• Title/Summary/Keyword: Risk cost

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Trends and Costs of External Electrical Bone Stimulators and Grafting Materials in Anterior Lumbar Interbody Fusion

  • D'Oro, Anthony;Buser, Zorica;Brodke, Darrel Scott;Park, Jong-Beom;Yoon, Sangwook Tim;Youssef, Jim Aimen;Meisel, Hans-Joerg;Radcliff, Kristen Emmanuel;Hsieh, Patrick;Wang, Jeffrey Chun
    • Asian Spine Journal
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    • v.12 no.6
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    • pp.973-980
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    • 2018
  • Study Design: Retrospective review. Purpose: To identify the trends in stimulator use, pair those trends with various grafting materials, and determine the influence of stimulators on the risk of revision surgery. Overview of Literature: A large number of studies has reported beneficial effects of electromagnetic energy in healing long bone fractures. However, there are few clinical studies regarding the use of electrical stimulators in spinal fusion. Methods: We used insurance billing codes to identify patients with lumbar disc degeneration who underwent anterior lumbar interbody fusion (ALIF). Comparisons between patients who did and did not receive electrical stimulators following surgery were performed using logistic regression analysis, chi-square test, and odds ratio (OR) analysis. Results: Approximately 19% of the patients (495/2,613) received external stimulators following ALIF surgery. There was a slight increase in stimulator use from 2008 to 2014 (multi-level $R^2=0.08$, single-level $R^2=0.05$). Patients who underwent multi-level procedures were more likely to receive stimulators than patients who underwent single-level procedures (p<0.05; OR, 3.72; 95% confidence interval, 3.02-4.57). Grafting options associated with most frequent stimulator use were bone marrow aspirates (BMA) plus autograft or allograft for single-level and allograft alone for multi-level procedures. In both cohorts, patients treated with bone morphogenetic proteins were least likely to receive electrical stimulators (p<0.05). Patients who received stimulation generally had higher reimbursements. Concurrent posterior lumbar fusion (PLF) (ALIF+PLF) increased the likelihood of receiving stimulators (p<0.05). Patients who received electrical stimulators had similar revision rates as those who did not receive stimulation (p>0.05), except those in the multilevel ALIF+PLF cohort, wherein the patients who underwent stimulation had higher rates of revision surgery. Conclusions: Concurrent PLF or multi-level procedures increased patients' likelihood of receiving stimulators, however, the presence of comorbidities did not. Patients who received BMA plus autograft or allograft were more likely to receive stimulation. Patients with and without bone stimulators had similar rates of revision surgery.

A Study on the Modification of NH4+Y-zeolite for Improving Adsorption/Desorption Performance of Benzene (NH4+Y-zeolite의 개질을 통한 벤젠 흡·탈착 성능 증진 연구)

  • Jang, Young Hee;Noh, Young Il;Lee, Sang Moon;Kim, Sung Su
    • Clean Technology
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    • v.25 no.1
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    • pp.33-39
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    • 2019
  • A.C (activated carbon) is mainly used to remove VOCs (volatile organic compounds), however, it has many problems such as fire risk due to increasing of adsorbent surface temperature during VOCs ad/desorption, increased cost by frequent replacement cycles requirement and performance degradation when containing moisture. In order to solve these problems, many researches, hydrophobic zeolite adsorbents, have been reported. In this study, $NH_4{^+}Y$-zeolite was synthesized with Y-zeolite through steam treatment and acid treatment, which is one of the hydrophobic modification methods, to secure high surface area, thermal stability and humidity resistance. The Y, Y-550-HN, Y-600-HN and Y-650-HN had adsorption capacities of $23mg\;g^{-1}$, $38mg\;g^{-1}$, $77mg\;g^{-1}$, $61mg\;g^{-1}$. The change of Si/Al ratio, which is an index to confirm the degree of modification, was confirmed by XRF (X-ray fluorescence spectrometer) analysis. As a result, the adsorbtion performance was improved when Y-zeolite modified, and the Si/Al ratio of Y, Y-550-HN, Y-600-HN, Y-650-HN were increased to 3.1765, 6.6706, 7.3079, and 7.4635, respectively. Whereas it was confirmed that structural crystallization due to high heat treatment temperature affected performance degradation. Therefore, there is an optimal heat treatment temperature of Y-zeolite, optimum modification condition study could be a substitute for activated carbon as a condition for producing an adsorbent having high durability and stability.

The Application of Fuzzy Logic to Assess the Performance of Participants and Components of Building Information Modeling

  • Wang, Bohan;Yang, Jin;Tan, Adrian;Tan, Fabian Hadipriono;Parke, Michael
    • Journal of Construction Engineering and Project Management
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    • v.8 no.4
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    • pp.1-24
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    • 2018
  • In the last decade, the use of Building Information Modeling (BIM) as a new technology has been applied with traditional Computer-aided design implementations in an increasing number of architecture, engineering, and construction projects and applications. Its employment alongside construction management, can be a valuable tool in helping move these activities and projects forward in a more efficient and time-effective manner. The traditional stakeholders, i.e., Owner, A/E and the Contractor are involved in this BIM system that is used in almost every activity of construction projects, such as design, cost estimate and scheduling. This article extracts major features of the application of BIM from perspective of participating BIM components, along with the different phrases, and applies to them a logistic analysis using a fuzzy performance tree, quantifying these phrases to judge the effectiveness of the BIM techniques employed. That is to say, these fuzzy performance trees with fuzzy logic concepts can properly translate the linguistic rating into numeric expressions, and are thus employed in evaluating the influence of BIM applications as a mathematical process. The rotational fuzzy models are used to represent the membership functions of the performance values and their corresponding weights. Illustrations of the use of this fuzzy BIM performance tree are presented in the study for the uninitiated users. The results of these processes are an evaluation of BIM project performance as highly positive. The quantification of the performance ratings for the individual factors is a significant contributor to this assessment, capable of parsing vernacular language into numerical data for a more accurate and precise use in performance analysis. It is hoped that fuzzy performance trees and fuzzy set analysis can be used as a tool for the quality and risk analysis for other construction techniques in the future. Baldwin's rotational models are used to represent the membership functions of the fuzzy sets. Three scenarios are presented using fuzzy MEAN, AND and OR gates from the lowest to intermediate levels of the tree, and fuzzy SUM gate to relate the intermediate level to the top component of the tree, i.e., BIM application final performance. The use of fuzzy MEAN for lower levels and fuzzy SUM gates to reach the top level suggests the most realistic and accurate results. The methodology (fuzzy performance tree) described in this paper is appropriate to implement in today's construction industry when limited objective data is presented and it is heavily relied on experts' subjective judgment.

A Comparative Case Study on Taiwanese and Korean Semiconductor Companies' Background and Process of Direct Investment in China: Focused on Investment of Factory Facility (한국과 대만 반도체기업들의 중국내 직접투자 배경과 과정에 대한 비교사례연구: 공장설립 투자를 중심으로)

  • Kwun, Young-Hwa
    • International Area Studies Review
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    • v.20 no.2
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    • pp.85-111
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    • 2016
  • Global semiconductor companies is investing enormous capital worldwide. And direct investment in China is increasing greatly these days, Especially, global semiconductor companies are setting up a factory in China due to expanding market rather than utilizing low labor cost. Therefore, this study is trying to analyze the background and process of direct investment from global Korean and Taiwanese semiconductor companies in China. Firstly, In 1996, Samsung semiconductor established a back end process factory in Suzhou. And in 2014, Samsung semiconductor set up a front and back end factory in Xian. Secondly, In 2006, SK Hynix built a front and back end factory in Wuxi. and SK Hynix set up a back end factory named Hitech semiconductor with Chinese company in 2009. Later in 2015, SK Hynix established a back end factory in Chongqing. Thirdly, In 2004, TSMC started to operate a factory in Shanghai, and in 2018, TSMC is going to establish a factory in Nanjing. Lastly, UMC bought a stock to produce product in Chinese local company named HJT, and at the end of 2016, UMC is going to finish building a factory in Xiamen. As a result, it was proved that most companies hoped to expand the chinese market by setting up a factory in china. In addition, Samsung expected to avoid a risk by setting up a factory in china, and SK Hynix wanted to avoid a countervailing duty by setting up a factory in china. Based on the result of this study, this study indicates some implications for other semiconductor companies which are very helpful for their future foreign direct investment.

Personal Training Suggestion System based Hybrid App (하이브리드 앱 기반의 퍼스널 트레이닝 제안 시스템)

  • Kye, Min-Seok;Lee, Hye-Soo;Park, Sung-Hyun;Kim, Dong-Ok;Jung, Hoe-Kyung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.665-667
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    • 2014
  • Wellness is IT fused with the user manage and maintain the health of a service can help you. If you are using an existing Fitness Center to yourself by choosing appliances that fit with the risk of injury in order to learn how the efficient movement had existed for a long time was needed. To resolve, use the personal training but more expensive cost of people's problems, and shown again in the habit of exercising alone will have difficulty. This paper provides a variety of smart phones based on a hybrid app with compatibility with the platform and personalized training market system. Users of the Fitness Center is built into smart phones in the history of their movement sensors or transmits to the Web by typing directly. This is based on exercise programs tailored to users via the training market. Personal training marketplace has a variety of users, check the history of this movement he can recommend an exercise program for themselves can be applied by selecting the. This provides users with the right exercise program can do long-term exercise habits can be proactive and goal setting.

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Designing the Record Management Functions for Record Content Using Advantages of Cloud Storage (클라우드 저장소 장점을 활용한 기록 콘텐츠 관리기능 설계)

  • Yim, Jin-Hee
    • Journal of Korean Society of Archives and Records Management
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    • v.19 no.3
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    • pp.271-292
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    • 2019
  • Recently, the central administrative agency changed its business management system to cloud-based On-nara 2.0. To transfer and manage the records of the cloud business management system, the National Archives Service has developed and distributed a cloud-based records management system. It serves as an opportunity to maximize the benefits of cloud computing and redesign the records management to be more effective and efficient. The process and method of electronic record management can be transformed through digital technologies. First, we can change the transfer method for electronic records. When the business and the records management systems share the same cloud storage, it is possible to transfer the content files between the two systems without moving the contents files physically, thus copying only the metadata and reducing the cost and the risk of integrity damage. Second, the strategy for allocating storage space for contents can be conceived. Assuming that the cloud storage is shared by the business and the record management systems, it is advantageous to distinguish the storage location based on the retention period of the content files. Third, systems that access content files, such as records creation, records management, and information disclosure systems, can share the cloud storage and minimize the duplication of content files.

A Study for Comparison of Geometric Characteristics on Forearms for Improvement of Convinience in Splint Manufacturing with 3D Printing Technology (3D 프린팅 기술을 적용한 스플린트의 제작 용이성 향상을 위한 아래팔 기하 정보 비교에 관한 연구)

  • Chang, Ji Hong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.12 no.5
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    • pp.475-481
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    • 2019
  • A splint is one of assisting devices for the disabled with hemiplegia or contracture and is manually made by an experienced expert. Heated thermoplastic materials are continuously fitted to the affected part. This traditional method has a possible risk of low-temperature burn, quality variance of the splint due to the proficiency of maker. etc. While various approaches has been made using 3D printing technology in order to redeem those disadvantages, they still carry high cost issues with 3D scanners or accuracy issues with manual measurement. This research begins with symmetrical characteristics of human body and focuses on the preliminary study for the possibility of splint manufacturing with 3D printing technology based on geometric characteristics of unaffected arm. 3D right and left forearm models of healthy male adults were created by photogrammetry software and a series of digital images in order to measure the circumference and cross-sectional area of the forearm models at every 20mm from the elbow. The circumference and cross-sectional area showed tolerable levels of differences between both sides within subjects; The circumference and cross-sectional area showed very strong correlations between both sides within subjects. From these findings, the possibility of splint manufacturing with 3D printing technology could be confirmed based on the geometric characteristics of unaffected side.

A Study on Open Source Transition Strategy of Record System (기록시스템의 오픈소스화 전략 연구)

  • An, Dae-jin;Yim, Jin-hee
    • The Korean Journal of Archival Studies
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    • no.52
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    • pp.119-170
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    • 2017
  • This study aims to analyze the environment for the open-source records system and to identify the risk and requirements for the success of the strategy in Korea. For this, Chapter 2 presented a review of the strategic benefits of open source to public organizations, developers, and users. It also discussed the process of cooperatively developing and releasing the source code and the technology infrastructure supporting open source. In Chapter 3, six representative open-source projects in the field of records management were selected, and case studies were conducted. To derive comprehensive implications, we have divided the main development body of open-source projects into international organizations, international cooperation systems, national archives, and software development companies. We also analyzed the background and purpose of each project, the agents of development and funding, the governance model, the development period and cost, the business model and software architecture, the community composition, and the licensing strategy. Through this, we have derived four critical success factors. In terms of technology, a component-based design was required; therefore, we proposed a microservice architecture and a model-view-controller design pattern. Next, it was necessary to reestablish system requirements of records center and archives. Moreover, we also proposed a dual licensing strategy to allow developers to easily participate in open-source projects. Lastly, we emphasized a strong governance structure and an effective cooperation framework to create a sustainable community. For a record system to be open-source successfully in an organization-centered market, the roles of software developers and end users should be exercised more in the community. To achieve this, it is important to build various collaborative tools and development infrastructure from a planning stage to a centralized one.

Case Study of Online Education Using Virtual Training Content (가상훈련 콘텐츠를 사용한 온라인 교육의 사례 연구)

  • Huh, Jun-young;Roh, Hyelan
    • Journal of Practical Engineering Education
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    • v.11 no.1
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    • pp.1-8
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    • 2019
  • Virtual Training is an educational exercise in which the environment or the situation is virtually implemented for specific training and proceed like a real situation. In recent years, the virtual reality technology has developed rapidly, and the demand for experiencing situation that are not directly experienced in the real world is increasing more and more in virtual reality. Particularly, there is an increasing demand of contents for hands-on training and virtual training for equipment training that replaces high-risk and high-cost industry training. The virtual training contents have been developed and utilized for the purpose of technical training. However, it is known that virtual training is more effective when it is used as a supplementary training material or combined with e-learning contents rather than replacing one training course with virtual training contents because purpose and effect are different from general technical training course. In this study, we explored the development method for effective utilization of electrohydraulic servo control process, which is the virtual reality contents developed in 2017 in combination with e-learning contents. In addition, in order to establish a teaching and learning strategy, we actually develop and operate a case studies using virtual training contents. Surveys and case studies are conducted to investigate the effects of teaching and learning strategies applied in the classroom on students and their educational usefulness.

Analysis of Seasonal Importance of Construction Hazards Using Text Mining (텍스트마이닝을 이용한 건설공사 위험요소의 계절별 중요도 분석)

  • Park, Kichang;Kim, Hyoungkwan
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.41 no.3
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    • pp.305-316
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    • 2021
  • Construction accidents occur due to a number of reasons-worker carelessness, non-adoption of safety equipment, and failure to comply with safety rules are some examples. Because much construction work is done outdoors, weather conditions can also be a factor in accidents. Past construction accident data are useful for accident prevention, but since construction accident data are often in a text format consisting of natural language, extracting construction hazards from construction accident data can take a lot of time and that entails extra cost. Therefore, in this study, we extracted construction hazards from 2,026 domestic construction accident reports using text mining and performed a seasonal analysis of construction hazards through frequency analysis and centrality analysis. Of the 254 construction hazards defined by Korea's Ministry of Land, Infrastructure, and Transport, we extracted 51 risk factors from the construction accident data. The results showed that a significant hazard was "Formwork" in spring and autumn, "Scaffold" in summer, and "Crane" in winter. The proposed method would enable construction safety managers to prepare better safety measures against outdoor construction accidents according to weather, season, and climate.