• 대한안전경영과학회지
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• 제4권1호
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• pp.105-114
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• 2002

Nowadays, most companies seek after the greatest profit by means of offering the goods which consumers want timely and efficiently and minimizing the cost of inventory and distribution channel which amounts to the great portion of total cost. And according as EC(Electronic Commerce) market has increased rapidly, SCM(Supply Chain Management) for EC become one of the most important facts for companies, therefore this paper suggest SCM scheme which EC, especially B to C, is added to the existing commerce system. This paper uses internet for information integration of distribution channel which is away from one another and applies TOC(Theory of Constraint)'s DBR(Drum-Buffer-Rope) Scheduling for synchronization through the whole supply chain. It is possible to synchronize the whole supply chain by means of making the speed of manufacturing and distribution to be controlled by consumer's order which is received in distribution center, and inventory and loss of sales opportunities are minimized by constant. Buffer Management. If inventories in distribution center is short, then it needs to search CCR(Capacity Constraint Resource) in supply chain and to control the speed of manufacturing and distribution according to the ability of CCR. This paper applies PT(Partial Transshipment) strategy for Delivery from distribution center to store or cyber consumer. the strategy this paper suggests chooses neighbour area from area which each distribution center takes charge, and then makes product ordered by cyber consumer which lives in the chosen area to be delivered according to inventory of distribution center.

• Journal of Dental Anesthesia and Pain Medicine
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• 제16권1호
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• pp.25-29
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• 2016

Background: The most important reason for pre-operative administration of medication is to reduce anxiety. Alleviation of fear and anxiety about surgery enables patients to remain comfortable during treatment. Dexmedetomidine (DEX) is a fast-acting drug that is used as a premedication in different circumstances because it has sedative and anti-anxiolytic effects, and stable hemodynamics. It also has the advantage of intranasal administration. The aim of this study was to investigate the effects and hemodynamic stability of DEX by retrospectively analyzing cases in which DEX was administered nasally as a premedication. Methods: Ten patients treated at Dankook University Dental Hospital, recruited between February and April 2015, received intranasal delivery of $2{\mu}g/kg$ DEX, 30 minutes prior to general anesthesia. Anesthesia records of anxiety, blood pressure, respiration, pulse, estimated arterial oxygen saturation ($SpO_2$), and partial pressure, or maximum concentration, of carbon dioxide ($ETCO_2$) were analyzed. Results: Administration of DEX prior to a general anesthetic effectively relieved anxiety. Respiratory depression, the most severe adverse effect of other sedatives, was not observed. Hemodynamic stability under general anesthesia was maintained during treatment and a reduction in emergence delirium was observed upon completion of treatment. Conclusions: Premedication administration of DEX is safe for pediatric patients undergoing dental treatment under general anesthesia.

• The Journal of Asian Finance, Economics and Business
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• 제8권1호
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• pp.927-938
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• 2021

Small and Medium Enterprises (SMEs) is one of several activators that drives the economy of Indonesia because SMEs provide jobs, increase Gross Domestic Product (GDP), and assure the delivery of products and services. However, Indonesian SMEs are not very competitive in the industrial world, and one of the causes is the low quality of products that undermine customer satisfaction. There are several factors presumed as influencing customer satisfaction, which among others include product knowledge, service quality, and competitive advantage. The objective of this research is to reveal the contribution of product knowledge and service quality to customer satisfaction with competitive advantage as the mediation variable. This research used a quantitative approach. The causal relationship across variables was examined with Structural Equation Modeling-Partial Least Squares (SEM-PLS). The sample of this research involved 140 respondents. Data was collected through a questionnaire and the items in the questionnaire were processed with a software called SmartPLS version 3.3.2. Results of this research indicate (1) product knowledge and service quality can increase competitive advantage and customer satisfaction in East Java SMEs; (2) competitive advantage can act as a mediator in the effect of service quality on customer satisfaction (3) product knowledge can increase customer satisfaction but the increase is not significant statistically.

• 유통과학연구
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• 제21권9호
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• pp.23-34
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• 2023

Purpose: This study aims to determine the effect of business processes, quality of human resources and organizational culture and its distribution in creating value to achieve competitive advantage. Research Design, Data, and Methodology: Data collection in this study was carried out by distributing questionnaires to 90 employees of Delivery service companies in Makassar City. Partial Least Square (PLS) analysis was used as data analysis. Result: this study indicates that business processes do not directly affect competitive advantage, but business processes will have an effect if they go through the value creation process as an intervening variable, while the quality of human resources and work environment have a direct effect on competitive advantage and have a direct effect on Value creation. The quality of human resources and organizational culture also have an indirect effect on competitive advantage through the value creation process. This research also indicates that value creation has an effect on competitive advantage. Conclusion: Competitive advantage will be realized if organizational processes run well, company management that able to carry out good organizational processes and able to create a conducive organizational culture, will be able to distribute company resources to create value that leads to achieving competitive advantage for companies in the future.

• Clinical Endoscopy
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• 제56권6호
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• pp.681-692
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• 2023

In general, gastroesophageal reflux disease (GERD) is diagnosed clinically based on typical symptoms and/or response to proton pump inhibitor treatment. Upper gastrointestinal endoscopy is reserved for patients presenting with alarm symptoms, such as dysphagia, odynophagia, significant weight loss, gastrointestinal bleeding, or anorexia; those who meet the criteria for Barrett's esophagus screening; those who report a lack or partial response to proton pump inhibitor treatment; and those with prior endoscopic or surgical anti-reflux interventions. Newer endoscopic techniques are primarily used to increase diagnostic yield and provide an alternative to medical or surgical treatment for GERD. The available endoscopic modalities for the diagnosis of GERD include conventional endoscopy with white-light imaging, high-resolution and high-magnification endoscopy, chromoendoscopy, image-enhanced endoscopy (narrow-band imaging, I- SCAN, flexible spectral imaging color enhancement, blue laser imaging, and linked color imaging), and confocal laser endomicroscopy. Endoscopic techniques for treating GERD include esophageal radiofrequency energy delivery/Stretta procedure, transoral incisionless fundoplication, and endoscopic full-thickness plication. Other novel techniques include anti-reflux mucosectomy, peroral endoscopic cardiac constriction, endoscopic submucosal dissection, and endoscopic band ligation. Currently, many of the new endoscopic techniques are not widely available, and their use is limited to centers of excellence.

• 한국측량학회지
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• 제31권5호
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• pp.365-373
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• 2013

타일 캐시 기술은 웹GIS의 효율성에 중요한 향상을 가져왔지만, 변경된 소스데이터의 해당 타일을 갱신하는 작업은 여전히 처리시간이 오래 걸리는 작업이고, 이로 인해 서비스 질에 영향을 미칠 수도 있다. 현재의 타일 캐시 서비스는 갱신되지 않거나 거의 갱신되지 않는 소스데이터에서 좋은 성능을 제공하지만, 변경이 자주 발생하는 소스데이터에 대해서는 매우 비효율적이다. 본 논문은 자주 변경되는 데이터 집합의 타일 지도 서비스에서 변경된 데이터를 타일이미지에 효율적으로 반영할 수 있는 부분영역캐시갱신 방법으로 PACU (Partial Area Cache Update)기법을 제안한다. 이 기법은 타일 지도 갱신 작업에서 가장 많은 처리 시간이 소요되는 디스크의 읽기/쓰기 횟수를 줄이는 방법으로 반복적으로 동일한 타일이 변경되는 작업을 제거하였다. PACU 기법은 타일 이미지 기반의 지도 서비스하고 있는 경기도부동산포털서비스에서 수시로 변경이 발생하는 지적도 서비스에 성공적으로 적용되었다. 경기도 평택시(331,594 필지)에서 하루 발생하는 변동 필지 3,100건에 대해 제안 기법을 적용하였다. 동일한 실험 환경에서 PACU 기법을 ESRI사의 ArcGIS SERVER$^{(r)}$의 처리 속도와 비교한 결과 약 6.6배의 처리속도 향상을 보였다. PACU 기법은 타일 지도의 갱신 처리 시간을 매우 획기적으로 감소시켰고, 그동안 기술적인 문제로 어려움이 있었던 수시로 갱신되는 데이터 집합에 대한 타일 지도 서비스를 제공할 수 있는 기틀을 마련하였다.

• 대한치과보철학회지
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• 제58권3호
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• pp.228-238
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• 2020

환자의 교합에 맞춰 적절한 고정성 보철물을 성공적으로 제작 및 수복하기 위해서 필요한 다양한 고려사항이 있다. 그 중 환자가 갖고 있는 교합의 형태를 파악하여 고정성 보철물에 부여하는 것은 필수적이라 할 수 있다. 견치 유도 교합, 군 기능 교합 등 여러가지 교합 형태를 파악하는데 있어서 하악의 운동을 기록하는 것이 중요한데, 1933년 Meyers에 의해 소개된 Functionally generated path (FGP) technique은 구내에서 왁스 등의 재료를 이용하여 교두가 지나가는 하악 운동로를 기록한 후 보철물 제작에 적용하는 치료 술식이다. 본 증례에서는 두 명의 환자에 있어서 상악 구치부에 이차 우식 혹은 치주염으로부터 기원한 치수 유래 병소가 있어, 근관 치료 및 치주 치료 완료 후 고정성 보철물 수복이 필요하였다. 장기적인 예후가 좋지 않은 치아이기에 측방 간섭을 최소화하기 위해 FGP technique을 이용하여 하악 운동을 기록하였다. 통상적인 석고 인상 방법이 아닌 구내 디지털 스캔을 시행함으로써 더 효율적으로 보철물을 제작하였다. 치료 후 환자와 술자 모두 기능적으로 만족할 만한 결과를 얻었기에 이를 보고하는 바이다.

• 대한심미치과학회지
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• 제23권1호
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• pp.34-40
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• 2014

부분 무치악을 수복하는 데 있어서 선택할 수 있는 치료의 옵션으로는 전통적인 국소의치와 임플란트 지지-고정성 보철물 등이 있다. 하지만, 환자의 전신적 또는 구강의 상태(수술적인 술식이 제한되는 전신병력, 지지조직의 부족 그리고 골유착에 실패한 임플란트)와 치료비용에 대한 허용 정도에 따라 모든 옵션이 항상 가능한 것은 아니다. 가철성 국소의치는 임플란트 고정성 보철물에 비해 구강위생 관리 및 상,하악 악간관계의 부조화를 수정하기에 편리한 장점이 있다. 최근에는 전략적 위치에 임플란트를 식립하여 기존 악궁 형태에서는 제한되는 국소의치 디자인의 한계를 개선할 수 있는 임플란트지지형 RPD(Implant Supported Removable Partial Denture)가 새로운 방안으로 대두되고 있다. ISRPD는 전략적 위치에 임플란트를 식립하여 역학적인 한계를 극복할 수 있을 뿐 만 아니라 전악의 임플란트지지형 고정성 보철이 제한되는 환자에서 보다 경제적이고 현실적인 보철적 해결책이 될 수 있다. 따라서, RPD를 이용한 보철계획 수립시 전략적 위치에서의 임플란트의 사용은 고전적인 가철성 국소 의치에서보다 유지력과 안정성을 증진시키고 구강위생관리 또한 용이하여 환자의 적응도를 높이는 방안으로 고려될 수 있다. 본 증례는 상악 양측 구치부의 임플란트 고정성 보철,하악의 bar-type overdenture를 사용중이던 59세 남성환자에서 상악 #15i임플란트의 abutment screw fracture와 임플란트의 골유착 실패로 인한 다수 임플란트를 발거 후 남은 #15i,24i,25,26,i의 잔존 임플란트와 #23 자연치를 활용해 상악에 ISRPD를 적용한 경우이다. #23 surveyed crown, #24i=25i=26i surveyed bridge 및 #15i에 gold coping을 제작하여 국소의치의 지지와 유지,안정을 도모하였다.최종 보철물을 장착하고 2년간 주기적인 follow up 통해 예후를 관찰중이며 지대치로 사용한 임플란트에서 screw loosening이나 파절, 골흡수 등의 증상은 현재까지 관찰되지 않았다.

• 한국의학물리학회지:의학물리
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• 제25권2호
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• pp.110-115
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• 2014

원발성 폐암의 정위적 체부 방사선치료(Stereotatic Body Radiation Therapy; SBRT)시에, 종양주위의 빔 배열을 균등하게 한 $360^{\circ}$회전각도(Equally angles; EA)와 종양주위의 빔 배열을 부분각도(Partially angles; PA)로 배열한 치료계획의 선량차이를 확인하기 위하여, 세기조절방사선치료(Intensity-modulated radiation therapy, IMRT)와 체적변조회전치료(Volumetric-modulated arc therapy, VMAT)의 종양의 선량, 동측 폐의 선량, 반대측 폐의 선량, 손상위험장기(Organ at risk, OAR)의 선량, 치료효율 등을 비교분석 하였다. 12명의 환자에서 각각 4종류($IMRT_{EA}$, $IMRT_{PA}$, $VMAT_{EA}$, $VMAT_{PA}$)의 치료계획을 생성하였으며, 처방선량은 총 선량 60 Gy, 4회 분할치료로 표적체적 95%에 대해 100% 선량이 포함되게 하였다. IMRT와 VMAT의 치료계획 평가에서 $360^{\circ}$회전각도의 빔 균등배열과 부분각도 빔 배열에서 변수중 선량일치지수, 균질성지수, 고선량 유출, $D_{2cm}$, $R_{50}$은 빔 배열에 따라 크게 차이가 나지 않았다. 또한 손상위험장기인 척수, 기관지, 식도의 최고선량은 각각의 방법에 따라 차이를 나타내었다. 특히 $HDS_{location}$에서 21.63%와 26.46%의 큰 차이를 나타내었다.

• Tuberculosis and Respiratory Diseases
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• 제81권4호
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• pp.319-329
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• 2018

Background: Bronchoalveolar lavage (BAL) is a necessary procedure for diagnosis of various lung diseases. High-flow nasal cannula (HFNC) oxygen delivery was recently introduced. This study aimed to investigate the safety and effectiveness of HFNC oxygen supply during BAL procedure in patients with acute respiratory failure (ARF). Methods: Patients who underwent BAL while using HFNC at a partial pressure of oxygen in arterial blood/fraction of inspired oxygen ($PaO_2/FiO_2$; PF) ratio of 300 or below among patients who had been admitted from March 2013 to May 2017 were retrospectively investigated. Results: Thirty-three BAL procedures were confirmed. Their baseline PF ratio was $166.1{\pm}46.7$. $FiO_2$ values before, during, and after BAL were $0.45{\pm}0.12$, $0.74{\pm}0.19$, and $0.57{\pm}0.14$, respectively. Flow (L/min) values before, during, and after BAL were $26.5{\pm}20.3$, $49.0{\pm}7.2$, and $40.8{\pm}14.2$, respectively. Both $FiO_2$ and flow during and after the procedure were significantly different from those before the procedure (both p<0.001). Oxygen saturation levels before, during, and after BAL measured by pulse oximeter were $94.8{\pm}2.9$, $94.6{\pm}3.5$, and $95.2{\pm}2.8%$, respectively. There were no significant differences in oxygen saturation among the three groups. Complications of BAL procedure included transient hypoxemia, hypotension, and fever. However, there was no endotracheal intubation within 24 hours. Baseline PF ratio in "without HFNC" group was significantly higher than that in "with HFNC" group. There were no differences in complications between the two groups. Conclusion: The use of HFNC during BAL procedure in ARF patients was effective and safe. However, there were no significant differences in oxygen saturation level and complications comparing "without HFNC" group in mild ARF. More studies are needed for moderate to severe ARF patients.