• 제목/요약/키워드: Post Evaluation System

검색결과 499건 처리시간 0.029초

Retrospective clinical and radiographic evaluation of restored endodontically treated teeth

  • Paula Pontes Garcia ;Aline Cappoani ;Ricardo Susin Schelbauer ;Gisele Maria Correr ;Carla Castiglia Gonzaga
    • Restorative Dentistry and Endodontics
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    • 제45권4호
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    • pp.49.1-49.11
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    • 2020
  • Objectives: The aim of this study was to perform a clinical and radiographic analysis of endodontically treated teeth (ETT) restored with cast metal posts (CMPs) or prefabricated glass fiber posts (GFPs) and crowns. Materials and Methods: Fifty ETT were restored with 25 CMPs and 25 GFPs at a private dental clinic between 2001 and 2016. The restorations consisted of 12 all-ceramic crowns, 31 metal-ceramic crowns, and 7 composite resin crowns. Demographic data, type of teeth, type of post-and-core system, time of placement, crown restorations, the number of proximal contacts, the type of antagonist, and reports of any complications after post-and-core placement were recorded for each patient. Assessments were performed at baseline (radiographic) and follow-up (radiographic and clinical). Data were analyzed by the McNemar test, the Pearson χ2 test, and Kaplan-Meier survival curves (α = 0.05). The mean follow-up was 67.6 months. Results: No significant difference was observed for any of the radiographic parameters when the baseline and final radiographs were compared. In the clinical evaluation, anatomical form (p = 0.009) and occlusion (p = 0.001) showed significant differences according to the type of crown restoration; specifically, metal-ceramic and all-ceramic crowns outperformed composite resin crowns. Conclusions: CMPs and GFPs showed favorable results for restoring ETT after 6 years of follow-up. All-ceramic and metal-ceramic crowns showed higher survival rates and better clinical outcomes.

해외교육 치과의사의 국내유입에 따른 치과 의료의 질 보장 및 치과의사의 적정수급 - 일본과 중국을 중심으로 - (Quality assurance of dental care and appropriate supply of dentists in view of the increasing inflow of dental graduates from abroad)

  • 신제원;김윤진;김경년;김각균;이재일
    • 대한치과의사협회지
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    • 제55권1호
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    • pp.7-20
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    • 2017
  • The purpose of this study is to analyze the data on the medical personnel education system and license scheme and provide the basic material for an enhanced qualification system. In China, dental education reform has been underway with a view to providing an inclusive basic medical service package to the whole country by 2020. It is also estimated that the number of Korean dental medicine students in China would be fewer. And most of them desire to get a job in China after acquiring the Chinese license, suggesting little prospect of a massive inflow into Korea in the near future. In Japan, students are required to complete a clinical training program for over 1 year after receiving licenses to become an independent practitioner. But they can apply for the Korean preliminary examination without this post-graduation process. For this reason, the quality issue in license effectiveness review has been seriously discussed. It is deemed desirable to limit the Korean accreditation to Japanese graduates from the dental schools certified by the Japanese dental accreditation body.

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해상교통안전진단 사후관리제도의 도입 및 제도개선에 관한 고찰 (A Study on Adopting an Ex Post Facto Management System and Reforming the Maritime Traffic Safety Audit Scheme)

  • 김인철
    • 해양환경안전학회지
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    • 제22권7호
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    • pp.807-813
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    • 2016
  • 해상교통안전진단제도는 연안에서 선박의 항행에 영향을 미치는 각종 해상사업으로 인해 발생할 수 있는 위험요인을 전문적으로 조사 측정 평가하기 위해 2009년에 법제화된 이후에 제도 발전에 관한 여러 연구가 수행되어 왔다. 이러한 연구결과를 분석하여 현제도의 미비점을 색인한 결과, 안전진단 결과에 따라 해상사업이 수행되었는지 검증하기 위한 절차와 안전진단의 주요 과정 중 하나인 선박조종 시뮬레이션의 정확성을 검증하기 위한 사후관리 관련 규정이 미흡했다. 사후관리제도 도입 필요성이 드러남에 따라 법령화된 유사 제도인 환경영향평가제도와 도로교통안전진단제도의 법체계를 분석하였다. 그리고 해상교통분야의 미비점을 개선하기 위한 법령안을 구체적으로 제시하였다. 본 고의 법령안은 진단의 정확도를 검증하고 진단결과의 이행을 담보함으로써 해상사업과 관련된 잠재적 위험요인을 제거하고 해상교통안전에 기여할 것으로 기대된다.

웹과 모바일을 연동한 현장체험학습 지원시스템 (Field-Learning Support System Using Web and Mobile)

  • 민윤경;최병주
    • 컴퓨터교육학회논문지
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    • 제9권5호
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    • pp.53-64
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    • 2006
  • 본 논문에서는 웹과 모바일을 연동한 현장체험학습 지원시스템을 제안한다. 웹과 모바일을 연동한 현장체험학습 지원시스템은 현장체험학습을 계획, 진행, 평가하는 과정을 지원한다. 현장체험학습의 프로세스를 크게 사전활동, 현장활동, 사후활동의 세 가지로 나누고 웹과 모바일의 연동을 통해 통합적으로 지원, 관리, 운영한다. 현장체험학습을 통해 학습자들의 창의성과 자율성, 협동성을 길러주는 교육적 효과를 보다 높이고자 한다.

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공조시스템 유기 격실 소음 예측 프로그램 개발 (Development of Cabin Noise Prediction Program Induced by HVAC System)

  • 김병희;권종현;조대승
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2004년도 추계학술대회논문집
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    • pp.554-558
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    • 2004
  • In this paper, we introduce noise prediction program of HVAC system to assist low-noisy design of ship's cabin. The developed program calculates sound power levels at HVAC components considering primary and secondary noise generated by fan and duct element, duct element noise attenuation, and duct break-in noise based on the authentic empirical method suggested by NEBB and acoustic power balancing method. Sound pressure level at cabin with or without ceiling system is evaluated by the diffuse-field theory considering diffuser and duct break-out sound powers. Moreover, the program provides intuitive pre- and post-processors using modem GUI functions to help efficient modeling and evaluation of cabin and HVAC component noise. To validate the accuracy and convenience of the program, noise prediction for a HVAC system is demonstrated.

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하악 과두 골절의 관혈적 정복시 고정 방법에 따른 임상적 평가 (CLINICAL EVALUATION OF TREATMENT OUTCOME OF PLATING TECHNIQUE OF FIXATION FOR MANDIBULAR CONDYLAR FRACTURE)

  • 손정희;박지화;김진수;변기정
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제27권2호
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    • pp.164-170
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    • 2005
  • The purpose of this study was to compare a sample of patients who had condylar fractures treated with open reduction using different plating techniques, to evaluate which plating technique is useful for stable fixation for fractures of the mandibular condyle and to evaluate effectiveness of resorbable miniplate. There were 60 patients (41 males, 19 females) whose condylar fractures were treated with open reduction. Rigid fixation was performed with a single miniplate, double miniplate ot one miniplate & one microplate and single resorbable plate. All patients remained intermaxillary fixation for 1 week postoperatively. Active physiotherapy was started after 2 weeks postoperatively. Radiographic evaluation (plate fracture, plate bending, screw loosening, displacement of condyle etc.) was performed at pre-operative, immediate, 2 weeks, 1 month, 3 months, 6 months after surgery. Clinical evaluation included degree of mouth opening, occlusion, mandibular lateral excursion, infection and facial nerve paralysis. In radiographic evaluation, displacement of fractured condylar segment associated with plate bending or screw loosening were showed 6 cases and 3 cases for single miniplate system and resorbable miniplate system. There was no patients who have this problem on double miniplate system. The results revealed that the application of two miniplates were more recommendable than single miniplates. When we select resorbable miniplate system, we should consider the type of fractures, post-operative treatment protocol and surgical technique.

PSE (pale, soft, exudative) Pork : The Causes and Solutions - Review -

  • Lee, Y.B.;Choi, Y.I.
    • Asian-Australasian Journal of Animal Sciences
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    • 제12권2호
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    • pp.244-252
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    • 1999
  • Intensive selection for muscle development and against fat deposition in pigs during the last 50 years has contributed to the increased incidence of porcine stress syndrome (PSS) and pale soft exudative pork (PSE). Genetics, nutrition and management, preslaughter animal handling, stunning, dehairing and carcass chilling influence the incidence and magnitude of the PSE condition. The normal incidence of PSE has been reported to range from 10 to 30%, but in some isolated instances is up to 60%. The elimination of halothane-positive pigs in breeding programs has reduced PSS and PSE. Further improvements in meat quality by terminal sire evaluation and selection can be achieved within halothane-negative populations because around 20% of the variation in meat color and water binding capacity seems to be genetically related. Pre-slaughter handling on the farm, during transit to the packing plant and at the packing plant can greatly influence the meat quality, contributing 10 to 25% of the variation. An effective stunning method, skinning instead of scalding/dehairing and rapid post-slaughter chilling further reduce the incidence of PSE pork. In addition to proper care and handling a carcass-merit based marketing system, that reflected the value differential between desirable and undesirable meat quality in the pricing system for pigs, would provide a great incentive to change pork production systems in order to improve meat quality, thus improving the image and usefulness of pork as food.

IMPLEMENTATION OF DATA ASSIMILATION METHODOLOGY FOR PHYSICAL MODEL UNCERTAINTY EVALUATION USING POST-CHF EXPERIMENTAL DATA

  • Heo, Jaeseok;Lee, Seung-Wook;Kim, Kyung Doo
    • Nuclear Engineering and Technology
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    • 제46권5호
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    • pp.619-632
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    • 2014
  • The Best Estimate Plus Uncertainty (BEPU) method has been widely used to evaluate the uncertainty of a best-estimate thermal hydraulic system code against a figure of merit. This uncertainty is typically evaluated based on the physical model's uncertainties determined by expert judgment. This paper introduces the application of data assimilation methodology to determine the uncertainty bands of the physical models, e.g., the mean value and standard deviation of the parameters, based upon the statistical approach rather than expert judgment. Data assimilation suggests a mathematical methodology for the best estimate bias and the uncertainties of the physical models which optimize the system response following the calibration of model parameters and responses. The mathematical approaches include deterministic and probabilistic methods of data assimilation to solve both linear and nonlinear problems with the a posteriori distribution of parameters derived based on Bayes' theorem. The inverse problem was solved analytically to obtain the mean value and standard deviation of the parameters assuming Gaussian distributions for the parameters and responses, and a sampling method was utilized to illustrate the non-Gaussian a posteriori distributions of parameters. SPACE is used to demonstrate the data assimilation method by determining the bias and the uncertainty bands of the physical models employing Bennett's heated tube test data and Becker's post critical heat flux experimental data. Based on the results of the data assimilation process, the major sources of the modeling uncertainties were identified for further model development.

Effectiveness of a Clinical Pathway for Breast Cancer Patients Undergoing Surgical Operation on Clinical Outcomes and Costs

  • Jeong Hyun Park;Danbee Kang;Seok Jin Nam;Jeong Eon Lee;Seok Won Kim;Jonghan Yu;Byung Joo Chae;Se Kyung Lee;Jai Min Ryu;Yeon Hee Park;Mangyeong Lee;Juhee Cho
    • 한국의료질향상학회지
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    • 제30권1호
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    • pp.120-131
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    • 2024
  • Purpose: This study aimed to evaluate the impact of implementing a clinical pathways (CPs) on the clinical outcomes and costs of patients undergoing breast cancer surgery. Methods: This retrospective cohort study included patients who were newly diagnosed with primary breast cancer at the Samsung Medical Center between 2014 and 2019 (N=8482; 2931 patients in the pre-path and 5551 patients in the post-path). Clinical outcomes included reoperation during hospitalization, readmission, and emergency room visits within 30 days of discharge. The cost data for each unit were obtained from an activity-based management accounting system. We performed an interrupted time series analysis. Results: The post-path period showed a significantly shorter hospital length of stay (LOS) than the pre-path period (6.3 days in pre-path vs. 5.0 days in post-path; -1.3 days' difference; p=.001), and fewer reoperations during hospitalization and within 30 days after discharge than the pre-path period. After adjusting for inflation rates and relative value scores, the model demonstrated savings of $146 per patient in the post-path for total costs, and $537 per patient for patient out-of-pocket costs (p=.001). Conclusion: CPs can help reduce costs without compromising the quality of care by reducing the number of reoperations, readmissions, and complications.

전력계통에 있어서 직접법을 활용한 상정사고 위험순위 결정 (Contingency Severity Ranking Using Direct Method in Power Systems)

  • 이상근
    • 전기학회논문지P
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    • 제54권2호
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    • pp.67-72
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    • 2005
  • This paper presents a method to select contingency ranking considering voltage security problems in power systems. Direct method which needs not the detailed knowledge of the post contingency voltage at each bus is used. Based on system operator's experience and knowledge, the membership functions for the MVAR mismatch and allowable voltage violation are justified describing linguistic representation with heuristic rules. Rule base is used for the computation of severity index for each contingency by fuzzy inference. Contingency ranking harmful to the system is formed by the index for security evaluation. Compared with 1P-1Q iteration, this algorithm using direct method and fuzzy inference shows higher computation speed and almost the same accuracy. The proposed method is applied to model system and KEPCO pratical system which consists of 311 buses and 609 lines to show its effectiveness.