• 제목/요약/키워드: Study approach

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구인두암의 절제 및 재건수술에서 하악골 절개 접근법과 하악골 보존 접근법의 임상적 비교 (Clinical Evaluation between Mandibulotomy and Mandible Sparing Approaches in Oropharyngeal Cancer Operation and Reconstruction)

  • 김정태;이정우;조동인;이혜민
    • Archives of Plastic Surgery
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    • 제35권2호
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    • pp.152-158
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    • 2008
  • Purpose: Mandibulotomy approach and mandible sparing approach are most common methods for oropharyngeal cancer surgery. Good surgical view and convenience of flap inset are advantages of mandibulotomy approach but deformity of mandible contour, postoperative malocclusion and radionecrosis are its limitations. To make up for the limitations, mandible sparing method is commonly performed, but limited surgical view and difficulties of flap inset are the weak points of this approach. The purpose of the study is to compare mandibulotomy and mandible sparing approaches in postoperative complications and progression of the treatment in oropharyngeal cancer operation and reconstruction. Methods: Single reconstructive microsurgeon operated for oropharyngeal cancer patients with different surgeons of head and neck department who prefer mandibulotomy and mandible sparing approach respectively, and we compared the frequency of postoperative complication, operation time, duration of hospitalization and recurrence rate between two different surgical approaches. Results: Mandibulotomy approach was used in 18 patients and mandible sparing approach was used in 15 patients. In mandibulotomy approach, there happened one case of teeth injury and one case of necrosis of skin and gingiva, but there happened no malocclusion and radionecrosis. In mandible sparing approach, there were 3 cases of fistula and 2 cases of infection which are significantly higher than mandibulotomy approach. There were no significant differences between early regional recurrence and duration of hospitalization. Conclusion: In this study we compared two different methods for the surgical approach in oropharyngeal cancer surgery. As mandible sparing approach has difficulties of limited surgical view, it can be used for the limited indications of anterior tongue and mouth floor cancer. Mandibulotomy approach has advantages of good surgical view and convenience of flap inset. In this method preservation of gingival tissue, watertight fashion suture, delicate osteotomy and plate fixation to maintain occlusion are the key points for the successful results.

The Abdominal Approach for Epiphrenic Esophageal Diverticulum as an Alternative to the Thoracic Approach

  • Kim, Shin;Cho, Jong Ho
    • Journal of Chest Surgery
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    • 제52권4호
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    • pp.227-231
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    • 2019
  • Background: There is no established surgical procedure for the treatment of epiphrenic esophageal diverticulum. The aim of this study was to compare the clinical outcomes of esophageal diverticulectomy using abdominal and thoracic approaches. Methods: We retrospectively reviewed 30 patients who underwent esophageal diverticulectomy through the thoracic or abdominal approach for an epiphrenic diverticulum at a single center between 1996 and 2018. We compared clinical outcomes, including the postoperative length of stay, time from the operation to oral feeding, leakage rate, and reoperation rate between the 2 groups. Results: The median age was 56 years. Of the 30 patients, 18 (60%) underwent diverticulectomy via the thoracic approach and 12 (40%) underwent the abdominal approach. The median hospital stay was 10 days (range, 5-211 days) in the thoracic approach group and 9.5 days (range, 5-18 days) in the abdominal approach group. The median time from the operation until oral feeding was 6.5 days (range, 3-299 days) when the thoracic approach was used and 5 days (range, 1-11 days) when the abdominal approach was used. In the thoracic approach group, the leakage rate was 16.67% and the reoperation rate was 27.78%. However, there were no cases of leakage or reoperation in the abdominal approach group. Conclusion: The abdominal approach for esophageal diverticulectomy is a feasible and appropriate alternative to the thoracic approach.

Comparative Experimental Research on Product Evaluations and Approach Behaviors of Utilitarian and Hedonic Clothing in On-line and Off-line Settings

  • Yoh, Eun-Ah
    • 한국의류학회지
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    • 제35권6호
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    • pp.635-645
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    • 2011
  • This study explores the differences in product evaluation and approach behaviors as well as the effects of product evaluation on approach behaviors of utilitarian and hedonic products in on-line and off-line settings. A total of 332 subjects participated in the experiments to assess product evaluation and approach behaviors for utilitarian and hedonic clothing products in on-line and off-line settings. The results show that even though the same stimulus was presented, consumers' product evaluation of utilitarian clothing (i.e., t-shirts) was higher in the off-line setting than in the on-line setting while the approach behavior of hedonic clothing was better in the on-line setting than in the off-line setting. In addition, color was a crucial factor generating positive approach behaviors for utilitarian clothing while style and quality were core factors influencing the approach behaviors of hedonic products in an on-line setting. There was no consistency in the results of the important factors affecting approach behaviors of utilitarian and hedonic clothing in an off-line setting. The conclusion suggests implications for marketing based upon the results of this study.

Microsurgical Experience with Supraorbital Keyhole Operations on Anterior Circulation Aneurysms

  • Park, Heung-Sik;Park, Sang-Kyu;Han, Young-Min
    • Journal of Korean Neurosurgical Society
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    • 제46권2호
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    • pp.103-108
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    • 2009
  • Objective: Conventional pterional approach is a commonly used neurosurgical technique for the treatment of cerebral aneurysms. However, this technique requires more extensive brain exposure than other key hole approaches and is sometimes associated with surgical traumatization or cosmetic problems. The aim of this study was to compare the postoperative outcome between pterional and supraorbital keyhole approaches in the patients with anterior circulation aneurysms. Methods: The authors reviewed patients with anterior circulation aneurysms who underwent aneurysm clipping via pterional or supraorbital keyhole approach at a single institute over a period of 2 years. Ninety-eight patients harboring 108 aneurysms were included in this study. Various outcomes were recorded, which included clinical grade, cosmetic problems, patients' satisfaction and complications such as chewing discomfort, frontal muscle weakness, hyposmia, infection. Results: The supraorbital approach exhibited a shorter operation time compared with the pterional approach. Complications such as chewing discomfort occurred less frequently in the supraorbital approach group. Moreover, the cosmetic outcome was significantly better in the supraorbital group than in the pterional group. Conclusion: The supraorbital keyhole approach reduced intra- and postoperative complications, including chewing discomfort and cosmetic disturbances, compared with the conventional pterional approach.

초등학교 수학에서 곱셈의 통합적 접근에 대한 탐색 (A Study on the Integrated Approach to Multiplication in Elementary School Mathematics)

  • 이지영
    • 한국학교수학회논문집
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    • 제22권3호
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    • pp.303-327
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    • 2019
  • 본 연구는 초등학교 수학에서 곱셈에 대한 학생들의 이해를 돕는 하나의 방안으로 곱셈의 통합적 접근을 제안하였다. 곱셈의 통합적 접근이란 수학 수업에서 학생들이 하나의 곱셈 상황을 다양한 방법으로 해결하고 서로의 방법에 대해 탐색하고 논의하면서 곱셈에 대해 폭넓은 이해를 하도록 하는 것이다. 곱셈의 통합적 접근은 곱셈에 대한 다양한 접근, 일관적 접근, 특정한 접근을 강조한 여러 선행 연구를 기반으로 도출되었다. 연구 결과, 곱셈의 통합적 접근은 하나의 곱셈 상황을 크게 4가지 방법으로 해석할 수 있으며 각각의 방법은 선행 연구에서 강조한 곱셈의 중요한 특성과 모두 연결된다. 또한, 곱셈의 통합적 접근은 곱셈뿐만 아니라 나눗셈, 분수 및 분수의 연산, 비와 비율, 비례 등으로 자연스럽게 확장되는 데 중요하다는 것을 이론적으로 확인하였다. 이를 통해 초등학교 수학에서 다루는 곱셈과 관련하여 실제 수업을 진행하는 교사에게 시사점을 제공하고자 한다.

Literature Review on Job Rotation

  • Yoon, Sang-Young;Jung, Myung-Chul
    • 대한인간공학회지
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    • 제32권5호
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    • pp.459-467
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    • 2013
  • Objective: The aim of this study is to review the studies on job rotation with various points of view and to classify the studies considering the approach methods. Background: Various work interventions were carried in order to prevent the work-related musculoskeletal disorders(WMSDs) and job rotation was considered as one of the simple and effective methods. Method: Previous studies were systematically collected with the combination of keywords such as job, task, rotation, allocation, line balancing, etc. Collected studies were classified into three categories: field study, laboratory study and optimization approach study. Results: Field studies showed that most studies focused on the evaluation of the factors causing the musculoskeletal disorder. Moreover, the effect of job rotation could be hard to identify because it required a long-period close observation. Laboratory studies covered only simple aspects of tasks or movements. Optimization approach studies showed the systematic approach to establish the job rotation scheme though many limitation and assumptions were adopted. Conclusion: This study collected and classified the previous studies on job rotation and presented the different approaches across various research areas. Application: The results of this study could help the practitioner and ergonomist how to establish the job rotation scheme.

RR 접근방법과 P-Value 접근방법을 이용한 가설판정의 적용방안 (Implementation Strategy of Hypothesis Decision Using Rejection Region Approach and P-Value Approach)

  • 최성운
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2012년 추계학술대회
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    • pp.431-434
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    • 2012
  • The paper reviews properties of hypothesis decision approaches using rejection region and significance probability. The study also presents the guidelines for quality practioners to implement most useful hypothesis testing techniques such as RR(Rejection Region) approach and P-Value approach.

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Islamic Humanity: A New Approach to Minimizing Non-Performing Financing at the Islamic Bank in Indonesia

  • ROZIQ, Ahmad;ABSHOR, Faqih Ulil;SULISTIYO, Agung Budi;SUMANI, Sumani
    • The Journal of Asian Finance, Economics and Business
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    • 제7권12호
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    • pp.1149-1158
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    • 2020
  • NPF Islamic banking needs to be resolved because it affects banking performance in terms of income and the quality of its productive assets. This study aims to solve problems of non-performing financing and assess and analyze whether the implementation of the Islamic Humanity model can reduce the problem of financing at Bank Syariah Mandiri Indonesia. The study uses qualitative method with Miles and Huberman approach for analizing data through four steps which are; (a) data collection (b) data reduction (c) data display, and (d) conclusion drawing/verification. The results of the study found non performing financing can be reduced with using a new approach namely the Islamic Humanity Approach, which is an interaction between several aspects, namely (a) spiritual aspects, (b) economic aspects, (c) social aspects, and (d) justice aspects. The Islamic humanity model carried out in problem-solving activities at Bank Syariah Mandiri Indonesia includes a friendly approach, communication and deliberation in a family, respect for people, empathy, the concept of justice, and the concept of prayer. Islamic humanity approach shows success in reducing non-performing financing. The research concluded Islamic humanity as a new approach to reduce non-performing financing at Bank Syariah Mandiri Indonesia and it can be implemented to all Islamic banking in Indonesia.

데이터 주도 접근법을 활용한 소프트웨어 테스트 자동화 : 온라인 쇼핑몰 결제시스템 사례 (Software Test Automation Using Data-Driven Approach : A Case Study on the Payment System for Online Shopping)

  • 김성용;민대환;임성택
    • 한국IT서비스학회지
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    • 제17권1호
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    • pp.155-170
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    • 2018
  • This study examines a data-driven approach for software test automation at an online shopping site. Online shopping sites typically change prices dynamically, offer various discounts or coupons, and provide diverse delivery and payment options such as electronic fund transfer, credit cards, mobile payments (KakaoPay, NaverPay, SyrupPay, ApplePay, SamsungPay, etc.) and so on. As a result, they have to test numerous combinations of possible customer choices continuously and repetitively. The total number of test cases is almost 584 billion. This requires somehow automation of tests in settling payments. However, the record playback approach has difficulties in maintaining automation scripts due to frequent changes and complicated component identification. In contrast, the data-driven approach minimizes changes in scripts and component identification. This study shows that the data-driven approach to test automation is more effective than the traditional record playback method. In 2014 before the test automation, the monthly average defects were 5.6 during the test and 12.5 during operation. In 2015 after the test automation, the monthly average defects were 9.4 during the test and 2.8 during operation. The comparison of live defects and detected errors during the test shows statistically significant differences before and after introducing the test automation using the data-driven approach.

운전자 주행 적합성 진단을 위한 연구 I: 생체신호 분석방법 비교 (The Study to Diagnose the Road-Driver Compatibility I: Comparison of Methods for Bio-Signal Analysis)

  • 김정룡;윤상영
    • 대한산업공학회지
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    • 제30권1호
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    • pp.44-49
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    • 2004
  • The aim of this study is to compare the methods in analyzing bio-signals representing measure driver's psychophysiological staus. This study has considered three approaches: first, the deterministic approach calculating the mean and standard deviation of bio-signal, second, probabilistic approach converting driver's bio-signal values to probability density function and identifying individual state relative to overall distribution, and third, diagnostic approach identifying the pattern change of signal over certain period of time. For evaluation of analysis methods, driver's bio-signal was collected under various road conditions, and three analysis approaches were applied respectively. In result, the deterministic approach was found to be simple to use, but generated a large variability of bio-signal. The probabilistic approach provide a relative status of individual driver among overall population, but too much affected by temporal variability of individual driver. The diagnostic approach seemed to reasonably find driver's psychophysiological change over certain period of time, but still needs to develop quantification method of the bio-signal.