• Title/Summary/Keyword: Location analysis

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Determinants for further wishes for cosmetic and reconstructive interventions in 1652 patients with surgical treated carcinomas of the oral cavity

  • Holtmann, Henrik;Spalthoff, Simon;Gellrich, Nils-Claudius;Handschel, Jorg;Lommen, Julian;Kubler, Norbert R.;Kruskemper, Gertrud;Rana, Majeed;Sander, Karoline
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.26.1-26.10
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    • 2017
  • Background: The impairment of the appearance is a major problem for patients with carcinomas of the oral cavity. These patients want to recover their preoperative facial appearance. Some do not realize that this is not always possible and hence develop a desire for further cosmetic and reconstructive surgery (CRS) which often causes psychological problems. Method: The desire of patients for CRS (N = 410; 26%) has been acquired in this $D{\ddot{O}}SAK$ rehab study including multiple reasons such as medical, functional, aesthetic and psychosocial aspects. They relate to the parameters of diagnosis, treatment and postoperative rehabilitation. Patients without the wish for CRS (N = 1155; 74%) served as control group. For the surgeons, knowledge of the patient's views is relevant in the wish for CRS. Nevertheless, it has hardly been investigated for patients postoperatively to complete resection of oral cancer. In this retrospective cross-sectional study, questionnaires with 147 variables were completed during control appointments. Thirty-eight departments of Oral and Maxillofacial Surgery took part, and 1652 German patients at least 6 months after complete cancer resection answered the questions. Additionally, a physician's questionnaire (N = 1489) was available. Statistical analysis was performed with SPSS vers. 22. Results: The patient's assessment of their appearance and scarring are the most important criteria resulting in wishes for CRS. Furthermore, functional limitations such as eating/swallowing, pain of the facial muscles, numb regions in the operating field, dealing with the social environment, return to work, tumour size and location, removal and reconstruction are closely related. Conclusion: The wish for CRS depends on diverse functional psychosocial and psychological parameters. Hence, it has to be issued during conversation to improve rehabilitation. A decision on the medical treatment can be of greater satisfaction if the surgeon knows the patients' needs and is able to compare them with the medical capabilities. The informed consent between doctor and patient in regard to these findings is necessary.

INFLUENCE OF CENTRAL PANORAMIC CURVE DEVIATION ON THE MANDIBULAR IMAGE RECONSTRUCTION IN THE IMPLANT CT (임플랜트전산화단층촬영시 CENTRAL PANORAMIC CURVE의 변화가 하악골의 영상 재구성에 미치는 영향)

  • Park Rae-Jeong;Lee Sam-Sun;Choi Soon-Chul;Park Tae-Won;You Dong-Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.28 no.1
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    • pp.47-58
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    • 1998
  • The purpose of this study was to investigate an influence of the change of central panoramic curves on the image reconstruction in the dental implant CT. The author designed three experimental groups according to the location of central panoramic curve. In group A, central panoramic curve was determined as the curve connecting the center of roots from the first premolar to the first molar. In group B, central panoramic curve was determined as the line connecting the lingual cortical plate at the level of the mesial aspect of the first premolar with the buccal cortical plate at the level of the mesial aspect of the first molar. In Group C, central panoramic curve was determined as the line connecting the buccal cortical plate at the level of the mesial aspect of the first premolar with the lingual cortical plate at the level of the mesial aspect of the first molar. Twenty four reformatted CT images was acquired from four mandibles embedded in the resin block and twenty four contact radiographs of dog specimens were acquired. Each Image was processed under Adobe Photoshop program analysed by MSPA(mandible/maxilla shape pattern analysis) variables such as MXVD, MXHD, UHD, MHD, and LHD. The obtained results were as follows ; 1. The mean of MXVD variable was 19.9, 20.2, and 20.0 in group A, B, and C, respectively, which were smaller than actual value 20.5. But, there was no significant difference among 3 groups (p>0.05). 2. The mean of MXHD, UHD, MHD, and LHD variables in group A, B, and C was 11.9, 12.2, and 12.3; 9.3, 9.5, and 9.6; 10.0, 10.3, and 10.3; 9.2, 9.3, and 9.4 respectively which were equal to or greater than the actual value 11.8, 9.3, 10.0, and 9.2. But, there was no significant difference among 3 groups (p>0.05). 3. The number of noneffective observations with difference over or under 1 mm with comparison to the actual value was 24(20%), 58(48.3%), and 52(43.3%), respectively, in group A, B, and C. 4. In group A, the number of observations over 1 mm and under 1 mm was 9 and 15, respectively, but in group Band C, the number of observations over 1 mm was more than under 1 mm.

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CLINICAL STUDY OF AMELOBLASTOMA ON THE JAW (악골에 발생한 법랑아세포종의 임상적 연구)

  • Kim, Hyun-Syeob;Ryu, Jae-Young;Yu, Min-Gi;Seo, Il-Young;Shet, Uttom Kumar;Kook, Min-Suk;Park, Hong-Ju;Ryu, Sun-Youl;Choi, Hong-Ran;Oh, Hee-Kyun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.5
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    • pp.535-542
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    • 2007
  • Ameloblastoma, a benign tumor of odontogenic type, represents 10% of all tumors of the jaw. It is localized in the mandible(80%) and in the maxilla(20%). In every case, the selection of the surgical treatment must consider some fundamental elements, including the age and general state of health the clinicopathological variant, and the localization and extent of the tumor. This study was invested the clinicopathological findings of 23 patients with ameloblastoma which had been diagnosed by biopsy during the period of 1987 to 2005 at Chonnam National University Hospital. And it contained the statistical analysis according to the treatment methods and the clinicopathological findings such as sex, age, location, chief complaints, duration, radiographic findings, histologic findings, treatment methods. The results obtained are were follows. The age of patient ranged from 10 to 91 years(means, 35.9 years) at biopsy. Thirteen(57%) of the 23 subjects were males, and 10(43%) were females. Twenty(87%) of the 23 ameloblastomas were located in the mandible. Swelling was the most common symptom and was experienced by 20(87%) patients. Radiographically, 11(48%) of the 23 tumors were unilocular with a well-demarcated border and 12(52%) were multilocular. The most common histologic pattern was plexiform and acanthomatous rather then follicular. Conservative treatment was performed 7 cases(30%), radical treatment 11 cases(48%), and combined treatment 5 cases(22%). Follow-up period ranged from 2.1 years to 22 years(mean 5.1 years). Based on the above results, surgical excision after marsupialization was found to be useful as a preliminary treatment of the large cystic ameloblastoma in children and adolescents. On the contrary, the lesion with a soap bubble appearance, the one with ineffective marsupialization was subjected to extensive excision of the tumor with a wide margin of normal bone.

Comparative Analysis for Clustering Based Optimal Vehicle Routes Planning (클러스터링 기반의 최적 차량 운행 계획 수립을 위한 비교연구)

  • Kim, Jae-Won;Shin, KwangSup
    • The Journal of Bigdata
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    • v.5 no.1
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    • pp.155-180
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    • 2020
  • It takes the most important role the problem of assigining vehicles and desigining optimal routes for each vehicle in order to enhance the logistics service level. While solving the problem, various cost factors such as number of vehicles, the capacity of vehicles, total travelling distance, should be considered at the same time. Although most of logistics service providers introduced the Transportation Management System (TMS), the system has the limitation which can not consider the practical constraints. In order to make the solution of TMS applicable, it is required experts revised the solution of TMS based on their own experience and intuition. In this research, different from previous research which have focused on minimizing the total cost, it has been proposed the methodology which can enhance the efficiency and fairness of asset utilization, simultaneously. First of all, it has been adopted the Cluster-First Route-Second (CFRS) approach. Based on the location of customers, we have grouped customers as clusters by using four different clustering algorithm such as K-Means, K-Medoids, DBSCAN, Model-based clustering and a procedural approach, Fisher & Jaikumar algorithm. After getting the result of clustering, it has been developed the optiamal vehicle routes within clusters. Based on the result of numerical experiments, it can be said that the propsed approach based on CFRS may guarantee the better performance in terms of total travelling time and distance. At the same time, the variance of travelling distance and number of visiting customers among vehicles, it can be concluded that the proposed approach can guarantee the better performance of assigning tasks in terms of fairness.

An Analysis of ICT-Retail Convergence(IRC) and Consumer Value Creation (소비자 구매단계별 기술-유통 통합(IRC)과 가치에 대한 연구)

  • Park, Sunny;Cho, Eunsun;Rha, Jong-Youn;Lee, Yuri;Kim, Suyoun
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.147-157
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    • 2017
  • Recently, ICT Retail Convergence(IRC) has been rapidly increasing to improve consumer satisfaction and consumer experience. In this paper, we aim to diagnose IRC from consumers' point of view by reviewing the present status and value of IRC according to consumer purchase decision making process. Based on the previous studies in retail industry, we classified IRC into 4 types: Experience-specific tech(Virtual Reality and Augmented Reality); Information-specific tech(Artificial Intelligence and Big Data); Location-based tech(Radio Frequency Identification and Beacon); Payment-related tech(Fin-tech and Biometrics). Next, we found that there is a difference in value provided to consumers according to the type of technology, analysing the value by consumer purchase decision making process. This study can be useful to introduce IRC for improving consumer satisfaction as well as ICT and Retail. Also, it can be basic data for future technology studies with a consumer perspective.

A Study on FPGA Design for Rotating LED Display Available Video Output (동영상 표출이 가능한 회전 LED 전광판을 위한 FPGA 설계에 관한 연구)

  • Lim, Young-Sik;Lee, Seung-Ho
    • Journal of IKEEE
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    • v.19 no.2
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    • pp.168-175
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    • 2015
  • In this paper, we propose FPGA design technique for rotating LED display device which is capable of displaying videos with the use of the afterimage effect. The proposed technique is made up of image data correction process based on inverse gamma correction and error diffusion, block interleaving process, and data serial output process. The data correction process based on inverse gamma correction and error diffusion is an image data correction step in which image data received are corrected by inverse gamma correction process to convert the data into linear brightness characteristics, and by error diffusion process to reduce the brightness reduction phenomenon in low-gray-level which is caused by inverse gamma correction. In the block interleaving process, the data of the frames entered transversely are first saved in accordance with entrance order, and then only the longitudinal image data are read. The data serial output process is applied to convert the parallel data in a rotating location into serial data and send them to LED Driver IC, in order to send data which will be displayed on high-speedy rotating LED Bar. To evaluate the accuracy of the proposed FPGA design technique, this paper used XC6SLX45-FG484, a Spartan 6 family of Xilinx, as FPGA, and ISE 14.5 as a design tool. According to the evaluation analysis, it was found that goal values were consistent with simulation values in terms of accurate operation of inverse gamma and error diffusion correction, block interleaving operation, and serialized operation of image data.

Factors Influencing the Fear of Falling in Elderly in Rural Communities (일부농촌지역 재가 낙상경험노인의 낙상두려움 관련요인)

  • Lee, Sang-Gon;Kim, Hyo-Jung
    • Journal of agricultural medicine and community health
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    • v.36 no.4
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    • pp.251-263
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    • 2011
  • Objectives: The purpose of this study was to examine the factors associated with fear of falling among the elderly dwelling in rural communities. Methods: From February 1, 2010 to March 31, 2010, a questionnaire-based survey was sent to 2,628 persons 65 years or older dwelling in 1 Myeon and 1 Eup of Gyeongsangnam-do. Among these participants, 735 (27.9%) had fallen more than once in 2009. For data analysis, descriptive statistics and hierarchical multiple regression were performed using SPSS version 12.0. Results: Factors influencing the fear of falling in the elderly according to falls experienced were number of outpatient visits, number of falls, gender, admission, purchasing of health function foods, and activities of daily living. Overall, the study showed significant differences in the score of fear of falling according to gender, age, education, marital status, living arrangement, main means of mobilization, drinking, income, number of falls, admission, number of outpatient visits, experience with outpatient oriental medicine, purchasing of health function foods, medical assistance devices, season, fall location, fall cause, shoe type, injury type, limitation of activity, and activities of daily living. Conclusions: The results of this study suggest that programs should be developed specifically for elderly people who have experienced more than one fall because of increased fear due to multiple falls.

A retrospective study on patients' compliance with supportive periodontal therapy (유지치주치료의 환자 순응도해 대한 후향적 연구)

  • Park, Woong-Kyu;Lee, Jae-Kwan;Chang, Beom-Seok;Um, Heung-Sik
    • Journal of Periodontal and Implant Science
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    • v.39 no.1
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    • pp.59-70
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    • 2009
  • Purpose: The purpose of this study was to investigate the degree of compliance with supportive periodontal therapy(SPT), to determine if any significant differences existed in the characteristics of compliant, erratically compliant and non-compliant patients and to identify reasons for poor compliance. Materials and methods: Four hundred five patients who initially visited between July 2003 and December 2004 and were treated until June 2005 were retrospectively evaluated for their compliance with SPT in terms of attendance for a recommended schedule of visits. Patients' compliance was classified as complete compliance(attended more than 80% of the recommended appointments), erratic compliance(attended less than 80% of the recommended appointments or discontinued) and non-compliance(did not return for SPT). Analysis was made for each group to correlate the degree of compliance with gender, age, smoking, distance between their houses and the hospital, disease severity, type of therapy, implant, plaque control instruction and systemic diseases. Tele research of erratically compliant and non-compliant patients was carried out to identify reasons for their poor compliance. Results: Only 24.7% of the patients were in complete compliance. The highest drop-out rate(32.4%) occurred in the first year. A significantly greater percentage of non-smokers and patients who finished plaque control instruction were in complete compliance. A significantly greater percentage of patients without implant and patients who had been treated by only scaling and root planing were in non-compliance. More males were found to be compliant with SPT, although this was marginally significant. There were no significant differences between compliant, erratically compliant and non-compliant patients with regard to age, distance, disease severity and systemic disease. The survey revealed that the main reasons for poor compliance with SPT were inconvenient location and insufficient time. Conclusion: Patients' compliance with SPT was poor and the highest drop-out rate(32.4%) occurred in the first year. Significant relationships were found between the degree of compliance and smoking, type of therapy, implant, plaque control instruction and gender.

Planning of Optimal Work Path for Minimizing Exposure Dose During Radiation Work in Radwaste Storage (방사성 폐기물 저장시설에서의 방사선 작업 중 피폭선량 최소화를 위한 최적 작업경로 계획)

  • Park, Won-Man;Kim, Kyung-Soo;Whang, Joo-Ho
    • Journal of Radiation Protection and Research
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    • v.30 no.1
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    • pp.17-25
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    • 2005
  • Since the safety of nuclear power plant has been becoming a big social issue the exposure dose of radiation for workers has been one of the important factors concerning the safety problem. The existing calculation methods of radiation dose used in the planning of radiation work assume that dose rate does not depend on the location within a work space thus the variation of exposure dose by different work path is not considered. In this study, a modified numerical method was presented to estimate the exposure dose during radiation work in radwaste storage considering the effects of the distance between a worker and sources. And a new numerical algorithm was suggested to search the optimal work path minimizing the exposure dose in pre-defined work space with given radiation sources. Finally, a virtual work simulation program was developed to visualize the exposure dose of radiation doting radiation works in radwaste storage and provide the capability of simulation for work planning. As a numerical example, a test radiation work was simulated under given space and two radiation sources, and the suggested optimal work path was compared with three predefined work paths. The optimal work path obtained in the study could reduce the exposure dose for the given test work. Based on the results, tile developed numerical method and simulation program could be useful tools in the planning of radiation work.

Estimation Technique of Computationally Variable Distance Step in 1-D Numerical Model (1차원 수치모형의 가변 계산거리간격 추정 기법)

  • Kim, Keuk-Soo;Kim, Ji-Sung;Kim, Won
    • Journal of Korea Water Resources Association
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    • v.44 no.5
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    • pp.363-376
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    • 2011
  • 1-D hydrodynamic numerical models have been most widely used in the field of flood analysis. The model's input data are upstream/downstream boundaries, roughness coefficients, cross-sections, and so on, and computational distance step and time step are the most important factors in order to guarantee the computational accuracy, stability, and efficiency. In this study, a theoretical explanation is presented for the basis of the previous empirical selection criteria of cross-section's location; also, the estimation technique of computationally variable distance step is proposed to reflect the properties of flow at every computational time step. Combining this technique with 1-D unsteady numerical model, it was applied to two events of Teton dam failure flood and the Han River flood. The numerical experimental results demonstrate that the accuracy and stability is increased when used more interpolated cross-sections and show that the proposed technique of computationally variable distance step has the same order of accuracy with smaller numbers of cross-section than previous empirical selection criteria. The practical use of this technique will be possible to analyze the river floods with high efficiency as well as accuracy and stability.