• 대한물리치료과학회지
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• 제7권2호
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• pp.711-725
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• 2000

The purpose of this study was to determine the effects of knee flexor isokinetic training on the mean peak torque of knee muscles and hamstrings-to-quadriceps ratio(H/Q ratio) in hemiplegia able to walk independently for more than 10 meters, to analyze the effect of torque increasing on functional aspects; fatigability and ambulation times, also. Forty-one adult subjects with hemiplegia secondary to a stroke partipated in this study. All participants were in/out patients at the College of Medicine, Pocheon CHA University, Pundang CHA General Hospital. The patients were allocated to two groups: one group exclusively for isokinetic maximal voluntary knee flexor training at $150^{\circ}$/sec(n=20) and the other exclusively for isokinetic maximal voluntary knee flexor training from $30^{\circ}$/sec to $150^{\circ}$/sec (n=21) gradually. The allocation was performed according to patient age, sex, affected side to minimize imbalance between the two training groups. Training was carried out from February 14th, 2000 to April 15th, 2000. Analysis of the data was done by means of t-test, x2-test, paired t-test, ANOVA, and multiple regression analysis. The results of this study were as follows: 1. There were no significant differences between the two groups in mean peak torque of knee muscles and relative decreases in knee extensor mean peak torque with increased knee flexor velocities before training (P<.05). 2.There was no significant differences between the two groups in the H/Q ratio, and no relative increases with increased knee flexor velocities before training. 3. there were significant changes in mean peak torque in group A after training(P<.05), but no significant differences as the velocity increased 4.there were significant changes in mean peak torque in group B after training(P<.05), but no significant differences as the velocity increased 5.there were no significant differences between the two groups, and no significant differences in mean peak torque increase rate between the groups with increased knee flexor velocities after training 6.H/Q ratio increased with increased knee flexor velocities between the two groups, but not statistically And there was no significant differences between the groups with increased knee flexor velocities 7.After training, Ambulation time and its decreasing rate decreased significantly in group B (P<.05) 8Before and after training, there was no significant differences between the groups in the fatiguability 9. In the multiple regression analysis, mean peak torque increase rate of the knee extensor and flexor were higher in group B than A(P<.05), and significantly higher with increased knee flexor velocities (P<.05) Also, training method influenced on Ambulation times decreases significantly(P<.05). Results indicated that knee flexor isokinetic training was effective to knee extensor and flexor mean peak torque increase in the hemiplegia able to walk independently for more than 10 meters. Therefore, we were able to conclude that gradual training from low to high velocity was more effective in the increase of mean peak torque of knee joint and decrease of Ambulation times than training only at high velocity.

• 한국가정과교육학회지
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• 제13권3호
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• pp.69-84
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• 2001

The purpose of the present study is to investigate the relationship between self-concept and clothing behavior of elementary school children. For this purpose. 301 third and sixth graders two schools in Daegu-city were sampled. The \`Test of Self-Concept\` and \`Questionnaire on the Clothing Behavior\` were administered purpose of this study. The collected data were analyzed by the SPSS/PC Windows programs according to the research issues. Means and standard deviations were calculated and a three-way analysis of variance was applied to analyze the effects of grades, sex(gender) and self-concept on the clothing behavior. The major results of this study were as follows: 1. It was found that the mean score of the clothing behavior was significantly different depending the level of self-concept (group). The mean scores of manageability. psychological dependency interest and conformity of the high self-concept. group were significantly higher than those of the low self-concept group. But. there was no significant difference between the high and low self-concept groups in the mean score of comformity. 2. There were statistically significant differences between the sex of children in the mean score of the clothing behavior. It was found that the mean score of manageability, psychological dependency and interest of the female students were significantly higher than those of the male students. However the mean score of the comfortability of male students was significantly higher than that of the female students. In the meantime there was no significant difference between the sex of students in the mean score of comformity. 3. There were statistically significant differences in the mean score of the clothing behavior according to the graders of children . It was found that the mean scores of manageability, psychological dependency, interest and comfortability of the third graders were significantly higher those that of the sixth graders. But, there was no significant difference depending the grades of students in the mean score of conformity. 4. There were statistically significant interaction effects between the sex and the grade of children on the mean score of interest and comfortability. It was found that the mean score of interest of male third graders was higher than that of male sixth graders. The mean score of comfortability of the female third graders higher than that of sixth graders.

• 대한토목학회논문집
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• 제31권3A호
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• pp.199-206
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• 2011

현재 국내에서 사용되고 있는 교량의 선박충돌력에 대한 설계기준은 Woisin의 실험으로부터 제안된 평균충돌력을 적용한 AASHTO LRFD에 기반을 두고 있다. 이러한 평균충돌력의 보수성을 평가하기 위하여, 본 연구에서는 비선형 유한요소해석을 토대로 선박의 질량-가속도의 관계, 선수의 변형-운동에너지의 관계를 이용하여 선수충돌시 발생하는 평균충돌력을 산정하고 이를 AASHTO 설계기준과 비교하였다. 그 결과, 선박의 크기에 따른 평균충돌력의 변화는 해석에서 얻어진 평균충돌력에 비해 매우 보수적이지만 경향은 일치하는 것으로 나타났다. 그러나 속도에 따른 평균충돌력의 변화는 충돌속도에 비례하는 설계기준의 값과는 달리 선수의 소성거동에 지배를 받는 것으로 나타났다.

• Radiation Oncology Journal
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• 제12권3호
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• pp.387-392
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• 1994

Purpose : This study was done to confirm the reference point variation according to variation in applicator configuration in each fractioation of HDR ICR. Materials and Methods : We analyzed the treatment planning of HDRICR for 33 uterine cervical cancer patients treated in department of therapeutic radiology from January 1992 to February 1992. Analysis was done with respect to three view points-Interfractionation A point variation, interfractionation bladder and rectum dose ratio variation, interfractionation treatment volume variation. Interfractionation A point variation was defined as difference between maximum and minimum distance from fixed rectal point to A point in each patient. Interfractionation bladder and rectum dose ratio variation was defined as difference between maximum and minimum dose ratio of bladder or rectum to A point dose in each patient, Interfractionation treatment volume variation was defined as difference between miximum and minimum treatment volume which absorbed over the described dose-that is, 350 cGy or 400 cGy-in each patient. Results The mean of distance from rectum to A point was 4.44cm, and the mean of interfractionation distance variation was 1.14 cm in right side,1.09 cm in left side. The mean of bladder and rectum dose ratio was $63.8\%$ and $63.1\%$ and the mean of interfractionation variation was $14.9\%$ and $15.8\%$ respectively. With fixed planning administration of same planning to all fractionations as in first fractionation planning-mean of bladder and rectum dose ratio was $64.9\%$ and $72.3\%$.and the mean of interfraction variation was $28.1\%$ and $48.1\%$ reapectively. The mean of treatment volume was $84.15cm^3$ and the interfractionation variation was $21.47cm^2$. Conclusion : From these data, it was confirmed that there should be adapted planning for every fractionation ,and that confirmation device installed in ICR room would reduce the interfractionation variation due to more stable applicator configuration.

• 대한물리치료과학회지
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• 제8권2호
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• pp.961-965
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• 2001

The aim of this study is to present the basic reference data of age and specipic gait parameters for Korean Adult. The basic gait parameters were extracted from 20 Adult, 10 men and 10 women, 21 to 24 years of age using VICON 512 Motion Analyzer. The temporal gait parameters and kinematic parameters of Korean Adult similar to other western reference data. The results were as follows: 1) The mean Cadence of the male to the female were 113.5 steps/min to 117.6 steps/min. 2) The mean Walking Speed of the male to the female were 1.30 m/s, to 1.27 m/s. 3) The mean Stride Length of the male to the female were 1.35 m, to 1.30 m. 4) The mean maximal angles of pint on the pelvic tilt motion for different male to the female were $9.80^{\circ}$ to $7.75^{\circ}$. (p<0.05) 5) The mean maximal angles of pint on the hip flexion motion for different male to the female were $22.62^{\circ}$ to $27.65^{\circ}$. (p<0.05) 6) The mean maximal angles of pint on the knee flexion motion for different male to the female were $55.78^{\circ}$ to $55.49^{\circ}$. (p>0.05) 7) The mean maximal angles of pint on the ankle dorsiflexion motion for different male to the female were $12.47^{\circ}$ to $13.39^{\circ}$. (p>0.05).

• Investigative Magnetic Resonance Imaging
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• 제25권2호
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• pp.118-128
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• 2021

Purpose: To investigate the value of MR textural analysis, including use of diffusion-weighted imaging (DWI) to differentiate malignant from benign soft-tissue tumors on 3T MRI. Materials and Methods: We enrolled 69 patients (25 men, 44 women, ages 18 to 84 years) with pathologically confirmed soft-tissue tumors (29 benign, 40 malignant) who underwent pre-treatment 3T-MRI. We calculated MR texture, including mean, standard deviation (SD), skewness, kurtosis, mean of positive pixels (MPP), and entropy, according to different spatial-scale factors (SSF, 0, 2, 4, 6) on axial T1- and T2-weighted images (T1WI, T2WI), contrast-enhanced T1WI (CE-T1WI), high b-value DWI (800 sec/mm²), and apparent diffusion coefficient (ADC) map. We used the Mann-Whitney U test, logistic regression, and area under the receiver operating characteristic curve (AUC) for statistical analysis. Results: Malignant soft-tissue tumors had significantly lower mean values of DWI, ADC, T2WI and CE-T1WI, MPP of ADC, and CE-T1WI, but significantly higher kurtosis of DWI, T1WI, and CE-T1WI, and entropy of DWI, ADC, and T2WI than did benign tumors (P < 0.050). In multivariate logistic regression, the mean ADC value (SSF, 6) and kurtosis of CE-T1WI (SSF, 4) were independently associated with malignancy (P ≤ 0.009). A multivariate model of MR features worked well for diagnosis of malignant soft-tissue tumors (AUC, 0.909). Conclusion: Accurate diagnosis could be obtained using MR textural analysis with DWI and CE-T1WI in differentiating benign from malignant soft-tissue tumors.

• 한국제4기학회지
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• 제5권1호
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• pp.47-61
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• 1991

위버 반도(Weaver Peninsula)는 남극의 킹 죠지섬 (King George Island)의 일부로서, 한국의 세종 과학 기지가 있는 바톤 반도(Barton Peninsula)와 마리안 소만(Marian Cove)을 사이에 두고 있다(Fig.1). 위버 반도와 바톤 반도에 자갈 해빈이 잘 발달되어 있는 사실이 밝혀졌고, 이들 해안을 따라 조사한 결과 21개 지점에서 해수면보다 높은 위치의 자갈 해빈을 발견하였는데, 이번 연구 논문은 위버 반도의 자갈 해빈을 선택하여 연구 결과를 발표하는 것이다. 본 연구의 대상이 되는 WP-5의 해빈은 퇴적 소환경 (depositional subenvironment) 즉, 해빈범과 해빈면으로 구분되는바 해빈범 (beach berm)에서의 자갈입자의 평균 크기 (mean size ; SZm)는 -4.10ø이며, 평균 원마도(mean roundness ; RDm)는 0.44, 평균 구형도 (mean maximum projection sphericity ; MPSm)는 0.66이다. 그리고 해빈면(beach face)에서의 자갈 입자의 평균 크기는 -4.23ø이며, 평균 원마도는 0.41, 평균 구형도는 0.67로 나타났다. 전체적인 조직 특성을 보면 평균 입자 크기는 -2.77~-4.86$\phi$ 범위로 나타났으며, 평균 원마도는 0.30~0.55의 범위를 보였고, 평균 구형도는 0.62~0.71임 이 밝혀졌다. 한편 입자 형태 (shape)로서 가장 많은 것은 oblate type이며, 그 다음으로 equant, prolate, 및 blade type의 차례로 그 상대적인 양이 점차 감소한다. 본 연구 지역의 해빈자갈과 빙하성 해양 환경이 아닌 온대 기후의 해빈자갈을 비교해 보면, 온대 기후의 해빈자갈은 대략 평균 구형도 0.45~0.80, 평균 원마도 0.50~0.75의 범위를 보인다. 평균 구형도의 경우는 온대 지역의 해빈자갈과 유사한 값(0.62~0.71)을 보이는데 반해서 평균 원마도는 온대 기후의 해빈자갈보다 더 낮은 값(0.30~0.55)을 보이는데, 이는 subangular에서 subrounded에 해당한다. 이러한 현저한 차이를 보이는 이유는 남극적 빙하성 환경 조건과 이 지역의 해양 퇴적학적 특성에 그 원인이 있다고 해석된다.

• Journal of Gastric Cancer
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• 제13권3호
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• pp.136-148
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• 2013

Purpose: To define the role of robotic gastrectomy for the treatment of gastric cancer, the present systematic review with meta-analysis was performed. Materials and Methods: A comprehensive search up to July 2012 was conducted on PubMed, EMBASE, and the Cochrane Library. All eligible studies comparing robotic gastrectomy versus laparoscopic gastrectomy or open gastrectomy were included. Results: Included in our meta-analysis were seven studies of 1,967 patients that compared robotic (n=404) with open (n=718) or laparoscopic (n=845) gastrectomy. In the complete analysis, a shorter hospital stay was noted with robotic gastrectomy than with open gastrectomy (weighted mean difference: -2.92, 95% confidence interval: -4.94 to -0.89, P=0.005). Additionally, there was a significant reduction in intraoperative blood loss with robotic gastrectomy compared with laparoscopic gastrectomy (weighted mean difference: -35.53, 95% confidence interval: -66.98 to -4.09, P=0.03). These advantages were at the price of a significantly prolonged operative time for both robotic gastrectomy versus laparoscopic gastrectomy (weighted mean difference: 63.70, 95% confidence interval: 44.22 to 83.17, P<0.00001) and robotic gastrectomy versus open gastrectomy (weighted mean difference: 95.83, 95% confidence interval: 54.48 to 137.18, P<0.00001). Analysis of the number of lymph nodes retrieved and overall complication rates revealed that these outcomes did not differ significantly between the groups. Conclusions: Robotic gastrectomy for gastric cancer reduces intraoperative blood loss and the postoperative hospital length of stay compared with laparoscopic gastrectomy and open gastrectomy at a cost of a longer operating time. Robotic gastrectomy also provides an oncologically adequate lymphadenectomy. Additional high-quality prospective studies are recommended to better evaluate both short and long-term outcomes.

• Asian Pacific Journal of Cancer Prevention
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• 제14권7호
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• pp.4283-4287
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• 2013

Background: In this meta-analysis we review evidence suggesting that exposure to cadmium is a cause of breast cancer. Materials and Methods: We conducted Medline/PubMed and Scopus searches using selected MeSH keywords to identify papers published from January 1, 1980 through January 1, 2013. Data were merged and summary mean differences were estimated using either a random-effects model or a fixed-effects model. Results: There were 13 studies including 978 exposed cases and 1,279 controls. There was no statistically significant difference in the frequencies of breast cancer between cadmium-exposed and control groups, and the summary estimate of mean difference was 0.71 (95%CI: 0.33-1.08). However, stratification showed that there were statistically significant differences in the frequencies of breast cancer between cadmium-exposed and control groups among Asian compared with Caucasian population, and the summary estimates of mean difference were 1.45 (95%CI: 0.62-2.28) vs. 0.25 (95%CI: -0.09-0.6), respectively. There was a difference in the frequencies of breast cancer between cadmium-exposed and control groups in peripheral venous blood sampling methods, and the summary estimate of mean difference was 1.41 (95%CI: 0.46-2.37). Conclusions: Data indicate that the frequencies of breast cancer might be an indicator of early genetic effects for cadmium-exposed populations. However, our meta-analysis was performed on population-based studies; meta-analysis based on individual data might provide more precise and reliable results. Therefore, it is necessary to construct an international database on genetic damage among populations exposed to cadmium that may contain all raw data of studies examining genetic toxicity.

• Journal of Oral Medicine and Pain
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• 제48권3호
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• pp.87-95
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• 2023

Purpose: To quantify the relationship between perceived pain intensity and psychological variables in a sample of participants with temporomandibular disorder, with or without central sensitization (CS). Methods: A cross-sectional study with nonprobability convenience sampling was conducted from January 1, 2022, to June 30, 2023. Pain intensity (Numeric Pain Rating Scale), anxiety (State-Trait Anxiety Questionnaire, STAI), catastrophizing (Pain Catastrophizing Scale, PCS), perceived stress (Perceived Stress Scale, PSS), and sleep quality (Pittsburgh Sleep Quality Index, PSQI) were assessed. Statistical analysis was performed using IBM SPSS Statistics for Windows, Version 20.0 (IBM Co.), which included descriptive and normality analyses and the calculation of strength of multiple correlational regression. Results: A total of 52 (n=34 female 65.4%; n=18 male 34.6%) subjects with diagnosis of temporomandibular disorders (TMD) were finally included. A total of 26 participants (n=26, 50.0%) were cases suffered from CS (TMD-CS mean=46.62±11.24) while the remaining participants (n=26, 50.0%) were the controls (TMD-nCS mean=26.77, standard deviation [SD]=8.42). The pain intensity was moderate in both groups TMDCS (mean=7.62, SD=0.83) and TMD-nCS (mean=7.05, SD=0.86), anxiety (TMD-CS STAI mean=53.27, SD=11.54; TMD-nCS STAI mean=49, SD=11.55), catastrophizing (TMD-CS PCS mean=46.27, SD=9.75; TMD-nCS PCS mean=26.69, SD=4.97), perceived stress (TMDCS PSS mean=30.35, SD=4.91; TMD-nCS PSS mean=26.12, SD=6.60) and sleep quality (TMD-CS PSQI mean=15.81, SD=3.65; TMD-nCS PSQI mean=12.77, SD=2.76) levels were measured in both groups. In TMD-CS and TMD-nCS, higher anxiety levels were moderately and significantly associated with greater pain intensity β=0.4467 (t=2.477, p=0.021) and β=0.5087 (t=2.672, p=0.014). Nevertheless, catastrophizing, perceived stress and sleep quality were not associated to pain intensity in neither of group. Conclusions: In both TMD-CS and TMD-nCS patients, elevated anxiety levels were moderately and significantly associated with increased pain intensity. However, heightened levels of pain catastrophizing, perceived stress, and poor sleep quality were not significantly associated with increased pain intensity in either of the two analyzed groups.