• Archives of Plastic Surgery
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• v.37 no.1
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• pp.75-78
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• 2010

Purpose: Whereas oral ranula is relatively common and presents as a cyst in the mouth, the plunging ranula is rare and manifests itself as a mass in the neck with or without an associated oral lesion. The purpose of this study is to examine the clinical characteristics of rare bilateral plunging ranula arising from accessory submandibular gland in order to provide our experience for its correct diagnosis and treatment. Methods: A 13-year-old girl manifests as a slow growing painless, non-mobile swelling in the anterior neck. She underwent surgery via a cervical approach. A pseudocyst was extirpated and adjacent accessory gland tissue and related lymph node were removed. Results: The histologic appearance is characteristically of a cyst, devoiding of epithelium or endothelium, with a vascular fibro-connective tissue wall containing some chronic inflammatory cells and macrophage stuffed with mucin. Pathologic findings represented a form of myxomatous degeneration and lined by condensed connective tissue and granulation tissue. The nature of the accessory gland tissue was same as subligual gland. Although total submandibular or sublingual gland excision was not performed, no recurrence was observed during 6 months follow-up periods. Conclusion: Usually, unilateral plunging ranula develops commonly because of rupture of sublingual gland duct by trauma and extravasation of salivary secretion to the adjacent tissue. But our case developed because of bilateral congenital accessory submandibular gland. This is thought to be a result from a congenital failure of canalization of the terminal end of the duct. Finally, the correct diagnosis is essential for the most effective treatment, which is excision of the ranula and related accessory salivary gland. We performed excision of accessory submandibular gland and plunging ranula and had a good result without recurrence.

• Archives of Plastic Surgery
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• v.40 no.3
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• pp.226-231
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• 2013

Background The reconstruction of volar surface defects is difficult because of the special histologic nature of the tissue involved. The plantar surface is the most homologous in shape and function and could be considered the most ideal of reconstructive options in select cases of volar surface defects. In this paper, we evaluate a single institutional case series of volar tissue defects managed with second toe plantar free flaps. Methods A single-institution retrospective review was performed on 12 cases of reconstruction using a second toe plantar free flap. The mean age was 33 years (range, 9 to 54 years) with a male-to-female ratio of 5-to-1. The predominant mechanism was crush injury (8 cases) followed by amputations (3 cases) and a single case of burn injury. Half of the indications (6 cases) were for soft-tissue defects with the other half for scar contracture. Results All of the flaps survived through the follow-up period. Sensory recovery was related to the time interval between injury and reconstruction-with delayed operations portending worse outcomes. There were no postoperative complications in this series. Conclusions Flexion contracture is the key functional deficit of volar tissue defects. The second toe plantar free flap is the singular flap whose histology most closely matches those of the original volar tissue. In our experience, this flap is the superior reconstructive option within the specific indications dictated by the defect size and location.

• The Mathematical Education
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• v.57 no.3
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• pp.311-328
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• 2018

In school mathematics, the concept of an average is not a concept that is limited to a unit of statistics. In particular, high school students will learn about arithmetic mean and geometric mean in the process of learning absolute inequality. In calculus learning, the concept of average is involved when learning the concept of average speed. The arithmetic mean is the same as the procedure used when students mean the test scores. However, the procedure for obtaining the geometric mean differs from the procedure for the arithmetic mean. In addition, if the arithmetic mean and the geometric mean are the discrete quantity, then the mean rate of change or the average speed is different in that it considers continuous quantities. The average concept that students learn in school mathematics differs in the quantitative nature of procedures and objects. Nevertheless, it is not uncommon to find out how students construct various mathematical concepts into mathematical knowledge. This study focuses on this point and conducted the interviews of the students(three) in the second grade of high school. And the expression of students in the process of average concept formation in arithmetic mean, geometric mean, average speed. This study can be meaningful because it suggests practical examples to students about the assertion that various scholars should experience various properties possessed by the average. It is also meaningful that students are able to think about how to construct the mean conceptual properties inherent in terms such as geometric mean and mean speed in arithmetic mean concept through interview data.

• Journal of Internet Computing and Services
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• v.8 no.4
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• pp.93-103
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• 2007

Networking environments are exposed to outside attacks and privacy threats. Due to broadcast nature of radio transmissions, wireless devices experience more vulnerable situations than those of wired network devices. This paper assumes that a wireless device has two network interfaces, one for accessing internet using 3G services, and the other for constructing an ad hoc network. To deal with privacy threats, this paper introduces an approach in which wireless devices form a special ad hoc network in order to exchange data using anonymous communications. One or more intermediate peers should be involved in the construction of an anonymous path. The proposed anonymous communication mechanism discourages traffic analysis and improves user privacy. According to simulation results, the anonymous connection in an ad hoc network prefers the intermediate peer(s) which is located near the source and/or the destination peer, rather than randomly-selected peers.

• Archives of design research
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• v.11 no.1
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• pp.259-268
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• 1998

Ideals of beauty has expressed variously through the centuries and in different cultures. Each traditional 'togu' has it's own morphology (in the meaning of nonverval linguistic) as using various type of language in each cultural erea. Korean aesthetics on 'dogu'philosophy introduces a whole new set of basic concepts outside western aesthetic framework of beauty Most distinctive is the insistence on overcoming dichotomies, especially between cognition and emotion, (momism)body and mind, self and other, and individual and group. Several topics are particularly illuminating within aesthetics: furniture, calligraphy, traditional garments pose interesting challenging to the art/nature, inside/outside, ethics/desire dichotomies so crucial to moral and cultural context. aesthetics are equally deserving of philosophical scrutiny: the ways in which philosophy of 'dogu'and aesthetics are integrated with daily life, the emphasis on process or understanding context rather than product itself or product 'form'. Dogu did not separate daily life and aesthetics from understanding social context. Language of 'togu' also has own vocabulary and grammar. But we often cannot gain our persnol experience truthful beauty of togu until understand context of understanding. it would be immpossible to explain ,or to analize different way of thinkings and behaivor precisly without understanding same codes of language.

• Journal of the Korean Society for Railway
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• v.12 no.3
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• pp.370-375
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• 2009

This study draws from the hands-on experience of designing railway routes that pass very close to the Cultural Heritage Protection Areas. There have been many cases where the rail route plan is rejected during the deliberation process of National Cultural Heritage Alteration although it has been selected as the best alternative after much time and expenses are spent and public consensus is obtained. When the route has to be realigned, this often leads to project delay and possible counter protest from the local public. In an effort to prevent such problems from occurring over again, this study looks at the projects where railways pass close to the Cultural Heritage Protection Areas. We examine the nature of public protests and the route selection process that reflects these protests into consideration. Based on the experiences drawn from these cases, we offer a few suggestions that we hope will contribute to the success of the project. The suggestions include the right timing for the application of Cultural Heritage Alteration and route alignment technique.

• Korean Journal of Environment and Ecology
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• v.30 no.2
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• pp.277-286
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• 2016

This study was performed to investigate main psychological phenomena and healing process through qualitative analysis on the 115 handwriting healing experience in the forest. Main psychological phenomena experienced in the forest were important in order happiness, comfort, and understanding. The process of healing in the forest was first characterized by emotional changes, and was led to cognitive changes and behavioral changes. Healing stage of the forest has followed with six steps of stimulus, accommodating, purification, insight, filling, and change. This process was associated with nature sympathetic, rapport with oneself, and with the world. Previous studies, which were focused on the measurement of transient state after the comparative study between control and experimental groups, could not verify the continuity and process of psychological healing. this study suggests a new approach to understand the subjective psychological phenomena and healing processes in the forest, and will be a basis for developing and performing of forest healing program.

• Nuclear Engineering and Technology
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• v.27 no.1
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• pp.84-95
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• 1995

Application of computer software to safety-critical systems is on the increase. To be successful, the software must be designed and constructed to meet the functional and performance requirements of the system. For safety reason, the software must be demonstrated not only to meet these requirements, but also to operate safely as a component within the system. For longer-term cost consideration, the software must be designed and structured to ease future maintenance and modifications. This paper present a software engineering process for the production of safety-critical software for a nuclear power plant The presentation is expository in nature of a viable high quality safety-critical software development. It is based on the ideas of a rational design process and on the experience of the adaptation of such process in the production of the safety-critical software for the Shutdown System Number Two of Wolsong 2, 3 & 4 nuclear power generation plants. This process is significantly different from a conventional process in terms of rigorous software development phases and software design techniques. The process covers documentation, design, verification and testing using mathematically precise notations and highly reviewable tabular format to specify software requirements and software design. These specifications allow rigorous, stepwise verification of software design against software requirements, and code against software design using static analysis. The software engineering process described in this paper applies the principle of information-hiding decomposition in software design using a modular design technique so that when a change is' required or an error is detected, the affected scope can be readily and confidently located. It also facilitates a sense of high degree of confidence in the ‘correctness’ of the software production, and provides a relatively simple and straightforward code implementation effort.

• Journal of muscle and joint health
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• v.2 no.2
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• pp.197-208
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• 1995

The purpose of this study is to describe specific system manifestations and suggested nursing interventions in patients with lupus. Lupus is a chronic, inflammatory, multisystemic disorder of the immune system. Antibodies are formed which react against the person's own normal tissue. This abnormal response can be very damaging and leads to the many manifestations of the lupus. Lupus can affect any part of the body, and patients experience symptoms in organs involved. So lupus patients have integumentary, blood, central nervous system, eye, gastrointestinal, musculoskeletal, kidney, heart and lining membranes, reproductive system involvement. The courses are unpredictable and very individualized. Lupus varies greatly in severity from mild cases requiring minimal interventions to those in which significant damage occurs to vital organs such as the lungs, heart, kidney and brain which ultimately can be fatal. In addition to direct physical care, the nursing professional has an excellent position from which to support the lupus patient. Patients need assistance with receiving current, accurate information about the disease process and also to be helped in developing realistic expectations and goals. Nursing interventions for the patient with lupus is challenge drawing on at the resources, knowledge and strengths the nursing teams have to offer. Because of the unpredictable, highly individualized and frequently changing the nature of the disease itself as well as the intricacy of the patient's needs. The nurse has a key role in its management. The patient and nurse, working together, have much to offer each other. These are of inestimable value to the patient. As the nurse listens to the patient and learns what problems the patient perceives, can guide the patient in a self-help program that allows to adapt to living with a chronic illness.

• Korean Journal of Construction Engineering and Management
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• v.14 no.5
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• pp.113-121
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• 2013

An expansion into the global market increasingly becomes a buzz world among Construction Management(CM) firms in Korea. The objective of this study is to identify potential obstacles and investigate their nature and implications to CM firms in Korea. The study identified 25 obstacles under 5 categories. Base on a questionnaire survey and interviews with CM experts who have global CM projects experience, the study discusses that while there exist various types of obstacles, a more attention needs to be paid for a small number of major obstacles to minimine risks in overseas CM projects. It also suggests that improving pre-construction management competency through securing CM experts should be listed as a top agenda for Korean CM firms.