• Title/Summary/Keyword: Instrument procedures

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A Comparison Study of the Surgical Outcome According to the Surgical Technique (설소대단축증의 수술적 방법에 따른 비교)

  • 홍원표;서용석;송미현;양해동;김성수
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.14 no.1
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    • pp.10-15
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    • 2003
  • Background and Objectives : Ankyloglossia, commonly known as tongue-tie, is the result of a short, fibrous lingual frenulum or highly attached geioglossus muscle. This condition may cause sucking and swallowing problems, articulation disorders, interference with the tongue's cleansing action, increased the potential for caries, and inability to lick the lips, play a wind instrument, and 'french kiss' Treatment is surgical procedure. In the most cases, horizontal sectioning and mucosal suture(the conventional procedure) is preferred, but in some cases, the Z-plastic procedure is effective. This study is aimed to compare the result of the two procedures. Materials and Methods : Twenty tongue-tie patients underwent operation. Ten patients were treated with the Z-plastic procedure and ten patients were treated with the conventional method randomly. We checked preoperative mobile tongue length, postoperative mobile tongue length, operation time and postoperative wound states. Results : Among the 20 cases of tongue-tie, 2 cases are excepted due to pre-operative state, thus we compared 18 cases of tongue-tie patients. There is no statistically significant difference between the two procedures except in operation time. The Z-plastic procedure apparently needs a little more operating time. Conclusion : Patients treated with the Z-plastic procedures appeared to have better outcomes, but the data shows no statistical significance except in operating time. Consequently, the Z-plastic procedure is indicated in a limited amount of cases.

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Examining how elementary students understand fractions and operations (초등학생의 분수와 분수 연산에 대한 이해 양상)

  • Park, HyunJae;Kim, Gooyeon
    • The Mathematical Education
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    • v.57 no.4
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    • pp.453-475
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    • 2018
  • This study examines how elementary students understand fractions with operations conceptually and how they perform procedures in the division of fractions. We attempted to look into students' understanding about fractions with divisions in regard to mathematical proficiency suggested by National Research Council (2001). Mathematical proficiency is identified as an intertwined and interconnected composition of 5 strands- conceptual understanding, procedural fluency, strategic competence, adaptive reasoning, and productive disposition. We developed an instrument to identify students' understanding of fractions with multiplication and division and conducted the survey in which 149 6th-graders participated. The findings from the data analysis suggested that overall, the 6th-graders seemed not to understand fractions conceptually; in particular, their understanding is limited to a particular model of part-whole fraction. The students showed a tendency to use memorized procedure-invert and multiply in a given problem without connecting the procedure to the concept of the division of fractions. The findings also proposed that on a given problem-solving task that suggested a pathway in order for the students to apply or follow the procedures in a new situation, they performed the computation very fluently when dividing two fractions by multiplying by a reciprocal. In doing so, however, they appeared to unable to connect the procedures with the concepts of fractions with division.

Evaluation of Reliability and Validity of the Louisville Instrument for Transplantation (LIFT) in Korean Population (한글판 Louisville Instrument for Transplantation 설문지의 신뢰도 및 타당도 평가)

  • Kim, Hong-Min;Kim, Ji-Hoon;Hwang, Jae-Ha;Kim, Kwang-Seog;Lee, Sam-Yong
    • Archives of Plastic Surgery
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    • v.38 no.3
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    • pp.245-250
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    • 2011
  • Purpose: Composite tissue allotransplantation has emerged as a new therapeutic modality to reconstruct major tissue defects of the head, neck and extremities. A questionnaire-based instrument, the Louisville Instrument for Transplantation (LIFT), has been developed to objectively assess the risk-versus-benefit ratio for composite tissue allotransplantation procedures. The objective of this study is to assess if the LIFT is a useful, reliable and valid tool to apply to the Korean population. Methods: Seventy-three medical students and 60 lay public completed the LIFT questionnaire (translated to Korean) over the period from February 2010 to April 2010. Internal consistency was assessed using Cronbach's alpha. Test-retest reliability was analyzed using Pearson's correlation coefficient. Construct validity was assessed by comparing Pearson's correlation coefficients between perceived improvements in quality of life and responses to risk tolerance questions concerning organ transplants. Results: Measurements of the test-retest reliability showed that Pearson's correlation coefficients ranged from 0.241 to 0.902, and Cronbach's alphas ranged from 0.52 to 0.80 for medical students and from 0.63 to 0.83 for the lay public. Pearson's correlation coefficients showed significant correlations between perceived improvements in quality of life and responses to risk tolerance questions concerning organ transplants. Hand transplant showed a significant correlation in medical students. Foot, hand, two hands, larynx, partial face transplants showed significant correlations for the lay public. Conclusion: The applicability of the LIFT to the Korean population was found to be reliable and valid. The LIFT may serve as a useful tool for clinical application in the Korean population.

Fracture incidence of Reciproc instruments during root canal retreatment performed by postgraduate students: a cross-sectional retrospective clinical study

  • Liliana Machado Ruivo;Marcos de Azevedo Rios;Alexandre Mascarenhas Villela;Alexandre Sigrist de Martin;Augusto Shoji Kato;Rina Andrea Pelegrine;Ana Flavia Almeida Barbosa;Emmanuel Joao Nogueira Leal Silva;Carlos Eduardo da Silveira Bueno
    • Restorative Dentistry and Endodontics
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    • v.46 no.4
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    • pp.49.1-49.8
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    • 2021
  • Objectives: To evaluate the fracture incidence of Reciproc R25 instruments (VDW) used during non-surgical root canal retreatments performed by students in a postgraduate endodontic program. Materials and Methods: From the analysis of clinical record cards and periapical radiographs of root canal retreatments performed by postgraduate students using the Reciproc R25, a total of 1,016 teeth (2,544 root canals) were selected. The instruments were discarded after a single use. The general incidence of instrument fractures and its frequency was analyzed considering the group of teeth and the root thirds where the fractures occurred. Statistical analysis was performed using the χ2 test (p < 0.01). Results: Seven instruments were separated during the procedures. The percentage of fracture in relation to the number of instrumented canals was 0.27% and 0.68% in relation to the number of instrumented teeth. Four fractures occurred in maxillary molars, 1 in a mandibular molar, 1 in a mandibular premolar and 1 in a maxillary incisor. A greater number of fractures was observed in molars when compared with the number of fractures observed in the other dental groups (p < 0.01). Considering all of the instrument fractures, 71.43% were located in the apical third and 28.57% in the middle third (p < 0.01). One instrument fragment was removed, one bypassed, while in 5 cases, the instrument fragment remained inside the root canal. Conclusions: The use of Reciproc R25 instruments in root canal retreatments carried out by postgraduate students was associated with a low incidence of fractures.

A Study on Self Care Compliance Related to Infection Management for Continuous Ambulatory Peritoneal Dialysis Patients (복막투석환자의 감염예방과 관련된 자가간호 이행에 관한 연구)

  • Lee Eun-Young;Kim Jung-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.2
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    • pp.313-323
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    • 1998
  • This study was a descriptive research on the level of self-care available to continous ambulatory peritoneal dialysis patients (hereinafter referred to as 'CAPD patient') related to the specific area of infection management. The method employed for the collection of data was a modified instrument of the self-care survey essentially based on Young Sook Choi's instrument. The relevant data was collected from september 1, 1996 to september 30, 1996. The subjects were provided with an open-ended question regarding the reasons behind why they did not seek self-care. The answers provided about self-care compliance were analyzed by SPSS for frequency, percentage, mean, t-test, ANOVA. Reasons for non-compliance were analyzed by content analysis. The results of the study were as follows : 1. The percentage of patients engaging in self-care were according to the following self performed tasks : preparation of dialysis : 30.58 points Dialysate exchange procedures : 49.40 points - Two bag type : 50.50 points - Spike type : 48.80 points - Neo type : 48.90 points Catheter exit site care : 25.13 points More specifically, in relation to the preparation of dialysis as referred to above, those patients engaging in self care was relatively high with respect to the cleaning of the dialysis before use and for the preservation of peritosol. However, in dialysate exchange procedures, data revealed that those patients engaging in self-care are relatively low with respect to putting on a mask during the performance of peritosol exchange. Similary in peritosol exchange procedure and catheter exit care, low levels of self-care performance were found in the area of putting on a mask during the peritosol exchange procedures and catheter line testing procedures, respectively. 2. In general characteristics, there appeared to be no distinction in self-care compliance among CAPD patients. 3. The main reasons for non-compliance were based in the following factor : intellectual, attitude, enviromental surrounding and physical. As a result of the foregoing finding, nurses should provide adequate assistance to promote self-care compliance by CAPD patients by checking the preparation of dialysis, dialysate exchange procedure, and catheter exit site care which recieved low point in this research.

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Cytologic examination sputum and bronchial secretion bronchofiberscopic sampling procedures in lung cancer (기관지경검사에서 객담세포검사의 암양성률에 대한 연구)

  • 김송명
    • Journal of Chest Surgery
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    • v.16 no.1
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    • pp.138-145
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    • 1983
  • The value of exfoliative sputum cytology in diagnosis of lung cancer has been accepted with bronchoscopic technique and results has been much improved by foreign investigators, but there was not presented accurate reports for sputum cytologic evaluation in Korea. We tried to find indicators of cytologic tests result in our hospital. During the period between May, 1980 and August, 1982, 400 patients, tested at Department of Thoracic and Cardiovascular Surgery of Kosin Medical College, had diagnostic bronchofiberscopic examination, and the cytologic study of sputum and bronchial secretions were performed. The sputum or bronchial secretion during bronchofiberscopic examination were obtained with various methods and the name of specimen were labeled as I, ASPIRATION SPUTUM, which was collected initially endobronchial sputum as introducing of scope, II, WASHING SPUTUM, which was collected washing bronchial secretion, III, BRUSHING SPUTUM, which was washing solution of brushing instrument and endobronchial sputum after brushing of lesions, IV, POST-SCOPIC SPUTUM, which was expectorated sputum as soon as removing of scopic instrument, V, ALL SPUTUM CYTOLOGY & CELL BLOCK, which was collected all specimen of above procedures. The diagnostic results of bronchofiberscopic examination was disclosed 174 cases [43.5%] of proved lung cancer, 47 cases [11.8%] of suspected lung cancer in grossly, and 179 cases [44.8%] of others finding except cancer. Patient with bronchofiberscopically grossly evidence of lung cancer which were not confirmed histologically or cytologically were excluded from this cytologic study. Histologic and cytologic correlation in proven lung cancer, 174 cases was revealed that number of cytologic positive patients were 45 cases [38.7%] among the 117 cases of proved squamous cell carcinoma, 12 cases [38.7%] among hislogically unknown cancer 34 cases and 6 cases [33.3%] among small cell undifferentiated carcinoma 18 Gases. Total cytologic positive result was presented as 67 cases [38.3%]. The other type of lung cancer, histologically, could not comparison because of small cases. The sequence of positive cytologic result in I-V specimen were disclosed as II, WASHING SPUTUM 57.6%, and V, ALL SPUTUM & CELL BLOCK 41.4%. The I, III & IV result were 28.6%, 22.2% and 26.1% respectively.

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Occurrence of Uncommanded Turn Events on the Route and Relevant Mitigation Measures (항로 비행 중 Uncommanded turn 이벤트 발생 분석 및 경감조치 방안 연구)

  • Kim, Hyeon Deok
    • Journal of Advanced Navigation Technology
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    • v.24 no.6
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    • pp.515-520
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    • 2020
  • The development of autopilot system and flight management system (FMS) equipment in today's aircraft navigation can be attributed to the reduction of pilots' workload and the navigation safety. The effect of autopilot and FMS equipment is greater, especially in heavy airport traffic or complicated of the departure. However, some airport specific departure procedures result in an uncommanded turn event due to an error in the FMS, causing aircraft to deviate from the center line of the route. With most departure procedures requiring area navigation (RNAV) operation, pilot situation awareness and corrective action are the only ways to minimize aircraft deviation to maintain the safety of area navigation. Through analysis of the occurrence status of the uncommended turn event by aircraft type, airport and flight phase, and comparative analysis of the survey results of foreign airlines and the airlines self-reduction plan with the aircraft manufacturer's corrective action, it is intended to give implications for the need for more fundamental measures to prevent recurrence of such events.

A Study on the Development and Application of Rubrics for Performance Assessment in Terms of Promoting Program Learning Outcomes (학습성과 수행평가를 위한 루브릭 개발과 적용에 관한 연구)

  • Shin, Minhee
    • Journal of Engineering Education Research
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    • v.15 no.5
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    • pp.108-118
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    • 2012
  • The purpose of this study was to provide analytic rubrics for measuring teamwork(PO6), communication and presentation skills(PO7), and life-long learning(PO8) based on theoretical concepts of performance assessment and rubrics. Also, this study analyzed data about performance assessment and rubics from courses offered through college of engineering. Participants were 34 senior engineering students who took the course 'Technical writing and presentation'. In the second week of the course, students were given the pre-test instrument which was developed for measuring students' understanding of program outcomes for this study. After performing project activities using rubrics, students were encouraged to complete the post-test instrument and the reaction questionnaire during the ninth week. The data were analyzed by using SPSS 14.0 and Microsoft Excel. The research findings are as follows. First, to promote and evaluate program learning outcomes appropriately, performance assessment-based on rubircs should be implemented. Second, in the reaction questionnaire about the rubircs, students answered that using rubircs for performing the project was very useful for understanding the performance procedures and assessment criteria. Third, the mean of understanding of program outcomes of students in post-test was significantly increased than in the pre-test(p<.0001). From the findings, performance assessment and rubrics should be used as evaluation tools at course levels in terms of promoting program learning outcomes for engineering education.

Development, Application and Evaluation of the Evidence-based Nursing Practice Guideline for Hemodialysis in the Patients with Risk of Bleeding (출혈위험이 있는 신부전환자의 혈액투석을 위한 근거중심 간호실무 가이드라인 개발과 적용 및 평가)

  • Kim, Su-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.1
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    • pp.150-155
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    • 2010
  • Purpose: The purpose of this study is to develop evidence-based nursing practice guidelines for hemodialysis in the renal failure patients with risk of bleeding and to evaluate the guidelines by applying it to the practice. Method: Referring to the SIGN, the first draft for guidelines was developed based on the advices and recommendations obtained from the procedure of critical literature analysis. Then, the draft was modified by the procedures of the expert group evaluation and pilot application to the practice. The final draft was evaluated by the expert group using AGREE instrument. Result: The first draft of guidelines was developed through 8 stages of process and was evaluated by seven experts in terms of the appropriateness, applicability, and effectiveness using a 9 point scale. The mean score of 11 items was 7.90 or above. The quality of the final draft was evaluated by 5 experts using the AGREE instrument. The mean standard score was 73.0% or above in the 19 items. Conclusion: The clinical guidelines developed by this research can be utilized as systematic and scientific guidelines for hemodialysis in the renal failure patients with risk of bleeding. In addition, the research can contribute to improving care services.

Development of engine room monitoring system complied with IEC 61162-3 international standards for ship's network (IEC 61162-3 선박네트워크 국제표준 적합 기관실모니터링시스템 개발)

  • Kim, Jong Hyun;Yu, Yung Ho
    • Journal of Advanced Marine Engineering and Technology
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    • v.37 no.2
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    • pp.183-191
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    • 2013
  • International network standards for SOLAS ship are composed of instrument network that controls and monitors machine in real time, shipboard control network that controls and monitors system through computer by human and telecommunication network that connects ship and shore. This paper describes development of stack for instrument network protocol complied with NMEA 2000 that is IEC 61162-3 international standards for SOLAS ship and also that of engine room monitoring system using the developed stack. Developed engine room monitoring system is certified by NMEA according to standards that require to pass about 1,600 test procedures.