• 제목/요약/키워드: Follow-Up System

검색결과 1,314건 처리시간 0.029초

Minimum 3-Year Outcomes in Patients with Lumbar Spinal Stenosis after Bilateral Microdecompression by Unilateral or Bilateral Laminotomy

  • Yang, Sang-Mi;Park, Hyung-Ki;Chang, Jae-Chil;Kim, Ra-Sun;Park, Sukh-Que;Cho, Sung-Jin
    • Journal of Korean Neurosurgical Society
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    • 제54권3호
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    • pp.194-200
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    • 2013
  • Objective : Lumbar spine stenosis (LSS) can result in symptomatic compression of the neural elements, requiring surgical treatment if conservative management fails. Minimally invasive surgery has come to be more commonly used for the treatment of LSS. The current study describes outcomes of bilateral microdecompression by unilateral or bilateral laminotomy (BML) for degenerative LSS after a minimum follow-up period of 3 years and investigates factors that result in a poor outcome. Methods : Twenty-one patients who were followed-up for at least 3 years were included in this study. For clinical evaluation, the Japanese Orthopedic Association (JOA) scoring system for low back pain was used. The modified grading system of Finneson and Cooper was used for outcome assessment. Radiographic evaluation was also performed for spondylolisthesis, sagittal rotation angle, and disc height. Results : Twenty-one patients (10 men, 11 women) aged 53-82 years ($64.1{\pm}8.9$ years) were followed-up for a minimum of 3 years (36-69 months). During follow-up, two patients underwent reoperation. Average preoperative JOA score and clinical symptoms, except persistent low back pain, improved significantly at the latest follow-up. There were no significant differences in radiological findings preoperatively and postoperatively. Thirteen patients (61.9%) had excellent to fair outcomes. Conclusion : BML resulted in a favorable and persistent outcome for patients with degenerative LSS without radiological instability over a mid-term follow-up period. Persistent low back pain unrelated to postoperative instability adversely affects mid-term outcomes.

Bridging the Gap: Follow-up Strategies for Effective Software Architecture Implementation

  • Abdullah A H Alzahrani
    • International Journal of Computer Science & Network Security
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    • 제24권7호
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    • pp.1-10
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    • 2024
  • Software architecture are High-level design decisions shaping a software system's components, structure, and interactions. It can be a blueprint for development, evolution, and ongoing maintenance. This research investigates the communication practices employed by software architects and developers to ensure adherence to the designed software architecture. It explores the factors influencing the selection of follow-up methods and the impact of follow-up frequency on successful implementation. Findings reveal that formalized follow-up procedures are not yet a ubiquitous element within the software development lifecycle. While electronic communication, particularly email, appears to be the preferred method for both architects and developers, physical and online meetings are utilized less frequently. Interestingly, the study suggests a potential confidence gap, with architects expressing concerns about developers' ability to faithfully implement the architecture. This may lead to architects providing additional clarification. Conversely, while most developers reported confidence in their software knowledge, overly detailed architecture documentation may pose challenges, highlighting the need for architects to consider alternative communication strategies. A key limitation of this study is the sample size, restricting the generalizability of the conclusions. However, the research offers valuable preliminary insights into the communication practices employed for architecture implementation, paving the way for further investigation with a larger and more diverse participant pool.

눈높이와 후속관리로 성공한 지식경영: BACHE 사례 (Optimal Level and Follow-up Management as Success Factors from BACHE Company's Knowledge Management Experiences)

  • 양춘희
    • 지식경영연구
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    • 제7권1호
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    • pp.81-96
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    • 2006
  • The purpose of this study is to survey what strategy BACHE, a bathtub manufacturing company, chooses to implement knowledge management. Generally speaking, the success factors of this case company is follow-up management. The first factor is to use linguistic metaphors for employees to understand difficult knowledge management terms easily. The second one is that CEO tries to set and lead pro-knowledge management corporate culture. The third one is based on the CKO's competence to read business circumstances and apply the theory of knowledge management to the workplace. The fourth one has something to do with a way of knowledge creation, for example, a suggestion system and QC circle. The fifth one depends upon CKO's mission to share knowledge invented from his own company's with the rivals and large companies which order bathtubs so that overall bathtub industry can upgrade knowledge management.

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ISO 인증 중소기업의 사후관리에 관한 실증적 연구 (An Empirical Study on the ISO 9000 Follow-up Management Practices of Korean Small Enterprises)

  • 이재관
    • 품질경영학회지
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    • 제32권4호
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    • pp.78-91
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    • 2004
  • The ISO 9000 Follow-up Management Practices (FMP) as an integrated area including training, QM systems, management commitment, customer focus, communication and related issues are examined. A sample of 191 small and medium-sized firms data from mail survey is analyzed by the SPSSWIN. A model of FMP including three factors (Systems, Training, and Customer Focus) is introduced. In this paper, a focus is laid on the comparison between ISO 9000:1994 vs. ISO 9000:2000 or 05 9000 certificates and between groups classified by the time length after certification, and on regression relationships between FMP level and business performance. The result shows that the difference of FMP level is significant between two versions and between groups. Quality level and system satisfaction are influenced significantly by the three factors.

In-Ceram Alumina Bridge Restoration의 단기예후에 관한 임상적연구 (THE CLINICAL STUDY ON SHORT TERM PROGNOSIS OF IN-CERAM ALUMINA BRIDGE RESTORATION)

  • 조병완;박재범;안재진
    • 대한치과보철학회지
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    • 제35권3호
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    • pp.544-556
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    • 1997
  • All ceramic restorations except In-Ceram Alumina system gave a good esthetics and an exellent marginal fidelity. The flexural strength of them had about 150MPa, so the indication is only single crown. By using In-ceram Alumina System(450Mpa), it is thought to be possible to construct bridge for its high flexural strength. But the prognosis is unclear, The purposes of this study are to clear short term prognosis of In-Ceram bridge restorations, to elucidate its clinical significance. Among 22 In-Ceram Bridge restored in our department, 11 In-Ceram bridges with follow up were used. The period of placement is from 1 to 18 months. The results were as follows : 1. Among follow up 11 bridges, 2 bridges were fractured. One is 4 unit in maxillary lateral incisors, the other is 3 unit bridge in maxillary canine and premolar. Including 11 bridge without follow up, failure rate is very low(2/22). 2. The fracture sites are connector areas between abutment and pontic. To maintain In-Ceram bridge for long term period, it is needed to remove the nonphysiologic occlusal force and to have sufficient thickness of alumina core. For estabilishing clinical use of In-Ceram bridges, it is thought to need clinical research during long term period.

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Performance Analysis of a Flow Passage Opening Device through Low Speed Aircraft Captive Flight Tests

  • Jung, Sung-Min;Park, Jeong-Bae
    • International Journal of Aerospace System Engineering
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    • 제4권2호
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    • pp.5-9
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    • 2017
  • In a pressurized fuel supply system of aircraft, a flow passage opening device is required to keep fuel continuously transferred from one tank to the other. The device utilizes balancing weights in order to follow up an acceleration at special conditions such as negative g. It is very difficult to test the device in a real high-speed and high-altitude test since severe test conditions and expensive supports are needed. Therefore, this paper deals with performance analysis of a flow passage opening device through low speed aircraft captive flight tests (CFT) including roll and negative-g maneuvers. It is shown that balancing weights in the device can open the passage in accordance with fuel position.

환경영향평가의 사후관리 지원을 위한 환경공간정보 활용 방안 (Use of Environmental Geospatial Information to Support Environmental Impact Assessment Follow-Up Management)

  • 조남욱;맹준호;이명진
    • 대한원격탐사학회지
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    • 제33권5_3호
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    • pp.799-807
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    • 2017
  • 환경영향평가는 개발사업의 해로운 환경영향 감소를 위해 시행되는 규제적 성격의 제도이다. 그러나 환경가치는 계량화가 어렵고 불확실성이 따르기 때문에 제도 운영의 객관성 및 신뢰성 저하 문제가 지속적으로 지적되어 온 실정이다. 따라서 데이터 기반 환경영향평가제도의 필요성이 점차 높아지고 있는데, 특히 환경영향평가는 특정 지역의 개발에 대한 내용을 담기 때문에 공간정보의 비중이 높아 환경공간정보의 활용 가능성이 높은 분야이다. 또한 사후환경관리제도의 도입에 따라 환경정보의 시계열적 제공 및 활용체계가 요구되고 있다. 본 연구에서는 환경영향평가의 제도적 특징을 통해 정보제공체계의 필요성을 도출하고 기존 환경정보 활용체계를 분석하였다. 그리고 이를 토대로 공신력 있는 환경공간정보 제공방안을 제시하여 환경영향평가제도의 한계점 개선을 위한 정책적 함의를 찾고자 하였다.

The Korea Cohort Consortium: The Future of Pooling Cohort Studies

  • Lee, Sangjun;Ko, Kwang-Pil;Lee, Jung Eun;Kim, Inah;Jee, Sun Ha;Shin, Aesun;Kweon, Sun-Seog;Shin, Min-Ho;Park, Sangmin;Ryu, Seungho;Yang, Sun Young;Choi, Seung Ho;Kim, Jeongseon;Yi, Sang-Wook;Kang, Daehee;Yoo, Keun-Young;Park, Sue K.
    • Journal of Preventive Medicine and Public Health
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    • 제55권5호
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    • pp.464-474
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    • 2022
  • Objectives: We introduced the cohort studies included in the Korean Cohort Consortium (KCC), focusing on large-scale cohort studies established in Korea with a prolonged follow-up period. Moreover, we also provided projections of the follow-up and estimates of the sample size that would be necessary for big-data analyses based on pooling established cohort studies, including population-based genomic studies. Methods: We mainly focused on the characteristics of individual cohort studies from the KCC. We developed "PROFAN", a Shiny application for projecting the follow-up period to achieve a certain number of cases when pooling established cohort studies. As examples, we projected the follow-up periods for 5000 cases of gastric cancer, 2500 cases of prostate and breast cancer, and 500 cases of non-Hodgkin lymphoma. The sample sizes for sequencing-based analyses based on a 1:1 case-control study were also calculated. Results: The KCC consisted of 8 individual cohort studies, of which 3 were community-based and 5 were health screening-based cohorts. The population-based cohort studies were mainly organized by Korean government agencies and research institutes. The projected follow-up period was at least 10 years to achieve 5000 cases based on a cohort of 0.5 million participants. The mean of the minimum to maximum sample sizes for performing sequencing analyses was 5917-72 102. Conclusions: We propose an approach to establish a large-scale consortium based on the standardization and harmonization of existing cohort studies to obtain adequate statistical power with a sufficient sample size to analyze high-risk groups or rare cancer subtypes.

국내외 가설기자재 사후관리제도 비교 연구 (A Comparative Study on Domestic and Foreign the Follow-up Service of Temporary Equipment and Materials)

  • 우광민;이학기
    • 한국건설관리학회논문집
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    • 제3권1호
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    • pp.74-82
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    • 2002
  • 가설기자재 성능검정제도는 불량 가설기자재의 유통을 방지하기 위해 일정성능 이상의 제품만 제조하도록 형식 승인해 주는 것으로 제품의 사전검정을 통한 승인을 받아야만 시판할 수 있는 사전심사제도이다. 그러나 현행 형식검정방식은 제출된 시제품에 대한 검정을 통해서 동일한 형식의 제품 전체를 합격처리하고 있으며, 검정 합격 제품에 대한 유효기간이 없어 한번 검정에 합격한 제품에 대한 성능의 지속적인 유지$\cdot$관리가 어려워 불량 가설기자재로 인한 안전사고가 줄어들지 않고 있으며, 아직도 미검정제품 또는 성능검정 불합격 제품이 유통되고 있는 실정이다. 따라서 본 연구에서는 국내 가설기자재 사후관리제도와 선진외국의 관련제도와의 비교$\cdot$분석을 통해 현행 성능검정 합격 제품에 대한 사후관리의 문제점을 분석하고, 그 개선방안을 제안함으로써 가설기자재로 인한 재해발생을 저감시키고, 불량 가설기자재의 유통을 방지하고자 한다.

인공발목관절의 임상시험 가이드라인 개발을 위한 문헌적 고찰 (Review of Literatures for Development of Clinical Trial Guideline for Total Ankle Arthroplasty)

  • 박진오;이모세;이진우;이수빈;한승환
    • 대한족부족관절학회지
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    • 제18권4호
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    • pp.195-201
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    • 2014
  • Purpose: The purpose of this study is to develop guidelines for clinical trial of the total ankle replacement system for premarket approval. Materials and Methods: We selected and analyzed nine peer-reviewed articles whose quality had been proven in a previous phase. Two investigators extracted parameters for guideline criteria, including number of cases, patient age, follow-up period, failure rate, radiographic osteolysis rate, residual pain rate, and percentage of satisfaction. In addition, the inclusion and exclusion criteria were analyzed and developed. Results: Eight level IV studies and one level II study were included. The average number of cases was 159 cases and the mean patient age was 63.5 years. The mean follow-up period was 4.2 years, ranging from two to nine. The average failure rate of total ankle replacement in mid- to long-term follow-up was approximately 13% (2%~32.3%). The rate of osteolysis was approximately 18%. Residual pain was common (21.4%~46%), but overall patient satisfaction was approximately 85.6% (67.5%~97%). Conclusion: The results could be used as criteria for designing the clinical studies, such as number of cases, patient age (over 60 years), and follow-up period (minimum two years). The clinical scoring system and 36-item short form health survey (SF-36) was the most commonly used method for clinical evaluation for total ankle arthroplasty. In addition, the overall results, including failure rate, osteolysis rate, and patient satisfaction, could be used as a parameter of guidelines for premarket approval.