• 제목/요약/키워드: Standard section

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Limited Impact of Music Therapy on Patient Anxiety with the Large Loop Excision of Transformation Zone Procedure - a Randomized Controlled Trial

  • Kongsawatvorakul, Chompunoot;Charakorn, Chuenkamon;Paiwattananupant, Krissada;Lekskul, Navamol;Rattanasiri, Sasivimol;Lertkhachonsuk, Arb-Aroon
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권6호
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    • pp.2853-2856
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    • 2016
  • Background: Many studies have pointed to strategies to cope with patient anxiety in colposcopy. Evidence shows that patients experienced considerable distress with the large loop excision of transformation zone (LLETZ) procedure and suitable interventions should be introduced to reduce anxiety. This study aimed to investigate the effects of music therapy in patients undergoing LLETZ. Materials and Methods: A randomized controlled trial was conducted with patients undergoing LLETZ performed under local anesthesia in an out patient setting at Ramathibodi Hospital, Bangkok, Thailand, from February 2015 to January 2016. After informed consent and demographic data were obtained, we assessed the anxiety level using State Anxiety Inventory pre and post procedures. Music group patients listened to classical songs through headphones, while the control group received the standard care. Pain score was evaluated with a visual analog scale (VAS). Statistical analysis was conducted using Pearson Chi-square, Fisher's Exact test and T-Test and p-values less than 0.05 were considered statistically significant. Results: A total of 73 patients were enrolled and randomized, resulting in 36 women in the music group and 37 women in the non-music control group. The preoperative mean anxiety score was higher in the music group (46.8 VS 45.8 points). The postoperative mean anxiety scores in the music and the non-music groups were 38.7 and 41.3 points, respectively. VAS was lower in music group (2.55 VS 3.33). The percent change of anxiety was greater in the music group, although there was no significant difference between two groups. Conclusions: Music therapy did not significantly reduce anxiety in patients undergoing the LLETZ procedure. However, different interventions should be developed to ease the patients' apprehension during this procedure.

Improvement in metabolic parameters in obese subjects after 16 weeks on a Brazilian-staple calorie-restricted diet

  • da Costa, Teresa H.M.;Reis, Caio E.G.;da Silva, Fabio V.P.;Casulari, Luiz A.
    • Nutrition Research and Practice
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    • 제8권4호
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    • pp.410-416
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    • 2014
  • BACKGROUND/OBJECTIVES: The standard pattern of Brazilian food consumption is based on the combination of rice and beans served together in the main meals. This study assessed the effects of Brazilian-staple calorie-restricted (BS-diet) dietary advice, with brown rice and beans, on metabolic parameters, body composition, and food intake in overweight/obese subjects. SUBJECTS/METHODS: Twentyseven subjects were randomly assigned to a conventional-type calorie-restricted diet (CT-diet) (n = 13) or a BS-diet (n = 14). Glucose metabolism, lipid profile, anthropometric and body composition parameters, and food intake were measured before and after 16 weeks. Paired t-tests/Wilcoxon tests were used for comparison of differences from baseline and unpaired t-tests/Mann-Whitney tests were used for comparison of differences between the groups. RESULTS: After16 weeks, both groups showed reductions in weight and waist circumference (P < 0.02), and the BS-diet group showed a decrease in body fat (P = 0.0001), and significant improvement in glucose metabolism (fasting plasma glucose, glucose and insulin areas under the curve, Cederholm index, and HOMA2-$%{\beta}$) ($P{\leq}0.04$) and lipid profile (cholesterol, triacylglycerol, LDL-c, VLDL-c, and cholesterol/HDL-c ratio) ($P{\leq}0.05$). In addition, the BS-diet group showed significant improvement in HOMA2-$%{\beta}$, compared to the CT-diet group (P = 0.03). The BS-diet group also showed a significant reduction in energy, lipids, carbohydrate, and cholesterol intake ($P{\leq}0.04$) and an increase in fiber intake ($P{\leq}0.001$), while the CT-diet group showed a significant reduction in intake of energy, macronutrients, PUFA, and cholesterol ($P{\leq}0.002$). CONCLUSIONS: These results demonstrate the benefits of the BS-diet on metabolic parameters in obese subjects.

Early treatment of anterior open bite: Comparison of the vertical and horizontal morphological changes induced by magnetic bite-blocks and adjusted rapid molar intruders

  • Albogha, Mhd Hassan;Takahashi, Ichiro;Sawan, Mhd Naser
    • 대한치과교정학회지
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    • 제45권1호
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    • pp.38-46
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    • 2015
  • Objective: This prospective clinical study aims to determine the differences between two treatment modalities for anterior open bite in growing patients. The treatment modalities involved the use of magnetic bite-blocks (MBBs) or rapid molar intruders (RMIs) applied with posterior bite-blocks. Methods: Fifteen consecutive patients with a mean age of 11.2 (standard deviation [SD] = 1.6) years and a mean open bite of -3.9 mm were treated with MBBs. Another 15 consecutive patients with a mean age of 10.9 (SD = 1.8) years and a mean open bite of -3.8 mm were treated with RMIs applied on bite-blocks. Cephalometric radiographs were obtained before (T1) and immediately after appliance removal (T2). The treatments lasted four months, during which the appliances were cemented to the teeth. The morphological changes were measured in each group and compared using logistic regression analysis. Results: The MBB group exhibited significantly greater decreases in SNA angle, ANB angle, overjet, and maxillary incisor angle (p < 0.05). The MBBs induced greater effects on the maxilla and maxillary dentition. The MBBs restrained maxillary forward growth and retracted the maxillary incisors more effectively than did the RMIs. Consequently, changes in the intermaxillary relationships and overjets were more distinct in the MBB group. Conclusions: The anteroposterior differences between the appliances suggest that MBBs should be preferred for the treatment of patients with Class II open bites and maxillary incisor protrusions.

LEED인증 건축물 분석을 통한 실내공간의 친환경성 개선방안에 관한 연구 (A Study on Eco-friendly Indoor Space of Domestic Eco-certified (LEED)Building through the Cases Analysis & User's Satisfaction)

  • 나민희;한혜련
    • 한국실내디자인학회논문집
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    • 제22권5호
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    • pp.233-240
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    • 2013
  • The building construction sector has been blamed as the main culprit of environmental contamination worldwide. So, there shall be some constructive alternatives in architectural engineering. As one of the alternatives, the LEED ("Leadership in Energy and Environmental Design") has been introduced since 1990s and has been well recognized in saving the resources and energy. "LEED" has also been introduced in Korea since 2002 but it has not put priority on the eco-friendliness of indoor space. In this study, the international and domestic green systems were analyzed and compared in order to restructure the checklist for indoor space. Using the restructured checklists, the questionnaire were sent to 180 people using 6 office buildings which passed the domestic "LEED" certification. LEED certification system put priority on the air quality and heating/cooling environment in its evaluation section and items. However, according to the results of the study, it was found that the people using the buildings were not satisfied enough with the air environment of buildings along with their other indoor environment items. This shows that even though the office buildings are designed according to the requirements of LEED, the buildings do not meet the occupier's needs. In addition, it showed that the evaluation items should be improved so that they are useful to enhance the satisfaction of the occupiers' needs. The paper could be useful in establishing standard for eco friendliness of indoor space of office buildings which pass the LEED certification as the basic data for increasing energy efficiency and working efficiency of occupiers of the buildings.

Numerical study of fluid behavior on protruding shapes within the inlet part of pressurized membrane module using computational fluid dynamics

  • Choi, Changkyoo;Lee, Chulmin;Park, No-Suk;Kim, In S.
    • Environmental Engineering Research
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    • 제25권4호
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    • pp.498-505
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    • 2020
  • This study analyzes the velocity and pressure incurred by protruding shapes installed within the inlet part of a pressurized membrane module during operation to determine the fluid flow distribution. In this paper, to find the flow distribution within a module, it investigates the velocity and pressure values at cross-sectional and outlet planes, and 9 sections classified on outlet plane using computational fluid dynamics. From the Reynolds number (Re), the fluid flow was estimated to be turbulent when the Re exceeded 4,000. In the vertical cross-sectional plane, shape 4 and 6 (round-type protrusion) showed the relatively high velocity of 0.535 m/s and 0.558 m/s, respectively, indicating a uniform flow distribution. From the velocity and pressure at the outlet, shape 4 also displayed a relatively uniform fluid velocity and pressure, indicating that fluid from the inlet rapidly and uniformly reached the outlet, however, from detailed data of velocity, pressure and flowrate obtained from 9 sections at the outlet, shape 6 revealed the low standard deviations for each section. Therefore, shape 6 was deemed to induce the ideal flow, since it maintained a uniform pressure, velocity and flowrate distribution.

폐 전이를 보이는 두피부의 재발성 선양 낭포 암종에 대한 장기간의 추적 관찰 (Long-term follow-up of recurred adenoid cystic carcinoma of the scalp)

  • 박보영;김양우;강소라
    • Archives of Plastic Surgery
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    • 제36권4호
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    • pp.507-511
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    • 2009
  • Purpose: Adenoid cystic carcinoma (ACC) is a rare malignant epithelial neoplasm derived from the salivary glands. In some cases, ACC may arise in other primary sites, such as skin. We report a case of adenoid cystic carcinoma arising the scalp skin of 69 - year - old woman. Methods: A 69 - year - old woman presented with a tender scalp nodule. A local wide excision was performed. Histopathologic examination was revealed the adenoid cystic carcinoma with basaloid cells in a cribriform pattern. The resection margins were free of tumor. Two years later a tumor recurred in the scarred area. The lesion was removed surgically and the histopathological diagnosis of adenoid cystic carcinoma was again established. After two years, tumor recurred again and diatant metastasis of the lung was diagnosed. A surgical wide excision was done and the close regular follow - up for recurrence was done. Two years later, third recurrence of the scalp was observed. We also performed the wide local excision with tumor free margin. Results: We experience the recurrent adenoid cystic carcinoma of the scalp with pulmonary metastasis. We have performed the wide local excision for three times. The patient has been followed up for 10 years with regular work - up for recurrence and metastasis Conclusion: primary cutaneous adenoid cystic carcinoma is a rare skin neoplasm with a high potential for recurrence after local excision. The standard treatment of ACC is wide local excision with tumor - free margins established by permanent section.

난류현상을 이용한 고속도로 합류부의 영향권 세분화 연구 (Analysis on Propagation of Highway Traffic Flow Turbulence at Entrance-Ramp Junctions)

  • 김태헌;노창균;김원길;손봉수
    • 한국도로학회논문집
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    • 제14권2호
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    • pp.109-116
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    • 2012
  • 본 연구의 목적은 도시고속도로 합류부의 특성 및 실제 교통상황을 고려하여 각 차로별, 구간별로 영향권을 분석하는 것을 목적으로 하였다. 향후에는 본 연구결과를 바탕으로 차로제어시스템(Lane Control System, LCS) 등 운전자 정보제공서비스 및 첨단기술에 적용하여 효율적인 도로이용을 통한 원활한 운행상태유지가 가능할 것이다. 본 연구에서는 속도의 표준편차를 기준으로 고속도로 합류부의 난류현상을 분석한 기존연구를 기반으로, 난류현상 발생정도를 기준으로 한 세분화된 합류부 영향권을 도출하였다. 난류현상을 기준으로 도출한 합류부 영향권은 합류지점을 중심으로 합류지점과 유사한 교통류 특성을 보이는 구간을 합류의 직접영향권으로 도출하였으며, 도출된 결과는 상류부 300m에서 500m구간의 1, 2, 3차로, 합류지점에서 300m지점까지의 전차로 및 하류부 100m지점까지의 전차로, 하류부 100m에서 300m구간의 2, 3차로로 분석되었다.

단결정 SOI트랜스듀서 및 회로를 위한 Si직접접합 (Silicon-Wafer Direct Bonding for Single-Crystal Silicon-on-Insulator Transducers and Circuits)

  • 정귀상
    • 센서학회지
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    • 제1권2호
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    • pp.131-145
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    • 1992
  • 본 논문은 SOI트랜스듀서 및 회로를 위해, Si 직접접합과 M-C국부연마법에 의한 박막SOI구조의 형성 공정을 기술한다. 또한, 이러한 박막SOI의 전기적 및 압저항효과 특성들을 SOI MOSFET와 cantilever빔으로 각각 조사했으며, bulk Si에 상당한다는 것이 확인되었다. 한편, SOI구조를 이용한 두 종류의 압력트랜스듀서를 제작 및 평가했다. SOI구조의 절연층을 압저항의 유전체분리층으로 이용한 압력트랜스듀서의 경우, $-20^{\circ}C$에서 $350^{\circ}C$의 온도범위에 있어서 감도 및 offset전압의 변화는 자각 -0.2% 및 +0.15%이하였다. 한편, 절연층을 etch-stop막으로 이용한 압력트랜스듀서에 있어서의 감도변화를 ${\pm}2.3%$의 표준편차 이내로 제어할 수 있다. 이러한 결과들로부터 개발된 SDB공정으로 제작된 SOI구조는 집적화마이크로트랜스듀서 및 회로개발에 많은 장점을 제공할 것이다.

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DSRC통신 기반 교통정보 제공 및 수집에 관한 연구 (A Study on Traffic Information Service and Collection by the Use of DSRC Technology)

  • 양원모;방정현;김규옥
    • 대한교통학회:학술대회논문집
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    • 대한교통학회 2007년도 제56회 학술발표회논문집
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    • pp.399-408
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    • 2007
  • DSRC(Dedicated Short Range Communications)란 주파수 대역이 5.8GHz인 단거리 전용통신 기술로 우리나라, 일본, 미국, 유럽등 많은 나라에서 175분야에 활발히 이용하고 있으며, 특히 일본에서는 ETCS등 ITS 각 분야의 표준 기술로 채택되어 활용되고 있으며 우리나라는 현재 한국도로공사의 ETCS의 표준 규격으로 채택되어 상용화단계에 이르렀다. 이러한 DSRC는 그 특성상 전자결제 이외에도 사용가능한 용도가 다양하다. 본 논문은 교통정보를 DSRC를 이용하여 차량의 단말장치(PDA)에 실시간으로 교통정보를 제공하고 단말장치의 H/W ID를 활용하여 구간소통정보를 보정하는 방법에 대한 연구이다. 교통관리 서버는 노변에 설치된 기지국(RSE: Road Side Equipment)을 통해 교통정보를 DSRC 통신방식으로 주행중인 차량에게 전송한다. 차량내 DSRC 통신모듈인 OBU(Onboard Unit 또는 OBE)는 해당정보를 수신 받아 단말장치에게 전송하고 단말장치의 교통정보제공 S/W는 화면에 정보를 그림 및 문자로 표시하고 TTS(Text To Sound)엔진을 통해 음성으로 안내한다. 교통정보가 수신되면 교통정보제공 S/W는 PDA의 H/W ID를 교통관리서버로 전송한다. 서버는 이 정보를 교통정보수집용 데이터베이스에 기록되며, 해당 이력정보를 이용하여 구간소통정보를 산출 할 수 있다.

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프로펠러 블레이드의 형상설계 및 CNC 공구경로 생성 (Parametric Shape Design and CNC Tool Path Generation of a Propeller Blade)

  • 정종윤
    • 한국정밀공학회지
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    • 제15권8호
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    • pp.46-59
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    • 1998
  • This paper presents shape design, surface construction, and cutting path generation for the surface of marine ship propeller blades. A propeller blade should be designed to satisfy performance constraints that include operational speed which impacts rotations per minutes, stresses related to deliverable horst power, and the major length of the marine ship which impacts the blade size and shape characteristics. Primary decision variables that affect efficiency in the design of a marine ship propeller blade are the blade diameter and the expanded area ratio. The blade design resulting from these performance constraints typically consists of sculptured surfaces requiring four or five axis contoured machining. In this approach a standard blade geometry description consisting of blade sections with offset nominal points recorded in an offset table is used. From this table the composite Bezier surface geometry of the blade is created. The control vertices of the Hazier surface patches are determined using a chord length fitting procedure from tile offset table data. Cutter contact points and path intervals are calculated to minimize travel distance and production time while maintaining a cusp height within tolerance limits. Long path intervals typically generate short tool paths at the expense of increased however cusp height. Likewise, a minimal tool path results in a shorter production time. Cutting errors including gouging and under-cut, which are common errors in machining sculptured surfaces, are also identified for both convex and concave surfaces. Propeller blade geometry is conducive to gouging. The result is a minimal error free cutting path for machining propeller blades for marine ships.

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