• 제목/요약/키워드: Outcomes Measurement

검색결과 287건 처리시간 0.028초

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

  • 배서영;손수인;성민규
    • 대한족부족관절학회지
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    • 제17권4호
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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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    • 제53권11호
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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
    • 대한두개안면성형외과학회지
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    • 제20권1호
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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
    • 한국의학물리학회지:의학물리
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    • 제31권3호
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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
    • 융합경영연구
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    • 제8권2호
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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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    • 제21권7호
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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.

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

  • 김미화
    • 디지털융복합연구
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    • 제19권4호
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    • pp.1-8
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    • 2021
  • 본 연구는 가상 환경에서의 협력 학습에의 참여가 학생들의 학업 성취도와 만족도에 미치는 영향을 조사하고자 하였다. 세컨드라이프라는 가상현실 플랫폼에 고등학생이 국사 과목을 학습할 수 있는 공간을 만들고 이를 활용하였다. 총 119명의 참가자를 '협력학습 유형'이나 '개인학습 유형'에 무선 할당하였으며, 학생들의 학업 성취도와 만족도를 측정 도구로 수집하였다. 가상공간에서의 협력학습의 효과를 검토하려 독립표본 t검증 및 대응표본 t검증을 실행하였고, 연구의 결과는 개인학습 유형에 참여한 경우보다 협력학습 유형에 참여한 경우가 학업성취도와 만족도에 유의미하게 긍정적 영향을 미치는 것으로 나타났다. 마지막으로 향후 가상현실을 기반으로 한 협력학습의 활용에 대한 제언이 논의되었다.

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

  • Md Asrul Nasid Masrom;Martin Skitmore;Adrian Bridge
    • 국제학술발표논문집
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    • The 4th International Conference on Construction Engineering and Project Management Organized by the University of New South Wales
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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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학습, 혁신역량과 혁신성과 간의 관계에 관한 연구 (A Study on the Relationship of Learning, Innovation Capability and Innovation Outcome)

  • 김귀원
    • 기술혁신학회지
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    • 제17권2호
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    • pp.380-420
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    • 2014
  • 오늘날 불확실성이 증가하면서 조직구성원의 전문역량, 즉 혁신역량에 대한 중요성이 커지고 있다. 이러한 실정에도 불구하고, 조직원 개인의 혁신역량에 대해 혁신산출물을 만들기 위한 투입요소, 혁신 활동(혁신역량보유, 발휘, 증진노력 등) 그리고 혁신산출물 간의 관계에 관한 연구는 아직까지 많지 않은 편이다. 이런 원인은 기존 혁신연구단위가 국가단위, 산업단위, 기업단위에서 이루어지는 것이 일반적이기 때문이며, 상대적으로 특정기업의 투입, 산출 및 혁신활동 자체에 대한 분석이 다소 부족한 편이다. 그러므로 이 연구는 기존 혁신연구의 틀과 시각에서 벗어나, 특정조직중심의 개인별 혁신성과와 그 성과와 관련성이 높을 것으로 추정되는 혁신활동들에 대한 네 가지 가설, 즉 첫째는 역량의 차이에 따라 혁신성과는 차이가 있을 것이다. 둘째, 학습시간의 차이에 따라 역량은 차이가 있을 것이다. 셋째, 학습시간의 차이에 따라 혁신성과는 차이가 있을 것이다. 넷째, 학습시간과 혁신성과 간의 관계에는 혁신역량의 매개효과가 있을 것이다(구조모형 검정)는 문제에 대해 정량분석을 시도하여, 조직 경쟁력을 향상시키기 위한 정책적 시사점을 도출하는 것을 연구목적으로 한다.

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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    • 제38권
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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.