• Title/Summary/Keyword: Knowledge Management

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Management of Unilateral Facet Dislocation of the Cervical Spine

  • Baek, Geum-Seong;Lee, Woo-Jong;Koh, Eun-Jeong;Choi, Ha-Young;Eun, Jong-Pil
    • Journal of Korean Neurosurgical Society
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    • v.41 no.5
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    • pp.295-300
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    • 2007
  • Objective : Unilateral facet dislocation of the cervical spine occurs by flexion and rotation injuries and cannot be easily reduced by axial traction. We analyzed 14 consecutive patients with unilateral facet dislocation of the cervical spine to increase knowledge about anatomical reduction of locked facet and factors for successful reduction. Methods : Fourteen patients [10 men and 4 women] with unilateral facet dislocation of the cervical spine were retrospectively analyzed. Plain X-ray, computerized tomography scan, and magnetic resonance imaging were performed. All patients underwent manual reduction and surgery with anterior interbody fusion and plate fixation. The manual reduction was performed by neck flexion and rotation to the opposite side of dislocation, followed by rotation and flexion of the head toward the side of dislocation and extension with relaxation of traction. Mean follow-up period was 17 months. The level of spine, amount of subluxation, combined facet fracture, and time from injury to initial reduction were analyzed using the data obtained from medical records. Results : Thirteen [93%] patients were reduced successfully. Immediate reduction was achieved in 7 patients but failed in 7 patients. Seven patients underwent delayed closed reduction under general anesthesia, and successful reduction was achieved in 6 patients. Only one patient with bone chips between articular facets failed to achieve anatomical reduction. Conclusion : In order to reduce the locked facet more easily and safely, we recommend manipulative traction with anterior interbody fusion and plate fixation under general anesthesia after being aware of spinal cord injury with magnetic resonance imaging.

The Avoidance of Microsurgical Complications in the Extradural Anterior Clinoidectomy to Paraclinoid Aneurysms

  • Son, Hee-Eon;Park, Moon-Sun;Kim, Seong-Min;Jung, Sung-Sam;Park, Ki-Seok;Chung, Seung-Young
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.199-206
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    • 2010
  • Objective : Paraclinoid segment internal carotid artery (ICA) aneurysms have historically been a technical challenge for neurovascular surgeons. The development of microsurgical approach, advances in surgical techniques, and endovascular procedures have improved the outcome for paraclinoid aneurysms. However, many authors have reported high complication rates from microsurgical treatments. Therefore, the present study reviews the microsurgical complications of the extradural anterior clinoidectomy for treating paraclinoid aneurysms and investigates the prevention and management of observed complications. Methods : Between January 2004 and April 2008, 22 patients with 24 paraclinoid aneurysms underwent microsurgical direct clipping by a cerebrovascular team at a regional neurosurgical center. Microsurgery was performed via an ipsilateral pterional approach with extradural anterior clinoidectomy. We retrospectively reviewed patients' medical charts, office records, radiographic studies, and operative records. Results : In our series, the clinical outcomes after an ipsilateral pterional approach with extradural anterior clinoidectomy for paraclinoid aneurysms were excellent or good (Glasgows Outcome Scale : GOS 5 or 4) in 87.5% of cases. The microsurgical complications related directly to the extradural anterior clinoidectomy included transient cranial nerve palsy (6), cerebrospinal fluid leak (1), worsened change in vision (1), unplanned ICA occlusion (1), and epidural hematoma (1). Only one of the complications resulted in permanent morbidity (4.2%), and none resulted in death. Conclusion : Although surgical complications are still reported to occur more frequently for the treatment of paraclinoid aneurysms, the permanent morbidity and mortality resulting from a extradural anterior clinoidectomy in our series were lower than previously reported. Precise anatomical knowledge combined with several microsurgical tactics can help to achieve good outcomes with minimal complications.

A New Paradigm for Subject-oriented Service System of University Library (대학도서관의 주제별 운영을 위한 새로운 패러다임)

  • 남태우;정재영
    • Journal of Korean Library and Information Science Society
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    • v.34 no.2
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    • pp.163-185
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    • 2003
  • Although university libraries run by the subject-oriented serviec systems are increasing more and more, many problems are emerging as a result of tying out the subject classification of the sources without an enough advance knowledge, consideration of reality, and the study about effective management of subject-oriented sum system. Through the research of 37 university libraries run by the system of subject-oriented service, it was proved that for the effective subject-oriented service system, the reasonable classification of the subjects, considering the form and structure of the building, the number of users on each subject and the organization of the collection, and the subject librarians, who would take charge of subject-oriented service systems are indispensable. Therefore, the subject-oriented service system to be rooted strongly, the role model of the subject-oriented service system adequate to the reality of Korean university libraries should be developed, and the efforts of the people on the spot such as acquiring enough supports and training of the subject librarians should be arranged.

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Casting Layout Design Using CAE Simulation : Automotive Part(Oil Pan_BR2E) (CAE을 이용한 주조방안설계 : 자동차용 부품(오일팬_BR2E))

  • Kwon, Hong-kyu
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.40 no.1
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    • pp.35-40
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    • 2017
  • A most important progress in civilization was the introduction of mass production. One of main methods for mass production is die-casting molds. Due to the high velocity of the liquid metal, aluminum die-casting is so complex where flow momentum is critical matter in the mold filling process. Actually in complex parts, it is almost impossible to calculate the exact mold filling performance with using experimental knowledge. To manufacture the lightweight automobile bodies, aluminum die-castings play a definitive role in the automotive part industry. Due to this condition in the design procedure, the simulation is becoming more important. Simulation can make a casting system optimal and also elevate the casting quality with less experiment. The most advantage of using simulation programs is the time and cost saving of the casting layout design. For a die casting mold, generally, the casting layout design should be considered based on the relation among injection system, casting condition, gate system, and cooling system. Also, the extent or the location of product defects was differentiated according to the various relations of the above conditions. In this research, in order to optimize the casting layout design of an automotive Oil Pan_BR2E, Computer Aided Engineering (CAE) simulation was performed with three layout designs by using the simulation software (AnyCasting). The simulation results were analyzed and compared carefully in order to apply them into the production die-casting mold. During the filling process with three models, internal porosities caused by air entrapments were predicted and also compared with the modification of the gate system and overflows. With the solidification analysis, internal porosities occurring during the solidification process were predicted and also compared with the modified gate system.

Relative Competitive Strengths of Overseas Chinese Firms in China: Advantages of Homeland Investment (중국투자 화교기업의 상대적 경쟁력: 모국투자의 이점)

  • Kim, Jong-Shik
    • Korean Business Review
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    • v.18 no.2
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    • pp.21-43
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    • 2005
  • Since China opened its market to foreign investors, overseas Chinese firms have been the biggest foreign investors. Because of the uncertain market environment, other foreign finns incurred larger liabilities of foreignness than overseas Chinese finns. Some parts of liabilities of foreignness stem from cultural differences and last for quite long time. Therefore better understanding of Chinese culture and guanxi network can give overseas Chinese finns competitive advantages over those from other countries by offering market information and reducing transaction costs. Also better management skills, information about export markets and abundant capital allow them to maintain competitive strengths over local firms. As foreign firms accumulate market knowledge in China, they can reduce liabilities of foreignness. However, it is very difficult for foreigners to understand Chinese cultures and to utilize guanxi network as well as Chinese. It is likely that Overseas Chines firms can have competitive strengths in some industries such as banking, retailing, and foreign trade, where relationship with local contractors and exploitation of worldwide Chines networks can play important roles to make successful business deals.

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Major Foods and Nutrient Intake Quality According to Body Image Perception among Korean Women: Based on the 2010 Korea National Health and Nutrition Examination Survey Data (한국 여성의 주관적 체형인식에 따른 주요 다빈도 식품 및 영양소 섭취의 질: 2010년 국민건강영양조사 자료를 이용하여)

  • Lim, Young Suk;Jeon, Soo Bin;Kim, Hee Mang;Jeong, So Yeon;Ahn, Jae Young;Park, Hae Ryun
    • Journal of the Korean Dietetic Association
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    • v.21 no.2
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    • pp.154-172
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    • 2015
  • The prevalence of obesity is continuing to increase. Self-perceived body image among women has drawn a lot of attention in Korea due to unhealthy weight control trials. This study was conducted to determine the relationship between self-perceived body image and dietary intakes among Korean women. For the analysis, 1,747 subjects were selected after eliminating those who were likely to have recently altered their diet based on the 2010 Korea National Health and Nutrition Examination Survey (KNHANES) data. The subjects were divided into three groups: underweight, normal, and obese groups according to their perception of body image. Daily nutrient intakes, NAR (Nutrient Adequacy Ratio), and food intake frequency were assessed according to age group and body image perception. Only energy intake showed differences among the three body image perception groups across all age groups, but not statistical differences. Analysis of NAR and the order of most frequently consumed food items confirmed these findings. The ratio of underweight women that perceived their body size as normal or overweight was higher with younger age. Incorrect body image perception and unhealthy weight control behaviors can cause nutritional problems. This study confirmed that nutritional knowledge is important for healthy weight control trials. Nutritional education for healthy dieting should be emphasized among Korean women.

A Study on a Convergence Education System to Improve University Students' Life Competencies (대학생의 생애역량 강화를 위한 융복합형 교육시스템 모색)

  • Kim, Bu-Ja;Kim, Jun-Whai
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.173-180
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    • 2014
  • Life competencies most required for university students, who receive a higher education and prepare to go into society, are job competencies. People with a variety of competencies are needed in the job market in a globally-oriented 21st-Century knowledge-based society. Now that raising competent people who have a high level of job competency is regarded as one of university functions, a way to improve job competencies through university education needs to be investigated. This study proposes a convergence education system to improve job competencies. The convergence education system includes five type of convergence: convergence in major fields of study, convergence in education courses, convergence in education space, convergence in education methods, and convergence in education period. This education system is expected to improve a variety of job competencies including cognitive competencies, non-cognitive competencies, and global competencies.

The Typology of Gender Role Identity in Middle-aged Women using Q Methodology (중년기 여성의 성역할정체감에 대한 인식: Q방법론적 접근)

  • Ko, Sung-Hee;Park, Euna;Kim, Myung-Ae
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.449-456
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    • 2014
  • This study aims to contribute to our knowledge on gender role identity of middle-aged women within the Korean context. This research adapting Q methodology created a sampling distribution of P with 40 middle-aged women between 40-60 years old. We put each of 40 Q samples to become a forced distribution into 9 scales. And then we conducted a secondary analysis of the results from the principal component factor analysis by the PC QUANL program. Gender role identities of middle aged women were classified as four types: "affectionate-sensitive type", "affectionate-confident type", "assertive-confident type", and "sensitive-dominant type". Most of the middle-aged women in Korea tend to keep their original gender role identities. Some of women, however, experience the gender role identity change over time that their traits of traditional caring become more prominent than their affectionate character.

Research on Software Classification System based on an Integrated Software Industry (융합소프트웨어산업에 따른 소프트웨어 분류체계에 관한 연구)

  • Yang, Hyo-Sik;Jeon, In-Oh
    • Journal of Digital Convergence
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    • v.11 no.4
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    • pp.91-99
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    • 2013
  • While there is the active integration of various industries, a convergence of the software and knowledge service industries including software used in finance and counseling products is creating the necessity to include software industry utilization sectors aside from covering only software products and service production activities. Furthermore, to cope with the radical environment changes in the software industry when it comes to categorizing mobile and cloud computing areas into a software and classification system, we are at a point where there is a need to establish a directional nature on what should be included. In order to establish an integrated classification of newly introduced technologies, products and services, this paper aims to discover areas not included in the classification standard because of the ecological characteristics of the software. It also wants to differentiate the classification system and identify its incomplete areas such as the lack of connections within the system to ultimately establish such for newly surfacing software fields.

Convergence Related Factors and HPV Vaccination Intention for Mothers with Children Elementary School (초등학생 자녀를 둔 어머니의 HPV 백신 접종의도와 융복합적 관련요인)

  • Oh, Yun Jeong;Lee, Eun Mi
    • Journal of Digital Convergence
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    • v.16 no.3
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    • pp.311-319
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    • 2018
  • This research attempted to identify the factors associated with the intention of human papilloma virus vaccination among mothers of elementary school daughters. The subject of study is 132 mothers of elementary school students. Data collection was conducted from July 1 to August 30 in 2017, and analyzed using SPSS 23.0 Program. Results showed that 94.7% children of the participants had not been vaccinated, whose reasons were the low knowledge about HPV vaccination, concerns about its side effects, burden for cost. The attitude toward HPV vaccination appeared to be the most important predictor of vaccination, which was followed by perceived behavior control and subjective norm as meaningful predictors, as well. Based on these results, further researches should be conducted to develop educational programs, which are able to offer exact information about the effect and side effect of HPV vaccination, and verify the effectiveness.