• 제목/요약/키워드: operator

검색결과 5,820건 처리시간 0.032초

한국노인에서 심장혈관계 질환 위험인자에 대한 비만지표인 체질량지수, 허리-엉덩이둘레비, 및 허리둘레의 타당도 비교 (Comparing Validity of Body Mass Index, Waist to Hip Ratio, and Waist Circumference to Cardiovascular Disease Risk Factors in Korean Elderly)

  • 문현경;김유진
    • Journal of Nutrition and Health
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    • 제38권6호
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    • pp.445-454
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    • 2005
  • The purpose of this study was to compare the validity of obese index among body mass index (BMI), waist to hip ratio (WHR), and waist circumference (WC) and to determine which is the best in relation to cardiovascular disease (CVD) risk in Korean elderly more than 65 ages. Data from the 1998 Korean Health and Nutrition Survey were used (n=1017). Anthropometric indices and CVD risk factors were measured, and chi-square test, analysis of variance following duncan's multiple range test, partial correlation analysis, and Receiver Operator Characteristic (ROC) curves were used in the analysis. Anthropometric values were decreased in both male and female when ages were goes up. In female elderly, it specially showed the characteristics of upper body fat and systolic blood pressure risk (p<0.05). Among life style factors the current smokers were prevalent in obese male (p<0.05), but not prevalent in female having obese or upper body fat. Also, person with upper body obesity have more exercise than that of normal group (p<0.01). Mean BMI values of the current smoker was lower than that of normal group in both sexes (p<0.01). Mean BMI value of person with other risk factors were higher than that of normal groups (p<0.05). Among 7 CVD risk factors in partial correlation analysis, WC had the highest correlation coefficient in 5 in male, whereas BMI in 4 in female. In ROC analyses of 12 risk factors and health conditions, the largest area under curve of obese indices for risk factors were WC>WHR>BMI in male and BMI>WHR>WC in female. The optimal cutoff values of each index (BMI : WHR : WC) for one or more risk factors were 19.02 : 0.84 : 71.3 in male and 19.04 : 0.88 : 85.6 in female. In conclusion, Most Korean elderly showed non-obese and abdominal obesity likewise other Asians. Also CVD risk factors were prevalent in Korean elderly within normal limits of obese indices. Therefore the upper body fat indices reflected in the aged whose muscle mass is replaced by fat must be used as an indicator of CVD risk together with BMI. Although WHR was the worst index based on partial correlation analysis and so located between BMI and WC in ROC curve analysis in both sexes, it need to be use with WC to screen the cardiovascular risk group.

Hand & rotary root canal instrument의 근관내 삭제 형태에 관한 전자현미경적 비교 (SEM EVALUATION OF THE PREPARED ROOT CANALS BY HAND AND Ni-Ti ROTARY ROOT CANAL INSTRUMENTS)

  • 오태석;박정원
    • Restorative Dentistry and Endodontics
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    • 제23권1호
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    • pp.477-486
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    • 1998
  • Recently the development of rotary instrument makes it possible that in root canal treatment operator saves much more time, maintans original curved canal shape and easily prepares continuous tapered root canal. The purpose of this experiment was to examine the smoothness of the internal surface of prepared root canal and the effectiveness of debridement in prepared root canal by SEM for the comparison of hand and Ni-Ti rotary instrument. 25 extracted human teeth were access opened and # 10 K-type file was introduced into canal until it was appeared at the apical foramen. The working length was established by subtracting 0.5mm from this measurement. Group 1. The root canal preparation was done to # 30 with working length and then step-back until # 45 with K-Flexofile (Maillefer, Swiss). Group 2. Root canal preparation was done by Naviflex Ni-Ti file (Brasseler, USA) as the same technique with group 1. Group 3. Canal was prepared by Profile .04 (Maillefer, Swiss) taper until #30. Group 4. With use of Quantec (Tycom, USA) root canal was prepared from file number 1 to 8. In group 1 and 2, the root canal irrigant was NaOCl and the other groups, NaOCl and RC-prep (Premine Dental Products, USA) was used. The prepared teeth were notched with high-speed bur as bucco-lingual direction and fractured with chisel and mallet, then examined with SEM. Group 1 showed smooth internal surface. There were scratches mainly to the axial direction. Group 2 showed similar characteristics to those in group 1. Group 3 showed more smoother and linear cutting surface with bised scratches. Group 4 has the almost same characteristics group 3 and there was no difference in the file design. Ni-Ti rotary root canal instrument prepare the dentinal wall more smoother than hand instrument. The effectiveness of debridement was not fully affected by file design. The isthmus area and accessory canals of the root canal system were not prepared in any group. According to the result, hand and rotary type instrumentation techniques were effective in removal of major amount of tissue from root canal but it was not complete. In the direction of cutting movement there was difference between them.

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rh-BMP-4가 재식치아 치주조직의 재생에 관한 연구 (THE STUDY ON PERIODONTAL REGENERATION OF REPLANTED TEETH FOLLOWING THE APPLICATION OF RH-BMP-4)

  • 이세준;최경규;박상진;최호영;최기운
    • Restorative Dentistry and Endodontics
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    • 제25권2호
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    • pp.170-179
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    • 2000
  • The rh-BMP-4 is a subgroup of TGF-${\beta}$ superfamily. The application of rh-BMP in alveolar bony defect was reported to new alveolar bone and new cementum formation. For minimized complications following tooth replantation, a operator must replant a tooth fast at the pertinent position. This study was to evaluate the effect of rh-BMP-4 on periodontal regeneration and root resorption following tooth replantation in rats. The 50 Sprague-Dawley rats weighting about 130gm were used in this study. The animals were divided into three groups. Group 1 ; immediate replantation after extraction : Group 2 ; replantation stored teeth extraction of first molar, the removal of periodontal ligament with collagenase, and etching with citric acid : Group 3 ; replantation stored teeth with treated rh-BMP-4 in mesial root. Experimental animals were sacrificed 3, 7, 14 days after replantation by heart infusion. The maxillae were removed, fixed, demineralized, dehydrated, infiltrated and embedded with JB-4 mixture. For light microscopic observation, 5 micron sections were cut and stained with toluidine blue. The results of this study were as follows : 1. After experimental 3 days, all groups were observed dead space between periodontum and root. 2. After experimental 7 days, group 1 and group 3 were observed filling periodontal fibers between alveolar bone and root but group 2 were not. 3. After experimental 7 days, group 3 were observed appearance of attached cementoblast like cell on root surface. Group 1 were observed regular arrangement of fibroblasts and collagen fibers at ${\times}400$ observation. 4. After experimental 14 days, all group were observed filling periodontal fibers between alveolar bone and root. Group 1 were observed normal arrangement of periodontal fibers. Group 3 were observed less abnormal arrangement of periodontal fibers. Group 2 were not observed functional normal arrangement of periodontal fibers. 5. After experimental 14 days, group 2 and 3 were observed several root resorption and irregular root surface but group 1 were not. These results suggest that the rh-BMP-4 can stimulate cementogenesis and enhance to attach collagen fibers.

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Total Deformity Angular Ratio as a Risk Factor for Complications after Posterior Vertebral Column Resection Surgery

  • Lee, Byoung Hun;Hyun, Seung-Jae;Han, Sanghyun;Jeon, Se-Il;Kim, Ki-Jeong;Jahng, Tae-Ahn;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • 제61권6호
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    • pp.723-730
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    • 2018
  • Objective : The aim of the present study was to identify whether the deformity angular ratio (DAR) influences the occurrence of complications after posterior vertebral column resection (PVCR) and to establish the DAR cut-off value. Methods : Thirty-six consecutive patients undergoing PVCR from December 2010 to October 2016 were reviewed. The relationships between the total, sagittal, and coronal DAR and complications were assessed using receiver operator characteristics curves. The patients were divided into two groups according to a reference value based on the cut-off value of DAR. Demographic, surgical, radiological, and clinical outcomes were compared between the groups. Results : There were no significant differences in the patient demographic and surgical data between the groups. The cut-off values for the total DAR (T-DAR) and the sagittal DAR (S-DAR) were 20.2 and 16.4, respectively (p=0.018 and 0.010). Both values were significantly associated with complications (p=0.016 and 0.005). In the higher T-DAR group, total complications (12 vs. 21, p=0.042) and late-onset complications (3 vs. 9, p=0.036) were significantly correlated with the T-DAR. The number of patients experiencing complications (9 vs. 11, p=0.029) and the total number of complications (13 vs. 20, p=0.015) were significantly correlated with the S-DAR. Worsening intraoperative neurophysiologic monitoring was more frequent in the higher T-DAR group (2 vs. 4) than in the higher S-DAR group (3 vs. 3). There was no difference in neurological deterioration between the groups after surgery. Conclusion : Both the T-DAR and the S-DAR are risk factors for complications after PVCR. Those who had a T-DAR >20.2 or S-DAR >16.4 experienced a higher rate of complications after PVCR.

빅데이터 분석을 활용한 실험계획법 기반의 코팅제 배합비율 최적화 모형 (Optimization Model for the Mixing Ratio of Coatings Based on the Design of Experiments Using Big Data Analysis)

  • 노성여;김영진
    • 정보처리학회논문지:컴퓨터 및 통신 시스템
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    • 제3권10호
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    • pp.383-392
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    • 2014
  • 코팅제에 대한 연구는 고분자 산업에서 가장 보편화되고 활발하게 연구되고 있는 내용의 하나이다. 코팅제는 전자산업, 의료, 광학 분야 등에서 중요성이 더욱 커지고 있으며, 특히 자동차 및 전자부품의 첨단화에 힘입어 코팅제에 대한 성능과 정밀도 등 기술적인 요구사항이 증가하고 있는 추세이다. 또한 방대한 환경 정보와 상황 정보를 기반으로 한 사물 인터넷과 빅데이터 분석 기술의 도입을 통해 산업 현장에서는 더욱 지능화되고 자동화된 시스템과 처리 기술의 필요성이 높아지고 있다. 이에 본 논문에서는 사물 인터넷 기술과 빅데이터 분석을 활용한 실험계획법 기반의 코팅제 배합 데이터에 대한 최적화 모형을 제안한다. 본 논문에서는 실제 생산현장에서 사용하는 코팅제 배합 기준 데이터와 발생한 오차에 대하여 작업자가 수정한 보정 결과 데이터를 실험계획법을 기반으로 분석하여 최적의 코팅제 배합 기준 데이터를 계산하였다. 또한 빅데이터 분석 기술과 사물 인터넷 기술을 활용하여 기존의 코팅제 배합 기준 데이터만을 적용한 공정이 아니라 제조 환경 정보와 상황 정보를 이용하여 색상과 품질 유지에 가장 중요한 인자를 검색하고 기준값을 보정하는 최적화 모형을 도출하였다. 실험 및 분석을 통해 확보된 기준 데이터는 제조 공정에 적용할 경우 배합의 정확도 향상과 LOT별 작업시간 단축을 가능하게 해주고, 건당 처리시간의 감소로 인한 생산 납품시간 단축, 불량률 감소 등에 따른 원가 절감에 기여할 수 있다. 또한, 다양한 모델링에 대한 제조 공정에서의 표준 데이터를 획득할 수 있다.

Speed-Power Performance Analysis of an Existing 8,600 TEU Container Ship using SPA(Ship Performance Analysis) Program and Discussion on Wind-Resistance Coefficients

  • Shin, Myung-Soo;Ki, Min Suk;Park, Beom Jin;Lee, Gyeong Joong;Lee, Yeong Yeon;Kim, Yeongseon;Lee, Sang Bong
    • 한국해양공학회지
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    • 제34권5호
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    • pp.294-303
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    • 2020
  • This study discusses data collection, calculation of wind and wave-induced resistance, and speed-power analysis of an 8,600 TEU container ship. Data acquisition system of the ship operator was improved to obtain the data necessary for the analysis, which was accomplished using SPA (Ship Performance Analysis, Park et al., 2019) in conformation with ISO15016:2015. From a previous operation profile of the container, the standard operating conditions of mean draft were 12.5 m and 13.6 m, which were defined with the mean stowage configuration of each condition. Model tests, including the load-variation test, were conducted to validate new ship performance and for the speed-power analysis. The major part of the added resistance of container ship is due to the wind. To check the reliability of wind-resistance calculation results, the resistance coefficients, added resistance, and speed-power analysis results using the Fujiwara regression formula (ISO15016:2015) and Computational fluid dynamics (Ryu et al., 2016; Jeon et al., 2017) analysis were compared. Wind speed and direction measured using an anemometer were used for wind-resistance calculation and the wave resistance was calculated using the wave-height and direction-data from weather information. Also, measured water temperature was used to calculate the increase in resistance owing to the deviation in water density. As a result, the SPA analysis using measured data and weather information was proved to be valid and able to identify the ship's resistance propulsion performance. Even with little difference in the air-resistance coefficient value, both methods provide sufficient accuracy for speed-power analysis. The differences were unnoticeable when the speed-power analysis results using each method were compared. Also, speed-power analysis results of the 8,600 TEU container ship in two draft conditions show acceptable trends when compared with the model test results and are also able to show power increase owing to hull fouling and aging. Thus, results of speed-power analysis of the existing 8,600 TEU container ship using the SPA program appropriately exhibit the characteristics of speed-power performance in deal conditions.

Carved Merocel®을 이용한 비골골절의 고정 (Fixation of Nasal Bone Fracture with Carved Merocel®)

  • 공정식;정재아;강소라;김양우;전영우
    • 대한두개안면성형외과학회지
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    • 제12권2호
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    • pp.93-96
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    • 2011
  • Purpose: In most cases of nasal bone fracture, closed reduction with internal or external splint fixation approach is selected. However, because of indiscriminate insertion of the internal splint without considering of anatomical difference or deformity, insufficient fixation happens frequently that need additional fixation. Therefore, we suggest a new method for providing adequate support in reduced nasal bone by carving $Merocel^{(R)}$ that is fixed for the anatomical structure. Method: Closed reduction and internal fixation with carved $Merocel^{(R)}$ was performed in 15 nasal bone fracture patients from March, 2010 to July, 2010. Each patient was evaluated by physical examination, facial photographic check, simple X-ray, and computerized tomography. On the first day post-operation, location of packing and amount of reduction were checked by follow up X-ray and computerized tomography. In addition, patients' symptoms were evaluated. During the 3-month post-op follow up at out-patient clinic, operator, 2 doctors in training and one assistant performed the objective evaluations by physical examination on nasal dorsal hump, nasal deviation, nasal depression, nasal breath difficulty, and nasal airway obstruction. A survey of subjective patients' satisfaction in 4-stages was also performed. Results: The results of follow-up computerized tomography of the 15 patients revealed that 11 patients had good reduced state. Three patients with combined maxillary frontal process fracture had over reductions. A survey performed on the first day post-operation showed that 14 of 15 patients answered that their current symptoms were more than tolerable. At the 3-month follow-up physical exam, one case had a dorsal hump. However, there were no nasal deviations, nasal depressions, nasal breath difficulties, or nasal airway obstructions. Twelve of the 15 patients answered more than moderate on the 3-month survey. Conclusion: Intranasal packing after carving the $Merocel^{(R)}$ considering anatomical structure is a new effective method to promote proper-reduction, maintain stability, and minimize patients' symptoms by addition of a simple procedure.

버스 노선망 설계를 위한 평가모형 개발 (Develpment of Analysis and Evaluation Model for a bus Transit Route Network Design)

  • 한종학;이승재;김종형
    • 대한교통학회지
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    • 제23권2호
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    • pp.161-172
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    • 2005
  • 본 연구에서는 버스 노선망 설계 과정에서 다양한 평가지표의 정략적 산출이 가능하고 관련 주체들의 입장과 시각을 반영할 수 있는 버스 노선체계 평가모형(BTRAEM: Bus Transit Route Analysis & Evaluation Model)을 개발하였다. 우리나라 대도시 버스 노선망의 서비스 수준을 평가하고 노선체계를 새롭게 정비하는데 있어 가장 큰 문제점은 평가지표를 정량화 할 수 있는 자료기반의 미흡과 노선망 분석체계 알고리즘의 한계로 계획가의 직관이나 경험에 의존하거나 교통수요분석 프로그램(EMME/2)에 기반하여 평가지표를 산출하여 노선망을 평가하고 있다는 것이다. 이러한 배경 하에서 이 연구에서는 평가모형의 정립을 위해서 국외의 버스 노선망 평가모형의 개발추이를 검토하고, 평가모형에 적용할 번스 노선망 설계 문제의 목적함수와 제약조선을 정의하였다. 또한 평가모형의 구동을 위해서 요구되는 입${\cdot}$출력자료구조와 정량화된 평가지표자료를 구축하였다. 마지막으로 버스 이용자들의 대중교통 노선 선택 및 통행배분모형을 평가모형내에 반영하였다. Visual-C++로 구현된 버스 노선망 평가모형을 Mandl's Transit Network에 적용한 결과, 노선망 구조의 성능을 특징짓는 변수들에 대한 의미있는 결과값이 도출되었다. 향후 이 연구에서 개발된 버스 노선망 평가모형은 다양한 버스 노선망 대안에 대해서 관련 이해당사자들의 입장과 시각을 균형 있게 반영할 수 있고 다양한 목표를 조화시킬 수 있는 평가가 가능하리라 기대된다.

디지털 복제로 만든 맞춤형 인공치로 제작한 임시의치와 임플란트 수술용 템플릿을 통한 임플란트 지지형 고정성 보철 수복 증례 (Rehabilitation with implant-supported fixed dental prostheses using digital duplication technique on customized artificial tooth, interim denture and implant surgical template: A case report)

  • 정대길;오경철;심준성;박지만
    • 대한치과보철학회지
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    • 제57권4호
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    • pp.397-404
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    • 2019
  • 성공적인 임플란트 치료를 위해서는 식립부위의 골조직 및 연조직 상태(condition)도 중요하지만 식립 위치 또한 매우 중요하다. 잘못된 위치에 식립된 임플란트는 생물학적, 심미적, 기계적 문제점을 야기하게 된다. 올바른 위치에 임플란트를 식립하기 위해서는 최종 보철물을 고려해야 하며 이를 위해서는 진단 왁스업 과정이 필요하다. 발치 후 사용 할 임시 의치의 인공치를 진단 왁스업 형태대로 제작하면 구강내에서 진단 왁스업 형태를 평가해 볼 수 있으며, 잘 적응된 임시 의치를 복제해 제작한 임플란트 수술용 템플릿으로 계획된 위치에 임플란트를 식립하는 것이 가능하다. 본 증례에서는 진단 왁스업을 디지털 복제하여 의치용 인공치를 맞춤형으로 제작하였고, 이를 이용해 임시 의치를 제작하였다. 충분한 적응 기간을 거친 후 임시 의치를 복제하여 임플란트 수술용 템플릿을 제작한 다음, 이를 활용하여 계획된 위치에 임플란트를 식립하였다. 골유착을 위한 충분한 치유기간을 가진 다음 진단 왁스업 형태가 반영된 임플란트 지지형 고정성 보철물을 제작하였다. 최종 보철물 장착 후 6개월간의 경과 관찰 기간 동안 심미적, 기능적으로 만족할 만한 치료 결과를 보였기에 이를 보고하고자 한다.

정기용선선박의 선속 및 연료사용 유지의무 위반에 관한 분쟁사례 연구 - 벌크선을 중심으로 - (The Case Study of the Violation of Speed and Bunker Consumption Rate at the Time Chartered Vessel - Focused on the Bulk Carriers -)

  • 김동열;송영수
    • 한국항만경제학회지
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    • 제25권2호
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    • pp.231-246
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    • 2009
  • 정기용선(Time Charter)은 운항선사가 자본력이 약하거나, 일시적으로 선복이 부족할 경우, 일정기간 타선사의 선박을 빌려 운항하려 할 때 이용되는 방식이다. 정기용선기간 동안 용선주의 선박운항에 따른 이익관계는 선속유지 및 연료유 사용량에 크게 의존하고 있고, 이에 대한 분쟁이 발생하게 됨을 볼 수 있다. 분쟁의 주요 원인은 용선계약서상에 선속 및 연료유 사용에 대한 제약 조항인 약(about), 좋은 날씨(good weather), 조용한 바다(smooth water), 대양해류(ocean current), 특정된 선속 및 연료유 사용에 대해 담보하지 않은 경우(without guarantee) 등이 있다. 판례와 중재판정에서는 좋은 날씨(good weather)를 풍력계급표(Beaufort Scale)상 4라 하였으며, 이 때 너울의 높이는 1.25m 이내로 정의하고 있다. 해류는 역조의 영향을 배제한다는 조항(No Adverse Current)이 있다면 좋은 날씨에 항해를 했다하더라도 역조구간은 제외되어야 한다. 정기용선계약서에서 사용되는 약(about)은 선속에 대하여는 특정된 선속에 0.5kt의 감속과 연료유 사용량에서는 5%의 증감을 적용한다고 했다. 부담보(Without Guarantee)의 경우 선주는 계약의 신의성실의 원칙에 의해 면책특권을 향유할 수 있지만, 재용선을 줄 때는 특권을 향유할 수 없다는 것이 일반적이다. 용선된 선박의 선속 저하로 발생한 시간손실과 절감된 연료유와 상계는 영국법상 정기용선계약서에 특정하지 않을 경우 원칙적으로 인정을 하고 있다. 좋은 기상에 대한 기상회사의 항해분석 보고서와 항해일지가 일치하지 않을 경우에는 정기용선계약서에 항해일지가 우선한다는 특정이 없을 경우 기상회사의 보고서가 우선하여 적용되며, 정당한 사유가 없는 한 선주의 대리인인 선장은 단거리 항로를 항해해야할 의무가 있다는 것이 Hill Harmony 판례로 확인되었다. 정기용선계약서상에 사용하는 이들 문구나 조항의 정의를 명확히 정의하고 명기하여야 분쟁을 예방할 수 있다.

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