• Title/Summary/Keyword: Follow-Up System

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Minimum 3-Year Outcomes in Patients with Lumbar Spinal Stenosis after Bilateral Microdecompression by Unilateral or Bilateral Laminotomy

  • Yang, Sang-Mi;Park, Hyung-Ki;Chang, Jae-Chil;Kim, Ra-Sun;Park, Sukh-Que;Cho, Sung-Jin
    • Journal of Korean Neurosurgical Society
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    • v.54 no.3
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    • pp.194-200
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    • 2013
  • Objective : Lumbar spine stenosis (LSS) can result in symptomatic compression of the neural elements, requiring surgical treatment if conservative management fails. Minimally invasive surgery has come to be more commonly used for the treatment of LSS. The current study describes outcomes of bilateral microdecompression by unilateral or bilateral laminotomy (BML) for degenerative LSS after a minimum follow-up period of 3 years and investigates factors that result in a poor outcome. Methods : Twenty-one patients who were followed-up for at least 3 years were included in this study. For clinical evaluation, the Japanese Orthopedic Association (JOA) scoring system for low back pain was used. The modified grading system of Finneson and Cooper was used for outcome assessment. Radiographic evaluation was also performed for spondylolisthesis, sagittal rotation angle, and disc height. Results : Twenty-one patients (10 men, 11 women) aged 53-82 years ($64.1{\pm}8.9$ years) were followed-up for a minimum of 3 years (36-69 months). During follow-up, two patients underwent reoperation. Average preoperative JOA score and clinical symptoms, except persistent low back pain, improved significantly at the latest follow-up. There were no significant differences in radiological findings preoperatively and postoperatively. Thirteen patients (61.9%) had excellent to fair outcomes. Conclusion : BML resulted in a favorable and persistent outcome for patients with degenerative LSS without radiological instability over a mid-term follow-up period. Persistent low back pain unrelated to postoperative instability adversely affects mid-term outcomes.

Bridging the Gap: Follow-up Strategies for Effective Software Architecture Implementation

  • Abdullah A H Alzahrani
    • International Journal of Computer Science & Network Security
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    • v.24 no.7
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    • pp.1-10
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    • 2024
  • Software architecture are High-level design decisions shaping a software system's components, structure, and interactions. It can be a blueprint for development, evolution, and ongoing maintenance. This research investigates the communication practices employed by software architects and developers to ensure adherence to the designed software architecture. It explores the factors influencing the selection of follow-up methods and the impact of follow-up frequency on successful implementation. Findings reveal that formalized follow-up procedures are not yet a ubiquitous element within the software development lifecycle. While electronic communication, particularly email, appears to be the preferred method for both architects and developers, physical and online meetings are utilized less frequently. Interestingly, the study suggests a potential confidence gap, with architects expressing concerns about developers' ability to faithfully implement the architecture. This may lead to architects providing additional clarification. Conversely, while most developers reported confidence in their software knowledge, overly detailed architecture documentation may pose challenges, highlighting the need for architects to consider alternative communication strategies. A key limitation of this study is the sample size, restricting the generalizability of the conclusions. However, the research offers valuable preliminary insights into the communication practices employed for architecture implementation, paving the way for further investigation with a larger and more diverse participant pool.

Optimal Level and Follow-up Management as Success Factors from BACHE Company's Knowledge Management Experiences (눈높이와 후속관리로 성공한 지식경영: BACHE 사례)

  • Yang, Choonhee
    • Knowledge Management Research
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    • v.7 no.1
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    • pp.81-96
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    • 2006
  • The purpose of this study is to survey what strategy BACHE, a bathtub manufacturing company, chooses to implement knowledge management. Generally speaking, the success factors of this case company is follow-up management. The first factor is to use linguistic metaphors for employees to understand difficult knowledge management terms easily. The second one is that CEO tries to set and lead pro-knowledge management corporate culture. The third one is based on the CKO's competence to read business circumstances and apply the theory of knowledge management to the workplace. The fourth one has something to do with a way of knowledge creation, for example, a suggestion system and QC circle. The fifth one depends upon CKO's mission to share knowledge invented from his own company's with the rivals and large companies which order bathtubs so that overall bathtub industry can upgrade knowledge management.

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An Empirical Study on the ISO 9000 Follow-up Management Practices of Korean Small Enterprises (ISO 인증 중소기업의 사후관리에 관한 실증적 연구)

  • Lee Jae-Kwan
    • Journal of Korean Society for Quality Management
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    • v.32 no.4
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    • pp.78-91
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    • 2004
  • The ISO 9000 Follow-up Management Practices (FMP) as an integrated area including training, QM systems, management commitment, customer focus, communication and related issues are examined. A sample of 191 small and medium-sized firms data from mail survey is analyzed by the SPSSWIN. A model of FMP including three factors (Systems, Training, and Customer Focus) is introduced. In this paper, a focus is laid on the comparison between ISO 9000:1994 vs. ISO 9000:2000 or 05 9000 certificates and between groups classified by the time length after certification, and on regression relationships between FMP level and business performance. The result shows that the difference of FMP level is significant between two versions and between groups. Quality level and system satisfaction are influenced significantly by the three factors.

THE CLINICAL STUDY ON SHORT TERM PROGNOSIS OF IN-CERAM ALUMINA BRIDGE RESTORATION (In-Ceram Alumina Bridge Restoration의 단기예후에 관한 임상적연구)

  • Jo, Byung-Woan;Park, Jae-Bum;Ann, Jye-Jynn
    • The Journal of Korean Academy of Prosthodontics
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    • v.35 no.3
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    • pp.544-556
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    • 1997
  • All ceramic restorations except In-Ceram Alumina system gave a good esthetics and an exellent marginal fidelity. The flexural strength of them had about 150MPa, so the indication is only single crown. By using In-ceram Alumina System(450Mpa), it is thought to be possible to construct bridge for its high flexural strength. But the prognosis is unclear, The purposes of this study are to clear short term prognosis of In-Ceram bridge restorations, to elucidate its clinical significance. Among 22 In-Ceram Bridge restored in our department, 11 In-Ceram bridges with follow up were used. The period of placement is from 1 to 18 months. The results were as follows : 1. Among follow up 11 bridges, 2 bridges were fractured. One is 4 unit in maxillary lateral incisors, the other is 3 unit bridge in maxillary canine and premolar. Including 11 bridge without follow up, failure rate is very low(2/22). 2. The fracture sites are connector areas between abutment and pontic. To maintain In-Ceram bridge for long term period, it is needed to remove the nonphysiologic occlusal force and to have sufficient thickness of alumina core. For estabilishing clinical use of In-Ceram bridges, it is thought to need clinical research during long term period.

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Performance Analysis of a Flow Passage Opening Device through Low Speed Aircraft Captive Flight Tests

  • Jung, Sung-Min;Park, Jeong-Bae
    • International Journal of Aerospace System Engineering
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    • v.4 no.2
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    • pp.5-9
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    • 2017
  • In a pressurized fuel supply system of aircraft, a flow passage opening device is required to keep fuel continuously transferred from one tank to the other. The device utilizes balancing weights in order to follow up an acceleration at special conditions such as negative g. It is very difficult to test the device in a real high-speed and high-altitude test since severe test conditions and expensive supports are needed. Therefore, this paper deals with performance analysis of a flow passage opening device through low speed aircraft captive flight tests (CFT) including roll and negative-g maneuvers. It is shown that balancing weights in the device can open the passage in accordance with fuel position.

Use of Environmental Geospatial Information to Support Environmental Impact Assessment Follow-Up Management (환경영향평가의 사후관리 지원을 위한 환경공간정보 활용 방안)

  • Cho, Namwook;Maeng, Jun Ho;Lee, Moung Jin
    • Korean Journal of Remote Sensing
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    • v.33 no.5_3
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    • pp.799-807
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    • 2017
  • Environmental impact assessment is a regulation that is implemented to reduce harmful environmental impacts of development projects. However, The environmental value is difficult to quantify and the uncertainty, There is a problem of objectivity and reliability of the system is consistently pointed out. Therefore, the necessity of the data-based environmental impact assessment system is gradually increasing. Especially, environmental impact assessment is highly applicable to environmental spatial information because it contains about the development of a particular area. Also with the introduction of EIA Follow-up management system, there is a demand for a system for providing and utilizing environmental information in a time series. This study derives the necessity of information provision system and analyz existing environmental information utilization system based on the institutional characteristics of environmental impact assessment. And suggest ways to provide environmental spatial information to find policy implications for improving the limit of environmental impact assessment system.

The Korea Cohort Consortium: The Future of Pooling Cohort Studies

  • Lee, Sangjun;Ko, Kwang-Pil;Lee, Jung Eun;Kim, Inah;Jee, Sun Ha;Shin, Aesun;Kweon, Sun-Seog;Shin, Min-Ho;Park, Sangmin;Ryu, Seungho;Yang, Sun Young;Choi, Seung Ho;Kim, Jeongseon;Yi, Sang-Wook;Kang, Daehee;Yoo, Keun-Young;Park, Sue K.
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.5
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    • pp.464-474
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    • 2022
  • Objectives: We introduced the cohort studies included in the Korean Cohort Consortium (KCC), focusing on large-scale cohort studies established in Korea with a prolonged follow-up period. Moreover, we also provided projections of the follow-up and estimates of the sample size that would be necessary for big-data analyses based on pooling established cohort studies, including population-based genomic studies. Methods: We mainly focused on the characteristics of individual cohort studies from the KCC. We developed "PROFAN", a Shiny application for projecting the follow-up period to achieve a certain number of cases when pooling established cohort studies. As examples, we projected the follow-up periods for 5000 cases of gastric cancer, 2500 cases of prostate and breast cancer, and 500 cases of non-Hodgkin lymphoma. The sample sizes for sequencing-based analyses based on a 1:1 case-control study were also calculated. Results: The KCC consisted of 8 individual cohort studies, of which 3 were community-based and 5 were health screening-based cohorts. The population-based cohort studies were mainly organized by Korean government agencies and research institutes. The projected follow-up period was at least 10 years to achieve 5000 cases based on a cohort of 0.5 million participants. The mean of the minimum to maximum sample sizes for performing sequencing analyses was 5917-72 102. Conclusions: We propose an approach to establish a large-scale consortium based on the standardization and harmonization of existing cohort studies to obtain adequate statistical power with a sufficient sample size to analyze high-risk groups or rare cancer subtypes.

A Comparative Study on Domestic and Foreign the Follow-up Service of Temporary Equipment and Materials (국내외 가설기자재 사후관리제도 비교 연구)

  • Woo Kwang-Min
    • Korean Journal of Construction Engineering and Management
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    • v.3 no.1 s.9
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    • pp.74-82
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    • 2002
  • The performance testing system of temporary construction equipment and materials are a previous inspect institution to produce only goods beyond the limited-performance, be certificated through a previous test, the purpose of which is to prevent an illegal goods from spreading abroad. The formal certification not only pass the test in an ordinary means but also isn't the term of validity on a certificated goods. Because of the above two reasons, an accident doesn't reduce, and a illegal goods become to be circulated. So, in this study, we analysis the problem of the follow-up service based on the formal certification and we suggest the improvement through comparative study on the follow-up of domestic and foreign.

Review of Literatures for Development of Clinical Trial Guideline for Total Ankle Arthroplasty (인공발목관절의 임상시험 가이드라인 개발을 위한 문헌적 고찰)

  • Park, Jin Oh;Lee, Moses;Lee, Jin Woo;Lee, Soo Bin;Han, Seung Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.4
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    • pp.195-201
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    • 2014
  • Purpose: The purpose of this study is to develop guidelines for clinical trial of the total ankle replacement system for premarket approval. Materials and Methods: We selected and analyzed nine peer-reviewed articles whose quality had been proven in a previous phase. Two investigators extracted parameters for guideline criteria, including number of cases, patient age, follow-up period, failure rate, radiographic osteolysis rate, residual pain rate, and percentage of satisfaction. In addition, the inclusion and exclusion criteria were analyzed and developed. Results: Eight level IV studies and one level II study were included. The average number of cases was 159 cases and the mean patient age was 63.5 years. The mean follow-up period was 4.2 years, ranging from two to nine. The average failure rate of total ankle replacement in mid- to long-term follow-up was approximately 13% (2%~32.3%). The rate of osteolysis was approximately 18%. Residual pain was common (21.4%~46%), but overall patient satisfaction was approximately 85.6% (67.5%~97%). Conclusion: The results could be used as criteria for designing the clinical studies, such as number of cases, patient age (over 60 years), and follow-up period (minimum two years). The clinical scoring system and 36-item short form health survey (SF-36) was the most commonly used method for clinical evaluation for total ankle arthroplasty. In addition, the overall results, including failure rate, osteolysis rate, and patient satisfaction, could be used as a parameter of guidelines for premarket approval.