• Title/Summary/Keyword: Procedure Quality

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The Distribution and Treatment of Outpatients with General Anesthesia in Chonbuk National University Dental Hospital for 9 Years (최근 9년간 전북대학교 치과 병원 외래 전신마취 환자 분포 및 치료)

  • Moon, Yujin;Lee, Daewoo;Kim, Jaegon;Baik, Byeongju;Yang, Yeonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.2
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    • pp.158-163
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    • 2015
  • General anesthesia (GA) for dental care in handicapped patients is necessary to facilitate the provision of safe, efficient, and effective quality treatment. The aims of this study were to determine the anesthetic characteristics of handicapped patients in need of dental treatment in these day care units, and to establish for plan to provide better services. 325 patients who had outpatient general anesthesia from January 2005 to March 2014 were assessed for this study. Patients' distribution and treatment patterns were examined. The proportion of male patients (202, 62.2%) was higher than female patients (123, 37.8%) and the largest group of patients were 5 to 10 years old (85, 26.2%). The reasons for general anesthesia included mental and physical disabilities (207, 63.7%), behavior management (84, 25.8%), parent needs (14, 4.3%), and so on. Restorative treatment was the most common procedure with the average of 4.2 teeth treated per one patient and 43 (13.2%) patients underwent general anesthesia for dental treatment more than once. To expand and improve access to the dental care of the disabled, improvement of the health care system, enhancement of their training for dental care by professionals, and enlarging caregivers'understanding of the importance of oral care in the early stages are required.

A Study on Selection Process of Open Source Software (오픈소스 소프트웨어의 선정 절차에 관한 연구)

  • Lee, Young-Min;Rhew, Sung-Yul;Kim, Jong-Bae
    • The KIPS Transactions:PartD
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    • v.15D no.6
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    • pp.793-802
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    • 2008
  • The development methods which utilize OSSs have been tried as new alternative to solve limits of the previous software developments such as the quality of software, and time and cost of developments. Especially, small and medium companies are suffering from difficulty in applying large-scale development methodology whenever they develop softwares. Therefore, in the current situation that demand for small-scale development methodology is increasing, the methods of utilizing OSSs can become an efficient way to save costs and reduce a development period. Accordingly, analysis of open-source is no fixed procedure or method to utilize open-source for software developments in the field. In this thesis, to solve such problems, we propose the procedures and methods for identifying and selecting suitable open-source, and effective methods for improvement and integration through least modification on the basis of synthesis of existing researches and experiences in development projects. For selection of OSSs, we did identify correct requirements for the software to be developed, investigate the open-source just matching with such requirements, draw a candidate index, establish assessment criteria, and the consequently present a method to select OSSs. And, we deduced the validity and improvement of each detailed activity from practical application to an actual project and assessment.

Development of Clinical Practice Guidelines for Sasang Constitutional Medicine Symptomatology - Purpose, Development Strategy and Procedure - (사상체질병증 임상진료지침 개발 연구 - 목적, 개발 전략 및 절차 -)

  • Kim, Je-Shin;Hwang, Min-Woo;Lee, Jun-Hee;Lee, Eui-Ju;Koh, Byung-Hee;Yoo, Jung-Hee;Bae, Na-Young;Kim, Yun-Hee;Bae, Hyo-Sang;Joo, Jong-Cheon;Park, Hye-Sun;Shin, Mi-Ran;Yoo, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.1
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    • pp.23-33
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    • 2013
  • Objectives This study was aimed to develop the clinical practice guidelines, which focuses on Sasang Constitutional Medicine symptomology. By developing clinical practice guidelines, we should present prevention, diagnosis, treatment and assessment of Sasang Constitutional Medicine. Methods We used the method of University of Michigan Health System Guidelines model. Electronic databases including English, Korean databases were systematically searched for clinical articles investigating Sasang Constitutional Medicine symptomology up to March 2010. And "Donguisusebowon-ShinChukbon" was basically used to develop clinical guidelines. Results and Conclusions 12,694 Articles were reviewed. Only 25 articles described adequate methods of this study. Using clinical practice guidelines, we can manage th quality of medicine, emphasis treatment appropriacy and educate patients and doctors. Finally We can get the Sasang Constitutional Medicine standardization and socioeconomic benefit.

BS-PLC(Both Side-Packet Loss Concealment) for CELP Coder (CELP 부호화기를 위한 양방향 패킷 손실 은닉 알고리즘)

  • Lee In-Sung;Hwang Jeong-Joon;Jeong Gyu-Hyeok
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.42 no.12
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    • pp.127-134
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    • 2005
  • Lost packet robustness is an most important quality measure for voice over IP networks(VoIP). Recovery of the lost packet from the received information is crucial to realize this robustness. So, this paper proposes the lost packet recovery method from the received information for real-time communication for CELP coder. The proposed BS-PLC (Both Side Packet Loss Concealment) based WSOLA(Waveform Shift OverLab Add) allow the lost packet to be recovered from both the 'previous' and 'next' good packet as the LP parameter and the excitation signal are respectively recovered. The burst of packet loss is modeled by Gilbert model. The proposed scheme is applied to G.729 most used in VoIP and is evaluated through the SNR(signal to noise) and the MOS(Mean Opinion Score) test. As a simulation result, The proposed scheme provide 0.3 higher in Mean Opinion Score and 2 dB higher in terms of SNR than an error concealment procedure in the decoder of G.729 at $20\%$ average packet loss rate.

Evaluation of the wear of the periodontal curet's cutting edge (치주 큐렛의 절단 연 마모도 평가)

  • Park, Eung-Joon;Lim, Sung-Bin;Chung, Chin-Hyung
    • Journal of Periodontal and Implant Science
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    • v.27 no.3
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    • pp.575-584
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    • 1997
  • The quality of periodontal instrument cutting edge is a basic element of effective root planing procedure. Using instruments, the sharp edge is changed into blunt or beveled edge. With the blunt instrument, the periodontal treatment can't be carried into accuracy and effective. The study on the wear of periodontal curet is insufficient, there are few publications about the change of sharpness of cutting egde after using instrument and a certen reports were published on the study of scanning electron microscope(SEM) examination. In this study, to declare the number of strokes for sharpening of instruments, the changes of cutting edge is measured by the clinical methods, tactile sensitivity examination and refraction light-white line test after scaling strokes and root planing strokes. SEM test was added for defined the changes of cutting edges. The 7/8 Gracey curets that have been never used was tested. Maxillary molars which were extracted from the School of Dental Medicine, Dankook University was used. Subjected teeth had attachment loss more than 6 mm in bucca-lingual surface and sufficient calculus of a band type in cervical area. The strokes of curet were executed 3, 5, 7, 9, 11, 13 times on scaling stroke and 10, 15, 20, 25, 30, 35 times on root planing stroke. A resident has periodontal experience over 3 years carried out the clinical examinations those tactile sensitivity examination and refraction light-white line test 5 times. The case there being tactile sensitivity certenly is 2, the case being felt tactile sensitivity is 1, and the case there not being tactile sensitivity is 0. The visual examination was recorded as following. The case that refracted white line is not recognised is 2, the case that uncerten is 1, and the case that acknowledged is 0. The results were obtained as follows. 1. After scaling strokes, the tactile sensitivity was reduced after 11 strokes and disappeared in 13 strokes. 2. In tactile sensitivity after root planing procedures, sensitivity was reduced after 25 strokes and disappeared in 35 strokes. 3. In case of visual examination, the detection of refracted white line was increased after 9 strokes of scaling procedures and the accuracy of wear wasn't showed after root planing procedures. 4. In SEM, metal projection was observed on new periodontal curet cutting edge and it was disappeared after scaling procedures. 5. In SEM, the cutting edge was showed changing linear into an aspect of the surface after 5 strokes of scaling procedures and 10 strokes of root planing procedures and showed beveled edge in 11 strokes of scaling procedures, 25 strokes of root planing procedures. The results of 3-type examination indicated that the sharpening of curet should be performed after 11 strokes of scaling procedures and 25 strokes of root planing procedures.

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Relationship between Percutaneous Transluminal Coronary Anigioplasty Volume and Associated Immediate Outcome (경피적 관동맥 확장술의 시술량과 조기 시술결과의 관련성)

  • Kim, Yong-Ik;Kim, Chang-Yup;Lee, Young-Sung;Kim, Sun-Mean;Lee, Jin-Seok;Oh, Byung-Hee;Khang, Young-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.1
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    • pp.9-20
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    • 2001
  • Objectives : To explore the relationship between Percutaneous Transluminal Coronary Angioplasty(PTCA) volume and the associated immediate outcome. Methods : A total of 1,379 PTCAs were peformed in 25 hospitals in Korea between October 8 and December 31 in 1997. Data from 1,317 PTCAs (95.5%) were collected through medical record abstraction. Inter-observer reliability of the data was examined using the Kappa statistic on a subsample of 110 PTCA procedures from five hospitals. Intra-observer reliability of the data was also examined. PTCA success and immediate adverse outcomes were selected as the outcome variables. A successful PTCA was defined as a case that shows less than 50% diameter stenosis and more than 20% reduction of diameter stenosis. Immediate adverse outcomes included deaths during the same hospitalization, emergency coronary artery bypass graft (CABG) within 24 hours after PTCA, and acute myocardial infarction within 24 hours after PTCA. The numbers of PTCAs performed in 1997 per hospital were used as the volume variables. Results : Without adjusting for patient risk factors that may affect outcomes, procedures at high volume hospitals ($\geq200$ cases per year) had a greater success rate (P=0.001) than low volume hospitals. There was a marginally significant difference (P=0.070) in major adverse outcome rates between high and low volume hospitals. After adjusting for risk factors, there were significant differences in procedural failure and major adverse outcome rates between high and low volume hospitals. Conclusions : After adjusting for patient clinical risk factors, the hospital volume of PTCA was associated with immediate outcomes. It is recommended that a PTCA volume per year be established in order to improve the immediate outcome of this procedure in Korea.

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Characterization and assessment of the dolomite powder for application as fillers in the marble-type ore (대리암형 백운석의 분체 특성과 충전재로서의 응용성 평가)

  • Noh, Jin-Hwan;Lee, Na-Kyoung
    • Journal of the Mineralogical Society of Korea
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    • v.20 no.2 s.52
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    • pp.71-81
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    • 2007
  • The marble-type dolomite from the Jasung Mine, which was farmed by duplicated affects of contact metamorphism and subsequent hydrothermal alteration, corresponds to a high-purity dolomite ranging up to above 98wt.% in dolomite contents. The dolomite contain minor impurities such as quartz, muscovite, and pyrite. It is characteristic that the dolomite is fairy Fe-rich corresponding to 0.4 wt.% due to the presence of pyrite of possible hydrothermal origin. The dolomite is nearly white-colored and constituting with subhedral crystals ranging $0.35{\sim}0.46mm$M in size, forming equigranular texture. Compared to the typical high-Ca limestone from the Pungchon Formation, the powder characteristics of dolomite is rather superior in milling efficiency, yields of fine particles, and size distribution. In addition, except for iron contents, the dolomite powder is no less superior than the limestone in quality and characteristics as fillers with respects to not only whiteness, oil absorption, and specific surface area but also shape characters such as elongation ratio, aspect ratio, and sphericity. This good characteristics of dolomite powder seem to be originated basically from comparatively higher grade and crystallinity of dolomite. Higher iron contents and the presence of sulfides prevents the dolomite from application for uses by thermal treatment, except for metallic manufacture. However, if proper ore separation procedure is available, the dolomite can be sufficiently utilized as substitutes for high-Ca limestone in most fields of filler industries.

A Study on the Development of an Automated Pavement Crack Sealer (도로면 크랙실링 자동화 로봇의 프로토타입 개발에 관한 연구)

  • Lee Jeong-Ho;Yu Hyun-Seok;Kim Young-Suk;Lee Jun-Bok;Cho Moon-Young
    • Korean Journal of Construction Engineering and Management
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    • v.5 no.2 s.18
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    • pp.162-171
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    • 2004
  • Crack sealing is a maintenance procedure that is commonly used to reduce pavement degradation. If cracks in pavements are not sealed, surface water penetration can reduce the strength of the sub-base layers, which can result in increased deflections of the pavement. Reduced strength of the sub-base also accelerates the deterioration of the surface, due to development of greater cracking and potholes. Crack sealing is performed to reduce water and debris penetration, thereby helping to maintain pavement structural capacity and limiting future degradation. The process of sealing cracks in pavements is however dangerous, costly, and labor-intensive operation. Labor turnover and training are increasing problems related to crack sealing crews, and as traffic volumes increase. Automating crack sealing can reduce labor and road user costs, improve work quality, and decrease worker exposure to roadway hazards. The main objective of this research is to develop an automated system for sealing cracks in pavement. Extension of the algorithms and tools presented in this research is also recommended for future study.

An Evaluation for Effectiveness of Information Services by Reference Librarians at College and University Libraries in Korea (대학도서관 정보사서의 정보서비스 효율성 평가)

  • Han Sang Wan
    • Journal of the Korean Society for Library and Information Science
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    • v.13
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    • pp.95-119
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    • 1986
  • The objective of this study is to search for a theoretical and practical solution to the question of what is the most effective and qualitative method of information service for the college and university libraries in Korea. Assuming the maximum service or total service theory in information services, therefore, it appears natural that the subject specialist who is highly knowledgeable in his subject is indispensable in raising the quality of information librarians. The procedure of this research was as follows: There was no college and university library employing any full-time subject spceialist in Korea. This research, however, was proceeded on the assumption that subject specialists are already employed in all of the college and university libraries after the subject specialist system is established. The least qualification of subject specialist is limited, based on the criteria given by the foreign literature, to those who have master's degree in Library Science and bachelor's degree in any other subject area, those who have bacholor's degree in Library Science and master's degree in any other subject area, or those who have both bacholor's and master's degrees in Library Science with minor in any subject field . To prove the research hypothesis that the subject specialist will perform his role more efficiently than the generalist in effectively providing information service based on both accuracy and speed, this research as an obtrusive testing method analyzed the effectiveness by presenting information questions to the generalists and subject specialists who are information librarians in college and university libraries. For this study 20 librarians working at 12 university libraries were tested for performance levels of information services. The result showed $59.75\%$ an absolute performance rate and $75.20\%$ an adjust performance rate. Compared to Thomas Childer's 1970 study in which he used the unobtrusive testing method, these results were $5\%$ higher in the absolute performance rate and $11.36\%$ higher in the adjust performance rate. In comparing the generalist with the subject specialist in efficiency of information service, while the absolute performance rate was $57.08\%$ and the adjust performance rate was $73.08\%$ in the case of the generalist, the absolute rate was $63.75\%$ and the adjust rate was $78.38\%$ in the case of specialist, therefore, the efficiency of the subject specialist was $6.67\%$ higher in the absolute performance rate and $5.30\%$ higher in the adjust performance rate than that of generalist. But the factor of speediness was excluded from the analysis because of the difference between the time the interviewers recorded and the time the interviewee recorded. On the basis of the result of this research, it should be desirable to educate subject specialists and employ them as information librarians and for them to function as efficient subject specialists in order to improve the effectiveness of information services, the nucleus of the raison d'etre of college and university libraries.

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Evaluation of OSLD and EBT3 film for dose, energy, and angular dependence (OSLD와 EBT3 필름의 선량, 에너지, 방향의존성에 대한 평가)

  • Lee, Ju-seong;Kang, Bo-ram;Kwon, Hyeon-Kyung;Park, Ji-Young;Kim, Ju-Hye;Choi, Young-Se;Kim, Daehong
    • The Korean Journal of Food & Health Convergence
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    • v.4 no.1
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    • pp.15-22
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    • 2018
  • A radiation dosimeter is important to assess quality assurance (QA) of radiation therapy devices and to estimate the radiation dose in vivo dosimetry. Recently, optically stimulated luminescence detector (OSLD) is widely used in clinical filed. Therefore, the purpose of this study is to evaluate dose, energy, and angular dependence of OSLD and EBT3 film. The absorbed dose in clinical linear accelerator (Linac) beam is calibrated for dose per monitor unit (MU). Dose, energy, and angular dependence of OSLD and EBT3 film are estimated after the calibration procedure. The absorbed dose is measured at 50, 100, 150, and 200 cGy in an 6 MV X-ray beam for dose dependence. A dose of 150 cGy is delivered to OSLD and EBT3 film with 6 and 10 MV photon energies for energy dependence. For measurements of angular dependence, angular positions of gantry are $0^{\circ}{\pm}80^{\circ}$ with 6 MV at 150 cGy. The results of dose dependence is linear for OSLD and EBT3 film. For the results of energy dependence, errors were 0.39% and 0.03% for OSLD and EBT3 film, respectively. The results of dose for angular is decreased from $0^{\circ}$ to ${\pm}80^{\circ}$ for both OSLD and EBT3 film. When angle of $0^{\circ}$ is normalized to 1, and the dose is decreased to 60 and 66% at $80^{\circ}$ for OSLD and EBT3 film, respectively. Dose and energy dependence of OSLD and EBT3 film are measured within the recommendation of manufacturer. Angular dependence is increased from $0^{\circ}$ to ${\pm}80^{\circ}$ for OSLD and EBT3 film. The characteristics of OSLD and EBT3 film are similar and expected to useful for clinical field.