• Title/Summary/Keyword: MD&A

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Determination of Relative Output Factors Using PinPoint Ion Chamber and Gafchromic Film in Gamma Knife

  • Seo, Weon-Seop;Shin, Dong-Oh;Lim, Young-Jin;Im, Yong-Seok
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.300-301
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    • 2002
  • Of many modalities for measuring output factor, we measured the outputs of 18mm, 14mm, 8mm and 4mm helmet in Gamma knife using ion chambers and a Gafrcromic MD-55 film and normalized the outputs of four helmets the one of a 18mm helmet. Ion chambers used for this paper were a PR-05P and a PinPoint having a volume of 0.07cc and 0.015cc respectively. The recommended output factors from a manufacture were 1, 0.984, 0.956, and 0.87. For PR-05P, the output factor of 14mm helmet showed a good agreement, but the ones of 8mm and 4mm helmet showed the difference of 4.6% and 47% respectively. For PinPoint, The output factors of 14mm and 8mm helmet showed a good agreement, but the one of a 4mm helmet showed a difference of 18%. The Gafcromic MD-55, however, showed a good agreement for all helmets.

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UPRIGHT DRAWINGS OF GRAPHS ON THREE LAYERS

  • Alam, Muhammad Jawaherul;Rabbi, Md. Mashfiqui;Rahman, Md. Saidur;Karim, Md. Rezaul
    • Journal of applied mathematics & informatics
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    • v.28 no.5_6
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    • pp.1347-1358
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    • 2010
  • An upright drawing of a planar graph G on k layers is a planar straight-line drawing of G, where the vertices of G are placed on a set of k horizontal lines, called layers and no two adjacent vertices are placed on the same layer. There is a previously known algorithm that decides in linear time whether a planar graph admits an upright drawing on k layers for a fixed value of k. However, the constant factor in the running time of the algorithm increases exponentially with k and makes it impractical even for k = 3. In this paper, we give a linear-time algorithm to examine whether a biconnected planar graph G admits an upright drawing on three layers and to obtain such a drawing if it exists. We also give a necessary and sufficient condition for a tree to have an upright drawing on three layers. Our algorithms in both the cases are much simpler and easier to implement than the previously known algorithms.

Myocardial atrophy in children with mitochondrial disease and Duchenne muscular dystrophy

  • Lee, Tae Ho;Eun, Lucy Youngmin;Choi, Jae Young;Kwon, Hye Eun;Lee, Young-Mock;Kim, Heung Dong;Kang, Seong-Woong
    • Clinical and Experimental Pediatrics
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    • v.57 no.5
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    • pp.232-239
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    • 2014
  • Purpose: Mitochondrial disease (MD) and Duchenne muscular dystrophy (DMD) are often associated with cardiomyopathy, but the myocardial variability has not been isolated to a specific characteristic. We evaluated the left ventricular (LV) mass by echocardiography to identify the general distribution and functional changes of the myocardium in patients with MD or DMD. Methods: We retrospectively evaluated the echocardiographic data of 90 children with MD and 42 with DMD. Using two-dimensional echocardiography, including time-motion (M) mode and Doppler measurements, we estimated the LV mass, ratio of early to late mitral filling velocities (E/A), ratio of early mitral filling velocity to early diastolic mitral annular velocity (E/Ea), stroke volume, and cardiac output. A "z score" was generated using the lambda-mu-sigma method to standardize the LV mass with respect to body size. Results: The LV mass-for-height z scores were significantly below normal in children with MD ($-1.02{\pm}1.52$, P<0.001) or DMD ($-0.82{\pm}1.61$, P =0.002), as were the LV mass-for-lean body-mass z scores. The body mass index (BMI)-for-age z scores were far below normal and were directly proportional to the LV mass-for-height z scores in both patients with MD (R =0.377, P<0.001) and those with DMD (R =0.330, P=0.033). The LV mass-for-height z score correlated positively with the stroke volume index (R =0.462, P<0.001) and cardiac index (R =0.358, P<0.001). Conclusion: LV myocardial atrophy is present in patients with MD and those with DMD and may be closely associated with low BMI. The insufficient LV mass for body size might indicate deterioration of systolic function in these patients.

The Effects of Adult Nursing Education on the Critical Thinking Disposition, Learning Commitment, and Learning Satisfaction of Nursing Students Using the Havruta Learning Method (하브루타 학습법을 활용한 성인간호학 교육이 간호대학생의 비판적 사고성향, 학습몰입 및 학습만족도에 미치는 영향)

  • Lim, So-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.547-554
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    • 2019
  • Havruta is the best teaching and learning method for developing the process of thinking, and it is a method of education centered on a range of student activities. This study examined the effects of adult learning nursing education using the Havruta learning method on the critical thinking disposition, learning commitment, and learning satisfaction. Data collection was carried out from September to December, 2017 in 96 second grade nursing college students attending a university in U city. The data were analyzed using descriptive statistics, ${\chi}^2-test$, t-test, and two-way repeated ANOVA using the SPSS WIN 23.0 program. The critical thinking disposition, learning commitment, and learning satisfaction were similar in the experimental group, who performed the adult nursing education using the Havruta learning method, and the control group. On the other hand, after the adult nursing education using the Havruta learning method, the critical thinking tendency (md=.14, p=.045), learning commitment (md=.27, p=.025), learning satisfaction (md=.30, p=.031) increased significantly. Therefore, adult nursing education using the Havruta learning method is an effective program to improve the critical thinking disposition, learning commitment, and learning satisfaction of nursing college students.

Effects of Exercise-Based Intervention Before and After Lung Cancer Surgery: A systematic review in pubmed database (허파암 수술 전과 후에 적용한 운동의 효과: PubMed 내 연구에 대한 체계적 문헌고찰)

  • Boram Oh;Heesu Kim;Sookyoung Park
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.2
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    • pp.23-35
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    • 2023
  • Purpose : Lung cancer induces a decrease in physical activity and a deterioration of respiratory ability. Exercise is an effective treatment to reduce side effects of anti-cancer treatments, also influence the survival and successful rehabilitation in lung cancer patients. However, there is insufficient evidence to show which period is the most effective to apply exercise for lung cancer patients. Therefore, this study was conducted to evaluate the efficacy of exercise-based interventions before and after surgery. Methods : Clinical trials (CTs) and randomized controlled trials (RCTs) reported in PubMed database were investigated. The trials investigated in this study were published for 10 years before August 20, 2022. The risk of bias was judged according to the Cochrane guideline. The materials included in this meta-analysis were 6-minute walk test (6MWT), pulmonary function, and quality of life (QOL). Results : 1 CT and 9 RCTs were selected in current study. In the meta-analysis, exercise increased 6MWT in preoperation (mean difference [MD] 29.49; 95 % confidence interval [CI] .99 to 57.99; p=.04; I2=0 %), 3 months postoperation (MD 54.97; 95 % CI 31.85 to 78.09; p<.001; I2=45 %) and 6 months postoperation (MD 85.59; 95 % CI 45.06 to 126.12; p<.001; I2=47 %). Exercise, also enhanced the lung function such as FEV1/FVC (%) in postoperation (MD 7.64; 95 % CI 6.26 to 9.02; p<.001; I2=19 %). Additionally, exercise improved QOL, such as preoperative EORTC-QLQ-C30-LC13 in mental function (MD 3.21; 95 % CI .64 to 5.79; p=.01; I2=0 %) and postoperative SF-36 in mental component summary (MD 9.24; 95 % CI 4.94 to 13.54; p<.001; I2=0%). Conclusion : These results indicate that exercise-based intervention can elevate the ability to exercise and the mental componentof QOL within 3 months.

Effectiveness of Active Warming Intervention for Women Undergoing Cesarean Section: A Systematic Review and Meta-analysis (제왕절개 환자에서 적극적 가온 요법의 효과: 체계적 문헌고찰 및 메타분석)

  • Choi, Jung Eun;Kim, Mee Sun;Song, Jin Ran
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.3
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    • pp.167-180
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    • 2017
  • Purpose: The aim of this study was to synthesize the best available evidence for active warming interventions during cesarean section. Methods: A database search was done for randomized controlled trials utilizing active warming interventions. Maternal temperature, shivering and neonatal temperature were evaluated as outcome variables. Data were analyzed using Cochrane Review Manager software Version 5.3. Results: Thirteen studies including 1306 patients were reviewed. The degree of lowering of maternal temperature decreased in the warmed fluids (MD 0.51; p=.004) and warming mattress interventions (MD 0.22; p<.001) compared with control groups. Incidence of shivering was also lower in the active warming group (OR 0.55; p=.003). There was no statistically significant difference in maternal temperature with a forced air warming intervention (MD 0.64; p=.15) or in neonatal temperature (MD 0.12; p=.26). Conclusion: Findings show that with warmed fluids and warming mattresses applied during cesarean sections maternal temperature decline was reduced and also the incidence of shivering declined, but no significant effect was observed for forced air warming interventions. These findings provide a basis for developing a warming guideline for women having a cesarean section and will help to improve the quality of care for cesarean section patients.

Ergonomic Evaluation of Console Chairs for a Weapon Locating Radar

  • Lee, Baekhee;Jung, Kihyo;Jeong, Jineun;Kim, Jinman;Hong, Wongi;Park, Seikwon;You, Heecheon
    • Journal of the Ergonomics Society of Korea
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    • v.33 no.2
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    • pp.97-108
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    • 2014
  • Objective:The present study is intended to evaluate the usability of a console chair for a weapon locating radar by comparing with different kinds of chair design. Background: Console chairs need to be ergonomically designed to reduce physical workload of operators and improve mission capability; few studies have been reported which systematically evaluate usability of military console chairs. Method: Ergonomic design of a console chair, a bus seat, and an office chair was evaluated in terms of headrest, seatback, seatpan, armrest, and controller on a 7-point scale. Ten males in their 20s and 30s were recruited considering the demographic characteristics of console operators. Results: The satisfaction scores of the console chair for headrest, seatback, and seatpan were significantly higher than those of the bus seat (mean difference [MD] = 0.9) and office chair (MD = 1.3). Meanwhile, the satisfaction scores of the console chair for armrest and controller were significantly lower than those of the office chair (MD = -1.4) and bus seat (MD = -2.2). Conclusion: The armrest and controller of the console chair needs ergonomic improvements for better comfort. Application: The evaluation results of the console chair would be of use for ergonomic console chair design.

Performance Evaluation of Finite Queue Switching Under Two-Dimensional M/G/1(m) Traffic

  • Islam, Md. Syeful;Rahman, Md. Rezaur;Roy, Anupam;Islam, Md. Imdadul;Amin, M.R.
    • Journal of Information Processing Systems
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    • v.7 no.4
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    • pp.679-690
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    • 2011
  • In this paper we consider a local area network (LAN) of dual mode service where one is a token bus and the other is a carrier sense multiple access with a collision detection (CSMA/CD) bus. The objective of the paper is to find the overall cell/packet dropping probability of a dual mode LAN for finite length queue M/G/1(m) traffic. Here, the offered traffic of the LAN is taken to be the equivalent carried traffic of a one-millisecond delay. The concept of a tabular solution for two-dimensional Poisson's traffic of circuit switching is adapted here to find the cell dropping probability of the dual mode packet service. Although the work is done for the traffic of similar bandwidth, it can be extended for the case of a dissimilar bandwidth of a circuit switched network.

THE KRONECKER FUNCTION RING OF THE RING D[X]N*

  • Chang, Gyu-Whan
    • Bulletin of the Korean Mathematical Society
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    • v.47 no.5
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    • pp.907-913
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    • 2010
  • Let D be an integrally closed domain with quotient field K, * be a star operation on D, X, Y be indeterminates over D, $N_*\;=\;\{f\;{\in}\;D[X]|\;(c_D(f))^*\;=\;D\}$ and $R\;=\;D[X]_{N_*}$. Let b be the b-operation on R, and let $*_c$ be the star operation on D defined by $I^{*_c}\;=\;(ID[X]_{N_*})^b\;{\cap}\;K$. Finally, let Kr(R, b) (resp., Kr(D, $*_c$)) be the Kronecker function ring of R (resp., D) with respect to Y (resp., X, Y). In this paper, we show that Kr(R, b) $\subseteq$ Kr(D, $*_c$) and Kr(R, b) is a kfr with respect to K(Y) and X in the notion of [2]. We also prove that Kr(R, b) = Kr(D, $*_c$) if and only if D is a $P{\ast}MD$. As a corollary, we have that if D is not a $P{\ast}MD$, then Kr(R, b) is an example of a kfr with respect to K(Y) and X but not a Kronecker function ring with respect to K(Y) and X.

Lymphaticovenular anastomosis for Morbihan disease: a case report

  • Jung Hyun Hong;Changryul Claud Yi;Jae Woo Lee;Yong Chan Bae;Ryuck Seong Kim;Joo Hyoung Kim
    • Archives of Craniofacial Surgery
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    • v.24 no.3
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    • pp.124-128
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    • 2023
  • Morbihan disease (MD) is a very rare condition characterized by rosaceous or erythematous lymphedema on the upper two-thirds of the face. A definitive management strategy for MD is lacking, and treatment is challenging. Herein, we present a case of persistent bilateral eyelid edema treated by lymphaticovenular anastomosis (LVA) and lymph node-vein bypass surgery. The patient experienced persistent bilateral eyelid edema. Indocyanine green lymphography was performed, and the diagnosis of bilateral facial lymphedema was confirmed. On the right side, a preauricular lymphatic vessel was anastomosed to a vein. On the left side, lymphostomy on the preauricular lymph node was done, with anastomosis to the transected proximal end of the concomitant vein of the transverse facial artery. Furthermore, a preauricular lymphatic vessel was anastomosed to a vein. Eyelid edema decreased and progressively improved on both sides. The outcome of this case suggests that LVA and lymph node-vein bypass surgery are appropriate for treating persistent eyelid edema related to MD.