• 제목/요약/키워드: Portal System

검색결과 642건 처리시간 0.021초

$^{18}F-FDG$ PET/CT 에서 발견된 S상 결장암의 단일 비장 전이 (Isolated Splenic Metastasis of Sigmoid Colon Cancer Detected by $^{18}F-FDG$ PET/CT)

  • 안영실;윤준기;홍선표;최봉회;조철우;윤석남
    • Nuclear Medicine and Molecular Imaging
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    • 제41권3호
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    • pp.263-264
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    • 2007
  • Splenic metastasis from colon carcinoma are rare and usually occur in the presence of disseminated visceral metastasis. The liver is the most common site of metastatic spread from colon cancer. Several hypotheses have attempted to explain the low incidence of splenic metastasis. It should be difficult for colorectal cancer cells to reach the spleen through the portal venous system, in which the blood flow is usually from the spleen to the liver. Reticuloendothelial system or rhythmic contraction of the spleen may squeeze out the tumor in the spleen. The absence of afferent lymphatic to the spleen, phagocytic activity and humoral anticancer substances are considered to be other reason for low incidence of splenic metastasis. We report the case of $^{18}F-FDG$ PET/CT finding in a 70-year-old woman who develop isolated splenic metastasis of sigmoid colon cancer.

뇌졸중 후 인지장애의 침 치료에 대한 임상적 연구 고찰 (A Study of Clinical Research Acupuncture Treatment on Post-stroke Cognitive Disorder)

  • 김삼룡;윤종민;문병순
    • 대한한방내과학회지
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    • 제39권3호
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    • pp.389-404
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    • 2018
  • Objective: The aim of this study was to investigate acupuncture therapy for post-stroke cognitive disorder to suggest the methods of a study about acupuncture therapy. Methods: Several academic databases were used in this study, including National Digital Science Library (NDSL), National Assembly Library of Korea, Korean Traditional Knowledge Portal, Research Information Sharing Service (RISS), Korean studies Information Service System (KISS), Korean Medical Database (KMBASE), Korea Med, Oriental Medicine Advanced Searching Integrated System (OASIS), PubMed, MEDLINE with Full Text, and China National Knowledge Infrastructure (CNKI). Keywords used were "중풍", "뇌졸중", "인지장애", "침", "acupuncture", and "cognitive disorder". Results: Ultimately, 28 papers were investigated. that were mainly published in 2012 and 2016. Of these, More than two-thirds received a score of one or less on the Jadad scale. Acupuncture points such as GV20, GV24, PC6, EX-HN1, SP6, and GV26 were most frequently used. The treatment duration was mostly 30 minutes or less, and the treatment cycle was mostly for four weeks. Dilatational wave was generally used in pulse wave form, and amplitude of electricity was increased until patients were able to endure. G6805 was generally used in electric acupuncture apparatus. According to results of acupuncture treatment, assessments such as the MMSE (Mini Mental State Examination) and the Montreal Cognitive Function Assessment Scale (MoCA) showed statistically significant improvements in 28 studies. Conclusions: Future research is needed to standardize the treatment of acupuncture, and more diversified high quality papers should be published to help clarify the therapeutic effects of acupuncture and the mechanisms of cognitive disorder post-stroke.

방사선 피부염 치료법에 대한 문헌고찰 (A Literature Review of Management on Radiodermatitis)

  • 권미혜;윤지현;김은혜;이지영;윤성우
    • 대한암한의학회지
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    • 제25권1호
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    • pp.11-24
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    • 2020
  • Objective : Radiodermatitis is a common sequelae in 95% of patients receiving radiation therapy, which is important to be well managed as it can affect the patient's quality of life as well as the cancer treatment schedule. The aim of this study is to review and summarize the interventions available for the treatment of acute radiodermatitis, including traditional Korean medicine, and to propose treatment algorithms for clinicians. Methods : To collect studies about managements for radiodermatitis, domestic and foreign database were used such as Korean journal of traditional knowledge portal (KTKP), Korean studies information service system (KISS), national discovery or science leaders (NDSL), and oriental medicine advance searching integrated system (OASIS), Pubmed, Google scholar and Scopus. Results : Thirty-two studies were selected. There were nine studies on usual care and dressing, eleven studies on chemical agents, two studies on biological preparations, and ten studies on herbal medicines. Conclusion : Hygienic options and dressings have proved to be useful in the management of radiodermatitis. Chemical agents such as corticosteroid, statin, and topical antibiotic agent have proved to alleviate symptoms and severity, regenerate damaged skin, and prevent secondary infection. In biological preparations, EGF (epidermal growth factor) and GM-CSF (granulocyte-macrophage colony-stimulating factor) could be used to protect skin and prevent radiodermatitis. For herbal medicines, Calendula, catechin, β-sitosterol, and Jaungo (紫雲膏) may be effective for symptoms including pain, itching, and burning sensation induced by radiation therapy. Because of some research with conflicting results, further studies are needed to propose an algorithm for more optimal treatments.

지식경영과 e러닝 통합의 성공요인에 대한 연구 - LG전자 사례를 중심으로 - (Critical Success Factors for Integration of Knowledge Management and e-Learning from LG Electronics Company's Experiences)

  • 김효근;정미숙;안동윤
    • 지식경영연구
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    • 제6권1호
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    • pp.105-122
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    • 2005
  • The LG Electronics case shows the process whereby an organization evolves as a learning organization through the integration of e-learning and knowledge management. In other words, it shows the process whereby e-learning is recognized as an important means of solving a problem concerning actual worksite operations, as it became one of the daily activities in the organization. In terms of organizational learning, this process points to the fact that e-learning is emerging as the fastest and most effective means of transferring the internally shared value of a company. Recently, advanced corporations and organizations have been endeavoring to boost their internal and external customer satisfaction and customer loyalty, paving the way for changes in their organizational cultures, and establishing learning organizations through e-learning. Therefore, from an advanced viewpoint, e-learning within a company is not a simple system of transferring educational contents, but is a knowledge portal concept connected with knowledge management. To achieve this end, the organization is required to undergo changes that is, it should make the acquisition of learning possible through e-learning and a knowledge management system (KMS) in order to improve corporate performance. Since LG Electronics is utilizing e-learning as a strategic means to change the paradigm of corporate education, and, in particular, is attempting to integrate this with knowledge management, insights that will facilitate the understanding of the core success factors in and challenges to the integration of knowledge management and e-learning can be obtained through this case.

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밀착조임 볼트체결에 따른 판폭두께비가 큰 변단면 프레임의 구조성능에 관한 실험적 연구 (Experimental Study on Structural Behavior of Tapered non-compact Frame with Snug-tightened Conditions)

  • 정경수;전배호;박만우;도병호
    • 한국강구조학회 논문집
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    • 제24권3호
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    • pp.257-265
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    • 2012
  • 저층 장스팬 철골프레임에는 강재절감을 위해 휨모멘트 저항을 극대화 한 판폭두께비가 큰 변단면 부재를 이용한 PEB시스템을 사용하고 있다. 또한, 밀착조임 볼트접합은 완전조임 볼트접합에 비하여 공사비 절감과 시공용이성의 장점을 지니고 있다. 이에 본 연구에서는 밀착조임 볼트접합으로 이루어진 엔드플레이트형 접합형식에 판폭두께비가 큰 변단면 철골프레임의 실대형 실험을 행하였다. 변수로는 볼트체결방법과 재하하중방법이다. 프레임위치별 구조적 거동에 대해서 실험결과를 분석하고, 하중-변위관계에 대해서 해석결과와 비교하였다. 또한, 현장에서 밀착조임 볼트체결에 대한 볼트축력 도입과 사용성을 평가하였다.

Assessment of ASCE 7-10 for wind effects on low-rise wood frame buildings with database-assisted design methodology

  • He, Jing;Pan, Fang;Cai, C.S.
    • Wind and Structures
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    • 제27권3호
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    • pp.163-173
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    • 2018
  • The design wind pressure for low-rise buildings in the ASCE 7-10 is defined by procedures that are categorized into the Main Wind Force-Resisting System (MWFRS) and the Components and Cladding (C&C). Some of these procedures were originally developed based on steel portal frames of industrial buildings, while the residential structures are a completely different structural system, most of which are designed as low-rise light-frame wood constructions. The purpose of this study is to discuss the rationality (or irrationality) of the extension of the wind loads calculated by the ASCE 7-10 to the light-frame wood residential buildings that represent the most vulnerable structures under extreme wind conditions. To serve this purpose, the same approach as used in the development of Chapter 28 of the ASCE 7-10 that envelops peak responses is adopted in the present study. Database-assisted design (DAD) methodology is used by applying the dynamic wind loads from Louisiana State University (LSU) database on a typical residential building model to assess the applicability of the standard by comparing the induced responses. Rather than the postulated critical member demands on the industrial building such as the bending moments at the knee, the maximum values at the critical points for wood frame buildings under wind loads are used as indicators for the comparison. Then, the critical members are identified through these indicators in terms of the displacement or the uplift force at connections and roof envelope. As a result, some situations for each of the ASCE 7 procedures yielding unconservative wind loads on the typical low-rise residential building are identified.

기둥-보 뼈대구조를 위한 각부 접합부의 모멘트저항성능 (Moment Resistance Performance of Each Joint for Post-Beam Frame Structure)

  • 박주생;황권환
    • Journal of the Korean Wood Science and Technology
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    • 제39권1호
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    • pp.8-14
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    • 2011
  • 한국 전통 목구조양식에서 뼈대구조인 기둥-보 접합부를 이용하여 현대적인 기법을 적용한 목구조 접합을 개발하기 위하여 낙엽송 집성재를 구조부재로 사용하였다. 집성재를 이용한 전통 접합기술과 드리프트핀 접합으로 구성된 접합부의 부재는 공장에서 프리커트에 의해 가공하였다. 뼈대구조의 전체 성능을 파악하고 향상시키기 위한 기초 연구로서 핀접합부의 인발내력 시험과 각 접합부의 모멘트저항 시험을 행하였다. 본 연구에서 사용된 기둥-보 부재는 본 연구에서 사용된 주각부 및 보단부 접합철물로 이루어진 접합부에서 우수한 모멘트저항성능을 발휘하였다. 핀의 세장비에 따라 초기강성은 세장비가 클수록 다소 높게 나타났으며, 모멘트저항성능인 휨모멘트와 최대모멘트는 세장비가 작을수록 우수함을 알 수 있었다.

슬괵건을 이용한 전방십자인대 재건술시 횡고정 핀과 간섭나사를 이용한 대퇴터널 고정술 -수술 수기- (Cross-Pin and Interference Screw Femoral Fixation in Anterior Cruciate Ligament Reconstruction using Hamstring Tendon -Technical Note-)

  • 인용;박원종;박종범;홍승환
    • 대한관절경학회지
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    • 제6권1호
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    • pp.60-63
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    • 2002
  • 목적 : 네 겹의 슬괵건을 이용한 전방십자인대 재건술시 대퇴터널을 횡고정 핀과 흡수성 간섭나사로 함께 고정하는 수기를 소개하고자 한다. 수술 술기 : 반건양건과 박건을 채취하여 네 겹으로 준비하였다. 경골터널과 대퇴터널을 만드는데 대퇴터널의 깊이는 35 mm로 하였다. Rigidfix system의 가이드를 삽입하고 가이드의 위쪽 관에만 구멍을 내었다. 이식건을 통과시킨후 횡고정 핀 을 고정하였다. 이후 이식건을 경골쪽으로 당기면서 흡수성 간섭 나사로 고정하였다. 결론 : 슬괵건 전방십자인대 재건술시 횡고정 핀과 흡수성 간섭나사를 이용한 대퇴터널 고정은 강한 초기 고정과 이식건의 골통합을 촉진시킬 수 있는 좋은 방법으로 사료되어 소개하였다.

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미국 컨벤션뷰로의 웹사이트 서비스 품질결정요인 (DETERMINANTS OF US CVB'S WEBSITE SERVICE QUALITY)

  • 김민숙;방호열
    • 통상정보연구
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    • 제10권4호
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    • pp.125-151
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    • 2008
  • Website service quality is widely accepted as one of the key determinants of online business success. Several studies identified key factors that determine the website service quality factors appropriate for online business environments. A convention and visitors bureau (CVB) website is a service portal that delivers information online about a destination so users can develop an overall image of the location. CVBs struggle to deliver positive destination images because the competition among destinations to host conventions is intense. In spite of the important role of CVBs and the beneficial spillover effect of CVBs, there are few studies available reporting on the unique service qualities of a CVB website. The primary purpose of this study was to examine the determining factors that are appropriate for CVB websites from the meeting planners' perspective. The research questions arc: What are the determining factors of service quality of a CVB website? Do the determining factors of CVB website service quality positively influence meeting planners' satisfaction? The new conceptual framework was developed from a variety of destination marketing and Internet marketing concepts: e-servicescape management, web community network, Internet service encounter management, and online system quality. Empirical results indicate that three of the four factors, that is, e-servicescape, web community network, and online system quality are important determinants in evaluating CVB website service quality. The findings also show that three determinants have significant and positive influence on meeting planners' satisfaction. The findings from this study will provide meaningful advice for CVB website quality management. To enhance the CVB website service quality and satisfaction level of meeting planners, these three determinants' should be considered of the utmost strategic importance and priority.

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국내 오픈액세스서비스의 이용자 만족도에 관한 연구 (An Study on the User Satisfaction of Open Access Activities in Korea)

  • 최희윤;황혜경;백종명
    • 정보관리학회지
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    • 제29권1호
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    • pp.279-302
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    • 2012
  • 본 연구의 목적은 우리나라 오픈액세스서비스에 대한 이용자의 만족도를 분석하여 향후 오픈액세스 활동의 활성화 및 발전방안 수립을 위한 전략과제를 도출하는 데 있다. 이를 위해 오픈액세스코리아 서비스의 이용자를 대상으로 만족도 조사를 실시하였다. 서비스별 품질을 나타내는 이용자의 만족도 지표는 해당 서비스에 대해 이용자들이 지각하는 품질을 측정할 수 있도록 설계하였으며, 품질지수, 만족지수, 성과지수로 구성되었다. 분석결과 사회적 품질, 사회적 만족 등의 항목은 상대적으로 높게 산출되어 국내 연구자들의 오픈액세스서비스에 대한 사회적 기여도 및 공익성 측면에서의 긍정적인 평가와 기대를 확인하였다. 반면, 서비스 과정품질 항목은 상대적으로 낮은 만족도를 보여주었으며 국내 오픈액세스 콘텐츠의 부족에 대한 의견이 다수 도출되어 국가 차원의 전략수립 시 콘텐츠 개발 및 확보 전략에 대한 고려가 중요함을 알 수 있었다. 또한 오픈액세스에 대한 정책적 지원, 오픈액세스 저널 출판 및 리포지터리 운영, 거버넌스체제 구축 및 오픈액세스 홍보활동을 통한 연구자들의 참여 유도, 글로벌 공조체제 구축 등이 전략과제로 제시되었다.