• Title/Summary/Keyword: RHA

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Reconstruction of Various Perinasal Defects Using Facial Artery Perforator-Based Nasolabial Island Flaps

  • Yoon, Tae Ho;Yun, In Sik;Rha, Dong Kyun;Lee, Won Jai
    • Archives of Plastic Surgery
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    • v.40 no.6
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    • pp.754-760
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    • 2013
  • Background Classical flaps for perinasal defect reconstruction, such as forehead or nasolabial flaps, have some disadvantages involving limitations of the arc of rotation and two stages of surgery. However, a perforator-based flap is more versatile and allows freedom in flap design. We introduced our experience with reconstruction using a facial artery perforator-based propeller flap on the perinasal area. We describe the surgical differences between different defect subtypes. Methods Between December 2005 and August 2013, 10 patients underwent perinasal reconstruction in which a facial artery perforator-based flap was used. We divided the perinasal defects into types A and B, according to location. The operative results, including flap size, arc of rotation, complications, and characteristics of the perforator were evaluated by retrospective chart review and photographic evaluation. Results Eight patients were male and 2 patients were female. Their mean age was 61 years (range, 35-75 years). The size of the flap ranged from $1cm{\times}1.5cm$ to $3cm{\times}6cm$. Eight patients healed uneventfully, but 2 patients presented with mild flap congestion. However, these 2 patients healed by conservative management without any additional surgery. All of the flaps survived completely with aesthetically pleasing results. Conclusions The facial artery perforator-based flap allowed for versatile customized flaps, and the donor site scar was concealed using the natural nasolabial fold.

Playfulness of Infants and the Characteristics of Teachers according to Daily Routine Types based on Observation in Infant Classes in Child Care Centers (관찰에 근거한 어린이집 영아반의 일과유형분류 및 일과유형별 영아의 놀이성과 교사 특성)

  • Park, Chan Hwa;Kwon, Yeonhee;Rha, Jong Hay;Choi, Mock Hwa
    • Korean Journal of Childcare and Education
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    • v.9 no.4
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    • pp.185-210
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    • 2013
  • The purpose of the study was to observe and categorize daily routines of infant classes in daycare centers based on quantity of indoor and outdoor free play, group activities and nap/rest and explore differences in infants' play and teacher's behavior according to daily routine types. A team of trained observer observed daily routines and teacher's behavior of 26 infant classes from 7 daycare centers for two days and teachers evaluated 164 infants' playfulness. As a result daily routines of infant classes were categorized into two types: "Indoor & Outdoor Free Play Oriented" and "Group Activities & Rest Oriented". Infants' playfulness of "Indoor & Outdoor Free Play Oriented" groups were higher than that of "Group Activities & Rest Oriented" groups. Teachers from "Indoor & Outdoor Free Play Oriented" groups were found to have more experiences in the field and also they showed more positive and neutral guidance than the others.

The Effects of Agri-Products' Geographical Indications on the Customer's Satisfaction and Revisit Intentions in the Korean Pop-restaurants (농산물 지리적 표시가 한식레스토랑의 고객에 대한 만족도와 재방문 의도에 미치는 영향)

  • Park, Jin-Yong;Kim, Dong-Ho;Rha, Young-Ah
    • Culinary science and hospitality research
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    • v.23 no.3
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    • pp.196-206
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    • 2017
  • This study intended to examine the Korean restaurant customer's recognition about GIAP and to measure the reliability for them, and to figure out their effects on the customer's satisfaction and revisit intentions. Accordingly, research model had been set up and also hypotheses was made up according to pre-studies and pre-investigation results. Factor analysis and reliability analysis were concluded as valid results by the Cronbach's Alph for GIAP, customer satisfaction and revisit intention each other. Firstly, the effect of GIAP on the customer satisfaction was showed positive significance about four factors - perceived quality, reliability, authenticity and security on the customer satisfaction by the multiple regression analysis. Secondly, The effect of GIAP on the customer's revisit intention was showed positive significance about four factors - perceived quality, reliability, authenticity and security on the customer's revisit intention by the multiple regression analysis. Thirdly, the effect of the customer satisfaction on the customer's revisit intention was showed positive significance by the simple regression analysis. This study focused on medium level-cost Korean-pop restaurant so as to investigate general popular's recognition about the GIAP and intended to figure out their revisit intention. Therefore, the results are useful for increasing the food-service strategy system. Informations about the GIAP in restaurants can be credible to the restaurant customers.

Qualitative Analysis of Using Self-Assessment for EFL Students (EFL 학생들의 자기평가 도구의 활용에 관한 질적 분석)

  • Rha, Kyeong-Hee;Pyo, Kyong-Hyon
    • The Journal of the Korea Contents Association
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    • v.16 no.4
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    • pp.634-643
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    • 2016
  • Achieving a certain degree of objectivity is one of main assessment priniciples to meet and self-assessment has been under-used as a formal instrument for assessing students' achievement due to lack of objectivity. Now, this research attempted to look into how students perceived self-assessment and how they engaged in the assessment process. Self-assessments and in-depth interviews with students were collected as main data sources. The results of data analysis are as follows. First, a student' perceptions of self-assessment have been observed to change over a course of a semester. Furthermore, changes in perceptions might have led students to get ownership of their learning. Conclusively, this research proposes that the research of self-assessment be accommodated into the socio-cultural context to demonstrate its desirable influence on students' learning.

Difficulties of immigrant women through international marriage - in Raising Children and Needs for Adaptation Program - (여성결혼이민자의 자녀양육 어려움과 적응 프로그램 요구도)

  • Hyun, Eun-Ae;Rha, Jong-Hay
    • Korean Journal of Human Ecology
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    • v.18 no.3
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    • pp.675-687
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    • 2009
  • The purpose of this study is to investigate the difficulties and needs for adaptation program of married immigrant women raising children in Korea. Data were collected from 27 Day care centers in Guemsan County, Chungnam Province. 20 senior teachers of day care centers and 58 mothers who had immigrated into Korea by international marriage were asked to complete a packet of questionnaire designed by researchers for this study, and in-depth interviews were conducted to 20 senior teachers and 6 mothers who could communicate in Korean. Data were analyzed by using frequency analysis, one way ANOVA, and cross-section analysis. The outcome of this study showed as follows: 1) The number of entire married immigrant women's children attending day care centers at Guemsan area was 102 persons. 2) Immigrant mothers felt that the lack of their understanding Korean culture makes them difficult in raising children in Korea, whereas the day care teachers felt that children's language development was delayed. 3) According to the survey of adaptation program a for married immigrant women's children, there was few program at the time of survey, only two daycare centers conducted multi-cultural education and Korean language education once or twice a year. Teachers required Korean language education, grievance counseling (?) for the mothers. Immigrant mothers required multi-cultural education and Korean language education.

Effect of Lumbar Stabilization Exercise on Back Pain, Physical Fitness, Sleep, and Depression in Middle-Aged Women with Chronic Back Pain (요부 안정화 운동이 만성요통을 가진 중년여성의 요통, 체력, 수면 및 우울에 미치는 효과)

  • Song, Rha-Yun;Ahn, Suk-Hee
    • Korean Journal of Adult Nursing
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    • v.20 no.2
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    • pp.269-279
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    • 2008
  • Purpose: The study was to examine the effect of lumbar stabilization exercise on back pain, physical fitness, sleep, and depression in middle-aged women who have chronic back pain. Methods: With one group pre-post test design, 18 subjects who have had more than 6 months of back pain were recruited by convenience sampling in D metropolitan area. Lumbar stabilization exercise was based on Tai Chi for back pain program developed by Lam(2003). This program was mainly focusing on strengthening lumbar stabilizing muscle for one hour per session, twice a week for 20 weeks. Degree of back pain, back pain disability, sleep, and depression were measured at three time points(pretest, 12 weeks, and 20 weeks) by a structured study questionnaire. Physical fitness variables including waist flexibility, mobility, and back muscle strength were measured three times at health promotion center located in the university hospital. Data were analyzed by frequency, descriptive statistics, and repeated measures of ANOVA. Results: Mean age of subjects was 52 years(SD = 6.4). Most of them(90%) had suffered from back pain more than one year and 67% was taking medicine to relieve their back pain. Results showed that back pain score and disability score were not significantly decreased after the exercise. On physical fitness variables, however, waist flexibility(F = 3.50, p = .04) and mobility(F = 3.31, p = .04) were improved after the exercise. Quality of sleep(F = 4.48, p = .03) was improved gradually and depression scores were also decreased(F = 3.12, p = .05) after the exercise. Conclusion: This lumbar stabilization exercise was not able to reduce chronic back pain, but could improve physical fitness and psycho-social variables for community dwelling women who have chronic back pain. Further study is needed to replicate this exercise with control group to confirm the positive effect.

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Development and a Psychometric Evaluation of Cardiovascular Disease-Specific Quality of Life Scale for Koreans (한국 심혈관질환 특이형 삶의 질 측정도구 개발 및 평가)

  • Lee, Eun-Hyun;Tahk, Seong-Jai;Shin, Jun-Han;Lee, Young-Whee;Song, Rha-Yun
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.313-323
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    • 2007
  • Purpose: Health-related quality of life (HRQOL) in patients with cardiovascular disease in Korea has rarely been studied, mostly due to the lack of a psychometrically validated disease-specific instrument. The purpose of this study was to develop and validate a cardiovascular specific-HRQOL questionnaire (CD-QOL). Method: The CD-QOL was developed and validated as follows; item generation, pilot study, and psychometric tests. Patients were recruited from three-university hospitals. The patients were asked to complete the preliminary questionnaire comprising the content-validated items, SF-36, and CES-D. The NYHA and KASI classifications were used to classify the functional performance of the patients. The data was analyzed using correlation, factor analysis, multidimensional scaling, multitrait/multi-item matrix, ANOVA, and Cronbach's alpha. Result: Preliminarily, thirty-nine items were generated. Factor analysisextracted a five-factor solution with a total of twenty-two items. One item was deleted based upon the MDS. The remaining items were moderately correlated with the subscales of the SF-36 and associated with depression measured with the CES-D. The mean scores of patients in NYHA and KASI class I were significantly higher than those in NYHA and KASI class II or/and III, which suggested patients with better functional performance were likely to have a better HRQOL. Cronbach's alphas of the total and subscales were all greater than 0.70. Conclusion: The CD-QOL is a easily applicable instrument with excellent psychometric properties of content, criterion, factorial, convergent, and known-groups validity, and internal consistency reliability in Korean patients with cardiovascular disease.

Numerical Analysis on Penetration Reduction of a WHA Penetrator by an Impact of Linear Explosively Formed Penetrator(LEFP) (선형폭발성형탄(LEFP) 충격에 의한 WHA 관통자의 관통성능 감소에 관한 수치해석 연구)

  • Joo, Jaehyun;Choi, Joonhong;Koo, ManHoi;Kim, Dongkyu
    • Journal of the Korea Institute of Military Science and Technology
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    • v.20 no.3
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    • pp.384-392
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    • 2017
  • A linear explosively formed penetrator(LEFP) is a modification of the explosively formed penetrator(EFP). An EFP is axisymmetric and has a dish-shaped liner while LEFP has a rectangular-shaped liner with curved cross section. Upon detonating LEFP forms laterally wide projectile like blade, leaving a long penetration hole on the target. On the other hand, a long-rod tungsten heavy alloy(WHA) penetrator is one of the major threats against most of the ground armored vehicles. In this paper, the feasibility of using an LEFP in protecting against a long-rod WHA penetrator by colliding LEFP into the threat was investigated through a set of numerical simulations. In this study, a scale-down WHA penetrator with length to diameter ratio(L/D) of 10.7 and 7.0 mm diameter was used to represent a long-rod WHA penetrator. LS-DYNA and Multi-Material ALE technique were employed for the simulation. For estimation of the protection effect by LEFP, residual penetration depths into RHA by the threat were compared according to various impact locations against the threat.

Nutritional Characteristics of Juvenile Black Rockfish Sebastes schlegeli Fed a Diet of Fig Leaf Extract (무화과 잎 추출물 첨가 사료를 급이한 조피볼락(Sebastes schlegeli)치어의 영양학적 특성)

  • Hwang, Jae-Ho;Lee, Si-Woo;Rha, Sung-Ju;Han, Kyeong-Ho;Kim, Seon-Jae
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.45 no.6
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    • pp.570-578
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    • 2012
  • The present study investigated the effect of diets supplemented with different levels (0, 1, 3, and 5 %) of fig leaf ethanol extract (FLEE) on the nutritional composition of black rockfish Sebastes schlegeli. Fish ($10.05{\pm}0.44g$) were fed to apparent satiation twice daily for 8 weeks. Adding FLEE decreased crude lipid levels and increased crude protein and ash. Among the three organic acids in the whole body of black rockfish, lactic acid was predominant, followed by citric acid and oxalic acid. Five free sugars were found in all groups. Fucose and glucose were the dominant free sugars in the FLEE-added group. The abundant fatty acids in the FLEE-added group were C16:0, C18:1-cis (n9), and C22:6n-3. The major amino acids in the samples were glutamic acid, aspartic acid, glycine, leucine, alanine, lysine, and arginine. The abundant free amino acids in the FLEE-added group were taurine, glutamic acid, alanine, leucine, and arginine.

Nutritional Characteristics of Eels (Auguilla japonica) Fed a Diet of Yuza (Citrus junos Sieb ex Tanaka) (유자 첨가 사료로 사육한 뱀장어의 영양학적 특성)

  • Hwang, Jae-Ho;Lee, Si-Woo;Rha, Sung-Ju;Jeong, Dong-Hee;Han, Kyeong-Ho;Shin, Tai-Sun
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.43 no.6
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    • pp.573-580
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    • 2010
  • The study investigated the effect of diets supplemented with different levels (0 and 2.5%) of yuza (Citrus junos Sieb ex Tanaka) on the nutritional characteristics of eels (Auguilla japonica). Fish ($9.8{\pm}1.3g$) was fed to apparent satiation twice daily for 8 months. There were no significant differences in proximate composition among the treatment groups, except for the ash and carbohydrate contents (P<0.05). The vitamin C content of eel muscle in the yuza-added group was two-times higher than in non-added groups (P<0.05). Among eight organic acids in eel muscle, lactic acid was predominant, followed by citric acid, oxalic acid, malic acid, and acetic acid. Eels fed a 2.5% yuza diet had the highest lactic acid content in all groups. Six sugars were found in all groups and glucose was the major sugar. Glucose and maltose were the dominant sugars in the yuza-added group. The abundant fatty acids in the yuza-added group were C18:1 n-9, C16:0, and C16:1 n-7, which comprised over 80% of the total fatty acids. The major amino acids in samples were glutamic acid, aspartic acid, lysine, and leucine. There were few differences in the free amino acid compositions among the groups. However, histidine was the predominant amino acid and constituted over 53% of the total free amino acids.