• Archives of Plastic Surgery
• /
• v.35 no.6
• /
• pp.723-728
• /
• 2008

Purpose: The disinsertion of the phalangeal tendon distal insertion has difficulties in ordinary tenorrhaphy operation for the anatomical features, and still has controversy between non-surgical and surgical management. The purpose of this study is to select treatment for the injury of the phalangeal tendon distal insertion, as we've had a good results from operation treatment with Pull-in suture technique. Methods: We reviewed the hospital records of 12 patients treated with Pull-in suture technique with disinsertion of the phalangeal extensor or flexor tendon distal insertion from June 2006 to June 2007. Eight patients were involved with the tendon disinsertion without bone fracture, and 4 patients were involved with the fracture of the phalangeal tendon distal insertion site. After removal of the K-wire in week 6, active physical exercises were commenced immediately. The mean follow-up period was 12.4 months. Results: All the patients who had tendon disinsertion with bone fracture had IIB, by Wehbe and Schneider's classification 2, and we evaluated the results comparing the same finger of the other hand according to Crawford's evaluation criteria 5. The nine excellent and three good results were obtained and there were no limitation of motor for the patient who had operation for the rupture of flexor tendon as well. There were no particular complications during the follow-up period. Conclusion: The most important thing for the disinsertion of the phalangeal tendon distal insertion is to maintain an accurate and durable reduction state keeping the tension of tendon. At this point, after removal of the K-wire, the Pull-in suture technique allows accurate realignment of the tendon-bone unit without any specific instrumentation under the more stable state. The Pull-in suture technique seems to be a strong alternative for the treatment of disinsertion of the phalangeal tendon distal insertion, with successful treatment outcome(rapid functional recovery and high patient satisfaction).

• The Journal of the Korea Contents Association
• /
• v.11 no.2
• /
• pp.22-30
• /
• 2011

In the IT convergence environment changed with not only the quality but also the material abundance, it is the most crucial factor for the strategy of personalized recommendation services to investigate the context information. In this paper, we proposed the recommendation using the service ontology based context awareness modeling. The proposed method establishes a data acquisition model based on the OSGi framework and develops a context information model based on ontology in order to perform the device environment between different kinds of systems. In addition, the context information will be extracted and classified for implementing the recommendation system used for the context information model. This study develops the ontology based context awareness model using the context information and applies it to the recommendation of the collaborative filtering. The context awareness model reflects the information that selects services according to the context using the Naive Bayes classifier and provides it to users. To evaluate the performance of the proposed method, we conducted sample T-tests so as to verify usefulness. This evaluation found that the difference of satisfaction by service was statistically meaningful, and showed high satisfaction.

• Journal of the Korean Geotechnical Society
• /
• v.27 no.12
• /
• pp.69-84
• /
• 2011

This paper presents the applicability of NATM Composite Lining method in domestic tunnel construction sites. Firstly, in order to produce high quality PC Panel, optimal steam curing condition is reviewed. And in preparation for fire inside the tunnel, the fire-resistance test of PC Panel is carried out. The constructability of NATM Composite Lining method and the drainage ability of light-weight foamed mortar is also evaluated through field construction test. And PC Panel combination program is developed to calculate the quantity of PC Panel efficiently. Besides, economic evaluation for NATM Composite Lining method is conducted. From this research, it is clearly found that NATM Composite Lining method is applicable to domestic tunnel construction site.

• Journal of Practical Engineering Education
• /
• v.8 no.2
• /
• pp.121-128
• /
• 2016

In injection molding process, the appearance quality issue occurs in most injection molded article. One of thermal designs for the mold was performed by increasing the cavity wall temperature with being as uniform as possible in any position. On the basis of the practical evaluation, the cavity wall temperature and finishing machined cavity surface under the optimum processing conditions are the most significant factors to avoid the appearance issue on the plastic part for a good cosmetic quality. Also, the wrong choice of gate type and location can have a considerable effect on the quality of a molded part and it's so important to keep the correct runner balance from each cavity. We've proposed the education training model of the practical tool technology course for the field oriented education to improve practical tool technology ability and optimized tooling design for injection molding quality which can be performed at the workplace substantially.

• Journal of Korean Philosophical Society
• /
• no.123
• /
• pp.239-264
• /
• 2018

In order to understand the whole picture of virtue epistemology with knowledge-action theory, I will first examine contours between concepts like capacity, character and intellectual virtues in relation to the notion of virtue. At first, my $na{\ddot{i}}ve$ question is why smart people do such bad things without any shame. This question would be either ethical or epistemological because epistemology is viewed as a normative discipline and intellectual agents and communities should be considered as the primary focus of epistemic evaluation. This is the core idea of virtue epistemology. The stance virtue epistemology views virtues as a solution to the justification of knowledge is similar to the knowledge-action theory in the East Asian intellectual tradition. But, their core issues are different from each other. Thus, I will explain how to differ from one another and analyze such concepts as capacity, character, and intellectual virtues in the Analects. I will insist that capacity and character without normative disciplines cannot be intellectual virtues leading to right actions.

• International conference on construction engineering and project management
• /
• 2009.05a
• /
• pp.1300-1306
• /
• 2009

If a brief direction and plan for a remodeling project are decided, it may moves to a concrete design step of which to select the most suitable alternative out of applicable compounding devices to reveal dynamic drifting performance. However, the volume of knowledge baseed utility which can refer to systematic evaluation regarding remodeling element technology and the accumulation of realistic cases are not only sufficient, but also short including its system for expression and consistency. Therefore, it may necessary to deliver the main frame which make enables the Owner, designer and builder to get performance technology for applying advanced remodeling element and knowledge based utility. There is a necessity to provide an information with latest made by virtue of modeling in the 3D/4D based on construction-based knowledge etc. which we can use for life cycle of a project, as a prominent way of knowledge based utility. Then, it is sure that remodeling can become more activative by sharing of knowledge based utility formed in electronic 3D/4D which is a systematic and expressed consistently to a performance and applicability in preservation of savings. It is expected for modeling of the 3D/4D in knowledge based utility enables to verify the practicability of each technology on effective application, and the use of technology might be spread widely due its obvious and oriented expressions. Further, this knowledge based utility formed in electronic 3D/4D may applicable for VE process in addition to remodeling design fields.

• Proceedings of the Korean Institute Of Construction Engineering and Management
• /
• 2006.11a
• /
• pp.117-122
• /
• 2006

In spite of various approaching method to satisfy with the owner's requirements in schematic design phase, it is insufficient to evaluate intermediate process of design arithmetically with participating in design process. So the numerous changes of design after completion of design development cause a lot of loss to the design company. The designer arranges owner's requirements to prevent from this loss at the initial stage of schematic design phase systematically and lets owner and stakeholder to evaluate the value of schematic design to satisfy with owner's and stakeholder's requirements. If the evaluated value for schematic design is above a definite value index, the next design phase should be advanced. By this method, the design company can reduce the additional expenses remarkably by preventing with re-design which is occurred by not reflecting owner's intention or by changing owner's intention. Also the designer have the owner to evaluate the result of design and construction. The designer let the owner know whether the owner's requirement should well have been reflected on drawing or not. There is a strong point to be able to minimize the criticism which can be occurred after completion of construction by evaluating for owner's satisfactory degree and by having owner and designer confirm the result of design and construction arithmetically. This paper presents that the loss of design company can be minimized by going over at next step if the value is over a definite value index after evaluating value for each design from design process.

• The korean journal of orthodontics
• /
• v.31 no.2 s.85
• /
• pp.187-197
• /
• 2001

The change of the vertical dimension is of fundamental importance to the orthodontist. However, the choice between the two methods of treatment, extraction versus nonextraction, is not clear. It is not verified that the extraction method decreases vertical dimension, or nonextraction methods result in an increase in vertical dimension. The purpose of this study was to evaluate the changes of vertical dimension of face after the orthodontic treatment with standard edgewise technique, and to compare them in relation to facial types and bicuspid extraction. The subjects consisted of 165 orthodontic patients (77 of adolescents, 88 of adults), and was divided into vertical nonextraction (VN) group, vertical extraction (VE) group, horizontal nonextraction (HN) group, horizontal extraction (HE) group. Pre-and Post-treatment cephalograms were taken with standard method, traced, and digitized for each subject. The comparison of the measurements were statistically executed with Student's t-test. The results were as follows : 1. The facial height and molar height were increased after orthodontic treatment in the all groups. 2. No significant difference was found in the facial height change between the vertical and horizontal groups. 3. No significant difference was found in the facial height change between the extraction and nonextraction groups. 4. As the upper molars were extruded in adolescents group and lower molars were extruded in adults group, lower anterior facial height (LAFH) was increased. 5. None of the pretreatment variables correlates to the change of lower anterior facial height (LAFH).

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.3
• /
• pp.1313-1320
• /
• 2014

Introduction: Although most prostate cancers initially respond to castration with luteinizing hormonereleasing analogues or bilateral orchiectomy, progression eventually occurs. Based on the exciting results of several randomized controlled trials (RCTs), it seems that patients with metastatic castration-resistant prostate cancer (mCRPC) might benefit more from treatment withabiraterone. Therefore we conducted a systematic review to evaluate the efficacy and toxicity of abiraterone in the treatment of mCRPC. Methods: Literature was searched from Embase, PubMed, Web of Science, and Cochrane Library up to July, 2013. Quality of the study was evaluated according to the Cochrane's risk of bias of randomized controlled trial (RCT) tool, then the Grading of Recommendations Assessment, Development and Evaluation (GRADE) System was used to rate the level of evidence. Stata 12.0 was used for statistical analysis. Summary data from RCTs comparing abiraterone plus prednisone versus placebo plus prednisone for mCRPC were meta-analyzed. Pooled hazard ratios (HRs) for overall survival (OS), radiographic progression-free survival (RPFS) and time to PSA progression (TTPP); Pooled risk ratios (RR) for PSA response rate, objective response rate and adverse event were calculated. Results: Ten trials were included in the systematic review; Data of 2,283 patients (1,343 abiraterone; 940 placebo) from two phase 3 trials: COU-AA-301 and COU-AA-302 were meta-analyzed. Compared with placebo, abiraterone significantly prolonged OS (HR, 0.74; 95% confidence interval [CI], 0.66 to 0.84), RPFS (HR, 0.59; 95% CI, 0.48 to 0.74) and time to PSA progression (HR, 0.55; 95% CI, 0.43 to 0.70); it also significantly increased PSA response rate (RR, 3.63; 95% CI, 1.72 to 7.65) and objective response rate (RR, 3.05; 95% CI, 1.51 to 6.15). This meta-analysis suggested that the adverse events caused by abiraterone are acceptable and can be controlled. Conclutios: Abiraterone significantly prolonged OS, RPFS and time to progression patients with mCRPC, regardless of prior chemotherapy or whether chemotherapy-na$\ddot{i}$ve, and no unexpected toxicity was evident. Abiraterone can serve as a new standard therapy for mCRPC.

• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.12
• /
• pp.7607-7611
• /
• 2013

Background: Cervical cancer continues to be a major problem in Bangladesh with approximately 18,000 new cases annually of which over 10,000 women die from it. Visual inspection of the cervix after 3-5% acetic acid (VIA) application is a simple and easy to learn method for cervical cancer screening, although cytology-based screening is more often applied in developed countries where it has successfully reduced the prevalence of cervical cancer. Objective: To compare the efficacy of VIA and cytology-based primary methods for cervical cancer screening in Bangladesh. Materials and Methods: This hospital based comparative study was conducted at the VIA centre and Colposcopy Clinic of Bangabandhu Sheikh Mujib Medical University (BSMMU) from October 2008 to October 2010. Results: Among 650 women, 74 (11.4%) were VIA+ve and 8 (1.2%) had abnormalities in their Pap smear reports. During colposcopy, 38 (7.7%) women had different grades of CIN and 4 (0.6%) had cervical cancer. The gold standard histology findings proved 20 women had CIN I, 14 had CIN II/II and 4 had cervical cancer. Among the 38 histology diagnosed abnormalities, VIA test could identify 30 abnormalities including two cervical cancers. However, Pap smear could detect only 8 cases of histological abnormalities (2 low grade and 6 had high grade lesion) and it missed all the cervical cancer cases. The sensitivity and specificity of VIA were 88.9% and 52.1%. The positive predictive value (PPV) and negative predictive value (NPV) were 41.0%, and 92.6% respectively. Moreover, the sensitivity, specificity, PPV and NPV of Pap smear were 33.3%, 95.8%, 75.0% and 79.3%, respectively. Conclusions: VIA test should be used as the primary screening tool even with its low sensitivity and specificity in low resource countries like Bangladesh. False positive results may be greater, but overtreatment can be minimized by colposcopy evaluation of the VIA positive women.