• Archives of Plastic Surgery
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• 제43권5호
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• pp.451-456
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• 2016

Background Comprehensive aesthetic surgery training continues to be a challenge for residency programs. Our residency program developed a rhinoplasty-based objective structured clinical examination (OSCE) based upon validated methods as part of the residency education curriculum. We report our experience with the rhinoplasty-based OSCE and offer guidance to its incorporation within residency programs. Methods The encounter involved resident evaluation and operative planning for a standardized patient desiring a rhinoplasty procedure. Validated OSCE methods currently used at our medical school were implemented. Residents were evaluated on appropriate history taking, physical examination, and explanation to the patient of treatment options. Examination results were evaluated using analysis of variance (statistical significance P<0.05). Results Twelve residents completed the rhinoplasty OSCE. Medical knowledge assessment showed increasing performance with clinical year, 50% versus 84% for postgraduate year 3 and 6, respectively (P<0.005). Systems-based practice scores showed that all residents incorrectly submitted forms for billing and operative scheduling. All residents confirmed that the OSCE realistically represents an actual patient encounter. All faculty confirmed the utility of evaluating resident performance during the OSCE as a useful assessment tool for determining the Next Accreditation System Milestone level. Conclusions Aesthetic surgery training for residents will require innovative methods for education. Our examination showed a program-educational weakness in billing/coding, an area that will be improved upon by topic-specific lectures. A thoroughly developed OSCE can provide a realistic educational opportunity to improve residents' performance on the nonoperative aspects of rhinoplasty and should be considered as an adjunct to resident education.

• 콘크리트학회논문집
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• 제27권6호
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• pp.695-703
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• 2015

콘크리트용 화학혼화제의 인수검사 시험법에 대한 국내외 기준을 살펴보고, 한국도로공사에서 활용 중인 고형분량을 대상으로 다자비교시험에 의한 통계분석을 통하여 시험법의 신뢰성을 검증하였다. 또한 FT-IR을 활용하여 다성분 조성 화학혼화제의 기기분석 효용성을 검증하였다. 시험결과의 이상치를 검정하는 Cochran, Grubbs 및 Dickson의 Q 검정을 실시하였으며, KS A ISO 5725-2의 절차에 따른 재현표준편차 및 반복표준편차는 각각 0.25 및 0.09%으로 나타나 시험방법의 신뢰성을 확인할 수 있었다. 또한 혼화제 시료상태에 따라 FT-IR 특성피크가 큰 차이를 나타내므로 건조시료에 의한 관리가 필요하였으나, 2종 이상 원료가 포함된 다성분 혼화제의 FT-IR 특성피크는 큰 차이가 없어 기기분석의 효용성을 확인할 수 없었다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권1호
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• pp.323-333
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• 2016

Background: Ovarian cancer remains a major worldwide health care issue due to the lack of satisfactory diagnostic methods for early detection of the disease. Prior studies on the role of serum cancer antigen 125 (CA125) and human epididymis protein 4 (HE4) in detecting ovarian cancer presented conflicting results. New tools to improve the accuracy of identifying malignancy are urgently needed. We here aimed to evaluate the diagnostic utility of tissue CA125 and HE4 gene expression in comparison to serum CA125 and HE4 in discriminating benign from malignant pelvic masses. Materials and Methods: One-hundred Egyptian women were enrolled in this study, including 60 epithelial ovarian cancer (EOC) patients and 20 benign ovarian tumor patients, as well as 20 apparently healthy women. Preoperative serum levels of CA125 and HE4 were measured by immunoassays. Tissue expression levels of genes encoding CA125 and HE4 were determined by quantitative real time polymerase chain reaction (qRT-PCR). The diagnostic performance of CA125 and HE4, measured either as mRNA or protein levels, was evaluated by receiver operating characteristic (ROC) curves. Results: The serum CA125+HE4 combination and serum HE4, with area under the curve (AUC) values of 0.935 and 0.932, respectively, performed significantly better than serum CA125 (AUC=0.592; P<0.001). Tissue CA125 and HE4 (AUC=1) performed significantly better than serum CA125 (P<0.001), serum HE4 (P=0.016) and the serum CA125+HE4 combination (P=0.018). Conclusions: Measurement of tissue CA125 and HE4 gene expression not only improves discriminatory performance, but also broadens the range of differential diagnostic possibilities in distinguishing EOC from benign ovarian tumors.

• 대한핵의학회지
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• 제19권1호
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• pp.113-117
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• 1985

The present study was undertaken to examine serum concentration of free $T_3,\;T_4$, in various functional states of the thyroid by Amerlex RIA kit method, which uses unidentified $T_3,\;T_4-labelled$ analogues, said to be unreactive with $T_3,\;T_4-binding$ proteins in serum, together with an antibody that binds both analogue and $T_3,\;T_4$. The test method has been compared with free $T_4$ index, which was product of total serum thyroxine and $T_3$ resin uptake ratio. Free $T_4$ value by this method was found to have a highly significant positive correlation with a free $T_4$ index (r; 0.957, p<0.005) and total $T_4$ (r:0.89, p<0.005) also, it was similar to other free $T_4$ measuring methods previously reported. So, it was showen to have the clinical utility as the screening test for thyroid function because it was a rapid; convinient, and reliable method for quantifying the free $T_4,\;T_3$ concentration in various thyroidal functional states.

• 한국항해항만학회지
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• 제33권8호
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• pp.555-562
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• 2009

컨테이너 터미널의 주요 생산성 지표는 안벽에서의 작업 효율성이라 할 수 있다. 안벽에서는 Q/C(Quay Crane)이라는 장비가 접안 선박의 컨테이너를 하역한다. Q/C의 작업 생산성을 높이기 위해서는 좀 더 효율적인 Y/T(Yard Tractor)운영 방식이 필요하다. 기존 작업 방식(싱글 사이클)에서는 양하작업 이후 적하 작업이 이루어진다. 듀얼 사이클이란 양하작업과 적하 작업을 동시에 함으로써 안벽 생산성과 야드 트랙터의 이용률을 높이는 방법이다. 터미널에서 듀얼 사이클의 도입은 추가적인 장비의 도입 없이 운영에서의 변화만을 요구한다. 즉, 기존의 dedicate 시스템에서 pooling 시스템으로의 변화가 필요하다. 본 논문에서는 듀얼 사이클을 이용하는 항만에서의 작업 효율성을 증대시키기 위한 선적 계획 방법을 제시하고자 한다. 이 문제를 풀기위해 유전 알고리즘과 타부서치를 제시하였다.

• Korean Journal of Acupuncture
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• 제33권1호
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• pp.1-11
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• 2016

Objectives : When we understand the characters of certain person or object, we try to follow each one's or its past up. Korean Journal of Acupuncture is one of the most significant journal in acupuncture study fields in Korea. To understand the trends of study in acupuncture study fields, I made a subject with Korean Journal of Acupuncture. Methods : I made an evaluation and classification for all 713 articles' headline from vol. 17(2000 year) to vol.32(2015 year). Results : 1. Experimental Reseach : There were major portion articles for pharmaco-acupuncture study out of studies for acupuncture, moxibustion, chiropratics, devices and so on. 2. Bibliographical Research and Basic Theory Research : There were major portion articles for medians and acu-point study out of studies for article review and text book itself. Also, there were major portion articles for meridian and acupuncture study out of studies for Qigong, pulse, anatomy and so on. 3. Clinical Research : There were major portion articles for acupuncture study out of studies for moxibustion, chiropratics, devices, complex treatments and so on. 4. Others : There were major portion articles for diagnosis and measurement devices out of acupuncture, laser, pulsing device and so on. Also, there were surveys for recognition of patients and medical services and evaluations for measuring diagnosis utility and those effects. Conclusions : With thise results, I hope that several researchers could consider scope and subject when they submit articles for Korean Journal of Acupuncture.

• The Journal of Korean Physical Therapy
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• 제25권1호
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• pp.16-22
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• 2013

Purpose: This study evaluated the validity of measuring paravertebral muscle function with 3D-NEWTON (Hanmed, Korea) by assessing the correlation between Biodex (Biodex, USA) and surface electromyography (EMG). Methods: Nineteen healthy adults participated. The function of their paravertebral muscle was measured in three ways. Maximum endurance time was measured in seconds when 3D-NEWTON was inclined forward for assessing extensor function, and inclined backward for assessing flexor function. Using surface EMG, maximum muscle activity was obtained from the eractor spinae and rectus abdominis during the 3D-NEWTON measurement. Maximum muscle activity was the mean activity from 10 seconds when the root mean squared firing data was highest. Through Biodex the peak torques of the extensor and flexor were measured during isometric exercises. The Spearman correlation coefficiencts from 3D-NEWTON, surface EMG, and Biodex were calculated. Results: The data from surface EMG and Biodex were statistically correlated when measured for flexor function, but less so for extensor function. In the case of 3D-NEWTON, the correlation coefficient with Biodex was 0.50 (p=0.05), while the coefficient with surface EMG was 0.53 (p=0.02) when measured for extensor function. Similarly, the correlation coefficienct with Biodex was 0.60 (p=0.01), while the surface EMG was 0.51 (p=0.03) for flexor function. Conclusion: 3D-NEWTON was a useful method for measuring paravertebral muscle function and can give helpful information for treating people with diseases associated with the lumbar spine.

• 대한임상검사과학회지
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• 제45권2호
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• pp.54-59
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• 2013

NonHDL cholesterol values have been suggested as a risk marker for cardiovascular disease. NonHDL cholesterol values were calculated, using a very simple measurement [nonHDL cholesterol=serum total cholesterol-HDL cholesterol]. This formula is very useful as a screening tool for identifying dyslipoproteinemias, risk assessment, and assessing the results of hypolipidemic therapy. The data from the 2009 Korean National Health and Nutrition Examination Survey were used. Analysis was done for 1,992 subjects with lipid panels (Cholesterol, HDL, LDLdirect and Triglycerides) results. We studied the relationship between nonHDL cholesterol and LDL cholesterol. As a result, nonHDL cholesterol values were plotted against the LDL direct and calculated values. The linear regression equation for nonHDL cholesterol and direct LDL cholesterol was $nonHDLchol=23.60+1.03{\times}LDLdirect$ (p<0.0001, $r^2=0.80$) in all subjects. The subjects were classified into triglyceride values. When triglycerides are below 400 mg/dL, the linear fit to LDL direct is found to be $[nonHDLchol=17.34+1.07{\times}LDLdirect]$ (p<0.0001, $r^2=0.88$) and to the Friedewald LDL calculation is $[nonHDLchol=23.10+1.02{\times}LDLcalc]$ (p<0.0001, $r^2=0.82$). For triglycerides above 400 mg/dL, the linear fit equation is $[nonHDLchol=87.57+0.92{\times}LDLdirect]$ (p<0.0001, $r^2=0.50$) and to the LDL calculated, it is $[nonHDLchol=142.70+0.50{\times}LDLcalc]$ (p<0.0001, $r^2=0.32$). This study provides examples of the utility of nonHDL cholesterol concentrations in clinical medicine.

• 정보과학회 논문지
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• 제43권2호
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• pp.246-255
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• 2016

OFDMA는 주파수와 시간 축에 따라 융통성 있는 자원 할당이 가능하고, 적응적 변조와 코딩이 가능하기 때문에 다중률 멀티캐스트 전송에 적합하다. 계층적 코딩과 달리 MDC (multiple description coding)는 비디오 스트림을 서브 스트림으로 분해와 재조립이 용이하며, 수신율에 비례하여 비디오 품질도 증가하는 특성을 가지고 있다. OFDMA 무선 또는 이동통신망에서 비디오를 다중률로 멀티캐스트 전송할 때 자원 할당과 전송률에 관한 수학적 모델을 제시하고, 사용자가 느끼는 비디오 품질 인덱스인 MOS (mean opinion score)를 최대화 혹은 비례적 공평성을 극대화하는 스케줄링 방식에 대해, 평균값 분석 방법론을 통해 장기적 관점에서 비교 분석한다. 또한, 제한된 자원 내에서 일부 사용자에게 최저 품질을 보장하는 pruning 알고리즘을 제시하고, 비디오 세션 전 기간 또는 일부 기간에 최적으로 서브 스트림을 분할할 수 있음을 보인다.

• 한국항만경제학회지
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• 제17권1호
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• pp.27-51
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• 2001

The purpose of this paper is to investigate the productive efficiency of world container ports by using the DEA (Data Envelopment Analysis) method and raw data from previous research in measuring the international competitiveness of world container ports. Ports have to cope with rapid changes in shipping environments. In order for a port to compete in the global market, it must provide port services promptly and accurately. Basically, there are two approaches to measuring the international competitiveness of a container port. First, there is the traditional productivity analysis method, which analyzes productivity based on the container port's facilities (efficiency, selectivity, land availability), and by its general capacity (handling ability, storage capacity, terminal productivity). Second there is multi-attribute utility analysis, which considers several elements including the reasons for selecting particular container ports and factors determining international competitiveness. This paper follows the first method (traditional productivity analysis) and extends the limitation of previous studies by using the DEA method newly, and suggesting: the relative productive efficiency of container ports. The main results of this paper are as follows: First, the results of the DEA analysis in terms of world container ports matches that of a previous study (Jun et al., 1993) at a level of 35%. The low ratio is due to the constrained set of input-output elements, the result of only twenty container ports being analyzed in this paper. Second, the result of the DEA analysis in terms of North-East Asia's container ports matches with that of a previous study (Ha, 1996) at a level of 100 percent. Therefore we can conclude that the DEA analysis is the best measurement method for international competitiveness. Policy implications for this study are as follows: First, when port authorities want to measure the international competition power of container ports and enhance their productive efficiency, they should consider the traditional method and newly introduce the DEA method. Second, according to the analysis results of the DEA method, pen authorities should recommend benchmarking ports as reference ports in order to enhance the productive efficiency of container ports that show an efficiency score of below 1.