• Title/Summary/Keyword: Multi-objective

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Functional Results of Soft Palate Defect Reconstruction using Radial Forearm Free Flap after Tonsil Cancer Surgery (편도암 절제술후 전완유리피판술을 이용한 연구개 결손부 재건의 기능적 결과)

  • Kim, Min-Sik;Sun, Dong-Il;Park, Hae-Sup;Cho, Seung-Ho;Jai, Hyeon-Soon
    • Korean Journal of Bronchoesophagology
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    • v.5 no.2
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    • pp.191-197
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    • 1999
  • Background and Objective : Soft palate plays a great role in function of speech and swallowing. Ablation of tonsil cancer results in multi-demensional defect including soft palate in most cases and restoration of the postoperative oral cavity function is a continuing surgical challenge. Although a variety of techniques are available, radial forearm free flap has been known as an effective method for these defect, which offers a thin, pliable, and relatively hairless skin, and a long vascular pedicle. The aim of the present study is to report the speech and swallowing function test results of our 5 consecutive radial forearm free flaps used for tonsil cancers. Materials and Methods : We reviewed the medical records of 5 patients who were offered intraoral reconstruction with a radial forearm free flap after ablative surgery for tonsil cancers, from Dec. 1997 to Oct. 1998, and analyzed the surgical methods, complications, and speech and swallowing function test results. We have examined with modified barium swallow to evaluate postoperative wallowing function and articulation and resonance test for speech. Results : The tumor sizes by TNM stage(AJCC, 1997) were T1(1), T2(2), and T4(3). The paddles of flaps were tailored in multilobed designs from oval shape to pentalobed design and in variable size from 24$cm^2$ to 108$cm^2$(average size = 78.4$cm^2$), according to the defect after ablation. This procedures resulted in satisfactory flap success and functional results all but 1 case of flap contracture in 2 postoperative week, achieved early oral diet until 16-57 postoperative day(average, 28 days) and social speech. The oropharyngeal defect including soft palate reconstruction with radial forearm free flap might be an excellent method for the maximal functional results, after ablative surgery of tonsil cancer that results in multidimensional defect.

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An Optimal Conjunctive Operation of Water Transmission Systems from Multiple Sources with applying EPAnet and KModSim Model (KModSim 모형(模型)에 의한 도시지역(都市地域) 다중수원(多衆水源) 송수관망간(送水管網間) 최적(最適) 연계(連繫) 운영(運營) 연구(硏究))

  • Ryu, Tae-Sang;Cheong, Tae-Sung;Ko, Ick-Hwan;Ha, Sung-Ryong
    • Proceedings of the Korea Water Resources Association Conference
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    • 2008.05a
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    • pp.500-504
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    • 2008
  • The objective of this paper is to evaluate the feasibility of using an optimization model as a effective way to search conjunctive operation scheme to meet two conditions; one is to minimize the electric cost for pumping and another is to meet the water demand for satisfying customers. The feasibility is confirmed as comparing the best combinations of pumps between multi-regional water supply networks from multiple sources which are obtained through an optimization modeling and EPAnet modeling. KModsim model, a network optimization model, was used to determine conjunctive operation scheme in the pipe system. KModsim, based on Lagrangian Relaxation algorithm, is useful for modeling network system and obtaining simultaneously pump combination and water allocation with given input option such as energy unit cost supplying from a source into a consumer, operating pumping combination. This study develops the procedure of determining optimal conjunctive operation scheme with using KModsim model. As a study region, the water supplying systems of the Geojae-city in the Geongsang Namdo Province was selected and investigated. The EPAnet hydraulic simulation result(Ryu et al, 2007, KSWW) gave input data for optimization model; energy unit price(won/$m^3$), water service available area etc.. It was assured that the combination of pump operation through optimum conjunctive operation is to be optimum scheme to obtain the best economic water allocation with comparison to the hydraulic simulation result such as electric cost and pump combination cases. The results obtained through the study are as follows. First, It was found that a well-allocated water supply scheme, the best combination of pump operation through optimum joint operation, promises to save the electric cost and satisfy all operational goals such as stability and revenues during the period. Second, an application of KModSim, a network model, gave the amount of water allocation from each source to a consumer with consideration of economic supply. Finally, in a service area available to supply through conjunctive operation of existing inter-regional water supply networks within short distance, a conjunctive operation is useful for determining each transmission pipeline's service area and maximizing the effectiveness of optimizations in pumping operation time.

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Current State and Problem of the Transfer of Severely Injured Patients in One Regional Emergency Medical Center (일개 권역응급의료센터에서의 중증 외상환자의 전원 현황과 문제점)

  • Lee, Won-Chul;Jo, Choong-Hyun;Jung, Kyoung-Won;Min, Young-Gi;Choi, Sang-Cheon;Kim, Gi-Woon;Ahn, Jung-Hwan;Jung, Yong-Sik;Hwang, Sun-Ae;Kim, Ji-Yong;Lee, Kug-Jong;Jung, Yoon-Seok
    • Journal of Trauma and Injury
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    • v.23 no.1
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    • pp.6-15
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    • 2010
  • Purpose: Trauma is one of the leading causes of death, especially among young people. Life-threatening conditions are very common in multiple-traumatized patients due to concurrent multi-organ injuries. Treating such severely injured patients is time critical. However, in Korea, the transfer of severely injured patients is not uncommon due to the lack of a mature trauma care system. In developed countries, the preventable trauma death rate is very low, but the rate is still very high in Korea. This study's objective was to demonstrate the current serious state in which severely injured patients have to be transferred from a Regional Emergency Medical Center even though it actually serves as a trauma center. Methods: Ajou University Medical Center is a tertiary hospital that serves as a trauma center in Gyeonggido. The medical records at Ajou University Medical Center for a 1-year period from January 1, 2008, to December 31, 2008, were retrospectively reviewed. A severely injured patient was defined as a patient who showed more than 15 point on the ISS (injury severity score) scale. We investigated the clinical characteristics of such patients and the causes of transfer. Results: Out of 81,718 patients who visited the Regional Emergency Medical Center, 19,731 (24.1%) were injured patients. Among them, 108 severely-injured patients were transferred from one Regional Emergency Medical Center to other hospitals. The male-to-female ratio was about 3.5:1, and the mean ISS was 23.08. The most common mechanism of injury was traffic accidents (41.7%). A major cause of transfer was the shortage of intensive care units (44.4%); another was for emergent operation (27.8%). Most of the hospitals that received the severely-injured patients were secondary hospitals (86.1%). Conclusion: Although the Regional Emergency Medical Center played a role as a trauma center, actually, severely-injured patients had to be transferred to other hospitals for several reasons. Most reasons were related with the deficiencies in the trauma care system. If a mature trauma care system is well-organized, the numbers of transfer of severely injured patients will be reduced significantly.

Application of the Developed Pre- and Post-Processing System to Yongdamdam Watershed using PRMS Hydrological Model (수문학적 유역특성자료 자동화 추출 및 분석시스템 적용 (II) -PRMS 모형을 이용한 용담댐 유역을 대상으로-)

  • Kwon, Hyung-Joong;Hwang, Eui-Ho;Lee, Geun-Sang;Yu, Byeong-Hyeok;Koh, Deuk-Koo
    • Journal of the Korean Association of Geographic Information Studies
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    • v.11 no.3
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    • pp.13-22
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    • 2008
  • The objective of this study is to evaluate the applicability of extracted PRMS input parameters by KGIS-Hydrology over Yongdam-Dam watershed. KGIS-Hydrology is a system for automatic extraction and analysis of watershed characteristic data. Input parameters of PRMS were generated from GIS data (DEM, soil, forest type, etc.) using KGIS-Hydrology. Multi-temporal meteorological data from Jangsu station of KMA (Korea Meteorological Administration) were used for all simulation periods. Input parameters of PRMS were optimized using observed runoff data of Yongdam-Dam station (1966-2001) and validated using observed runoff data of Yongdam-Dam station (2002-2006, Yongdam-Dam watershed). The results showed that the simulated flows were much closed to the observed flows of Yongdam-Dam (2002-2006) and Donghyang (2001-2004) station by 0.49~0.83 and 0.57~0.75 model efficiencies, respectively.

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Estimation of Forest Growing Stock by Combining Annual Forest Inventory Data (연년 산림자원조사 자료를 이용한 임목축적 추정)

  • Yim, Jong Su;Jung, Il Bin;Kim, Jong Chan;Kim, Sung Ho;Ryu, Joo Hyung;Shin, Man Yong
    • Journal of Korean Society of Forest Science
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    • v.101 no.2
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    • pp.213-219
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    • 2012
  • The $5^{th}$ national forest inventory (NFI5) has been reorganized to annual inventory system for providing multi-resources forest statistics at a point in time. The objective of this study is to evaluate statistical estimators for estimating forest growing stock in Chungcheongbuk-Do from annual inventory data. When comparing two estimators; simple random sampling (SRS) and double sampling for post-stratification (DSS), for estimating mean forest growing stock ($m^3/ha$) at each surveyed year, the estimate for DSS in which a population of interest is stratified into three sub-population (forest cover types) was more precise than that for SRS. To combine annual inventory field data, three estimators (Temporally Indifferent Method; TIM, Moving Average; MA, and Weighted Moving Average; WMA) were compared. Even though the estimated mean for TIM and WMA is identical, WMA-DSS is preferred to provide more smaller variance of estimated mean and to adjust for catastrophic events at a surveyed year (so-called "lag bias") by annual inventory data.

Evaluation of the Contributions of Individual Finger Forces in Various Submaximal Grip Force Exertion Levels

  • Kong, Yong-Ku;Lee, Inseok;Lee, Juhee;Lee, Kyungsuk;Choi, Kyeong-Hee
    • Journal of the Ergonomics Society of Korea
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    • v.35 no.5
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    • pp.361-370
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    • 2016
  • Objective:The aim of this study is to evaluate contributions of individual finger forces associated with various levels of submaximal voluntary contraction tasks. Background: Although many researches for individual finger force have been conducted, most of the studies mainly focus on the maximal voluntary contraction. However, Information concerning individual finger forces during submaximal voluntary contraction is also very important for developing biomechanical models and for designing hand tools, work equipment, hand prostheses and robotic hands. Due to these reasons, studies on the contribution of individual finger force in submaximal grip force exertions should be fully considered. Method: A total of 60 healthy adults without any musculoskeletal disorders in the upper arms participated in this study. The young group (mean: 23.7 yrs) consisted of 30 healthy adults (15 males and 15 females), and the elderly group (mean: 75.2 yrs) was also composed of 30 participants (15 males and 15 females). A multi-Finger Force Measurement (MFFM) System developed by Kim and Kong (2008) was applied in order to measure total grip strength and individual finger forces. The participants were asked to exert a grip force attempting to minimize the difference between the target force and their exerted force for eight different target forces (5, 15, 25, 35, 45, 55, 65, and 75% MVCs). These target forces based on the maximum voluntary contraction, which were obtained from each participant, were randomly assigned in this study. Results: The contributions of middle and ring fingers to the total grip force represented an increasing trend as the target force level increased. On the other hand, the contributions of index and little fingers showed a decreasing trend as the target force level increased. In particular, Index finger exerted the largest contribution to the total grip force, followed by middle, ring and little fingers in the case of the smallest target force level (5% MVC), whereas middle finger showed the largest contribution, followed by ring, index and little fingers at the largest target force levels (65 and 75% MVCs). Conclusion: Each individual finger showed a different contribution pattern to the grip force exertion. As the target force level increase from 5 to 75% MVC, the contributions of middle and ring fingers showed an increasing trend, whereas the contributions of index and little fingers represented a decreasing trend in this study. Application: The results of this study can be useful information when designing robotic hands, hand tools and work equipment. Such information would be also useful when abnormal hand functions are evaluated.

The Restaurant Accessibility and Task Evaluation Tool: Development and Preliminary Validation (식당의 접근성과 활동 평가 도구: 개발과 예비 타당성)

  • Park, Minsoo;Park, Kang-Hyun;Park, Ji-Hyuk;Smith, Roger O.
    • Therapeutic Science for Rehabilitation
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    • v.9 no.3
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    • pp.35-51
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    • 2020
  • Objective : The purpose of this study was to develop and establish the preliminary validity of the Restaurant Accessibility and Task Evaluation Information Tool (RATE-IT), an electronic survey for evaluating restaurant accessibility for people with disabilities. Methods : A multi-phase method was used to develop and validate the RATE-IT. The taxonomy was developed in phase one, while the validity of the content was tested in phase two. Finally, the validity of the constructs was assessed in phase three. Results : The results indicated that appropriate items were included (relevance=0.99 and language level=0.99) and also supported that the RATE-IT evaluated the construct of restaurant accessibility (F=0.72, p=.40). When compared to a checklist of the Americans with Disabilities Act Accessibility Guidelines (ADAAG) for Buildings and Facilities questions, RATE-IT showed the potential to differentiate restaurants by their level of accessibility (p=.10). Further, the RATE-IT was also easy to use (p<.00), understandable (p<.00), and efficient (p<.00). Conclusion : RATE-IT shows a promising methodology and is strongly preferred by users.

The Impact of Perception on the Difference Between Mobile and Stationary Internet Toward the Intention to Use Mobile Internet (모바일 인터넷과 PC 인터넷의 특성 차이에 대한 인식이 모바일 인터넷 사용 의도에 미치는 영향에 대한 연구)

  • Shin, Hyun-Sik;Song, Yong-Uk;Sung, Nahk-Hyun
    • The Journal of Society for e-Business Studies
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    • v.15 no.3
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    • pp.99-129
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    • 2010
  • The objective of this research is to identify the factors which influence users' intention to use mobile Internet. There are lots of researches based on Technology Acceptance Model trying to identify the factors which have influence on accepting mobile Internet and its related services. These researches, however, have some limitation in the sense that they focus only on the features of mobile Internet itself while users make overall decision after the comparison of a new service channel with existing service channels in many directions. Therefore, we are going to analyze the impact of users' perception on the difference between mobile and stationary Internet toward their intention to use mobile Internet. We identified the features like ubiquitous availability, context awareness, compatibility, friendliness, and economic value from literature review and developed a structural model about the impact of users' perception on the differences of these features between mobile and stationary Internet toward their intention to use mobile Internet through mediate variables such as perceived ease of use, perceived playfulness, and perceived usefulness. After that, we conducted an experimental analysis for the model, and addressed a solution to rev up the usage of mobile Internet based on the results of the analysis.

Stabilization of Heavy Metals-contaminated Soils Around the Abandoned Mine area Using Phosphate (인산염을 이용한 휴.폐광산 주변 중금속 오염토양의 안정화처리에 관한 연구)

  • Lee, Eun-Gi;Choi, Sang-Il
    • Journal of Soil and Groundwater Environment
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    • v.12 no.6
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    • pp.100-106
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    • 2007
  • The objective of this study was to evaluate the efficiency of $(NH_4)_2HPO_4$, $Na_2HPO_4{\cdot}12H_2O$, $CaHPO_4{\cdot}2H_2O$, $Ca(H_2PO_4)_2{\cdot}H_2O$ and $H_3PO_4$ for the stabilization of soils contaminated with multi-metals containing Pb, Cd and As. The application rate of stabilizers to soils was determined based on $PO_4/Pb_{total}$ molar ratio of 0.5, 1, 2, 4. The results of Korea Standard Test and TCLP (EPA Method 1311) showed the reduction of metal leachabilities below the regulatory limits for Pb and Cd when $H_3PO_4$ and $Ca(H_2PO_4)_2{\cdot}H_2O$ were applied. However, stabilization efficiency for Cd was low and in case of As leaching concentration increased rather. It is considered that $PO_4$ reacted effectively $Pb^{2+}$ due to leaching Pb under low pH condition created by adding $H_3PO_4$. Accordingly Pb was stabilized by dissolution and precipitation of hydroxypyromorphite. From the change of metals fraction using sequential extraction procedure when $H_3PO_4$ applied as a stabilizer, we confirmed that residual fraction increased more than 60% and this result was accorded with XRD analysis that detected only hydroxypyromorphite peak in $H_3PO_4$.

A Study on Self-Leadership and Job Involvement of Multicultural Family Home-Visit Instructors (다문화가족 방문교육지도사의 셀프리더십과 직무몰입에 관한 연구)

  • Chae, Jin-Young;Kim, Hera;Hwang, Hae Shin;Kwon, Ki Nam;Kang, Bogjeong;Suh, Joo Hyun
    • Korean Journal of Child Studies
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    • v.37 no.6
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    • pp.83-94
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    • 2016
  • Objective: The purpose of this study was to investigate differences in self-leadership and job involvement based on the education levels, majors, and teaching experiences of multicultural family home-visit instructors and the influence of self-leadership on job involvement. Methods: 668 home-visit instructors participated in the online survey from 140 multicultural family support centers in Seoul, 6 metropolitan cities, 9 provinces, and other cities and counties. Data were analyzed through frequency, percentages, Pearson's correlations, one-way ANOVA, $Scheff{\acute{e}}$ post-hoc test, and stepwise multi-regression using SPSS 21.0. Results: The main findings are as follows. First, instructors who were high school graduates had significantly higher scores in self-leadership than the other groups. There was only a significant difference in self-reward of self-leadership based on their majors. There were no significant differences in job involvement based on the education level and major. The greater their home-visit teaching experiences, the higher their scores in self-leadership and job involvement. Second, the stepwise multiple regression model showed that self-expectation, self-goal setting, constructive thinking, and rehearsal of self-leadership explained 49% of the total variance in job involvement. Conclusion: Even though the high school graduates had significantly higher scores in self-expectation, rehearsal, and constructive thinking of self-leadership than the other groups, over-generalization should be avoided because the sample size was relatively small. Based on the finding that greater home-visit teaching experiences was associated with higher self-leadership and job involvement, it would be necessary to improve working condition to prevent instructors from changing jobs. These findings stress the importance of providing opportunities for home-visit instructors to develop leadership, thus improving job involvement.