• Clinical Endoscopy
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• 제55권3호
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• pp.332-338
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• 2022

Continuous measurement of quality indicators (QIs) should be a routine part of colonoscopy, as a wide variation still exists in the performance and quality levels of colonoscopy in Korea. Among the many QIs of colonoscopy, the adenoma detection rate, average withdrawal time, bowel preparation adequacy, and cecal intubation rate should be monitored in daily clinical practice to improve the quality of the procedure. The adenoma detection rate is the best indicator of the quality of colonoscopy; however, it has many limitations for universal use in daily practice. With the development of natural language processing, the adenoma detection rate is expected to become more effective and useful. It is important that colonoscopists do not strictly and mechanically maintain an average withdrawal time of 6 minutes but instead perform careful colonoscopy to maximally expose the colonic mucosa with a withdrawal time of at least 6 minutes. To achieve adequate bowel preparation, documentation of bowel preparation with the Boston Bowel Preparation Scale (BBPS) should be a routine part of colonoscopy. When colonoscopists routinely followed the bowel preparation protocols, ≥85% of outpatient screening colonoscopies had a BBPS score of ≥6. In addition, the cecal intubation rate should be ≥95% of all screening colonoscopies. The first step in improving colonoscopy quality in Korea is to apply these key performance measurements in clinical practice.

• Journal of Preventive Medicine and Public Health
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• 제28권3호
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• pp.563-575
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• 1995

In order to investigate the prevalence and the factors related to the depression and burnout among private practice physicians, a SDS(self-rating depression scale) and MBI(Maslach burnout inventory) -based questionnaire study was performed on 344 private practice physicians in Kwangju and Chonnam area. The results were summarized as follows. 1. Mean SDS score was 38.3 in total subjects and the prevalence rate of depression was 48.8%. As for the frequency order of the items of the SDS, decreased libido, diurnal variation and hopelessness were relatively high, and suicidal rumination, constipation and agitation were noted low. 2. Noticeable factors related with depression were smoking, coffee use, sleeping time and satisfaction with income. 3. As a result a factor analysis with the MBI data, five factors named as emotional exhaustion, depersonalization, personal accomplishment, involvement and self-interest were extracted. Statistical analysis of the data demonstrated that 48.8% of the physician sample reported high scores on emotional exhaustion, and 45.3% scored high on depersonalization. Personal accomplishment scores remained high with 45.3% reporting high personal accomplishment. 4. Variables related to the burnout were age, sleeping time, family size religion, medical speciality, duration of practice setting, visiting patient number, closing day per month and job satisfaction. 5. In the relationship with depression, burnout was closely related to depression. Above results showed that the high percentage of private practice physicians experiencing depression and burnout suggests the need for further research to establish trends, to identify causal factors, and to develop avenues to reduce stress.

• Structural Engineering and Mechanics
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• 제39권5호
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• pp.643-659
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• 2011

The design of box girders requires the determinations the buckling stress of the flange and the webs. Existing design equations available in codes of practice ignore the interactions between the box girder components. The paper illustrates the influence of the geometric interaction on the buckling stress of box girders. Generalized equations are first derived in terms of the web the flange geometric properties. Industrial examples are then presented showing the variation of the flange buckling stress for various stiffening configurations. The influence of the flange/web proportions on the buckling stress of box girder components is also highlighted. It is shown that buckling strength of the flange is largely affected by the restraints imposed by the webs or attached diaphragms. Graphs are presented showing various limiting states of box girders. These graphs are useful to use in practice in order to achieve economical and efficient design of box girders and rationally predict local buckling stress.

• 산업공학
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• 제9권2호
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• pp.219-229
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• 1996

Most studies on the operation policy for AS/RS concluded that the class-based storage policy has better performance than random storage policy does. However ASRS performances are examined only with the assumption of fixed production quantity in the studies. It is true that production quantity of each item changes frequently in practice. If an ASRS keeps the current storage policy regardless of production quantity variation, the performance of present storage policy will be worse. The effect of production quantity variation per product between 10 and 80% with random storage policy and class-based storage policy with reassignment and relocation are studied. The results are compared with both of the randomized and class-based storage policies without reassignment nor relocation cases. A typical ASRS system is developed using GPSS/PC for operation policy evaluation purposes.

• 한국자동차공학회논문집
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• 제11권1호
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• pp.179-184
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• 2003

It has been recognized that the compressibility of hydraulic fluid, which is characterized by the value of its bulk modulus, heavily affects on the system behavior and performance. In practice, the value of the oil bulk modulus varies by the operational and structural characteristics of the hydraulic system. This study presents the theoretical derivation of the effective bulk modulus and describes an experimental impulse technique that allows accurate measurement of oil effective bulk modulus with pressure variation in a hydraulic system. Experimental and analytical results show that the value of the effective bulk modulus varies a lot in low pressure region by the effect of entrained air, while the effective bulk modulus can be estimated just using the oil and container bulk modulus on the other high pressure region.

• Structural Engineering and Mechanics
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• 제23권3호
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• pp.233-247
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• 2006

Most codes of practice state that for large in-plane structures it is necessary to account for the spatial variability of earthquake ground motion. There are essentially three effects that contribute for this variation: (i) wave passage effect, due to finite propagation velocity; (ii) incoherence effect, due to differences in superposition of waves; and (iii) the local site amplification due to spatial variation in geological conditions. This paper discusses the procedures to be undertaken in the time domain analysis of a cable-stayed bridge under spatial variability of earthquake ground motion. The artificial synthesis of correlated displacements series that simulate the earthquake load is discussed first. Next, it is described the 3D model of the International Guadiana Bridge used for running tests with seismic analysis. A comparison of the effects produced by seismic waves with different apparent propagation velocities and different geological conditions is undertaken. The results in this study show that the differences between the analysis with and without spatial variability of earthquake ground motion can be important for some displacements and internal forces, especially those influenced by symmetric modes.

• 전자공학회논문지D
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• 제35D권4호
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• pp.47-52
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• 1998

As to power combining system, it is very important to achieve a high combining efficiency in order to minimize theamount of prime power needed and hence the cooling requirements, all of which translate into reduced cost. The combining efficiency is degraded in practice by variation in the amplitude and phase of the signals to be combined. In this paper, the new power combining newtork is proposed and realized which has the automatic gain and phase control system. This control system makes amplituede and phase variation of its all path equal. When the amplitude and phase variations are within 0~5dB and .+-.50.deg., the results show that high combining efficiency is maintained.

• 대한기계학회논문집A
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• 제28권7호
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• pp.970-976
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• 2004

For a long time, design methodologies strive to systematize the design process in order to make the practice more efficient and effective. One of such methodologies is Axiomatic Design. However, this design theory still has some problems and is not completely settled. In this paper, the new issue for the non-linear design in Axiomatic Design is suggested and the representation of system architecture by flow chart is corrected. In the case that the design equation varies as a function of the variation of DP ($\delta$DP), the design should be regarded as the nonlinear design because the design equation is not a constant. When system architectures are represented by a flow chart, all systems could not be independently represented. However, by adding the notation of the end of decoupling to the notations using in flow chart, those can be independently represented.

• 한국수학사학회지
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• 제27권3호
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• pp.233-253
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• 2014

In this study, the kindergarten teachers and elementary school teachers were surveyed to see the level relevance of the kindergarten and primary school curriculums. As a result, first, the kindergarten curriculum was generally appeared appropriate to the level of kindergarten students. However, in practice, a significant amount of the first grade curriculum were taught in the kindergarten. Second, the variation of mathematical abilities among the begining students was very large, and this variation also affected the students' achievements. Third, both kindergarten teachers and elementary school teachers wished for adjustments of the level of mathematics curriculum.

• 한국자동차공학회논문집
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• 제23권4호
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• pp.361-370
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• 2015

There will inevitably be errors and uncertainties in tire yaw mark related critical speed formula, which is derived merely from the relationship between the centrifugal force and the friction force acting on the point-mass vehicle. Constructing and measuring yaw marks through appropriate simulation works have made it possible to perform uncertainty analysis in calculation of critical speeds under variation of variety of conditions and parameters while existing yaw mark experimental tests have not performed properly. This paper does not present only the critical speed analysis results for parametric sensitivity and uncertainty of chord and middle ordinate, coefficient of friction and road grade, but also modeling uncertainty such as variation of braking level during turning and vehicle size. The yaw mark analysis methods and results may be now applied in practice of traffic accident investigation.