• 제목/요약/키워드: reduction procedures

검색결과 572건 처리시간 0.025초

선량저감섬유(Dose Reduction Fiber) 차폐포의 혈관조영술(Angiography) 시술 시 비 시술 부위의 산란선 차폐 효과 (Effects of Dose Reduction Fiber Shielding Cloth on Scattering Rays in Off-target Site during Angiography)

  • 김용진;한상욱
    • 한국산학기술학회논문지
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    • 제21권1호
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    • pp.393-400
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    • 2020
  • 혈관 조영술과 중재적 시술은 진단을 위한 일반적인 방사선 검사와 다르게 낮은 관전류를 사용함에도 불구하고 장시간의 방사선 피폭으로 인해 환자나 시술자의 방사선 노출에 의한 위험도가 높다. 이에 본 연구의 목적은 선량저감섬유 (Dose Reduction Fiber, DRF) 차폐포를 사용하여 환자와 시술자의 피폭 선량을 증가 시키는 원인 중 하나인 산란방사선의 차폐를 통한 피폭 선량 감소 효과를 알아보고자 하였다. 선량저감섬유(DRF) 차폐포의 산란 방사선에 대한 차폐 효과를 알아보기 위해 방사선이 조사되는 조사야 밖 10 cm거리와 방사선의 인체 팬텀 투과 후 시술 부위 10cm 거리의 산란선량을 선량저감섬유(DRF) 차폐포 사용 전후로 유리 선량계를 이용하여 측정하였고, 조사야부에서 환자에게 조사된 방사선 중 불필요한 산란선량이 15~31%, 팬텀을 투과 후 시술부위에서는 발생한 산란선량이 53~70% 저감하는 효과를 확인 하였다. 선량 저감섬유(DRF)차폐포를 중재적 시술 시 비 시술 부위의 산란선 차폐제로 이용하면 의료 검사에는 영향을 주지 않으면서 산란선량을 줄여 환자와 시술자의 피폭 선량을 저감할 수 있다는 결과를 얻게 되었고, 이는 향후 혈관 조영술과 중재적 시술 시 선량저감섬유(DRF) 차폐포를 활용하여 환자와 시술자의 피폭선량경감을 통한 방사선 노출 위험의 경감을 기대할 수 있을 것으로 보인다.

산업용 로봇의 소음ㆍ진동 저감 연구 (A Study on the Noise and Vibration Reduction of an Industrial Robot)

  • 이광열;정두한;임흥순;김영환;정진태
    • 한국소음진동공학회논문집
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    • 제13권11호
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    • pp.838-844
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    • 2003
  • The noise and vibration reduction schemes of an industrial robot are studied. Experimental procedures are employed to examine the sources of robot noise. A parametric study is undertaken to observe the effects of each part such as gear, shaft and housing on the sound pressure level. After the part which mainly effects on the noise is proved, we propose countermeasures for reducing the noise and vibration of the robot system.

부분-수량화를 통한 시계열 자료 분석에서의 차원축소 (Dimension Reduction in Time Series via Partially Quanti ed Principal Componen)

  • 박진아;황선영
    • 응용통계연구
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    • 제23권5호
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    • pp.813-822
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    • 2010
  • 차원 축소(dimension reduction) 기법은 주로 횡단면 자료 분석에서 널리 이용되어 왔으며 시계열 분석 분야에서의 적용은 상대적으로 미진한 실정이다. 본 논문에서는 부분-수량화를 통한 주성분분석 방법을 계절형 시계열에 적용시켜 시계열 자료의 차원 축소를 시도하고자 한다. 분석 방법론을 단계별로 제시하였으며 월별 실업률 자료 분석을 통해 설명하였다.

의료과오를 줄이기 위한 효율적인 병원서비스운영에 대한 실증적 연구 (An Empirical Study on the Efficient Hospital Service Operation Management for the Reduction of Medical Errors)

  • 이돈희;최강화
    • 품질경영학회지
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    • 제38권4호
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    • pp.491-503
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    • 2010
  • This paper presents a research model, which identifies a relationship between medical error reduction, efficiency of organizational systems, and employee satisfaction with organizational support. The proposed model was tested through hypotheses, based on data collected from 210 respondents from the medical staff of large -sized (i.e., more than 500 beds) residential hospitals in cities of South Korea. The results of the study showed that medical error reduction is associated with corrective system and employee satisfaction with organizational support. Therefore, it is very important that organizations improve their employees' satisfaction by providing sufficient support (e.g., information support and sharing, work guide book, etc.) for their work. In addition, in organizational systems, the corrective system has positive relationship with medical error reduction. In terms of corrective procedures, leaders or managers can make improvements by providing and supporting a friendly work environment where errors may be reported without blame and discussed in order to be corrected.

REDUCING X-ray BRIGHT GALAXY GROUPS IMAGES WITH THELI PIPELINE

  • NIKAKHTAR, FARNIK
    • 천문학논총
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    • 제30권2호
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    • pp.671-673
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    • 2015
  • Before analyzing the images taken with a Mosaic CCD imager, the images have to reach a state which can be used for further scientific analysis. The transformation of raw images into calibrated images is called data reduction. Transforming HEavely Light into Images (THELI) is a nearly fully automated reduction pipeline software (Erben et al., 2005). This pipeline works on raw images to remove instrumental signatures, mask unwanted signals, and perform photometric and astrometric calibration. Finally THELI constructs a deep co-added mosaic image and a weight map. In this poster, THELI data reduction procedures will be reviewed and the reduction process for raw images of seven X-ray bright groups, extracted from GEMS groups (Osmond & Ponman, 2004) obtained by the Wide Field Imager (WFI) mounted on MPG/ESO telescope at La Silla in March 2006 will be discussed.

The Effect of Geographic Units of Analysis on Measuring Geographic Variation in Medical Services Utilization

  • Kim, Agnus M.;Park, Jong Heon;Kang, Sungchan;Hwang, Kyosang;Lee, Taesik;Kim, Yoon
    • Journal of Preventive Medicine and Public Health
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    • 제49권4호
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    • pp.230-239
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    • 2016
  • Objectives: We aimed to evaluate the effect of geographic units of analysis on measuring geographic variation in medical services utilization. For this purpose, we compared geographic variations in the rates of eight major procedures in administrative units (districts) and new areal units organized based on the actual health care use of the population in Korea. Methods: To compare geographic variation in geographic units of analysis, we calculated the age-sex standardized rates of eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee-replacement surgery, caesarean section, hysterectomy, computed tomography scan, and magnetic resonance imaging scan) from the National Health Insurance database in Korea for the 2013 period. Using the coefficient of variation, the extremal quotient, and the systematic component of variation, we measured geographic variation for these eight procedures in districts and new areal units. Results: Compared with districts, new areal units showed a reduction in geographic variation. Extremal quotients and inter-decile ratios for the eight procedures were lower in new areal units. While the coefficient of variation was lower for most procedures in new areal units, the pattern of change of the systematic component of variation between districts and new areal units differed among procedures. Conclusions: Geographic variation in medical service utilization could vary according to the geographic unit of analysis. To determine how geographic characteristics such as population size and number of geographic units affect geographic variation, further studies are needed.

인터벤션시술 진단참고수준 평가 (Evaluation of Diagnostic Reference Level in Interventional Procedures)

  • 강병삼;박형신
    • 대한방사선기술학회지:방사선기술과학
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    • 제44권5호
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    • pp.451-457
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    • 2021
  • Recently, the number of interventional procedures has increased dramatically as an alternative of invasive surgical procedure and patient radiation exposure is also increasing accordingly. In this study, we evaluated the patient dose of major interventional procedures nationwide and we established our Korean database. With these results, we tried to suggest the reference dose level for major interventional procedures. We evaluated patent dose data in the field of interventional radiology from foreign countries. Measurement of radiation dose exposure for 11 major interventional procedures was conducted using embedded DAP meters in 10,006 patients from 47 hospitals, and reference level of each interventional procedure was suggested. The DRLs of each intervenional procedure are as follows: TACE 206(Gy·cm2), AVF 12(Gy·cm2), LE intervention 43(Gy·cm2), TFCA 122(Gy·cm2), Cerebral aneurysm coil embolization 214(Gy·cm2), PTBD 22(Gy·cm2), Biliary stent 60(Gy·cm2), PCN 7(Gy·cm2), Hickman catheter 2.1(Gy·cm2), Chemoport 1.4(Gy·cm2), BAE 104(Gy·cm2). Compared with the previously established DRL in 2012, the radiation dose decreased in all 10 interventional procedures. In the future, continuous publicity and education on the radiation dose reduction will be needed.

Periodontal regenerative therapy in endo-periodontal lesions: a retrospective study over 5 years

  • Oh, Soram;Chung, Shin Hye;Han, Ji-Young
    • Journal of Periodontal and Implant Science
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    • 제49권2호
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    • pp.90-104
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    • 2019
  • Purpose: The aim of this study was to evaluate clinical and radiographic changes and the survival rate after periodontal surgery using deproteinized bovine bone mineral (DBBM) with 10% collagen or DBBM with a collagen membrane in endo-periodontal lesions. Methods: A total of 52 cases (41 patients) with at least 5 years of follow-up were included in this study. After scaling and root planing with or without endodontic treatment, periodontal regenerative procedures with DBBM with 10% collagen alone or DBBM with a collagen membrane were performed, yielding the DBBM + 10% collagen and DBBM + collagen membrane groups, respectively. Changes in clinical parameters including the plaque index, bleeding on probing, probing pocket depth, gingival recession, relative clinical attachment level, mobility, and radiographic bone gains were evaluated immediately before periodontal surgical procedures and at a 12-month follow-up. Results: At the 12-month follow-up after regenerative procedures, improvements in clinical parameters and radiographic bone gains were observed in both treatment groups. The DBBM + 10% collagen group showed greater probing pocket depth reduction ($4.52{\pm}1.06mm$) than the DBBM + collagen membrane group ($4.04{\pm}0.82mm$). However, there were no significant differences between the groups. Additionally, the radiographic bone gain in the DBBM + 10% collagen group ($5.15{\pm}1.54mm$) was comparable to that of the DBBM + collagen membrane group ($5.35{\pm}1.84mm$). The 5-year survival rate of the teeth with endo-periodontal lesions after periodontal regenerative procedures was 92.31%. Conclusions: This study showed that regenerative procedures using DBBM with 10% collagen alone improved the clinical attachment level and radiographic bone level in endo-periodontal lesions. Successful maintenance of the results after regenerative procedures in endo-periodontal lesions can be obtained by repeated oral hygiene education within strict supportive periodontal treatment.

중형 규모 공항의 소음저감 정책 분석 (Comparison of Noise Reduction Policy in Medium-sized Airports)

  • 김영록;임재환;최연철;송기한;신홍우
    • 한국항공운항학회지
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    • 제26권4호
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    • pp.155-163
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    • 2018
  • The development in air transport increases noise around the airport. In order to reduce the noise around the airport, International Civil Aviation Organization has made a lot of effort since the 1970s and Many countries, including South Korea, are implementing many noise reduction policies. This paper investigates those noise reduction policies of medium-sized airports with similar frequency to Gimpo, Jeju and Gimhae airports in South Korea and compares eleven airports in Europe, eleven airports in Asia and five airports in America, including Oceania. According to the research, European countries developed and applied the navigation procedure to avoid the noise area according to the characteristics of the airport. In Asia, there are not as many domestic noise reduction policies. In case of the United States, it provides information only on noise-sensitive areas around airports. After having investigated various policies, this research has examined the noise reduction policy of South Korea. It is concluded that new navigation procedures which reduce noise should be developed.

Treatment of a naso-orbito-ethmoid fracture using open reduction and suspension sutures: a case report

  • Youngsu, Na;Chaneol, Seo;Yongseok, Kwon;Jeenam, Kim;Hyungon, Choi;Donghyeok, Shin;Myungchul, Lee
    • 대한두개안면성형외과학회지
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    • 제23권6호
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    • pp.269-273
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    • 2022
  • Naso-orbito-ethmoidal (NOE) fractures are complicated fractures of the mid-face. The treatment of NOE fractures is challenging and a comprehensive treatment strategy is required. We introduce a case of NOE fracture treated with open reduction and suspension sutures. A 28-year-old woman presented with a unilateral NOE fracture. To reduce the frontal process of the maxilla, a suspension suture was made by pulling the fragment using a double arm suture via a transcaruncular incision. The suture thread was placed in the horizontal plane. Another suspension suture on the inferior orbital rim assisted reduction procedure, and they passed through the overlying skin. The reduction alignment could be finely adjusted by tightening the transcutaneous suture threads while checking the degree of bone alignment through the subciliary incision. The two suture threads were suspended using a thermoplastic nasal splint. An additional skin incision on the medial canthal area, which would have resulted in a scar, could be avoided. Four months postoperatively, computed tomography showed an accurate and stable reduction. The patient was satisfied with her aesthetic appearance, and functional deficits were not present.