• Archives of Plastic Surgery
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• 제36권3호
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• pp.294-298
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• 2009

Purpose: The pharyngeal flap is one of the popular surgical method to treat the problem of velopharyngeal dysfunction. This study evaluated speech outcomes of patients who underwent superiorly based pharyngeal flap surgery based on timing of surgery. Methods: A restrospective review of 50 patients who underwent pharyngeal flap surgery for velopharyngeal insufficiency between September 1996 and January 2008 was undertaken. Thirty patients with an available preoprative and postoperative speech assessments with at least 6 months of follow-up were included in this study. We checked out the significance of speech improvement after surgery analysing preoperative and postoperative scoring of speech assessment. We also investigated the direct relationship between the age at surgery and the degree of speech improvement, and the improvement score in different age groups. Results: The mean score of preoperative speech was $52.6{\pm}7.4points$ and postoperative speech was $58.6{\pm}6.5points$, which presented significant postoperative speech improvement with an average of 5.9 points(p<0.01). There was a significant inverse relationship between the age at operation and speech improvement degree(p<0.01, r = -0.54). Comparing the age groups, the age group of 4 to 5 years presented statistically significant speech improvement(p<0.01). Conclusion: we propose that all patients indicated should take pharyngeal flap irrespective of age. In this study, the younger the age at surgery, the higher degree of speech improvement, for which we suggest that surgical approach should be undertaken as early as possible, especially younger than age 5 years.

• 한국주거학회논문집
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• 제15권2호
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• pp.75-85
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• 2004

The purpose of this study was to make improvement plan of supplement education for multifamily housing managers. It had investigated a difficult degree of managerial work and troubles of education through questionnaires by 144 housing manager in Ulsan. Analysis methods adopted in this study were frequency, percentage, mean, one-way ANOVA by the SPSS 10.0 for windows program. The parts of evaluation tool were composed of maintenance, operating management, residential life management. The evaluation tool got contents through the documents research, present education contents and questions on the Internet. Likert summated scale(5 point) was used. The results of study showed that a difficult degree of managerial work in the residential life management was the highest. A difficult degree of maintenance work was the highest on the defect examination and decision of repair method of equipment facilities and construct frame. The degree of difficulty of the operating management was high on the homepage management through Internet and well-being progress of housing managers.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2001년도 제53차 추계 학술대회 연제집
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• pp.189-190
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• 2001

• 한국지반환경공학회 논문집
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• 제6권3호
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• pp.55-61
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• 2005

동다짐공법은 느슨한 지반의 개량에 주로 사용되는 공법으로 점착성 토사나 폐기물과 성토지반에도 성공적으로 적용되고 있다. 동다짐공법의 설계에 있어 지반개량심도의 결정은 중요한 요소이다. 그러나 개량심도는 다짐에너지 뿐만 아니라 다짐간격, 대상토질 특성, 포화정도 및 현장여건 등에 영향을 받고 있다. 본 연구에서는 개량심도 예측을 위하여 현장실험결과를 이용하였으며 다짐에너지, 토질특성 및 포화정도에 따른 개량심도를 평가하였다.

• 보건행정학회지
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• 제11권4호
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• pp.54-69
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• 2001

This study was conducted to assess factors associated with the degree of performance of qualify improvement(QI) activities. A mailed questionnaire survey was conducted between September 15 and October 30, 2000, with the staffs being charge of QI at each of the hospitals with 400 beds or greater. Of the 108 hospitals eligible for inclusion in our study, 79 participated, yielding a response rate of 73.1%. After excluding 12 hospitals that did not perform any QI activities, 117 responses from 67 hospitals were used for the analysis. Using the Malcolm Baldrige National Quality Award Criteria(MBNQAC), perceived performance of QI was measured in terms of the improvement of the quality of clinical practice, clinical supporting department, administrative procedure of receiving care, customer satisfaction, efficiency and standardization of work process. Factors evaluated for the association were the extent of QI implementation, compliance to 5 QI principles, participation of hospital CEOs, budget allocation, history of QI, and bed size. Path analysis was performed to assess the relationship between QI performance and these factors. Major findings of this study are as follows. Hospitals showing higher degree of QI implementation (path coefficient=0.5967, p<0.001)) and better compliance with the basic principes of QI(0.5736, p<0.05) tended to achieve better performance. Path analysis results showed that interest and participation of hospital CEOs(0.1954, p<0.05) and compliance with the basic principes of QI(0.4028, p<0.0001) indirectly affected the outcomes of QI by influencing the intermediate variable of the level of QI implementation. This study results suggest that having employees have a good orientation of the basic concept and principes of QI through relevant training be the most important requirement to achieve better outcomes from QI activities. In addition, to educate leaders of hospitals the need of active implementation of QI is important to encourage their participation and draw strong support for QI programs.

• Journal of Biomedical and Translational Research
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• 제19권4호
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• pp.103-109
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• 2018

Aspergillus luchuensis 34-1 was inoculated into wheat pellets with different conditions of raw materials to produce nuruk. The degree of substrate reactivity improvement of steam treated raw materials compared with that of non-heat treated was analyzed. The water content of the pellet was adjusted to 25% and 35%, and steam treatment for 10 minutes improved the substrate reactivity at 2.1-fold and 3.1-fold, and sterilization was also possible. The characteristics of improvement pellet nuruk were investigated according to the degree of crushing and water content of raw materials according to the temperatures and humidities ($23^{\circ}C$, $30^{\circ}C$ and RH 60%, RH 80%). The pH of the pellet nuruk was higher depending on the temperature, humidity and moisture content of the koji were lower, and the pH of the flour-pellet nuruk was lower than that of 2 mm milling wheat-pellet nuruk according to milling degree. It can be seen that the milling degree affects the growth of mold. The acidity and amino acid were generally higher as fermentation time increased. Also, the higher the incubation temperature, humidity and moisture content, the higher the value. Glucoamylase activity was significantly the highest in moisture content 35% D2b nuruk, cultured at $30^{\circ}C$ and 80% RH for 38 hours. This is higher than the previous reports on glucoamylase of rice-koji or commercial nuruk using fungi isolated from traditional nuruk. From these study, it is expected that making of improvement pellet nuruk would save the fermentation time considerably compared with traditional nuruks.

• 대한기계학회논문집B
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• 제25권6호
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• pp.853-859
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• 2001

This paper describes the extended topological clean up procedures to improve the quality of unstructured triangular meshes. As a postprocessing step, topological improvement procedures are applied both for elements that are interior to the mesh and for elements connected to the boundary and then Laplacian-like smoothing is used by default. Previous clean up algorithms are limited to eliminate the nodes of degree 3,4,8,9,10 and pairs of nodes of degree 5. In this study, new clean up algorithms which minimize the triple connection structures combined with degree 5 and 7 (ie ; 5-7-5, 7-7-5, 7-5-7 etc) are added. The suggested algorithms are applied to two example meshes to demonstrate the effectiveness of the approach in improving element quality in a finite element mesh.

• 한국항만경제학회지
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• 제22권1호
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• pp.87-103
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• 2006

The aim of this paper is to establish the evaluation system of improving urban logistics using the QFD(Quality function Deployment) model which can facilitate to grasp the improving degree of realizing the system conforming to the relationship of all process and the process improvement. At the first stage, the established system through the QFD method will be used to evaluate and diagnosis the level of urban logistics in Cheonbuk District. The second stage is to investigate the important components that can make prompt improvement of urban logistics. Then, the sensitivity analysis is to be performed and the degree of improving urban logistics will be presented according to the rising degree of the relevant components.

• 한국항행학회논문지
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• 제11권1호
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• pp.43-49
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• 2007

본 논문에서는 Rummler 모델 기반의 케이블 채널에서 OFDM/64QAM 시스템의 성능을 시뮬레이션을 수행하여 평가하고, 적응 LMS 등화기를 적용하여 성능 개선 정도를 평가하였다. 성능 평가 결과, Rummler Two-ray 채널에서 반사파에 대한 감쇠계수(b)가 0.15 이하인 경우에는 등화기를 채용하여야 성능 개선 정도가 크게 이루어짐을 알 수 있었다. 그리고 b가 0.15이상인 경우에는 등화기를 채용해도 Eb/No에 관계없이 거의 동일한 성능이 얻어짐을 알 수 있었다.

• The Korean Journal of Pain
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• 제18권2호
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• pp.176-180
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• 2005

Background: Epidural steroid injections benefit certain patients with radicular pain, and often have only a limited duration. We compared the efficacy of hyaluronidase and triamcinolone and triamcinolone alone in patients with lumbar herniated disc disease treated with transforaminal epidural block. Methods: Forty patients who had undergone a transforaminal epidural injection were retrospectively reviewed. The T group received triamcinolone and local anesthetics; whereas, the HT group received hyaluronidase, triamcinolone and local anesthetics. We evaluated the improvement as being good, moderate, mild or no improvement, and in those where the improvement was good or moderate, also evaluated the duration of pain relief. Data were collected from the medical records of patients or via phone calls, which were analyzed using Student t- and chi-squared tests. A value of P < 0.05 was considered significant. Results: There were no significant differences in the degree of pain improvement or duration of pain relief between the two groups. Conclusions: A hyaluronidase and triamcinolone injection during transforaminal epidural block has on benefit with respect to the degree of pain improvement or its duration compared to a triamcinolone only injection.