• Title/Summary/Keyword: 주관적 방법

Search Result 2,382, Processing Time 0.031 seconds

Prospective Comparative Study of Arthroscopic Repair Versus Debridement for the Full-Thickness Tear of Upper Subscapularis (상부 견갑하 건 완전파열의 관절경 하 봉합술과 변연절제술의 전향적 비교)

  • Ko, Sang-Hun;Cha, Jae-Ryong;Lee, Chae-Chil;Park, Han-Chang;Shin, Seung-Myeong
    • Clinics in Shoulder and Elbow
    • /
    • v.13 no.1
    • /
    • pp.79-85
    • /
    • 2010
  • Purpose: To evaluate the results from arthroscopic repair versus debridement for full-thickness tears of the upper subscapularis tendon. Materials and Methods: Ninety-nine patient outcomes were evaluated and compared prospectively. Sixty-nine patients with full-thickness tears of the upper subscapularis tendon underwent arthroscopic repair (group I) and thirty patients underwent simple debridement (group II) between May 2003 and October 2007. In all patients, the tear was localized to the superior one third of the upper subscapularis tendon. The results of the treatment were assessed by evaluating the UCLA, ASES, and VAS for pain and internal rotation strength scores before and after the operation. Results: In groups I and II, UCLA, ASES, VAS, and internal rotation muscle power (perfect score = 5) scores were improved after surgery. In comparing group I and group II, the UCLA and VAS scores were not significantly different (p>0.05), while the ASES and internal rotation strength scores were significantly different (p<0.05). Conclusion: The arthroscopic repair of full-thickness tears of the upper subscapularis tendon was a better surgical method than simple debridement.

A study on the metrical indicator of the major projects of public organizations -Focused on the case of Korea Land and Geospatial InformatiX Co.- (공공기관 주요사업 계량지표에 관한 연구 -한국국토정보공사 사례를 중심으로-)

  • Jeong, Jong Dae;Kim, Young Hag
    • Journal of Cadastre & Land InformatiX
    • /
    • v.48 no.1
    • /
    • pp.93-109
    • /
    • 2018
  • The Ministry of Strategy and Finance of South Korea accesses public organizations annually for increasing outcomes with effective and clear managements. The management assessment is categorized into the business management applied all organizations and the main business assessed by purposes and characters of organizations. This study analyzes metrical indexes of main businesses with using the logic model and suggests the direction of developing metrical indexes of organizations. Metrical indexes of the Korea Land and Geospatial Informatix Corporation in 2017 were analyzed to develop indexes. The results indicates that metrical indexes of the Korea Land and Geospatial Informatix Corporation are mainly consisted of the commitment and process. The logic model was suggested to analyze proprieties of metrical indexes of the main business. This study shows that organizations develop metrical indexes of the main business with classifying that these are from calculation indexes or result indexes. Thus, this study suggests that organizations consider result indexes based on the logic model for developing metrical indexes of the main business.

Informational Needs of Postoperative Gastric Cancer Patients (위암 수술 후 환자의 정보 요구)

  • Kim, Ae-Ran;Choi, Min-Gew;Noh, Jae-Hyung;Sohn, Tae-Sung;Bae, Jae-Moon;Kim, Sung
    • Journal of Gastric Cancer
    • /
    • v.9 no.3
    • /
    • pp.117-127
    • /
    • 2009
  • Purpose: Adequate health-related information provided by health professionals may help cancer patients overcome their uncertain situation and manage their healthcare. To provide information effectively, there is a need to understand the content of the patients' essential information. The purpose of this study was to identify recent informational needs of postoperative gastric cancer patients. Materials and Methods: Data were collected from 190 postoperative gastric cancer patients who attended the Stomach Cancer Patients' Day ceremony (18 November 2008) held by the Stomach Cancer Center of Samsung Medical Center with the use of a questionnaire which measured informational needs. A questionnaire with 37 items was comprised of domains of diagnostic tests, cancer therapy, prognosis, follow-up, sexual activity, stomach cancer-related information, and 7 single items. Results: The priorities of informational needs were the domains of prognosis, ways of healthcare during treatment (a single item), follow-up, stomach cancer-related information, cancer therapy, and diagnostic tests (in descending order). Items related to prognosis, diet, and management of their healthcare ranked in the top 10 informational need scores. As age decreased, the degree of informational needs about diagnostic tests, cancer therapy, sexual activity, and stomach cancer-related information increased. Conclusion: We suggest that prognosis-related information based on the accumulated institutional therapeutic outcomes and objective prognosis data should be incorporated in the current education program. Health professionals should provide comprehensible information content to cancer patients and caregivers and encourage patients to participate in their therapy with a more positive attitude.

  • PDF

A study on the method for the Integrated Cost Estimate based on Project(ICEP) of program management with typical model (기준모델을 사용한 종합사업관리용역비 산정방법(ICEP) 연구)

  • Baek, Myeongchang;Park, Junmo;Park, Gilbeom;Kim, Okkyue
    • Korean Journal of Construction Engineering and Management
    • /
    • v.16 no.1
    • /
    • pp.119-128
    • /
    • 2015
  • Domestic dominant method in subcontract cost estimate for comprehensive program management is estimation by referencing similar cases or relying on the experience and expertise of the engaged. However, this method is not reliable due to lack of accuracy, making it harder for clients to plan and budget the program. Since budget itself is roughly estimated, it becomes a source of cost rise in the course of management due to design modifications. Therefore, the client and service providers shall calculate more accurate service cost by applying objective and scientific method in order to minimize cost rise and cost related dispute. Traditional cases, in estimating program management cost, took Top-Down approach based on precedents and experience. On the contrary, this study will categorize management structure into phases and activities, issue WBS for each phase to estimated schedule and cost for each code, and take Bottom-UP approach. By taking this approach named ICEP (Integrated Cost Estimate based on Project), Set project typical model will be developed for service cost estimating, calculate cost by applying project-specific factors. Also, by analyzing progress data and allocated management cost to complement them, more efficient construction management will take shape based on program management cost standards which reflect project-specific features.

Clinical Results of Arthroscopic Repair of Full-thickness Rotator Cuff Tear Using Suture Bridge Technique (관절경적 교량형 봉합 술식을 통한 회전근 개 전층 파열의 치료결과)

  • Seo, Jae-Sung;Park, Sung-Hyuk;Kim, Won-Ho
    • Clinics in Shoulder and Elbow
    • /
    • v.13 no.2
    • /
    • pp.181-187
    • /
    • 2010
  • Purpose: To determine clinical results for arthroscopic repair of a full-thickness rotator cuff tear using a suture bridge technique. Materials and Methods: Between November, 2007 and October, 2008, we evaluated 90 cases of arthroscopic middle, large rotator tear cuff repair. The mean follow-up period was 15 months (range, 12-23 months). Forty-three cases had medium-sized tears; 47 cases had large-sized tears. At the preoperative stage and again at last follow-up, functional results were assessed by the KSS, ASES, UCLA and the PVAS (Pain visual analogue score). Results: Pain score improved from 2.56 preoperatively to 0.96 at final follow-up; movement scores improved from 6.94 to 1.70. At. final follow-up, the average UCLA score improved from 17.08 to 31.17 with 31 excellent (34%), 49 good (54%) and 10 poor results (12%). The final UCLA score was 31.47 in the group less than 60 years of age and 30.69 in the group over 61 years of age (p=0.344). The UCLA score was 31.23 in those with medium-sized tears and 31.11 in those with large-sized tears (p=0.924). The UCLA score was 31.10 in non-trauma patients and 31.23 in trauma patients (p=0.929). Conclusion: Arthroscopic repair of a full-thickness rotator cuff tear using a suture bridge technique can produce excellent clinical results. These outcomes are not affected by age or trauma history.

Correlation Analysis Between Scores of Adolescent/Adult Sensory Profile and Tactile Threshold From Tactile Detection Task (촉각탐지과제를 통한 촉각역치 값과 Adolescent/Adult Sensory Profile 점수의 상관관계 분석)

  • Ju, Yu-Mi
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.10 no.2
    • /
    • pp.1-9
    • /
    • 2012
  • Purpose : Adolescent/Adult Sensory Profile is the questionnaire to evaluate sensory processing based on daily activities. Self-questionnaire commonly tends to be biased to the characteristics of subject, so its validity is low. This study aims to analyze correlation between questions of Adolescent/Adult Sensory Profile and tactile threshold measured from cognitive behavioral experiment. Methods : The tactile threshold was calculated by tactile detection task and tactile stimuli were provided with the consistent current stimulator. The tactile threshold was compared with results of tactile processing items in Adolescent/Adult Sensory Profile and statistical correlation analysis was performed. Results : Scores in Low Registration and Sensation Seeking had positive correlation with the tactile threshold and scores in Sensory Sensitivity and Sensation Avoiding had negative correlation with the tactile threshold. Among them, only Low Registration was statistically significant. Conclusion : The questions in Low Registration(Tactile Processing)are highly correlated with physiological characteristics. As a result, it was shown that sensory inflow is less, if the tactile threshold is high.

  • PDF

Calibration of WASP7 Model using a Genetic Algorithm and Application to a Drinking Water Resource Reservoir (유전알고리즘을 이용한 WASP7 모형의 보정과 상수원 저수지에 대한 적용)

  • Bae, Sang-Mok;Cho, Jae-Heon
    • Journal of Environmental Impact Assessment
    • /
    • v.23 no.6
    • /
    • pp.432-444
    • /
    • 2014
  • When the water quality modelling is done with a manual calibration, it is possible that the researcher's opinion may affect the objectivity of the research. Hence, the role of the automatic calibration is highly important. This research applies a technique to automatically calibrate the water quality parameters by implementing an optimization method. This involves estimating the optimum water quality parameters targeting influential parameters towards the lake's BOD, DO, Phosphorus, Nitrogen and Phytoplankton. To accurately calculate the water temperature and hydraulic characteristics of a deep, stratifying lake, EFDC, a 3-dimensional hydraulic model which can be linked to the WASP7 was applied. With EFDC, the segment of the lake is formed and utilized as an input data of the WASP7. For the calibration of the water quality parameters of the WASP7, an influence coefficient algorithm and a genetic algorithm was applied. Of the five water quality variables for calibration, the normalized residuals of the observed and calculated values of DO, TN, CBOD were relatively small and the three water quality variables were calibrated properly. Yet the accuracy of the calibration of TP and Chl-a was relatively low.

A Study on Determinant Factors of the Joint Technology Development Project Performance between SMEs and Universities (중소기업과 대학 간의 산학 공동기술개발 성과의 결정요인에 대한 연구)

  • Kim, Sung-Joon;Yong, Se-Jung
    • Journal of Technology Innovation
    • /
    • v.19 no.1
    • /
    • pp.145-175
    • /
    • 2011
  • The purpose of this research investigates the determinant factors of the joint technology development project performance between SMEs and universities. Reviewing existing papers we could categorize independent variables into three groups of partner characteristics, process management variables and relationship characteristics between partners. Three measures of satisfaction with the cooperation result, the intention of continuing relationship and the utilization of developed technology and product were used as dependent variable considering that we studied the joint projects of SMEs' involvement, short period and small scale. The data was collected by questionnaire survey mailed to the 1082 SMEs and university professors which executed the joint projects sponsored by Small Business Administration in 2009. We received 200 responses from SMEs, and 305 cases from professors among which 55 responses of each partner were on the same project. We analyzed the data sets individually, data of SMEs and that of universities with multiple regression analysis technique and also analyzed the common responses of 55 projects. Analysis results of the data from SMEs indicated that partners' expertise, facilities and equipment, communications, strategic importance, and trust were significant variables for the project performance. Analysis results of the data from universities showed that previous links, definition of objectives, strategic importance, trust and commitment were significant variables. Analysis results of combined data of 55 projects from SMEs and universities indicated that facilities and equipment, project management proficiency and commitment were significant variables.

  • PDF

Geometric Assessment of Scapular Thickness by Computed Tomography (견갑골 두께의 전산화 단층 촬영을 이용한 기하학적 모델)

  • Yoo, Jeong Hyun;Chung, Soo Tai;Park, Sang Jun;Chang, Jun Hee;Paik, Doo Jin
    • Clinics in Shoulder and Elbow
    • /
    • v.15 no.2
    • /
    • pp.73-78
    • /
    • 2012
  • Purpose: Understanding exactly detailed anatomy and morphology of scapula is very important for further surgical procedures. This study was intended to provide accurate anatomic and morphologic information of scapula by exactly measuring scapular thickness using computed tomography and reconstructing its geometric model. Materials and Methods: Eight average lengths and two angles of 102 scapular structures obtained from 51 cadavers were generally measured by computed tomography. Also, to measure the scapular thickness, sagittal planes of each scapula were divided almost equally and the thicknesses of each sagittal plane was measured by computed tomography. After measuring every thickness, average results were calculated and the gender difference was compared by Student t-test. Results: Average results of the thickness of glenoid fossa, lateral border, medial border, and the middle 1/3 portion of the scapular body were 22.4 mm, 13.83 mm, 4.44 mm and 2.06 mm, respectively. Also, male scapulars were found to be significantly thicker than female. Based on these measured thicknesses, we reconstructed the 3-dimensional geometric model of scapula. Conclusion: From these results, glenoid fossa and lateral border were the thickest part of scapula, while the middle 1/3 portion of the scapular was the thinnest.

Short-Term Results of Subpectoral Tenodesis of the Proximal Biceps Tendon Using by Interference Screw (간섭나사를 이용한 흉근하 상완 이두근 건 고정술의 단기 추시 결과)

  • Kim, Jeong-Woo;Kang, Hong-Je
    • Clinics in Shoulder and Elbow
    • /
    • v.13 no.1
    • /
    • pp.7-13
    • /
    • 2010
  • Purpose: Our purpose was to retrospectively analyze clinical results of subpectoral tenodesis of the proximal biceps tendon using an interference screw. Materials and Methods: We reviewed 23 cases of patients receiving tenodesis of the proximal biceps tendon between January 2008 and January 2009 for whom we had follow-up data for at least 1 year. Twenty-three cases were operated on using subpectoral tenodesis; 16 of these cases had a rotator cuff tear. The results were judged using a visual analog scale (VAS), ASES, tenderness on the biceps groove, fixation failure and the degree of deformity (BAD). Results: VAS and ASES scores were significantly improved in all patients by the time of the final observation. There were no significant complications or fixation failures. The patients without a tear of the rotator cuff had a better result than patients with a tear of the rotator cuff, but the difference between the two groups was not significant (p>0.05). Conclusion: In patients with pathology of the long head of the biceps brachii, benefits of subpectoral interference screw tenodesis include pain relief, maintenance of functional biceps, muscle strength, and cosmesis. Subpectoral biceps tenodesis using interference screw fixation appears to be a promising, reproducible, reliable technique for addressing anterior shoulder pain related to pathology of the long head of the biceps brachii.