• Title/Summary/Keyword: Critical Factors

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Full Mouth Rehabilitation (완전 구강 회복술)

  • Lee, Seung-Kyu;Lee, Sung-Bok;Kwon, Kung-Rock;Choi, Dae-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.16 no.3
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    • pp.171-185
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    • 2000
  • The treatment objectives of the complete oral rehabilitation are : (1) comfortably functioning temporomandibular joints and stomatognathic musculature, (2) adherence to the basic principle of occlusion advocated by Schuyler, (3) anterior guidance that is in harmony with the envelope of function, (4) restorations that will not violate the patient's neutral zone. There may be many roads to achieving these objectives, but they all convey varing degrees of stress and strain on the dentist and patient. There are no "easy" cases of oral rehabilitation. Time must be taken to think, time must be taken to plan, and time must be taken to perform, since time is the critical element in both success and failure. Moreover, a systematized and integrated approach will lead to a prognosis that is favorable and predictable. This approach facilitates development of optimum oral function, comfort, and esthetics, resulting in a satisfied patient. Such a systematized approach consists of four logical phase : (1) patient evaluation, (2) comprehensive analysis and treatment planning, (3) integrated and systematic reconstruction, and (4) postoperative maintenance. Firstly, we must evaluate the mandibular position. The results of a repetitive, unstrained, nondeflective, nonmanipulated mandibular closure into complete maxillomandibular intercuspation is not so much a "centric" occlusion as it is a stable occlusion. Accordingly, we ought to concern ourselves less with mandibular centricity and more with mandibular stability, which actually is the relationship we are trying to establish. The key to this stability is intercuspal precision. Once neuromuscular passivity has been achieved during an appropriate period of occlusal adjustment and provisionalization, subsequent intercuspal precision becomes the controlling factors in maintaining a stable mandibular position. Secondly, we must evaluate the planned vertical dimension of occlusion in relationship to what may now be an altered(generally diminished), and avoid the hazard of using such an abnormal position to indicate ultimate occlusal contacting points. There are no hard and fast rules to follow, no formulas, and no precise ratios between the vertical dimension of occlusion. Like centric relation, it is an area, not a point.

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Chest-wall Surface Dose During Post-mastectomy Radiation Therapy, with and without Nonmagnetic Bolus: A Phantom Study

  • Choi, Cheon Woong;Hong, Joo Wan;Park, Cheol Soo;Ahn, Jae Ouk
    • Journal of Magnetics
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    • v.21 no.2
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    • pp.293-297
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    • 2016
  • For mastectomy patients, sufficient doses of radiation should be delivered to the surface of the chest wall to prevent recurrence. A bolus is used to increase the surface dose on the chest wall, whereby the surface dose is confirmed with the use of a virtual bolus during the computerized treatment-planning process. The purpose of this study is an examination of the difference between the dose of the computerized treatment plan and the dose that is measured on the bolus. Part of the left breast of an Anderson Rando phantom was removed, followed by the attainment of computed tomography (CT) images that were used as the basis for computerized treatment plans that were established with no bolus, a 3 mm-thick bolus, a 5 mm-thick bolus, and a 10 mm-thick bolus. For the computerized treatment plan, a prescribed dose regimen was dispensed daily and planning target volume (PTV) coverage was applied according to the RTOG 1304 guidelines. Using each of the established computerized treatment plans, chest-wall doses of 5 points were measured; this chest-wall dose was used as the standard for the analysis of this study, while the level of significance was set at P < 0.05. The measurement of the chest-wall dose with no bolus is 1.6 % to 10.3 % higher, and the differences of the minimum average and the maximum average of the five measurement points are -13.8 and -1.9, respectively (P < 0.05); however, when the bolus was used, the dosage was measured as 3.7 % to 9.2 % lower, and the differences of the minimum average and the maximum average are 7.4 and 9.0, -1.2 and 17.4, and 8.1 and 19.8 for 3 mm, 5 mm, and 10 mm, respectively (P < 0.05). As the thickness of the bolus is increased, the differences of the average surface dose are further increased. There are a variety of factors that affect the surface dose on the chest wall during post-mastectomy radiation therapy, for which verification is required; in particular, a consideration of the appropriate thickness and the number of uses when a bolus is used, and which has the greatest effect on the surface dose on the chest wall, is considered necessary.

The Effect of PMIS Quality on Project Management Success (PMIS의 품질이 프로젝트관리의 성공에 미치는 영향 분석)

  • Lee, Seul-Ki;Lee, Hyoung-Lak;Yu, Jung-Ho
    • Journal of the Korea Institute of Building Construction
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    • v.10 no.6
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    • pp.117-126
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    • 2010
  • As one of the key IT applications, the project management information system (PMIS) has played a significant role in construction management processes. This is because PMIS is an information system that gathers, integrates, and disseminates the output of project management processes among project participants, and is used to support all aspects of a project, from initiation through closing. This paper aims to identify the CSFs(Critical Success Factor) of Project Management and quality associated with Project Management Information System (PMIS) in construction projects, to analyze the Effect of PMIS quality on Project Management Success. The CSFs of Project Management and the quality components for PMIS are identified through a review of the literature, and consolidated through interviews with professionals in the construction industry. A questionnaire instrument was sent out to experienced users (Construction Manager and Constructor), and 253 completed questionnaires were retrieved. To increase the applicability of the results, the respondents consisted of workers spread across various parts of the construction site. Using SPSS 12.0, the data was used to analyze the relationship between PMIS Quality and Project Management Success through multiple regression analysis. These findings help to clarify what the highly prioritized factors are, and could also be used as an assessment tool to evaluate the performance of PMIS and thus help to identify areas for improvement.

An Analysis on the Investment Determinants for Insolvent Housing Development Projects (건설회사의 공동주택 PF 부실사업장에 대한 투자결정요인 분석)

  • An, Kukjin;Cho, Yongkyung;Lee, Sangyoub
    • Korean Journal of Construction Engineering and Management
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    • v.15 no.2
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    • pp.112-121
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    • 2014
  • After IMF bailout crisis in Korea, project financing has been employed as a major funding vehicle for the housing development. In 2008, the recession of housing market due to the global financial crisis had an significant impact on the increasing insolvent site of PF based housing development project, resulting in serious impact to whole economy as a chain effect. In order to resolve this vicious circle of bankruptcy, the major construction companies were urged to take over the insolvent sites and invest to them for normal project exit, and finally play a critical role in normalization of market. Therefore, this study aims to define the core factors for decision making to invest to insolvent site and find out differences among constructors, developers, financial lenders. The results from AHP analysis, the profitability was the most important factor to constructors. Moreover, even though the location merit is little less, through competitive price, we can assure that stable profitability is most important factor to decide to invest in insolvent site. In conclusion, the price is cheap, is highly feasible, if the land secured, major construction company will participate in a PF business investment. These findings were verified by the investment case of major construction company.

The Predictors and Clinical Impact of Positive Resection Margins on Frozen Section in Gastric Cancer Surgery

  • Kim, Se-Yeong;Hwang, Yoon-Sun;Sohn, Tae-Sung;Oh, Seung-Jong;Choi, Min-Gew;Noh, Jae-Hyung;Bae, Jae-Moon;Kim, Sung
    • Journal of Gastric Cancer
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    • v.12 no.2
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    • pp.113-119
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    • 2012
  • Purpose: The aim of this study is to compare the characteristics of tumor and prognosis, depending on the status of resection margin involvement, on the frozen section diagnosis in gastric cancer. Materials and Methods: This study was conducted retrospectively, in 83 margin-positive patients on the frozen section diagnosis, who underwent gastrectomy from July 1995 to September 2006. The control group was selected by matching the age, gender, TNM stage and status of adjuvant chemoradiotherapy, among those who had shown clear resection margins. The characteristics of tumor and patient survival are investigated, and they were analyzed between the two groups. Results: The tumor size was significantly larger in the study group than that of the control group (P=0.037). There was significant difference between the two groups in location of the tumors (P=0.003). Multivariate analysis indicated that only the location and Lauren's classification are independent factors, which affected the resection margin involvement. Median survival was $41.0{\pm}11.5$ months in the study group and $93.0{\pm}30.3$ months in the control group (P=0.049). In the survival analysis, it was investigated that TNM stage and the resection margin involvement of the frozen section diagnosis were the critical variables. Conclusions: When the tumor is located at the middle or the upper third, or the Lauren's indeterminate type, they are highly likely to show the resection margin involvement on the frozen section diagnosis, and it can, therefore, have negative effects on the prognosis. It is considered as good to perform more extensive resection as possible, during the initial resection.

An Experimental Study on the Evaluation of Smear Effect Considering In-situ Conditions (현장여건을 고려한 스미어 영향 평가에 관한 실험적 연구)

  • Park, Yeong-Mog
    • Journal of the Korean GEO-environmental Society
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    • v.13 no.8
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    • pp.85-94
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    • 2012
  • Evaluation of the smear effect caused by mandrel penetration into soft ground for a vertical drain installation is very important to predict the consolidation time of soft ground improvement. 30 kinds of laboratory model tests considering in situ conditions were conducted to investigate the formation of a smear zone and the decrease of coefficient of permeability in the disturbed zone. Three types(C(clay):M(silt)=1:1, 0.5:0.5, and 0:1) of reconstituted samples were used for 3 dimensional smear zone test. An experimental study was performed focusing on length of mandrel penetration, mandrel shape and size, earth pressure, and ground condition(unit weight and grain size distributions). Laboratory test results show that the length of mandrel penetration is the most critical factor for the formation of smear zone. As a result, the ratio between diameter of the smear zone($d_s$) and that of mandrel($d_m$) at field using long mandrel becomes larger than conventional $d_s/d_m$. The ratio between $d_s$ and $d_m$ ranges from 1.89 and 2.48 with the sample at C:M=1:0. It was also found that the $d_s/d_m$ value with the round shape of the mandrel is smaller than that of diamond one. The value of $d_s/d_m$ decreased with larger mandrel size, lower unit weight, and higher earth pressure. However, higher silt content led to increase of $d_s/d_m$. The ratio between coefficient of horizontal permeability in the smear zone($k_{hs}$) and that of undisturbed zone($k_{ho}$) ranged from 0.70 to 0.85. The test results imply that factors and values affecting $k_{hs}/k_{ho}$ show similar tendency with $d_s/d_m$.

The Analysis of Teacher Evaluation Systems in Russian Federation, United States, and Republic of Korea (러시아, 미국, 한국의 과학 교사 평정 제도 분석)

  • ;Eugenia Etkina
    • Journal of Korean Elementary Science Education
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    • v.18 no.1
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    • pp.1-18
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    • 1999
  • The work of teachers is tile critical element ill effective shooting. But most reform efforts have focused on tile teaching profession as a whole and effective schools. Only minimal attention has been given to the subset of teachers whose performance is marginal or incompetent, those who undermine the very concept of “educational excellence.” Teachers are the school's primary point of contact with students and, in large part, determine the educational goals and learning activities for students. How teaching is conducted has a large impact on students' abilities to educate themselves, and there is evidence that teacher quality directly affects student learning. Unfortunately, the evaluation of teachers' teaching abilities is not clear, and there are few cases that teachers has correctly feedback fly tile results of the evaluation of their abilities. In this study, we analysized and compared the teacher evaluation systems of Republic of Korea, Russian Federation, and tile United States of America. These results will be based on the improvement of tile systems. In Russian Federation, the highest year of teacher's teaching which affects on teacher's salary is 5. In the United States, it is 12-13 years. But in Korea, it is more than 30 years. That means the teachers who taught for many years are considered as competent teachers in Republic of Korea based on the economic factors of educational effects. In Russia and tile United States of America, teachers' academic backgrounds seriously affect ell teachers' salary. But ill Republic of Korea, teachers' academic background is a bit of a contribution to salary. In Russian federation, teachers' activities related to education, leaking abilities as well as academic background are also affect ell the salary. In Korea, older teachers have more advantages of salary and promotion than younger teachers. Principals and vice principals of Korea have influencing power over teachers because their judgements on teachers play an important part in teachers' promotion. But there is no such power of principals and vice principals in Russia and the United States of America. In Russian federation, the evaluation of teachers abilities is enforced periodically. The results of tile evaluation reflect on teachers' salary directly, After teachers are evaluated, some teachers can earn lower salaries than before. Teachers' academic backgrounds which affect ell teacher' salary are classified by courses. The teachers who have master degrees or dolor degrees of education earn much more money than the teachers who have master degrees and doctor degrees of pure science in Russian federation.

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Evaluation of Shear Capacity on PC Girder-PC Beam Joint (PC 큰 보-PC 작은 보 접합부의 전단성능 평가)

  • Moon, Jeong Ho;Oh, Young Hun;Lim, Jae Hyung
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.15 no.6
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    • pp.166-174
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    • 2011
  • The object of this study is to evaluate the structural shear capacity of the PC girder-PC beam joint. The dapped end of PC beam and the ledger of PC girder are usually designed to design load. If the end of PC beam can be designed with continuous end, the dapped end of PC beam and the ledger of PC girder do not need to resist to all loads except dead load and construction load. The experimental program was carried out with 7 specimens containing the variable factors as the anchored method of the hanger bar, design load, be or not exist of ledger bars. As a result, the continuity of the dapped end and the ledger were ensured their safety although the design load was only the dead load and the construction load. The shear critical section was expanded toward the effective depth d, the distance from the supported position of the beam. If the ledger is designed according to PCI Design Handbook, the structural system of the ledger is as to the cantilever slab system. But the ledger of this study is as to the 3 side fixed slab system. Therefore the design of the ledger by PCI Design Handbook will lead to highly conservative results.

17β-estradiol mediated effects on pluripotency transcription factors and differentiation capacity in mesenchymal stem cells derived porcine from newborns as steroid hormones non-functional donors

  • Lee, Won-Jae;Park, Ji-Sung;Lee, HyeonJeong;Lee, Seung-Chan;Lee, Jeong-Hyun;Ock, Sun-A;Rho, Gyu-Jin;Lee, Sung-Lim
    • Journal of Embryo Transfer
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    • v.32 no.3
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    • pp.209-220
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    • 2017
  • The estrogen-mediated effect of mesenchymal stem cells (MSCs) is a highly critical factor for the clinical application of MSCs. However, the present study is conducted on MSCs derived from adult donors, which have different physiological status with steroid hormonal changes. Therefore, we explores the important role of $17{\beta}$-estradiol (E2) in MSCs derived from female and male newborn piglets (NF- and NM-pBMSCs), which are non-sexually matured donors with steroid hormones. The results revealed that in vitro treatment of MSCs with E2 improved cell proliferation, but the rates varied according to the gender of the newborn donors. Following in vitro treatment of newborn MSCs with E2, mRNA levels of Oct3/4 and Sox2 increased in both genders of MSCs and they may be correlated with both estrogen receptor ${\alpha}$ ($ER{\alpha}$) and $ER{\beta}$ in NF-pBMSCs, but NM-pBMSCs were only correlated with $ER{\alpha}$. Moreover, E2-treated NF-pBMSCs decreased in ${\beta}$-galactosidase activity but no influence on NM-pBMSCs. In E2-mediated differentiation capacity, E2 induced an increase in the osteogenic and chondrogenic abilities of both pBMSCs, but adipogenic ability may increased only in NF-pBMSCs. These results demonstrate that E2 could affect both genders of newborn donor-derived MSCs, but the regulatory role of E2 varies depending on gender-dependent characteristics even though the original newborn donors had not been affected by functional steroid hormones.

Design of Experiment and Analysis Method for the Integrated Logistics System Using Orthogonal Array (직교배열을 이용한 통합물류시스템의 실험 설계 및 분석방법)

  • Park, Youl-Kee;Um, In-Sup;Lee, Hong-Chul
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5622-5632
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    • 2011
  • This paper presents the simulation design and analysis of Integrated Logistics System(ILS) which is operated by using the AGV(Automated Guided Vehicle). To maximize the operation performances of ILS with AGV, many parameters should be considered such as the number, velocity, and dispatching rule of AGV, part types, scheduling, and buffer sizes. We established the design of experiment in a way of Orthogonal Array in order to consider (1)maximizing the throughput; (2)maximizing the vehicle utilization; (3)minimizing the congestion; and (4)maximizing the Automated Storage and Retrieval System(AS/RS) utilization among various critical factors. Furthermore, we performed the optimization by using the simulation-based analysis and Evolution Strategy(ES). As a result, Orthogonal Array which is conducted far fewer than ES significantly saved not only the time but the same outcome when compared after validation test on the result from the two methods. Therefore, this approach ensures the confidence and provides better process for quick analysis by specifying exact experiment outcome even though it provides small number of experiment.