• 제목/요약/키워드: TM-S

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두경부암 환자 방사선 치료 시 BinkieRTTM(구강용 고정장치)에 대한 유용성 평가 (Evaluating the usefulness of BinkieRTTM (oral positioning stent) for Head and Neck Radiotherapy)

  • 이경진;손상준;임경달;김찬용;이제희
    • 대한방사선치료학회지
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    • 제34권
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    • pp.21-30
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    • 2022
  • 목 적: 본원에서 방사선치료를 받는 두경부암 환자들에게 적용하기 위하여 도입한 구강용 고정장치 BinkieRTTM의 구강 내 재현성을 평가하고 기존 고정장치와의 재질과 선량 비교를 통해 그 유용성을 평가하고자 한다. 대상 및 방법: BinkieRTTM를 사용하여 치료한 두경부암 환자 24명을 대상으로 혀 재현성 평가를 위해 치료계획용 CT와 치료 중 3일 간격으로 촬영된 CBCT영상에 혀를 그린 후 DSC와 중심축 이동값을 분석하였다. 또한 BinkieRTTM를 사용하는 경우와 다른 종류의 구강 고정장치(mouth piece, paraffin wax)를 사용했을 때 선량 분포측면에서 혀에 조사되는 선량을 비교하였다. 이를 위해 상악에 위치한 종양 치료를 받는 환자들과 편측 두 경부암 환자들을 각 10명씩 선정하고 전산화 치료 계획 시 혀에 조사되는 선량을 확인하였다. 마지막으로 재질 평가 측면에서는 임상에서 혀를 치료부위 반대 방향으로 보내 고정하는 목적으로 많이 사용하는 Paraffin Wax나 Putty와의 비교를 통하여 BinkieRTTM의 단순 물질 특성을 알아보기 위해 전산화 치료 장비로 Mass density 및 상대전자밀도 등을 확인하고, 팬텀과 이온챔버를 이용하여 Transmission Factor를 측정하였다. 결 과: BinkieRTTM를 사용 시 DCS (n=144) 의 평균은 0.8 ± 0.07, 95% 신뢰구간은 0.79~0.82 로 나타났고, 빈도분포 분석 결과는 왜도 -0.8, 첨도 0.61 로 나타났다. 치료 기간 중 혀 중심축 이동에 대한 편차를 분석하기 위해 LR, SI, AP 방향 이동에 대한 95% 신뢰구간과 편차의 이상값인 0에 대한 일표본 t검정을 실시하였다.(n=144) t검정 결과 LR, SI 방향의 평균은 각각 0.01 ± 0.14 cm(p>.05), 0.03 ± 0.25 cm(p>.05), AP 방향은 -0.08 ± 0.25 cm(p<.05) 로 나타났다. 혀를 치료부위의 반대 방향으로 고정한 경우인 편측 귀밑샘 종양 환자들의 경우 BinkieRTTM를 사용한 환자들의 혀 평균선량은 처방선량 대비 평균 16.92% ± 3.58%, Paraffin Wax 환자 23.99% ± 10.86% 로 BinkieRTTM 사용 시 혀 선량이 비교적 더 낮은 것으로 나타났다(p<.05). 반면, 혀를 아래로 누르는 목적으로 BinkieRTTM를 사용한 환자들 중 비강암 환자의 혀 평균선량은 평균 4.4% ± 5.6%, mouth piece를 사용한 환자들은 5.9% ± 6.8% 로 나타났으나, 통계적으로 유의하지 않았다(p>.05). Paraffin Wax와 BinkieRTTM, Putty의 상대전자밀도 측정 결과 각각 0.94, 0.99, 1.26, Transmission Factor는 각각 0.99, 0.98, 0.96로 나타났다. 결 론: BinkieRTTM의 치료기간에 걸쳐 나타난 혀 DSC분석 결과는 약 0.8, 고정력은 LR, SI 방향으로의 편차가 0에 가까울 정도로 매우 우수하였으며, AP방향의 고정력 또한 평균 0.08 cm 로 우수한 편이었다. 또한 혀를 옆으로 밀어 치료부위 반대 방향으로 고정하는 편측 두경부암 환자의 경우 Paraffin wax나 Putty를 사용하는 것보다 BinkieRTTM를 사용하는 것이 혀에 조사되는 불필요한 선량을 줄일 수 있는 것으로 나타났다. 그러므로 본 실험 결과와 BinkieRTTM의 특성을 적절히 고려하여 두경부암 치료에 적용한다면 혀의 재현성 유지 및 선량 감소에 도움이 되리라 사료된다.

The Determinants of The Bank Regulation and Supervision on The Efficiency of Islamic Banks in Different Country's Income Level

  • MOHD NOOR, Nor Halida Haziaton;BAKRI, Mohammed Hariri;WAN YUSOF, Wan Yusrol Rizal;MOHD NOOR, Nor Raihana Asmar;ABDULLAH, Hasni;MOHAMED, Zulkifli
    • The Journal of Asian Finance, Economics and Business
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    • 제7권12호
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    • pp.721-730
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    • 2020
  • This study investigates the impact of the country's governance on the revenue efficiency of 108 Islamic banks from 26 countries offering Islamic banking and finance products services. The technical efficiencies of individual Islamic banks have been analyzed using the Data Envelopment Analysis method. The data will be pooled across the selected countries and utilize the intermediation approach. The Ordinary Least Square estimation method is employed to examine the impact of country supervision and regulation on the technical efficiency of Islamic banks. As robustness check, the study examines the impact of the level of bank regulations and supervision on the efficiency of Islamic banks operating in different income-level countries. The results found that the stricter the supervisory power, the less strict capital requirement, the tighter the restrictions on non-banking activities, and the stricter the private monitoring enhance statistically significantly the level of efficiency of Islamic banks. In upgrading the regulations and supervision of the Islamic banks, the existing regulatory framework based on the Basel Committee on Banking Supervision (BCBS) must be complemented with the prescriptions on Islamic banking or Shariah compliance diligently, so that the Islamic banks could be regulated accurately and further improve the technical efficiency of their operations.

The Changes in Range of Motion after a Lumbar Spinal Arthroplasty with Charite$^{TM}$ in the Human Cadaveric Spine under Physiologic Compressive Follower Preload: A Comparative Study between Load Control Protocol and Hybrid Protocol

  • Kim, Se-Hoon;Chang, Ung-Kyu;Chang, Jae-Chil;Chun, Kwon-Soo;Lim, T. Jesse;Kim, Daniel H.
    • Journal of Korean Neurosurgical Society
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    • 제46권2호
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    • pp.144-151
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    • 2009
  • Objective: To compare two testing protocols for evaluating range of motion (ROM) changes in the preloaded cadaveric spines implanted with a mobile core type Charite$^{TM}$ lumbar artificial disc. Methods: Using five human cadaveric lumbosacral spines (L2-S2), baseline ROMs were measured with a bending moment of 8 Nm for all motion modes (flexion/extension, lateral bending, and axial rotation) in intact spine. The ROM was tracked using a video-based motion-capturing system. After the Charite$^{TM}$ disc was implanted at the L4-L5 level, the measurement was repeated using two different methods: 1) loading up to 8 Nm with the compressive follower preload as in testing the intact spine (Load control protocol), 2) loading in displacement control until the total ROM of L2-S2 matches that when the intact spine was loaded under load control (Hybrid protocol). The comparison between the data of each protocol was performed. Results: The ROMs of the L4-L5 arthroplasty level were increased in all test modalities (p < 0.05 in bending and rotation) under both load and hybrid protocols. At the adjacent segments, the ROMs were increased in all modes except flexion under load control protocol. Under hybrid protocol, the adjacent segments demonstrated decreased ROMs in all modalities except extension at the inferior segment. Statistical significance between load and hybrid protocols was observed during bending and rotation at the operative and adjacent levels (p< 0.05). Conclusion: In hybrid protocol, the Charite$^{TM}$ disc provided a relatively better restoration of ROM, than in the load control protocol, reproducing clinical observations in terms of motion following surgery.

Dyeability and Colorfastness of Knitted Fabrics with Natural Dye PinuxTM (Part I)

  • Wang, Geom-Bong;Song, Kyung-Hun
    • 한국의류학회지
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    • 제35권12호
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    • pp.1477-1485
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    • 2011
  • Dyeability and colorfastness of the blended knits of cotton/rayon (40/60; C/R) and wool/tencel (10/90; W/T) are examined using the natural dyestuff ($Pinux^{TM}$) manufactured from Pinus radiata pine bark extract. In addition, pre-treatments (such as bleaching, mercerization and cationization) are performed to improve dyeability and colorfastness. The $Pinux^{TM}$ powder dyestuffs produced by Pinux Co., Ltd. are used as dyestuffs and their properties are examined for dyeing concentration (0.5-2% (owb)), dyeing time (30-120 minutes) and dyeing temperature (30-$90^{\circ}C$). Dyeability is evaluated with K/S value at 400nm, which is the maximum absorption wavelength for $Pinux^{TM}$. The results show the dyeability of W/T sample containing protein fiber with $Pinux^{TM}$ is superior to all cellulose fiber C/R. A concentration of dyestuff greater than 1.5% (owb), dyeing time 120 minutes and dyeing temperature of $90^{\circ}C$ are the most optimized conditions. It shows that the dyeability of C/R and W/T samples are high in the condition of an acid-dyeing bath and that dyeability highly declined in alkaline bath due to the instability of the proanthocyanidin pigment. After analyzing the effect of bleaching, mercerizing and cationizing (as pre-treatments on dyeability) it was concluded that the dyeability of the C/R sample was enhanced by mercerization but no significant effect by cationization. However, the simultaneous treatment of cationizing and dyeing resulted in far improved dyeability compared to dyeing after cationizing pre-treatment. As for the W/T sample, the effect of cationization was more prominent than the C/R sample. Colorfastness to color changes in the control W/T sample was higher than that of C/R's level 1-2, and it increased to Level 2 when bleaching pre-treatment was given and when a simultaneous cationizing treatment was adopted to the dyeing process. Colorfastness to light in W/T control sample resulted in Level 3 and further increased to an excellent Level of 4 with bleaching and simultaneous cationizing during dyeing process.

PLD법을 이용한 $TmBa_{2}Cu_{3}O_{7-x}$ 초전도 선재 제작 및 전류전송특성 평가 (Fabrication and Current Transport Properties of $TmBa_{2}Cu_{3}O_{7-x}$ Coated Conductor by PLD Process)

  • 권오정;고락길;구현;배성환;정명진;오상수;박찬
    • 전기학회논문지
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    • 제58권11호
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    • pp.2209-2213
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    • 2009
  • $REBa_{2}Cu_{3}O_{7-d}$(REBCO) coated conductors(REBCO CCs) have been studied for electric power applications which require high current density wires. As long as the critical transition temperature(Tc) is concerned, REBCO CCs with large $RE^{3+}$ ions have been expected to have better current transport properties than those with smaller $RE^{3+}$ ions. For this reason, REBCO's with large $RE^{3+}$ ions which include GdBCO, NdBCO and SmBCO have been mainly considered as the superconducting layer of CCs. On the other hand, REBCO's with smaller $RE^{3+}$ions are expected to have advantages in the fabrication process of CCs because of the lower melting temperature. But it has not yet been made clear which REBCO is the most suitable for the superconducting layer of CCs. In this study, we investigated the current transport properties of REBCO CCs with small $RE^{3+}$ ion and advantages of using that in the CC fabrication process. Thin films of TmBCO, which has smaller $RE^{3+}$ion than most other $RE^{3+}$ ions, were fabricated on buffered metal substrate as the superconducting layer of CC by PLD process. TmBCO CC shows critical current density (Jc (77 K, sf) = $2.3\;MA/cm^2$) high enough to be utilized for application in electric power devices. Compared with previous experiments using the same PLD system, deposition temperature was approximately $20^{\circ}C$ lower than NdBCO thin films on buffered metal substrates.

한국형 양심실 보조 인공 심장의 효율 분석 및 개선에 관한 연구 (Analysis and Improvement of System Efficiency for the Moving-actuator type Bi-Ventricular Assist Device ($AnyHeart^{TM}$))

  • 정진한;남경원;최성욱;이정주;박찬영;김욱은;최재순;민병구
    • 대한의용생체공학회:의공학회지
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    • 제22권5호
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    • pp.449-458
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    • 2001
  • 한국형 양심실 보조 인공 심장의 효율 측정 방법과 측정 결과이다. 한국형 양심실 보조 인공 심장은 에너지 변환기로 브러시 없는 직류 모터를 사용한다 이 브러시 없는 직류 모터가 기어 열을 따라 원추운동을 하며 혈액주머니에 힘을 가하게 되고. 이 힘에 의해 혈액주머니 안의 혈액이 박출하게 된다. 효율 측정을 위하여 제어기 및 모터부, 기어부 및 작동기부. 혈액주머니 및 기타부 등 크게 세 부분으로 나누었으며. 각각을 다시 소자별로 나누어 입. 출력의 효율을 측정했다. 부하의 토크, 분당 회전수 각속도, 인가되는 전압 등을 바꾸어 가면서 시스템의 효율을 측정했고. 이 측정을 통해서 모터 운동시의 전체적인 효율과 부분별 효율을 알 수 있었다. 특히 양심실 보조 장치의 모터부와 작동기부의 효율측정에 중점을 두었다. 측정 결과 이동 작동기형 양심실 보조 장치의 평균 동작 영역인 4$\ell/min$ 박출량에서, 전체 효율은 8 %정도이며 구체적으로는 모터부 50 %, 작동기부 85 % 혈액주머니부 19 %정도의 효율을 보였다. 또한 6$\ell/min$ 박출량의 경우, 전체 효율은 5.5 %정도였다. 분석된 결과를 바탕으로 효율을 개선하기 위해 박출량에 따른 필요 구동 전압을 결정하고. 혈액주머니의 충만 상태에 따른 속도 파형을 연구. 제안하였다.

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랜�V-5호(號) TM 데이타를 이용(利用)한 구분후(區分后) 비교(比較) 및 영상대차(映像對差)의 습지대(濕地帶) 변화(變化) 탐지(探知) 기법(技法)에 관(關)한 비교연구(比較硏究) (A Comparative Study of Wetland Change Detection Techniques Using Post-Classification Comparison and Image Differencing on Landsat-5 TM Data)

  • 정성학
    • 한국산림과학회지
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    • 제81권4호
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    • pp.346-356
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    • 1992
  • 미서부(美西部)의 광대한 Snake강(江) 범람평원은 홍수로 인하여 수로(水路) 및 식생형(植生型)의 빈번한 변화 및 침해를 받아왔다. 1985년과 1988년 기간 동안의 습지대 식생형의 변화를 탐지하기 위하여, 원격탐사의 변화탐지 기법(技法) 중 구분후(區分后) 비교(比較) 및 영상대차법(映像對差法) 등을 Landsat-5호 TM 디지탈 데이타를 이용하여 비교 고찰 하였다. 대차(對差)된 적외선대(外線帶) 영상들이 가시대(可視帶) 영상을보다 나은 정확도 지표(指標)를 보였으며, 역기법(閾技法)을 적용하여, 영상대차법에 의하여 변형된 영상들로부터 변화(變化)와 무변화(無變化)를 구분하였다. 또한, 여러 정확도 지표들 즉, 카파 일치계수(一致係數), 총정확도, 생산자 정확도, 이용자 정확도 및 평균정확도(생산자 및 이용자 정확도 등에 근거한) 등을 이용하여 최적역영역(最適閾領域)을 결정함에 있어서의 문제점들을 고찰하였다.

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자기공명촬영으로 확인된 횡단성 척수염 29례에 대한 후향적 분석 (A Retrospective Analysis of MRI-verified 29 Cases of Transverse Myelitis)

  • 김영래;송준혁;박향권;김성학
    • Journal of Korean Neurosurgical Society
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    • 제29권12호
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    • pp.1642-1649
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    • 2000
  • Objectives : Transverse myelitis(TM) is characterized by bilateral motor, sensory, and autonomic dysfunction of the spinal cord in the absence of pre-existing neurologic disease. It is an uncommon but not rare condition. But it remains as poorly understood syndrome not only etiologically but also in terms of its clinical behavior. Neurosurgically, It is often quite difficult to distinguish from other surgical intramedullary lesions. We present our clinical experiences of TM in order to assess its clinical behavior and to define the radiological characteristics that can distinguish TM from other intramedullary lesions. Methods : From June 1991 to May 1997, twenty-nine patients with transverse myelitis were admitted to our department. All cases revealed acute or subacute syndrome of non-compressive myelopathy and intramedullary lesions in the MRI. We analyze the radiological data and medical records retrospectively. Results : Patients ranged in age from 16 to 66 years, with 22 males and 7 females. Mean follow-up period was 53 months. For the offending levels, cervical was 5, thoracic 21, and lumbar 3 in number. The patients who presented the return of symptoms after a diminution or abatement of initial symptoms were 7(24%). In the MRI, TM showed typical characteristics of high signal intensity lesions in the center of spinal cord in T2 weighted images and low- to iso-signal intensity in T1 weighted images. A focal nodular enhancement pattern was observed in 58.6%(17/29) of the patients. MR follow-up studies were done in the 21 patients and radiological improvement were verified. Biopsies were done in 3 patients. Normal to good outcome was achieved in 62% of the patients. Conclusion : Transverse myelitis has characteristic radiological findings that can be distinguished from other intramedullary lesions. In our series, it is associated with significant recurrence rates thus, should not be considered a selflimiting disease with good prognosis.

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