외상으로 인한 혈액담즙증은 드물지 않게 보고되고 있고 경피경간 경로를 이용한 담도내시경이나 배액술 등에 의한 의인성 손상이 증가하고 있다. 그러나 담도스텐트 제거에 따 른 대량의 혈액담즙증의 보고는 매우 드물다. 본 증례는 복부 외상으로 간엽절제술을 받은 환자에서 발생한 담즙 누출을 치료하기 위해 삽입한 담도 스텐트를 제거하면서 혈액담 즙증이 대량 출혈로 악화된 사례이다. 간외상 수술 후 담즙 누출로 플라스틱 담도 스텐트 삽입 후 호전 중에 혈액담즙증 및 담도염 발생으로 스텐트 교체 목적으로 제거하였으나 제 거하자마자 대량의 활동성 혈액담즙증으로 악화되었다. 수술 후의 담즙 누출로 인한 주변조직 손상 및 삽입된 담도 스 텐트로 인한 자극과 제거시의 손상이 원인이 될 수 있을 것 으로 생각된다. 치료는 대량 출혈로 내시경 시야가 확보되지 않아 응급 혈관조영술로 지혈술을 시행하였다. 따라서 복부 외상 환자나 수술 환자에서 담즙 누출 후 담도 배액 스텐트 는 일반적으로 시행되는 효과적인 치료 방법이나 혈액담즙 증 및 합병증으로 담도 스텐트를 교체할 때 주변 담도나 혈 관계의 합병증 유무에 대한 사전 검사를 시행하고 스텐트 제거시에도 주의를 요한다.

The N-Screen contents is a kind of emerging technologies to make a new user-experience by integrating multiple devices like smart TVs, personal computers, and smartphones. In the paper, we characterize game design issues of N-Screen based game with smart TV and smartphone and describe the game design issues of 「Beaver Rising」as its case study.「Beaver Rising」is the N-Screen game which developed by our team ans its' game play is similar with a classic game, called「Snake」but it can be played on a smart TV screen while players can control their own beaver characters with their smartphones. We first give a survey of N-Screen games to characterize their properties in the paper. Then, we describe the game play, game design architecture, and user experience of the game,「Beaver Rising」as its case study. Finally, we propose three new properties to make an effective N-screen game with a smart TV and smartphons. The paper will contribute to provide am effective game design guideline when we make a N-screen based game with a smart TV and smartphones.

Member's perception toward organizational climate is an abstract concept but generally it has been used in the meaning of Organizational climate by members, in an attempt to give an idea of what kind of meaning an organization can have from a psychologica

  This paper aims to examine the main factors of the organizational climate and analyze their effects on job involvement. To accomplish these purposes, the main factors of the organizational climate such as diversity, autonomy, redundancy, connectivity an

This paper aimed to examine core factors of the knowledge management and analyze their effects on organizational performance (employee satisfaction and competitive advantage). To accomplish this purpose, this study examined previous studies and summarized

This paper aims to examine the main factors of the organizational climate and analyze their effects on job involvement. To accomplish these purposes, the main factors of the organizational climate such as diversity, autonomy, redundancy, connectivity and flexibility were found from the previous studies. The questionaries of 350 were distributed to the employees working at the Gumi Industrial Complex. The questionaries of 298 were obtained and 267 were analyzed through frequencies, correlation and multiple regression. The results of this study are as followings; First, we conducted exploratory factor analysis for five constructs (diversity, autonomy, redundancy, connectivity and flexibility) using oblique rotation method that did not assume independence among the factors and main factors of knowledge management were grouped together by five factors. Second, it is shown that fore main factors of organizational climate have a positive influence on the job involvement (p<0.05). This study, however, have limitations of number of sample and survey area. The future study should consider these limitations in improving model applicability in practice.

This study examines the relationship between multiple sales force management practices and performance within each of Miles & Snow (1978)'s strategy types and Walker & Ruekert (1987)'s strategy types. The findings are as follows First, Prospectors seem to

This study examines the relationship between multiple sales force management practices and performance within each of Miles & Snowꡑs strategy types(1978) and Walker & Ruekertꡑ s strategy types(1987). The findings are as follows : First, Prospectors seem to be associated with increased performance when they are utilizing a relationship selling strategy, internal sales force, moderate levels of supervision, outcome-based control system and incentive-oriented compensation system. Second, Analyzers seem to be associated with increased performance when they are utilizing a relationship selling strategy, internal sales force, outcome-based control system to deal with the instability in their strategic focus. Third, Low Cost Defender seem to be associated with increased performance when they are utilizing a relationship selling strategy, external sales force, low levels of supervision, outcome-based control system and salary-oriented compensation system. Fourth, Differentiated Defenders seem to be associated with increased performance when they are utilizing a relationship selling strategy, high levels of supervision, balanced(outcome+behavior) control system and salary-oriented compensation system.

The employees in information system organization are highly exposed to stress. However, there is little theoretical or empirical study on the effects of job stress on IS organizations. A major reason is because few researchers consider consequences of job

본 연구는 식생호안의 안정성 평가에 중요한 인자인 식생 근모량의 채취와 산정방법을 제시하였다. 또한 근모량에 따른 식생호안의 침식특성을 수리모형실험을 통하여 분석하였다. 수리모형실험에 사용한 식생으로는 국내 최우점종으로 확인된 달뿌리풀과 잔디이다. 유속별 근모량에 따른 침식특성으로 침식깊이와 침식률을 분석하고 그 관계식을 제시하였다. 실험결과 근모량이 증가함에 따라 침식깊이가 현저하게 감소하는 것을 확인할 수 있었다. 침식률의 산정결과 근모량이 증가함에