• Title/Summary/Keyword: 평균 접근법

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Clinical Efficacy of the Transradial Approach in Percutaneous Intervention for a Malfunctioning Arteriovenous Fistula (혈액 투석 동정맥루의 기능 부전에 대한 인터벤션 치료 시 경요골 동맥 접근법의 유용성)

  • Hyun Young Choi;Gyoo-Sik Jung;Hee Kang;Ye Na Kim;Hyung Hwan Moon;Jong Hyouk Yun
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.658-668
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    • 2022
  • Purpose To evaluate the effectiveness of the transradial artery approach (TRA) for treating malfunctioning arteriovenous fistulas (AVFs) in patients on hemodialysis. Materials and Methods A retrospective analysis was conducted in this single-center study of TRA endovascular procedures in 73 patients (43 male and 30 female; mean age of 67.4 years (range, 42-92 years) with malfunctioning AVFs, between January 2008 and April 2019. Patients' baseline and lesion characteristics, technical and clinical success, and complications were evaluated, and functional patency was analyzed using the Kaplan-Meier method. Results Radial artery approaches were successful in all patients. Angioplasty performed using the TRA achieved technical and clinical success rates of 98.6%(72/73) and 91.7%(67/73), respectively. The median primary patency time was 18.8 ± 15.9 months. The primary functional patency rates at 3, 6, and 12 months were 82.1%, 68.6%, and 63.9%, respectively. There were no major complications or adverse events, such as hand ischemia, related to the radial artery approach. Conclusion In selected cases, the TRA can be used complementary to the transvenous approach to treat malfunctioning AVFs.

Learning Curve of the Direct Anterior Approach for Hip Arthroplasty (직접전방 접근법을 통한 인공 고관절 치환술의 학습곡선)

  • Ham, Dong Hun;Chung, Woo Chull;Choi, Byeong Yeol;Choi, Jong Eun
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.2
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    • pp.143-153
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    • 2020
  • Purpose: To evaluate the timing of the improvement in surgical skills of the direct anterior approach for hip arthroplasty through an analysis of the clinical features and learning curve in 58 cases. Materials and Methods: From November 2016 to November 2018, 58 patients, who were divided into an early half and late half, and underwent hip arthroplasty by the direct anterior approach, were enrolled in this retrospective study. The operation time and complications (fracture, lateral femoral cutaneous nerve injury, heterotopic ossification, infection, and dislocation) were assessed using a chi-square test, paired t-test, and cumulative sum (CUSUM) test. Results: The mean operation times in total hip arthroplasty (26 cases) and bipolar hemi-arthroplasty were 132.1 minutes and 79.7 minutes, respectively, demonstrating a significant difference between the two groups. CUSUM analysis based on the results revealed breakthrough points of the operation time, decreasing to less than the mean operation time because of the 16th case in total hip arthroplasty and 14th case in bipolar hemiarthroplasty. Complications were encountered in the early phase and late phase: five cases of fractures in the early phase, no case in the late phase; eight and two cases of lateral femoral cutaneous nerve injury, respectively; three and two cases of heterotopic ossification, respectively; and one case of dislocation, one case of infection and three cases of others in the early phase. The CUSUM chart for the fracture rate during operation in the early phase revealed the following: five cases fracture (17.2%) in the early phase and no case in the late phase (0%). This highlights the learning curve and the need for monitoring the inadequacy of operation based on the complications. Conclusion: Hip arthroplasty performed by the direct anterior approach based on an anatomical understanding makes it difficult to observe the surgical field and requires a learning curve of at least 30 cases.

Tightly Coupled Integration of Ranking SVM and RDBMS (랭킹 SVM과 RDBMS의 밀결합 통합)

  • Song, Jae-Hwan;Oh, Jin-Oh;Yang, Eun-Seok;Yu, Hwan-Jo
    • Journal of KIISE:Databases
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    • v.36 no.4
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    • pp.247-253
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    • 2009
  • Rank learning and processing have gained much attention in the IR and data mining communities for the last decade. While other data mining techniques such as classification and regression have been actively researched to interoperate with RDBMS by using the tightly coupled or loose coupling approaches, ranking has been researched independently without integrating into RDBMS. This paper proposes a tightly coupled integration of the Ranking SVM into MySQL in order to perform the rank learning task efficiently within the RDBMS. We implemented new SQL commands for learning ranking functions and predicting ranking scores. We evaluated our tightly coupled integration of Ranking SVM by comparing it to a loose coupling implementation. The experiment results show that our approach has a performance improvement of $10{\sim}40%$ in the training phase and 60% in the prediction phase.

Measurement and Computing Method of the Average Illuminance in Residential Areas (공동주택의 조도측정 및 평균조도 산출방법)

  • Joo, Keun-Tak;Choi, An-Seop
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.20 no.5
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    • pp.1-8
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    • 2006
  • The Five Point Method of KS and Four Point Method of IES are generally used to measure and compute the average illuminance in residential areas. Such methods of measurement should be used exactly according to the characteristics of the space and activities. Therefore, this study evaluated computation methods of the average illuminance in terms of comparing the measured values with simulated ones. The Five Point Method of KS is very closed to evaluate task illuminancefor appreciating activities at the center while the Four Point Method of IES is very closed to a concept of the average illuminance over the space excluding the possible maximum and minimum illuminance values.

Femoral Tunnel Obliquity between the Transtibial and Anteromedial Portal Technique in Single Bundle Anterior Cruciate Ligament Reconstruction (전방십자인대 단일 다발 재건술에서 경경골 술기 및 전내측 삽입구를 이용한 대퇴골 터널의 기울기)

  • Lee, Ju-Hong;Park, Jong-Hyuk;Bae, Hyeon-Kyeong;Kim, Jong-Gil;Wang, Sung-Il
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.1
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    • pp.41-47
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    • 2010
  • Purpose: To compare the obliquity of femoral tunnels prepared with transtibial (TT) versus anteromedial portal technique (AM) using x-ray in single-bundle anterior cruciate ligament (ACL) reconstruction. Materials and Methods: Among one-hundred thirty two patients who were undergoing ACL reconstruction from January 2007 to December 2009, thirty patients using TT and twenty patients using AM, those who had single-bundle ACL reconstruction, were evaluated with plain radiographs including anteroposterior, intercondylar notch and lateral view to compare the obliquity of bone tunnels. Results: The mean coronal obliquity of femoral tunnel for TT was $71^{\circ}$ (range; $65^{\circ}{\sim}77^{\circ}$), while for AM was $51^{\circ}$ (range; $39^{\circ}{\sim}60^{\circ}$) and the mean sagittal obliquity of femoral tunnel for TT was $22.7^{\circ}{\pm}7.8$, while for AM was $30.2^{\circ}{\pm}6.9$, their differences between them were statistically significant (P<0.05). However, there were no differences between two techniques on the tibial tunnel obliquity in coronal and sagittal plane. Conclusion: Anterior cruciate ligament reconstruction using AM portal technique allows more horizontally oriented and divergent femoral tunnel compared to that of transtibial technique. This seems to enable the graft placement into the femoral footprint and preserve the posterior cortical wall.

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Prediction of Reliability of Fatigue Limit of S34MnV Steel for Marine Diesel Engine Crank Throw Components (선박용 디젤 엔진 크랭크 스로 부품용 S34MnV강의 피로한도에 대한 신뢰도 예측)

  • Kim, Seon Jin;Kong, Yu Sik
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.40 no.8
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    • pp.751-757
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    • 2016
  • The aim of this study is to estimate the reliability of fatigue limit of the material used for crank throw components according to the staircase method. The material used for crank throw components is forged S34MnV grade steel, which is heat treated by normalizing and tempering. In this work, to predict the reliability of the design fatigue strength, axially loaded constant amplitude fatigue testing was conducted. The test specimens were loaded with an axial push/pull load with a mean stress of 0 MPa, which corresponds to a stress ratio of R=-1. The fatigue test results were evaluated by Dixon-Mood formulas. The values of mean fatigue strength and standard deviation predicted by the staircase method were 296.3 MPa and 10.6 MPa, respectively. Finally, the reliability of the fatigue limit in some selected probability of failure is predicted. The proposed method can be applied for the determination of fatigue strength for design optimization of the forged steel.

Explicit Design of Commercial Pipe on a Slope with Pumping Power (동력경사 상용관의 양해법 설계)

  • Yu, Dong-Hun;Gang, Chan-Su
    • Journal of Korea Water Resources Association
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    • v.30 no.5
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    • pp.495-501
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    • 1997
  • Pumping power being given, traditional method requires an iteration process for the solution of discharge and pipe diameter. Yoo and Kang (1996) have developed explicit equations for the estimation of discharge and pipe diameter for the cases of uniformly rough pipe on a sloping bed with a pumping power. The use of poser law for the estimation of friction factor enabled to develop the explicit form of equations. Yoo (1995a) has suggested the mean friction factor method for the estimation of friction factor of commercial pipe or composite surface pipe. With the same approach, the present work has developed the explicit equations of discharge or pipe diameter for the general case of commercial pipe on a sloping bed with a pumping power by adopting the mean friction factor method.

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Comparing Methods to Select Functional Form in Dichotomous Choice Contingent Valuation Methods (양분선택형 비시장가치평가법에 있어서 함수모형선택을 위한 제 방법론 비교)

  • Lee, Hee-Chan
    • Environmental and Resource Economics Review
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    • v.10 no.1
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    • pp.25-44
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    • 2001
  • 본 논문의 목적은 양분선택질문형 비시장가치평가법을 통한 편익추정에 사용되는 제 함수의 적합성 여부를 검증하기 위해 사용될 수 있는 방법론들을 비교 검토하는 것이다. 여가수렵의 환경적 요인의 변화에 따른 편익추정에 사용된 함수의 적합성을 판단하기 위해 변이계수접근법, 함수설정 오류 테스트, 그리고 비모수접근법 등이 각 함수에 적용되었다. 결과에 따르면, 편익추정에 이용된 세 가지 로짓함수(선형, 로그, 쉐어모형) 모두 적합한 것으로 판정되었다. 주어진 함수형태에 적용된 세 방법론간에 밀접한 일치성을 보였으며 경우에 따라서는 상호보완적이라는 함축성을 보이기도 하였다 이와 같은 결론은 로짓함수로부터 추정된 값들에 Krinsky-Robb 시뮬레이션을 이용하여 구축한 신뢰구간의 함수간 비교를 통해서도 확인되었다. 주어진 환경 시나리오에 대해 각 함수로부터 도출된 평균 추정치의 신뢰구간이 모두 충분히 중복되었기 때문에 편익추정과 관련하여 함수형태간에 유의적 차이가 없음이 입증된 것이다.

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The Effects of Neurodevelopmental Treatment Approach Based Undressing Skill Training on the Midline Orientation and Protective Reaction of Children With Cerebral Palsy (신경발달치료 접근법을 기초한 옷 벗기 기술 훈련이 뇌성마비 아동의 신체중심선과 보호반응에 미치는 효과)

  • Lee, Hye-Rim;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.14 no.1
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    • pp.41-49
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    • 2016
  • Objective : The purpose of this study was to investigate how undressing skill training based on Neuro-developmental treatment (NDT) approach effected on the midline orientation and protective reaction of children with cerebral palsy (CP). Methods : Two participants of this study were 3 years 5 months old boy and 4 years 5 months old girl, living in B city. They were medically diagnosed as cerebral palsy. Research design used in this study is AB design for a single subject research. There was no intervention on the baseline A phases, and functional activity based NDT was used undressing skill training during the B phases. Midline orientation was tested by Stepping subtest in MAP. Protective reaction was measured by Protective reaction subtest in QUEST. Results : In comparison with the baseline (A), midline orientation was improved above 2 standard deviations at intervention phase (B). and protective reaction was improved above averages in both hands. Conclusion : The study showed undressing skill training based on NDT approach that were effective for midline orientation of children with CP. Undressing skill training was one of the major functional activities. Thus, large studies are required to ensure the training effects.

융합기술 가치평가 모형의 개발에 관한 연구

  • Seong, Tae-Eung;Jeon, Seung-Pyo;Park, Hyeon-U
    • Proceedings of the Korea Technology Innovation Society Conference
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    • 2017.05a
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    • pp.175-192
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    • 2017
  • 4차 산업혁명의 도래와 더불어 ICT 기계, ICT 금융, ICT 의료, ICT 나노 등과 같이 기술분야별 영역의 장벽이 허물어지고, 학제간 연구(Interdisplinary Research)가 일상화됨에 따라 무형자산의 가치평가시에도 융합기술의 가치평가 모형에 대한 니즈가 증대되고 있다. 특히, 기술의 매매, 현물출자, 기술금융(투자유치, 담보 보증), 인수 합병, 청산 소송 등 다양한 용도로 사용되고 있는 기술가치평가 모형은 융합기술의 입력변수 결정에 대한 체계적인 로직을 제공하지 못하고 있는 실정이다. 일반적으로 실제 거래사례가 존재할 경우, 국제가치평가기준(IVS)에 의하면 시장접근법이 우선적으로 적용될 수 있다고 권고된다. 그러나 융합기술의 이전거래를 비롯한 평가 활용사례를 수집하기도 어렵고 그렇다할 평가모델이 존재하지 않는 것이 사실이다. 융합기술에 대한 기술 및 시장의 사업화 환경을 고려하는 경우 소득접근법 기반의 평가기법이 유용하게 활용될 수 있는데, 기술수명, 매출액추정, 할인율, 산업기술요소 등의 핵심변수 결정에 관한 정형화된 로직이 존재하지 않으므로 본 고에서 융합기술 사례에 대해 실용적으로 활용가능한 변수추정 로직을 제시하고자 한다. 기술수명의 경우, 복수 개의 국제특허분류(IPC)별 피인용특허수에 따라 가중 적용하여 수명 추정을 위한 기준값을 정하며, 사업화소요기간 및 비용의 경우 평가대상 융합기술이 속하는 업종별 메타데이터값을 가중평균하여 현금흐름 추정기간을 최종 도출할 수 있다. 소득접근법에서의 매출추정, 할인율, 산업기술요소 변수 추정 이외에도 로열티공제법 적용을 위한 로열티율 결정에 있어서, 융합기술이 응용가능한 산업(업종)별 매출액 기반으로 가중 적용하여 각 변수값을 산출할 수 있다. 본 연구에서 개발된 융합기술 가치평가 모형은 향후 기술의 융복합화 특성을 반영하여 적정 가치를 산출하는 평가 가이드라인을 제공할 수 있을 것으로 기대된다.

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