• Journal of Chest Surgery
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• 제27권7호
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• pp.603-609
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• 1994

Esophageal atresia is a rare congenital anomaly and it usually associated with tracheo-esophgeal fistula and other congenital anomalies. The first report of esophageal atresia with tracheo-esophageal fistula was done by Thomas Gibson in 1696. In 1941, Haight performed the first successful primary anastomosis for esophageal atresia. These accomplishments opened the gateway for clinical studies that have resulted in reinforcements and improvement in the care of infants born with this anomaly. From January 1986 to April 1994, 14 cases of esophgeal atresia with tracheo-esophgeal fistula were diagnosed in Kyung Hee Uinv. Hospital. There were 9 male and 5 female infants. 12 infants were Gross classification type C and 2 infants were type A. The average body weight was 2.7$\pm$0.4kg and Waterson Category A contained 4 infants, B contained 3 infants and C contained 7 infants. Among these infants, 9 infants were underwent anastomosis procedures. We performed retropleural approach in 6 infants, transpleural approach in 2 infants and 1 infant was performed colon interposition through substernal space.By the method of anastomosis, end-to-side anastomosis was performed in 5 infants, end-to-end anastomosis in 3 infants and esophagocologastrostomy in 1 infant.The former 8 infants were Gross classification type C and the latter was type A. Among the type C infants, 6 infants were anastomosed with one layer interrupted suture and 2 infants with 2 layer interrupted suture. Post- operative death was in 1 infant and 8 infants were discharged with good result and have been in good condition.

• 한국병원경영학회지
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• 제23권2호
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• pp.18-27
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• 2018

Purposes: This study aims to investigate the policy effect of mandatory application of DRG for 7 disease groups in general and tertiary hospitals. Methodology: As DRG was fully implemented in July 2013, this study compares two periods before and after the change(from July 2012 to June 2013, and from July 2013 to June 2014). The benefit claim data of the National Health Insurance Service was used for the comparison. Target patients were those who visited general or tertiary hospitals between July 2012 to June 2014. For pharmaceutical consumption, Interrupted Time Series (ITS) analysis was used to see the effect of DRG mandatory application. Findings: The number of drugs prescribed per patient and pharmaceutical expenditure both showed significant reduction compared to before the DRG implementation. Practical Implications: This study used 2 sets of 1 year period data from before and after the full implementation of DRG to analyze pharmaceutical consumption. When the comparison data accumulates further, it would be possible to conduct more diverse analysis to assess policy effect and to provide way forward for the future.

• 한국소성가공학회:학술대회논문집
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• 한국소성가공학회 1995년도 추계학술대회논문집
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• pp.172-180
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• 1995

Isothermal interrupted deformation behavior of 10vol.%SICp/AI-Si composites was investigated by hot torsion test at the temperature ranges from 27$0^{\circ}C$ to 43$0^{\circ}C$ and at strain rate range of 1.26X10-2~2.16X10-1/sec. With increasing pass strain, flow stresses were high compared to continuous deformation condition. Fractional softening was increased with temperature imterruption time and pass strain. Fractional softening of 10vol.%SiCp/AI-Si composites was lower than that of AI-Si matrix at 37$0^{\circ}C$. However at high temperature of 43$0^{\circ}C$, SiC particle promoted static softening, diminishing the dislocation density at the interface of AI-Si matrix and reinforcements, then this resulted in higher fractional softening in composites. Both of failure strain improved reducing the fracture of SiC particle and Si precipitates above 32$0^{\circ}C$, however at low temperature of 27$0^{\circ}C$, the softening effect by interrupted deformation was found to be negligible.

• 한국주거학회논문집
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• 제15권5호
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• pp.1-11
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• 2004

This study has been performed to review pre-school children's needs for privacy within normal residential space. In this study, there were three circumstances in which children need to stay alone without being interrupted by their parents; First, they strongly want to be stay quiet until relieving their anger or fear, shortly after disciplined and impugned by their parents. Second, infant children need to obtain their own territory in order to demonstrate ownership and dignity in their sley space. Third, there are also special circumstances of privacy needs among families with intrusive parents such as alcoholics and heavy smokers, or for the children of disability. In Korea, it is presumed that more than 60 percent the pre-school children aging three to six are in deficit of privacy for relieving their emotional disturbance, but no research has been documented for the case of disabled or interrupted children. Therefore in this study, it was primarily proposed that empirical studies need to be peformed among Korean preschoolers, in order to evaluate privacy needs in the perspectives of ordinary family lives, individual household behaviors, and special conditions of disability or offensive family members.

• 가정과삶의질연구
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• 제28권1호
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• pp.87-98
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• 2010

The purpose of the present study was to examine the desire of married women to be re-employed and the factors related to this desire. The study gathered information from 240 women who gave up their jobs and careers after marriage. Information included their career history, current psycho-social condition, and family situation. Multiple regression and covariation structure analyses indicated that the desire of married women to go back to paid work was influenced by family economic condition, psycho-social condition, and child care situation. Specifically, the study found that family's monthly income and the age of the last child were negatively related to the women's desire for re-employment. On the other hand, economic pressure and achievement motivation were positively related to the women's desire. Finally, the study found that socio-economic background and external social support were not significantly related to the women’s wish to go back to the workforce.

• 대한기계학회논문집B
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• 제20권12호
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• pp.3938-3948
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• 1996

This study is related with the experimental investigation on the heat transfer and pressure drop characteristics of the fin-and-tube heat exchangers with three different interrupted fins and a plane fin for air-conditioning application. Experiments were conducted accordingly following the appropriate development process. Geometry similitude experiment was introduced to predict the performance of fins, and prototype experiment was also performed to confirm the validity of geometry similitude experimental results. However, these experimental results were limited to the sensible heat transfer characteristics of the heat exchangers. Hence, additional experiment was performed using refrigerant to investigate the latent heat transfer characteristics. This paper presents an appropriate process for the development of a new type heat exchanger. Sensible and latent heat transfer characteristics for each fin configuration is also provided along with the optimal fin configuration.

• 노동경제논집
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• 제24권1호
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• pp.149-176
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• 2001

본 논문에서는 한국 사회에서 세대내 직업경력의 유형을 찾고자 최적일치법을 이용하여 남성과 여성의 직업경력 분석하였다. 남성과 여성은 직업경력에서 상당한 차이를 보이며 남성의 경우 공백이 거의 없이 직업경력이 이어지는 반면, 여성은 직업경력이 일찍 종결되거나 상당한 공백을 두고 경력이 단절되는 경향을 보인다. 남성의 경우 경력의 공백이 생기는 경우는 농업직으로부터 기타 직업으로의 이동에 국한된다. 최적일치법과 집락분석을 결합하여 남성과 여성의 직업경력을 유형화한 결과 남성은 직업별로 유형 구분이 잘 되어 나타나는 반면, 여성은 주로 경력의 지속기간에 의해 유형이 구분된다. 남성에 비해 여성은 직업경력이 단절되며, 이는 가사와 육아의 부담, 그리고 여성의 경력을 지속하는 데 대한 사회적 차별에 기인하는 것으로 추정된다.

• Journal of Chest Surgery
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• 제15권4호
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• pp.447-450
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• 1982

A 45 year old male officer was admitted due to upper substernal pain for 1 month, which was aggravated by swallowing. On past and family history, there was no specific history except heavy drinking. Simple chest x-ray revealed no specific abnormal findings. Preoperative esophagofiberscopy and Barium study showed midesophageal diverticulum, pulsion type, at about 2 cm below the left main bronchus. The opening of the diverticulum was located at the left posterolateral aspect of esophagus. Midesophageal false diverticulum, measuring 2 x 2 x 1 .S cm in size, was noted at about 5 cm under the aortic arch protruding through a slit-like muscular defect. After inversion of diverticular sac, interrupted sutures with 3-0 silks were done on muscular defect site, and mediastinal pleura was reinforced on the lesion with interrupted sutures. On 4th postoperative day, esophagography revealed no diverticulum or stenosis. Also esophagofiberscopy showed smooth mucosal tag without disturbance of passage. On 14th postoperative day, the patient was discharged uneventfully, and follow-up for 3 months after discharge revealed nothing abnormal symptoms. The authors report one case of midesophageal, pulsion type, false diverticulum.

• Journal of Chest Surgery
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• 제24권7호
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• pp.693-700
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• 1991

A rare case of the association of distal aortopulmonary septal defect, aortic origin of the right pulmonary artery, intact ventricular septum, patent ductus arteriosus and interrupted aortic isthmus in a 40-day-old infant is reported. The infant was suffered from two operations with an interval of nine days. At the first operation a 10mm polytetrafluoroethylene prosthesis was inserted instead of the interrupted aortic isthmus and ductus was ligated via the left posterolateral thoracotomy. But the patient could not be weaned from the respirator because of large amount of left-to-right shunt. So the total correction was subsequently performed after an interval of nine days. At the second operation, tunneling of the right pulmonary artery to the main pulmonary artery through the aortopulmonary septal defect was performed using the Dacron patch via a longitudinal transaortic approach and a separate autologous pericardial patch was applied to the longitudinally incised margins of the anterior wall of the ascending aorta. The second postoperative course was relatively uneventful except some respiratory distress and nutritional problems. Now he is at 6 months of age and thrives well without any symptom. Because the success of the surgical repair of this complex anomalies depends upon the accurate diagnosis and meticulous design of each step of procedure prior to operation these problems are also discussed.

• Journal of Communications and Networks
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• 제16권2호
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• pp.193-201
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• 2014

In cognitive radio networks, the packet transmissions of the secondary users (SUs) can be interrupted randomly by the primary users (PUs). That is to say, the PU packets have preemptive priority over the SU packets. In order to enhance the quality of service (QoS) for the SUs, we propose a spectrum access strategy with an ${\alpha}$-Retry policy. A buffer is deployed for the SU packets. An interrupted SU packet will return to the buffer with probability ${\alpha}$ for later retrial, or leave the system with probability (1-${\alpha}$). For mathematical analysis, we build a preemptive priority queue and model the spectrum access strategy with an ${\alpha}$-Retry policy as a two-dimensional discrete-time Markov chain (DTMC).We give the transition probability matrix of the Markov chain and obtain the steady-state distribution. Accordingly, we derive the formulas for the blocked rate, the forced dropping rate, the throughput and the average delay of the SU packets. With numerical results, we show the influence of the retrial probability for the strategy proposed in this paper on different performance measures. Finally, based on the trade-off between different performance measures, we construct a cost function and optimize the retrial probabilities with respect to different system parameters by employing an iterative algorithm.