• 아동학회지
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• 제22권2호
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• pp.219-235
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• 2001

The purpose of this study was to provide guidelines for the effective operation of Web-Based Training (WBT) for early childhood teachers. Based on content analysis and questionnaires administered to the 174 current trainees, this research analyzed (1) the educational effectiveness and learner satisfaction, (2) the operation and management, and (3) the system, interface, interaction and communication, motivation and content design of $WBT^{***}$. Results showed that most trainees were very satisfied with the WBT because the program provided plentiful professional information enabling them to pursue their educational objectives along with flexibility of time and space. On the other hand, system stability, communication, motivation, and content design need to be improved. Based on the research results, 8 strategies of effective management of web-based early childhood teacher training were proposed.

• 수산해양교육연구
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• 제28권2호
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• pp.564-581
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• 2016

The purpose of this research was to provide basic data to childcare consulting scholarship which will be expanded completely in the future by examining awareness on childcare consulting, requests for childcare consultant, operation method of childcare consulting and tendency and meaning of childcare consulting for 500 early childhood pre-service teachers who are attending senior classes of departments related to childcare teachers in Busan. The results of research, obtained by the above process, are as follows. In the awareness of early childhood pre-service teachers on childcare consulting, they replied that they know concept and method of childcare consulting well. Also, qualifications of childcare consultant are actual knowledge and technology related to childcare process, they wanted consultants to provide ideas about class technology and problems which are expected among the consultants are lack of time by heavy works, etc. As expanded in the aspects of educational necessities and qualitative and quantitative system as the awareness or publicity of childcare consulting is insufficient.

• 한국경영과학회지
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• 제22권3호
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• pp.99-111
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• 1997

We consider a production system with post-operation and early set-up. As soon as there are no more units(raw materials) to process and the machine becomes idle, it undergoes a post-operation. After the post operation, if the number of waiting units is greater than or equal to m, it begins a set-up. After the set-up, if the number of units is greater than or equal to N($\geq$m), it begins to process the units. We first analyze the system by employing the decomposition property of the vacation queue. We, then, propose an algorithm that finds the optimal threshold values ($m^*$, $N^*$). Finally we present some numerical examples and interprete the system behavior.

• Journal of Chest Surgery
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• 제26권10호
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• pp.787-790
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• 1993

The purpose of this study is to analyze the early results by the operative methods in 36 patients with pectus excavatum during the period August 1989 to August 1993. We underwent Ravitch`s operation in 15 patients [mean age : 11.0], which consists of subperichondral resection of all deformed cartilages, anterior wedge osteotomy and fixation in place with wire sutures of the sternum, and sternal eversion operation in 21 patients[mean age : 5.3], which consists of en-bloc resection of deformed sternum and cartilages, tailoring of the costal cartilages and shaping of the sternum and fixation of sternum and cartilages. Early results were satisfactory in 93% [Excellent 93%] for Ravitch`s operations and in 100% [Excellent 90% and Good 10%] for sternal eversion operations. But late results by sternal growth will be necessary longer follow-up.

• Journal of Chest Surgery
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• 제24권10호
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• pp.979-986
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• 1991

From October 1988 to November 1989, seven patients underwent valve replacement during the active phase of native valve endocarditis. There were 4 males and 3 females whose mean age was 41 years[range, 16 to 68 years]. Preoperative two-dimensional and Doppler echocardiography showed vegetations and severe valvular regurgitation in all patients. Blood cultures were positive in 4, and negative in 3 patients Organisms were alpha-hemolytic Streptococcus in 2, Staphylococcus epidermidis in 1, Erysipelothrix rhusiopathiae in 1 patient Valve tissue cultures were negative in all patients. Intravenous antibiotic therapy had been done for 3 to 18 days in 5 patients pre-operatively and was not done in 2 patients, Indications for operation were heart failure in h, and systemic emboli in 1 patient. The aortic valve was involved in 3, mitral in 1, and both aortic and mitral in 3 patients, One operative death[14.4%] occurred in patient with cardiogenic shock before operation. Late death occurred in one on 14 months after operation. The remaining 5 patients were followed up over a two year period in good condition. In conclusion, native valve endocarditis with severe heart failure must be considered for early operation.

• Journal of Gastric Cancer
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• 제20권1호
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• pp.72-80
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• 2020

Purpose: Proximal gastrectomy (PG) is a function-preserving surgery in cases of proximally located early-stage gastric cancer. Because gastroesophageal reflux is a major pitfall of this operation, we devised a modified esophagogastrostomy (EG) anastomosis to fix the distal part of the posterior esophageal wall to the proximal part of the anterior stomach wall to produce an anti-reflux mechanism; we named this the SPADE operation. This study aimed to show demonstrate the clinical outcomes of the SPADE operation and compare them to those of previous PG cases. Materials and Methods: Case details of 56 patients who underwent PG between January 2012 and March 2018 were retrospectively reviewed: 30 underwent conventional esophagogastrostomy (CEG) anastomosis using a circular stapler, while 26 underwent the SPADE operation. Early postoperative clinical outcome-related reflux symptoms, endoscopic findings, and postoperative complications were compared in this case-control study. Results: Follow-up endoscopy showed more frequent reflux esophagitis cases in the CEG group than in the SPADE group (30% vs. 15.3%, P=0.19). Similarly, bile reflux (26.7% vs. 7.7%, P=0.08) and residual food (P=0.01) cases occurred more frequently in the CEG group than in the SPADE group. In the CEG group, 13 patients (43.3%) had mild reflux symptoms, while 3 patients (10%) had severe reflux symptoms. In the SPADE group, 3 patients (11.5%) had mild reflux symptoms, while 1 had severe reflux symptoms (absolute difference, 31.8%; 95% confidence interval, 1.11-29.64; P=0.01). Conclusions: A novel modified EG, the SPADE operation, has the potential to decrease gastroesophageal reflux following a PG.

• Journal of Korean Neurosurgical Society
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• 제40권4호
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• pp.239-244
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• 2006

Objective : The present study evaluated overall surgical results for 3,000 patients with intracranial aneurysms, operated on in Busan Paik Hospital institution. Methods : Three thousand aneurysm cases, operated on in Busan Paik Hospital between January 1980 to June, 15th, 2005, were evaluated based on the following criteria; aneurysm form, aneurysm location, surgical results, postoperative complications, and seasonsonality of occuence. 957 cases were anterior communicating artery aneurysms, 776 were internal carotid artery[ICA] aneurysms, 755 were middle cerebral artery[MCA] aneurysms, 96 were anterior cerebral artery[ACA] aneurysms, 128 were vertebro-basilar artery[VBA] aneurysms and 288 were multiple aneurysms. The male to female ratio was 0.7 to 1 Surgical methods included 2.738 clippings, 219 coating and wrappings, 23 aneurysmoraphies, 20 proximal ligations. Results : Rebleeding occured in 5.1% of the early operation group and 16% of the late operation group respectively. Incidence of clinical vasospasm was 166% and angiographic vasospasm was 24.1%. The percentage of the multiple aneurysms was 9.5%, the percentage of the dissecting aneurysm was 6 cases [0.2%], 6 of the total [0.2%];De Novo" aneurysm, the percentage of lobectomies with clipping cases was 9 cases [03%] the percentage were incidental aneurysms; 164 [5.5%]. 88.1% had overall favorable surgical results with a 5.5 % mortality rate. Calcium-channel blocker and "Triple H" therapy did not improve mortality but did significantly improve morbidity. In the old age group, early operation reduced vasospasm, rebleeding and medical complications. The early surgery group exhibited a 86.2% favorable outcome with a 8.1% mortality rate. Intraoperative angiography reduced residual or remained aneurysms in large, giant aneurysm, especially in A.com artery aneurysm. Conclusion : The surgical results for the early surgery group according to surgical timming was better, but there were not statistically significant. ntraoperative angiography was especially useful on large aneurysms of the anterior communicating artery.

• Journal of Chest Surgery
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• 제27권12호
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• pp.989-994
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• 1994

Between January 1986 and August 1993, 11 patients underwent surgical repair of ventricular septal defect [VSD] complicated with myocardial infarction. The ages of patients were ranged from 22 years to 83 years with a mean of 64 years. There were 8 male and 3 female patients. The preoperative cineangiograms of all patients were reviewed to measure both ventricular function and to evaluate coronary artery disease. The mean time interval between occurance of VSD and operation was 13 days. The operations were performed as soon as possible if there were hemodynamic derangement. Postmyocardial infarction VSD were repaired simultaneuously with coronary artery bypass graft in 3 patients, repaired with left ventricular aneurysmectomy in 6 patients, with left ventricular thrombectomy in 1 patient and with mitral valve chordae repair in 1 patient. There was no early death [within 30 days]. There were 6 postoperative complications; one with perioperative myocardial infarction, two with recurred VSD on postoperative 1 and 6 days respectively, two with lower leg embolism associated with intraaortic balloon pump insertion, one with wound infection. Of the complicated patients, 1 patient with lower leg embolism performed left above ankle amputation. Among two patients with recurred ventricular septal defect, one patient is doing well without problem. On follow up echocardiogram, the residual VSD was occluded completely. However another patient was with recurred VSD died 3 months after the operation because of congestive heart failure. Of the long term survivors, all patients are in NEW YORK Heart Association functional Class I or II. Although number of patients were small, our results of surgical closure of postmyocardial infarction VSD were favored to the others. Moreover, seven patients with preoperative cardiogenic shock among 11 were performed early operation after diagnosis of ventricular septal rupture. All of the patients were survived and doing well during the follow up period. Therefore early diagnosis with aggressive preoperative care with intraaortic balloon pumping and early operation seems to be very important for prevention of deterioration of vital organ.

• Journal of Chest Surgery
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• 제22권2호
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• pp.348-356
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• 1989

Seventeen patients of pulmonary atresia with intact ventricular septum were underwent operation during 4.8years period from Jan. 1983 to Aug. 1988 at Seoul National university Hospital. The patients were composed of 8 males and 9 females, aging 1day to 2.5 years [mean 88 days]. We classified pulmonary atresia according to right ventricular morphology; those with tripartite ventricles in 12, those with no trabecular portion to the cavity in 0, and those with inlet portion only in 5. The tripartite approach to right ventricular morphology is helpful in selecting the type of initial palliative procedures. Palliative procedures were as follows; pulmonary valvotomy in 5 with 3 early survivors, mod B-T shunt in 4 with 3 early survivors, and palliative right ventricular outflow tract reconstruction in 4 with 1 early survivor. Effective preliminary palliation of pulmonary atresia are pulmonary valvotomy or palliative right ventricular outflow tract reconstruction in those with tripartite right ventricle, and modified Blalock-Taussig shunt in those with no infundibular portion. The approach to definitive repair is based primarily on the actual size of the tricuspid annulus and the right ventricular cavity. Definitive repair was as follows: definitive right ventricular outflow tract reconstruction in 4 with all survivors and mod. Fontan operation in 2 with one survivors. Right ventricular outflow tract reconstruction can be done as complete repair for patients who had adequate tricuspid annulus and right ventricular cavitary size and mod. Fontan operation for patients who severely hypoplastic tricuspid valve annulus or small right ventricular cavity.

• IEIE Transactions on Smart Processing and Computing
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• 제5권4호
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• pp.235-242
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• 2016

The emerging High-Efficiency Video Coding (HEVC) standard attempts to improve coding efficiency by a factor of two over H.264/Advanced Video Coding (AVC) at the expense of an increase in computational complexity. Mode decision with motion estimation (ME) is still one of the most time-consuming computations in HEVC, as it is with H.264/AVC. Thus, fast mode decisions are not only an important issue to be researched, but also an urgent one. Several schemes for fast mode decisions have been presented in reference software and in other studies. However, the conventional hierarchical mode decision can be useless when block-level parallelism is exploited. This paper proposes operation-level exploration that offers more chances for early termination. An early termination condition is checked between integer and fractional MEs and between the parts of one partition type. The fast decision points of the proposed algorithm do not overlap those in previous works. Thus, the proposed algorithms are easily used with other fast algorithms, and consequently, independent speed-up is possible.