• Archives of Plastic Surgery
• /
• 제50권5호
• /
• pp.507-513
• /
• 2023

Background Free tissue transfer is considered the gold standard option for the reconstruction of distal leg defects. Free tissue transfer using recipient vessels in the contralateral leg (cross-leg bridge) is a potential option to supply the flap if there are no suitable recipient vessels in the injured leg. Most studies have described this technique using end-to-end anastomosis which sacrifices the main vessel in the uninjured leg. This study evaluated the use of a cross-leg free latissimus dorsi muscle flap for the reconstruction of defects in single-vessel legs, using end-to-side anastomosis to recipient vessels in the contralateral leg without sacrificing any vessel in the uninjured leg. Methods This is a retrospective study that included 22 consecutive patients with soft tissue defects over the lower leg. All the reconstructed legs had a single artery as documented by CT angiography. All patients underwent cross-leg free latissimus dorsi muscle flap using end-to-side anastomosis to the posterior tibial vessels of the contralateral leg. Results The age at surgery ranged from 12 to 31 years and the mean defect size was 86 cm². Complete flap survival occurred in 20 cases (91%). One patient had total flap ischemia. Another patient had distal flap ischemia. Conclusion Cross-leg free latissimus dorsi muscle flap is a reliable and safe technique for the reconstruction and salvage of mutilating leg injuries, especially in cases of leg injuries with a single artery. As far as preservation of the donor limb circulation is concerned, end-to-side anastomosis is a reasonable option as it maintains the continuity of the donor leg vessels.

• 비교문화연구
• /
• 제48권
• /
• pp.223-252
• /
• 2017

본 연구의 목적은 서로 다른 두 유형의 챗봇(음성기반 챗봇 및 문자기반 챗봇)이 한국 EFL 학습자의 말하기 능력 및 학습자 인식에 미치는 영향을 파악하는데 있다. 실험 참가자는 총 80명으로, 한국에 있는 한 대학교의 신입생들이었으며, 모두 교양 영어 말하기 수업을 듣는 학생들이었다. 참가자들은 무작위 하게 두 실험집단으로 나뉘어 16주 동안 서로 다른 두 유형의 챗봇과 10번의 채팅에 참여하였다. 실험 전후 참가자의 말하기 능력에 변화가 있는지를 알아보기 위하여 사전사후 말하기 시험을 진행하였고, 챗봇을 이용한 영어학습에 대해 인식변화가 있는지를 살펴보기 위해 사전사후 설문조사를 실시하였다. 말하기시험결과, 챗봇을 이용한 한국 EFL 학습자들의 의사소통능력은 유의미하게 향상되었고, 그 중 문자기반 챗봇이 의사소통능력 향상에 더욱 도움이 되는 것으로 나타났다. 설문조사결과, 챗봇기반 영어학습에 대한 학습자들의 인식은 긍정적으로 변화하였고, 그 중 음성기반 챗봇에 대한 인식이 좀 더 호의적으로 바뀐 것으로 조사됐다. 본 연구는 EFL 상황에서 챗봇기반 영어학습에 대한 새로운 가능성을 모색하고, 효과적인 챗봇활용을 위한 제언을 도출하고 있다.

• 천문학회보
• /
• 제40권1호
• /
• pp.77.1-77.1
• /
• 2015

We present our recent work published in the MNRAS (Lee and Kim, 2014). Numerical studies of the imaging and caustic properties of the singular isothermal sphere (SIS) under a wide range of external shear (from 0.0 to 2.0) are presented. Using a direct inverse mapping formula for this lensing system, we investigate various lensing properties for both low-shear (i.e. ${\gamma}$<1.0) and high-shear (i.e. ${\gamma}$ >1.0) cases. We systematically analyse the effective lensing cross-sections of double-lensing and quadruple-lensing systems, based on the radio luminosity function obtained by the Jodrell-VLA Astrometric Survey (JVAS) and the Cosmic Lens All-Sky Survey (CLASS). We find that the limit of a survey selection bias (i.e. between brighter and fainter images) preferentially reduces the effective lensing cross-sections of two-image lensing systems. By considering the effects of survey selection bias, we demonstrate that the long-standing anomaly over the high quads-to-doubles ratios (i.e. 50~70 % for JVAS and CLASS) can be explained by the moderate effective shear of 0.16~0.18, which is half that of previous estimates. The derived inverse-mapping formula could make the SIS + shear lensing model useful for galaxy-lensing simulations.

• Steel and Composite Structures
• /
• 제34권3호
• /
• pp.333-345
• /
• 2020

In the past, many efficient profiles have been developed for cold-formed steel (CFS) members by judicious intermediate stiffening of the cross-sections, and they have shown improved structural performance over conventional CFS sections. Most of this research work was based on numerical modelling, thus lacking any experimental evidence of the efficiency of these sections. To fulfill this requirement, experimental studies were conducted in this study, on efficient intermediately stiffened CFS sections in flexure, which will result in easy and simple fabrication. Two series of built-up sections, open sections (OS) and box sections (BS), were fabricated and tested under four-point loading with same cross-sectional area. Test strengths, modes of failure, deformed shapes, load vs. mid-span displacements and geometric imperfections were measured and reported. The design strengths were quantified using North American Standards and Indian Standards for cold-formed steel structures. This study confirmed that efficient profiling of CFS sections can improve both the strength and stiffness performance by up to 90%. Closed sections showed better strength performance whereas open sections showed better stiffness performance.

• 사회복지연구
• /
• 제42권3호
• /
• pp.183-206
• /
• 2011

본 연구는 학업성취와 학교만족도간의 종단적 관계의 양상이 빈곤집단과 비빈곤 집단에서 어떻게 차이 나는지를 규명하고자 1차년에서 5차년까지의 서울아동패널 자료를 활용하여 완전 기회귀교차지연분석(Fully Autoregressive Cross-Lagged Model)을 수행하였다. 분석결과 비빈곤 집단은 초등학교 4학년 학업성취수준이 초등학교 6학년 학교만족도에 영향을 미치고 이는 다시 중학교 2학년 학업성취수준을 향상시키는 것으로 나타나 초등 시기의 학업성취가 학교만족도 및 중등시기의 학업성취에 까지 영향을 미침을 알 수 있었다. 반면, 빈곤집단의 경우 초등학교 4학년 시기의 학업성취는 중학교시기의 학업성취 및 학교만족도에 유의미한 영향을 미치지 않았으며, 다만 초등학교 6학년 시기의 학교만족도가 중학교2학년 학업성취 수준에 유의미한 영향을 미치는 것으로 나타났다. 즉, 초등시기에 학업성취가 좋았던 빈곤 아동들도 중등 과정에서는 그렇지 못함을 확인하였다. 이러한 발견은 비빈곤 아동과 빈곤아동에 대한 학업성취 지원을 위한 교육적 접근도 상이할 수 있음을 보여주고 있다. 비빈곤 아동의 경우 직접적인 학업지원을 통해 학업적으로 낙오되는 아동들이 없도록 하는 것이 중요한 학교만족도 증진 전략이 될 수 있고, 이는 궁극적으로 중등교육과정의 학업성취로 연결될 수 있음을 시사하는 것이라 할 수 있다. 그러나 빈곤아동의 경우에는 직접적인 학습지원보다 우선적으로 학교와의 애착을 높여주는 프로그램이 병행 또는 선행되어 학교만족도를 높여주고, 학업성취에 대한 동기를 높여줌으로써 궁극적으로 중등교육과정의 학업성취 지원전략으로 연결될 수 있도록 지원하는 것이 필요하다는 것이다. 이러한 결과는 현재 진행되고 있는 교육복지접근의 중요한 실천적, 정책적 함의를 제공하고 있다.

• STI Policy Review
• /
• 제7권2호
• /
• pp.1-15
• /
• 2016

This study provides empirical evidences for the relationship between income inequality and economic growth, and relationship of income inequality with some of explanatory variables such as technological innovation, trade globalization, financial globalization and fiscal policy. We find out that income inequality has an adverse effect on economic growth, showing its dynamic features, for which we employed the polynomial distributed lags (PDL) model. The effect of income inequality on economic growth lasts over 9 years, and its dynamic effect peaks after 4 years. In addition, we also attempted to find out empirical evidences of sources of income inequality. The results show that income inequality is positively related to technological innovation, financial globalization, and fiscal policy; negatively related to the trade globalization. Many studies employ cross-country data, but it could have serious problems in collecting statistical data. Korean data is used over the time period of 1990-2015 in this study.

• 한국환경보건학회지
• /
• 제47권3호
• /
• pp.227-244
• /
• 2021

Objectives: The Korean National Environmental Health Survey provides representative biomonitoring data for environmental pollutants in South Korea. Over the last decade, there have been various studies published using this data. In this study, we aimed to provide information and implications by reviewing each study. Methods: We searched comprehensive electronic databases from PubMed, Google Scholar, and Naver Academic database using the key words 'Korean National Environmental Health Survey' and 'KoNEHS' through March 2021. A total of 57 studies were selected after reviewing the relevance of the data. Results: The most frequently studied pollutants were heavy metals (10), Cotinine (8), Bisphenol A (7), and Phthalates (6), in that order. In particular, Phthalates, Bisphenol A, and Parabens were often studied together (6). A decline in urinary cotinine and heavy metals in the body was shown over time among studies on exposure association. It was demonstrated that Phthalates and Bisphenol A were significantly related to obesity and diabetes from the studies of health impacts. Cross-section study design, spot urine, and insufficient health status information were mostly reported as limitations of the data. Conclusion: Since research has been focused on adults, further investigations of children and adolescents are required. In this regard, it is necessary to maintain the consistency of the data structure and provide integrated weights for all ages. In addition, it would allow the measurement of several environmental pollutants by considering subsample design. Lastly, integrated studies with multi-cycles and the health effects from co-exposure to multiple chemicals would be expected to provide important knowledge.

• Structural Engineering and Mechanics
• /
• 제43권6호
• /
• pp.771-794
• /
• 2012

This paper presents a multi-objective evolutionary algorithm for combinatorial optimisation and applied for design optimisation of fiber reinforced composite structures. The proposed algorithm closely follows the implementation of Pareto Archive Evolutionary strategy (PAES) proposed in the literature. The modifications suggested include a customized neighbourhood search algorithm in place of mutation operator to improve intensification mechanism and a cross over operator to improve diversification mechanism. Further, an external archive is maintained to collect the historical Pareto optimal solutions. The design constraints are handled in this paper by treating them as additional objectives. Numerical studies have been carried out by solving a hybrid fiber reinforced laminate composite cylindrical shell, stiffened composite cylindrical shell and pressure vessel with varied number of design objectives. The studies presented in this paper clearly indicate that well spread Pareto optimal solutions can be obtained employing the proposed algorithm.

• 한국중재학회지:중재연구
• /
• 제22권3호
• /
• pp.165-185
• /
• 2012

Franchising has proved over many years to be a successful commercial vehicle for the international distribution of products and services. However, there has long been missing a user-friendly model contract that would reflect the diversity of international franchising contracts. Because the ICC has drafted a model form of international franchising contracts, taking into account the most commonly encountered clauses in franchising agreements, their model could be used as a checklist of the core obligations of a cross-border franchise contract. Because there is no internationally agreed-upon uniform legislation on franchising, parties must rely on national laws and regulations applicable to the international franchise (when such laws and regulations exist) and should therefore very carefully draft stipulations for the legal status of the contract. This study has been intended to cite some provisions for striking a fair balance between the interests of the franchisor and those of the franchisee and for avoiding unfair trade acts in international franchising contracts.

• 생물정신의학
• /
• 제28권2호
• /
• pp.36-49
• /
• 2021

Suicide is a leading cause of death worldwide, especially among adolescents and young adults. Considering this fact, it is imperative that we understand the neural mechanisms underlying suicidal thoughts and behaviors in youth from a neurodevelopmental perspective. In this review, we focused on the magnetic resonance imaging studies that examined the neural correlates of suicidal ideations (SI) or attempts (SA) in youth. We reviewed twenty-three cross-sectional studies reporting the structural and functional alterations in association with SI or SA among adolescents and young adults with various mental disorders. The previous literature suggests that the dorsolateral prefrontal cortex, anterior cingulate cortex, and ventral frontolimbic circuit, may play an important role in the pathophysiology of suicidal behavior in youth through altered top-down control over emotion and impulsivity. Future studies with a longitudinal design and using multimodal imaging techniques may be of help to identify novel therapeutic targets specific for youth with suicidal thoughts and behaviors.