미국의 감염 관련 학회에서는 도말 검사나 신속 검사 후 확진이 되면 항생제 사용하는 것을 추천한다. 국내에서는 아직 인두염시 항생제 사용에 대한 기준이 확립되지 않았다. 본 연구는 국내 인두염 환자에서 신속 검사와 인후 배양 검사를 시행하고 치료한 군과 검사 없이 경험적으로 치료한 군을 비교하여 신속 검사의 유용성과 이를 통한 항생제 사용의 타당성을 연구하기 위해 시행되었다. 방 법 : 경희의료원과 한일병원 외에 6개의 개인의원이 참여하였다. 총 369명의 환자들이 참여하였으며, 이들을 연구자 임의로 신속 검사와 인후 배양 검사 시행하고 치료를 한 군(신속 검사군)과 신속 검사나 인후 배양 검사 없이 연구자의 임상적 경험적으로 치료한 군(경험적 치료군)으로 나누어 연구를 시행하였다. 결 과 : 신속 검사군은 244명이었으며 경험적 치료군은 125명이었다. 신속 검사군 중 신속 검사 양성 환자는 71명, 신속 검사 음성 환자 173명이었으며, 인후 배양 검사 양성 환자는 49명, 인후 배양 검사 음성환자는 195명이었다. 인후 배양 검사를 기준으로 한 A군 사슬알균의 유병률은 20.1%였다. 신속 검사의 민감도는 89.8%, 특이도 86.1%, 양성 예측도 62.0%, 음성 예측도 97.1%였으며 위양성률 38.0%, 위음성률 13.9%였다. 신속 검사군과 경험적 치료군의 항생제 사용은 76%, 71%로 두 군 다 높게 나타났다. 이들을 적절하게 신속 검사 상 결과에 따라 항생제를 사용하였으면 항생제 사용을 37% 정도 줄일 수 있으며 신속 검사의 가격을 책정 가격의 63% 정도로 줄이면 신속 검사 시행 후 항생제 사용과 경험적 항생제 사용의 가격 차이는 없어진다. 결 론 : A군 사슬알균 인두염시 경험적 항생제 치료 보다 진단에 따른 치료가 필요하며 신속 검사의 가격을 책정가격의 63%로 줄이면 경험적 치료에 비해 증거에 입각한 진단을 내릴 수 있고 항생제 사용을 줄일 수 있다. 그러나 정확한 비용 효과의 평가를 위해 더 많은 연구가 필요하다.