Background and Objectives : In children with tracheal stenosis, operative management remains a challenging problem due to difficulties of operative techniques and postoperative care. The purpose of this study was to determine the effectiveness of tracheal resection with end to end anastomosis as operative management for tracheal stenosis in children. Materials and Methods : 6 children with severe tracheal stenosis underwent tracheal resection with end to end anastomosis. Causes of stenosis were trauma in 1 case and prolonged intubation or tracheotomy in 5 cases. The diagnoses were made by radiologic evaluation (plain X-ray, CT, 3-Dimensional CT) and confirmed by direct laryngoscopy and ventilating bronchoscopy under general anesthesia. Thyroplasty and unilateral arytenoidectomy were performed in 1 case. Suprahyoid release was done in 1 case with severe adhesion. Decanulation was achieved following postoperative endoscopic examination and pulmonary function test. Postoperative physical and radiologic examinations were given at regular intervals. Results : Stenosis were improved from grade III grade I in 4 cases and from grade II to grade I in 2 cases. Decanulation was achieved on average postoperative 6 months in 5 cases, and 10 years in 1 case due to exertional dyspnea. There were 1 each case of immediate postoperative subcutaneous emphysema, pneumothorax and wound infection. Postoperative granulomas at anastomosis site were treated with laser vaporization under suspension laryngoscope and bronchoscope in 3 cases. There was 1 each case of delayed postoperative vocal cord palsy, aspiration pneumonia and loss of cough reflex. Conclusion In tracheal stenosis of children, tracheal resection with end to end anastomosis has good result with preservation of normal airway. Preoperative evaluation of local factors such as swallowing, vocal cord movement and cough reflex and general condition was important for successful treatment. As the cases in adults, authors considered this operation to be a curable operative management for tracheal stenosis.
International Journal of Advanced Culture Technology
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v.9
no.4
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pp.18-28
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2021
This study surveyed how retirees' evaluation of starting food service business affects the effectiveness their new business and quality of life, based on personal factors such as entrepreneurship and business-starting capability and environmental factors by using questionnaires. Bootstrapping was carried out in order to find out factors affecting rapidly changing new business environments and retirees' initial intent to start a business so as to verify basic hypothesis about relation between retirees' evaluation of starting food service business (social, economic, and psychological effects) and the effectiveness of their new business and quality of life and confirm whether the effectiveness of the new business acts as a medium between the evaluation of starting food service business and quality of life. In addition, PLS-MGA was performed in order to verify whether the correlations among test factors can be varied according to the kind of job the target retirees had. Having examined the basic thesis, it was found that social and economic factors had significant positive effect on the effectiveness of the new business, and social and psychological factors had significant positive effect on the quality of life. Having analyzed whether the effectiveness of new business acted as a media between evaluation of starting food service business and quality of life, there was no significant effect as a medium. Having studied whether the kind of job of the retirees controlled or affected the relations among evaluation of starting food service business, effectiveness of new business and quality of life, the results were as follows: in the office job retiree group, the greater economic factor led to increase of effectiveness of new business, while social and psychological factors influenced the quality of life; In the physical labor group, the higher social factor resulted in higher effectiveness of new business, which showed significant positive effect on the quality of life. Having researched about which element is considered to be most important in starting food service business, the most important element was found to be dish/menu, followed by staff management, accounting management, business management, and service education. Having analyzed relation between accomplishment and important consideration for starting food service business, "managers with entrepreneurship," "appropriate distribution of time to prepare for starting business," and "operation of practical field education programs" showed higher importance compared to the degree of satisfaction, so it is needed to more concentrate on the above matters. This study intends to raise retirees' awareness of starting business and help them live better life based on the analysis results, and further suggest detailed mechanism and specific operations of factors affecting retirees' decision making on starting business, such that they can use the information as basic materials to make better choices that can lead to successful business.
Journal of the Korean Society of Environmental Restoration Technology
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v.24
no.2
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pp.19-37
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2021
It is essential that the evaluation of official development assistance (ODA) projects is conducted based on empirical research for the performance and improvement of the project. This study intended to quantitatively figure out the actual status and performance of ODA projects. The performance of the Rumpin Seed Source and Nursery Center project implemented by the KOICA was evaluated in items of relevance, efficiency, effectiveness, impact, sustainability, which are OECD Development Assistance Committee(DAC) evaluation criteria. From August 26, 2019 to August 29, 2019, a survey was conducted on 50 visitors and 54 stakeholders of the Rumpin Seed Source and Nursery Center. Through on-site survey, problems in the donation project and operation in Indonesia were identified and measures for improvement was grasped. As a result of the study, the value scored by OECD DAC evaluation criteria of the Rumpin Seed Source and Nursery Center project based on the Economic Development Cooperation Fund(EDCF) evaluation grade was evaluated as a very successful class in all items. The average score of the recognition question was 4.08 points for visitors and 4.08 points for stakeholders, and the average score for the satisfaction question was 4.37 points for visitors and 4.11 points for stakeholders, which were high overall in both groups. The main factor that affects the project awareness of the visitors was the fact that the Rumpin Seed Source and Nursery Center was created based on Korean technology, and it was confirmed that Indonesia's own items related to similar projects had a great influence on the project satisfaction. In the case of stakeholders, project support in Korea affected their recognition, and it was found that relevance, efficiency, effectiveness items had the greatest impact on the level of project satisfaction of stakeholders derived from the DAC individual evaluation results. Efforts are required to increase the main factors by reflecting the results of each item and to preserve and maintain the project. This study is significant in determining the performance of the ODA project based on empirical data, and it is believed that it can be used as basic data for supplementing and strengthening the project in the future.
Pham, Hai The;Tran, Hien Thi;Vu, Linh Thuy;Dang, Hien The;Nguyen, Thuy Thu Thi;Dang, Thu Ha Thi;Nguyen, Mai Thanh Thi;Nguyen, Huy Quang;Kim, Byung Hong
Journal of Microbiology and Biotechnology
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v.29
no.7
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pp.1104-1116
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2019
In this study, we investigated the potential of using sediment bioelectrochemical systems (SBESs) for in situ treatment of the water and sediment in brackish aquaculture ponds polluted with uneaten feed. An SBES integrated into a laboratory-scale tank simulating a brackish aquaculture pond was established. This test tank and the control (not containing the SBES) were fed with shrimp feed in a scheme that mimics a situation where 50% of feed is uneaten. After the SBES was inoculated with microbial sources from actual shrimp pond sediments, electricity generation was well observed from the first experimental week, indicating successful enrichment of electrochemically active bacteria in the test tank sediment. The electricity generation became steady after 3 weeks of operation, with an average current density of $2.3mA/m^2$ anode surface and an average power density of $0.05mW/m^2$ anode surface. The SBES removed 20-30% more COD of the tank water, compared to the control. After 1 year, the SBES also reduced the amount of sediment in the tank by 40% and thus could remove approximately 40% more COD and approximately 52% more nitrogen from the sediment, compared to the control. Insignificant amounts of nitrite and nitrate were detected, suggesting complete removal of nitrogen by the system. PCR-DGGE-based analyses revealed the dominant presence of Methylophilus rhizosphaerae, Desulfatitalea tepidiphila and Thiothrix eikelboomii, which have not been found in bioelectrochemical systems before, in the bacterial community in the sediment of the SBES-containing tank. The results of this research demonstrate the potential application of SBESs in helping to reduce water pollution threats, fish and shrimp disease risks, and thus farmers' losses.
Journal of the Korean Association of Geographic Information Studies
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v.21
no.4
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pp.191-201
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2018
Recently, the frequency of heavy rainfall is increasing due to the effects of climate change, and heavy rainfall in urban areas has an unexpected and local characteristic. Floods caused by localized heavy rains in urban areas occur rapidly and frequently, so that life and property damage is also increasing. It is crucial how fast and precise observations can be made on successful flood management in urban areas. Local heavy rainfall is predominant in low-level storms, and the present large-scale radars are vulnerable to low-level rainfall detection and observations. Therefore, it is necessary to introduce a new urban flood forecasting system to minimize urban flood damage by upgrading the urban flood response system and improving observation and forecasting accuracy by quickly observing and predicting the local storm in urban areas. Currently, the WHAP (Water Hazard Information Platform) Project is promoting the goal of securing new concept water disaster response technology by linking high resolution hydrological information with rainfall prediction and urban flood model. In the WHAP Project, local rainfall detection and prediction, urban flood prediction and operation technology are being developed based on high-resolution small radar for observing the local rainfall. This study is expected to provide more accurate and detailed urban flood warning system by enabling high-resolution observation of urban areas.
Recently, there is a need to introduce a Korean-style restriction sandbox system that exempts or suspends existing regulations so that new products or services based on new technologies can be commercialized without restrictions. In response, the government reorganized the relevant statutes to promptly check regulations centering on four fields, including industrial convergence, ICT, FinTech, and regional innovation growth, and to allow experimental, proof and market releases by setting certain conditions(zone, period, scale, etc.). However, despite the same regulatory sandbox application, depending on the nature of the field applied, differences in application subject, whether application of regulatory specifics, system of push ahead decision-making and whether support of financial and taxation are shown. This research is intended to present efficient operation measures for successful settling of Korean-style regulation sandboxes by comparing and analyzing, centering on the Industrial Fusion Promotion Act in the Industrial Convergence Field, ICT field's Information and Communication Convergence Act, FinTech field's Financial Innovation Act and Regional Special Zone Act in the Regional Innovation and Growth Sector.
In order to survive the competition, companies are developing new knowledge, applying and communicating, and accumulating numerous knowledge management activities. Therefore, it is important to establish and operate an effective knowledge management system to introduce and utilize effective knowledge management. So, the purpose of this study is to confirm the relation between the learning orientation of the organization and the knowledge management which are the main results in the knowledge management. In other words, this study investigated how the knowledge management system of a company affects the learning orientation of the corporate members, so as to be a basis for establishing the direction of knowledge management in the future. This study synthesized theory and previous studies, developed hypotheses and research models, and conducted empirical analysis through questionnaire surveys. This study is analyzed that knowledge management system has a positive effect on learning growth will. In addition, it was confirmed that the knowledge management system has a statistically significant relationship with the intention of internal improvement. Therefore, for the successful operation and management of the support management system, maintenance of the system that can focus on the strategic and appropriate learning model of the organization and the role of the organization member is an important variable. The results of this study are expected to provide meaningful guidance not only in the practical field but also in the study of the organization's knowledge management system.
Among the UNESCO World Heritage Sites, the proportion of natural heritage to cultural heritage is relatively small. In 2007, the "Jeju Volcanic Island and Larva Tubes" was the first one that was designated as an UNESCO World Natural Heritage Site in Korea. The growing Korean geological heritage condition and conservation case studies on management of the geological heritage were examined in this study. Furthermore, the purpose of this study is to show future driving strategy for conservation and improvement plan on our geological heritage. Natural Monuments as a state-designated natural property and Geoparks as a new application system for geological heritage are important to conserve our geological heritage. Public engagement through establishment of visitor centers is definitely needed to improve education and promotion. The study includes field investigation for the "Wadden Sea", an World Natural Heritage Site for a mud flat, interviews with staffs and experts who are responsible for investigating and managing the site. Three factors can likely be attributed to its successful management and conservation policy for the "Wadden Sea". First of all, there is an operation for integrated management system and joint secretariat for research and monitoring. Next, researchers invigorate the visitor centers for promotion and education on geological heritage. Finally, experts and staffs implement various research topics and projects based on a long-range plan. The study was carried out to evaluate the present condition of our geological heritage and to make a proposal as a policy to improve value and conserve them. In conclusion, this study provided future discussion that may help researchers to make a decision on long-term policies for the geological subject of Korean natural heritage.
This study investigated the relationship between ICT environment and business performance. In the case of Korea's major industries, large corporations have already established and operate a considerable level of smart factories, leading the global market. However, SMEs, which account for 95% of the total companies, are not able to build smart factories themselves. Smart factory construction The total number of government-supported enterprises is 4.891 companies (3,984 companies, 907 companies in construction) 2.9% of factories and 97.1% (166,344 companies) There is a big problem to be improved. The result of this study is that the first research objective of this study, which suggests the theoretical system that the will of the manager is most important for the successful establishment of the smart factory, which is part of the corporate innovation to meet the rapidly changing environment. Second, it can be seen that financing for building a smart factory is a key factor in building a smart factory, as well as funding itself. Third, it was found that besides its own technology, technology support for government and external technology consulting support are very important for smart construction. Fourth, organizational participation of internal organizers showed that cooperative and positive positive participation is also a factor of success. As a follow-up study, we analyzed the cause of the company's operation, analyzed the cause of the problem with the 4M1E technique, developed the countermeasures, and compared it before and after the improvement, standardized the improvement and needed further study. It is meaningful that the study provided basic data for building a smart factory through the analysis of the relationship between the ICT environment and business performance of the company.
This study aims to identify the change of customer participation(CP) which is essential to the service industry as the relationship between the customer and the employee develops. The latent growth modeling analysis based on the longitudinal data is utilized to examine the pattern of the change. This is based on the fact that CP needs to be understood in the relationship and is to confirm the change in CP by the development of the relationship. Given the dynamics of the relationship, we intend to overcome the limitations of previous cross-sectional researches by revealing the trajectory of CP in the relationship through the longitudinal data. We also want to examine which variables in the relationship can facilitate changes of CP. Research has shown that CP is significantly changed with the development of the relationship when we analyzed it through latent growth modeling. This confirms that CP needs to be understood in the relationship. In addition, 'relationship proneness' variable and 'dependence to provider' variable have positive effects on the initial values of CP, but they have not been established to promote the changes of CP. Consequently, when considering the dynamics of relationships, it is important to recognize that CP is also dynamic. This study sought to get out of the cross-sectional and fragmented understanding of CP that is dynamic. Through this, we would like to propose the successful operation of the customer management program of service firms in relation to CP. This will lead to the success of service encounter where appropriate CP levels at each stage of relationship development can be achieved.
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