• Title/Summary/Keyword: Open Approach

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Clinical Evaluation of Surgical Treatment for Hemoptysis Patients (객혈환자의 외과적 처치에 대한 임상적평가)

  • 이성주;문승철
    • Journal of Chest Surgery
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    • v.30 no.11
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    • pp.1097-1104
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    • 1997
  • The expectoration of blood is always a fearful experience for the patient and a matter of grave concern to the attending physician, because it may be the warning sign of serious diseases. When such bleeding occurs, the possibility of its being due to pulmonary tuberculosis, bronchiectasis or carcinoma of the lung is promptly suggested. Nowadays, with the advance of modern diagnostic studies, differential diagnosis has become possible for the hemoptysis patients to have appropriate treatment. This evaluation is based on the review of 75 cases of patients whom we performed emergency open thoracotomies for 6 years from March 1992 to February 1997 in the Department of Thoracic and Cardiovascular Surgery, Seoul Adventist Hospital. The mean age of the patients was 36.6 years old with a range from 19 to 68, and most prevalent age group was thirties. The most common underlying lung disease causin hemoptysis was tuberculosis(44%). Most accurate diagnostic study was bronchoscopy during hemoptysis(95 Vo) and right middle & lower lobe(17.3%) was the most common site of lesion. Lobectomy(50%) was the most frequent operative method and recurrent hemoptysis(31.6%) was the most common postoperative complication. But most of the patients(82.6%) were completely recovered by surgical treatment. Now we concluded that the proper management of hemoptysis was completed by surgical approach with definite diagnosis and supportive medication.

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High School Students' Mathematics Learning Style and Its Characteristics According to Their MBTI Personality Disposition Types (고등학생들의 수학 학습양식과 MBTI 성격기질별 특징)

  • Kang, Yun Soo
    • Communications of Mathematical Education
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    • v.34 no.3
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    • pp.299-324
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    • 2020
  • The purpose of this study was to identify high school students' mathematics learning style and its characteristics according to their personality disposition types and to propose mathematics learning strategies fit into each personality disposition type. For this purpose, MBTI personality test and survey to find mathematics learning style for 375 high school students were executed. The results were as follows. First, many students highly evaluated the effects of private education and prefer reference book to textbook. Second, there were significant differences on following variable domains of mathematics learning style such as learning attitude, learning habit(concentrativeness to concept understanding), problem solving strategies(effort for problem comprehension, use of various strategies), self management(metacognition) by MBTI personality disposition types(SJ, SP, NT, NF groups). Third, based on the results, the following mathematics learning strategies fit into each personality disposition type were recommended. SJ type students are needed to effort creative approach for open problem and to use mindmap as mathematics learning strategy. SP type students are needed to fulfill stepwise problem solving process and to effort constantly practice long/short term learning objectives. NT type students are needed to expand opportunity to study with friends and to use SRN(self reflection note) or mathematics journal writings as mathematics learning strategy. NF type students are needed to use mathematics learning note writing activity which include logical basis for each step of problem solving and to invest more time on learning algebra which need meticulous calculation.

Treatment of Traumatic DislocationofMetacarpophalangeal Joint of the Thumb (무지 중수지 관절의 외상성 탈구 치료)

  • Rhee Seung-Koo;Song Seok-Whan;Lee Hwa-Sung;Chung Jin-Wha;Chung Do-Hyun;Lee Won-Hee
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.2
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    • pp.143-148
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    • 2002
  • Purpose: We examined patients to evaluate the clinical results of traumatic metacarpophalangeal(M-P) dislocations of the thumb, uncommon and irreducible. Materials and Methods: In 11 traumatic M-P dislocations of the thumb, the types of dislocations were 10 dorsal and 1 volar dislocations resulted from the impacted and hyperextended forces on thumb. Authors evaluated the possibility of closed reduction, the anatomical structures interfering with closed reduction, and the surgical approaches. Results: Eight cases were treated with open reduction through volar approach and two cases were treated with closed reduction. Joint fusion was done with a plate in a chronic case. Initial closed reduction was attempted in all cases, but succeeded in only 2 cases because the interposed ruptured volar plate, the flexor pollicis brevis tendon and ulnar sesamoid bone at the volar side of the M-Pjoint were the obstacles to reduce. The metacarpal head was caught in button-hole slit between theflexor pollicis brevis and the ruptured volar joint capsule in all cases. Conclusion: Similar with the M-P joint dislocations of other fingers, the dorsal complex M-P dislocations of the thumb due to hyper extension are unusual and can't easily be reduced by closed manipulation. It is necessary to pay attention to the ruptured volar plate, capsule, the subluxated portion ofthe sesamoid and flexor pollicis brevis as interfering structures.

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Detection of Inflow Permeable Zones Using Fluid Replacement Conductivity Logging in Coastal Aquifer (공내수 치환 전기전도도검층을 이용한 연안지역 대수층의 탐지)

  • Hwang, Se-Ho;Park, Yun-Seong;Shin, Je-Hyun;Park, Kwon-Gyu
    • Geophysics and Geophysical Exploration
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    • v.9 no.3
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    • pp.225-230
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    • 2006
  • Fluid replacement and conductivity logging have been applied to three boreholes in coastal aquifer in order to identify permeable fractures and to estimate the origin of saline groundwater. Fluid replacement technique measures and monitors the change of borehole fluid conductivity with depth under ambient or pumping condition after replacing the original borehole fluid with different one (by pumping out original one and injecting simultaneously new one at the hole bottom). After the replacement of borehole fluid, the change of fluid conductivity can be the direct indicator of the intake flow of formation water through aquifer such as permeable fractures or porous formations. The conductivity profiles measured with times therefore indicate the locations of permeable zone or fractures within the open hole or the fully slotted casing hole. As a result of fluid conductivity logging for three boreholes at coastal area in Yeonggwang, Jeonam Province, it is interpreted that the seawater intrusion in this area is not by remnant saline groundwater after land reclamation but mainly by intrusion of saline water through fractured rock. This approach might be useful for assessing the characteristics of seawater intrusion, the design of optimal pumping, the mitigation of seawater intrusion using freshwater injection, and estimating the hydraulic characteristics in coastal aquifer.

MULTIDISCIPLINARY APPROACH OF A PATIENT WITH MENTAL RETARDATION UNDER GENERAL ANESTHESIA : A CASE REPORT (정신지체 환자의 협력 진료에 의한 전신마취 하 치과치료 증례)

  • Jang, Yoon-Hyoung;Pae, Ah-Ran;Choi, Sung-Chul;Park, Jae-Hong;Kim, Kwang-Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.5 no.1
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    • pp.23-26
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    • 2009
  • Mental retardation is defined by the American Psychiatric Association as" subnormal general intellectual functioning which originates during the developmental period and is associated with impairment of either learning and social adjustment or maturation, or both." A patient with mild to moderate mental retardation can be managed adequately using restraints and medications. However, in case of severe or profound mental disability, dental treatment cannot be accomplished even with the use of behavior modification, physical restraints and sedation techniques. When treatment in the dental office has much difficulty, hospitalization for dental treatment under general anesthesia can and should be considered. This case presents the treatment of a patient with mental retardation who was referred to our department for comprehensive dental care. Dental examination revealed widespread dental caries and a severe anterior open bite with crowding problems. Under general anesthesia, generalized caries treatment was performed by our department, and the anterior dental esthetics was achieved in collaboration with the department of prosthodontic dentistry.

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A Nulling Anti-Jamming Scheme for the Polyphase Filter Bank-Based Satellite Repeat System (다상 필터 뱅크 기반의 위성 중계시스템을 위한 항재밍 기법의 연구)

  • Oh, Jin-O;Im, Sung-Bin;Ko, Hyun-Suk
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.49 no.7
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    • pp.39-47
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    • 2012
  • The combination of the broadband property and the wide area coverage of satellite communications enables high speed transmission. Every user in the region under the satellite beam coverage can tranceiver and one can simultaneously communicate with multiple users. For these reasons, it is one of commendable telecommunication networks for information transfer. Since the satellite communications use open channels, it is likely to cause jamming with unwanted interference signals. In the thesis, APSK (Amplitude Phase Shift Keying) is employed, which is recommended for DVB-S2 due to high-speed transmission and excellent bandwidth efficiency. For obtaining reliable communication under the jamming environments, the communication satellite transponder rests on the polyphase filter bank structure, which enables switching among the subchannels and gain control on each subchannel, resulting in effectively eliminating jamming. Furthermore, the nulling scheme, one of the various anti-jamming approaches, is investigated, in which unwanted jamming signals are eliminated in the frequency domain after passing through the analysis part of the polyphase filter bank. The performance of the nulling scheme is evaluated for tone jamming and partial band jamming in terms of BER and EVM. The simulation results indicate that the nulling scheme improve the BER and EVM performance over the case without any anti-jamming approach.

The Daily Life of University Student Athletes (대학 운동부 특기자 학생들의 일상 경험)

  • Kim, Dong-Kee
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.359-369
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    • 2018
  • This study tried to illustrate the process of the experiences of university student athletes in campus who are engaged in study and sports. it is aimed to interpret and describe the everyday life of athlete students, and establishing a desirable human talent and to set the right necessary direction for the education of athlete students. For this, it selected 10 research participants as student athletes in J University located in Chungcheongnam-do and collected data through an in-depth interview. As for the data analysis, concepts were derived according to the grounded theory analysis method suggested by [10] and the research results composing the coding paradigm to clarify the relations between concepts are as following. First, 120 concepts, 17 subcategories, and 10 upper categories were deducted in the open coding. Second, the contextual factors of the campus life motive were "participation in sports" and "participation in study" and the central phenomena were regarded as "the significance of campus life in which study and sports run parallel. The conditions of arbitration were summarized as 'formation of my relations" and "ability improvement" in sports and study, and the operation/interaction strategy were categorized as "importance of study" and "negative thinking." As for the last result, "reflecting campus life", "my own identity", and "planning future" were categorized, and it is judged that the application of the policy to improve the ability of student athletes that comprehend all study and sports.

A study on old trees as they relate to the organization of space in Pusan -Attaching importance to the growth environment and arrangement form in space- (부산시 노거수의 공간구성에 관한 연구 -생육환경 및 배치형태를 중심으로-)

  • 김승환;김순희
    • Journal of the Korean Institute of Landscape Architecture
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    • v.24 no.2
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    • pp.86-98
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    • 1996
  • This study is intended to revaluate old tree, five of the shot of the Natural Monument and 66 shot trees under protection in the city at present. The study covers distribution, management of usage, investigation and research into various matters relating to the situation of old trees in Pusan. Because 60% of the old trees selected for protection is on private land, citizens have difficulty gaining access to them. Also space for growth is impinged on by various urban facilities. Some trees have problems of growth because the land is covered with cement and asphalt. As regards space for old trees, many places have been destroyed due to the lack of protection fences and the failure to establish a guidance board. Only 40% of the space has been set aside for rest. In these places the establishment of rest areas, benches and handy chairs is needed. And there are 20 holy places where people observe religious ceremonies. As for space security necessary for old trees according to trunk width, the minimum trunk width and availale area needed are more than 1:1.5, but less than 30% have the necessary space. The growth of many old trees is threatended because of the small apace for growth. The prescription of the boundary space is divided between inside and outside. This indicates the domain nature and space rank of the old tree. It can be classified into five forms for research purposes. The elements for prescription of critical space outside are connected with the security of space, and the elements relating to inside space portray the conditions for sensitive growth according to the institution and the ground conditions. The open and closed nature of old tree space has some connection with the relationship between usage and the intimacy of the user. Most of the spaces for old trees can't be used or are difficult to gain access to, so it is necessary to secure enough space for them. The 18 places, despite having easy access, are near farmland, hills or forest. So the intimacy factor is low, and the security of space of the old trees is not generally sufficient. Henceforth, it will be necessary to have security of area for old trees as well as maintenance control to protect them. Also the space should be used as a communal and recreation are in the city. It is the time to construct a landscaped area which people can easily approach, a place with a secure entrance where they can play, rest and converse.

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Automated Composition System of Web Services by Semantic and Workflow based Hybrid Techniques (시맨틱과 워크플로우 혼합기법에 의한 자동화된 웹 서비스 조합시스템)

  • Lee, Yong-Ju
    • The KIPS Transactions:PartD
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    • v.14D no.2
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    • pp.265-272
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    • 2007
  • In this paper, we implement an automated composition system of web services using hybrid techniques that merge the benefit of BPEL techniques, with the advantage of OWL-S, BPEL techniques have practical capabilities that fulfil the needs of the business environment such as fault handling and transaction management. However, the main shortcoming of these techniques is the static composition approach, where the service selection and flow management are done a priori and manually. In contrast, OWL-S techniques use ontologies to provide a mechanism to describe the web services functionality in machine-understandable form, making it possible to discover, and integrate web services automatically. This allows for the dynamic integration of compatible web services, possibly discovered at run time, into the composition schema. However, the development of these approaches is still in its infancy and has been largely detached from the BPEL composition effort. In this work, we describe the design of the SemanticBPEL architecture that is a hybrid system of BPEL4WS and OWL-S, and propose algorithms for web service search and integration. In particular, the SemanticBPEL has been implemented based on the open source tools. The proposed system is compared with existing BPEL systems by functional analysis. These comparisions show that our system outperforms existing systems.

A Study on the Construction of the Multiple Fishery Cooperation System Between Korea, China and Japan (한.중.일 다자간 어업협력체 구성방안 연구)

  • Shim, Ho-Jin
    • The Journal of Fisheries Business Administration
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    • v.39 no.2
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    • pp.81-108
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    • 2008
  • Since the declaration made by UN Convention on the Law of the Sea on EEZs, The open seas of Northeast Asia, considerd as a convention area, needed new agreements in conformity with the changes brought by the introduction of the Exclusive Economic Zone(EEZ) system. The Contracting Parties of these agreements set up their own EEZs, which extend certain ranges from their baselines, Fishing in the other party's EEZ is done based on mutual agreements, which take into account traditional fishing activity in the zones. Seperate fishries management systems, in accordance with the relevant legal status of the waters, are applied to individual overlapping areas: Middle Zone in the Bast Sea and the waters south of jeju Island, Interim Measure Zone in the Yellow Sea and East China Sea, and the Transitional Zone in the Yellow Sea. They decided to conclude fisheries agreements as the provisional agreement under Article 74(3) of the UN Convention before the delimitations of the EEZs to avoid the territorial disputes. China and Japan concluded the Fishries Agreement in the November 1997, allowing each coastal State 52 mile EEZ. it was followed by Korea and Japan in September 1998, reaching a final compromise. And also Korea and China came to a satisfactary settlement in November 1998. Fisheries agreements have been established between the three North-east Asian States, the agreement are all bilateral. That implies inefficient resource management on the overlapping waters of the three states, especially on the East China Sea. The Korea-Japan Fisheries Agreement and the China-Japan Fishery Agreement worked as governing rules in the North-east Asian seas before the establishment of EEZs (Exclusive Economic Zones). However the conclusion of the bilateral fishery agreements, Korea China and Japan have developed EEZs, and these three countries have competed for the exploitation of fisheries resources. Therefore, the issue of fisheries resource management was no longer a single countries' problem and emerged as a common issue facing these three countries. In recognition of the above-mentioned problem, it is needed for the construction of cooperative System fishery management in the North-east Asian seas. Therefore, cooperative measures should be establishied. The final goal of the construction of fisheries management cooperative system is to establish sustainable fisheries in the North-east Asian seas. However, there is a big difference in fisheries management tools, fishing gear, exploitation rate of species, etc. This implies that a careful approach should be taken in order to achieve the cooperative fisheries management among Korea, China and Japan. conclusionly, the Governments of Korea, China and Japan should complement three bilateral agreemens, and which they prepares to 'Fisheries Resource Restore Program' Between Korea, China and Japan in the adjacent waters south of Jeju Island.

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