• Title/Summary/Keyword: following system

Search Result 7,867, Processing Time 0.229 seconds

Effect of Mixture of Recombinant Human Bone Morphogenic Protein-2 and Demineralized Bone Matrix in Lateral Lumbar Interbody Fusion

  • Jun Ik Son;Young-Seok Lee;Myeong Jin Ko;Seong-Hyun Wui;Seung Won Park
    • Journal of Korean Neurosurgical Society
    • /
    • v.67 no.3
    • /
    • pp.354-363
    • /
    • 2024
  • Objective : This study aims to determine the optimal dose of recombinant-human bone morphogenic protein-2 (rhBMP-2) for successful bone fusion in minimally invasive lateral lumbar interbody fusion (MIS LLIF). Previous studies show that rhBMP is an effective alternative to autologous iliac crest bone graft, but the optimal dose remains uncertain. The study analyzes the fusion rates associated with different rhBMP doses to provide a recommendation for the optimal dose in MIS LLIF. Methods : Ninety-three patients underwent MIS LLIF using demineralized bone matrix (DBM) or a mixture of rhBMP-2 and DBM as fusion material. The group was divided into the following three groups according to the rhBMP-2 usage : group A, only DBM was used (n=27); group B, 1 mg of rhBMP-2 per 5 mL of DBM paste (n=41); and group C, 2 mg of rhBMP-2 per 5 mL of DBM paste (n=25). Demographic data, clinical outcomes, postoperative complication and fusion were assessed. Results : At 12 months post-surgery, the overall fusion rate was 92.3% according to Bridwell fusion grading system. Groups B and C, who received rhBMP-2, had significantly higher fusion rates than group A, who received only DBM. However, there was no significant increase in fusion rate when the rhBMP-2 dosage was increased from group B to group C. The groups B and C showed significant improvement in back pain and Oswestry disability index compared to the group A. The incidence of screw loosening was decreased in groups B and C, but there was no significant difference in the occurrence of other complications. Conclusion : Usage of rhBMP-2 in LLIF surgery leads to early and increased final fusion rates, which can result in faster pain relief and return to daily activities for patients. The benefits of using rhBMP-2 were not significantly different between the groups that received 1 mg/5 mL and 2 mg/5 mL of rhBMP-2. Therefore, it is recommended to use 1 mg of rhBMP-2 with 5 mL of DBM, taking both economic and clinical aspects into consideration.

Suggesting an Operating Model and Exploring the Feasibility of a Librarian Learning Community (사서학습공동체 도입 가능성 탐색 및 운영 모델 제안)

  • Youngmi Jung;Eun-Ju Lee
    • Journal of Korean Library and Information Science Society
    • /
    • v.55 no.1
    • /
    • pp.69-97
    • /
    • 2024
  • It is important to plan and operate various training programs at the national level to develop librarians' job performance expertise and future-oriented capabilities. The purpose of this study was to examine the possibility of introducing a librarian learning community as an training program at a professional education and training institution and to suggest an appropriate operation method. To this end, research was conducted using the following contents and methods: 1) theoretical discussion on program operation such as the concept, operation stages, and types of a librarian learning community through a review of related literature; 2) exploring the possibility of operating a librarian learning community through pilot operation and derivation of implications, 3) proposal of a librarian learning community operation model. This study reviewed the librarian learning community operating model through participant observation and participant opinion collection during the pilot operation process to minimize confusion in the early stages of implementation, and also presented an operational roadmap and support system for the successful establishment of the program in the future. There is a need to further develop the librarian learning community operating model presented in this study through implementation and empirical analysis over the next several years. However, the results of this study will also be useful as an initial operating model for a learning community for professional education and training in other fields.

Development and mathematical performance analysis of custom GPTs-Based chatbots (GPTs 기반 문제해결 맞춤형 챗봇 제작 및 수학적 성능 분석)

  • Kwon, Misun
    • Education of Primary School Mathematics
    • /
    • v.27 no.3
    • /
    • pp.303-320
    • /
    • 2024
  • This study presents the development and performance evaluation of a custom GPT-based chatbot tailored to provide solutions following Polya's problem-solving stages. A beta version of the chatbot was initially deployed to assess its mathematical capabilities, followed by iterative error identification and correction, leading to the final version. The completed chatbot demonstrated an accuracy rate of approximately 89.0%, correctly solving an average of 57.8 out of 65 image-based problems from a 6th-grade elementary mathematics textbook, reflecting a 4 percentage point improvement over the beta version. For a subset of 50 problems, where images were not critical for problem resolution, the chatbot achieved an accuracy rate of approximately 91.0%, solving an average of 45.5 problems correctly. Predominant errors included problem recognition issues, particularly with complex or poorly recognizable images, along with concept confusion and comprehension errors. The custom chatbot exhibited superior mathematical performance compared to the general-purpose ChatGPT. Additionally, its solution process can be adapted to various grade levels, facilitating personalized student instruction. The ease of chatbot creation and customization underscores its potential for diverse applications in mathematics education, such as individualized teacher support and personalized student guidance.

Implant-assisted removable partial denture restoration in small number of residual teeth in mandible: A case report (하악 소수 잔존치 환자에서 임플란트 보조 국소의치 수복 증례)

  • Jong-Ha Park;Jee-Hwan Kim
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.62 no.3
    • /
    • pp.215-223
    • /
    • 2024
  • The patient in this case presented with a desire to have new dentures due to discomfort with existing ones. At the initial visit, all of teeth were missing except for the mandibular left second molar. As the patient was 65 years old, treatment with dentures and implant-supported prostheses was possible under the national health insurance system, and the patient opted for the mandibular denture using implant. Temporary prostheses were initially provided for patient adaptation, and following successful adaptation period, the treatment progressed. A maxillary complete denture and a mandibular implant-supported denture using two implants in the canines were fabricated. The mandibular denture is a Kennedy Class II removable partial denture which consists of a six-unit porcelain fused to metal fixed dental prostheses supported by the implant in the canines on both sides and left second molar serving as the abutments. Despite severe bone resorption and insufficient abutment teeth, the patient expressed satisfaction with the treatment results. In cases with economic and anatomical constraints affecting the feasibility of complete denture, implant-supported overdenture, and implant-supported fixed dental prostheses, an implant-assisted removable partial denture using implant surveyed crowns proves to be a viable and effective alternative treatment option. Nevertheless, the current dearth of scientifically rigorous studies underscores the necessity for meticulous regular check-up and occlusal assessment.

Comparison of Internal Audits by A University Hospital Institutional Review Board Members and Quality Assurance Officers: Factors Influencing Internal Audit Results (A 대학병원 Institutional Review Board 위원 기반 내부 점검 사례 및 Quality Assurance 담당자 내부 점검과의 비교: 내부 점검 결과에 영향을 미치는 요인)

  • Na-Ya Ha;Byung-In Choe
    • The Journal of KAIRB
    • /
    • v.6 no.2
    • /
    • pp.48-55
    • /
    • 2024
  • Purpose: The purpose of this study is to introduce the Institutional Review Board (IRB) member-based internal audit method performed at A University Hospital, a secondary medical institution, and to identify the differences in audit results according to the characteristics of each auditor and the factors affecting the internal audit results. Furthermore, we will find out what needs to be improved in the internal audits to achieve Quality assurance (QA) objectives for human subject research conducted in medical institutions. Methods: The auditors were divided into group A (IRB member belonging to institution A) and group B (clinical trial QA administrator belonging to other institutions) and independently inspected the 2 studies using the same internal audit checklist (consisting of 11 domains, 130 items), and the differences in the internal inspection checklists written by each auditor were compared and analyzed. Results: In the case of audit for the study 1, the number of missing checklists is 1 for group A and 0 for group B, and the number of the matters to be pointed out is 1 for group A and 12 for group B. In the case of audit for the study 2, the number of missing checklists is 2 for both A and B, and the number of points is 5 for A and 4 for B. The differences in the internal audit results written by each auditor that the authors verified are summarized as follows. First, there were more comments from group B auditor than from group A auditor. Second, the results may vary because each auditor has different criteria for evaluating the appropriateness of an item. Third, there are cases where the questions on the checklist are vague or the definition is not clear, so they have the same opinion but check it with different answers. Fourth, if the auditors make a mistake when filling out the checklist, it causes to led to different the results. Conclusion: We propose the following items that should be improved in order to conduct consistent and efficient internal audits. First, it is necessary to test the tool in order to carry out reliable and consistent internal audits. Second, it is necessary to complete specialized training related to internal audit before conducting internal audit. Third, before notifying the audit results, it is necessary to have a procedure or a final review system to check whether the audit contents are appropriate. Fourth, Institutional support is needed to recruit specialized personnel for internal audits.

  • PDF

A Case Study on Nongak and Dangsanje as Regional Sources of Influence on the Formation of Jeungsan Thought: Focused on Jeongeup City, Jeonbuk-do Province (증산사상(甑山思想) 형성에 미친 지역적 영향원(影響源)으로서의 농악·당산제에 관한 사례적 고찰 -정읍지역을 중심으로-)

  • Heo Jeong-joo
    • Journal of the Daesoon Academy of Sciences
    • /
    • v.49
    • /
    • pp.127-156
    • /
    • 2024
  • The purpose of this study is to examine the influence of the village gut (shamanic ritual) Dangsanje and Nong-ak (agricultural musical ritual) in the Jeong-eup Province on the formation of the ideology of the Jeungsan (甑山), Kang Il-sun (姜一淳 1871~1909), a thinker from Jeong-eup. As a result, this article has reached the following conclusions: first, the ideas of a certain thinker are influenced by the local culture in which they were born and raised. Second, the central area where Kang Jeungsan was born, grew up, and later developed his system of philosophical thought was the Jeong-eup Province. Third, in Jeong-eup, Nong-ak is traditionally accompanied as a necessary requirement. Fourth, the Nong-ak that Kang Jeungsan witnessed in his hometown during his lifetime had those qualities. Fifth, Kang Jeungsan empirically identified the close interrelationship between Village Gut Dangsanje, Nong-ak, and Mudanggut from an early age. Sixth, this aspect of influence is tangibly reflected in the words and actions he left behind. Seventh, Kang Jeungsan's experience of Jeong-eup Nong-ak was recreated in the religious music of Bocheonism, where his ideas were formulated into an organized religion for the first time. Eighth, this process of religionizing Nong-ak in Bocheonism greatly influenced later Jeong-eup Nong-ak and also Honam Nong-ak more generally.

A Preliminary Study on Competency Extraction for Fashion Design and Merchandising Majors (패션디자인 및 머천다이징 전공의 역량 추출에 대한 기초 연구)

  • Lee, Hana;Lee, Yhe-Young
    • Journal of Korean Home Economics Education Association
    • /
    • v.36 no.2
    • /
    • pp.101-117
    • /
    • 2024
  • The aim of this study is to identify the competencies required for fashion-related majors that meet contemporary demands, align with the objectives of university education, and reflect the qualities desired in graduates. To achieve this goal, we conducted content analysis of relevant data and in-depth interviews with experts. First, the content analysis involved coding key information from the introductions, educational goals, desired qualities of graduates, and curricula published on the websites of both South Korea and international fashion-related universities. Additionally, we analyzed the National Competency Standards (NCS) and the Meta-goals of higher education programs set by the International Textile Apparel Association (ITAA), extracting six core competencies. Second, in-depth interviews were conducted with six experts, each with 23 to 31 years of experience in Korean and international apparel industry and academia. The interviews were recorded, transcribed, and keywords were extracted. To ensure the validity of the coding results, cross-checks were performed among the researchers. The analysis identified the following competencies: empathic communication, social responsibility, professional thinking, creative and integrative thinking, global perspective, and challenging leadership. Based on these findings, establishing competencies that meet contemporary demands and developing corresponding curricula are essential steps towards creating a feedback system. Future research should focus on developing and implementing curricula that foster a virtuous cycle, ultimately enhancing students' competency levels.

The Effect of Project Based Learning Using Earth Science Data on Middle School Students' Knowledge-information Processing Competency, Communication and Collaboration Competency (지구과학 데이터 활용 프로젝트 학습이 중학생의 지식정보 처리 역량 및 의사소통과 협업 역량에 미치는 영향)

  • SuJin Ju;JaHeon Noh;JongHee Kim
    • Journal of the Korean Society of Earth Science Education
    • /
    • v.17 no.2
    • /
    • pp.137-152
    • /
    • 2024
  • The purpose of this study is to develop a project-based learning program utilizing Earth science data and to evaluate its effects on students' knowledge-information processing competency and communication and collaboration competency. To achieve this, the ADDIE instructional design model was employed to create the program, which was then implemented with 75 second-year middle school students. The program's effectiveness was assessed using paired sample t-tests on the results of tests measuring knowledge-information processing competency and communication and collaboration competency. Additionally, reflection journals were analyzed to identify students' interest in and difficulties with the program. The study's conclusions are as follows: first, the Earth science data-based project learning program comprises three themes: 'Journey through the Planets of the Solar System,' 'I am a Marine Expert,' and 'Planning a Tidal Flat Experience Program.' Second, following the program's implementation, there was a significant improvement in the overall students' knowledge-information processing competency. Third, the program also led to a significant enhancement in students' communication and collaboration competency. Based on these findings, the study suggests the need for specific and continuous teacher support to provide students with successful experiences through the program, overcoming challenges in program implementation through collaboration with the information subject, and conducting research that microscopically analyzes students' interactions.

Analysis of Career Education in the 2022 Revised Curriculum (2022 개정 교육과정에 나타난 진로 교육 분석)

  • Yoon Ok Han
    • The Journal of the Convergence on Culture Technology
    • /
    • v.10 no.5
    • /
    • pp.107-115
    • /
    • 2024
  • Curriculum revision is a very important process for improving students' learning achievement and abilities, responding to social needs, strengthening equality and inclusiveness, strengthening teachers' professionalism, strengthening national competitiveness, and responding to the era of globalization, and for continuous development and innovation. Through this, we can provide better educational opportunities and environments for future generations. The 2022 revised curriculum is a curriculum that reflects the knowledge and skills students need in modern society and enables them to respond to changes in industry and society. The purpose of this study is to present the direction of career education by analyzing the career education shown in the 2022 revised curriculum. If we analyze only the contents related to career education in the 2022 revised curriculum that directly mention career and occupation, the following contents are found. First, in the curriculum for future response, contents related to career education appear in the strengthening of basic digital knowledge. Second, in the field of autonomous innovation support tasks at school sites, the organization of the free semester system and improvement plans are presented among the details of the improvement of flexibility in the operation of the elementary and secondary school curriculum. Third, in the area of strengthening learner-customized education, the core of career education is strengthening career-linked education between elementary, middle and high schools. Career education is mentioned in the area of the detail itself. As such, it is no exaggeration to say that the core content of the 2022 revised curriculum is career education. The direction and contents of career education are faithfully reflected in the 2022 revised curriculum.

A Study on Cognitive Warfare Implementation Methods Based on Analysis of Recent War Cases (최근 전쟁 사례분석에 기초한 인지전 수행 방안 연구)

  • Jun-Hak Sim;Sun-Il Yang;Je-Young Lee
    • The Journal of the Convergence on Culture Technology
    • /
    • v.10 no.5
    • /
    • pp.195-200
    • /
    • 2024
  • The purpose of this study is to propose optimized cognitive warfare strategies for the Korean Peninsula by analyzing recent war case studies. Through the analysis of the Armenia-Azerbaijan war, the Israel-Palestine conflict, the Ukraine-Russia war, and the Israel-Hamas conflict, it was found that the following aspects are crucial in conducting cognitive warfare: 1) applying methods according to objectives, 2) organizing and structuring appropriately to the objectives and means, and 3) utilizing various means from both civilian and military sectors. Based on these findings, cognitive warfare strategies optimized for the operational environment of the Korean Peninsula were suggested in terms of the three elements of military innovation. From the aspect of methodology, it is recommended to develop cognitive warfare scenarios based on legitimacy and legality, and to integrate roles according to the level of warfare. Regarding organization and structuring, the establishment of a national-level control tower and the construction of an integrated response system involving civilians, government, military, and police based on legislation are proposed. In terms of means, it is suggested to utilize various tools from the civilian, government, military, and police sectors, such as North Korean defectors, psychological warfare broadcasts against North Korea, social media, and cyber operations, for auditory, visual, and message delivery. In future battlefields characterized by hyper-connectivity and hyper-intelligence, the execution of cognitive warfare will become increasingly important. Therefore, it is necessary to continuously develop optimized cognitive warfare strategies for the Korean Peninsula through comprehensive national efforts.