• 제목/요약/키워드: satisfactory factors

검색결과 634건 처리시간 0.029초

근위 경골 골육종의 종양대치물을 이용한 사지 구제술 후의 기능 평가 (Functional Result of Limb Salvage Surgery with Tumor Prosthesis for Osteosarcoma of Proximal Tibia)

  • 박원종;손종민;정양국;강용구
    • 대한골관절종양학회지
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    • 제7권4호
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    • pp.139-143
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    • 2001
  • 목적 : 근위 경골 종양의 광범위 절제술에 따른 재건술은 적절한 연부 조직의 피복(cover age), 슬관절 신전 장치(knee extensor apparatus), 특히 슬개건의 견고한 재부착이 어려워 슬관절의 기능적 결과가 만족스럽지 않은 것으로 알려져 있는바, 근위 경골의 골육종으로 광범위 절제 후 종양 대치물 삽입으로 사지 구제술을 시행 받은 환자에서 기능을 평가하고 문제점을 분석하기 위하여 본 연구를 시행하였다. 대상 및 방법 : 1992년 4월부터 1998년 10월까지 경골 근위부의 골육종으로 확진된 후 종양 대치물을 이용한 사지 구제술을 시술 받은 11명을 대상으로 하였다. 남자가 6명, 여자가 5명이었으며, 환자의 나이는 15세에서 65세로 평균 23.7세였다. 추시 기간은 최단 1년에서 최장 4년 6개월로, 평균 2년 5개월이었다. 최종 기능평가는 1993년 국제 사지 보존 회의(International Symposium On Limb Salvage; ISOLS)에서 수정 보완한 방법을 이용하여 동통, 기능(functional activity), 환자의 정서적 만족도(emotional acceptance), 보조기 사용여부(use of external support), 보행 능력(walking ability), 그리고 보행 상태(gait)등 여섯 가지로 나누어 평가하였다. 각각의 요소를 최하 0점에서 최고 5점으로 하고 그 중간을 정도에 따라 1, 2, 3, 4점으로 점수화하여 정상 기능에 대한 백분율(% )로 표시하여 분석하였다. 결과 : 기능 평가 성적은 정상 기능에 대해 최고 86.7%에서 최저 53.3%로 평균 68.3%를 나타냈으며, 세부적으로 보면 동통이 82.5%, 기능이 62.5%, 정서적 만족도가 67.5%, 보조기 사용여부는 77.5%, 보행능력은 62.5%, 보행상태는 57.5%였다. 슬관절의 평균 운동범위는 신전 5도, 굴곡 85도였으며, 5례에서 최소 5도, 최고 15도, 평균 10도의 신전 제한(extension lag)을 보였다. 합병증으로는 2명에서 수술 후 감염 소견을 보였으며 1명은 항생제 치료로 호전되었으나 다른 1명은 종양 구조물 제거 후 관절고정술로 전환이 필요하였다. 결론 : 경골 근위부의 골육종 환자에서 광범위 절제 후 종양 대치물 삽입에 의한 사지구제술의 기능 평가 성적은 감염이 합병되지 않은 경우에는 전반적으로 양호하였으나, 동통 소실, 보조기 사용여부에 비해 슬관절의 부분 강직 및 extension lag로 인해 기능, 정서적 만족도, 보행등에서 덜 만족스러웠다. 임상적으로 더 만족스러운 결과를 얻기 위해 수술 후 대퇴사두근 강화 운동 및 굴곡 운동 등의 적극적인 재활 치료가 필요한 것으로 생각된다.

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열간압연 공정에서 롤 프로파일 예측모델 향상 (Improvement of Roll Profile Prediction Model in Hot Strip Rolling)

  • 정제숙;유종우;박해두
    • 한국소성가공학회:학술대회논문집
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    • 한국소성가공학회 2007년도 춘계학술대회 논문집
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    • pp.229-232
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    • 2007
  • In hot strip rolling, the work roll profile is one of the main factors in predicting and correcting the strip profile. Various studies concerning the wear profile and the thermal crown of work roll have been performed, and the results of these studies have shown that the work roll profile must be predicted accurately so as to efficiently control the strip qualities such as thickness, crown, flatness, and camber. Therefore, a precise prediction model of roll profile is called for in a perfect shape control system. In this paper, a genetic algorithm was applied to improve on the roll profile prediction model in hot strip rolling. In this approach, the optimal design problem is formulated on the basis of a numerical model so as to cover the diverse design variables and objective functions. A genetic algorithm was adopted for conducting design iteration for optimization to determine the coefficient of the numerical model for minimization of errors in the result of the calculated value and the measured data. A comparative analysis showed a satisfactory conformity between them..

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철도차량에서의 공기질 현황 및 PM10 오염원 분석 (Air Quality and PM10 Source Analysis on the Railway Vehicles)

  • 박덕신;김동술;조영민;권순박;박은영
    • 한국대기환경학회지
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    • 제23권3호
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    • pp.311-321
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    • 2007
  • Nowadays, concerns have much more growing regarding indoor air quality (IAQ) on the public transportation including railway vehicles. Last year Korea Ministry of Environment (ME) set new guideline for public transportation. In this study several factors were analyzed which may affect comfortableness of railway passenger cabin, and we monitored IAQ parameters (PM10, CO, $CO_2$, VOCs, temperature and humidity) to investigate the present pollution in passenger cabin. In general, the railway air quality was satisfactory. The PM10 and $CO_2$ level on all passenger cabin were below the new guideline level 1 for PM10 $(200{\mu}g/m^3)\;and\;CO_2(2,000ppm)$. Clustering method was carried out to classify the air polluting pattern of the cabin. As a result, the pollutants could be classified to 4 clusters and the origin of pollution is soil, diesel exhaust gas, abrasion of rail and plume.

A Hierarchical Model for Mobile Ad Hoc Network Performability Assessment

  • Zhang, Shuo;Huang, Ning;Sun, Xiaolei;Zhang, Yue
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제10권8호
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    • pp.3602-3620
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    • 2016
  • Dynamic topology is one of the main influence factors on network performability. However, it was always ignored by the traditional network performability assessment methods when analyzing large-scale mobile ad hoc networks (MANETs) because of the state explosion problem. In this paper, we address this problem from the perspective of complex network. A two-layer hierarchical modeling approach is proposed for MANETs performability assessment, which can take both the dynamic topology and multi-state nodes into consideration. The lower level is described by Markov reward chains (MRC) to capture the multiple states of the nodes. The upper level is modeled as a small-world network to capture the characteristic path length based on different mobility and propagation models. The hierarchical model can promote the MRC of nodes into a state matrix of the whole network, which can avoid the state explosion in large-scale networks assessment from the perspective of complex network. Through the contrast experiments with OPNET simulation based on specific cases, the method proposed in this paper shows satisfactory performance on accuracy and efficiency.

Physical and nuclear shielding properties of newly synthesized magnesium oxide and zinc oxide nanoparticles

  • Rashad, M.;Tekin, H.O.;Zakaly, Hesham MH.;Pyshkina, Mariia;Issa, Shams A.M.;Susoy, G.
    • Nuclear Engineering and Technology
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    • 제52권9호
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    • pp.2078-2084
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    • 2020
  • Magnesium oxide (MgO) and Zinc oxide (ZnO) nanoparticles (NPs) have been successfully synthesized by solid-solid reaction method. The structural properties of ZnO and MgO NPs were studied using X-ray diffraction (XRD) and scanning electron microscopy (SEM). XRD results indicated a formation of pure MgO and ZnO NPs. The mean diameter values of the agglomerated particles were around to be 70 and 50 nm for MgO and ZnO NPs, respectively using SEM analysis. Further, a wide-range of nuclear radiation shielding investigation for gamma-ray and fast neutrons have been studied for Magnesium oxide (MgO) and Zinc oxide (ZnO) samples. FLUKA and Microshield codes have been employed for the determination of mass attenuation coefficients (μm) and transmission factors (TF) of Magnesium oxide (MgO) and Zinc oxide (ZnO) samples. The calculated values for mass attenuation coefficients (μm) were utilized to determine other vital shielding properties against gamma-ray radiation. Moreover, the results showed that Zinc oxide (ZnO) nanoparticles with the lowest diameter value as 50 nm had a satisfactory capacity in nuclear radiation shielding.

임상간호실습 현장지도자용 임상간호역량 평가도구 개발 (Development and Psychometric Testing of the Clinical Nursing Competency Scale for Clinical Preceptor Use (CNCS-CP))

  • 곽은미;오희영
    • 대한간호학회지
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    • 제48권4호
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    • pp.419-431
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    • 2018
  • Purpose: The purpose of this study was to develop and establish the psychometric properties of a clinical nursing competency evaluation tool to be utilized by clinical preceptors. Methods: The initial items were identified through in-depth literature review and field interviews based on a hybrid model. Content validation of the items was evaluated through three rounds of content validity testing. Participants were 34 clinical preceptors and 443 nursing students participating in clinical practice. Data were analyzed using exploratory and confirmatory factor analysis, convergence and discriminant validity, internal consistency and inter-rater reliability. Results: The final scale consisted of 23 items and four factors, fundamental nursing skills performance, critical thinking skills based on the nursing process, basic nursing knowledge, and professional attitude; these factor explained 69.7% of the total variance. The analysis with multi-trait/multi-item matrix correlation coefficients yielded 100.0% and 95.7 % convergence and discriminant validity, respectively. Cronbach's alpha for the total items was .95. The four subscale model tested by confirmatory factor analysis was satisfactory. Inter-rater reliability ranged from .912 to .967. Conclusion: This scale was found to be a reliable and valid instrument that clinical preceptors can apply for evaluating the clinical nursing competency of nursing students in clinical settings.

연료전지 자동차의 물탱크 해빙과정에 대한 수치해석적 연구 (Numerical Analysis of Melting Process in a Water Tank for Fuel-cell Vehicles)

  • 김학구;정시영;허남건;임태원;박용선
    • 설비공학논문집
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    • 제19권8호
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    • pp.585-592
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    • 2007
  • Good cold start characteristics are essential for satisfactory operation of fuel cell vehicles. In this study, the melting process has been numerically investigated for a water tank used in fuel cell vehicles. The 2-D model of the tank containing ice and plate heaters was assumed and the unsteady melting process of the ice was calculated. The enthalpy method was used for the description of the melting process, and a FVM code was used to solve the problem. The feasibility study compared with other experiment showed that the developed program was able to describe the melting process well. From the numerical analysis carried out for different wall temperatures of the pate heaters, some important design factors could be found such as local overheating and pressurization in the tank.

보육교사를 위한 영아용 가정환경 척도 개발 연구 (The Development of a Korean Home Environment Scale for Infants and Toddlers)

  • 김정민;김지현;정현심
    • 아동학회지
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    • 제32권3호
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    • pp.1-17
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    • 2011
  • This study was aimed at developing a scale to evaluate Korean home environments for infants and toddlers for the purpose of being used by teachers caring for infants and toddlers. The subjects of this study were 250 mothers of 0- to 2-year-olds. Mean, SD, $x^2$, Cramer's V, factor analysis, Pearson correlations, Cronbach's ${\alpha}$ were calculated in order to analyze the outcomes of this study. As a result, 38 items of the scale were found to be satisfactory in terms of item distribution and item discrimination. Four factors with 21 items were extracted from the factor analysis : 'developmental stimulus', 'responsivity', 'encouragement of verbal interaction', and 'arrangement of daily routines'. Our analysis of the correlation of this scale with SES, HOME, and children's developmental outcomes showed acceptable concurrent validity. Internal consistency of this scale was high. These results identify this scale as a valid and reliable measure of the Korean home environment for infants and toddlers.

아파트와 초고층주거복합건축물의 거주성 조사 연구 (Post-Occupancy Evaluation on Amenity of Apartments and High-rise Residential Complex)

  • 복나영;강부성;김진욱;이해진;심규명;김은아
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2009년도 추계학술발표대회 논문집
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    • pp.115-120
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    • 2009
  • Since the middle of 1990, "High Rise Residential Complex" has been started to construct to fulfill the use of high density land use. In addition, it bacame a major solution for a rehabilitation project to achieve a high volume ratio, which in turn brings a good business. In this study, POE is applied to secure residential satisfaction level between Apartment and High Rise Residential complex. Also life style differences are investigated between the two type of complexes. It was resulted that recent High Rise Residential Complex is quite acceptable in most respects, however interior vetillation and direct wind flow from living space through dining - kitchen to ease the cooking scent is not a satisfactory level. These two factors are most highly demanded for future design of High Rise Complex in considering specialties in our cultural life style.

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소아에서항문성기주위에 발생한 Condylomy acuminata의 치료 (Treatment of Anogenital Condyloma Acuminata in Children)

  • 이동희;이남혁;김상윤
    • Advances in pediatric surgery
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    • 제5권1호
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    • pp.69-74
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    • 1999
  • Condyloma acuminata, an uncommon disease m the pediatric patients, is being reported with increasing frequency in both adults and children. During the last 10 years, we managed 11 children with condyloma acuminata of the anogenital area. The patients' age at presentation varied from 9 months to 11 years, and boys outnumbered girls by a ratio of 2 : 1. The lesions were found in the perianal area in 9 patients and the genital area in 2. No history of sexual contact or abuse could be elicited. Although the exact mode of transmission of human papillomavirus(HPV) couldn't be defined, maternal-infant transmission at birth and close nonsexual family contact were the main possible causes of HPV infection in our patients. Our experience suggest that fulguration of the warts and concomitant excision with scissors of the larger lesions are the most satisfactory method of treatment in children. However, condyloma acuminata have high recurrence rate despite these treatments. Viral typing and careful epidemiological investigation on a larger series of patients may clarify the causative factors and effective modalities of treatment in childhood anogenital condyloma acuminata.

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