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The Chicken Thigh Adductor Profundus Free Muscle Flap: A Novel Validated Non-Living Microsurgery Simulation Training Model

  • Pafitanis, Georgios;Serrar, Yasmine;Raveendran, Maria;Ghanem, Ali;Myers, Simon
    • Archives of Plastic Surgery
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    • v.44 no.4
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    • pp.293-300
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    • 2017
  • Background Simulation training is becoming an increasingly important component of skills acquisition in surgical specialties, including Plastic Surgery. Non-living simulation models have an established place in Plastic Surgical microsurgery training, and support the principles of replacement, reduction and refinement of animal use. A more sophisticated version of the basic chicken thigh microsurgery model has been developed to include dissection of a type 1-muscle flap and is described and validated here. Methods A step-by-step dissection guide on how to perform the chicken thigh adductor profundus free muscle flap is demonstrated. Forty trainees performed the novel simulation muscle flap on the last day of a 5-day microsurgery course. Pre- and post-course microvascular anastomosis assessment, along with micro dissection and end product (anastomosis lapse index) assessment, demonstrated skills acquisition. Results The average time to dissect the flap by novice trainees was $82{\pm}24$ minutes, by core trainees $90{\pm}24$ minutes, and by higher trainees $64{\pm}21$ minutes (P=0.013). There was a statistically significant difference in the time to complete the anastomosis between the three levels of training (P=0.001) and there was a significant decrease in the time taken to perform the anastomosis following course completion (P<0.001). Anastomosis lapse index scores improved for all cohorts with post-test average anastomosis lapse index score of $3{\pm}1.4$ (P<0.001). Conclusions The novel chicken thigh adductor profundus free muscle flap model demonstrates face and construct validity for the introduction of the principles of free tissue transfer. The low cost, constant, and reproducible anatomy makes this simulation model a recommended addition to any microsurgical training curriculum.

A Survey on the Status of the Meal Management Behaviors of Housewives Living in the Apartments of Jinju (진주지역 아파트 주부들의 식생활 관리실태 조사연구)

  • 이주희
    • Korean Journal of Community Nutrition
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    • v.6 no.5
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    • pp.755-764
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    • 2001
  • This study was carried out to evaluate meal management behavior of housewives and to improve their behavior by determining what problems exist. The survey was conducted using a questionnaire in Jinju from October to November in 1999. It was shown that 29.1% of housewives didn't plan food budget, whereas only 5.6% of them did. The reasons for not planning food budget were mostly due to not forming a habit(38.8%), irregularity of prices(19.9%) or irregularity of income(13.8%). The characters of planning food budget and the reasons for not planning were not affected by age, education, monthly income, family size or monthly flood cost. Only 17.8% of meal managers recorded their housekeeping in detail and 47.4% of them wrote only the important things. Recording housekeeping records was affected by age and education. It was found that most meal managers(90.8%) didn't set menu planning and they didn't fuel the need for menu planning. The frequency of food shopping was every two days(36.2%), twice a week(20.9%) or randomly(27.4%), and the places for food shopping were supermarket(49.0%) and traditional market(41.3%). Both were affected by education or age. The quality of food was the main reason(54.6%) far the selection of food shopping place. Important consideration for selection of food and meals was preference of family(47.4%) and this character was affected by education. It was shown that the score of nutrition knowledge was 7.36, and it was affected by education. The results of this study suggest that the government, educators and scientists in nutrition make efforts to develop various levels of practical education programs for meal management and nutrition depending on age, education and community using mass media.

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Named Entity Recognition Using Distant Supervision and Active Bagging (원거리 감독과 능동 배깅을 이용한 개체명 인식)

  • Lee, Seong-hee;Song, Yeong-kil;Kim, Hark-soo
    • Journal of KIISE
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    • v.43 no.2
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    • pp.269-274
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    • 2016
  • Named entity recognition is a process which extracts named entities in sentences and determines categories of the named entities. Previous studies on named entity recognition have primarily been used for supervised learning. For supervised learning, a large training corpus manually annotated with named entity categories is needed, and it is a time-consuming and labor-intensive job to manually construct a large training corpus. We propose a semi-supervised learning method to minimize the cost needed for training corpus construction and to rapidly enhance the performance of named entity recognition. The proposed method uses distance supervision for the construction of the initial training corpus. It can then effectively remove noise sentences in the initial training corpus through the use of an active bagging method, an ensemble method of bagging and active learning. In the experiments, the proposed method improved the F1-score of named entity recognition from 67.36% to 76.42% after active bagging for 15 times.

Factors Affecting Beneficiary Satisfaction on Financial Aid Program for Cancer Patients in Korea (암환자 의료비 지원사업 대상자의 만족도 관련 요인)

  • Sim, Ju-Ho;Park, Jong-Hyock;Lee, Jung-A;Kim, So-Young;Park, Bo-Ram;Park, Eun-Cheol
    • Health Policy and Management
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    • v.21 no.1
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    • pp.61-76
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    • 2011
  • Limited research has investigated the satisfaction of patients with cancer. This study was performed to explore patients' satisfaction and the related factors. The data were collected by telephone survey for the participants who were beneficiaries on the national financial aid program for cancer patients between January and October in 2009. Student's t-tests and analysis of variance were performed first to determine if the mean satisfaction score differed by the characteristics of study objects, followed by stepwise multiple regression analyses to examine the factors affecting satisfaction. When comparing the relating factors with patients' satisfaction according to the sociodemographic characteristics, the male, old-aged, higher educated, lower cancer stage, lung cancer group showed a significantly higher level of recognition for satisfaction. A public health center, better public relations, recognized more helpful, don't have expectation, put a person to expense, and don't feel pressured for medical cost groups were showed a higher level of recognition for satisfaction. The result of the multiple regression analysis, short waiting time, well known program policy, recognized helping of policy and had the financial burden had significantly influence on the satisfaction of patients with cancer.

The Development and Evaluation of a New Educational Program, Introduction to Clinical Nursing, for Third Year Nursing Students (간호학 임상실습 입문 교육과정(Introduction to Clinical Nursing) 개발과 교육 효과)

  • Song, Kyung-Ae;Park, Hyun-Jung;Yeom, Hye-A;Lee, Jong-Eun;Joo, Ga-Eul;Kim, Hee-Ju
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.3
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    • pp.322-333
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    • 2012
  • Purpose: The purpose of this study was to evaluate the effects of a newly developed Introduction to Clinical Nursing (ICN) program on critical thinking skills, communication competence, self-efficacy, and clinical performance self-confidence in nursing students in their third year. Methods: One group pre-test and post-test design was used with three data collection time points (pre-test, post-test1 and post-test2). Participants were 74 third year nursing students approaching their first clinical practicum. The new program included (a) simulated clinical encounters regarding situations of assessing hospitalized patents and caring for patients with oxygenation needs, (b) objective structured clinical examination of skills, (c) lectures, and (e) field trips. Data were analyzed using paired t-tests. Results: After the ICN course, critical thinking skills(significant only between pretest and post-test2), communication competence, and clinical performance self-confidence improved significantly (p<.05). There was no improvement in the self-efficacy total score but there was significant improvement in the subscale, self-regulatory efficacy. Conclusions: The study results indicate that the ICN course may be effective in increasing critical thinking skills, communication competence, and clinical performance self-confidence in nursing students. However, the effect size was very small and modifications of this program should be considered to develop more cost-effective educational programs.

Automated Stacking Crane Dispatching Strategy in a Container Terminal using Genetic Algorithm (유전 알고리즘을 이용한 자동화 컨테이너 터미널에서의 장치장 크레인의 작업 할당 전략)

  • Wu, Jiemin;Yang, Young-Jee;Choe, Ri;Ryu, Kwang-Ryel
    • Journal of Navigation and Port Research
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    • v.36 no.5
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    • pp.387-394
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    • 2012
  • In an automated container terminal, automated stacking cranes(ASCs) take charge of handling of containers in a block of the stacking yard. This paper proposes a multi-criteria strategy to solve the problem of job dispatching of twin ASCs which are identical to each another in size and specification. To consider terminal situation from different angles, the proposed method evaluates candidate jobs through various factors and it dispatches the best score job to a crane by doing a weighted sum of the evaluated values. In this paper, we derive the criteria for job dispatching strategy, and we propose a genetic algorithm to optimize weights for aggregating evaluated results. Experimental results are shown that it is suitable for real time terminal with lower computational cost and the strategy using various criteria improves the efficiency of the container terminal.

Implementation of a Face Authentication Embedded System Using High-dimensional Local Binary Pattern Descriptor and Joint Bayesian Algorithm (고차원 국부이진패턴과 결합베이시안 알고리즘을 이용한 얼굴인증 임베디드 시스템 구현)

  • Kim, Dongju;Lee, Seungik;Kang, Seog Geun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.9
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    • pp.1674-1680
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    • 2017
  • In this paper, an embedded system for face authentication, which exploits high-dimensional local binary pattern (LBP) descriptor and joint Bayesian algorithm, is proposed. We also present a feasible embedded system for the proposed algorithm implemented with a Raspberry Pi 3 model B. Computer simulation for performance evaluation of the presented face authentication algorithm is carried out using a face database of 500 persons. The face data of a person consist of 2 images, one for training and the other for test. As performance measures, we exploit score distribution and face authentication time with respect to the dimensions of principal component analysis (PCA). As a result, it is confirmed that an embedded system having a good face authentication performance can be implemented with a relatively low cost under an optimized embedded environment.

Orders Status Analysis on the Successful Bidder Decision Method of Turnkey Alternative Tendering Construction (턴키·대안입찰공사 낙찰자 결정방식에 의한 수주현황 분석)

  • Park, Hong-Tae;Lee, Yang-Kyu
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.2
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    • pp.771-780
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    • 2013
  • Inspection system which was performed in the past selected the final winning bidder by separating Pre-Qualification, the basic design evaluation and price evaluation. However, turnkey and alternative bidding construction has selected way to determine the successful bidder as the best design and the most low cost method, comprehensive evaluation method (bid price adjustment, design score adjustments, weights standard), the best design and the fixed amount method from january 1, 2010 to the present. Due to these institutional problems, orders institutions were often a way to determine the successful bidder to apply differently for identical or similar construction. Therefore this study winning bidder selection criteria through analysis of construction the number and construction order performance, order performance by work division and institutional orders, the weights bidder order performance and orders status of turnkey alternative tendering construction to civil part performed in domestic.

An Analysis of Selection Factors for Capital Region Ports of Call Using the Fuzzy Theory (퍼지이론을 활용한 수도권항만의 기항지 선택요인 분석에 관한 연구)

  • Yoo, Sung-Jae;Jung, Hyun-Jae;Park, Won-Keun;Yeo, Gi-Tae
    • Journal of Korea Port Economic Association
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    • v.27 no.2
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    • pp.39-57
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    • 2011
  • Recently Incheon Port and Pyeongtak·Dangjin Port called as Capital Region Ports have enjoyed ever-increasing cargo volumes. However, there is a lack of research on this region while plenty of outputs were suggested on mega hub and regional hub ports in terms of shipping companies and stakeholders' port choice criteria. To identify and evaluate the Capital Region Ports, this paper identifies the factors and sub-components influencing their port choice and presents a structure for evaluating them. Based on the literature related to port selection and competition, a regional survey employed Factor Analysis to reveal that 'port facility and link', 'cost and service', 'port hinterland' and 'information service and port operation policy' are the determining factors in these regions. From the overall evaluation using Fuzzy Theory, Port of Incheon Port obtained high score compare to that of Port of Pyeongtak Dangjin.

Study on Diet-related Quality of Life in Online Self-help Diabetes Mellitus Patients Who Practice Dietary Regimen (식사요법을 실천중인 당뇨병 자조모임 환자의 식사관련 삶의 질에 관한 연구)

  • Lee, Han-Sul;Joo, Jin-Hee;Choue, Ryo-Won
    • Korean Journal of Community Nutrition
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    • v.16 no.1
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    • pp.136-144
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    • 2011
  • Assessment of quality of life (QOL) is a new method to investigate the effectiveness of dietary regimen. Particularly, diet-related QOL is the most appropriate method to estimate social and psychological problems originated from dietary regimen practice. The purpose of this study was to evaluate the diet-related QOL and the correlation between diet-related QOL and health-related QOL, and dietary regimen practice in online diabetes self-help patients who practice the dietary regimen. Sixty one subjects who intended to practice dietary regimen were recruited from online diabetes self-help community, and instructed to fill-up the self report questionnaires. Contents of questionnaire were comprised of general characteristics, clinical characteristics, dietary compliance, and dietary regimen practice. As a result, the mean score of the 'Dietary impact' among the diet-related QOL sub-scales was the lowest suggesting most of the subjects suffer from burden of dietary regimen practice. The "Dietary impact" was correlated with "Taste", "Convenience" and "Cost" (p < 0.05). "Self-care" and "Satisfaction" were positively associated with well-controlled blood glucose and dietary regimen compliance, but negatively associated with "Dietary impact". Diet-related QOL was significantly correlated with the Health-related QOL, particularly the mental and social component (p < 0.05). Diet-related QOL was negatively associated with BMI, and self monitoring blood glucose was negatively correlated with "Self-care" (p < 0.05). In conclusion, Diet-related QOL might be appropriate to evaluate the effects of dietary regimen or nutrition education. The need for dietary education of cognitive-behavioral strategies and problem-solving ability is required.