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Lymphatic vessel mapping in the upper extremities of a healthy Korean population

  • Lee, Yun-Whan;Lee, Soo-Hyun;You, Hi-Jin;Jung, Jae-A;Yoon, Eul-Sik;Kim, Deok-Woo
    • Archives of Plastic Surgery
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    • v.45 no.2
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    • pp.152-157
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    • 2018
  • Background Intraoperative indocyanine green (ICG) lymphography can effectively detect functioning lymph vessels in edematous limbs. However, it is sometimes difficult to clearly identify their course in later-stage edematous limbs. For this reason, many surgeons rely on experience when they decide where to make the skin incision to locate the lymphatic vessels. The purpose of this study was to elucidate lymphatic vessel flow patterns in healthy upper extremities in a Korean population and to use these findings as a reference for lymphedema treatment. Methods ICG fluorescence lymphography was performed by injecting 1 mL of ICG into the second web space of the hand. After 4 hours, fluorescence images of lymphatic vessels were obtained with a near-infrared camera, and the lymphatic vessels were marked. Three landmarks were designated: the radial styloid process, the mid-portion of the cubital fossa, and the lower border of the deltopectoral groove. A straight line connecting the points was drawn, and the distance between the connected lines and the marked lymphatic vessels was measured at 8 points. Results There were 30 healthy upper extremities (15 right and 15 left). The average course of the main lymph vessels passed $26.0{\pm}11.6mm$ dorsal to the styloid process, $5.7{\pm}40.7mm$ medial to the mid-cubital fossa, and $31.3{\pm}26.1mm$ medial to the three-quarters point of the upper landmark line. Conclusions The main functioning lymphatic vessel follows the course of the cephalic vein at the forearm level, crosses the mid-cubital point, and travels medially toward the mid-axilla.

Design and Implementation of Adaptive Learning Management System Based on SCORM (SCORM 기반의 적응형 학습관리 시스템의 설계 및 구현)

  • Han Kyung-Sup;Seo Jeong-Man;Jung Soon-Key
    • Journal of the Korea Society of Computer and Information
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    • v.9 no.3
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    • pp.115-120
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    • 2004
  • As a part of working on development of the learning management system, a adaptive learning management system which is able to provide individual learner with different learning contents or paths customized to learner's learning behaviors by expanding SCORM was proposed in this dissertation. In terms of instructional technology interrelated with technology of CBI and ITS, new learning environments and learner preferences were analyzed. A related laboratory system was implemented by packaging a process on how to expand the meta data for contents and a process on how to utilize the web-based learning contents dynamically. In order to evaluate the usability of the implemented system, a sample content was provided to some selected learners and their learning achievement resulted from the new learning environment was analysed. A result of the experiment indicated that the adaptive learning management system proposed in this dissertation could provide every learner with the different content tailored to their individual learning preference and behavior. and it worked also to promote the learning performance of every learner.

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Design and Implementation of a Nursing Records for the Nursing Process for Use Within the Health Level 7 Clinical Document Architecture (HL7 임상문서구조의 기반 한 간호과정을 위한 간호기록지의 설계 및 구현)

  • Kim, Hwa-Sun;Tran, Tung;Kim, Hyung-Hoi;Lee, Eun-Joo;Cho, Hune
    • Journal of Korea Multimedia Society
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    • v.9 no.8
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    • pp.1054-1066
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    • 2006
  • This study proposes a new paradigm hospital information system through the nursing classification system and design of the HL7 clinical document architecture (Health Level Seven CDA) for information-sharing among various healthcare institutions. Nursing information CDA are included coding systems of nursing diagnosis, nursing intervention, nursing activity and outcomes. And, we have developed CDA generator for active generation of XML document. This study aims to facilitate the optimum care by providing health information required for individuals to nursing specialists in real-time, to help improvements in health, to improve the quality of productive life. This study has the following significance. First, an expansion and redefining process conducted, founded on the HL7 clinical document architecture and reference information model, to apply international standards to Korean contexts. Second, we propose a next-generation web based hospital information system that is based on the clinical document architecture. In conclusion, the study of the clinical document architecture will include an electronic health record (EHR) and a clinical data repository (CDR), and also make possible healthcare information-sharing among various healthcare institutions.

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Identification of Job Competencies in Developing Human Resource;The Case of a Company which Provides a Preschool Education Program (인적자원 개발을 위한 직무역량 규명;학습지 기업을 대상으로)

  • Kim, Jin-Mo
    • Journal of Agricultural Extension & Community Development
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    • v.8 no.2
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    • pp.159-177
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    • 2001
  • This research aims to clarify what kind of competencies are the source of the competitiveness of an enterprise and the standards for the development of human resources. Its specific objectives are the following; First, to develop methods for examining competencies to carry out one’s job. Second, to draw out the competencies necessary for carrying out the jobs by jobs on the basis of the developed methods. Third, to clarify the competencies commonly needed to carry out all kinds of jobs. This study collected materials for drawing out the competencies needed to perform 21 jobs in six job groups. This was done with the help of a panel of professionals. The process for drawing out the competencies required to perform certain job was designed in six steps. These steps combine classical methods using particular reference groups as well as model methods for particular job competencies. The materials for the R&D job were gathered for three months starting from February 2001. Materials from 20 other jobs were also collected three times from the end of May to the end of October 2001. This was done through workshops with professional groups. The highlights of this study are as follows: 1) The results applying the methods developed for drawing out job competencies to the duties of investigation & research part in R&D job were presented as an example. 2) The job competencies of the company totaled 215 in 21 jobs irrespective of overlapping, which means each job has about 10 competencies on the average. 3) The common job competencies of the whole company totaled eight. namely: competency for collecting information/processing/analyzing, communication competency, presentation competency, competency for utilizing the web, competency for planning projects, competency for solving problems, competency for understanding organization/business/products of the company, and competency for satisfying customers.

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Modal Characteristics of Control Element Assembly Shroud for Korean Standard Nuclear Power Plant(I) : Pre-Test Analysis (한국표준형 원자력발전소 제어봉집합체 보호구조물의 모우드 특성)

  • Jhung, Myung-Jo;Choi, Suhn;Song, Heuy-Gap;Park, Keun-Bae
    • Computational Structural Engineering
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    • v.5 no.3
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    • pp.105-112
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    • 1992
  • The design of reactor internals requires the accurate vibration characteristics of each component for subsequent dynamic structural response analysis. For Korean standard nuclear power plant some modifications on the Control Element Assembly shroud from the reference design have been made. Since the shroud is complex in geometry having an array of vertical round tubes and webs in a square grid pattern, and being tied down by preloaded tie rods into position, it is planned to perform a vibration measurement program consisting of both experimental and analytical modal studies upon that component. To determine the proper test conditions, the pre-test analysis has been performed using the general purpose structural analysis program ANSYS. Also the effects of the number of master degrees of freedom, holes in the web and tie-rod preload on the natural frequencies are examined prior to the pre-test analysis. After decision of appropriate finite element model, frequency analysis and harmonic analysis are performed and ideas for the test conditions such as the number of measurement points, their locations, measurement frequency range and the excitation force level are determined.

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Research Trends in University Library Information Services in Korea (국내 대학도서관 정보서비스 연구동향)

  • Rhee, Hey Young;Park, Hyun Young
    • Journal of the Korean Society for information Management
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    • v.33 no.3
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    • pp.219-238
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    • 2016
  • With the purpose of looking into the information service study tendency, targeted at university library, this performed a content analysis of the articles in print from 2006 to 2015 on major four academic journals of Library and Information Science. Investigation items were study number of information services, subsidiary themes classified with information service functions, study method, collection method, user object, and theory study vs. service study in reality. As a result, information service studies were performed more than other areas. Information service functions targeted at the study were that of information supply. Major subsidiary themes were electronic information service, information literacy instruction, and information (reference) services general. Major study methods were survey research method,, case study, and major material collection methods were questionnaire and web-based research methods. Major user studies were targeted at undergraduates, and service study in reality took a great share.

A Case Study on the Formation of Contract under the CISG (CISG상 계약의 성립에 관한 판례연구)

  • LEE, Byung-Mun;PARK, Eun-Ok
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.69
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    • pp.1-22
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    • 2016
  • This study primarily concerns the cases recently held as to the formation of contract under the CISG. In order to put forward the most plausible direction to interpret the rules on the formation of contract under the CISG, it particularly deals with the followings. First, it scrutinizes the rules on the formation of contract, focusing on the requirements of offer and acceptance, the time when such offer and acceptance become effective, the issues on the battle of forms. Second, it introduces two recent interesting cases regarding the formation of contract and provides legal and practical advice to the contracting parties when they intend to conclude a contract under the CISG as a governing law. The followings are practical points that the parties should consider when they enter into contract. First, as any signature or intial made in the offer could be regarded as an acceptance, the parties are required to clarify the meaning of such signature or initials before the conclusion of contract. Second, it is not necessarily required one's signature for an offer to become effective but his name. Third, standard terms cannot be incorporated into the contract simply by reference to web-page or other documents. In order for such terms to be incorporated, it may be necessary to enclose them in the offer or to bring the other party's attention to them. Forth, one should remember that an acceptance by act become effective not when such act is complete, but when it is performed.

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Direct shear behavior of concrete filled hollow steel tube shear connector for slim-floor steel beams

  • Hosseinpour, Emad;Baharom, Shahrizan;Badaruzzaman, Wan Hamidon W.;Shariati, Mahdi;Jalali, Abdolrahim
    • Steel and Composite Structures
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    • v.26 no.4
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    • pp.485-499
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    • 2018
  • In this paper, a hollow steel tube (HST) shear connector is proposed for use in a slim-floor system. The HST welded to a perforated steel beam web and embedded in concrete slab. A total of 10 push-out tests were conducted under static loading to investigate the mechanical behavior of the proposed HST connector. The variables were the shapes (circular, square and rectangular) and sizes of hollow steel tubes, and the compressive strength of the concrete. The failure mode was recorded as: concrete slab compressive failure under the steel tube and concrete tensile splitting failure, where no failure occurred in the HST. Test results show that the square shape HST in filled via concrete strength 40 MPa carried the highest shear load value, showing three times more than the reference specimens. It also recorded less slip behavior, and less compressive failure mode in concrete underneath the square hollow connector in comparison with the circular and rectangular HST connectors in both concrete strengths. The rectangular HST shows a 20% higher shear resistance with a longer width in the load direction in comparison with that in the smaller dimension. The energy absorption capacity values showed 23% and 18% improvements with the square HST rather than a headed shear stud when embedded in concrete strengths of 25 MPa and 40 MPa, respectively. Moreover, an analytical method was proposed and predicts the shear resistance of the HST shear connectors with a standard deviation of 0.14 considering the shape and size of the connectors.

A Study on the online of PDF Electronic Documents System (인터넷 원거리출판의 응용과 PDF의 인쇄활용에 관한 연구)

  • 유영수;강영립;김병현;이광수
    • Proceedings of the Korean Printing Society Conference
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    • 2001.06a
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    • pp.63-77
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    • 2001
  • PDF(Portable Document Format) is a file format that Adobe advances postscritp technique and use in managing document information or electric publishing(internet, CD-ROM, DVD). PDF is a devised document type for being able to read and print anywhere, independent of OS, printer type, resolution, and the kind of computer etc. Because this includes a compressing function, it transfers document through a small size of file in internet or intranet. In addition, that is a file format has various advantages-sharing of information and transfering documents in on line or off line environment. In this paper, we developed electronic document system using PDF format. Electronic document system consists of filter, automatic indexing, special searching system and web server. The information used in this paper is database made using Zwon\`s DocuCom. The filter recognizes various kinds of document structure. And according to property of document, it produces ASCII output. In addition to processing various formats of document, the filter can extract keywords in documents of MS WORD, Excel, Powerpoint, PDF, CAD etc. This filter uses the structure of window printer drive and can extract the information for text, page, font type and size from relevant document. The automatic indexing recognizes the formatted tag of document form ASCII text produced by filter and extracts adequate keyword to structure and property of document. PDF electronic document systems proposed in this paper can be used in Internet, PC communication. Users can choose and read electronic documents by two ways. First, users can choose and read relevant books using PDF electronic document homepage. Second, users can use PDF integrated-search system. User can search after inputing keyword and choose reference field and type of data. But, now, PDF products of Adobe can\`t support the Korean character. If this problem is resolved, we thick that PDF applications system looks active. Although there is limited function in case of using Zwon DocuCom used in this study, we think that there isn\`t a great deal of difficulty in electronic document and building digital database.

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Hazardous Metal Pollution in the Republic of Fiji and the Need to Elicit Human Exposure

  • Park, Eun-Kee;Wilson, Donald;Choi, Hyun-Ju;Wilson, Colleen Turaga;Ueno, Susumu
    • Environmental Analysis Health and Toxicology
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    • v.28
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    • pp.17.1-17.3
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    • 2013
  • The fact that hazardous metals do not bio-degrade or bio-deteriorate translates to long-lasting environmental effects. In the context of evidently rapid global industrialization, this ought to warrant serious caution, particularly in developing countries. In the Republic of Fiji, a developing country in the South Pacific, several different environmental studies over the past 20 years have shown levels of lead, copper, zinc and iron in sediments of the Suva Harbor to be 6.2, 3.9, 3.3 and 2.1 times more than the accepted background reference levels, respectively. High levels of mercury have also been reported in lagoon shellfish. These data inevitably warrant thorough assessment of the waste practices of industries located upstream from the estuaries, but in addition, an exposure and health impact assessment has never been conducted. Relevant government departments are duty-bound, at least to the general public that reside in and consume seafood from the vicinities of the Suva Harbor, to investigate possible human effects of the elevated hazardous metal concentrations found consistently in 20 years of surface sediment analysis. Furthermore, pollution of the intermediate food web with hazardous metals should be investigated, regardless of whether human effects are eventually confirmed present or not.