• 제목/요약/키워드: Approach

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한국 성인에서 정중접근법과 측면접근법에 의한 요부 척추천자시 전굴 자세에 따른 성공률의 비교 (The Difference of Success Rate between the Midline Approach and the Paramedian Approach of Spinal Anesthesia in each of Flexed Patients and Straightened Patients)

  • 조명현;이종선
    • The Korean Journal of Pain
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    • 제9권1호
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    • pp.126-129
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    • 1996
  • Background: Advantages of paramedian approach over midline approach include less tissue trauma and less dependence on patient's ability to assume a fetal position. When midline approach fails in patients who are difficult to take a position with lumbar spine flexed, paramedian approach to interlaminar space may succeed. Methods: Success rates of spinal anesthesia were measured for 47 flexed patients by midline approach, 48 flexed patients by paramedian approach, 23 straightened patients receiving spinal anesthesia by midline approach, and 23 straightened patients by paramedian approach. Results: Success rates in flexed patients were 100% by midline approach and 100% by paramedian approach. Success rates for straightened patients were 13.0% by midline approach and 78.3% by paramedian approach. For straightened patients there were no correlations between success fate and age, weight, Ponderal Index but there were correlations between height and midline approach of spinal anesthesia. Conclusion: Pertaining to adult Koreans, success rates of spinal anesthesia for strainghtened patients were less than those for flexed patients. Success rate of paramedian approach of spinal anesthesia among strainghtened patients were better than those of midline approach.

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The Abdominal Approach for Epiphrenic Esophageal Diverticulum as an Alternative to the Thoracic Approach

  • Kim, Shin;Cho, Jong Ho
    • Journal of Chest Surgery
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    • 제52권4호
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    • pp.227-231
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    • 2019
  • Background: There is no established surgical procedure for the treatment of epiphrenic esophageal diverticulum. The aim of this study was to compare the clinical outcomes of esophageal diverticulectomy using abdominal and thoracic approaches. Methods: We retrospectively reviewed 30 patients who underwent esophageal diverticulectomy through the thoracic or abdominal approach for an epiphrenic diverticulum at a single center between 1996 and 2018. We compared clinical outcomes, including the postoperative length of stay, time from the operation to oral feeding, leakage rate, and reoperation rate between the 2 groups. Results: The median age was 56 years. Of the 30 patients, 18 (60%) underwent diverticulectomy via the thoracic approach and 12 (40%) underwent the abdominal approach. The median hospital stay was 10 days (range, 5-211 days) in the thoracic approach group and 9.5 days (range, 5-18 days) in the abdominal approach group. The median time from the operation until oral feeding was 6.5 days (range, 3-299 days) when the thoracic approach was used and 5 days (range, 1-11 days) when the abdominal approach was used. In the thoracic approach group, the leakage rate was 16.67% and the reoperation rate was 27.78%. However, there were no cases of leakage or reoperation in the abdominal approach group. Conclusion: The abdominal approach for esophageal diverticulectomy is a feasible and appropriate alternative to the thoracic approach.

구문분석과 기계학습 기반 하이브리드 텍스트 논조 자동분석 (Hybrid Approach to Sentiment Analysis based on Syntactic Analysis and Machine Learning)

  • 홍문표;신미영;박신혜;이형민
    • 한국언어정보학회지:언어와정보
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    • 제14권2호
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    • pp.159-181
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    • 2010
  • This paper presents a hybrid approach to the sentiment analysis of online texts. The sentiment of a text refers to the feelings that the author of a text has towards a certain topic. Many existing approaches employ either a pattern-based approach or a machine learning based approach. The former shows relatively high precision in classifying the sentiments, but suffers from the data sparseness problem, i.e. the lack of patterns. The latter approach shows relatively lower precision, but 100% recall. The approach presented in the current work adopts the merits of both approaches. It combines the pattern-based approach with the machine learning based approach, so that the relatively high precision and high recall can be maintained. Our experiment shows that the hybrid approach improves the F-measure score for more than 50% in comparison with the pattern-based approach and for around 1% comparing with the machine learning based approach. The numerical improvement from the machine learning based approach might not seem to be quite encouraging, but the fact that in the current approach not only the sentiment or the polarity information of sentences but also the additional information such as target of sentiments can be classified makes the current approach promising.

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중앙 두개기저부를 광범위하게 침범한 비인강 혈관섬유종의 수술적 접근법 :상악비골회전술 (A Surgical Approach for Large Nasopharyngeal Angiofibroma Invading the Central Skull Base : Naso-maxillary Swing Approach)

  • 윤주헌;이원상
    • 대한두경부종양학회지
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    • 제10권2호
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    • pp.137-144
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    • 1994
  • To provide the wide and satisfactory surgical field is essential requirement for en-bloc resection of nasopharyngeal angiofibroma invading central skull base. The new design of the surgical approach to the skull base lesions was developed and described the details of this technique and its usefullness. We compared the usefullness of naso-maxillary approach to that of infratemporal fossa approach in cases of angiofibroma invading skull base. Our experience indicates that the naso-maxillary swing approach is better than lateral approach for the large nasopharyngeal angiofibroma. A new approach. naso-maxillary swing approach. is described.

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무형자산 평가 기법에 관한 연구 (A Study on Evaluation Methodology of Intangible Assets)

  • 황영섭;임영문
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2008년도 춘계학술대회
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    • pp.47-51
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    • 2008
  • Recently, the development of technology has been rapidly proceeding with information technology in various fields. Due to their abstract properties, proper evaluation of intangible assets is very difficult compared to evaluation of tangible assets. Intangible assets are knowledge, technology, and design etc. In general there are two approaches to evaluate the intangible assets such as qualitative and quantitative approach. The qualitative approach contains scoring approach, profile approach, checklist approach, and quantitative approach. Quantitative approach contains cost approach, market approach, income approach, and real-option approach. As an initial step for evaluation of safe work environments, this study compares and analyzes evaluation methods of intangible assets.

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Transmasseteric antero-parotid facelift approach for open reduction and internal fixation of condylar fractures

  • Choi, Moon-Gi
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제41권3호
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    • pp.149-155
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    • 2015
  • Surgical approaches to the condylar fracture include intraoral, preauricular, submandibular, and retromandibular approaches. Each approach has its own advantages and disadvantages. When a patient needs esthetic results and an intraoral approach is not feasible, the transmasseteric antero-parotid facelift approach is considered. This approach permits direct exposure and allow the surgeon to fixate the fractured unit tangentially. Tangential fixation is critical to osteosynthesis. Disadvantages of the transmasseteric antero-parotid facelift approach include damage to the facial nerve and a longer operation time. However, after the initial learning curve, facial nerve damage can be avoided and operation time may decrease. We report three cases of subcondylar fractures that were treated with a transmasseteric antero-parotid facelift approach. Among these, two cases had trivial complications that were easily overcome. Instead of dissecting through the parotid gland parenchyma, the transmasseteric antero-parotid facelift approach uses transmasseteric dissection and reduces facial nerve damage more than the retromandibular transparotid approach. The esthetic result is superior to that of other approaches.

노인주거 연구의 접근방법과 쟁점 (Approaches and Issues on the Research about Housing for the Elderly)

  • 지은영;홍형옥
    • 가정과삶의질연구
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    • 제20권5호
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    • pp.137-147
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    • 2002
  • Purpose of this study is to find the research direction to solve the housing problems for the elderly which based on approaches and issues in related studies. Research method was interpretative analysis of the articles issued from 1976 to 2002. Each approach (rationalistic approach, ecological approach, micro-sociological approach, typological approach, environment-psychological approach, welfare approach) produced helpful information and had relative merits. But the researchers must regard housing for the elderly as a social problem in macroscopic view to solve the housing problems for older people with welfare approach. As a result, to solve the housing problems with welfare approach for the elderly who live in their own place with community care, studies about lifetime home, care and repair, and management of housing for the elderly might be needed. And research about existing services, transfer system of services, financial problems, man power to manage the system might be needed to spread out the services to the middle class elderly.

Experiences of Bifrontal Interhemispheric Approach in Craniopharyngioma Surgery

  • Bae, Jung-Sik;Yang, Seung-Ho;Jeun, Sin-Soo;Park, Chun-Kun;Kang, Joon-Ki;Hong, Yong-Kil
    • Journal of Korean Neurosurgical Society
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    • 제40권1호
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    • pp.6-10
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    • 2006
  • Objective : The purpose of this study is to evaluate the surgical outcomes of bifrontal interhemispheric[BIH] approach and compare them to those of the pterional approach for the treatment of craniopharyngioma. Methods : Seventeen patients had their first operation for the resection of craniopharyngiomas between 2000 and 2004 at our medical center. Eleven patients who had the pterional approach and 6 with the BIH approach were enrolled. The age range at the time of surgery was 5 to 80 years [mean age 35.6 years old]. The presenting symptoms were visual disturbance increased intracranial pressure in 5 patients. Results : The tumors were totally removed in 3 [27 %] and subtotally in 8 [73 %] patients with the pterional approach. Total tumor removal was achieved in 5 out of 6 [83%] patients by the BIH approach, except improved in 4 [36 %] patients treated with the pterional approach and in all patients treated by the BIH approach. Conclusion : The BIH approach for craniopharyngioma surgery may be an effective and safe approach for tumors that extend outside of the sellar-suprasellar region with acceptable outcomes.

농업분야 국제개발협력 우량사업 발굴을 위한 접근법 연구 (A Study on the Approach Method for the Excavation of the Outstanding Projects in the Agricultural Sector)

  • 지성태
    • 농촌지도와개발
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    • 제21권3호
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    • pp.181-213
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    • 2014
  • 본 연구는 최근 우리나라 ODA의 양적 성장이 이루어지고 있는 가운데 농업분야 ODA 질적 제고를 위해 우량사업 발굴을 위한 접근법에 대해 분석하였다. 이 분석은 국제사회의 ODA 발전 패러다임, 우리나라 ODA 발전 방향 및 농업분야 ODA 사업 발굴에 있어서의 구조 절차 내용상의 문제점을 기초로 이루어졌다. 분석 결과 전략에 근거한 접근(Strategy Approach), 비교우위에 기초한 접근(Comparative Advantage Approach), 파트너십에 기초한 접근(Partnership Approach), 공여주체간 협의에 기초한 접근(Networking Approach), 모델화 접근(Modeling Approach) 등 5가지 접근법이 도출되었다. 각각의 접근법이 유기적으로 연계되어 적용될 경우 우량사업 발굴 가능성이 더욱 높아지고, 결국에는 사업의 효과성 제고로 이어질 것이다. 본고에서는 이러한 접근법을 적용하여 맞춤형 ODA 사업을 발굴한 KAPEX 프로그램 사례를 소개하였다.

동시개발 방법을 적용한 단일화된 프로세스 (Applying The Concurrent Development Approach To Unified Process)

  • 최명복;이상운
    • 한국인터넷방송통신학회논문지
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    • 제12권4호
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    • pp.119-130
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    • 2012
  • 최근 들어 소프트웨어 시스템은 점차적으로 복잡해지고 있으며, 고객(customer)은 보다 빠른 개발을 요구하고 있다. 전통적인(traditional) 순차적 접근법 (Sequential Approach)으로는 이러한 압력에 효과적으로 대처할 수 없어 대안으로 반복적 접근법 (Iterative Approach)이 적용되고 있다. 대표적인 반복적 접근법으로는 래쇼날의 단일화된 프로세스 (Rational Unified Process, RUP)가 있다. 그러나 RUP의 표준화된 수행방법은 단계, 반복과 활동들을 모두 순차적으로 수행하는 형태이다. 그 결과, 하나의 반복에서 수행된 하나의 활동은 다음 반복의 해당 활동이 수행될 때까지 기다려야 하는 인력낭비 현상이 발생한다. RUP를 수행하는 방법으로는 선형 접근법, 순차적 접근법, 중첩된 반복 접근법과 Time-boxed 반복 접근법이 제안되었다. 그러나 이들 방법은 인력낭비 현상 또는 적용시 프로젝트 관리의 어려움이라는 문제점을 갖고 있다. 본 논문은 활동들을 동시에 수행하는 방법을 제안하였다. 동시개발 접근법은 인력 낭비 현상을 방지할 수 있으며, 프로젝트 관리의 어려움도 해결할 수 있는 장점을 갖고 있다.