• Title/Summary/Keyword: RCR & N

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The Net Promoter Score with Friends and Family Test applied to arthroscopic shoulder surgery

  • Jabbal Monu;Sharma Sunil
    • Clinics in Shoulder and Elbow
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    • v.26 no.1
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    • pp.20-24
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    • 2023
  • Background: The Friends and Family Test (FFT) developed by the UK National Health Service evaluates whether patients are satisfied with a service provided, where improvements are needed, and how likely patients are to recommend the intervention. Calculated from the FFT, the Net Promoter Score (NPS) creates a recommendation metric for treatment. The primary aim of this prospective study is to evaluate NPS for arthroscopic subacromial decompression (ASD) and rotator cuff repair (RCR). Secondary aims are to postoperatively evaluate 1-year changes in patients' Oxford Shoulder Scores (OSSs) in terms of the proportion of patients satisfied with their surgery and correlation with FFT. Methods: During a 2-year period, all patients undergoing ASD or RCR completed questionnaires prospectively. Collected preoperatively and postoperatively at 1 year. Results: NPSs were 31 for ASD (n=32) and 52 for RCR (n=39). OSSs increased by 4.3 and 6.9 for ASD and RCR, respectively (P<0.001). Overall, 75% of ASD and 77% of RCR patients were either "satisfied" or "very satisfied," respectively, with procedure outcomes. Scores from FFT had a positive correlation with improvement in OSS and satisfaction scores among patients undergoing arthroscopic shoulder surgeries (P<0.001). Conclusions: The current study shows positive NPS outcomes in patients with ASD and RCR. Scores from FFT correlate well with both satisfaction and OSS among patients. NPS can be an adjunct to traditional patient-reported outcome measures to provide global evaluation of patient experiences to aid in determining the clinical value of common procedures in shoulder orthopaedics. Level of evidence: III.

Empirical Equations for Rock Mass Classifications and Rock Property Evaluations (지반정수산정을 위한 경험적 암반평가기법과 상관성)

  • 신중호;신희순
    • Proceedings of the Korean Geotechical Society Conference
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    • 2002.03a
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    • pp.79-86
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    • 2002
  • Rock mass classifications form the back bone of the empirical design approach and are widely employed in rock engineering. In this paper the inter-relations were discussed among RMR, Q-system, RCR, N, M-RMR, RMi, and L-RMR. Several relationships for the assessment of the modulus of deformation of rock mass, Poisson's ratio, uniaxial compressive strength, tensile strength, cohesion and internal friction angle were also analysed and suggested.

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A study on the Correlation Between the Result of Electrical Resistivity Survey and the Rock Mass Classification Values Determined by the Tunnel Face Mapping (전기비저항탐사결과와 터널막장 암반분류의 상관성 검토)

  • Choi, Jai-Hoa;Jo, Churl-Hyun;Ryu, Dong-Woo;Kim, Hoon;Oh, Byung-Sam;Kang, Moon-Gu;Suh, Baek-Soo
    • Tunnel and Underground Space
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    • v.13 no.4
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    • pp.279-286
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    • 2003
  • Many trials to set up the correlation between the rock mass classification and the earth resistivity have been carried out to design tunnel support type based on the interpreted electrical resistivity acquired by surface electrical survey. But it is hard to find reports on the comparison of the real rock support type determined during the excavation with the electrical resistivity by the inversion of the survey data acquired before the tunneling. In this study, the rock mass classification based on the face mapping data and the resistivity inversion data are investigated to see if it is possible to design reliably the rock support type based on the surface electrical survey. To get the quantitative correlation, rock engineering indices such as RCR(rock condition rating), N(Rock mass number), Q-system and RMR(rock mass rating) are calculated. Since resistivity data has low resolution, Kriging method as a post processing technique which minimizes the estimated variance is used to improve resolution. The result of correlation analysis shows that the 2D electrical resistivity survey is appropriate to see the general trend of the geology in the sense of rock type, though there might be some local area where these two factors do not coincide. But the correlation between the result of 3D survey and the rock mass classification turns out to be very high, and then 3D electrical resistivity survey can make it possible to set up more reliable rock support type.

A study on the correlation between the result of electrical resistivity survey and the rock mass classification values determined by the tunnel face mapping (전기비저항탐사결과와 터널막장 암반분류의 상관성 검토)

  • 최재화;조철현;류동우;김학규;서백수
    • Proceedings of the Korean Geotechical Society Conference
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    • 2003.03a
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    • pp.265-272
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    • 2003
  • In this study, the rock mass classification results from the face mapping and the resistivity inversion data are compared and analyzed for the reliability investigation of the determination of the rock support type based on the surface electrical survey. To get the quantitative correlation, rock engineering indices such as RCR(rock condition rating), N(Rock mass number), Q-system based on RMR(rock mass rating) are calculated. Kriging method as a post processing technique for global optimization is used to improve its resolution. The result of correlation analysis shows that the geological condition estimated from 2D electrical resistivity survey is coincident globally with the trend of rock type except for a few local areas. The correlation between the results of 3D electrical resistivity survey and the rock mass classification turns out to be very high. It can be concluded that 3D electrical resistivity survey is powerful to set up the reliable rock support type.

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Transcriptome Analysis of Streptococcus mutans and Separation of Active Ingredients from the Extract of Aralia continentalis (Streptococcus mutans의 전사체 분석과 독활 추출물로부터 활성 성분 분리)

  • Hyeon-Jeong Lee;Da-Young Kang;Yun-Chae Lee;Jeong Nam Kim
    • Journal of Life Science
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    • v.33 no.7
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    • pp.538-548
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    • 2023
  • The research has been conducted on the isolation of antimicrobial compounds from plant natural extracts and their potential application in oral health care products. This study aimed to investigate the antimicrobial mechanism by analyzing the changes in gene expression of Streptococcus mutans, a major oral pathogen, in response to complex compounds extracted from Aralia continentalis and Arctii Semen using organic solvents. Transcriptome analysis (RNA-seq) revealed that both natural extracts commonly upregulated or downregulated the expression of various genes associated with different metabolic and physiological activities. Three genes (SMU_1584c, SMU_2133c, SMU_921), particularly SMU_921 (rcrR), known as a transcription activator of two sugar phosphotransferase systems (PTS) involved in sugar transport and biofilm formation, exhibited consistent high expression levels. Additionally, component analysis of the A. continentalis extract was performed to compare its effects on gene expression changes with the A. Semen extract, and two active compounds were identified through gas chromatography-mass spectrometry (GC-MS) analysis of the active fraction. The n-hexane fraction (ACEH) from the A. continentalis extract exhibited antibacterial specificity against S. mutans, leading to a significant reduction in the viable cell counts of Streptococcus sanguinis and Streptococcus gordonii among the tested multi-species bacterial communities. These findings suggest the broad-spectrum antibacterial activity of the A. continentalis extract and provide essential foundational data for the development of customized antimicrobial materials by elucidating the antibacterial mechanism of the identified active compounds.

Impact of Nosema sp. Infection on Nutritional Physiology and Growth of the Tasar Silkworm Antheraea mylitta

  • Rath, Sudhansu Sekhar;Singh, Mrinal Kanti;Suryanarayana, N
    • International Journal of Industrial Entomology and Biomaterials
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    • v.19 no.2
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    • pp.221-228
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    • 2009
  • Nosema sp. infection in the Indian tasar silkworm, Antheraea mylitta exerts a complex of influences on its host. The instar duration was extended significantly (P<0.001) except in $1^{st}$ instar. The infected larvae took about 48 days to reach the spinning stage against 40 days in the uninfected ones. The final weight attained by the larva at the end of each instar of development declined significantly following infection, as did weight gain and relative growth rate (RGR). The growth recorded/ day declined in infected larvae compared to uninfected ones from 8.2% during $1^{st}$ instar to 43.3% during $5^{th}$ instar. Food ingestion and digestion increased with advancement of the instar significantly irrespective of the status of the larvae but the relative consumption rate (RCR) declined. These parameters significantly declined in infected larvae (except food digested during $2^{nd}$ instar). The decline was more during $3^{rd}$ instar. In contrast, the approximate digestibility (AD %) was significantly higher in infected larvae than uninfected ones leaving the $1^{st}$ instar larvae unaffected. The efficiency of conversion of ingested food (ECI) and efficiency of conversion of digested food (ECD) did not change in a patterned way following the microsporidia (Nosema sp.) infection. The values of ECI significantly changed during $2^{nd}$, $3^{rd}$ and $5^{th}$ instars; while the change in ECD during $2^{nd}$, $4^{th}$ and $5^{th}$ were significant. During the entire larval life all the parameters tends to decline significantly following microsporidia infection but AD registered a significant increase. Nosema sp. spore concentration has increased 270.7 times during larval development in the course of experimentation.

Evaluation of Lead Exposure Characteristics by Process Category and Activity (작업공정 및 활동에 따른 국내 작업장 납 노출특성 평가)

  • Dohee Lee;Naroo Lee
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.1
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    • pp.19-33
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    • 2023
  • Objectives: The purpose of this study is to systematically identify situations where exposure levels are expected to be high by structuring domestic lead measurement data according to exposure processes and activities. Methods: Occupational exposure data on lead was collected from the results of the Evaluation of Reliability of Working Environment Measurement conducted by the government from 2019 to 2020. Lead exposure characteristics were analyzed by PROC (process category) and activity. The Risk Characterization Ratios (RCRs) of five PROCs according to ventilation type and lead content were evaluated using the MEASE (Metal's EASE) model. Results: The exposure data on lead (n=250) was classified into 12 PROCs and 12 activities, with an average concentration of 0.040 mg/m3 and about 14% exceeding the occupational exposure limit of 0.05 mg/m3. Processes with high exposure levels were PROC 7 (industrial spraying), 23 (open processing and transfer operations of molten metal), 24 (mechanical treatment), 25 (welding), and 26 (handling of powder containing lead). The results of evaluating RCR for the five PROCs were greater than 1 or close to 1 even if local exhaust ventilation was used. Conclusions: There is a possibility that the concentration of exposure is high in the casting and tapping of molten metal containing lead, mechanical treatment such as fracturing and abrasion, handling of powder, spraying, battery manufacturing, and waste battery recycling processes. It is necessary to implement chemical management policies for workplaces with such processes.

Comparative Study of Korean Workers' Exposure to Dichloromethane by Process Category between Work Environment Monitoring Program and ECETOC TRA (국내 디클로로메탄 제조·사용 사업장 근로자의 공정별 노출수준에 대한 작업환경측정값과 ECETOC TRA 모델값 비교연구)

  • Jeong, Sujin;Bae, Gyewan;Lee, Naroo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.31 no.4
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    • pp.317-330
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    • 2021
  • Objectives: By law, companies in Korea must periodically measure workers' exposure to harmful chemicals (the system is called the Work Environment Monitoring Program (WMP)[a]) and report the results to the government. The government also measures exposure to monitor the WMP's reliability (called Reliability Assessment (RA) for WMP[b]). The issue is that measured data from these two sources are so different that the objectivity of WMP needs to be confirmed by comparing the results using the European Centre for Ecotoxicology and Toxicology of Chemicals' Targeted Risk Assessment (ECETOC TRA). Methods: Step 1: Data collection from WMP reports submitted by companies (n=586) and RA for WMP written by the government (n=33). Step 2: Data Standardization by key information included. Step 3: Data conversion to input-variables required to run the ECETOC TRA model, and run the model with specific data (n=514) which meet the predetermined exposure scenario. Step 4: Statistical data analysis by process category (PROC) and ventilation type from each source ([A] and [B]). Step 5: Additional analysis of any unexpected results. Results: The process categories of the production and handling of Dichloromethane were classified into 12 PROCs, and ten of them were selected to run ECETOC TRA. Modeled values tended to be higher than measured values from both sources. For the measured values from WMP, RCR distribution by PROC was narrow (0.197-0.267, 95% CI) and did not have a relationship with ventilation type, which differs from the tendency of the modeling result. Meanwhile, the measured values from RA for WMP were relatively widely distributed (0.301-1.177, 95% CI) by PROC. In particular PROCs (13,19) were high enough to exceed 1. Also, they become low with better ventilation types and appear differently depending on the ventilation type, similar to the model result. Conclusions: This study revealed that ECETOC TRA might have the potential to serve as a screening tool for exposure assessment and to be used as assistive method for WMP to estimate exposure. Further empirical study is required to confirm its availability as a screening tool.