• Title/Summary/Keyword: Mean Range Difference

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Measurement of Pancreatic Fat Fraction by CT Histogram Analysis to Predict Pancreatic Fistula after Pancreaticoduodenectomy

  • Wonju Hong;Hong Il Ha;Jung Woo Lee;Sang Min Lee;Min-Jeong Kim
    • Korean Journal of Radiology
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    • v.20 no.4
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    • pp.599-608
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    • 2019
  • Objective: To evaluate the effectiveness of computed tomography (CT) Hounsfield unit histogram analysis (HUHA) in postoperative pancreatic fistula (PF) prediction. Materials and Methods: Fifty-four patients (33 males and 21 females; mean age, 65.6 years; age range, 37-89 years) who had undergone preoperative CT and pancreaticoduodenectomy were included in this retrospective study. Two radiologists measured mean CT Hounsfield unit (CTHU) values by drawing regions of interest (ROIs) at the level of the pancreaticojejunostomy site on preoperative pre-contrast images. The HUHA values were arbitrarily divided into three categories, comprising HUHA-A ≤ 0 HU, 0 HU < HUHA-B < 30 HU, and HUHA-C ≥ 30 HU. Each HUHA value within the ROI was calculated as a percentage of the entire area using commercial 3-dimensional analysis software. Pancreas texture was evaluated as soft or hard by manual palpation. Results: Fifteen patients (27.8%) had clinically relevant PFs. The PF group had significantly higher HUHA-A (p < 0.01) and significantly lower mean CTHU (p < 0.01) values than those of the non-PF group. The HUHA-A value had a moderately strong correlation with PF occurrence (r = 0.60, p < 0.01), whereas the mean CTHU had a weak negative correlation with PF occurrence (r = -0.27, p < 0.01). The HUHA-A and mean CTHU areas under the curve (AUCs) for predicting PF occurrence were 0.86 and 0.65, respectively, with significant difference (p < 0.01). The HUHA-A and mean CTHU AUCs for predicting pancreatic softness were 0.86 and 0.64, respectively, with significant difference (p < 0.01). Conclusion: The HUHA-A values on preoperative pre-contrast CT images demonstrate a strong correlation with PF occurrence.

A Study on the Mandibular Movements in the Patients with TMJ Lock Closed (악관절 폐구성 과두걸림 환자의 하악운동에 관한 연구)

  • Ji-Won Lee;Sung-Chang Chung
    • Journal of Oral Medicine and Pain
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    • v.15 no.1
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    • pp.79-89
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    • 1991
  • The author examined the patterns and various ranges of mandibular movements in TMJ lock closed patients in the frontal, sagittal and horizontal plane and obtained the following results. 1. In the frontal trajectory, the mean amount of maximum mouth opening was 24.4mm and the opening paths were deviated to the affected side in 87.1% of the patients. The mean amount of maximum laterotrusion to the affected side was 10.4mm and that of non-affected side was 7.5mm. There was a significant difference between them(p<0.001). 2. In the sagittal trajectory, the mean amount of the maximum protrusion was 7.0mm, the mean amount of the maximal retrusion was 1.0mm 3. In the horizontal trajectory, the pattern of laterotrusion showed asymmetry: the mean length of non-affected side was smaller than that of the affected side. Protrusive path were deviated to the affected side in 64.5% of the patients, the mean degree of deviation was 16.4$^{\circ}$. The mandibular movements of TMJ lock-closed patients can be characterized by decreased range of mouth opening, protrusive movement, and laterotrusive movement to the non-affected side and also characterized by deviated opening and protrusive path to the affected side.

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A Study on the Sea Level Variations in Korean Coastal Area (한국연안해역에서의 해면수위의 변동에 관한 연구)

  • 이경연;김동수;손창배;김창제
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.5 no.1
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    • pp.19-27
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    • 1999
  • This paper is to estimate the long and short term variations of mean sea level in Korean coastal waters by identifying interrelations among the mean sea level, atmospheric pressure and air temperature along the coast. For this, long-term tidal data observed at tidal and weather observation stations were brought into a statistical analysis. It was noted that, in a general sense, an inverse relationship exists between the sea level and the atmospheric pressure and a positive relationship between the sea level and air temperature, respectively. The maximum difference of monthly mean sea level was in the range of 21 to 25 cm at the eastern and southeastern coasts, meanwhile more than 30 cm being in both in southern and western coasts. It was also noted that mean sea level continues to rise in a long-term basis. Long-term variation of mean sea level trends to rise 0.10 ∼ 0.44 cm per year for each region. However, the long-term variation of mean sea level in the isolated islands shows a different trend, Ullngdo being 0.41 cm fall per year and Chejudo being 0.44 cm rise per year.

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Comparison of Two Versions of KHLAT for Improvement Strategies (한국형 건강정보이해능력 측정도구(Korean Health Literacy Assessment Tool)의 비교 및 개선 방안)

  • Lee, Su-Hyun;Choi, Eun-Hye-Ra;Je, Min-Ji;Han, Heung-Sik;Park, Byung-Kyu;Kim, Sung-Soo
    • Korean Journal of Health Education and Promotion
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    • v.28 no.3
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    • pp.57-65
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    • 2011
  • Objectives: The purpose of the study is 1) to improve the previously developed KHLAT(Korean Health Literacy Assessment Tool) by testing two versions of KHLAT and 2) to develop guidelines to the grade range for KHLAT. Methods: The two versions of KHLAT(2) KHLAT(4) were administered to students from 1st grade to 12th grade in Busan. Data on 2673 participants were analyzed. Comparisons were made according to the grade range in REALM and the Korean grade range. Results: Both versions showed the increase of scores as the grade level increases. Female scored higher than male. However, the mean score (39.16) of KHLAT(2) was higher than that (29.6) of KHLAT(4). This result might be due to more specified responses of KHLAT(4). This difference was more clearly shown when the REALM grade range and Korean grade range were compared. The mean scores of KHLAT were lower than the means scores of the REALM in USA. Conclusions: The guidelines which were based on Korean school grad range were more suitable for Koreans.

Analysis of the Mean and Standard Deviation due to the Change of the Probability Density Function on Tidal Elevation Data (조위의 확률밀도함수 변화에 따른 평균 및 표준편차 분석)

  • Cho, Hong-Yeon;Jeong, Shin-Taek;Lee, Khil-Ha;Kim, Tae-Heon
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.22 no.4
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    • pp.279-285
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    • 2010
  • In the process of the probabilistic-based design on the coastal structures, the probability density function (pdf) of tidal elevation data is assumed as the normal distribution function. The pdf shape of tidal elevation data, however, is better-fitted to the double-peak normal distribution function and the equivalent mean and standard deviation (SD) estimation process based on the equivalent normal distribution is required. The equivalent mean and SD (equivalent parameters) are different with the mean and SD (normal parameters) estimated in the condition that the pdf of tidal elevation is normal distribution. In this study, the difference, i.e., estimation error, between equivalent parameters and normal parameters is compared and analysed. The difference is increased as the tidal elevation and its range are increased. The mean and SD differences in the condition of the tidal elevation is ${\pm}400cm$ are above 100 cm and about 80~100 cm, respectively, in Incheon station. Whereas, the mean and SD differences in the condition of the tidal elevation is ${\pm}60cm$ are very small values in the range of 2~4 cm, in Pohang station.

The effects of various exposure times in the detectability on the tips of the endodontic files in Digora$\textregistered$ (Digora$\textregistered$에서 노출시간의 변화가 근관치료용 file의 첨부식별에 미치는 영향)

  • Ko Jee-Young;Park Chang-Seo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.1
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    • pp.55-71
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    • 1997
  • Digora/sup (R)/ an intraoral digital radiography system utilizing image plate (IP) - has a dynamic range of exposure time which allows it to decrease the patient's exposure time and to increase diagnostic ability through image processing, transmission and storage. The purpose of this study was to evaluate the Digora/sup (R)/ system by assessing the effects of various exposure times on the detectability on the tip of the endodontic file. Examining the root canals of 45 extracted sound premolars, K -files No. 10, 15, and 20 were placed at slightly varying distances from the apex. The teeth were glued onto resin-plaster blocks. Five exposure times varying between 0.01 seconds and 0.25 seconds were used. Four observers were asked to measure the distance between the tip of the file and a reduction of crown portion, and obtained mean errors (subtracting true file length from the measured file length), comparing Digora/sup (R)/ monitors with E-plus films, which were both obtained under the same geometrical positions. The results were as follows : 1. Comparing E-plus film with Digora/sup (R)/ at 0.01 seconds, the mean errors in E-plus film showed -4.453 nun, -4.497 nun, and -3.857 nun, while the mean errors in Digora/sup (R)/ showed 0.065 nun, 0.607 nun, and 0.719 mm according to the file groups. Therefore there was a significant difference between E-plus film and Digora/sup (R)/(p<0.05). 2. By comparison of mean errors according to the various exposure times in the Digora/sup (R)/ system, the mean error at 0.01 seconds was significantly lower than that at 0.12 and 0.25 seconds in the No. 10 file group(p<0.05). And the standard deviation was the highest at 0.01 seconds. 3. Comparing E-plus film at 0.25 seconds with the Digora/sup (R)/ system, the mean errors showed a significant difference between E-plus film at 0.25 seconds and the Digora/sup (R)/ system at 0.25 seconds in No. 10 and 20 file groups(p<0.05). 4. Comparing E -plus film at 0.25 seconds with other exposure times, the mean errors showed a significant difference between E-plus film at 0.25 seconds and E-plus film at 0 .. 01 and 0.03 seconds in 10 file group(p<0.05). In the No. 15 and 20 file groups, there was a significant difference between E-plus film at 0.25 seconds and E-plus film at 0.01 seconds(p<0.05). In conclusion, Digora/sup (R)/ was better than E-plus film in detectability on the tip of the file at the exposure time of 0.01 seconds in all file groups. And we concluded that Digora/sup (R)/ can shorten exposure times up to 4% of 0.25 seconds (0.01 sec), which is adequate exposure time for premolar in E-plus film using No. 15 and 20 files.

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The Relationship among Percieved Social Support, Hope and Quality of Life of Cancer Patients (암환자가 지각한 사회적지지, 희망과 삶의 질과의 관계)

  • Tae, Young-Sook;Kang, Eun-Sil;Lee, Myung-Hwa;Park, Geum-Ja
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.2
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    • pp.219-231
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    • 2001
  • The purpose of this study was to investigate the relationship among percieved social support, hope and quality of life of the cancer patients and to gain the baseline data for development of nursing intervention program for promoting quality of life in cancer patients. The design of this study was a cross sectional correlational survey. The subjects were 220 out and in-cancer patients in 5 general hospitals in Pusan. The data were collected from July 2 to August 1, 2001. The instruments were the Percieved social support scale(16 items, 5 point scale) had developed by Tae(1986), Hope scale(12 items, 4point scale) developed by Nowotny(1989) and Quality of life scale(31 items, 10 point scale) developed by Tae et al.(2000). The data was analyzed by the SPSS/PC+ program using frequency & percentage, item mean & standard deviation, t-test, ANOVA & Scheffe test, Pearson's correlation coefficient. The results of this study was as follows: 1) The item mean score of quality of life was $6.05{\pm}1.16$ (range 0-10). The highest score of subarea of the quality of life was the spiritual wellbeing area ($7.09{\pm}1.63$) and the lowest score was social wellbeing area ($5.53{\pm}1.65$). The mean score of perceived social support was $52.65{\pm}10.32$ (최저 1, 최고 80). The mean score of family support was $32.71{\pm}6.66$ (range 1-40) and the mean score of medical team support was $19.93{\pm}5.95$ (range 1-40). The mean score of Hope was $37.02{\pm}5.64$ (range 1-48). 2) There were statistically significant difference in the score of quality of life according to the life effect of religion(F=3.97, p=0.00), treatment method(F=2.94, p=0.01), area of diagnosis(F= 3.48, p=0.01), stage of disease (F=13.74, p=0.00). 3) There was significant correlation between perceived social support(r=0.44, p=0.000 ; family support ; r=0.334, p=0.000, medical support; r=0.395, p=0.000), hope(r=0.563, p=0.000) and quality of life. In conclusion, there was a significant relationship among perceived social support, hope and quality of life. Therefore perceived social support, hope intervention programs should be developed to improve the quality of life in cancer patients.

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Thermal-mechanical Fatigue Life Prediction of 12Cr Forged Steel Using Strain Range Partitioning method (변형률분할법에 의한 12Cr 단조강의 열피로 수명예측)

  • 하정수;옹장우;고승기
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.18 no.5
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    • pp.1192-1202
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    • 1994
  • Fatigue behavior and life prediction were presented for thermal-mechanical and isothermal low cycle fatigue of 12Cr forged steel used for high temperature applications. In-phase and out-of-phase thermal-mechanical fatigue test at 350 to 600.deg. C and isothermal low cycle fatigue test at 600.deg. C were conducted using smooth cylindrical hollow specimen under strain-control with total strain ranges from 0.006 to 0.015. Cyclic softening behavior was observed regardless of thermal-mechanical and isothermal fatigue tests. The phase difference between temperature and strain in thermal-mechanical fatigue resulted in significantly shorter fatigue life for out-of-phase than for in-phase. The difference in fatigue lives was dependent upon the magnitudes of inelastic strain ranges and mean stresses. Increase in inelastic strain range showed a tendency of intergranular cracking and decrease in fatigue life, especially for out-of-phase thermal-mechanical fatigue. Thermal-mechanical fatigue life prediction was made by partitioning the strain ranges of the hysteresis loops and the results of isothermal low cycle fatigue tests which were performed under the combination of slow and fast strain rates. Predicted fatigue lives for out-of-phase using the strain range partitioning method showed an excellent agreement with the actual out-of-phase thermal-mechanical fatigue lives within a factor of 1.5. Conventional strain range partitioning method exhibited a poor accuracy in the prediction of in-phase thermal-mechanical fatigue lives, which was quite improved conservatively by a proposed strain range partitioning method.

Three-dimensional comparison of 2 digital models obtained from cone-beam computed tomographic scans of polyvinyl siloxane impressions and plaster models

  • Park, Jin-Yi;Kim, Dasomi;Han, Sang-Sun;Yu, Hyung-Seog;Cha, Jung-Yul
    • Imaging Science in Dentistry
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    • v.49 no.4
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    • pp.257-263
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    • 2019
  • Purpose: This study was performed to evaluate the dimensional accuracy of digital dental models constructed from cone-beam computed tomographic (CBCT) scans of polyvinyl siloxane (PVS) impressions and cast scan models. Materials and Methods: A pair of PVS impressions was obtained from 20 subjects and scanned using CBCT (resolution, 0.1 mm). A cast scan model was constructed by scanning the gypsum model using a model scanner. After reconstruction of the digital models, the mesio-distal width of each tooth, inter-canine width, and inter-molar width were measured, and the Bolton ratios were calculated and compared. The 2 models were superimposed and the difference between the models was measured using 3-dimensional analysis. Results: The range of mean error between the cast scan model and the CBCT scan model was -0.15 mm to 0.13 mm in the mesio-distal width of the teeth and 0.03 mm to 0.42 mm in the width analysis. The differences in the Bolton ratios between the cast scan models and CBCT scan models were 0.87 (anterior ratio) and 0.72 (overall ratio), with no significant difference (P>0.05). The mean maxillary and mandibular difference when the cast scan model and the CBCT scan model were superimposed was 53 ㎛. Conclusion: There was no statistically significant difference in most of the measurements. The maximum tooth size difference was 0.15mm, and the average difference in model overlap was 53 ㎛. Digital models produced by scanning impressions at a high resolution using CBCT can be used in clinical practice.

Effect of Vibratory Stimulation on Recovery of Muscle function from Delayed Onset Muscle Soreness

  • Koh, Hyung-Woo;Kim, Cheol-Yong;Kim, Gye-Yoep;Kim, Kyung-Yoon;Kim, Soo-Geun;Lee, Hong-Gyun
    • Korean Journal of Exercise Nutrition
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    • v.16 no.1
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    • pp.43-50
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    • 2012
  • This study was designed to investigate the effect of vibratory stimulation on recovery of muscle function from delayed onset muscle soreness (DOMS). Volunteers performed 3 set of 70 % maximal voluntary eccentric muscle contraction and induced DOMS. volunteers were allocated to one of three treatment group after DOMS : group I (control), group II (ultrasound), group III (vibration). Maximal Voluntary Isometric Contraction (MVIC), Visual Analog Scale (VAS), Range Of Motion (ROM), Root Mean Square (RMS), Median frequency (MDF), Blood Serum Creatine Kinase (CK), Lactic dehydrogenase (LDH) were recorded at baseline, and 24, 48, 72 hours post-exercise. In MVIC measurement, there was a statistically significant difference in group III compared to group I (p < .05). In VAS measurements, there were a statistically significant difference in group II and III compared to group I (p < .05). In ROM measurement, there was a statistically difference in group II and III compared to group I (p < .05). In Muscle Volume with Ultrasonography measurement, there was no statistically significant difference in any groups (p > .05). In RMS and MDF measurement, there were a statistically significant difference in group II and III compared to group I (p < .05). In Blood samples of CK and LDH measurements, There were no statistically significant difference in any groups (p > .05). From the above result, Vibratory stimulation had a positive effect on recovery of muscle function from delayed onset muscle soreness. Further studies should be undertaken to ascertain the more effectiveness of vibratory stimulation and may be a promising treatment modality.