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Online resources for information on shoulder arthroplasty: an assessment of quality and readability

  • Mohamad Y. Fares;Jaspal Singh;Amar S. Vadhera;Jonathan Koa;Peter Boufadel;Joseph A. Abboud
    • Clinics in Shoulder and Elbow
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    • v.26 no.3
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    • pp.238-244
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    • 2023
  • Background: Many patients use online resources to educate themselves on surgical procedures and make well-informed healthcare decisions. The aim of our study was to evaluate the quality and readability of online resources exploring shoulder arthroplasty. Methods: An internet search pertaining to shoulder arthroplasty (partial, anatomic, and reverse) was conducted using the three most popular online search engines. The top 25 results generated from each term in each search engine were included. Webpages were excluded if they were duplicates, advertised by search engines, subpages of other pages, required payments or subscription, or were irrelevant to our scope. Webpages were classified into different source categories. Quality of information was assessed by HONcode certification, Journal of the American Medical Association (JAMA) criteria, and DISCERN benchmark criteria. Webpage readability was assessed using the Flesch reading ease score (FRES). Results: Our final dataset included 125 web pages. Academic sources were the most common with 45 web pages (36.0%) followed by physician/private practice with 39 web pages (31.2%). The mean JAMA and DISCERN scores for all web pages were 1.96±1.31 and 51.4±10.7, respectively. The total mean FRES score was 44.0±11.0. Only nine web pages (7.2%) were HONcode certified. Websites specified for healthcare professionals had the highest JAMA and DISCERN scores with means of 2.92±0.90 and 57.96±8.91, respectively (P<0.001). HONcode-certified webpages had higher quality and readability scores than other web pages. Conclusions: Web-based patient resources for shoulder arthroplasty information did not show high-quality scores and easy readability. When presenting medical information, sources should maintain a balance between readability and quality and should seek HONcode certification as it helps establish the reliability and accessibility of the presented information. Level of evidence: IV.

MULTISTEP HEAT-TREATMENT EFFECTS ON ELECTROSPUN Nd-Fe-B-O NANOFIBERS

  • EUN JU JEON;NU SI A. EOM;JIMIN LEE;BIN LEE;HYE MI CHO;JI SUN ON;YONG-HO CHOA ;BUM SUNG KIM
    • Archives of Metallurgy and Materials
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    • v.63 no.3
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    • pp.1433-1437
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    • 2018
  • Neodymium-Iron-Boron (Nd-Fe-B) magnets are considered to have the highest energy density, and their applications include electric motors, generators, hard disc drives, and MRI. It is well known that a fiber structure with a high aspect ratio and the large specific surface area has the potential to overcome the limitations, such as inhomogeneous structures and the difficulty in alignment of easy axis, associated with such magnets obtained by conventional methods. In this work, a suitable heat-treatment procedure based on single-step and multistep treatments to synthesize sound electrospun Nd-Fe-B-O nanofibers of Φ572 nm was investigated. The single-step heat-treated (directly heat-treated at 800℃ for 2 h in air) samples disintegrated along with the residual organic compounds, whereas the multistep heat-treated (sequential three-step heat-treated including three steps;: dehydration (250℃ for 30 min in an inert atmosphere), debinding (650℃ for 30 min in air), and calcination (800℃ for 1 h in air)) fibers maintained sound fibrous morphology without any organic impurities. They could maintain such fibrous morphologies during the dehydration and debinding steps because of the relatively low internal pressures of water vapor and polymer, respectively. In addition, the NdFeO3 alloying phase was dominant in the multistep heat-treated fibers due to the removal of barriers to mass transfer in the interparticles.

Study on Enhanced ONU Activation Methods for the G-PON Based on G.984.3 (G.984.3 기반의 G-PON을 위한 개선된 ONU 활성화 방안에 관한 연구)

  • Kim, Sun-Mi;Kim, Chung-Il;Chung, Hae
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.32 no.8B
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    • pp.473-481
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    • 2007
  • We are interested in the PON which is easy to install and inexpensive to maintain, as it is a solution of the FTTH that is a core technology of the BcN access network. When a new ONU is connected, TDMA PON has a procedure called ranging that OLT measures the distance and allocates the equalized delay to it in order to provide the same logical distance to all ONUs. For the procedure, the OLT has to open a time window several times and already activated ONUs cannot transmit a data to the upstream during the periods. Accordingly, it is important to reduce the window size for saving the bandwidth and providing a user the service smoothly. In this paper, we investigate the ONU activation method of G-PON based on ITU-T G984.3 and suggest an advanced method(algorithm I) that minimizes the window size without information of ONU distance. The size can be reduced by calculating the pre-assigned delay obtained during Serial number state. Also, we compare it with another(algorithm II) with information of distance. As a result, the window size reduces to $50{\sim}90%$ for the algorithm I and 99% for algorithm II during the ONU activation process.

Spinal Cord Partial Block Technique Using Dynamic MLC (동적 다엽콜리메이터를 이용한 척수의 부분 차폐 기법)

  • 조삼주;이병용;이상욱;안승도;김종훈;권수일;최은경
    • Progress in Medical Physics
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    • v.14 no.1
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    • pp.8-14
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    • 2003
  • The spinal cord dose is the one of the limiting factor for the radiation treatment of the head & neck or the thorax region. It is not an easy task to maintain the spinal cord dose below tolerance and to keep the clinically acceptable dose to the PTV in this region. To overcome this problem, the spinal cord partial block technique (PBT) with the dynamic Multi-Leaf Collimator (dMLC) has been developed. This technique is an extension of the conventional treatment planning. In the beginning the beam directions are selected as same as the conventional treatment planning to encompass the PTV, then the partial block are designed to shield the spinal cord. The plan comparisons between the conventional therapy plan and the PTB plan were performed to evaluate the validity of this technique. The mean dose and the dose volume histogram (DVH) were used as the plan comparison indices. A series of quality assurance (QA) was performed to guarantee the reliable treatment. The QA consisted of the film dosimetry for the verification of the dose distribution and the point measurements. The PBT plan generated better results than the conventional treatment plan and it was proved to be useful for the H&N region.

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Artificial Insemination in Poultry (가금의 인공수정)

  • Howarth, Birkett
    • Korean Journal of Animal Reproduction
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    • v.7 no.2
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    • pp.57-71
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    • 1983
  • 1. Diluted chicken semen can be preserved at 2 to 5$^{\circ}C$ for 24 to 48 hr with resultant fertility of greater than 90% of that of fresh semen. Turkey semen can be preserved at 10 to 15$^{\circ}C$ for 6 to 24 hr and provide economical fertility. 2. Frozen chicken semen has given variable results; a 21 to 93% fertility ranges as compared to 92 to 94% expected with fresh semen. Highest fertility levels obtained with frozen turkey semen intravaginally inseminated have been 61 and 63% using DMSO and glycerol, respectively, as cryoprotectants. 3. The use of glycerol as a cryoprotectant reauires that its concentration in semen be reduced to less than 2% either by dialysis or centrifugation after thawing and before intravaginal insemination if optimal fertility is to be obtained. 4. The temperature at which cryoprotectants are added to semen and the time allowed for equilibration are important for subsequent fertility pre- and post-freezing. 5. The type of container used for packaging the semen, freeze or cooling rates, thaw rates and level of cryoprotectant all interact in affecting cell survival. 6. Plastic freeze straws as a packaging device for semen offers the following advantages: easy to handle, require minimal storage space, offer a wide range of freeze and thaw rates, and insemination can be made directly from them upon thawing. 7. Controlled slow cooling rates of 1 to 8$^{\circ}C$/min have thus far provided the best results for cooling chicken semen throught the transition phase change (liquid to solid) or critical temperature range of +5 to -20 or -35$^{\circ}C$. 8. Highest fertilities have been achieved with frozen chicken semen where a slow thaw rate (2。 to 5$^{\circ}C$) has been used regardless of the freeze rate. 9. To maintain a constant high level of fertility throughout a breeding season with frozen semen, a higher absolute number of spermatozoa must be inseminated (2 to 3 times as many) as compared to fresh semen since a, pp.oximately 50% are destroyed during processing and freezing. 10. The quality of semen may vary with season and age of the male. Such changes in sperm quality could be accentuated by storage effects. Thus, the correct number of spermatozoa may very well vary during the course of a breeding period. 11. As to time of insemination, it is best to avoid inseminating chicken hens within 1-2 hr after or 3-5 hr before oviposition; and turkey hens during or 7-10 hr before oviposition. 12. The physiological receptiveness of the oviduct at the time of insemination is a very important biological factor influencing fertility levels throughout the breeding season.

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Analysis, Detection and Prediction of some of the Structural Motifs in Proteins

  • Guruprasad, Kunchur
    • Proceedings of the Korean Society for Bioinformatics Conference
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    • 2005.09a
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    • pp.325-330
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    • 2005
  • We are generally interested in the analysis, detection and prediction of structural motifs in proteins, in order to infer compatibility of amino acid sequence to structure in proteins of known three-dimensional structure available in the Protein Data Bank. In this context, we are analyzing some of the well-characterized structural motifs in proteins. We have analyzed simple structural motifs, such as, ${\beta}$-turns and ${\gamma}$-turns by evaluating the statistically significant type-dependent amino acid positional preferences in enlarged representative protein datasets and revised the amino acid preferences. In doing so, we identified a number of ‘unexpected’ isolated ${\beta}$-turns with a proline amino acid residue at the (i+2) position. We extended our study to the identification of multiple turns, continuous turns and to peptides that correspond to the combinations of individual ${\beta}$ and ${\gamma}$-turns in proteins and examined the hydrogen-bond interactions likely to stabilize these peptides. This led us to develop a database of structural motifs in proteins (DSMP) that would primarily allow us to make queries based on the various fields in the database for some well-characterized structural motifs, such as, helices, ${\beta}$-strands, turns, ${\beta}$-hairpins, ${\beta}$-${\alpha}$-${\beta}$, ${\psi}$-loops, ${\beta}$-sheets, disulphide bridges. We have recently implemented this information for all entries in the current PDB in a relational database called ODSMP using Oracle9i that is easy to update and maintain and added few additional structural motifs. We have also developed another relational database corresponding to amino acid sequences and their associated secondary structure for representative proteins in the PDB called PSSARD. This database allows flexible queries to be made on the compatibility of amino acid sequences in the PDB to ‘user-defined’ super-secondary structure conformation and vice-versa. Currently, we have extended this database to include nearly 23,000 protein crystal structures available in the PDB. Further, we have analyzed the ‘structural plasticity’ associated with the ${\beta}$-propeller structural motif We have developed a method to automatically detect ${\beta}$-propellers from the PDB codes. We evaluated the accuracy and consistency of predicting ${\beta}$ and ${\gamma}$-turns in proteins using the residue-coupled model. I will discuss results of our work and describe databases and software applications that have been developed.

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A Study on TQM Strategy in Tourist Hetels (관광호텔 TQM전략에 관한 연구)

  • 구경원;이상우
    • Journal of Applied Tourism Food and Beverage Management and Research
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    • v.7
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    • pp.231-266
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    • 1997
  • TQM is a whole process of systemizing, documenting and measuring of service quality scientifically to achieve zero defects in product quality and to continue to improve the body of the product quality by itself. To have this process be improved continuously, first of all it needs to prepare an ideal environment to understand and to conform to its internal and external customers', that is every guests' and employees' expectations and demands. Then it has to be followed by the next step removing some negative aspects that could be derived from the first mentioned process The third step is to cut the cost be suitable compensation rather than an attitude trying to solve the problems in an easy way. The last essential factor for setting up TQM system is to make good use of the outstanding feature or process as it is reviewed against the superior benchmark. The purpose of this study is meet the customers' expectations and to maximize the hotel's profits by searching TQM(total quality management) strategy in hotels. To attain this research's objective, it follows these three details. Firstly, it defines TQM and its contents. Secondly, it provides the standard of hotel TQM throughout some case studies. Thirdly, it suggests TQM strategic plan in tourism hotel as one of professional management strategies. Two useful methods are used together to achieve the goal of this study. To confirm its theoretical consideration, descriptive studies by the research documents its theoretical consideration, descriptive studies by the research documents published in and out of the country is used. The other is case studies of TQM execution in real hospitality industry, which present the cases of the airline, Jefferson Memorial and the hotel. This research is targeting to demonstrate the successful TQM's exercise in a hotel industry by completing the theoretical studies and case studies on service product quality with an understanding of its importance. As it is said earlier, to lead to the successful TQM's practice, it is necessary to maintain a constant training of the employees. Secondly, it also must identify where it has to focus on to deliver a professional quality management. Thirdly, effective quality management organization needs to be build up. The manager's strong will to accomplish and the employee' active participations are the last condition to be succeed. Once again this study places an emphasis on the fact that TQM is critical to maximize the customers' satisfaction and the hotel's profitability. It is also very worthwhile to have every people working on front line recognize why the TQM is important and further more how they can contribute to improve their service quality by a positive participation and a careful observation of TQM's operating in their property.

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A study of calculate a time to peak enhancement of contrast level by using blood flow (혈류에 의한 조영제 peak time의 산출에 관한 연구)

  • Choi, Kwan-Woo;Son, Soon-Yong;Lee, Ho-Beom
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2315-2321
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    • 2013
  • This study attempt to develope and suggest a new, minimize side effects process for calculate a time to peak enhancement of contrast level by using blood flow instead of current mathematical process. We conducted a studies 127 patients who performed the CE MRA by using test-contrast inject way. We used measurements of a contrast inflow time and time to peak enhancement of contrast level of each cerebrovascular branch for similarity of witch cerebrovascular branch calculate a time to peak enhancement of contrast level by using blood flow in image compared with calculation a time to peak enhancement of contrast level by using current mathematical process after contrast enhancement. In this study, confidence interval were used if the variable is continuous variable; there is differences between 4 groups exist but in group 1, there is no difference with time in peak enhancement of contrast level by using mathematical method to inflow time in sinus sigmoideus. it was significant statistically, in addition there was significant low heterogeneity in Bland Altman plot. Thus, apply a new calculate a time to peak enhancement of contrast level by using blood flow method will minimize damage caused by side effect, maintain quality of image, easy and fast access. It should provide a space for the exchange of current calculate a time to peak enhancement of contrast level by using mathematical process.

Architecture Design for the Image Processing System of Meteorological Satellite (기상위성 영상처리 기본체계 아키텍처 설계)

  • Kuk, Seung-Hak;Choi, Chang-Min;Seo, Yong-Jin;Kim, Hyeon-Soo;SaKong, Young-Bo;Lee, Bong-Ju;Jang, Jae-Dong;Oh, Hyun-Jong
    • Korean Journal of Remote Sensing
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    • v.28 no.1
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    • pp.79-93
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    • 2012
  • This paper suggests a system architecture for the advanced meteorological satellite image processing system that is developing by NMSC(National Meteorological Satellite Center). The meteorology satellite image processing system has basically the image acquisition, the image processing, the data management, and the data dissemination functionalities. However, the existing system has some problems with respect to system integration as well as maintenance to accommodate new satellites and/or the new image processing systems for them which will be developed in the near future. To cope with these problems we propose a new system architecture for the advanced meteorology satellite image processing system. To do this we select as the architectural drivers the quality attributes such as modifiability, inter-operability, extendability, reusability, and platform independency and design the architecture to achieve such quality attributes. We expect that the new approach will solve current issues such as system integration, system dependency, or data management problems and will provide easy ways to incorporate new systems and to maintain them.

Determinants for Long-term Cooperation Between Public Research Institute and SMEs (출연(연)과 중소기업의 장기적 협력을 위한 영향요인 분석: 출연(연)의 인력파견사업을 중심으로)

  • Song, Minkyoung;Park, Beom Soo
    • The Journal of the Korea Contents Association
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    • v.17 no.3
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    • pp.654-665
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    • 2017
  • It is major strategy for SMEs to cooperate with other companies or Public Research Institutes(PRIs) as the essential technology is getting more complicated and technological life cycle is getting short. However, It is not easy to perform a proper cooperation with SMEs for PRIs, because they are accustomed to support SMEs in the short run. In addition, previous studies also have mainly focussed on finding determinants of performance as a consequence of temporary cooperation instead of long-term relationships among companies. Therefore this study analyzed which satisfaction is more effective to maintain the long-term cooperative relationship between PRIs and SMEs. As a result, it has found that when SMEs satisfy from quality of input like manpower supports R&D and context of the support program over the output like technological or economical performance, they intend to continue cooperation with PRIs. And this paper shows that the performance has mediated effect rather direct effect on long-term cooperation intention. In light of all the above, to cooperate with SMEs effectively, it will be suggested that PRIs enhance quality of support process and contents instead of quantity of support based on one-time cooperation.