• Journal of Chest Surgery
• /
• v.32 no.9
• /
• pp.806-812
• /
• 1999

Background: Selection of reconstruction route in esophageal cancer surgery is based on the patient's status, characteristics of tumor, surgeon's preference and experience. Of the various routes, it has been documented that subcutaneous or substernal route may prolong operation time and may be vulnerable to postoperative respiratory complications. This study was designed to evaluate whether the selection of reconstruction route affects the surgical outcomes. Material and Method: Of 131 patients who have undergone resection and reconstruction for esophageal cancer, posterior mediastinal route(Group I, n=34), substernal route (Group II, n=31), and subcutaneous route(Group III, n=21) were retrospectively reviewed in 86 patients. Results of early operations and morbidities were compared between the groups. Result: There was a male prevalence(79 of males vs. 7 of females). There were 81 squamous cell cancers and 5 adenocarcinomas. There were no differences between groups in weight, height, age, cancer staging and location, and in the preoperative anesthetic risk evaluation and pulmonary function test(p=NS). Postoperative mechanical ventilation time was longer in Group I(20.6 hours) than in Group II(7.8 hours) or III(3.4 hours)(p=0.005). Duration of stay in the intensive care unit was prolonged in Group III(6.4 days) compared to Group I (3.9 days) or II(3.1 days)(p=0.043). No differences were noted in the duration of hospital stay between the groups(p=NS). Blood transfusion was needed in 30 out of 34 patients in Group I compared to 14/31 in Group II or 15/21 in Group III(p=0.001). The mean amount of transfusion for each patient was also higher in Group I(3,833 mL) than in Group II(1535 mL) or Group III(1419 mL)(p=0.04), but there was no difference in the inreoperation due to bleeding. Ea ly mortality rate was substantially higher in Group I(17.6%) but the differences between the groups were insignificant(p=NS). Although sepsis was a more prevalent cause of death in Group I, it was not related to anastomotic leak. Other morbidities did not differ between the groups(p=NS). Conclusion: In above results show that the reconstruction route does not affect the outcome of esophageal cancer surgery. We believe that the selection of reconstruction route can be based on the surgeon's preference and experience.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.36 no.6
• /
• pp.515-519
• /
• 2010

Introduction: Bone defects in the jaw are frequently observed after odontogenic cyst enucleation. The success of bone healing appears to be related to the size of the bone defect, the anatomical location, the patient's age and other parameters. The use of bone grafting material is dependent on the operator's preference. No evidence-based definite treatment protocol has been established. This study evaluated the effect of a bone graft into the defect after odontogenic cyst enucleation. Materials and Methods: A total of 55 patients, who had been treated for an odontogenic cyst with cyst enucleation from 2000 to 2009 at the department of Oral and Maxillofacial Surgery, Samsung Medical Center, were included in this study. Patients who were followed-up for more than 1 year were included. Two groups were defined according to the bone graft (with or without a bone graft) after cyst enucleation. The differences in the healing periods and patterns of bone healing were compared clinically and radiologically. The postoperative 1 year radiographs were analyzed for bone healing and density. Statistical analysis was performed using a Pearson chi square test and Wilcoxon rank-sum test. Results: More infection signs were observed in the bone graft group than in the other group, but there was no statistically significant difference. Radiographically, there was also no significant difference in the size of the radiolucent lesions between the two groups. Conclusion: There was no significant difference in healing between the groups with a bone graft and without bone graft after cyst enucleation.

• Culinary science and hospitality research
• /
• v.18 no.1
• /
• pp.156-167
• /
• 2012

The purpose of this study is to examine the structural elements of HMR in Korea foods and explore the way HMR products using Korean foods can be developed at this time of increased interest. Through an investigation of its importance by attributes and their partial values, hypothetical HMR products using Korean foods were estimated. In order to develop the optimal HMR goods of Korean food, a preference survey was conducted after selecting 9 profiles using conjoint analysis with orthogonal design, and 4 holdout sets were generated and used for cross-validity authorization and reliability of the model. The results of this study showed that customers put cooking levels, menu price, and the location of purchase into importance when selecting HMR products of Korean foods. They preferred to eat the products after sufficiently heating them and buy the products sold online and through home shopping programs, with the price range of 10,000 won and over. It was concluded that more customers can be attracted if a variety of HMR products using Korean foods which can be prepared readily anywhere and at any time are developed.

• The Journal of the Society of Korean Medicine Diagnostics
• /
• v.18 no.3
• /
• pp.205-216
• /
• 2014

Objectives The purpose of this study is to help improve the management of traditional Korean medical(TKM) clinics and the policies for supporting them, by conducting a survey of the practitioners of TKM. Methods Stratified sampling was conducted based on regional location, and 700 samples were selected in a random manner from the membership list. The questionnaire was delivered and returned by mail. The survey was conducted between 20 July and 31 August 2010. A total of 177 questionnaires (recovery rate: 25.28%) were recovered and analyzed for the study. Results 1. The the survey indicate that the overall size of TKM clinics has fallen compared with previous survey, while the average number of beds per clinic has remained unchanged at 7.9. The sale of medicine as a proportion of total monthly sales has increased. 2. There has been no change in the composition of clinical staff as there are three nursing assistants. Although the average daily number of patients to clinics has remained at around 33.90 compared with ten years ago, the number of patients requiring seeking acupuncture treatment has increased while the number of those treated with medication has decreased. 3. Clinicians in TKM have indicated their preference for a binary system that separates TKM from western medicine (57.4%). The respondents do not favor the separation of dispensary from medical practice (81.5%), marks of origin for medicinal herbs (68.9%), disclosure of the prescriptions (67.2%), and the overseas expansion of Korean medical services (70.4%). However, they indicated that they are very much in favor of being granted the authority to employ and give orders to medical technicians (96.0%). 4. The respondents selected Korea as the country that maintains a proper academic system for traditional medicine (45.5%), and are not in favor of opening Korea's traditional medicine market under an Free Trade Agreement(FTA) with China (72.7%). Conclusion The overall status of the management of TKM clinics has declined compared with the preceding decade. There has been only a slight change in clinicians' opinion of the related policies and regulatory issues.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.1
• /
• pp.282-290
• /
• 2015

This study is intended to look into parents' satisfaction of contracting-out system in employer-supported childcare centers. To achieve this, a survey was carried out to 400 parents who use national, public and private employer-supported childcare centers. The results were as follows. First, employer-supported childcare factors were the qualities of childcare environment, childcare program and early childhood teacher in both contracted-out and in-house services. The satisfaction with facility, program, operation and childcare training was improved in good employer-supported childcare factors And the satisfaction with the relationship between these factors could improve the expectation for the use of employer-supported childcare centers. Second, the difference in the operation of employer-supported childcare centers showed that the most preferred size was 50 to 74 children. The contracted-out services was more preferred than in-house services. And the location of on-the-job facility was more preferred than off-the-job facility. As stated above, the preference of employer-supported childcare centers was more raised than that of general kindergartens or childcare centers by an increase in the trend of working child parents' dual income. In other words, small and medium sized childcare centers of some 50 children were more preferred than large scaled childcare centers. Consequently, the retainment of childcare programs, facilities and quality teachers contracted out to professional childcare centers can improve the satisfaction with them.

• Journal of Chest Surgery
• /
• v.31 no.12
• /
• pp.1206-1211
• /
• 1998

Background: Pulmonary sequestration is not common and it's diagnosis needs special care such as an aortogram ar tomography. Material and Method: We have experienced 13 patients who had pulmonary sequestration from January 1990 to September 1997. Result: Six men and seven women were treated and their mean age was 25.8±14.3 years. Their chief complaints were coughing, chest pain, and no symptoms in decreasing order. There were nine intralobar(ILS) and three extralobar(ELS) pulmonary sequestrations and one patient had both. There was no preference in location of either left or right. They were mainly diagnosed by aortography and their feeding arteries commonly originated from the lower thoracic aorta. The patients with ILS were treated by lobectomy and those with ELS by sequestrectomy. Conclusion: to treat pulmonary sequestration properhy, aortogram or chest CT is warranted to iidenty the abnormal origin of feeding artery.

• Journal of the Korean Institute of Landscape Architecture
• /
• v.36 no.2
• /
• pp.53-59
• /
• 2008

As cities become more industrial and modern, they become overcrowded and the construction zones increase accordingly. In particular, the demand for panel-type planting methods has gradually increased due to early planting and easy installation. However, studies on panel-type planting have strictly concentrated on the vegetation sub system or irrigation system without any interest in landscape-centered system. Factors of preference will be made through landscape evaluation on the panel-type facade planting. A questionnaire survey was conducted in a location where panel-type facade planting was available. In terms of responses to the facade planting, 'natural (3.80)' was the highest, followed by 'friendly (3.70),' 'comfortable (3.65),' 'beautiful (3.65),' and 'peaceful (3.50).' On the contrary, negative responses such as 'too quiet,' 'simple,' 'heavy,' 'gloomy,' 'dark,' and 'dirty' were also received. It is thought that these responses refer to the poor management of the area. The results of this study will be useful as basic data for the development and distribution of panel-type facade planting.

• Korean Journal of Soil Science and Fertilizer
• /
• v.12 no.1
• /
• pp.25-34
• /
• 1979

To clealify the cause of barley and wheat sterility that occurred 77 / 78 cultivation period in Yeongnam area, a few environmental conditions were analyzed. The results are summarized as follows; 1. During the important growing stages such as meiosis and heading stages of barley encountered with severe droughtiness and unusual low temperature. 2. Soil moisture contents in the double cropping paddy soils were higher than cultivated uplands, and in the subsoils than the surface soils, in the clay soils than the sandy soils, in the northern aspect than the southern aspect of slope, respectively. 3. The sterilizing percentage of barley in the double cropping paddy fields were lower than cultivated uplands, in the alluvial fans and plains were lower than cultivated uplands, in the alluvial fans and plains were lower than in rolling or in foot slopes and the northerm aspect of slopes were lower than southern aspect. 4. The sterilizing percentage in the sandy soils were higher than clay soils and in the soils that have shallower plowing layer and shallower available depth had higher sterility. 5. The sterilizing percentage of barley had negative correlation with soil moisture contents in the surface and subsoils in both of cultivated upland or double cropping paddy fields. 6. The droughtiness that prevailed over reproductive growing stages of barley might be cause the sterility and the severe coldness also could be accelerate the phenomenon.

• Journal of the Korean Institute of Traditional Landscape Architecture
• /
• v.31 no.2
• /
• pp.31-42
• /
• 2013

A purpose of this study, after identifying the status and type of changes derived elements that make up the Seowon(書院); landscape space and the space of the during the recent World Heritage, focusing promote the newly introduced trees listed in the important value, authenticity and integrity aspects The results can be summarized as follows. The results can be summarized as follows. Appeared trees in various old documents are 10 species; Prunus persica (L.) Batsch, Prunus mume(Siebold) Siebold & Zucc., Salix koreensis Andersson. The planting space shows regularity of some degree depends on the status of the species, essentially 3 types of Juniperus chinensis L., Lagerstroemia indica L., Phyllostachys nigra(Lodd.) Munro are primarily located in inside of seowon(書院), Zelkova serrata (Thunb.) Makino., Salix koreensis Andersson is in out side of seowon(書院). 5 types of location space to species such as Juniperus chinensis L., Ginkgo biloba L. species are the most frequently appear and it can be national representative trees. Plants which have limited vitality is a factor to prove a history of seowon(書院), it is accord with authenticity aspects that it gives meaning of symbolic to canonized figure's preference Maintenance work carried out over the years has damaged to origin of tree and thoughtlessly planted without having to go through a thorough historical research has resulted in weakening the presence of the essential space. It should preserve to features originally it have is figure reflect the viewpoint of the transformed current private to reveal the history of the various places. In conclusion, this research continues to study at the spatial dimension like a building in limited to panted, and also determine the intrinsic value of the overall spatial configuration.

• Journal of the Korean Regional Science Association
• /
• v.15 no.2
• /
• pp.155-187
• /
• 1999

The East Asian Region has experienced remarkable economic growth and transformation of interurban networking over the past three decades, and urban competiti veness for a networking hub in this region has become a critical issue confronting cities. Competitiveness of the Seoul capital region for a networking hub in Northeast Asia is outstripped by other competing cities in East Asia, notwithstanding its geo-politically and geo-economically advantageous location in this region. In this paper, we aim to appraise the Seoul capital region's competitiveness in terms of logistics distribution, financial function and logistics distribution, financial function and agglomeration of transnational corporations (especially of RHOs and other managerial functions), and to advance the networking strategies of the region for a Northeast Asia hyb. As a result of analysis, we suggest that the Seoul capital region be developed as a Northeast Asian center for regional headquarters or leading global corporations and financial services for being a strategic nodal point in Northeast Asia in the 21st century. A recent survey shows that where to locate an RHQ is influenced by various factors, such as potential market and manufacturing site in the city's hinterland, quality of life, such things as culture, health, safety, education, a well-educated, English-speaking population, reliable air transport, state-of-the-art communications, and an active policy to offer foreign companies generous incentives. The Seoul capital region, which is located at a strategic nodal point advantageous as a springboard for its Northeast Asian hinterland, cannot meet the other conditions mentioned above. To overcome these drawbacks in attracting transnational capital and to create competitiveness as a strategic hub of RHQs in Northeast Asia, it is urgent to initiate a structural reform of the Korean economy, politics, and overall society, to minimize the regulation of FDI, and to provide various incentives for foreign investment. Moreover, we propose the construction of an 'International Business Town' in the Seoul capital region, as a medium to intermediate these strategies and to shape them in a spatial scale. The projected 'International Business Town(IBT)' will be a 'free city' open to international business in which liberal economic activities are guaranteed by special legislation and administration, infrastructures needed for international and improved accessibility to the airport are furnished, and the preference of foreign high-income investors for cultural and living environment are satisfactorily met. IBT is conspicuously differentiated from a raft of other cities' incentives in that it combines deregulation and incentive programs to attract the investment of transnational capital, with a spatial program of offering an urban environment preferred by the high-income investors for cultural and living environment are satisfactorily met. IBT is conspicuously differentiated from a raft of other cities' incentives in that it combines deregulation and incentive programs to attract the investment of transnational capita, with a spatial program of offering an urban environment preferred by the high-income and managerial class. Furthermore, it can be an excellent way of overcoming the xenophobia that has spread among the Korean population by concentrating foreign businesses and their lifestyles in a specific foreign businesses and their lifestyles in a specific zone. In conclusion, 'International Business Town', in line with other legislative and administrative incentive programs, will function as a driving force to make the Seoul capital regional more competitive as a regional business hub in Northeast Asia.