• Journal of Chest Surgery
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• 제37권1호
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• pp.72-75
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• 2004

단심실성 심장기형의 교정방법으로 Fontan 수술이 행해지지만 이 수술의 위험요소를 가진 대상군에서는 고식적 수술을 시행한 후 단계적으로 Fontan 수술을 시행하는 것이 보편적이다. Fontan 수술의 시기는 고식적 수술 후 감소한 수술 위험요소와 고식적 수슬상태의 지속에 의하여 증가하는 위험 요소를 재평가한 후 결정되며, 고식술 후 비교적 조기에 시행되는 것이 보통이다. 국립의료원에서는 36세 성인 단심실증 환자에서 과거에 단방향성 Glenn 수술을 시행하고 17년 후에 완전 Fontan 수술로 전환한 증례가 있어 보고하고자 한다.

• 한국병원경영학회지
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• 제5권1호
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• pp.156-175
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• 2000

This study was designed to find out the relations between the major investment decision-making behaviors and profitability of the hospital. A total of 57 hospitals were analyzed on this study. The major findings were as follows; 1. Among the types of the investment decision-making, major factors affecting the profitability were where the top management belongs among the defender, analyzer, prospector, and reactor type. Other factors were whether or not hospital analyzes which is more economical between the purchase by cash and lease of the medical equipment and whether or not hospital changes the decision before the actual investment. 2, Among the types of the investment decision-making, major factors affecting the financial structure and efficient operation of the assets were ranking of the priority and whether or not hospitals can get enough revenue and cash flow when hospitals have to borrow a big amount of fund from outside. 3. Among the financial indices regarding the financial stability, major factor affecting the profitability was fixed assets to long-tenn capital. Other factors affecting the financial structure and efficient operation of the assets were value added to medical equipment, normal profit to medical equipment, liability to total assets, current ratio, value added to payroll expenses. 4. Investment decision-making behaviors are partially influencing on the financial structure and efficient operation of the assets. However it was proved that the profitability was the most influencial factor than other factors related with the operation of the hospital. 5. To improve the irrational investment decision-making behaviors strategic management system should be introduced, and the top mamagement's investment decision-making style should be changed from reactor and analyser styles to prospector and reactor ones.

• 한국항공운항학회지
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• 제31권1호
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• pp.1-10
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• 2023

This study investigated the accident cases of the U.S. Air Force and the R.O.K. Army. It analyzed the accident factors of the unmanned aircraft system using case analysis on unmanned aircraft system operators of the R.O.K. Air Force. Following the analysis this paper suggested safety operation plans for the R.O.K. Air Force. The risk factors of unmanned aircraft system were summarized by collecting and analyzing accident cases of unmanned aircraft system by the U.S. Air Force, collecting and analyzing accident risk factors of RQ-4 operators of the R.O.K. Air Force. Through the analyzed risk factors, a safety operation plan for the semi-automatic unmanned aircraft system and the fully automatic unmanned aircraft system was presented.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2007년도 추계학술대회 논문집
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• pp.377-385
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• 2007

The importance of maintenance of rail surface defects is increasing more according to the KTX operation. That is because during high speed operation of rolling stock, rail surface defects may cause shortened fatigue life of rail, acceleration of track degradation and reduced ride comfort. The paper was intended to study the establishment of rail grinding criteria of high-speed railway lines considering the KTX operation circumstances. For this, the specimens of UIC 60 rail on Kyeong-Bu high-speed operation lines were collected and they were analyzed for metallographic structure and tested for the hardness. By analyzing the test results to the factors affecting the RCF causing the defects of rail surface, the study suggested the rail grinding criteria of the domestic high speed railway lines. As the factors affecting RCF, passing tonnage, running speed and track condition are considered.

• 한국항해항만학회지
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• 제28권4호
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• pp.285-291
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• 2004

The productivity of container terminal is determined by its various operation methods. This paper aims at finding out the factors to enhance the productivity of container handling of quay crane, using simulation technique. Three levels of decision making in terminal operation, strategy, and tactics and operation are selected for defining parameters of simulation The result of the simulation and test shows that the significant factors to improve the productivity are the stack height of container, block dispersion and the distance in yard planning for shipment. Decision making in the operation level, however, is of significance in the mixed condition of strategic and tactical level. The result shows meaningful guidelines in decision making under strategic, tactical and operation level.

• 경영정보학연구
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• 제2권1호
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• pp.71-84
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• 2000

• 대한안전경영과학회지
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• 제24권3호
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• pp.85-92
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• 2022

In the case of incumbent training, unlike training for the unemployed, it is difficult to show the results of training. In this study, factors affecting the performance of vocational competency development training were selected and the main factors were derived. Data were collected through Focus Group Interview(FGI), and regression analysis was performed through factor analysis and reliability analysis. As a result, empathy, training participation type, reliability, working experience, and training operation type were derived as factors affecting job satisfaction. did. Confidence and training participation patterns were derived as factors affecting training satisfaction, and the results showed that the larger the variable, the more positive it was. Therefore, as factors affecting the vocational competency development training performance, there are empathy, training participation type, reliability, work experience, training operation type, certainty, and training participation type. It was confirmed that the results had an effect.

• Journal of Korean Neurosurgical Society
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• 제43권3호
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• pp.143-148
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• 2008

Objective: Postoperative delirium (POD) is characterized by an acute change in cognitive function and can result in longer hospital stays, higher morbidity rates, and more frequent discharges to long-term care facilities. In this study, we investigated the incidence and risk factors of POD in 224 patients older than 70 years of age, who had undergone a neurosurgical operation in the last two years. Methods: Data related to preoperative factors (male gender, >70 years, previous dementia or delirium, alcohol abuse, serum levels of sodium, potassium and glucose, and co-morbidities), perioperative factors (type of surgery and anesthesia, and duration of surgery) and postoperative data (length of stay in recovery room, severity of pain and use of opioid analgesics) were retrospectively collected and statistically analyzed. Results: POD appeared in 48 patients (21.4%) by postoperative day 3. When we excluded 26 patients with previous dementia or delirium, 17 spontaneously recovered by postoperative day 14, while 5 patients recovered by postoperative 2 months with medication, among 22 patients with newly developed POD. The univariate risk factors for POD included previously dementic or delirious patients, abnormal preoperative serum glucose level, pre-existent diabetes, the use of local anesthesia for the operation, longer operation time (>3.2 hr) or recovery room stay (>90 mini, and severe pain (VAS>6.8) requiring opioid treatment (p<0.05). Backward regression analysis revealed that previously dementic patients with diabetes, the operation being performed under local anesthesia, and severe postoperative pain treated with opioids were independent risk factors for POD. Conclusion: Our study shows that control of blood glucose levels and management of pain during local anesthesia and in the immediate postoperative period can reduce unexpected POD and help preventing unexpected medicolegal problems and economic burdens.

• 산업융합연구
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• 제20권7호
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• pp.21-30
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• 2022

본 연구는 기업의 디지털트랜스포메이션(digital transformation) 분야에서 가장 우선하는 클라우드 기반 회계정보시스템의 성공적 도입에 영향을 미치는 주요 요인을 탐색하는데 그 주안점을 두고 있다. 따라서 기업의 클라우드 현황과 관련 선행연구를 토대로 이론을 종합하였으며, 기업의 주요 성과 요인을 조직적 요인과, 비즈니스 업무 영역, 그리고 기술적 시스템 요인으로 구분하여 조사 분석하였다. 연구분석 방법은 클라우드 기반 회계정보시스템이 도입 초기인 점을 고려하여 전문가 패널을 대상으로 델파이(delphi method)분석 기법을 통해 주요 성공 요인을 중요도에 따라 순위를 정하고, 계층적분석(AHP)방법을 통해 각 주요 요인별 상호 중요도 분석을 통해 최종적으로 주요 성과변수를 탐색하였다. 분석결과 조직적 요인으로는 기업의 지속성과, 기업 운영적 요인은 비니니스 업무 솔루션, 그리고 시스템 확성성 요인으로 분석 되었다. 본 연구는 향후 많은 기업들이 주목하고 있는 클라우드 기반 회계정보시스템의 도입과 운영에 대한 초기 도입 전략과 운영에 추가적인 유용한 정보를 제공할 수 있을 것이다.

• International Journal of Control, Automation, and Systems
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• 제5권1호
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• pp.43-50
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• 2007

Reheating furnace is an essential facility of a rod mill plant where a billet is heated to the required rolling temperature so that it can be milled to produce wire. Although it is very important to obtain information on billet temperatures, it is not feasible during furnace operation. Consequently, a billet temperature profile should be estimated. Moreover, this estimation should be done within an appropriate time interval for an on-line application. In this paper, a billet heat transfer model based on 2D FEM(Finite Element Method) with spatially distributed emission factors is proposed for an on-line billet temperature estimation and also a measurement is carried out for two extremely different furnace operation patterns. Finally, the difference between the model outputs and the measurements is minimized by using a new optimization algorithm named uDEAS(Univariate Dynamic Encoding Algorithm for Searches) with multi-step tuning strategy. The obtained emission factors are applied to a simulation for the data which are not used in the model tuning for validation.