• 제목/요약/키워드: rehabilitation decision-making

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Class III 악간관계와 교합평면 부조화를 보이는 환자의 전악수복증례 (Full mouth rehabilitation of class III patient with disharmonious occlusal plane: A case report)

  • 김하영;백장현;권긍록;배아란
    • 대한치과보철학회지
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    • 제54권4호
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    • pp.451-457
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    • 2016
  • 보철 치료계획 결정과정은 임상정보에 대한 치과의사의 분석과 환자와의 상호소통을 통하여 이루어진다. 치아의 상실이나 치관부 결손으로 인해 발생한 공간으로 반대악 치아가 정출된 경우, 구강기능을 회복시키는데 있어 적절한 치료방법 선택 및 예후를 예측하는데 혼란이 야기될 수 있다. 치아의 정출로 인한 교합평면의 심한 부조화가 나타난 경우, 신중한 평가가 필요하며, 필요 시 교합평면을 재설정 해야 한다. 본 증례는 심한 정출에 의한 불균일한 교합평면과 class III 악간관계로 인한 비심미성 및 저작불편을 주소로 내원한 환자로, 체계적인 진단과정을 통한 치료계획의 수립으로 교합평면 재설정을 통한 전악수복으로 심미적이고 기능적인 결과를 얻었기에 보고하는 바이다.

Fragility reduction using passive response modification in a Consequence-Based Engineering (CBE) framework

  • Duenas-Osorio, Leonardo;Park, Joonam;Towashiraporn, Peeranan;Goodno, Barry J.;Frost, David;Craig, James I.;Bostrom, Ann
    • Structural Engineering and Mechanics
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    • 제17권3_4호
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    • pp.527-537
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    • 2004
  • Consequence-Based Engineering (CBE) is a new paradigm proposed by the Mid-America Earthquake Center (MAE) to guide evaluation and rehabilitation of building structures and networks in areas of low probability - high consequence earthquakes such as the central region of the U.S. The principal objective of CBE is to minimize consequences by prescribing appropriate intervention procedures for a broad range of structures and systems, in consultation with key decision makers. One possible intervention option for rehabilitating unreinforced masonry (URM) buildings, widely used for essential facilities in Mid-America, is passive energy dissipation (PED). After the CBE process is described, its application in the rehabilitation of vulnerable URM building construction in Mid-America is illustrated through the use of PED devices attached to flexible timber floor diaphragms. It is shown that PED's can be applied to URM buildings in situations where floor diaphragm flexibility can be controlled to reduce both out-of-plane and in-plane wall responses and damage. Reductions as high as 48% in roof displacement and acceleration can be achieved as demonstrated in studies reported below.

IMPROVING RELIABILITY OF BRIDGE DETERIORATION MODEL USING GENERATED MISSING CONDITION RATINGS

  • Jung Baeg Son;Jaeho Lee;Michael Blumenstein;Yew-Chaye Loo;Hong Guan;Kriengsak Panuwatwanich
    • 국제학술발표논문집
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    • The 3th International Conference on Construction Engineering and Project Management
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    • pp.700-706
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    • 2009
  • Bridges are vital components of any road network which demand crucial and timely decision-making for Maintenance, Repair and Rehabilitation (MR&R) activities. Bridge Management Systems (BMSs) as a decision support system (DSS), have been developed since the early 1990's to assist in the management of a large bridge network. Historical condition ratings obtained from biennial bridge inspections are major resources for predicting future bridge deteriorations via BMSs. Available historical condition ratings in most bridge agencies, however, are very limited, and thus posing a major barrier for obtaining reliable future structural performances. To alleviate this problem, the verified Backward Prediction Model (BPM) technique has been developed to help generate missing historical condition ratings. This is achieved through establishing the correlation between known condition ratings and such non-bridge factors as climate and environmental conditions, traffic volumes and population growth. Such correlations can then be used to obtain the bridge condition ratings of the missing years. With the help of these generated datasets, the currently available bridge deterioration model can be utilized to more reliably forecast future bridge conditions. In this paper, the prediction accuracy based on 4 and 9 BPM-generated historical condition ratings as input data are compared, using deterministic and stochastic bridge deterioration models. The comparison outcomes indicate that the prediction error decreases as more historical condition ratings obtained. This implies that the BPM can be utilised to generate unavailable historical data, which is crucial for bridge deterioration models to achieve more accurate prediction results. Nevertheless, there are considerable limitations in the existing bridge deterioration models. Thus, further research is essential to improve the prediction accuracy of bridge deterioration models.

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생애 위험도기반 건축물의 설계단계 생애주기비용 분석 방법 (Life Cycle Cost Analysis for Design of Buildings based on the Lifetime Risk)

  • 백병훈;조중연
    • 한국건설관리학회논문집
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    • 제15권3호
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    • pp.113-119
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    • 2014
  • LCC 분석은 건축물의 설계단계 뿐만 아니라 유지관리 단계에서의 보수 보강 또는 교체에 대한 최적 의사결정의 도구로서 이론적으로나 실무적으로 각광을 받고 있는 분석 방법이다. 이는 초기 투자비용의 효율성을 극대화 하고 유지관리를 통한 구조물 사용성의 효율적 증대를 극대화하는 노력의 일환으로 최근 건축물의 설계 및 유지관리 시 LCC 분석효과의 실질적인 적용이 요구되어 지고 있다. 따라서 본 논문은 일반적인 분석기법에 그치고 있는 기존 LCC 연구를 생애위험도를 고려한 LCC분석을 통해 설계단계 최적 의사결정을 위한 새로운 분석 방법론을 도출하였다.

정형물리치료를 위한 임상진단 (Clinical Diagnosis for Orthopaedic Manual Therapy)

  • 배성수;채윤원
    • The Journal of Korean Physical Therapy
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    • 제10권1호
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    • pp.155-171
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    • 1998
  • Interest in mannual therapy appears to continue to grow among physical therapists. The term 'mannual therapy' has traditionally been associated with physical therapists who examine and treat Patients who have disorders related to the neuro-muscular-articular system.. The manipulative means skilled and specialised use of manual and/or mechanically applied movement techniques, as a part of comprehensive orthopaedic physical therapy for disorders of the moving parts of body. Physical therapists use a large variety of manually applied examination procedures as part of the clincal decision-making process. The purpose of this article is to define and clarify the basic concepts of mannual therapy by comparing the geneal concepts and evaluation schemes of James Cyriax, John McM. Mennell, Geoffrey Maitland, Freddy Kaltenborn, Robin McKenzie, and Ola Grimsby. This article stresses the importance of developing stills in evaluation. Gimsby's approch is presented as a example of modem mannual therapy.

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AHP를 이용한 상수도관의 위험요인 및 개량 우선순위 결정 기법 (Evaluation of Risk Factors and Decision Making for Rehabilitation of Water Supply Network using AHP)

  • 김용삼;박진일;이대종;전명근
    • 한국지능시스템학회:학술대회논문집
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    • 한국퍼지및지능시스템학회 2007년도 춘계학술대회 학술발표 논문집 제17권 제1호
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    • pp.171-174
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    • 2007
  • 본 논문에서는 다기준 의사결정방법 중에 하나인 AHP(Analytic Hierarchy Process)를 이용하여 상수도관의 개량 우선순위 결정 및 노후화에 영향을 가장 많이 주는 위험요인을 평가할 수 있는 기법을 제안한다. 제안된 방법은 3단계의 계층구조로 구성되어 있으며, 1단계에서는 AHP를 이용하여 우선순위를 예측하고자 하는 관망에 대해서 평가 인자들에 대한 출력값을 산출한다. 2단계에서는 1단계에서 계산된 값들을 이용하여 물리적 척도와 환경적 척도 값을 산출하고, 최종 3단계에서 산출값들을 이용하여 우선순위를 결정하도록 구성되어 있다. 제안된 방법은 FCP에 의한 기존 연구와 비교함으로써 타당성을 검증하였다.

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시멘트콘크리트포장의 유지관리체계(PMS)에 관한 연구 (A Study on Development of Pavement Management System for Cement Concrete Pavement)

  • 엄주용;김남호;임승욱
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 1996년도 봄 학술발표회 논문집
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    • pp.363-369
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    • 1996
  • PMS(Pavement Management System) is the effective and efficient decision making system to provide pavements in an acceptable condition at the lowest life-cycle cost. As the highway system become larger, the necessity of the PMS in increasing. As of December 1995, the 3rd stage of PMS project was completed. The accomplishment of the research work can be itemized to the followings : $\bullet$ Calibration of PMS submodules (1) Pavement Condition Evaluation Model (2) Pavement Distress Prediction Model (3) Pavement Performance Prediction Mode (4) Selection of Pavement Rehabilitation Criteria (5) Optimization Technique for PMS Economic Analysis $\bullet$ Development of Computer Program to Implement PMS Logic $\bullet$ A Study to Implement the Automized Pavement Condition Survey Equipment to PMS $\bullet$ PMS Test Run $\bullet$ Development of PMS Operation Guideline $\bullet$ The 2nd Pavement Condition Survey for Long-Term Pavement Performance Monitoring.

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OPTIMISATION OF ASSET MANAGEMENT METHODOLOGY FOR A SMALL BRIDGE NETWORK

  • Jaeho Lee;Kamalarasa Sanmugarasa
    • 국제학술발표논문집
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    • The 4th International Conference on Construction Engineering and Project Management Organized by the University of New South Wales
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    • pp.597-602
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    • 2011
  • A robust asset management methodology is essential for effective decision-making of maintenance, repair and rehabilitation of a bridge network. It can be achieved by a computer-based bridge management system (BMS). Successful BMS development requires a reliable bridge deterioration model, which is the most crucial component in a BMS, and an optimal management philosophy. The maintenance optimization methodology proposed in this paper is developed for a small bridge network with limited structural condition rating records. . The methodology is organized in three major components: (1) bridge health index (BHI); (2) maintenance and budget optimization; and (3) reliable Artificial Intelligence (AI) based bridge deterioration model. The outcomes of the paper will help to identify BMS implementation problems and to provide appropriate solutions for managing small bridge networks.

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PROMETHEE를 이용한 도시 하수관거시스템 침수위험순위 평가 (Evaluation of Inundation Risk Ranking for Urban Sewer Systems using PROMETHEE)

  • 송양호;이정호
    • 한국콘텐츠학회논문지
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    • 제12권8호
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    • pp.388-398
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    • 2012
  • 본 연구에서는 도시 하수관거시스템의 침수위험순위 평가를 위하여 엔트로피(Entropy) 기법 및 다기준 의사결정기법의 하나인 프로메티(Preference Ranking Organization METHod for Enrichment Evaluations, PROMETHEE)를 적용하였다. 엔트로피와 프로메티를 이용한 침수위험순위 산정에 있어서 평가 대상이 되는 항목들은 두 가지의 접근방식으로 선정되었다. 먼저 침수발생 및 피해 규모에 영향을 미치는 인자로 지형 환경적 요인으로써 유역의 평균고도, 평균경사, 유역폭, 인구수 및 관밀도를 선정하였다. 또한 각 시스템별 침수가 가장 크게 발생하는 초과강우사상을 선정 및 적용하여 시스템내 월류발생량 및 발생지점 두 가지를 이용한 치수안전성 지수를 추가적으로 고려하였다. 본 논문에서 적용된 엔트로피기법과 프로메티에 의한 도시 하수관거시스템 침수위험순위 평가는 추후 하수관거 정비사업의 계획 및 추진에 있어서 각 시스템별 위험도에 따른 개량우선순위 결정 및 평가지표로서 활용될 수 있을 것이다.

유역차원의 하수처리수 재이용 대안평가와 우선순위 결정과정에 관한 연구 (A Study on Evaluation and Prioritization Process of Wastewater Reuse Alternative in Watershed Level)

  • 정은성;전상묵;이진희;안종호
    • 한국물환경학회지
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    • 제29권2호
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    • pp.259-269
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    • 2013
  • This study aims to show the feasibility of wastewater reuse through hydrological analysis and propose a framework for planning using multi-criteria decision making technique. Ten alternatives of wastewater reuse (BOD: 3.0 mg/L & 4.7 mg/L) and two references in the urban watershed were considered and analyzed by using Hydrological Simulation Program in Fortran (HSPF). Though wastewater reuse has a positive effect on water quantity, it may degrade the water quality due to the high discharge concentration. This study showed that wastewater reuse can be a great alternative for the rehabilitation of distorted water cycle, if the quality is improved up to the natural streamflow and the quantity is increased up to the instreamflow requirement. In addition, to determine the project priority, three criteria were compared: 1) impacts on water quantity and water quality, respectively, 2) consideration of present hydrologic vulnerabilities on water quantity and quality and not, and 3) social and economic considerations and not. From the performance values to all criteria, the specific ranking can be derived and the feasibility of each wastewater reuse project can be checked with the comparison of the existing facilities. As a result, DJ and DR were derived to become effective in any evaluation conditions while SS and WG were improper alternatives if various criteria were considered. The decision making for project prioritization must be careful with the consideration of various impacts of wastewater reuse because the evaluation of wastewater reuse alternative showed very different priorities for each criteria.