• 대한두개안면성형외과학회지
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• 제15권2호
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• pp.75-81
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• 2014

Background: The fibular free flap has been used as the standard methods of segmental mandibular reconstruction. The objective of mandibular reconstruction not only includes restored continuity of the mandible but also the recovery of optimal function. This paper emphasizes the advantage of the fibular free flap reconstruction over that of locking mandibular reconstruction plate fixation. Methods: The hospital charts of all patients (n=20) who had a mandibular reconstruction between 1994 and 2013 were retrospectively reviewed. Eight patients had plateonly fixation of the mandible, and the remaining 12 had vascularized fibular free flap reconstruction. Complications and outcomes were reviewed and compared between the 2 groups via statistical analysis. Results: Overall complication rates were significantly lower in the fibular flap group (8.3%) than in the plate fixation group (87.5%; p =0.001). Most (7/8) patients in the plate fixation group had experienced plate-related late complications, including plate fracture or exposure. In the fibular flap group, no complications were observed, except for a single case of donor-site wound dehiscence (1/12). Conclusion: The fibular free flap provides a more stable support and additional soft tissue support for the plate, thereby minimizing the risk of plate-related complications. Fibular free flap is the most reliable option for mandibular reconstruction, and we believe that the flap should be performed primarily whenever possible.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2004년도 춘계학술대회
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• pp.1672-1677
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• 2004

Leading edge extension(LEX) in a highly swept shape applied to a delta wing features the modem air-fighters. The LEX vortices generated upon the upper surface of the wing at high angle of attack enhance the lift force of the delta wing by way of increased negative suction pressure over the surfaces. The present 3-D stereo PIV includes the Identification of 2-D cross-correlation equation, stereo matching of 2-D velocity vectors of two cameras, accurate calculation of 3-D velocity vectors by homogeneous coordinate system, removal of error vectors by a statistical method followed by a continuity equation criterion and so on. A delta wing model with or without LEX was immersed in a circulating water channel. Two high-resolution, high-speed digital cameras($1280pixel{\times}1024pixel$) were used to allow the time-resolved animation work. The present dynamic stereo PIV represents the complicated vortex behavior, especially, in terms of time-dependent characteristics of the vortices at given measuring sections. Quantities such as three velocity vector components, vorticity and other flow information can be easily visualized via the 3D time-resolved post-processing to make the easy understanding of the LEX effect or vortex emerging and collapse which are important phenomena occurring in the field of delta wing aerodynamics.

• Journal of Chest Surgery
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• 제54권3호
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• pp.191-199
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• 2021

Background: Tracheal replacement is a challenge for thoracic surgeons due to stenosis in the trachea-prosthesis anastomosis. We propose that stenosis occurs due to fibrosis as a result of an abnormal healing process, characterized by an increased expression of wound healing growth factors (vascular endothelial growth factor [VEGF], survivin, and CD31), which promote angiogenesis and decrease apoptosis. We analyzed the immunoreactivity of VEGF, survivin, CD31, and caspase-3 in the development of fibrotic stenosis in prosthetic tracheal replacement. Methods: Fourteen dogs were operated on: group I (n=7) received a 6-ring cervical tracheal segment autograft, while in group II (n=7), a 6-ring segment of the cervical trachea was resected and tracheal continuity was restored with a Dacron prosthesis. The follow-up was 3 months. Immunoreactivity studies for VEGF, survivin, CD31, and caspase-3 were performed. A statistical analysis was done using the Wilcoxon signed rank test. Results: Four animals in group I were euthanized on the 10th postoperative day due to autograft necrosis. Three animals completed the study without anastomotic stenosis. Moderate expression of VEGF (p=0.038), survivin (p=0.038), and CD31 (p=0.038) was found. All group II animals developed stenosis in the trachea-prosthesis anastomotic sites. Microscopy showed abundant collagen and neovascularization vessels. Statistically significant immunoreactive expression of VEGF (p=0.015), survivin (p=0.017), and CD31 (p=0.011) was observed. No expression of caspase-3 was found. Conclusion: We found a strong correlation between fibrosis in trachea-prosthesis anastomoses and excessive angiogenesis, moderate to intense VEGF, CD31, and survivin expression, and null apoptotic activity. These factors led to uncontrolled collagen production.

• 한국지구과학회지
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• 제22권5호
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• pp.415-422
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• 2001

대류권과 성층권의 대기대순환에 관한 연구는 전지구 규모의 기후변동에 대한 인간활동의 영향을 이해하는 데에 있어서 매우 중요하다. 최근, 상부대류권과 성층권의 대기대순환에 있어서의 일년주기의 존재가 많은 연구에 의하여 보고되어졌다. 이 연구에서는 10년간(1985년 12월${\sim}$1995년 11월)의 자료에 대하여, 변형오일러평균방정식계의 운동방정식과 연속방정식을 이용하여 잔차평균자오면순환을 구하고, 그 순환과 100hPa면을 가로지르는 질량 플럭스들의 장기변동을 조사한다. 그 장기변동을 정량적으로 파악하기 위하여 중회귀통계모델을 사용한다. 특히, 이 연구에서는 이상기상과 전지구 규모의 기후변동의 원인으로서 알려진 엘니뇨현상과 관련한 대류권과 성층권의 평균자오면순환에 초점을 맞춘다. 연구의 결과는, 전지구 규모의 대류권-성층권 평균자오면순환은 엘니뇨현상과 준2년주기진동의 동풍 위상 동안에 강화되어지고, 라니냐현상과 준2년주기진동의 서풍 위상 동안에 약화되어진다는 사실을 보인다. 그리고, 1991년 6월에 있었던 피나투보 화산 폭발의 신호가 얻어진다. 그 화산 폭발 때문에 전지구 규모의 대류권-성층권 평균자오면순환은 급격히 강화되어진다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권13호
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• pp.5171-5174
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• 2014

Background: The increase in breast cancer awareness and widespread use of mammographic screening has led to an increased detection of (non-palpable) breast cancers that cannot be discovered through physical examination. One of the methods used in the diagnosis of these cancers is vacuum-assisted core biopsy, which prevents a considerable number of patients from undergoing surgical procedures. The aim of this study was to present the results of stereotactic vacuum-assisted core biopsy for suspicious breast lesions. Materials and Methods: Files were retrospectively scanned and data on demographic, radiological and pathological findings were recorded for patients who underwent stereotactic vacuum-assisted core biopsy due to suspicious mammographic findings at the Interventional Radiology Centre of the Florence Nightingale Hospital between January 2010, and April 2013. Statistical analysis was carried out using Pearson's Chi-square, continuity correction, and Fisher's exact tests. Results: The mean age of the patients was 47 years (range: 36-70). Biopsies were performed due to BIRADS 3 lesions in 8 patients, BIRADS 4 lesions in 77 patients, and BIRADS 5 lesions in 3 patients. Mammography elucidated clusters of microcalcifications in 73 patients (83%) and focal lesions (asymmetrical density, distortion) in 15 patients (17%). In terms of complications, 1 patient had a hematoma, and 2 patients had ecchymoses (3/88; 3.3%). The histopathologic results revealed benign lesions in 63 patients (71.6%) and malignant lesions in 25 patients (28.4%). The mean duration of the procedure was 37 minutes (range: 18-55). Although all of the BIRADS 3 lesions were benign, 22 (28.6%) of the BIRADS 4 lesions and all of the BIRADS 5 lesions were malignant. Among the malignant cases, 80% were in situ, and 20% were invasive carcinomas. These patients underwent surgery. Conclusions: In cases where non-palpable breast lesions are considered to be suspicious in mammography scans, the vacuum-assisted core biopsy method provides an accurate histopathologic diagnosis thus preventing a significant number of patients undergoing unnecessary surgical procedures.

• 대한토목학회논문집
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• 제8권3호
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• pp.61-71
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• 1988

본 연구에서는 하상이 경년별로 변화함에 따라 발생되는 수위-유량 관계곡선의 오차를 보완코자 현 하도상태에 대한 기준 수위-유량 관계곡선을 개발하여 일원화시키고, 과거의 하상상태와 경년별로 작성되어 왔던 수위-유량 관계곡선들과의 관계 및 수위, 단면적, 유속 등에 대한 수리기하학적 특성을 분석하였다. 연구의 대상지점으로는 한강 종합개발 사업 이후 하도단면이 크게 변화된 안도교지점을 택하였으며 개발 이후의 현 단면(1987년)을 동적평형 상태로 가정하여 분석을 진행하였다. 1987년도의 유량측정 자료를 이용하여 기준 수위-유량 관계곡선을 개발하고, 과거의 실측유량값을 현 상태하에서의 유량으로 환산하였을 때 얻어지는 수위(환산수위)와 과거수위와의 관계 및 환산유속과 과거유속간의 관계 그리고 수위-통수단면적 관계, 수위-유속 관계 등의 상관식을 유도하여 기왕의 많은 자료들을 앞으로도 활용할 수 있도록 상관해석 하였다.

• 한국산학기술학회논문지
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• 제13권1호
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• pp.169-177
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• 2012

본 연구는 치위생(학)과 학생들의 치과위생사 양성 교육과정 요소에 관한 인식을 조사하기 위해 2009년 4월부터 6월까지 치위생(학)과에 재학 중인 학생 934명을 대상으로 진행되었으며, PASW Statistics 18.0 프로그램을 이용하여 분석한 결과는 다음과 같다. 교육목표, 교육내용 선정, 평가에 있어 중부권이 가장 높게 수도권이 가장 낮게 나타났으며, 전문학사 학위과정이 학사학위 과정보다 높게 나타났다. 교육내용 조직은 중부권이 가장 높게 호남권이 가장 낮게 나타났으며, 학사학위 과정이 전문학사 학위과정보다 약간 높게 나타났다. 요소별로 살펴보면, 교육목표 요소는 직업교육, 도덕적 윤리적 요소에서 높게, 창의적 측면에서 낮게 나타났다. 교육내용선정 요소는 학습가능성에서 높게 내용의 타당성과 관련성에서 낮게 나타났다. 교육내용조직 요소는 계속성, 계열성, 통합성 순으로 나타났으며, 교육평가 요소는 학교평가 준거에서 높게, 국가시험 방법에서 가장 낮게 나타났다.

• 유통과학연구
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• 제15권3호
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• pp.73-80
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• 2017

Purpose - Since Korean distribution market was opened, the domestic environment in department stores has been changed by the pattern of consumption and consumer need based on income classes. As multilateral Free Trade Agreement (FTA) accelerates opening markets, the scale of circulating capital has become bigger. Large-scale commercial facilities have developed quickly as a form of a large shopping center, thus, the matter of choice and securing market area became an important valuable in this trend. Moreover, multi-complex space has been proposed as the goal of successful business with promoting the public benefit. Research design, data, and methodology - This research studied consumer behavior using data about the life style and sales of consumers, not statistical data or survey as previous studies. This research tried to find the differentiation in complex cultural space with consumption behavior of department store. Results - As the structure of society and culture was getting diverse and complex, economic growth and development with such diversity and complexity improved consumers' quality of life. The changes of consumer life style are quite natural like human instinct. Department stores have activated retail business with the products of accumulated technology. Moreover, they have created the space of consumption and culture. Because of these social and environmental changes, department stores are being developed as Multi-functional spaces as well as sale places considering the strategies of department and the changes of consumers' purchasing behaviors. Conclusions - Urban culture complex is a landmark standing for the culture era of 21st century. It has provided an opportunity for consumers to enjoy culture, and has been an important factor to improve company images. Based on these roles and needs, expectancy effects are related with consumer preference and space preference, and the attitude toward companies. Moreover, the expectancy effects from those relationships are getting bigger and bigger. We should respect nature, a characteristic of Korean architecture, maintain visual continuity that harmonies with nature in the development of the complex space of the domestic department stores, and should take significance in the development of the complex cultural space in the direction of feeling the hierarchy of the space to obtain the visual pleasure with the artificial structure.

• 대한간호
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• 제33권1호
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• pp.65-79
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• 1994

The purpose of this study was to describe the job retainment factors and the level of job satisfaction, and to identify the relationship between job retainment and the level of job satisfaction among the registered nurses working in hospitals. Four hundred eight registered nurses currently employed at 8 hospitals in Seoul were surveyed for the study. The 39 item, 5 point likert scale questionnare was developed by the researcher. The internal consistency of job satisfaction was. 86 and that of job retainment was. 90 in Cronbach's alpha test. The data sas collected from July 15 to July 30, 1993. The SPSS/PC+statistical program was used for data analysis. The descriptive analysis of the characteristics of the subjects, the level of job satisfaction and the job retainment factors was done. The relationship between the job satisfaction level and the job retainment factors was tested with. the Pearson Correlation Coefficient analysis, and thd differences of job retainment scores among the sample was tested with t-test and ANDVA. The results of the study were summarized. 1. The mean age of the subjects was 29.7 years, 41.7% of them were married. 71.1% of them were 3 years course graduates, 71.8% of them were staff nurses, and the mean duration of experience was 6 years. 2. The factors related to professionalism(3.43), society(3.31), and interpersonal relationship(3.29) were significant in job retainment. The maximum score was 5.0 Two other factors, personal(3.05) and organization(2.83) factors, also showed relatively high scores. 3. The factors to the job satisfaction showed similar pattern as job retainment: professionalism (3.47), society (3.33), finance(3.31), interpersonal relationship(3.02), and organization(2.72). 4. Society related factors(r=.7420, p<.00l) and professionalism(r=.7249, p<.00l) had high correlation with job retainment. Personal(r=.6372, p<.001) and organizational(r=.3597, p<.001) factors had moderate relationship to job retainment. Finance(r=.3597, p<.00l) had significant but weak relationship to job retainment. 5. Age, marital status, job position, departmental involvement, experience, and continuity of employment of the sample showed significant differences in job retainment. However, the period of job retainment, number of children, educational level, type of hospital, previous employment experience were not significant. 6. lndiviuals older than 40 years of age, who were married, who held the position of charge or head nurse position, who worked in central supply or nursing administration showed significantly high job retainment score. This research indicates that the professionalism is the most significant factor in job retainment. In order to retain more experienced nurses, it is important to improve the profesionalism among nurses.

• 벤처창업연구
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• 제16권5호
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• pp.189-203
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• 2021

기술 발전과 산업 생태계 변화로 고객의 욕구를 만족시킬 수 있는 서비타이제이션(servitization)의 필요성이 강조되고 있다. 본 연구는 첨단기술이 융합된 자동차를 이용하고 있는 사용자의 사용전 기대와 사용 후 만족이 지속사용의도에 어떠한 영향을 주는지 살펴보기 위해 기대일치모형(Expectation Confirmation Model)을 적용하여 연구하였다. 본 연구의 목적은 첨단기술기반 자동차와 관련된 제품과 서비스를 제공하는 기업이 연관 기관과 협력하여 빠르게 변화하는 기술과 환경을 소비자에게 전달할 수 있도록 기초자료를 제공하는데 있다. 연구의 목적을 달성하기 위해 첨단기술이 포함된 자동차를 이용하는 사용자를 대상으로 자료를 수집하였고 수집된 자료의 분석은 SPSS 26.0 프로그램과 SMART PLS 2.0의 통계패키지를 이용하여 가설을 검증하고 논리적 근거를 알아보았다. 이에 본 연구는 사용자의 사용 전, 후 관계에 대한 기대일치(Expectation Confirmation), 지각된 용이성(Perceived Ease), 지각된 유용성(Perceived Usefulness), 사용자만족(User Satisfaction), 습관적 이용(Habitual Use), 지속사용의도(Continuance Usage Intention)를 사용하여 모델을 구성하였고, 가설 검증결과 모두 유의미한 영향을 미치는 것으로 검증되었다. 첨단기술을 접목한 자동차의 사용은 일상생활의 편의와 업무능률의 향상을 가져오며, 사용자의 만족과 더 나아가 지속사용의도로 이어지는 것으로 조사되었다. 본 연구의 시사점으로 새로운 자동차 시장의 확대와 더 편리한 기능, 많은 기능을 가진 자동차를 쉽고 편리하게 사용할 수 있도록 자동차 회사와 연관 기관의 지속적인 성장과 변화의 흐름을 파악하는데 영향을 줄 것으로 기대한다.