• Title/Summary/Keyword: Outcomes Measurement

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The Impacts of Fixation Tightness and Duration on the Remnant Syndesmotic Widening and Clinical Symptom after Removal of Screws (원위 경비 인대 결합 고정 긴장도와 기간이 나사못 제거 후 이개 및 임상 증상에 미치는 영향)

  • Bae, Su-Young;Sohn, Su-Een;Seong, Min-Kyu
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.4
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    • pp.264-271
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    • 2013
  • Purpose: We aimed to analyze the effect of fixation tightness of the syndesmotic screw and its indwelling period on the recurrence of the syndesmosis widening after screw removal and the clinical outcomes. Materials and Methods: Forty consecutive patients with acute syndesmotic injury were retrospectively reviewed. The tibiofibular clear space is measured by digitalized measurement tool on serial radiographs. We analyzed the effect of time from trauma to fixation, syndesmotic screw indwelling duration, and fixation methods. Residual symptoms at the last follow up were evaluated. The student t-test, correlation test, and chi-square test were used for statistical analysis. Results: Eighteen ankles (45%) had recurrent syndesmosis widening (greater than 5% compared to the contralateral side). Seven patients had pain and five had limitation of motion in the ankle joint. Fixation tightness had significant effect on reducing the recurrence while the severity of the initial widening, time to fixation, and duration of fixation did not affect the outcome. Conclusion: Tight fixation of syndesmotic screw is essential for achieving final syndesmotic stability and reducing recurrence.

Machine learning of LWR spent nuclear fuel assembly decay heat measurements

  • Ebiwonjumi, Bamidele;Cherezov, Alexey;Dzianisau, Siarhei;Lee, Deokjung
    • Nuclear Engineering and Technology
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    • v.53 no.11
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    • pp.3563-3579
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    • 2021
  • Measured decay heat data of light water reactor (LWR) spent nuclear fuel (SNF) assemblies are adopted to train machine learning (ML) models. The measured data is available for fuel assemblies irradiated in commercial reactors operated in the United States and Sweden. The data comes from calorimetric measurements of discharged pressurized water reactor (PWR) and boiling water reactor (BWR) fuel assemblies. 91 and 171 measurements of PWR and BWR assembly decay heat data are used, respectively. Due to the small size of the measurement dataset, we propose: (i) to use the method of multiple runs (ii) to generate and use synthetic data, as large dataset which has similar statistical characteristics as the original dataset. Three ML models are developed based on Gaussian process (GP), support vector machines (SVM) and neural networks (NN), with four inputs including the fuel assembly averaged enrichment, assembly averaged burnup, initial heavy metal mass, and cooling time after discharge. The outcomes of this work are (i) development of ML models which predict LWR fuel assembly decay heat from the four inputs (ii) generation and application of synthetic data which improves the performance of the ML models (iii) uncertainty analysis of the ML models and their predictions.

The measurement of nose dimensions through the three-dimensional reformation images after nasal bone fracture

  • Jang, Seung Bin;Han, Dong Gil
    • Archives of Craniofacial Surgery
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    • v.20 no.1
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    • pp.31-36
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    • 2019
  • Background: After closed reduction, patients are sometimes concerned that their external nasal shapes have changed. The aim of this study was to investigate and explain changes in nasal shape after surgery through objective photogrammetric anthropometry measurements taken through three-dimensional (3D) reformed computed tomography (CT) images. Methods: Our study included 100 Korean patients who underwent closed reduction of isolated nasal bone fracture from January 2016 to June 2017. Using the ruler tool in Adobe Photoshop CS3, we measured preoperative and postoperative nasal base heights, long nostril axis lengths, both nasal alar angles, and amount of nasal deviation through the 3D reformation of soft tissue via CT scans. We then compared the dimension of nose. Results: The amount of postoperative correction for nasal base height was 1.192 mm. The differences in nostril length between each side were found to be 0.333 mm preoperatively and 0.323 mm postoperatively. The differences in the nasal alar angle between each side was $1.382^{\circ}$ preoperatively and $1.043^{\circ}$ postoperatively. The amount of nasal deviation was found to be 5.248 mm preoperatively and 1.024 mm in postoperatively. Conclusion: After the reduction of nasal bone fractures, changes in nasal dimensions were noticeable in terms of nasal deviation but less significant in nasal tips, except for changes in nasal alar angles, which were notable.

History of Radiation Therapy Technology

  • Huh, Hyun Do;Kim, Seonghoon
    • Progress in Medical Physics
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    • v.31 no.3
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    • pp.124-134
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    • 2020
  • Here we review the evolutionary history of radiation therapy technology through the festschrift of articles in celebration of the 30th anniversary of Korean Society of Medical Physics (KSMP). Radiation therapy technology used in clinical practice has evolved over a long period of time. Various areas of science, such as medical physics, mechanical engineering, and computer engineering, have contributed to the continual development of new devices and techniques. The scope of this review was restricted to two areas; i.e., output energy production and functional development, because it is not possible to include all development processes of this technology due to space limitations. The former includes the technological transition process from the initial technique applied to the first model to the latest technique currently used in a variety of machines. The latter has had a direct effect on treatment outcomes and safety, which changed the paradigm of radiation therapy, leading to new guidelines on dose prescriptions, innovation of dose verification tools, new measurement methods and calculation systems for radiation doses, changes in the criteria for errors, and medical law changes in all countries. Various complex developments are covered in this review. To the best of our knowledge, there have been few reviews on this topic and we consider it very meaningful to provide a review in the festschrift in celebration of the 30th anniversary of the KSMP.

Optimizing Study-life Balance within Higher Education: A Comprehensive Literature Review

  • HATCHER, Ryan;HWANG, Yosung
    • The Journal of Economics, Marketing and Management
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    • v.8 no.2
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    • pp.1-12
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    • 2020
  • Purpose: The rise of the phrase Work Life Balance was bought up in 1986 when amid many Americans there was prevalence of detrimental work place practices like neglecting families, leisure activities and friends in order to achieve their study place goals. The significance of work-life balance has been gaining ground in recent years to grasp a wider range of groups, including students. Searching and finding a balance can be complex and challenging for many individuals and students. Research design, data and methodology: Through this paper we will explore how students balance the competing demands of work, study, and social activities. Several factors have increased imbalances within Educational organizations, and technology specifically has been influential. However, technology also provides a novel solution to this organizational performance management issue. A Study-Life Optimization model (SLO) is suggested, which incorporates information systems, analytics, and decision support into a Smart Service System. A general framework for this model, detailing data collection, measurement, and ethical issues is explained briefly. Results: Outcomes include improved WLB, greater perceived quality of life, and increased Educational organizational performance. Conclusions: This paper contributes to the relevant literature as it pays attention to the various students' of varying lifestyles school-work-personal lives. Findings of this study will provide a meaningful of the Work/school-life balance issues faced by students. The research could be helpful to the various stakeholders of a University, the curriculum designers, program coordinators etc.

Evaluating Psychological Experiences of Saudi Students in Distance-Learning

  • Almaleki, Deyab A.
    • International Journal of Computer Science & Network Security
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    • v.21 no.7
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    • pp.173-181
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    • 2021
  • The Ministry of Education in Saudi Arabia encourages Saudi students to continue their education at Saudi universities or abroad. Currently, an estimated 1,282,140 Saudi students are studying at Saudi universities. The extent of the research so far has not focused on Saudi student experiences, but it has shown that even a single negative event can dramatically reduce the chances of a student completing a degree. Thus, more research is necessary to identify and describe the context and obstacles (environmental and psychological) that Saudi students face. The evaluation was multifaceted to capture not only performance outcomes, but also other factors that have been suggested by research as influential to students' ability, such as the environmental, cultural, and psychological risks for graduation that Saudi students self-report. A single group pretest (survey) design was used in this study. Findings suggest depression stress and college stress predict stress levels, while subjective happiness predicts levels of scientific participations of the sample. Moreover, depression stress shows more consistency with hours spent on the internet for study purposes. These results should be considered in study support programs both institutionally and geopolitically by universities and governments.

Effects of Collaborative Learning in a Virtual Environment on Students' Academic Achievement and Satisfaction (가상 학습 공간에서의 협력 학습이 학업 성취도 및 만족도에 미치는 영향)

  • Kim, Mi Hwa
    • Journal of Digital Convergence
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    • v.19 no.4
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    • pp.1-8
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    • 2021
  • This experimental study was to examine the impact of collaborative learning in a virtual environment on students' learning outcomes and satisfaction. The collaborative virtual learning environment was created for a Korean history class for high school students. A total of 119 participants were recruited and were randomly assigned to either "collaborative group" or an "individual group." Students' academic achievements and satisfaction were collected as measurement tools to examine the effect of collaborative learning in the virtual learning environment and collected data were tested by independent sample t. The results showed that participation in collaborative groups had a significant positive effect on academic achievement and satisfaction than individual groups.

THE IDENTIFICATION OF MALAYSIAN CONTRACTOR SATISFACTION DIMENSIONS: A STRATEGY FOR CONTINUOUS IMPROVEMENT

  • Md Asrul Nasid Masrom;Martin Skitmore;Adrian Bridge
    • International conference on construction engineering and project management
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    • 2011.02a
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    • pp.335-339
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    • 2011
  • The unique characteristics of the construction industry - such as the fragmentation of its processes, varied scope of works and diversity of its participants - are contributory factors to poor project performance. Several issues are unresolved due to the lack of a comprehensive technique to measure project outcomes including: inefficient decision making, insufficient communication, uncertain site conditions, a continuously changing environment, inharmonious working relationships, mismatched objectives within the project team and a blame culture. One approach to overcoming these problems appears to be to measure performance by gauging contractor satisfaction (Co-S) levels, but this has not been widely investigated as yet. Additionally, the key Co-S dimensions at the project level are still not fully identified. This paper concerns a study of satisfaction dimensions, primarily by a postal questionnaire survey of construction contractors registered by the Malaysian Construction Industry Development Board (CIDB). Eight satisfaction dimensions are identified that are significantly and substantially relate to these contractors - comprising: project cost performance, schedule performance, product performance, design satisfaction, site safety, project profitability, business performance and relationships between participants. -Each of these dimensions is accorded different priority levels of satisfaction by different contractors. The output of this study will be useful in raising the awareness and understanding of project teams regarding contractors' needs, mutual objectives and open communication to help to deliver a successful project.

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A Study on the Relationship of Learning, Innovation Capability and Innovation Outcome (학습, 혁신역량과 혁신성과 간의 관계에 관한 연구)

  • Kim, Kui-Won
    • Journal of Korea Technology Innovation Society
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    • v.17 no.2
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    • pp.380-420
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    • 2014
  • We increasingly see the importance of employees acquiring enough expert capability or innovation capability to prepare for ever growing uncertainties in their operation domains. However, despite the above circumstances, there have not been an enough number of researches on how operational input components for employees' innovation outcome, innovation activities such as acquisition, exercise and promotion effort of employee's innovation capability, and their resulting innovation outcome interact with each other. This trend is believed to have been resulted because most of the current researches on innovation focus on the units of country, industry and corporate entity levels but not on an individual corporation's innovation input components, innovation outcome and innovation activities themselves. Therefore, this study intends to avoid the currently prevalent study frames and views on innovation and focus more on the strategic policies required for the enhancement of an organization's innovation capabilities by quantitatively analyzing employees' innovation outcomes and their most suggested relevant innovation activities. The research model that this study deploys offers both linear and structural model on the trio of learning, innovation capability and innovation outcome, and then suggests the 4 relevant hypotheses which are quantitatively tested and analyzed as follows: Hypothesis 1] The different levels of innovation capability produce different innovation outcomes (accepted, p-value = 0.000<0.05). Hypothesis 2] The different amounts of learning time produce different innovation capabilities (rejected, p-value = 0.199, 0.220>0.05). Hypothesis 3] The different amounts of learning time produce different innovation outcomes. (accepted, p-value = 0.000<0.05). Hypothesis 4] the innovation capability acts as a significant parameter in the relationship of the amount of learning time and innovation outcome (structural modeling test). This structural model after the t-tests on Hypotheses 1 through 4 proves that irregular on-the-job training and e-learning directly affects the learning time factor while job experience level, employment period and capability level measurement also directly impacts on the innovation capability factor. Also this hypothesis gets further supported by the fact that the patent time absolutely and directly affects the innovation capability factor rather than the learning time factor. Through the 4 hypotheses, this study proposes as measures to maximize an organization's innovation outcome. firstly, frequent irregular on-the-job training that is based on an e-learning system, secondly, efficient innovation management of employment period, job skill levels, etc through active sponsorship and energization community of practice (CoP) as a form of irregular learning, and thirdly a model of Yί=f(e, i, s, t, w)+${\varepsilon}$ as an innovation outcome function that is soundly based on a smart system of capability level measurement. The innovation outcome function is what this study considers the most appropriate and important reference model.

Three-dimensional morphometric analysis of mandibule in coronal plane after bimaxillary rotational surgery

  • Lee, Sung-Tak;Choi, Na-Rae;Song, Jae-Min;Shin, Sang-Hun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.49.1-49.9
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    • 2016
  • Background: The aim of this report is to present a new reference for aesthetic mandible surgery using three-dimensional cone-beam computed tomography-based treatment planning for orthognathic surgery which can be implemented in surgical planning and perioperative procedure. Methods: To make an objective standard for evaluating aesthetic mandibular outline, we make an aesthetic scoring criteria with consideration of asymmetry, broad mandibular border line, and prominent mandibular angle. Two maxillofacial surgeons and two orthodontists rated their aesthetical evaluation from 1 to 5. Experimental group consisting of 47 female and 38 male patients who had rotational orthognathic two-jaw surgery from 2010 to 2011 were chosen according to aesthetic scoring done by two maxillofacial surgeons and two orthodontists. A high aesthetic score (${\geq}16$) means the facial contour is symmetric, with no broad and narrow aesthetic mandible frontal profiles. Control A group consisted of ten female and ten male patients who had no orthognathic surgery experience and low aesthetic score (${\geq}10$). Control B group consisted of ten female and ten male patients who had no orthognathic surgery experience and had anaesthetic mandibular frontal profile and a high aesthetic score (${\geq}16$). The three-dimensional image of the patient was taken from dental cone-beam CT (DCT) scanning (experimental group and control A group: 6 months DCT after surgery, control B group: 1st visit DCT). Each DCT was reformatted to reorient the 3D image using 3D analyzing program (OnDemand3D, cybermed Inc, CA, USA). After selection of 12 landmarks and the construction of reoriented horizontal, vertical, and coronal reference lines, 15 measurements were taken in 3D analysis of frontal mandibular morphology. Afterwards, horizontal and vertical linear measurements and angular measurements, linear ratio were obtained. Results: Mean $Go^{\prime}_{Rt}-Me^{\prime}-Go^{\prime}_{Lt}$ angular measurement was $100.74{\pm}2.14$ in female patients and $105.37{\pm}3.62$ in male patients. These showed significant difference with control A group in both genders. Ratio of $Go^{\prime}_{Rt}-Go^{\prime}_{Lt}-Me^{\prime}$ length to some linear measurements (ratio of $Me^{\prime}-Cd^{\prime}_{Rt}Cd^{\prime}_{Lt}$ to $Me^{\prime}-Go^{\prime}_{Rt}Go^{\prime}_{Lt}$, ratio of $Me^{\prime}-Go^{\prime}$ to $Me^{\prime}-Go^{\prime}_{Rt}Go^{\prime}_{Lt}$, ratio of $Go^{\prime}_{Rt}-Go^{\prime}_{Lt}$ to $Me^{\prime}-Go^{\prime}_{Rt}Go^{\prime}_{Lt}$) showed significant difference with control A group in both genders. Conclusion: This study was intended to find some standard measurement of mandible frontal view in 3D analysis of aesthetic patient. So, these potential measurement value may be helpful for orthognathic treatment planning to have more aesthetic and perspective outcomes.