• 제목/요약/키워드: Final Score

검색결과 818건 처리시간 0.031초

거골하 관절 제동술을 이용한 편평족의 치료 결과 (Clinical Results of the Subtalar Arthroereisis for the Flat Foot)

  • 문정석;배우한;서정국;이우천
    • 대한족부족관절학회지
    • /
    • 제12권2호
    • /
    • pp.117-121
    • /
    • 2008
  • Purpose: To determine the clinical and radiographic results of arthroereisis using the $Kalix^{(R)}$ implant (Newdeal, Lyon, France) for the treatment of flexible flatfoot deformity. Materials and Methods: From February 2005 to February 2007, we performed the subtalar arthroereisis on 8 patients (9 feet) of symptomatic flexible flat feet after more than 6 months of conservative treatment. Average age was 14.5 years ($11{\sim}29$ years) old. We checked the functional status with AOFAS functional score pre-operatively and at final follow-up. Radiologically, we took weight bearing anterior to posterior and lateral view of the feet, and measured the talo-first metatarsal angle, calcaneal pitch angle in pre-operatively and at final follow-up. Results: Mean follow up period was 34.4 months. Average AOFAS score improved from preoperatively 65.6 to postoperatively 94.8. Average lateral talo-first metatarsal angle reduced from $12.8^{\circ}$ preoperatively to $1.6^{\circ}$ at final follow-up. Average anterior to posterior talo-first metatarsal angle was reduced from $15.1^{\circ}$ preoperatively to $8.3^{\circ}$ at final follow-up. Average calcaneal pitch angle was increased from $9.5^{\circ}$ preoperatively to $12.0^{\circ}$ at final follow-up. Conclusions: Subtalar arthroereisis with Kalix$K^{(R)}$ implant can be considered to be one of treatment options symptomatic flatfoot deformity patients.

  • PDF

거골하 관절 제동술을 이용한 소아 유연성 편평족의 치료 결과 (The Results of Subtalar Arthroereisis for Flexible Flatfoot of Children)

  • 이경태;김진수;양기원;김재영;최재혁
    • 대한족부족관절학회지
    • /
    • 제10권2호
    • /
    • pp.218-222
    • /
    • 2006
  • Purpose: We evaluate the results of subtalar arthroereisis with $Kalix^{(R)}$ implant (Newdeal, Lyon, France) that were performed in painful flatfoot deformity. Materials and Methods: We performed the subtalar arthroereisis on 16 feet of children symptomatic flexible flat feet after more than 6 months of conservative treatment. Average age was 11 years (8-14 years) old. We checked the functional status with AOFAS functional score in pre-operatively and at final follow-up. Radiologically, we took weight bearing anterior to posterior and lateral view of the feet, and measured the talo-$1^{st}$ metatarsal angle, calcaneal pitch angle, cuboid-surface height. Finally, we asked to patient's parents for satisfaction of the surgery. Results: Mean follow up period was 34.1 months. Average AOFAS score improved from preoperatively 71.9 to postoperatively 91.3. Only one patient has subtalar pain. Average lateral $1^{st}$ metatarsal angle reduced from $-18.2^{\circ}$ preoperatively to $-4.6^{\circ}$ at final follow-up. Average anterior to posterior $1^{st}$ metatarsal angle was reduced from $18.9^{\circ}$ preoperatively to $6.5^{\circ}$ at final follow-up. Average calcaneal pitch angle was increased from $8.6^{\circ}$ preoperatively to $12.6^{\circ}$ at final follow-up. Average cuoboid-surface height was improved from 12.1 mm preoperatively to 16.0 mm at final follow-up. All patients had excellent or good satisfaction. Conclusions: Subtalar arthroereisis with $Kalix^{(R)}$ implant is a viable surgical alternative for painful flatfoot deformity of children.

  • PDF

Factor Analysis of Genetic Evaluations For Type Traits of Canadian Holstein Sires and Cows

  • Ali, A.K.;Koots, K.R.;Burnside, E.B.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제11권5호
    • /
    • pp.463-469
    • /
    • 1998
  • Factor analysis was applied as a multivariate statistical technique to official genetic evaluations of type classification traits for 1,265,785 Holstein cows and 10,321 sires computed from data collected between August 1982 and June 1994 in Canada. Type traits included eighteen linear descriptive traits and eight major score card traits. Principal components of the factor analysis showed that only five factors explain the information of the genetic value of linear descriptive traits for both cows and sires. Factor 1 included traits related to mammary system, like texture, median suspensory, fore attachment, fore teat placement and rear attachment height and width. Factor 2 described stature, size, chest width and pin width. These two factors had a similar pattern for both cows and sires. In constrast, Factor 3 for cows involved only bone-quality, while in addition for sires, Factor 3 included foot angle, rear legs desirability and legs set. Factor 4 for cows related to foot angle, set of rear leg and leg desirability, while Factor 4 related to loin strenth and pin setting for sires. Finally, Factor 5 included loin strength and pin setting for cows and described only pin setting for sires. Two factors only were required to describe score card traits of cows and sires. Factor 1 related to final score, feet and legs, udder traits, mammary system and dairy character, while frame/capacity and rump were described by Factor 2. Communality estimates which determine the proportion of variance of a type trait that is shared with other type traits via the common factor variant were high, the highest ${\geq}$ 80% for final score, stature, size and chest width. Pin width and pin desirability had the lowest communality, 56% and 37%. Results indicated shifts in emphasis over the twelve-year period away from udder traits and dairy character, and towards size, scale and width traits. A new system that computes fmal score from type components has been initiated.

예비 사회복지사의 문화적 유능감을 측정하는 척도 개발에 관한 연구 (Development of Cultural Competence Scale for Prospective Social Workers)

  • 정선영
    • 한국사회복지학
    • /
    • 제65권2호
    • /
    • pp.29-51
    • /
    • 2013
  • 본 연구는 예비 사회복지사의 문화적 유능감을 측정하는 척도를 개발하고 타당화하는데 목적이 있다. 문화적 유능감의 구성요소는 기존연구와 척도의 형식을 따라 다문화 인식 다문화 지식 다문화 기술로 나누었다. 문화적 다양성과 한국사회에서 나타나는 다문화 관련 문제를 다룬 에피소드 상황에 대한 응답자의 다문화 인식 다문화 지식 다문화 기술을 측정하였다. 또한, 자기평정식 척도에서 나타나는 사회적 바람직성에 의한 오류를 줄이기 위하여 응답자가 문화적 인식 지식 기술 진술문 뿐만아니라 이에 대비되는 비문화적 인식 지식 기술 진술문을 각각 평정하도록 하여 그 점수 차이를 합산하는 방식을 적용하였다. 예비검사와 본검사를 통하여 최종적으로 완성된 척도는 16개의 에피소드로 구성되며, 양호한 신뢰도를 보이고 내용타당도 구인타당도 구성체타당도를 확보하였다. 이러한 결과를 바탕으로 본 연구의 사회복지적 함의를 논하였다.

  • PDF

영작문 자동 채점 시스템에서의 중복 보고 오류 제거를 통한 성능 향상 (Accuracy Improvement of an Automated Scoring System through Removing Duplicately Reported Errors)

  • 이현아;김지은;이공주
    • 정보처리학회논문지B
    • /
    • 제16B권2호
    • /
    • pp.173-180
    • /
    • 2009
  • 영어 작문 자동 채점 시스템은 수험자가 작성한 영작문을 사람의 개입 없이 시스템이 처리하여 점수나 피드백을 줄 수 있는 시스템이다. 본 논문에서 개발한 영작문 자동 채점 시스템은 단어 단계, 구문 단계, 의미 단계의 세 단계 처리 과정을 통해서 오류를 탐지하고 탐지된 오류 개수를 기반으로 채점 점수를 결정한다. 이와 같이 독립적인 세 단계의 처리 과정에서 오류를 탐지하므로 동일한 오류 현상에 대해 서로 다른 단계에서 서로 다른 이름으로 오류를 탐지하는 경우가 발생할 수 있다. 이는 결과적으로 전체 시스템의 채점 점수의 정확도를 저하시키는 원인이 된다. 본 논문에서는 동일한 오류 현상에 대해 서로 다른 단계에서 탐지된 오류 쌍을 '중복 보고 오류'라고 정의한다. 본 논문에서는 중복 보고 오류를 찾는 방법을 제안하고 중복 보고 오류 제거를 통해 영작문 자동 채점 시스템의 채점 점수를 향상시킬 수 있음을 보인다.

Bloom의 완전학습모델을 활용한 NCS 기반 조리 실무 교수·학습 개발 및 효과 (The Development and Effect of NCS-based Cooking Practice Teaching Method by Using Bloom's Mastery Learning Model)

  • 오왕규
    • 한국식품영양학회지
    • /
    • 제30권5호
    • /
    • pp.1058-1067
    • /
    • 2017
  • The purpose of this study was to develop the NCS-based cooking practice education method by using the full learning model and to confirm its effect. The study design was a pre-post test of the non-equality control group. The subjects of this study included 28 students in the experimental group and 27 students in the control group. The experimental group participated in the NCS-based cooking practice training using the complete learning model, and the control group received only cooking practice training based on the full learning model. The data were collected during the second semester of 2016 and analyzed by SPSS WIN 23.0. The results of this study were as follows: First, homogeneity test showed that pre - homogeneity such as general characteristics, cooking ability, and knowledge of cooking theory were achieved (p>0.05). Second, the experimental group recognized that its cooking ability was high. With respect to the ability to cook food, the ability to cook, and the ability to prepare food ingredients (p<0.01), personal hygiene management, cooking hygiene management, and cooking safety management abilities were not significant. The mean value the experimental group was high. Third, the final theoretical knowledge score was not significant. The average score in the experimental group (69 points) was 5 points higher than that in the control group (64 points). This was about two times higher than the score of 37 points in the first stage preliminary survey. Finally, the final performance score was significant (p<0.05), and the score in the experimental group (89 points) was 5 points higher than that in the control group (84 points). Therefore, the NCS-based cooking education method is confirmed to be an effective method, especially for improvement of the practical ability, improvement of theoretical knowledge, and achievement of perfect learning standards.

Clinical outcome in patients with hand lesions associated with complex regional pain syndrome after arthroscopic rotator cuff repair

  • Imai, Takaki;Gotoh, Masafumi;Fukuda, Keiji;Ogino, Misa;Nakamura, Hidehiro;Ohzono, Hiroki;Shiba, Naoto;Okawa, Takahiro
    • Clinics in Shoulder and Elbow
    • /
    • 제24권2호
    • /
    • pp.80-87
    • /
    • 2021
  • Background: Complex regional pain syndrome (CRPS)-related hand lesions are one of the complications following arthroscopic rotator cuff repair (ARCR). This study aimed to investigate the clinical outcomes of patients with CRPS-related hand lesions following ARCR. Methods: Altogether, 103 patients with ARCR were included in this study (mean age, 63.6±8.2 years; 66 males and 37 females; follow-up period, preoperative to 12 months postoperative). Clinical assessment included the Japanese Orthopaedic Association (JOA) score, University of California, Los Angeles (UCLA) score, Constant score, 36-item short form health survey (SF-36) score, and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score from preoperative to 12 months postoperatively. The patients were either assigned to the CRPS group or non-CRPS group depending on CRPS diagnosis until the final follow-up, and clinical outcomes were then compared between the groups. Results: Of 103 patients, 20 (19.4%) had CRPS-related hand lesions that developed entirely within 2 months postoperatively. Both groups showed significant improvement in JOA, UCLA, and Constant scores preoperatively to 12 months postoperatively (p<001). Comparisons between the two groups were not significantly different, except for SF-36 "general health perception" (p<0.05) at 12 months postoperatively. At final follow-up, three patients had residual CRPS-related hand lesions with limited range of motion and finger edema. Conclusions: CRPS-related hand lesions developed in 19.4% of patients following ARCR. Shoulder or upper-limb function improved in most cases at 12 months, with satisfactory SF-36 patient-based evaluation results. Patients with residual CRPS-related hand lesions at the last follow-up require long-term follow-up.

신종감염병의 양적 및 질적 혼합 위험 평가 모델 개발 (Development of a Risk Assessment Tool for Emerging Infectious Diseases)

  • 우다래;최은미;최영준;예정용;박상신
    • 보건행정학회지
    • /
    • 제32권4호
    • /
    • pp.356-367
    • /
    • 2022
  • Background: The emergence of new infectious diseases threatens public health, increasing socioeconomic damage, and national risks. This study aimed to develop an evidence-based risk assessment tool to quickly respond to new infectious diseases. Methods: The risk elements were extracted by reviewing the risk assessment methods of the World Health Organization, United States, Europe, United Kingdom, and Germany, and the validity and priority of elements were determined through expert meetings and Delphi surveys. Then, the scale and level for each risk element were defined and a final score calculation method according to the risk evaluation result was derived. The developed risk assessment tool was verified using data at the time of domestic transmission of an emerging infectious disease. Results: In case of spread of actual infectious diseases, priority is determined based on the criticality of the elements in each area of transmissibility and severity, from which the weighted score of the risk assessment is derived. Then, the risk score for each element was calculated by multiplying the average value of the risk evaluation by its weight and the evaluation risk assessment score for the two areas was calculated. At last, the final score is plotted in a matrix where the x-axis indicates the transmissibility and the y-axis the severity and plotted on the coordinate plane for time series use. Conclusion: With respect to transmissibility and severity, this risk assessment method to respond to new and re-emerging infectious diseases enables rapid and evidence-based evaluation by quantitatively and qualitatively assessing various risk elements.

Arthroscopic Rotator Cuff Repair: Serial comparison of outcomes between full-thickness rotator cuff tear and partial-thickness rotator cuff tear

  • Park, Jin-Young;Chung, Kyung-Tae;Yoo, Moon-Jib
    • Clinics in Shoulder and Elbow
    • /
    • 제6권1호
    • /
    • pp.72-79
    • /
    • 2003
  • Purpose: To compare the results of arthroscopic rotator cuff repair and subacromial decompression in partial thickness rotator cuff tear (PTRCT) with those in full thickness rotator cuff tear (FTRCT). Subjects and method: Of the 46 patients who were rested of the rotator cuff tear based on the operational findings, 42 patients who were able to receive a serial follow-up for 2 years were selected as the study subjects. The average age of the patients at the time of the operation was 55 years, and the mean duration of the follow-up was 34 months. The subjects included 22 cases of PTRCT and 20 cases of FTRCT. In terms of rotator cuff repair, the average number of tendon to tendon repair (TTR) was 1 in both PTRCT and FTRCT, and that of tendon to bone repair (TBR) was 1 and 3 in PTRCT and FTRCT, respectively. The average number of use of suture anchor was 1 and 2 in PTRCT and FTRCT, respectively. The level of shoulder pain and function of the subjects were measured using shoulder functional evaluation score of American shoulder and elbow society (ASES score) at before and 2 years following the operation. Results: At the final follow-up following the operation, PTRCT group showed changes in scores from 7.2 to 0.9 on average pain score and 34 to 91 on ASES score, whereas FTRCT group showed changes in scores from 7.6 to 1.2 on pain score and 29 to 88 on ASES score. There were no significant differences between the two groups (P > 0.05). The average range of motion of shoulder significantly increased in both groups at the final follow-up in comparison with the pre-operative time point. The evaluation at the final follow-up showed that 93% of the total subjects showed good or excellent results, and 95% showed satisfactory results from the procedure with regard to pain reduction and functional outcomes. Two cases of the 3 fair results were caused by acromioclavicular arthritis. Conclusion: It may be anticipated that arthroscopic rotator cuff repair and subacromial decompression may bring satisfactory post-operative outcomes in both PTRCT and FTRCT on pain relief and functional recovery. However, careful preoperative examination of the acromioclavicular joint is critical to avoid failures of these procedures.

관절경적 교량형 봉합 술식을 통한 회전근 개 전층 파열의 치료결과 (Clinical Results of Arthroscopic Repair of Full-thickness Rotator Cuff Tear Using Suture Bridge Technique)

  • 서재성;박성혁;김원호
    • Clinics in Shoulder and Elbow
    • /
    • 제13권2호
    • /
    • pp.181-187
    • /
    • 2010
  • 목적: 회전근 개 전층 중파열, 대파열 환자에 대하여 관절경적 교량형 봉합 술식을 시행한 후 임상 결과를 분석 보고하고자 하였다. 대상 및 방법: 2007년 11월부터 2008년 10월까지 회전근 개 전층 중파열, 대파열을 관절경적 교량형 봉합 술식으로 치료받은 90예를 대상으로 하였고, 평균 추시 기간은 15개월 (12~23개월)이었다. 파열의 크기는 중파열이 43예, 대파열이 47예였다. 술 전 및 최종 추시 시 KSS, ASES, UCLA, Visual Analogue Scale (VAS)를 이용한 기능평가를 시행하였다. 결과: 휴식 및 운동 시 평균 VAS 점수는 각각 수술 전 2.56, 6.94에서 최종 추시 시 0.96, 1.70으로 현저한 감소를 보였다. UCLA 점수는 수술 전 평균 17.08점에서 최종 추시 시 31.17점으로 향상되었으며, 최우수가 31예 (34%), 양호가 49예 (54%), 불량이 10예 (12%)였다. 최종 추시 시 60세 이하인 경우 31.47점, 61세 이상인 경우 30.69점이었으며 (p=0.344), 중파열인 경우 31.23점, 대파열인 경우 31.11점이었고 (p=0.924), 비외상군이 31.10점, 외상군이 31.23점이었다 (p=0.929). 결론: 회전근 개 전층 중파열, 대파열 환자에서 관절경적 교량형 봉합 술식을 시행하여 동통의 감소 및 견관절 기능 향상의 우수한 결과를 얻을 수 있어 믿을만한 수술적 방법 중 하나라고 생각한다. 수술 당시 연령, 외상력 유무는 치료 결과에 큰 영향을 주지 않았다.