• Title/Summary/Keyword: Systematic reduction study

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Arthroscopic Repair versus Non-operative Treatment of First-time Traumatic Anterior Shoulder Dislocations: A Numbers-needed-to-treat Analysis for Prevention of Recurrent Dislocations

  • Park, Jihong;Cosby, Nicole L.
    • Clinics in Shoulder and Elbow
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    • v.19 no.2
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    • pp.110-116
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    • 2016
  • Background: Arthroscopic surgical repair is a better intervention than non-operative (conservative) treatment for patients with shoulder dislocations. This systematic review determined the numbers-needed-to-treat (NNT) and relative risk reduction (RRR) associated with arthroscopic surgical repair versus non-operative treatment in reducing recurrence rates among patients with first-time traumatic anterior shoulder dislocations. Methods: We searched Google Scholar, MEDLINE, SPORTDiscus, and CINAHL from inception in 2015. All articles had to compare arthroscopic surgical repair and non-operative treatment and be written in English. We used the total number of subjects and the number of recurrent dislocations within each treatment to calculate the NNT and RRR for each study and the pooled data. Results: Six articles were selected and all clearly demonstrated that the arthroscopic surgical repair was more effective than non-operative treatment in reducing the recurrence episodes. The pooled NNT was 1.76 (95% confidence interval [CI]=NNT to benefit 1.50-2.13) and the pooled RRR was 86.0% (95% CI=77.0%-92.0%) among individuals who underwent arthroscopic repair. The average follow-up time was 56 months. Conclusions: A Strength of Recommendation Taxonomy level of evidence of 1 with a grade A recommendation supports the use of arthroscopic surgical repair over non-operative treatment in prevention of first-time traumatic anterior shoulder dislocations. We suggest that sports medicine practitioners consider the patients' age, occupation, and physical activity level when making a clinical decision.

Development of Priority Evaluation Framework for IT System Consolidation using Global Single Instance in Hightech Industry (하이테크 분양의 GSI 구현 대상 우선순위 평가 방법 및 적용 방안 연구)

  • Lee, Chi-Hun;Chang, Min-Yong;Seo, Jong-Hyen
    • Journal of the Korea Safety Management & Science
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    • v.11 no.1
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    • pp.175-182
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    • 2009
  • The effort for GSI based IT system consolidation has been continued due to the increase of the system and complication increase of system connection, mainly by the global company. Since successful example of GSI realization by part of developed company affect to Korea, global level IT system consolidation has been examined mainly by the domestic company that have great deal of overseas business. Although they have examined consolidation possibility mainly on R&D, finance, operation management part which is the base part of company management, there are limitation for consolidation realization because of the difference between regional business problem of huge cost needed for consolidation. To overcome these realization limitations, it is necessary to lead risk and cost reduction through stepwise part unity and decide Priority Evaluation Framework for Consolidation target and systematic consolidation strategy. For GSI realization, appropriate distributions of unification time according to target system are needed. In this study, based on easiness and usefulness of consolidation and connection between the targets, evaluation methodology for Priority Evaluation Framework of system consolidation has been developed. Priority Evaluation Framework has been decided by applying developed methodology to global production company of high tech industrial part. Through this methodology, companies can realize successful and stable GSI by investing global resources intensively by Priority Evaluation Framework of consolidation target system.

A Study on the Transition of Spatial Structure in Libraries with Special Reference to Rhizome and Hypertext (리좀과 하이퍼텍스트 관점에서 본 도서관 공간구조의 이해)

  • Choi, Yoon-Kyung;Kim, Min-Jung
    • Korean Institute of Interior Design Journal
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    • v.15 no.6 s.59
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    • pp.111-119
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    • 2006
  • The spatial property of contemporary library is now rapidly changing through the spatial expansion of knowledge and information, the reduction of information storing facility, the variation of approaching methods by digital shift and the transition of social recognition as a cultural facility. Also the spatial characteristics with referring characters have developed such as, decentralization, de-construction, de-boundary, individual space, erasing of boundary, flow of space which extends infinitely. The main process of library origination, the systematic classification, and the storage system concluding with the demand and value of the information by changing social demands and the role of the widest ranged facility. And 5 themes, such as, hierarchy, center, storage, boundary, and symbol, as a changed spatial concept and analyzed in the case of library plans and libraries which are actually built. The significant purpose of this research is to propose that rhizomatous intellectuality and hypertext could be a theoretical background of the contemporary architecture and could be a viewpoint of the transition of spatial structure in libraries. A future library should have spatial property embracing various social changes and needs and for this respect, it is necessary to approach and analyze through the architectural explication from diverging points of view.

Review of Classification Models for Reliability Distributions from the Perspective of Practical Implementation (실무적 적용 관점에서 신뢰성 분포의 유형화 모형의 고찰)

  • Choi, Sung-Woon
    • Journal of the Korea Safety Management & Science
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    • v.13 no.1
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    • pp.195-202
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    • 2011
  • The study interprets each of three classification models based on Bath-Tub Failure Rate (BTFR), Extreme Value Distribution (EVD) and Conjugate Bayesian Distribution (CBD). The classification model based on BTFR is analyzed by three failure patterns of decreasing, constant, or increasing which utilize systematic management strategies for reliability of time. Distribution model based on BTFR is identified using individual factors for each of three corresponding cases. First, in case of using shape parameter, the distribution based on BTFR is analyzed with a factor of component or part number. In case of using scale parameter, the distribution model based on BTFR is analyzed with a factor of time precision. Meanwhile, in case of using location parameter, the distribution model based on BTFR is analyzed with a factor of guarantee time. The classification model based on EVD is assorted into long-tailed distribution, medium-tailed distribution, and short-tailed distribution by the length of right-tail in distribution, and depended on asymptotic reliability property which signifies skewness and kurtosis of distribution curve. Furthermore, the classification model based on CBD is relied upon conjugate distribution relations between prior function, likelihood function and posterior function for dimension reduction and easy tractability under the occasion of Bayesian posterior updating.

Changes in Parks and Green Spaces Ratio According to Land Ownership Processing Method in Urban Development

  • Lee, Sang Jo;Huh, Keun Young;Chung, Jae Woo
    • Journal of People, Plants, and Environment
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    • v.21 no.6
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    • pp.545-555
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    • 2018
  • The purpose of this study was to analyze land use plans of 61 residential complexes and identify the factors that caused the variation of urban parks and green space ratio depending on the land ownership processing method. The ratio of urban parks and green space of expropriation districts was higher than that of replotting districts. Within the same city and country as well as other regions, the parks and green space ratio of land expropriation districts increased higher than 7% compared to that of replotting districts. The variation of urban parks and green space ratio was mainly related to the ratio of road. Small housing complexes such as detached house and quasi-residential sites resulted to expand space for road construction, thus, the areas of urban parks or green space came to reduce. The average urban parks and green space ratio in the urban development by the expropriation method and replotting method are 24.5% and 16.8% respectively. In order to prevent the reduction of urban parks and green space ratio according to the preference of detached house sites or quasi-residential sites in development zones, it is necessary to make systematic adjustment such as adjusting the urban parks and green space ratio securing standard.

Seismic response assessment of high-strength concrete frames strengthened with carbon fiber reinforced polymers

  • Rahmdel, Javad Mokari;Vahid-Vahdattalab, Farzin;Shafei, Erfan;Zirakian, Tadeh
    • Structural Engineering and Mechanics
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    • v.77 no.6
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    • pp.735-744
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    • 2021
  • In recent years, the use of new materials and technologies with the aim of developing high-performing and cost-effective structures has greatly increased. Application of high-strength concrete (HSC) has been found effective in reducing the dimensions of frame members; nonetheless, such reduction in dimensions of structural elements in the most cases may result in the lack of accountability in the tolerable drift capacity. On this basis, strengthening of frame members using fiber reinforced polymers (FRPs) may be deemed as an appropriate remedy to address this issue, which albeit requires comprehensive and systematic investigations. In this paper, the performance of properly-designed, two-dimensional frames made of high-strength concrete and strengthened with Carbon Fiber Reinforced Polymers (CFRPs) is investigated through detailed numerical simulation. To this end, nonlinear dynamic time history analyses have been performed using the Seismosoft software through application of five scaled earthquake ground motion records. Unstrengthened (bare) and strengthened frames have been analyzed under seismic loading for performance assessment and comparison purposes. The results and findings of this study show that use of CFRP can be quite effective in seismic response improvement of high-strength-concrete structures.

Prior Literature Analysis: The Reduction of Employee Perceived Stress through Aromatherapy

  • CHO, Hyun-Joo;KWON, Ki-Han
    • The Journal of Industrial Distribution & Business
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    • v.13 no.7
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    • pp.7-16
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    • 2022
  • Purpose: The therapeutic process has various benefits since it relives most of the stresses that people are undergoing in their various working places. Thus this study will determine this process's impact on workers in their different working places. Most of the workers that are being affected by stress and use this technique are the nurses. Research design, data and methodology: The present research conducted the PRISMA process which are important in research as it provides information that individual studies cannot. Guided by a specific research question, systematic reviews collate empirical evidence that fits particular criteria to provide a summary of available evidence. Results: The findings of all fifteen investigations were reviewed, but those with the strongest evidence were given more weight. Observers should be aware that the findings on aromatherapy approaches for nurses and patients are so uniform that advice might apply to both in a high acuity workplace. Conclusions: This research concludes that with the exception of a few rare exceptions, aromatherapy is a very efficient and safe treatment that does not build up in the body, but instead is expelled via the lungs, liver and kidneys. Non-invasive aromatherapy immediately affects the brain, and anyone may give the treatment at any time or place, regardless of the location.

Evaluation of Setup Uncertainty on the CTV Dose and Setup Margin Using Monte Carlo Simulation (몬테칼로 전산모사를 이용한 셋업오차가 임상표적체적에 전달되는 선량과 셋업마진에 대하여 미치는 영향 평가)

  • Cho, Il-Sung;Kwark, Jung-Won;Cho, Byung-Chul;Kim, Jong-Hoon;Ahn, Seung-Do;Park, Sung-Ho
    • Progress in Medical Physics
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    • v.23 no.2
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    • pp.81-90
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    • 2012
  • The effect of setup uncertainties on CTV dose and the correlation between setup uncertainties and setup margin were evaluated by Monte Carlo based numerical simulation. Patient specific information of IMRT treatment plan for rectal cancer designed on the VARIAN Eclipse planning system was utilized for the Monte Carlo simulation program including the planned dose distribution and tumor volume information of a rectal cancer patient. The simulation program was developed for the purpose of the study on Linux environment using open source packages, GNU C++ and ROOT data analysis framework. All misalignments of patient setup were assumed to follow the central limit theorem. Thus systematic and random errors were generated according to the gaussian statistics with a given standard deviation as simulation input parameter. After the setup error simulations, the change of dose in CTV volume was analyzed with the simulation result. In order to verify the conventional margin recipe, the correlation between setup error and setup margin was compared with the margin formula developed on three dimensional conformal radiation therapy. The simulation was performed total 2,000 times for each simulation input of systematic and random errors independently. The size of standard deviation for generating patient setup errors was changed from 1 mm to 10 mm with 1 mm step. In case for the systematic error the minimum dose on CTV $D_{min}^{stat{\cdot}}$ was decreased from 100.4 to 72.50% and the mean dose $\bar{D}_{syst{\cdot}}$ was decreased from 100.45% to 97.88%. However the standard deviation of dose distribution in CTV volume was increased from 0.02% to 3.33%. The effect of random error gave the same result of a reduction of mean and minimum dose to CTV volume. It was found that the minimum dose on CTV volume $D_{min}^{rand{\cdot}}$ was reduced from 100.45% to 94.80% and the mean dose to CTV $\bar{D}_{rand{\cdot}}$ was decreased from 100.46% to 97.87%. Like systematic error, the standard deviation of CTV dose ${\Delta}D_{rand}$ was increased from 0.01% to 0.63%. After calculating a size of margin for each systematic and random error the "population ratio" was introduced and applied to verify margin recipe. It was found that the conventional margin formula satisfy margin object on IMRT treatment for rectal cancer. It is considered that the developed Monte-carlo based simulation program might be useful to study for patient setup error and dose coverage in CTV volume due to variations of margin size and setup error.

Nutrient production from dairy cattle manure and loading on arable land

  • Won, Seunggun;Shim, Soo-Min;You, Byung-Gu;Choi, Yoon-Seok;Ra, Changsix
    • Asian-Australasian Journal of Animal Sciences
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    • v.30 no.1
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    • pp.125-132
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    • 2017
  • Objective: Along with increasing livestock products via intensive rearing, the accumulation of livestock manure has become a serious issue due to the fact that there is finite land for livestock manure recycling via composting. The nutrients from livestock manure accumulate on agricultural land and the excess disembogues into streams causing eutrophication. In order to systematically manage nutrient loading on agricultural land, quantifying the amount of nutrients according to their respective sources is very important. However, there is a lack of research concerning nutrient loss from livestock manure during composting or storage on farms. Therefore, in the present study we quantified the nutrients from dairy cattle manure that were imparted onto agricultural land. Methods: Through investigation of 41 dairy farms, weight reduction and volatile solids (VS), total nitrogen (TN), and total phosphorus (TP) changes of dairy cattle manure during the storage and composting periods were analyzed. In order to support the direct investigation and survey on site, the three cases of weight reduction during the storing and composting periods were developed according to i) experiment, ii) reference, and iii) theoretical changes in phosphorus content (${\Delta}P=0$). Results: The data revealed the nutrient loading coefficients (NLCs) of VS, TN, and TP on agricultural land were 1.48, 0.60, and 0.66, respectively. These values indicated that the loss of nitrogen and phosphorus was 40% and 34%, respectively, and that there was an increase of VS since bedding materials were mixed with excretion in the barn. Conclusion: As result of nutrient-footprint analyses, the amounts of TN and TP particularly entered on arable land have been overestimated if applying the nutrient amount in fresh manure. The NLCs obtained in this study may assist in the development of a database to assess the accurate level of manure nutrient loading on soil and facilitate systematic nutrient management.

A Study on the Peak Runoff Reduction Effect of Seolleung·Jeongneung Zone by Applying LID(Low Impact Development) System based on the Landscape Architectural Technology (조경기술기반 LID 시스템 적용을 통한 선릉·정릉 권역의 첨두유출량 분석)

  • Kim, Tae-Han;Choi, Jong-Hee
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.35 no.4
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    • pp.126-133
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    • 2017
  • This study analyzed hydrological changes of stormwater runoff of Seolleung Jeongneung zone according to the application of LID system based on landscape Architectural technology. The results are as follows. First, when flooding occurred in Gwanghwamun in July 27, 2011, the maximum instantaneous rainfall amount was 183 mm/hr recorded at 10:00 on 27th for 10 minutes, and it was confirmed that rainfall intensity more than three times as high as the maximum rainfall of 57.5 mm/hr. Second, it is possible to control peak flow rate in the case of 1,500mm of soil thickness, so that it is possible to improve the vulnerability of flood damage in Seolleung and Jeongneung zone when applying the LID system. Third, in the berm height scenario, peak flow rate control was not controled in all depth level models, but the first stormwater runoff was delayed by 4 hours and 10 minutes compared to the soil thickness scenario. It was interpreted as a relatively important indicator the soil thickness for the initial stromwater runoff reduction and the berm height for the peak runoff. Through this, the systematic adaptation of landscape-friendly ecological factors within the cultural property protection zone could theoretically confirm the effects of flood disaster prevention.