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Comparison of Tracheal Anastomosis by Interrupted and Continuous Technique of Absorbable polydioxanone (PDS) Suture Material in Rabbit (가토에서 흡수성 PDS 봉합사의 단속봉합술식과 연속봉합술식에 따른 기관문합의 비교)

  • 이석열;양성린;이길노
    • Korean Journal of Bronchoesophagology
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    • v.7 no.1
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    • pp.9-13
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    • 2001
  • Background: Tracheal resection and end-to-end anastomosis are the preferred treatment for tracheal tumor or tracheal stenosis. Absorbable suture material has been commonly used in case of tracheal anastomosis. But anastomosis technique is controversial. This experimental study compared between interrupted suture and continuous suture using Polydioxanone (PDS) absorbable suture material after tracheal resection and end-to-end anastomosis in rabbits. Methods : Twenty-four rabbits were used, divided into two groups of 12 animals each. The trachea was resected and then anastomosed with continuous 6-0 polydioxanone (PDS) (group 1), and intermittent 6-0 polydioxanone (PDS) (group 2). The animals were followed up for 6 months. Stenosis of the trachea was assessed at the time of death. Results : In two groups, anteroposterior diameter, transverse diameter, cross sectional area, and perimeter were greater in group 2 than in group 1 but, not significantly different. In addition, histologic findings were not different in two groups. Conclusions : This study suggest that stenosis after tracheal resection and end-to-end anastomosis using absorbable polydioxanone (PDS) suture material be not significantly different in both groups.

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Anatomical Repair of Taussig-Bing Anomaly with Interrupted Aortic Arch and Intramural Left Coronary Artery (벽속관상동맥 기형과 대동맥궁 단절을 함께 동반한 Taussig-Bing심기형의 해부학적 완전교정)

  • 성시찬;김시호
    • Journal of Chest Surgery
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    • v.34 no.10
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    • pp.775-780
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    • 2001
  • We report a case of the successful anatomical correction of the Taussig-Bing anomaly associated with the interrupted aortic arch and intramural left coronary artery for an 38 day-old infant Aortic arch and neoaortic reconstructions were conducted without any prosthetic or pericardial patch. Intramural left coronary was separated from right one after partial detachment of aortic commissure and both coronary artery buttons were transferred separately to the proximal main pulmonary artery(nee-aorta). Delayed sternal closure was done 3 days after the operation and hospital discharge was delayed for a month because of postoperative pneumonia. Now he is 5 months old and free of symptoms and cardiac drugs.

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Impact of Bridge Construction on County Population in Georgia

  • Jeong, M. Myung;Kang, Mingon;Jung, Younghan E.
    • International conference on construction engineering and project management
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    • 2022.06a
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    • pp.1017-1023
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    • 2022
  • Past research shows that the construction of new infrastructure accelerates economic growth in the region by attracting more people and commodities. However, the previous studies only considered large-scale infrastructures such as sea-cross bridges and channel tunnels. There is a paucity of literature on regional infrastructure and its impact on socio-economic indicators. This paper explores the impact of new bridge construction on the human population, particularly focusing on regional bridges constructed during the 2000s in the state of Georgia. The human population at a county level was selected as a single socio-economic factor to be evaluated. A total of 124 cases were investigated as to whether the emergence of a new bridge affected the population change. The interrupted time series analysis was used to statistically examine the significance of population change due to the construction by treating each new bridge as an intervention event. The results show that, out of the 124 cases, the population of 67 cases significantly increased after the bridge construction, while the population of 57 cases was not affected by the construction at a significance level of 0.05. The 124 cases were also analyzed by route type, functional class, and traffic volume, but the results revealed, unlike large-scale infrastructure, that no clear evidence was found that a new bridge would bring an increase in the human population at a county level.

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A Study on Changes of Entrepreneurial Ecosystem on Women Entrepreneurial Intentions (창업생태계 변화가 여성창업의지에 미치는 영향)

  • Jeon, Hyejin;Park, JaeWhan
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.10 no.2
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    • pp.85-96
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    • 2015
  • Korea is one of low-ranked countries in women's economic participation rate among OECD nations because well-educated females are not participating in economic activities. Regardless of current state of our society, opening a business is being considered as a effective method for job creation. Also, increasing the number of female business founders can lead to female job creation which promotes even growth of foundation and job creation and augments women's economic activity rate. Therefore, this study suggests the direction of foundation and inspires foundation factors and aims at increasing social re-participation through vitalization of business foundation by women in career discontinuity. For this study, I carried out a survey targeting career interrupted women who have attained entrepreneurial education using five- point scale by Likert and analyzed with SPSS Windows 18.0. The analysis set up 3 hypotheses with independent variables of psychological traits, entrepreneurial education and entrepreneurial environment and the dependent variable of entrepreneurial intention of the career interrupted women. Also, I looked if there is the modify effect when psychological traits and entrepreneurial education affect the entrepreneurial intention with entrepreneurial environment as a moderating variable. To summarize the positive analysis result, Firstly, all psychological traits, entrepreneurial education and entrepreneurial environment had similar positive affects on career interrupted women's entrepreneurial intention. Secondly, when psychological traits and entrepreneurial education affect the entrepreneurial intention, entrepreneurial environment had similar effects as a moderating effect. This study implies that psychological traits, entrepreneurial education and entrepreneurial environment are all important for the career interrupted women's entrepreneurial intention. There are so many women who are going through both professional experience and personal network's severance. Therefore, optimized entrepre neurship education must be provided to help those women return to economic activity considering their psychological traits. Additionally, we should put emphasis on producing the entrepreneurial environment that can positively convert others' perceptions and construct those women's personal network. There seems to be more productive information for the strategies which can induce those women's actual business foundation if the social problems of the women who have highly willing to open a business are treated in the future. Also, considering that psychological traits, entrepreneurial education and entrepreneurial environment all have effect on entrepreneurial intentions, there should be more related follow-up study on this.

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Treatment Strategy and Reliability Analysis of DSRC-Based Traffic Data under Interrupted Traffic States (DSRC 기반 교통정보의 가공방안과 신뢰성 분석 (단속류 구간을 중심으로))

  • Ren, Yu;Kim, Hoe Kyoung
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.13 no.6
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    • pp.25-33
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    • 2014
  • This study investigates the reliability of DSRC-based traffic information system on the typical urban arterial with the minimum sample size method. VISSIM has been employed to calculate the required sample size. After comparing the number of hi-pass vehicles recorded from DSRC and the required sample size, this study found that the interrupted traffic state tends to generate more outliers than the uninterrupted one, the lack of the number of vehicles completely passing links with multiple driveways makes it difficult to estimate the reliable traffic information, the traffic information during peak hour is relatively more reliable than that during off-peak hour, and the reliability of DSRC-based traffic information system depends on the significance level in calculating the sample size. The driveway density and traffic signal operation due to the individual link length significantly affects the required sample size, resulting in determining the reliability of the DSRC-based traffic information system.

Numerical Analysis of Heat Transfer in the Ribbed Channel Inserted with Tape (테이퍼가 설치된 리브(rib)이 있는 채널의 열전달에 대한 수치해석)

  • Kang, Ho-Keun;Ahn, Soo-Whan
    • Journal of Advanced Marine Engineering and Technology
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    • v.34 no.5
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    • pp.638-644
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    • 2010
  • Numerical predictions of a fully developed turbulent flow through a square duct ($30mm{\times}30mm$) with twisted tape inserts and with twisted tape plus interrupted ribs are respectively conducted to investigate regionally averaged heat transfer and flow patterns. A rib height-to-channel hydraulic diameter(e/$D_h$) of 0.067 and a lengthto-hydraulic diameter(L/$D_h$) of 30 are considered at Reynolds number ranging 8,900 to 29,000. The interrupted ribs are axially arranged on the bottom wall. The twisted tape is 0.1 mm thick carbon steel sheet with diameter of 28 mm, length of 900 mm, and 2.5 turns. Each wall of the square channel is composed of isolated aluminum sections. Two heating conditions are investigated for test channels with twisted tape inserts and rib turbulators: (1) electric heat uniformly applied to four side walls of the square duct, and (2) electric heat uniformly applied to two opposite walls of the square channel. The results show that uneven surface heating enhances the heat transfer coefficient over uniform heating conditions, and significant improvements can be achieved with twisted tape inserts plus interrupted ribs.

The Impact of Outpatient Coinsurance Rate Increase on Outpatient Healthcare Service Utilization in Tertiary and General Hospital (외래 본인부담률 인상이 상급종합병원과 종합병원 외래 의료이용에 미친 영향)

  • Kim, Hyo-Jeong;Kim, Young-Hoon;Kim, Han-Sung;Woo, Jung-Sik;Oh, Su-Jin
    • Health Policy and Management
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    • v.23 no.1
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    • pp.19-34
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    • 2013
  • Background: The study describes the changes resulted from imposition on tertiary hospital outpatient coinsurance rate rise policy and in tertiary or general hospital drug coverage rise policy on healthcare service utilization. Methods: Accordingly, the hypothesis about outpatient healthcare utilization after rise policy in outpatient coinsurance rate and drug coverage was established, using interrupted time-series analysis and segmented regression analysis to test the hypothesis. 5-year analysis period (2007. 3-2012. 3) from the outset year was designated, the data about most common 10 high-ranking of the main diseases targeting visiting patient from age of 6 to 64 were collected. Results: The summary on the major research is followed. First, the medical expense and duration of treatment tends to be increased in case of imposition about rise policy in outpatient coinsurance rate in the tertiary hospital under the interrupted time-series analysis. It showed temporary increase and slow down on account of influenza A even after the policy enforcement. In segmented regression analysis, duration of visit and medical expense in the tertiary hospital increased temporally right after the policy implementation and the decreased rapidly depends on period. Both rise and fall is statistically significant. The second, In case of tertiary or general hospital outpatient drug coverage rise policy, all of the tertiary hospital healthcare service utilization variables by the interrupted time-series analysis, drug coverage policy in the general hospital deeply declined according to decreasing trend before policy implementation. The third, in case of segmented regression analysis, the visit duration and medical expense statistically declined right after the policy implementation in both the tertiary and general hospital. Meanwhile, administration day was statistically meaningful only for the decrease right after the policy implementation. Otherwise, general hospital changes are not statistically meaningful. And the medicine cost was statistically, meaningfully decreased after the increase in drug coverage. Conclusion: Finally, the result demonstrated according to the analysis is only 1 hypothesis is denied, the other 2 are partially supported. Then, tertiary hospital outpatient coinsurance rate increase policy comparatively makes decrease effect on long-term healthcare utilization, and tertiary or general hospital outpatient drug coverage policy showed partially short-term effect is assured.

The Stereospecific Analysis of the Triacylglycerols of Ginkgo Nut Oils by High-Performace Liquid Chromatography(HPLC) in the Silver Ion and Reversed Phase Modes (銀Ion 및 역상(逆相) HPLC를 이용(利用)한 입체이성체적(立體異性體的) 분석(分析)에 의한 은행종실유(銀杏種實油)의 트리글리세리드의 분자종(分子種)에 관한 연구(硏究))

  • Joh, Yong-Goe;Woo, Hyo-Kyeng;Kim, Hoon-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.14 no.1
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    • pp.61-76
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    • 1997
  • Triacylglycerols of the seeds of Ginkgo biloba have been resolved by high-performace liquid chromatography(HPLC} in the silver-ion and reverse-phase modes. The fatty acids were identified by a combination of capillary gas chromatography and gas-chromatography /mass spectrometry as the methyl and /or picolinyl ester. The main components are $C_{18:2{\omega}6}$(39.0mol%), $C_{18:1{\omega}7}$(asclepic acid 21.5mol%), and $C_{18:1{\omega}9}$(oleic acid, 13.8mol%). Considerable amounts of unusual acid such as $C_{20:3{\Delta}^{5,11,14}$ (5.7mol%), $C_{18:2{\Delta}^{5,9}$(2.8mol%), and $C_{18:3}{\Delta}^{5,9,12}$(1.6mol%), were checked. In addition, an anteiso-branched fatty acid, 14-methylhexadecanoic acid, was also present as a minor component(0.9 mol%). The triacylglycerols were separated into 17 fractions by reverse-phase HPLC, and the fractionation was achieved according to the partition numnber(PN) in which a ${\Delta}^5$-non methylene interrupted double bond($^5$-NMDB) showed different behaviour from a methylene interrupted double bond in a molecule with a given cahinlength. Silver-ion HPLC exhibited excellent resolution in which fractions(23 fractions) were resolved on the basis of the number and configuration of double bonds. In this instance, the strength of interaction of a ${\Delta}^5$-NMDB system with silver ions seemed to be weaker than a methylene interrupted double bond system. The principal triacylglycerol species are as follows ; $(C_{18:2{\omega}6)2}/C_{18:1{\omega}7}$, $C_{18:1{\omega}9}/C_{18:1{\omega}7}/C_{18:2{\omega}6}$, $(C_{18:1{\omega}7)2}/C_{18:2{\omega}6}$, $C_{16:1{\omega}7}/C_{18:1{\omega}9}/C_{20:3}{\Delta}^{5,11,14}$, $C_{16:1{\omega}7}/C_{18:1{\omega}7}/C_{20:3}{\Delta}^{5,11,14}$, $C_{18:1{\omega}9}/C_{18:1{\omega}7}/C_{18:2{\omega}6}$, $C_{18:1{\omega}9}/C_{18:2}{\Delta}^{5,5}/C_{20:3}{\Delta}^{5,11,14}$, $(C_{18:1{\omega}7)2}/C_{18:2{\omega}6}$ and $(C_{18:1{\omega}9)2}/C_{18:2{\omega}6}$, while simple triacylglycerols without $C_{18:2{\omega}6})_3$ were not present. Stereospecific analysis showed that fatty acids with ${\Delta}^5$-NMDB system and saturated chains were predominantly located at the site of sn-3 carbon of glycerol backbones. It is evident that there is asymmetry in the distribution of fatty acids in the TG molecules of Ginkgo nut oils.

A Comparative Study on the Statistical Methodology to Determine the Optimal Aggregation Interval for Travel Time Estimation of the Interrupted Traffic Flow (단속류 통행시간 추정을 위한 적정 집락간격 결정에 관한 통계적 방법론 비교 연구)

  • Lim, Houng-Seok;Lee, Seung-Hwan;Lee, Hyun-Jae
    • Journal of Korean Society of Transportation
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    • v.23 no.3 s.81
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    • pp.109-123
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    • 2005
  • The goals of this paper are two folds: i) to evaluate whether the data collected by a license plate matching AVI equipment being operated on some segment of a national highway are suitable or not for use in travel time estimation of interrupted traffic flows; ii) to study the statistical methodologies to be used for the determination of the optimal aggregation interval for travel time estimation. In this study it was found that the AVI data are not representative because the data are collected on some selected lanes of a roadway where main traffic is thru-traffic and, thus the AVI data are different from those collected from all lanes in traffic characteristics. For the determination of the optimal aggregation interval for travel time estimation. two statistical methods. namely point estimation and interval estimation. were tested. The test shows that the point estimation method is more sensitive and gives more desirable results in determing the optimal aggregation interval than the interval estimation method. And it turned out that the optimal aggregation interval on interrupted traffic flows has been calculated as 5 minute and thus the existing aggregation interval. 5 minute is proper.

Analysis of Reemployment Status of Nurses Participated in Reemployment Support Program (재취업 지원사업 참여 간호사의 취업 실태 분석)

  • Lee, Gun-Jeong;Hwang, Sung-Woo
    • The Journal of the Korea Contents Association
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    • v.15 no.5
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    • pp.386-402
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    • 2015
  • The purpose of this study was to analyse reemployment status of nurses participated in reemployment support program and to examine the effects of 2011-2013 reemployment programs which were managed by regional centers under Korean Nurses Association. An analysis was conducted using the data of self reported structured questionnaire from 332 career-interrupted nurses who were unemployed more than 6 months and have received reemployment services. The major finding were as follows. 59.9% of respondents were successfully reemployed, but 22.3% didn't get a job and 17.8% left jobs again after reemployed. Major reasons of not being employed were unmatched working hours and low salary. Subgroup analyses show that the reemployment program worked better to the respondents with older age, three year college graduate, and longer unemployment period than the respondents with young, four year college graduate, and short period of unemployment. The results show that more diverse reemployment programs are need to fit various kinds of career interrupted nurses, along with the development of different work hour systems and improvement of salary.