• Journal of Preventive Medicine and Public Health
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• 제39권5호
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• pp.433-437
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• 2006

Objectives: The aim of this study is to develop a methodology for estimating a nationwide statistic for hernia operations with using the claim database of the Korea Health Insurance Cooperation (KHIC). Methods: According to the insurance claim procedures, the claim database was divided into the electronic data interchange database (EDI_DB) and the sheet database (Paper_DB). Although the EDI_DB has operation and management codes showing the facts and kinds of operations, the Paper_DB doesn't. Using the hernia matched management code in the EDI_DB, the cases of hernia surgery were extracted. For drawing the potential cases from the Paper_DB, which doesn't have the code, the predictive model was developed using the data mining technique called SEMMA. The claim sheets of the cases that showed a predictive probability of an operation over the threshold, as was decided by the ROC curve, were identified in order to get the positive predictive value as an index of usefulness for the predictive model. Results: Of the claim databases in 2004, 14,386 cases had hernia related management codes with using the EDI system. For fitting the models with applying the data mining technique, logistic regression was chosen rather than the neural network method or the decision tree method. From the Paper_DB, 1,019 cases were extracted as potential cases. Direct review of the sheets of the extracted cases showed that the positive predictive value was 95.3%. Conclusions: The results suggested that applying the data mining technique to the claim database in the KHIC for estimating the nationwide surgical statistics would be useful from the aspect of execution and cost-effectiveness.

• 대한교통학회지
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• 제23권7호
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• pp.53-61
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• 2005

시내버스의 이용자 감소, 시내버스업체의 운영수지 악화와 서비스 수준이 열악해짐에 따라 서울시는 최근 대중교통체계를 대폭적으로 개편하였다. 본 연구는 대중교통체계 개편이 시내버스업체들의 생산성에 미친 영향을 분석하기 위해서 자료포락분석기법을 이용하여 시내버스업체별 기술적 효율성을 측정한 후, 맘퀴스트지수 측정방법을 적용하여 생산성 변화를 도출하였다. 이 때 시내버스업체는 운전, 정비, 관리, 차량 및 연료의 다섯 가지 투입물을 사용하여 세 유형의 산출물, 즉 운행거리, 승객수 또는 운행거리와 승객수를 생산하는 기업형태로 상정되었다. 시내버스업체들의 생산성 분석결과 산출물로 운행거리를 상정한 경우 대부분의 업체들이 감소하였으나, 승객수를 상정한 경우 과반수 업체들이 증가하였다. 한편 산출물로 운행거리와 승객수를 함께 상정한 경우에는 평균적으로 생산성이 거의 변하지 않은 것으로 나타났다. 이는 시내버스업체들의 대당 종사자수 증가와 운행거리 감소로 인해 효율성이 감소한 반면, 노선수 증가와 요금구조 변화에 따른 승객수 증가로 인해 효과성이 증가하였기 때문이다.

• 보존과학회지
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• 제36권1호
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• pp.1-14
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• 2020

This study investigates the crystallinity distribution of ancient silk. Owing to the inherent multi-hierarchical structure of silk protein and the complicated structural changes that occur due to various burial environments, it is challenging but worthwhile to study ancient silk ageing behavior, which is based on the fact that ageing begins with a single fiber and then spreads to a whole fabric. Crystallinity was one of the most effective indicators found to reveal the ageing status of silk. Therefore, a synchrotron radiation-based X-ray diffraction(SR-XRD) method was employed to study the crystallinity distribution of single fibers of ancient silk unearthed from seven archaeological sites in China from historical periods including the warring states, Han dynasty, Song dynasty, and Ming dynasty. In comparison, the conventional X-ray diffraction method, which uses large amounts of samples, was also performed to determine the integral crystallinity of ancient silk. Thermal stability experiments by thermogravimetry(TG) as well as morphology observations by scanning electron microscopy(SEM) and optical microscopy(OM) all confirmed the deterioration of ancient silk. Moreover, the ageing mechanism of ancient silk was proposed with the assistance of an artificial ageing study. The results confirmed the effectiveness of SR-XRD as an ageing indicator, revealing the crystallinity distribution. This research could provide motivation to determine the deterioration status of ancient silk, and would also aid in explaining the fragility of ancient silk due to ageing.

• Clinics in Shoulder and Elbow
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• 제19권4호
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• pp.223-228
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• 2016

Background: The aim of study was to confirm the clinical effectiveness and results of wide and single anterior approach for fractures occurring along length of humerus. Methods: A total of 23 patients with humeral fracture were enrolled into our study who were able to participate in at least one year of follow-up. Seven patients had segmental comminuted humeral fractures and 16 patients had distal humeral fractures. We made various tractions of the muscles to expose the proximal and the middle third humerus between the biceps and brachialis and the distal humerus by partial splitting of lateral side of biceps through a single incision. Postoperatively, we measured the Mayo elbow performance index (MEPI). Results: we achieved bone union in all 23 patients. Solid union of the bone was achieved at an average 13.9 weeks. Postoperatively, two complications were observed screw loosening and nonunion. Revision surgery was performed in both patients. The patient with bone nonunion was treated using bone grafts. No postoperative infections or peripheral neuropathies were observed. At the final follow-up (average 20 months), we found that the average MEPI functional score of the patients was 91.7 points regardless of the fracture site. Conclusions: Our whole humerus with a single incision was effective for the treatment of segmental comminuted and distal fractures. we believe it is a useful alternative to preexisting methods of fracture fixation.

• Journal of Electrical Engineering and Technology
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• 제10권5호
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• pp.1921-1929
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• 2015

The smart substation is the heart of a transmission system, which is particularly emphasized as the most significant composition of smart grids in China. In order to assess the functionality performance of substation technologies, this paper presents methods used to identify the most promising solutions for smart substation design and to evaluate the technical levels of available technologies. The multi-index optimization model is presented to address the issue of smart substation planning. A mathematical model of the planning decision problem is established with multiple objectives consisting of economic, reliability, and green key indices, and many kinds of concerns including physical and environmentally friendly operations are formulated as a set of constraints. With respect to the assessment of the technical level regarding integration of advanced technologies into a substation, a modified grey whitenization weight function is adopted to structure a novel grey clustering method. The proposed grey clustering approach is used to overcome the difficulty of insufficient quantitative assessment capacity for traditional methods. The evaluation of technical effects provides the classification definition for the development phase and the maturity level of the smart substation. The effectiveness of the proposed approaches in planning decision-making and evaluation of construction efforts is demonstrated with case studies involving the actual smart substation projects of Wenchongkou substation in China Southern Power Grid (CSG) and Mengzi substation in State Grid Corporation of China (SGCC).

• The Korean Journal of Pain
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• 제22권3호
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• pp.229-233
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• 2009

Background: Sacroiliac (SI) joint pain is a challenging condition that causes lower back or buttock pain; however, there is no universally accepted long-term treatment. There have been several reports of ligament prolotherapy for SI joint pain, but these have had inconsistent results, probably due to the lack of a specific diagnosis for patient selection and variability in the volume, number and sites of injection. Therefore, this study was conducted to assess the efficacy of intraarticular prolotherapy for relieving SI joint pain diagnosed by local anesthetic intraarticular injection. Methods: Twenty-two patients with SI joint pain confirmed by 50% or more improvement in response to local anesthetic block underwent intraarticular prolotherapy with 25% dextrose water every other week three times. The numeric rating scale (NRS) for pain and Oswestry disability index (ODI) were assessed at the initial visit and after completion of a series of prolotherapy and the NRS was checked during monthly follow-up sessions to evaluate the long-term effectiveness of this technique. Results: Twenty patients completed prolotherapy and followed up as scheduled. The NRS and ODI were significantly improved from 6 (4-8) and $34.1{\pm}15.5$ to 1 (0-3) and $12.6{\pm}9.8$ (P < 0.01), respectively, at 1 month after prolotherapy. The mean duration of pain relief of 50% or more was 12.2 months (95% CI, 10.0-14.3) as determined by Kaplan-Meier survival analysis. Conclusions: Intraarticular prolotherapy provided long-term relief of sacroiliac joint pain and may have more benefits than ligament prolotherapy or neurolysis.

• 한국콘텐츠학회논문지
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• 제9권7호
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• pp.130-140
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• 2009

최근에는 기업의 경쟁력을 높이기 위한 방법으로 모든 자원을 통합 관리하는 추세이며, 이로 인해 시스템이 전문화되고 복잡해지면서 최고경영자가 의사결정을 내리는데 어려움이 따르고 있다. 해결 방안으로 BPR이라는 경영기법이 제시되었으며, 이를 구체적으로 실현한 ERP 시스템이 등장하였다. 본 연구에서는 정부산하 공기업에 적용하기 위해 개발한 ERP 시스템으로서 ERP 정보를 실시간으로 고객에게 제공하고 업무현장에서 사내 업무를 실시간으로 처리할 수 있는 웹 환경 ERP 시스템을 구축하였다. 구축된 시스템에 대해 정량적인 평가를 통해 고객 불만의 해소, 업무생산성의 향상, 비용 절감, 시스템 효율성 및 고객만 족도 둥이 향상되었음을 검증하였다.

• Structural Engineering and Mechanics
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• 제68권3호
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• pp.299-312
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• 2018

In this paper, an extended finite element method is proposed to analyze both geometric and material non-linear behavior of general Functionally Graded Material (FGM) plate-shell type structures. A user defined subroutine (UMAT) is developed and implemented in Abaqus/Standard to study the elastoplastic behavior of the ceramic particle-reinforced metal-matrix FGM plates-shells. The standard quadrilateral 4-nodes shell element with three rotational and three translational degrees of freedom per node, S4, is extended in the present study, to deal with elasto-plastic analysis of geometrically non-linear FGM plate-shell structures. The elastoplastic material properties are assumed to vary smoothly through the thickness of the plate-shell type structures. The nonlinear approach is based on Mori-Tanaka model to underline micromechanics and locally determine the effective FGM properties and self-consistent method of Suquet for the homogenization of the stress-field. The elasto-plastic behavior of the ceramic/metal FGM is assumed to follow Ludwik hardening law. An incremental formulation of the elasto-plastic constitutive relation is developed to predict the tangent operator. In order to to highlight the effectiveness and the accuracy of the present finite element procedure, numerical examples of geometrically non-linear elastoplastic functionally graded plates and shells are presented. The effects of the geometrical parameters and the volume fraction index on nonlinear responses are performed.

• The Korean Journal of Pain
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• 제30권3호
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• pp.220-228
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• 2017

Background: The transforaminal (TF) epidural steroid injection (ESI) is suggested as more effective than the interlaminar (IL) route due to higher delivery of medication at the anterior epidural space. However, serious complications such as spinal cord injury and permanent neural injury have been reported. The purpose of this study is to evaluate and compare the clinical effectiveness, technical ease, and safety of the TF and parasagittal IL (PIL) ESI. Methods: A total of 72 patients were randomized to either the PIL group (n = 41) or the TF group (n = 31) under fluoroscopic guidance. Patients were evaluated for effective pain relief by the numerical rating scale (NRS) and Oswestry Disability Index (ODI) (%) before and 2 weeks after the ESI. The presence of concordant paresthesia, anterior epidural spread, total procedure time, and exposed radiation dose were also evaluated. Results: Both the PIL and TF approach produced similar clinically significant improvements in pain and level of disability. Among the 72 patients, 27 PIL (66%) and 20 TF (64%) patients showed concordant paresthesia while 14 (34%) and 11 (36%) patients in the same respective order showed disconcordant or no paresthesia. Radiation dose and total procedure time required were compared; the PIL group showed a significantly lower radiation dose ($30.2{\pm}12$ vs. $80.8{\pm}26.8$ [$Cgy/cm^2$]) and shorter procedure time ($96.2{\pm}31$ vs. $141.6{\pm}30$ seconds). Conclusions: ESI under fluoroscopic guidance with PIL or TF approach were effective in reducing the NRS and ODI. PIL ESI was a technically easier and simple method compared to TF ESI.

• Journal of Nutrition and Health
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• 제42권8호
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• pp.759-769
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• 2009

This study investigated the effects of the nutrition education and exercise program on body composition, dietary intakes and physical fitness in obese women. The subjects were 44 obese women (BMI${\geq}$ 25 kg/$m^2$) who had been participating in nutrition education (1 time/week) and exercise program (3 time/week) for 12 weeks. Nutrition education was focused on low energy, high protein and low carbohydrate diet to reduce the body weight and improve the diet quality. To evaluate the effectiveness of the program, daily nutrient intakes were assessed by 24-hour recall method. Body composition, blood lipid profiles and physical fitness test were assessed before and after the intervention. After the intervention, body weight, BMI, percent body fat, soft lean mass and waist/hip ratio were significantly decreased (p < 0.001). Fasting blood sucrose, total cholesterol, LDL-cholesterol and atherogenic index (AI) were significantly decreased (p < 0.001), while HDLcholesterol was significantly increased (p < 0.001). Energy adjusted protein, fiber, vitamin A, vitamin $B_2$, vitamin $B_6$, vitamin C, vitamin E, niacin and folate were significantly increased. After the intervention, the muscle endurance, muscle strength, agility, balance were significantly increased. The changes in obesity indices (body weight, BMI, percent body fat, waist-hip ratio) were correlated with the changes of the nutrient intakes, serum lipid profiles, physical fitness. These results show that nutrition education and exercise program was effective not only for weight reduction but also for the improvement of physical strength and cardiovascular disease risk factors in obese women.