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Utility of three-dimensional printing in the surgical management of intra-articular distal humerus fractures: a systematic review and meta-analysis of randomized controlled trials

  • Vishnu Baburaj;Sandeep Patel;Vishal Kumar;Siddhartha Sharma;Mandeep Singh Dhillon
    • Clinics in Shoulder and Elbow
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    • v.27 no.1
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    • pp.72-78
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    • 2024
  • Background: Clinical outcomes after fixation of distal humerus intraarticular fractures are directly related to the quality of reduction. The use of three-dimensional (3D)-printed fracture models can benefit preoperative planning to ensure good reduction. This review aims to determine if surgery performed with 3D printing assistance are faster and result in fewer complications and improved clinical outcomes than conventional methods. We also outline the benefits and drawbacks of this novel technique in surgical management of distal humerus fractures. Methods: A systematic literature search was carried out in various electronic databases. Search results were screened based on title and abstract. Data from eligible studies were extracted into spreadsheets. Meta-analysis was performed using appropriate computer software. Results: Three randomized controlled trials with 144 cases were included in the final analysis. The 3D-printed group had significantly shorter mean operating time (mean difference, 16.25 minutes; 95% confidence interval [CI], 12.74-19.76 minutes; P<0.001) and mean intraoperative blood loss (30.40 mL; 95% CI, 10.45-60.36 mL; P=0.005) compared with the conventional group. The 3D-printed group also tended to have fewer complications and a better likelihood of good or excellent outcomes as per the Mayo elbow performance score, but this did not reach statistical significance. Conclusions: Three-dimensional-printing-assisted surgery in distal humerus fractures has several benefits in reduced operating time and lower blood loss, indirectly decreasing other complications such as infection and anemia-related issues. Future good-quality studies are required to conclusively demonstrate the benefits of 3D printing in improving clinical outcomes.

A Study on Transfer Process Model for long-term preservation of Electronic Records (전자기록의 장기보존을 위한 이관절차모형에 관한 연구)

  • Cheon, kwon-ju
    • The Korean Journal of Archival Studies
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    • no.16
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    • pp.39-96
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    • 2007
  • Traditionally, the concept of transfer is that physical records such as paper documents, videos, photos are made a delivery to Archives or Records centers on the basis of transfer guidelines. But, with the automation of records management environment and spreading new records creation and management applications, we can create records and manage them in the cyberspace. In these reasons, the existing transfer system is that we move filed records to Archives or Records centers by paper boxes, needs to be changed. Under the needing conditions of a new transfer paradigm, the fact that the revision of Records Act that include some provisions about electronic records management and transfer, is desirable and proper. Nevertheless, the electronic transfer provisions are too conceptional to apply records management practice, so we have to develop detailed methods and processes. In this context, this paper suggest that a electronic records transfer process model on the basis of international standard and foreign countries' cases. Doing transfer records is one of the records management courses to use valuable records in the future. So, both producer and archive have to transfer records itself and context information to long-term preservation repository according to the transfer guidelines. In the long run, transfer comes to be the conclusion that records are moved to archive by a formal transfer process with taking a proper records protection steps. To accomplish these purposes, I analyzed the 'OAIS Reference Model' and 'Producer-Archive Interface Methodology Abstract Standard-CCSDS Blue Book' which is made by CCSDS(Consultative committee for Space Data Systems). but from both the words of 'Reference Model' and 'Standard', we can understand that these standard are not suitable for applying business practice directly. To solve this problem, I also analyzed foreign countries' transfer cases. Through the analysis of theory and case, I suggest that an Electronic Records Transfer Process Model which is consist of five sub-process that are 'Ingest prepare ${\rightarrow}$ Ingest ${\rightarrow}$ Validation ${\rightarrow}$ Preservation ${\rightarrow}$ Archival storage' and each sub-process also have some transfer elements. Especially, to confirm the new process model's feasibility, after classifying two types - one is from Public Records center to Public Archive, the other is from Civil Records center to Public or Civil Archive - of Korean Transfer, I made the new Transfer Model applied to the two types of transfer cases.

A Descriptive Study on Pain of Elderly (노인의 동통에 관한 조사연구)

  • 김주희;양경희;이현주
    • Journal of Korean Academy of Nursing
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    • v.26 no.4
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    • pp.878-888
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    • 1996
  • The main purpose of this study was getting related to the pain charactristic data of elderly. It contains past and present health status, daily living activity level, pain frequency, causes, pain area, pain intensity, pain worse causes, and pain releave causes, pain management methods. The subject were 79 elderly whose age were over 65 years old. They were lived in their home environment. Half of them were resident of middle range city at province and the others were Seoul city. The data was collected from Dec. 1st. 1995 to Jan. 30th. 1996. Interviews were held with semi-structured questionaire after pilot study by researchers. Pain measurement tool were used graphic rating scale and Abstract of Korean Pain Language Scale. To analize the subject's general characteristics, past and present health status, daily living activity level, characteristics about pain, pain management methods statistical SPSS for win frequency were employed. The findings were as follows ; 1. There were 33(41.8%) male and 46(58.2%) female Below 69 year old were 20(25.3%), 70-79 year old were 42(53.2%), over 80 year old were 17(21.5%), mean age was 74(from 65 to 89). 2. Buddhist were 24(30.4%), Christian were 29(36. 7%), the other religious status or non religians were 26 (32.9%). 3. Past good health status were 63(79.7%), not so good status were 6(7.6%). Present good health status were 19(24.1%), moderated health status were 6(7.6%), not so good status were 14(17.7%). 4. Daily living activity limitation were 39(49.4%), nonlimitation of activity were 5(6.3%). 5. Walking limitation were 3(3.8%), nonlimitation walking were 52(65,8%). 6. Insomnia was 23(29.1%), no difficult were 38(48.1%). 7. Chronic pain complaints were 64(81%), diseases causes of pain were 25(31.6%), bad health behavior causes of pain were 27(34.2%). 8. Most pain area were back 30(29.4%), leg 17(16.7%), knee 16(15.7%), arm 13(12.7%), teeth, chest and head were each 5(4.9%), loin, trunk were each 4(3.9%), the other areas were 3(3%). 9. Pain intensity was 3.49(mean) by Korean Language Scale, 6.59(mean) by graphic rating scale. Sensitive pain was 3.5(47.9%), affective pain was 3(20.8%) It was high pain level and sensitive pain. 10. Most pain worse causes moving was 35(44.3%), pain relieving causes rest was 29(36.7%), 11. Pain management method were medication 40(42.1%), physiotherapy 23(24.2%), hospital 12(12.6%), the others 7(7.4%), none 13(13.7%). The conclusion ; Present health status of eldery was not so good. Almost half of them have some diseases. Most common diseases of eldery were arthristis, respitatory and heart problems. Foully nine percent of elderly had limitation of daily living activities. Eighty one percent of eldely had chronic pain. Most of them was back pain (30%). Pain intensity was high(score over 3.5). The worsening pain causes was moving and releiving causes was rest. Pain management method were pain medication, physiotherapy. Therefore, Nursing care plan for the elderly have to focus on pain because majority of elderly have chronic high level of pain related to the arthritis.

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A Colored Workflow Model for Business Process Analysis (비즈니스 프로세스 분석을 위한 색채형 워크플로우 모델)

  • Jeong, Woo-Jin;Kim, Kwang-Hoon
    • Journal of Internet Computing and Services
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    • v.10 no.3
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    • pp.113-129
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    • 2009
  • Abstract Corporate activities are composed of numerous working processes and during the working flow, various business processes are being created and completed simultaneously. Enterprise Resources Planning (ERP) makes the working process simple, yet creates more complicated work structure and therefore, there is an absolute need of efficient management for business processes. The workflow literature has been looking for efficient and effective ways of rediscovering and mining workflow intelligence and knowledge from their enactment histories and event logs. As part of studies to analyze and improve the process, the concepts of 'Process Mining', 'Process re-discovery', 'BPR (Business Process Reengineering)' have appeared and the studies for practical implementation are proactively being done. However, these studies normally follow the approach throughout data warehousing for log data of process instances. It is very hard for these approaches to reflect user's intention to the rediscovering and mining activities. The process instances designed based on the consideration of analysis can make groupings effectively and when the analysis demand of user changes within the analysis domain can also reduce the cost of analysis. Therefore, the thesis proposes a special type of workflow model, which is called a colored workflow model, that is extended from the ICN (information control net) modeling methodology by reinforcing the concept of colored token. The colored tokens represent the conceptual types of constraints and criteria that can be used to classifying and grouping the workflow intelligence and knowledge extracted from the corresponding workflow models' enactment histories and event logs. Through the runtime information of process instances, it makes possible to analyze proactive and user-oriented process with the goal of deriving business knowledge from the beginning of process definition.

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Towards Next Generation Multimedia Information Retrieval by Analyzing User-centered Image Access and Use (이용자 중심의 이미지 접근과 이용 분석을 통한 차세대 멀티미디어 검색 패러다임 요소에 관한 연구)

  • Chung, EunKyung
    • Journal of the Korean Society for Library and Information Science
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    • v.51 no.4
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    • pp.121-138
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    • 2017
  • As information users seek multimedia with a wide variety of information needs, information environments for multimedia have been developed drastically. More specifically, as seeking multimedia with emotional access points has been popular, the needs for indexing in terms of abstract concepts including emotions have grown. This study aims to analyze the index terms extracted from Getty Image Bank. Five basic emotion terms, which are sadness, love, horror, happiness, anger, were used when collected the indexing terms. A total 22,675 index terms were used for this study. The data are three sets; entire emotion, positive emotion, and negative emotion. For these three data sets, co-word occurrence matrices were created and visualized in weighted network with PNNC clusters. The entire emotion network demonstrates three clusters and 20 sub-clusters. On the other hand, positive emotion network and negative emotion network show 10 clusters, respectively. The results point out three elements for next generation of multimedia retrieval: (1) the analysis on index terms for emotions shown in people on image, (2) the relationship between connotative term and denotative term and possibility for inferring connotative terms from denotative terms using the relationship, and (3) the significance of thesaurus on connotative term in order to expand related terms or synonyms for better access points.

The Suggestion of the Image Registration Using Terrain Relief Correction Based on RFM (유리함수모델 기반 표고시차보상기법을 사용한 Image Registration 방안 제안)

  • Kim, Hyun-Suk;Kim, Moon-Gyu;Seo, Doo-Chun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.30 no.1
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    • pp.21-30
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    • 2012
  • When two bands have different look angle in a space-borne camera system, the registration between two bands is required. The registration cannot be modeled with constant parameters because of dynamic of platform and parallax effect. The parallax effect is caused by terrain relief, hence it causes local distortion between two bands. Therefore, the terrain relief correction in order to reduce the parallax effect is required for better registration result, especially for high resolution image data. Such terrain relief correction also can be applied to image data acquired from multiple detectors with different look angle within a band, which is a one of commonly used configuration for a wider swath in space-borne camera system, in order to reduce the distortion between detectors. The RFM is a popular abstract model in remote sensing field, which gives us the relationship between the image plane and geodetic coordinate system. Therefore, we propose a terrain relief correction method based on the RFM. The experiment showed very promising result.

Design and Implementation of An I/O System for Irregular Application under Parallel System Environments (병렬 시스템 환경하에서 비정형 응용 프로그램을 위한 입출력 시스템의 설계 및 구현)

  • No, Jae-Chun;Park, Seong-Sun;;Gwon, O-Yeong
    • Journal of KIISE:Computer Systems and Theory
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    • v.26 no.11
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    • pp.1318-1332
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    • 1999
  • 본 논문에서는 입출력 응용을 위해 collective I/O 기법을 기반으로 한 실행시간 시스템의 설계, 구현 그리고 그 성능평가를 기술한다. 여기서는 모든 프로세서가 동시에 I/O 요구에 따라 스케쥴링하며 I/O를 수행하는 collective I/O 방안과 프로세서들이 여러 그룹으로 묶이어, 다음 그룹이 데이터를 재배열하는 통신을 수행하는 동안 오직 한 그룹만이 동시에 I/O를 수행하는 pipelined collective I/O 등의 두 가지 설계방안을 살펴본다. Pipelined collective I/O의 전체 과정은 I/O 노드 충돌을 동적으로 줄이기 위해 파이프라인된다. 이상의 설계 부분에서는 동적으로 충돌 관리를 위한 지원을 제공한다. 본 논문에서는 다른 노드의 메모리 영역에 이미 존재하는 데이터를 재 사용하여 I/O 비용을 줄이기 위해 collective I/O 방안에서의 소프트웨어 캐슁 방안과 두 가지 모형에서의 chunking과 온라인 압축방안을 기술한다. 그리고 이상에서 기술한 방안들이 입출력을 위해 높은 성능을 보임을 기술하는데, 이 성능결과는 Intel Paragon과 ASCI/Red teraflops 기계 상에서 실험한 것이다. 그 결과 응용 레벨에서의 bandwidth는 peak point가 55%까지 측정되었다.Abstract In this paper we present the design, implementation and evaluation of a runtime system based on collective I/O techniques for irregular applications. We present two designs, namely, "Collective I/O" and "Pipelined Collective I/O". In the first scheme, all processors participate in the I/O simultaneously, making scheduling of I/O requests simpler but creating a possibility of contention at the I/O nodes. In the second approach, processors are grouped into several groups, so that only one group performs I/O simultaneously, while the next group performs communication to rearrange data, and this entire process is pipelined to reduce I/O node contention dynamically. In other words, the design provides support for dynamic contention management. Then we present a software caching method using collective I/O to reduce I/O cost by reusing data already present in the memory of other nodes. Finally, chunking and on-line compression mechanisms are included in both models. We demonstrate that we can obtain significantly high-performance for I/O above what has been possible so far. The performance results are presented on an Intel Paragon and on the ASCI/Red teraflops machine. Application level I/O bandwidth up to 55% of the peak is observed.he peak is observed.

A Study on the Subjectivity of Pain Management of Nurse (간호사의 통증관리에 대한 주관성 연구)

  • Park, Kyung Sook;Song, Mi Seung;Kim, Kyung Hee
    • Korean Journal of Adult Nursing
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    • v.13 no.1
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    • pp.123-135
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    • 2001
  • The purpose of this study is to analyze the structural pattern of nurses' pain management with patients who experience pain. As a research method, the Q methodology, which is useful for an objective view of a highly abstract concept, was applied. The data collecting activity of this study was from August, 21st, 2000 to November, 24th 2000. The Q-population, the previous thesis and a literature review were done. Questions about pain management by the nurse on the patients, caregivers, nursing students, doctors, nurses, and others were asked in documentary work and in-depth interviews. In all, 223 units of the Q-population were formed, and the last 35 units of the Q-population were extracted. The data on the P-sample was collected from 41 nurses who worked in the medical and surgical units of a hospital that belonges to C university in Seoul. The research results were constituted in 3 types. Type I was the 'pattern of judging by objectivity'. The statement on which most of the people highly agreed for those patterns was shown by 'If patients said that they are suffering from pain, we sufficiently performed an assessment about the etiology, location, duration and degree'. For type I, the same pain was found in different locations according to the patients, so the etiology of the pain should be identified first place. Since ways of coping are different according to pain etiology, it was thought that it is important to assess sufficiently the pain etiology, location, duration, and degree. Therefore, when patients complain of pain, the pain etiology should be identified and assessed; according to the result, pain management should be performed systematically. Type II was the 'pattern of accepting by subjectivity'. The statement on which most of the people highly agreed for those patterns was shown as 'If patients said that they are suffering from pain, the medical treatment should be performed rapidly and speedily.' For type II, when the patient complains of pain, treatment should be performed quickly in order to prevent the condition getting worse, and it is thought that activity is a reasonable duty. Further, by trying to show empathy after pain is admitted and by understanding and coping rapidly with the pain of patients, an attitude which matched the altruistic morals of nurses is being shown. Type III was the 'pattern of worrying about', and the statement on which most of the people highly agreed for those patterns was shown is 'When there is a pain, to help patients to tolerate the pain to the highest degree.' In type III, the pain is a subjective expression, so there is a difference according to every individual. Therefore, actually if there is no measurement of pain, it could be exaggerated so nurses should help patients to tolerate it to the utmost. Even if there is a way to remove pain without an analgesic drug, nurses were reluctant to perform pain management as they possibly could. Through these research results, pain management of nurses was classified in 3 types, and structural characteristics in each type were discovered. Based upon the characteristics according to the type, an individualized pain management intervention strategy should be established and the follow up work performed.

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Real-Time Stereoscopic Visualization of Very Large Volume Data on CAVE (CAVE상에서의 방대한 볼륨 데이타의 실시간 입체 영상 가시화)

  • 임무진;이중연;조민수;이상산;임인성
    • Journal of KIISE:Computing Practices and Letters
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    • v.8 no.6
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    • pp.679-691
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    • 2002
  • Volume visualization is an important subarea of scientific visualization, and is concerned with techniques that are effectively used in generating meaningful and visual information from abstract and complex volume datasets, defined in three- or higher-dimensional space. It has been increasingly important in various fields including meteorology, medical science, and computational fluid dynamics, and so on. On the other hand, virtual reality is a research field focusing on various techniques that aid gaining experiences in virtual worlds with visual, auditory and tactile senses. In this paper, we have developed a visualization system for CAVE, an immersive 3D virtual environment system, which generates stereoscopic images from huge human volume datasets in real-time using an improved volume visualization technique. In order to complement the 3D texture-mapping based volume rendering methods, that easily slow down as data sizes increase, our system utilizes an image-based rendering technique to guarantee real-time performance. The system has been designed to offer a variety of user interface functionality for effective visualization. In this article, we present detailed description on our real-time stereoscopic visualization system, and show how the Visible Korean Human dataset is effectively visualized on CAVE.

Design and Implementation of a news Archive System using Shot Types (샷의 타입을 이용한 뉴스 아카이브 시스템의 설계 및 구현)

  • Han, Keun-Ju;Nang, Jong-Ho;Ha, Myung-Hwan;Jung, Byung-Hee;Kim, Kyeong-Soo
    • Journal of KIISE:Computing Practices and Letters
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    • v.7 no.5
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    • pp.416-428
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    • 2001
  • In order to build a news archive system. the news video stream should be first segmented into several articles, ad their contents are abstracted effectively. This abstraction helps the users to understand the contents of the article without playing the whole video stream. This paper proposes a new article boundary detection scheme for the news video streams together with a new news article abstraction scheme using the shot types of the news video data. The shots in the news video are classified into anchor person shots, interview shots, speech shots, reporting shots, graphic shots, and others. Since the news article starts with an anchor shot whose duration is relatively longer than other shots with special screen structure, the article boundary in detected by the computing the length of the shot and checking the screen structure in the proposed scheme. For the effective abstraction of the article video, the graphic image located in the right-top of the anchor shot frames is primarily used in the proposed abstraction scheme since it is the abstraction of the article made by the producer of the news according to its contents so that it contains a lot of meaningful information. The key frames of the other shots except interview and report shots are also used to abstract the contents of the articles in the proposed scheme. Upon experimental results, the precision and recall values of the proposed article boundary detection scheme could be 92% and 96%, respectively. This paper also presents a design and implementation of a prototype news archive system on WWW that consists of an indexing tool, an authoring tool, a database for meta-data of the news, and a browsing tool.

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