• Title/Summary/Keyword: local efficiency

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The anesthetic efficiency of retromolar infiltrations with two local anesthetic solutions of the same concentration in lower third molar surgery

  • Sayphiboun, Phouthala;Boonsiriseth, Kiatanant;Mahardawi, Basel;Pairuchvej, Verasak;Bhattarai, Bishwa Prakash;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.3
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    • pp.137-146
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    • 2020
  • Background: Mandibular third molar removal is the most common surgical procedure encountered in oral and maxillofacial clinics. It also presents the greatest challenges and controversies for surgeons when surgical removal is considered. Furthermore, diverse anesthesia results and success rates are achieved after using the same concentrations of different solutions or the same amounts of local anesthetics. The purpose of this study was to examine the efficiency of using double-cartridge (3.4 ml) 4% lidocaine (high concentration) and 4% articaine with a 1:100000 epinephrine infiltration in the retromolar region for impacted lower third molar surgery. Methods: This double-blind study included 30 patients with symmetrically impacted lower third molars. The patients were randomly selected to receive 4% articaine on one side and 4% lidocaine on the other, as a local anesthetic for third molar surgery. The onset, duration of soft-tissue numbness, pulpal sensitivity, amount of additional local anesthetic needed, pain score during the surgical procedure, and duration of the operation were recorded. Results: The results of this research indicate that 86.7% of the operations in the 4% articaine group and 83.3% of those in the 4% lidocaine group were successful. Furthermore, the outcomes in both groups were not statistically significant (P > 0.05). Numbness onset occurred faster in the articaine group than it did in the lidocaine group. However, the duration of soft-tissue anesthesia and pain scores recorded immediately postoperatively were similar. Conclusion: It is concluded that 4% lidocaine and 4% articaine had a similar infiltration efficacy in the retromolar region and both local anesthetics are adequate for impacted lower third molar surgery. There were no statistically significant differences between the two local anesthetics regarding pain control and the duration of soft-tissue numbness during the procedure.

Necessity of Adjustment of the Jurisdiction of Local Governments based on Watershed (유역(流域)을 기초로 한 행정구역경계설정의 필요성)

  • Lee, Won-Young
    • Journal of Environmental Impact Assessment
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    • v.10 no.3
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    • pp.245-255
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    • 2001
  • The management of water, both the quantity and the quality, has been one of the most important issues in the public investment and it is equally true in the field of sustainable development. Nevertheless, the jurisdiction of local governments has been delineated without much attention to the issue of the water management. In the planning of wide areas such as cities, countries, the metropolis, and the megalopolis, it is necessary to well arrange the geographical jurisdiction of local governments as a unit of region. The river water system, including small streams to large rivers, should be given its due share in the planning and jurisdictional delineation. The traditional concept of the local government's jurisdiction emphasizing the accessibility may be fading away. Instead, the efficiency of the public management would be the main concept in determining the jurisdiction of local governments. The river improvement, the waterworks, the sewage, the maintenance of water quality, the space of water recreation, are relatively important in the efficient management of that area. This paper argues for the equalization between the geographical jurisdiction of local governments and watersheds. To this end, I do case studies of the local governments areas such as Ri(里), Eup Myon(邑 面), Si Gun(市 郡), KyangyokSi Do(廣域市 道). The study interprets ARS will be one of the principles of land use and the reorganization of the local jurisdiction in the future as a geo-systematic and the eco-systematic criteria.

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Spring Flow Prediction affected by Hydro-power Station Discharge using the Dynamic Neuro-Fuzzy Local Modeling System

  • Hong, Timothy Yoon-Seok;White, Paul Albert.
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.58-66
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    • 2007
  • This paper introduces the new generic dynamic neuro-fuzzy local modeling system (DNFLMS) that is based on a dynamic Takagi-Sugeno (TS) type fuzzy inference system for complex dynamic hydrological modeling tasks. The proposed DNFLMS applies a local generalization principle and an one-pass training procedure by using the evolving clustering method to create and update fuzzy local models dynamically and the extended Kalman filtering learning algorithm to optimize the parameters of the consequence part of fuzzy local models. The proposed DNFLMS is applied to develop the inference model to forecast the flow of Waikoropupu Springs, located in the Takaka Valley, South Island, New Zealand, and the influence of the operation of the 32 Megawatts Cobb hydropower station on springs flow. It is demonstrated that the proposed DNFLMS is superior in terms of model accuracy, model complexity, and computational efficiency when compared with a multi-layer perceptron trained with the back propagation learning algorithm and well-known adaptive neural-fuzzy inference system, both of which adopt global generalization.

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Assessment Framework for Diagnosis of Administration Innovation in Korean Local Government: Case Study of Y-County (지방자치단체 행정혁신 진단 평가프레임웍: Y군청 탐색적 사례연구)

  • Park, Ki-Ho
    • Journal of Digital Convergence
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    • v.5 no.2
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    • pp.37-45
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    • 2007
  • A lot of organizations have been recognized innovative activities as the required process for organizational effectiveness and efficiency in those. Especially, the perceptual scope of innovation indisputability has been extended to the central and local government, and the public organization, which ultimately have the goal of public benefits. This study is to investigate the feasibility of the assessment elements consisting of framework for making a diagnosis of the level of administration innovation of local government. The elements of framework are such seven elements as innovative leadership, innovation vision and strategies, systematic infrastructure, innovative problems, innovation management, education and learning of innovation, and the perceptual level of members. The research results can provide the implications to not only local governments but also the public policy organizations who wish to extract the innovative problems and diagnose the innovation level of themselves.

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Iterative global-local approach to consider the local effects in dynamic analysis of beams

  • Erkmen, R. Emre;Afnani, Ashkan
    • Coupled systems mechanics
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    • v.6 no.4
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    • pp.501-522
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    • 2017
  • This paper introduces a numerical procedure to incorporate elasto-plastic local deformation effects in the dynamic analysis of beams. The appealing feature is that simple beam type finite elements can be used for the global model which needs not to be altered by the localized elasto-plastic deformations. An overlapping local sophisticated 2D membrane model replaces the internal forces of the beam elements in the predefined region where the localized deformations take place. An iterative coupling technique is used to perform this replacement. Comparisons with full membrane analysis are provided in order to illustrate the accuracy and efficiency of the method developed herein. In this study, the membrane formulation is able to capture the elasto-plastic material behaviour based on the von Misses yield criterion and the associated flow rule for plane stress. The Newmark time integration method is adopted for the step-by-step dynamic analysis.

Localization Process of Agricultural Extension Personnel and the Tasks for the Future (농촌지도직 공무원의 지방직 전환 과정과 앞으로의 과제)

  • Kim, Sung-Soo
    • Journal of Agricultural Extension & Community Development
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    • v.3 no.2
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    • pp.167-176
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    • 1996
  • Localization process of agricultural extension personnel in Korea were in progress with insufficient debates for effective personnel management. Although the members of the Korean Agricultural Extension Society were strongly opposed to the plan to decentralize agricultural extension personnel from central to local government status, the administrative action took place to localize as of January 1997. The Korean Agricultural Extension Society filed the petition against to the plan pinpointing lowered morale of extension personnel, the financial burden of local governments, jeopardizing stability, undermining efficiency, and people`s attitude towards central and local government. The dangers of decentralization of agricultural extension services may cause serious problems in varied areas. More extensive debates would be needed in deciding the future directions of agricultural extension services analyzing the basic characteristics of agricultural extension, linkages of research and extension, financial burden of local government, specialization of extension personnel, and unnecessary duplication of investment among local governments.

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Lane-Curvature Method : A New Method for Local Obstacle Avoidance (차선-곡률 방법 : 새로운 지역 장애물 회피 방법)

  • Ko, Nak-Yong;Lee, Sang-Kee
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.48 no.3
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    • pp.313-320
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    • 1999
  • The Lane-Curvature Method(LCM) presented in this paper is a new local obstacle avoidance method for indoor mobile robots. The method combines Curvature-Velocith Method(CVM) with a new directional method called the Lane Method. The Lane Method divides the environment into lanes taking the information on obstacles and desired heading of the robot into account ; then it chooses the best lane to follow to optimize travel along a desired heading. A local heading is then calculated for entering and following the best lane, and CVM uses this heading to determine the optimal translational and rotational velocity space methods, LCM yields safe collision-free motion as well as smooth motion taking the dynamics of the robot Xavier, show the efficiency of the proposed method.

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ON THE SEMI-LOCAL CONVERGENCE OF CONTRAHARMONIC-MEAN NEWTON'S METHOD (CHMN)

  • Argyros, Ioannis K.;Singh, Manoj Kumar
    • Communications of the Korean Mathematical Society
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    • v.37 no.4
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    • pp.1009-1023
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    • 2022
  • The main objective of this work is to investigate the study of the local and semi-local convergence of the contraharmonic-mean Newton's method (CHMN) for solving nonlinear equations in a Banach space. We have performed the semi-local convergence analysis by using generalized conditions. We examine the theoretical results by comparing the CHN method with the Newton's method and other third order methods by Weerakoon et al. using some test functions. The theoretical and numerical results are also supported by the basins of attraction for a selected test function.

A Study on Efficiency of Local Water Supply Service Contracting by Data Envelopment Analysis and Malmquist Index (DEA 및 Malmquist 지수를 이용한 물자원사업 민간위탁경영기관에 관한 효율성 분석)

  • Kim, Hee-Kyung;Lee, Chang-Won
    • Management & Information Systems Review
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    • v.36 no.3
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    • pp.89-111
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    • 2017
  • The era of today's day is that the era of the black gold age is now approaching the era of the blue gold age. As the importance of water increases, support and policies for the water industry are presented. The water industry is a public service industry but it faces the problem for unbalanced supply between users. One of solutions for solving the problem at hand is the privatization of the public service and it is the most sensitive and focused subject to the issue. Korea is also coming up for the privatization of the water industry. So, one of the privatization operations based on the privatization of the current waterworks law is management contract by the specialized organization and it is in progress to enhance the efficiency of public services. Therefore, this study aims at finding out the local water supply services' efficiency by K-Water using DEA(Data Envelopment Analysis), and productivity analysis by malmquist index on 18 organizations of the implementation of local water supply management contract using the date from 2012 to 2014. According to the result of the DEA, 10 of the 18 organizations were the most efficient during 3 years and malmquist index for analysing the productivity was decreasing. That is because of the leakage ratio and utilization ratio of the raw water and both of them are significant to productivity. As a result, this study differs from the previous studies by analysing efficiency and productivity using DEA and malmquist index to the solution for the problem faced by current water industry.

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An Analysis of Factors Affecting Financial and Operating Efficiency at Regional Public Hospital (지방의료원의 재정 및 운영효율성에 영향을 미치는 요인)

  • Jin Won Noh;Hui Won Jeon;Jung Hoe Kim;Jeong Ha Kim;Hyo Jung Bang;Hae Jong Lee
    • Health Policy and Management
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    • v.33 no.3
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    • pp.355-362
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    • 2023
  • Background: Financial efficiency in monetary units and operational efficiency in non-monetary units are separately classified and evaluated. This is done to prevent the duplication of monetary units and non-monetary units in inputs and outputs. In addition, analyses are conducted to determine the factors that affect each aspect of efficiency. To prevent duplication of monetary and non-monetary units in inputs and outputs, financial efficiency, consisting of monetary units, and operational efficiency, comprising non-monetary units, are separately classified and evaluated. Furthermore, an analysis is conducted to identify the factors that affect each aspect of efficiency. Methods: This study conducted a panel analysis of 34 regional public hospitals and influencing factors on efficiency for 5 years from 2015 to 2019. Financial efficiency and operational efficiency were calculated through data envelopment analysis. Moreover, multiple regression analysis was conducted to identify the factors that influence both financial efficiency and operational efficiency. Results: The factors that affect financial efficiency include the number of medical institutions within the treatment area and the ratio of patients receiving medical care. Additionally, operational efficiency is influenced by the type of medical institution, the number of medical institutions within the treatment area, and the number of nursing positions per 100 beds. Conclusion: In order for regional public hospitals to faithfully fulfill their functions and roles as regional base public hospitals, several measures are necessary. Firstly, continuous monitoring and reasonable support are required to ensure efficient operation and performance. Secondly, a financial support plan tailored to the characteristics of local medical centers is needed. Additionally, local medical centers should strive to enhance their own efficiency.