• Title/Summary/Keyword: Careful selection

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Complications of Anterior Cruciate Ligament Reconstruction (전방십자인대 재건술의 합병증)

  • Song Eun-Kyoo;Kim Jong-Seok
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.1
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    • pp.15-19
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    • 2003
  • Although the number of anterior cruciate ligament reconstruction is increasing, complications after primary ACL reconstruction are more difficult to determine. Intraoperative and postoperative complications can lead to ultimate failure of a primary reconstructive procedure. Therefore, surgical success in ACL reconstruction requires detailed knowledge and technical advancements about ACL reconstruction. Preoperatively surgeon must pay attention to selection of grafts and methods of fixation, and intraoperatively, attention to the harvest of graft, passage of graft, intraarticuar placement of the graft, notchplasty, proper tensioning of the graft, and others. Postoperative complications must be detected early, including infection, abnormal healing responses, arthrofibrosis, graft rejection, and reflex sympathetic dystrophy. Careful patient selection, appropriate surgical timing, careful surgical technique, and supervised preoperative and postoperative rehabilitation can minimize postoperative complications.

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CRITICALITY SAFETY OF GEOLOGIC DISPOSAL FOR HIGH-LEVEL RADIOACTIVE WASTES

  • Ahn, Joon-Hong
    • Nuclear Engineering and Technology
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    • v.38 no.6
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    • pp.489-504
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    • 2006
  • A review has been made for the previous studies on safety of a geologic repository for high-level radioactive wastes (HLW) related to autocatalytic criticality phenomena with positive reactivity feedback. Neutronic studies on geometric and materials configuration consisting of rock, water and thermally fissile materials and the radionuclide migration and accumulation studies were performed previously for the Yucca Mountain Repository and a hypothetical water-saturated repository for vitrified HLW. In either case, it was concluded that it would be highly unlikely for an autocatalytic criticality event to happen at a geologic repository. Remaining scenarios can be avoided by careful selection of a repository site, engineered-barrier design and conditioning of solidified HLW. Thus, criticality safety should be properly addressed in regulations and site selection criteria. The models developed for radiological safety assessment to obtain conservatively overestimated exposure dose rates to the public may not be used directly for the criticality safety assessment, where accumulated fissile materials mass needs to be conservatively overestimated. The models for criticality safety also require more careful treatment of geometry and heterogeneity in transport paths because a minimum critical mass is sensitive to geometry of fissile materials accumulation.

Factors Affecting Selection & Combination of Earthwork Equipments (토공장비 선정 및 조합을 위한 영향요인 연구)

  • Choi, Jae-Hwi;Lee, Dong-Hoon;Kim, Sun-Hyung;Kim, Sun-Kuk
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2010.05a
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    • pp.201-205
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    • 2010
  • Earthwork is an essential initial work discipline in construction projects and open to significant impacts of several factors such as weather, site conditions, soil conditions, underground installations and available construction machinery, calling for careful planning by managers. However, selection and combination of construction machinery and equipment for earthwork still depends on experience or intuition of managers in construction sites, with much room left for proper management in terms of cost, schedule and environmental load control. This research aims to analyze the performance of earthwork equipment and establish relations among various factors affecting a model for optimizing selection and combination of earthwork equipment as a precursor to the development of such model. We expect the conclusions herein to contribute to optimizing selection and combination of earthwork equipment and provide basic inputs for the development of applicable model that can save costs, reduce schedule and mitigate environmental load.

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Outcomes of Gastrectomy for Gastric Cancer in Patients Aged >80 Years: A Systematic Literature Review and Meta-Analysis

  • Zelalem Chimdesa Merga ;Ji Sung Lee ;Chung-Sik Gong
    • Journal of Gastric Cancer
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    • v.23 no.3
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    • pp.428-450
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    • 2023
  • This meta-analysis examined the surgical management of older patients (>80 years) with gastric cancer, who were often excluded from randomized controlled trials. We analyzed 23 retrospective cohort studies involving 18,372 patients and found that older patients had a higher in-hospital mortality rate (relative risk [RR], 3.23; 95% confidence interval [CI], 1.46-7.17; P<0.01) and more post-operative complications (RR, 1.36; 95% CI, 1.19-1.56; P<0.01) than did younger patients. However, the surgical complications were similar between the two groups. Older patients were more likely to undergo less extensive lymph node dissection and longer hospital stays. Although older patients had statistically significant post-operative medical complications, they were not deprived of surgery for gastric cancer. The comorbidities and potential risks of post-operative complications should be carefully evaluated in older patients, highlighting the importance of careful patient selection. Overall, this meta-analysis provides recommendations for the surgical management of older patients with gastric cancer. Careful patient selection and evaluation of comorbidities should be performed to minimize the risk of post-operative complications in older patients, while recognizing that they should not be deprived of surgery for gastric cancer.

A Study on the Selection of Construction Method by Decision Making Method (의사결정기법을 통한 건축공법선정에 관한 연구)

  • Yang, Keek-Young;Yoon, Yer-Wan
    • Journal of the Korea Institute of Building Construction
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    • v.2 no.1
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    • pp.147-154
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    • 2002
  • In the Past, The selection of individual method of construction was done by head of construction site or an experienced person very frequently. By doing this, The wrong selection of construction method without exact adjudication of construction site situation lead to increasing of cost and extension of construction term. Finally it will effect all over the construction process. Especially, In case of underground construction in the beginning, there are a lot of a variable factor and it also effect on the entire construction process and it need very careful process. The purpose of this study is to present the best suitable methodology for selection of construction method by considering potential risk of construction method and variables together with external condition for underground construction. The purpose of this study Is to select the most suitable construction method by analysing potential conditions(construction site situation and client request in designing ) To do this, We prepared arrangement rule to arrange the conditions for construction method. And thin make checklist of the analyzing construction method. Though above process, To expect the risk of individual construction method using above risk checklist and using Analytic Hierarchy process among Multiple-Criteria Decision making, the professional opinions is to be adapted. By doing this, it can lead and select the most suitable construction method considering the data which get from risk density test.

A Study on the Selection of Underground Construction Method by Risk Analysis (리스크 분석을 통한 지하 구조체 공법 선정에 관한 연구)

  • 윤여완;양극영;홍성휘
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2001.11a
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    • pp.99-117
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    • 2001
  • In the past, The selection of individual method of construction was done by head of construction site or an experienced person very frequently. By doing this, The wrong selection of construction method without exact adjudication of construction site situation lead to increasing of cost and extension of construction term. Finally it will effect all over the construction process. Especially, In case of Underground construction in the beginning, there are a lot of a variable factor and it also effect on the entire construction process and it need rely careful process. The purpose of this study is to present the best suitable methodology fer selection of construction method by considering potential risk of construction method and variables together with external condition for Underground construction. The purpose of this study is to select the most suitable construction method by analysing potential conditions(Construction site situation and Client. Request in designing) To do this, We prepared arrangement rule to arrangement conditions for construction method. And then make Checklist the analyzing construction method. Though above process, To expect the risk of individual construction method using above risk checklist and using Analytic Hierarchy Process among Multiple-Criteria Decision Making, the professional opinions is to be adapted. By doing this, It can lead and select the most suitable considering method considering the data which get from risk density test.

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An Enhanced Two-Phase Fuzzy Programming Model for Multi-Objective Supplier Selection Problem

  • Fatrias, Dicky;Shimizu, Yoshiaki
    • Industrial Engineering and Management Systems
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    • v.11 no.1
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    • pp.1-10
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    • 2012
  • Supplier selection is an essential task within the purchasing function of supply chain management because it provides companies with opportunities to reduce various costs and realize stable and reliable production. However, many companies find it difficult to determine which suppliers should be targeted as each of them has varying strengths and weaknesses in performance which require careful screening by the purchaser. Moreover, information required to assess suppliers is not known precisely and typically fuzzy in nature. In this paper, therefore, fuzzy multi-objective linear programming (fuzzy MOLP) is presented under fuzzy goals: cost minimization, service level maximization and purchasing risk. To solve the problem, we introduce an enhanced two-phase approach of fuzzy linear programming for the supplier selection. In formulated problem, Analytical Hierarchy Process (AHP) is used to determine the weights of criteria, and Taguchi Loss Function is employed to quantify purchasing risk. Finally, we provide a set of alternative solution which enables decision maker (DM) to select the best compromise solution based on his/her preference. Numerical experiment is provided to demonstrate our approach.

Performance Evaluation of Open-Loop Ground Water Heat Pump system (개방형 지열히트펌프 시스템의 성능평가)

  • Kim, Tae-Won
    • 한국신재생에너지학회:학술대회논문집
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    • 2006.11a
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    • pp.9-14
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    • 2006
  • Open loop or ground water heat pump systems are the oldest of ground-source systems. Standing column wells can be used as highly efficient ground heat exchanger in geo-thermal heat pump systems, where hydrological and geological conditions are suitable. These systems require some careful considerations for well design, ground water flow, heat exchanger selection etc This paper describes 9round water temperature variations, performances in heat ins and cool ing mode and the results of ground water analysis.

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The research on CFD turbulance models for comparison according to my secondary air injection into the combustion (연소로 내 2차 공기 분사에 따른 CFD 난류 모델 비교에 관한 연구)

  • Choi, Junhyuk;Choi, Chong-gun;Hwang, Seung-Sik;Shin, Donghoon;Chung, Tae-Yong
    • 한국연소학회:학술대회논문집
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    • 2012.11a
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    • pp.345-347
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    • 2012
  • The secondary air injection influences the flow of the combustion gas in the furnace. Therefore, the analysis of the furnace should be careful in the selection of the turbulent model with CFD. In this study, CFD results of several turbulent models were compared with experimental results. Analysis results suggest to select turbulent models in the furnace secondary air nozzle.

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Development and Application for Ocean's Deep Water (해양심층수의 개발과 활용)

  • 진수웅
    • Journal of the Korean Professional Engineers Association
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    • v.37 no.4
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    • pp.55-59
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    • 2004
  • Exploitation of the ocean's deep water has brought humanity a wealth of treasures for centuries. Even so, it can confidently be forecast that the Ocean will be far more important to future generations than it has ever been in the past. Although many researchers endeavor to explore oceans, the ocean holds the crucial elements for maintaining a growing industrialized population in search of raw materials. This requires careful study and selection of innovations that will provide future generations and raw materials with an unlimited renewable and non-pollution energy and raw materials source with advantageous side benefits.

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