• Title/Summary/Keyword: Expert Group

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The Exoscope versus operating microscope in microvascular surgery: A simulation non-inferiority trial

  • Pafitanis, Georgios;Hadjiandreou, Michalis;Alamri, Alexander;Uff, Christopher;Walsh, Daniel;Myers, Simon
    • Archives of Plastic Surgery
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    • v.47 no.3
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    • pp.242-249
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    • 2020
  • Background The Exoscope is a novel high-definition digital camera system. There is limited evidence signifying the use of exoscopic devices in microsurgery. This trial objectively assesses the effects of the use of the Exoscope as an alternative to the standard operating microscope (OM) on the performance of experts in a simulated microvascular anastomosis. Methods Modus V Exoscope and OM were used by expert microsurgeons to perform standardized tasks. Hand-motion analyzer measured the total pathlength (TP), total movements (TM), total time (TT), and quality of end-product anastomosis. A clinical margin of TT was performed to prove non-inferiority. An expert performed consecutive microvascular anastomoses to provide the exoscopic learning curve until reached plateau in TT. Results Ten micro sutures and 10 anastomoses were performed. Analysis demonstrated statistically significant differences in performing micro sutures for TP, TM, and TT. There was statistical significance in TM and TT, however, marginal non-significant difference in TP regarding microvascular anastomoses performance. The intimal suture line analysis demonstrated no statistically significant differences. Non-inferiority results based on clinical inferiority margin (Δ) of TT=10 minutes demonstrated an absolute difference of 0.07 minutes between OM and Exoscope cohorts. A 51%, 58%, and 46% improvement or reduction was achieved in TT, TM, TP, respectively, during the exoscopic microvascular anastomosis learning curve. Conclusions This study demonstrated that experts' Exoscope anastomoses appear non-inferior to the OM anastomoses. Exoscopic microvascular anastomosis was more time consuming but end-product (patency) in not clinically inferior. Experts' "warm-up" learning curve is steep but swift and may prove to reach clinical equality.

A Biomechanical Analysis of Lower Extremity Segment dur ing the Fouette en dehors Performed by Ballet Dancers (발레 무용수의 Fouette en dehors동작 시 하지분절에 대한 생체역학적 분석)

  • Lee, Jin;Oh, Cheong-Hwan
    • Korean Journal of Applied Biomechanics
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    • v.22 no.1
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    • pp.43-53
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    • 2012
  • The purpose of this study was to quantitatively examine the biomechanical variables of Fouette turns for expert and beginner ballet dancers and to determine the difference in the variables between the two groups. sixteen female ballet dancers participated in this study. They were divided into an expert group(age, $25.38{\pm}1.92$ years; height, $168.38{\pm}4.66$ cm; mass, $49.63{\pm}4.41$ kg) and a beginner group(age, $20.88{\pm}1.13$ years; height, $161.63{\pm}7.42$ cm; mass, $48.88{\pm}3.64$ kg) depending on their ballet experience. Descriptive data were expressed as mean ${\pm}$ standard deviation (SD) for all variables including the duration, displacement of the center of the body, velocity of the center of the body, angle of the body segments, angular velocity of the body segments, ground reaction force, lower extremity torque, muscle activity, body weight, age, and body mass. An independence t-test was conducted to determine how the following variables differed between the beginners and experts: duration, displacement of the center of the body, velocity of the center of the body, angle of the body segments, angular velocity of the body segments, ground reaction force, lower extremity torque, and muscle activity. All comparisons were made at the p<0.05 significance level. The results show that the experts scored high on the biomechanical variables, although all the variables were not significant. Significant differences were found in the angle of body segments, angular velocity of the body segments, lower extremity torque, and muscle activity(p<0.05). The findings of this study demonstrate that the experts have the required skill to make an improved Fouette turn. The findings may also help ballet dancers to learn and understand the Fouette turn.

Development of Strategies to Improve the National Nutrition Survey System (국가 영양조사에서 가구 방문 조사 체계의 개선 방안)

  • yang, Narae;Lee, Seungmin;Lim, Youngsuk;Park, Haeryun;Kim, Kirang
    • Korean Journal of Community Nutrition
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    • v.23 no.5
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    • pp.444-455
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    • 2018
  • Objectives: The current survey environment is changing and participation rates in national nutrition surveys are decreasing. Therefore, the purpose of this study was to develop strategies for improving the nutrition survey system in the Korea National Health and Nutrition Examination Survey (KNHANES). Methods: To develop an alternative system for conducting the KNHANES nutritional survey, we conducted focus group interviews with stakeholders of the survey, SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, and expert reviews. In addition, spatial analysis of potential sites for conducting surveys instead of relying on household visits was performed, and the perception of nutritional surveys in the population eligible for KNHANES was evaluated. Results: Based on the results of the focus group interviews, SWOT analysis, and expert reviews, we propose two options for survey sites: vehicles specifically prepared for nutritional surveys and public facilities such as community service centers or public health centers. Among public facilities, community service centers were found to be more appropriate sites than public health centers because they were considered more accessible. About 90% of respondents would participate in the survey in public facilities and about 74% would in vehicles. Conclusions: Conducting national nutrition surveys in specially designed vehicles and public facilities could be a viable alternative to home visits. Next, the validity of these newly proposed nutrition survey methods needs to be compared to the results of the current national nutrition survey.

Development of Evidence-based Nursing Practice Guidelines for Febrile Children in Emergency Room (응급실 내원 발열 소아환자의 열관리를 위한 근거중심 간호실무 가이드라인 개발)

  • Jeong, Min-Jin;Shin, Hyun-A;Kim, Yun-Hee;Lee, Jee-Hyang;Lee, Seung-Ja;Song, Mi-Ra
    • Child Health Nursing Research
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    • v.18 no.4
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    • pp.214-221
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    • 2012
  • Purpose: The purpose of this study was to develop evidence-based nursing practice guidelines for the care of febrile children in the emergency room and to evaluate the guidelines by applying them to practice. Methods: This study was conducted using a methodological design. referring to the Scottish intercollegiate guideline network, draft of guidelines were developed based on the recommendations found from the critical literature analysis. Then, the draft was modified by an expert group and a pilot application. The final draft was evaluated by the expert group using appraisal of guidelines for research and evaluation. Finally, the final guideline and algorithm were completed. Results: The guideline includes 39 recommendations for the care of febrile children in the emergency room. Conclusion: The clinical guidelines developed through this research can be utilized as systematic and scientific guidelines for the care of febrile children in the emergency room. In addition, the research results will contribute to improving care services.

Development of Design Method for Reinforced Roadbed Considering Plastic Settlement for High-speed Railway (고속철도에서의 소성침하를 고려한 강화노반 설계기법 개발)

  • Choi, Chan-Yong;Choi, Won-Il;Han, Sang-Jae;Jung, Jae-Hyun
    • Journal of the Korean Geotechnical Society
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    • v.29 no.9
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    • pp.55-69
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    • 2013
  • An alternative design method of existing methods based on elastic theory the design method of roadbed considering plastic deformation of roadbed and stress-strain at roadbed materials with the cyclic loading of trains passing. The characteristics of the developed design method considering traffic load, number of cyclic loading and resilience modulus of roadbed materials can evaluate elastic strain as well as plastic settlement with allowable design criteria. The proposed design method is applied to standard roadbed section drawing of HONAM high-speed railway considering design conditions such as allowable elastic and plastic settlement, train speed, the tonnage of trains. As a result, required levels of resilience modulus model parameter ($A_E$), unconfined compressive strength, types of soil material were evaluated.

New Algorithm for Arbitrary-ratio Image Resizing in DCT Domain (DCT 영역에서 영상의 임의 비율 크기 변환을 위한 새로운 알고리즘)

  • Kim, Yong-Jae;Lee, Chang-Woo
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.32 no.2C
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    • pp.113-123
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    • 2007
  • In Ubiquitous communication environment, various conversions of images are essential, and most digital images are compressed by standard methods such as the Joint Photographic Expert Group (JPEG) and Motion Picture Expert Group (MPEG) which are based on the discrete cosine transform (DCT). In this paper, various image resizing algorithms in the DCT domain are analyzed, and a new image resizing algorithm, which shows superior performance compared with the conventional methods, is proposed. For arbitrary-ratio image resizing in the DCT domain, several blocks of $8{\times}8$ DCT coefficients are converted into one block using the conversion formula in the proposed algorithm, and the size of the inverse discrete cosine transform (IDCT) is decided optimally. The performance is analyzed by comparing the peak signal to noise ratio (PSNR) between original images and converted images. The performance of the proposed algorithm is better than that of the conventional algorithm, since the correlation of pixels in images is utilized more efficiently.

Variation in Properties of Seawater Flooded and Non-Flooded CSPE (해수범람 전·후의 CSPE 특성변화)

  • Lee, Jeong-U;Kim, In-Yong;Ji, Seong-Hyun;Jeon, Hwang-Hyun;Shin, Yong-Deok
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.64 no.12
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    • pp.1724-1729
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    • 2015
  • Chlorosulfonated polyethylene (CSPE) was not flooded seawater and flooded seawater & freshwater for 5 days, respectively, and these samples are referred to as BSF(before seawater flooding) and ASFF(after seawater & freshwater flooding), respectively. The apparent density, dissipation factor, relative permittivity, melting temperature, dielectric breakdown time and increased time of applied voltage are higher than those of BSF, but the insulating resistance, dielectric strength, percent elongation and glass transition temperature of ASFF are lower than those of BSF. The differential temperature of those is $0.026{\sim}0.028(^{\circ}C)$ after AC and DC voltage is applied to ASFF, respectively, and the differential temperature of those is $0.013{\sim}0.037(^{\circ}C)$ after AC and DC voltage is applied to BSF, respectively. In the case AC and DC voltage is applied to ASFF as well as BSF, the variations in temperature of AC voltage are higher than those of DC voltage. It is investigated that dielectric loss due to dissipation factor ($tan{\delta}$) is related to electric dipole conduction current. It is certain that the ionic (electron or hole) leakage current was increased by conducting ions such as $Na^+$, $Cl^-$, $Mg^{2+}$, $SO_4^{2-}$, $Ca^{2+}$ and $K^+$, those are related to cured atoms of O and S that relatively increased after seawater flooding.

A Viewpoint Switching Service for Multi-View Videos based on MPEG-4 System (MPEG-4 시스템 기반의 다시점 동영상 시점 전환 서비스)

  • Park, Kyung-Seok;Kim, Min-Jun;Kang, Sung-Hwan;Kim, Sung-Ho
    • Journal of KIISE:Computing Practices and Letters
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    • v.16 no.1
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    • pp.65-69
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    • 2010
  • Moving Picture Expert Group(MPEG) is the organization foundedin 1998 to establish the standards for compressing and expressing the multimedia contents. The organization has established the technological standards such as MPEG-1, MPEG-2, MPEG-4 and MPEG-7. As the 3D video related standards, there is Multiview Profile which is included in the MPEG-2 video of 1996. However, as the MPEG-2 multiview profile is the standard for compressing the videos from two viewpoints on the object, it is not enough to meet the requirement of multiviewvideo technology. In addition, it does not have the technology on the viewpoint switching that it does not provide the services such as the user interaction. This paper proposes the structure in which the specific viewpoint can be described for video switching in addition to the current MPEG-4 system.

The Association between Social Support and Health Behaviors for Metabolic Syndrome Prevention among University Students: The Mediating Effect of Perceived Stress (대학생 집단에서 사회적 지지와 대사증후군 예방 건강 행동 간의 상관관계: 지각된 스트레스의 매개효과)

  • Park, Sooyeon;Cho, Suah;Lee, Eugene;Choi, Sungchul;Choo, Jina
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.404-414
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    • 2021
  • Purpose: Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students. Methods: This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses. Results: Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06. Conclusions: The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

Augmented Reality-based Surgical Nursing Practice Application Development and Evaluation (증강현실 기반의 수술간호 실습교육 애플리케이션 개발 및 평가)

  • Ko, Jung-Yon;Jung, Ae-Ri
    • Journal of Convergence for Information Technology
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    • v.11 no.2
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    • pp.47-56
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    • 2021
  • The purpose of this research was to develop an augmented reality-based surgical nursing practice education application. The research proceeded in ADDIE order of analysis, design, development, implementation, and evaluation stages. In the analysis phase, we analyzed the surgical nursing learning needs of the expert group and nursing student group. As a result of the analysis, the demand for surgical instruments was generally high. We selected 51 surgical instruments of the 7 categories most frequently used in the operating room based on the needs, and produced them as AR Book. The augmented reality application was created based on the Unity 3D engine, and the application was built with Android OS so that the target person could use it. Expert assessment of application for augmented reality-based surgical nursing practice education application showed 73.4±4.3 out of 80. This study is significant in the part that first developed a new method of learning tools for surgical instruments. We determined that an augmented reality-based application has reality, portability, accessibility and simplicity.