• Title/Summary/Keyword: density index

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Pelvic insufficiency fracture after radiotherapy in patients with cervical cancer in the era of PET/CT

  • Park, Shin-Hyung;Kim, Jae-Chul;Lee, Jeong-Eun;Park, In-Kyu
    • Radiation Oncology Journal
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    • v.29 no.4
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    • pp.269-276
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    • 2011
  • Purpose: To determine the incidence, risk factors, and clinical characteristics of pelvic insufficiency fracture (PIF) in patients with cervical cancer. Materials and Methods: Between July 2004 and August 2009, 235 patients with non-metastatic cervical cancer were treated with definitive chemoradiation or postoperative radiotherapy. Among 235 patients, 117 (49.8%) underwent the first positron emission tomography/computed tomography (PET/CT) within 1 year after radiotherapy. The median radiation dose was 55 Gy (range, 45 to 60 Gy). Medical charts and imaging studies, including PET/CT, magnetic resonance imaging (MRI), CT. bone scintigraphy were reviewed to evaluate the patients with PIF. Results: Among 235 patients, 16 developed PIF. The 5-year detection rate of PIF was 9.5%. The 5-year detection rate of PIF in patients who underwent the first PET/CT within a year was 15.6%. The median time to development of PIF was 12.5 months (range, 5 to 30 months). The sites of fracture included 12 sacroiliac joints, 3 pubic rami, 3 iliac bones, and 1 femoral neck. Eleven of 16 patients having PIF complained of hip pain requiring medications. One patient required hospitalization for pain control. The significant risk factors of PIF were old age, body mass index less than 23, bone mineral density less than -3.5 SD, and the first PET/CT within a year after radiotherapy. Radiation dose and concurrent chemotherapy had no impact on PIF rate. Conclusion: PIFs were not rare after pelvic radiotherapy in cervical cancer patients in the era of PET/CT. Timely diagnosis and management of PIF can improve quality of life in patients with cervical cancer, in addition to reducing unnecessary medical expenses.

Analysis of Trophic State Variation of Lake Yongdam in Dam Construction (담수 이후 용담호 영양상태 변동 요인 분석)

  • Yu, Soon-Ju;Chae, Min-Hee;Hwang, Jong-Yeon;Lee, Jea-an;Park, Jong-gyum;Choi, Tae-bong
    • Journal of Korean Society on Water Environment
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    • v.21 no.4
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    • pp.360-367
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    • 2005
  • We have performed to analyze the trophic state resulting of Lake Yongdam as a result of water quality and nutrient concentration. Lake Yongdam is artifitial multi-purpose Dam resulting from the floods of 2001. The water quality of Lake Yongdam may affect the status of the Geum river basin including the Daecheong reservoir. It is necessary to understand the trophic state to assess water quality until stability after flooding. Water quality was surveyed using depth and hydraulic condition analysis. Further density flow was estimated for stratification and trophic state of Lake Yongdam by chlorophyll ${\alpha}$ concentration (2001~2004). And Environmental factors on chlorophyll ${\alpha}$ concentration were analyzed statistically. Trophic state was evaluated as the oligotrophic state at the main stream of the reservoir and eutrophic state at the upper stream in 2001, but evaluated as eutrophic state in 2002 and 2003 by TSI of Aizaki. From the results of multiple regression analysis using stepwise method, chlorophyll ${\alpha}$ concentration was shown to be very significant when nutrient concentration is high upon initial filling of the Dam. Chlorophyll ${\alpha}$ concentration varied according to sample site, season and year. Concentration were high in the upper stream of Lake Yongdam 4, algae bloom in these watershed were affected by location and high nutrient levels in the summer season which have in turn increased phytoplankton bloom into the reservoir.

Deposition of Indium Tin Oxide films on Polycarbonate substrates by Ion-Assisted deposition (IAD)

  • Cho, Jn-sik;Han, Young-Gun;Park, Sung-Chang;Yoon, Ki-Hyun;Koh, Seok-Keun
    • Proceedings of the Korean Vacuum Society Conference
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    • 1999.07a
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    • pp.98-98
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    • 1999
  • Highly transparent and conducting tin-doped indium oxide (ITO) films were deposited on polycarbonate substrate by ion-assited deposition. Low substrate temperature (<10$0^{\circ}C$) was maintained during deposition to prevent the polycarbonate substrate from be deformed. The influence of ion beam energy, ion current density, and tin doping, on the structural, electrical and optical properties of deposited films was investigated. Indium oxide and tin-doped indium oxide (9 wt% SnO2) sources were evaporated with assisting ionized oxygen in high vacuum chamber at a pressure of 2$\times$10-5 torr and deposition temperature was varied from room temperature to 10$0^{\circ}C$. Oxygen gas was ionized and accelerated by cold hallow-cathode type ion gun at oxygen flow rate of 1 sccm(ml/min). Ion bea potential and ion current of oxygen ions was changed from 0 to 700 V and from 0.54 to 1.62 $\mu$A. The change of microstructure of deposited films was examined by XRD and SEM. The electrical resistivity and optical transmittance were measured by four-point porbe and conventional spectrophotometer. From the results of spectrophotometer, both the refractive index and the extinction coefficient were derived.

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Identifying the VeLLOs in the Spitzer Gould's Belt Survey

  • Kim, Mi-Ryang;Lee, Chang-Won;Dunham, M.;Allen, L.;Myers, Philip C.;Evans, N.
    • The Bulletin of The Korean Astronomical Society
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    • v.35 no.2
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    • pp.67.2-67.2
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    • 2010
  • We present results of searching for the Very Low Luminosity Objects (VeLLOs; internal luminosity : $L_{int}$ < $0.1(d/140pc)^2\;L\odot$) in the Gould's Belt clouds using observations from 3.6 to 70 micron by the Spitzer Space Telescope. The clouds are California, Chamaeleon I, III, Musca, Lupus V, VI, Scorpius, Serpens, Corona Australis, Cepheus, and IC 5146 having the properties of active low-mass star-forming such as the Taurus cloud. The observing sensitivity of the Spitzer data is estimated to be about $L_{int}\;\geq\;5\times10^{-3}(d/140pc)^2\;L\odot$, a factor of 20 better than that of the Infrared Astronomical Satellite (IRAS). The observing data were processed by the c2d Legacy pipeline. As the criteria to select the VeLLOs, we slightly modified previous ones by Dunham et al. The most important criterion is a flux density at 70 micron that is directly converted to the internal luminosity. Also, we used additional criteria to remove the contamination of evolved stars and extragalaxies which have colors or SEDs very similar to YSOs. We identified a total of 64 new embedded VeLLO candidates with $L_{int}$ < $0.1(d/140pc)^2\;L\odot$, consisting of 8 in California, 15 in Chamaeleon-Musca, 13 in Scorpius-Lupus, 20 in Serpens, 3 in Corona Australis, 3 in Cepheus, and 2 in IC 5146. The classification of the spectral index (${\alpha}$) fitted to the shape of the Ks-24 micron SEDs shows most of VeLLO candidates (89%) are in types of Class I and Flat spectrum. We plot various diagrams based on their 2MASS-Spitzer bands colors and magnitudes to discuss properties of the VeLLOs. This search will lead us new adventure toward a future systematic study of the VeLLOs.

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Medication Use Evaluation of Denosumab in Postmenopausal Women with Osteoporosis or Osteopenia (폐경 후 골다공증 및 골감소증 여성의 denosumab 약물 사용 평가)

  • Lim, Seon-Hye;Jung, Woo Jin;Chae, Jung-woo;Kang, Chan;Yun, Hwi-yeol
    • Korean Journal of Clinical Pharmacy
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    • v.30 no.3
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    • pp.196-205
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    • 2020
  • Background: The indication of denosumab for osteoporosis was expanded from second-line to first-line therapy in 2019. The aim of this study was to evaluate the efficacy of denosumab as both first- and second-line therapy in postmenopausal women with osteoporosis and osteopenia with risk factors by using the Fracture Risk Assessment Tool (FRAX). Methods: We conducted a medication use evaluation of denosumab in 98 patients who had been treated three or more times for osteoporosis or osteopenia at Chungnam National University Hospital from July 1st, 2017 to January 31st, 2020. Risk factors were identified using quantitative N-gram analyses of FRAX estimations. Patient information, including menopause status and results of bone mineral density tests (T-score), was obtained from electronic medical records. Results: Age, body mass index (BMI), prior medication use, and T-score were identified as risk factors and were included as variables in the evaluation of denosumab use. Since no significant differences were detected between groups, denosumab is likely effective regardless of age or BMI. In addition, no significant difference was detected in T-scores following denosumab treatment, between groups who took bisphosphonates and selective estrogen receptor modulators (SERMs) with denosumab as first-line therapy for postmenopausal osteoporosis. Denosumab may, therefore, be effective as second-line therapy. Conclusion: Efficacy of denosumab was evaluated in postmenopausal women with osteoporosis. Denosumab may be used as first- and second-line therapy regardless of age, BMI, and prior use of bisphosphonates and SERMs.

The Structural and Spatial Characteristics of the Actor Networks of the Industries for the Elderly: Based on the Social Network Analysis (고령친화산업 행위주체 테트워크의 구조적.공간적 특성: 사회 네트워크 분석을 중심으로)

  • Koo, Yang-Mi
    • Journal of the Korean Geographical Society
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    • v.43 no.4
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    • pp.526-543
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    • 2008
  • Based on the social network analysis(SNA), this study examines the structural and spatial characteristics of the actor networks of the manufacturing industries for the elderly. In the field of economic geography, former researches on network have mainly focused on the network governance. However, this study focused on the social network analysis. Centrality indexes are used to analyze the topological structure of actor networks of firms and organizations. In order to investigate the spatial structure of actor networks, not only the regional distribution of actors but also the correlation between centrality index and distance are analyzed. Network matrixes among actors are transformed to network matrixes among regions using block modeling method to reveal the spatial characteristics of the actor networks. In spite of the importance of the Capital Region, networks in the non-Capital Region like Chungnam and Pusan were showed high network density. This suggested that some kinds of policy project operating in the non-Capital Region had the influence on this network in the initial stage of industry.

Treatment Effect of Mulberry Root-Bark (Mori radicis Cortex) Extract on Hypercholesterolemia in Rabbits

  • Kim Dong Kyu;Chai Hee-Youl;Kim Tae Myung;Lee Nam-Jin;Cho Jung-Hee;Park Jung-Hui;Kang Jong-Koo;Kim Yun-Bae;Hwang Seock-Yeon
    • Biomedical Science Letters
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    • v.11 no.3
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    • pp.383-388
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    • 2005
  • This study reports that the effect of Mori radicis cortex, Mulberry root-bark, on the lipid peroxidation products formation in the liver, blood serum and atherosclerosis of hypercholesterolemia rabbits fed Mulberry root-bark for eight weeks. The rabbits were permitted a fixed quantity to extract of Mulberry root-bark mixed hypercholesterol fodder. The lipid peroxidation products, malondialdehyde (MDA) was significantly diminished. Total cholesterol in serum worthily decreased. Also, triglyceride and high density lipoproteins (HDLs) increased after feeding Mori radicis cortex. Besides, thicky atheromatous plaque on the wall of aorta of rabbits fed on hypercholesterol diet were markedly attenuated by Mulberry root-bark extract. These results support and substantiate the extract of Mulberry root-bark as protection against lipid peroxidation in the liver, blood serum and atherosclerosis.

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Online condition assessment of high-speed trains based on Bayesian forecasting approach and time series analysis

  • Zhang, Lin-Hao;Wang, You-Wu;Ni, Yi-Qing;Lai, Siu-Kai
    • Smart Structures and Systems
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    • v.21 no.5
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    • pp.705-713
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    • 2018
  • High-speed rail (HSR) has been in operation and development in many countries worldwide. The explosive growth of HSR has posed great challenges for operation safety and ride comfort. Among various technological demands on high-speed trains, vibration is an inevitable problem caused by rail/wheel imperfections, vehicle dynamics, and aerodynamic instability. Ride comfort is a key factor in evaluating the operational performance of high-speed trains. In this study, online monitoring data have been acquired from an in-service high-speed train for condition assessment. The measured dynamic response signals at the floor level of a train cabin are processed by the Sperling operator, in which the ride comfort index sequence is used to identify the train's operation condition. In addition, a novel technique that incorporates salient features of Bayesian inference and time series analysis is proposed for outlier detection and change detection. The Bayesian forecasting approach enables the prediction of conditional probabilities. By integrating the Bayesian forecasting approach with time series analysis, one-step forecasting probability density functions (PDFs) can be obtained before proceeding to the next observation. The change detection is conducted by comparing the current model and the alternative model (whose mean value is shifted by a prescribed offset) to determine which one can well fit the actual observation. When the comparison results indicate that the alternative model performs better, then a potential change is detected. If the current observation is a potential outlier or change, Bayes factor and cumulative Bayes factor are derived for further identification. A significant change, if identified, implies that there is a great alteration in the train operation performance due to defects. In this study, two illustrative cases are provided to demonstrate the performance of the proposed method for condition assessment of high-speed trains.

A Pilot Study of APN-led Self-management Program to Improve Cardiovascular Health Status among Korean Women with Risk Factors

  • Shin, Nah-Mee;Yoon, Ji-Won;Choi, Jiwon;Park, Younghee;Jeon, Songi
    • Korean Journal of Adult Nursing
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    • v.28 no.2
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    • pp.237-245
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    • 2016
  • Purpose: The aim of this study was to examine the effects of an Advanced Practice Nurse (APN)-led self-management program on cardiovascular health status among Korean women at risk of developing or progressing cardiovascular disease. Methods: This pilot study used one-group pre- and post- test experimental design. At health fairs in a community, 30 women who had one or more risk factors for metabolic syndrome were recruited and agreed to participate in the study. A total of 25 women completed the study. The intervention consisted of weekly follow-up calls and self-monitoring diary after an hour of individual counseling regarding risk factors, fast walking, and healthy diet tailored to the participants' needs. Physical activity was assessed with the World Health Organization International Physical Activity Questionnaire and a pedometer. Results: Participants showed statistically significant improvements in blood pressure, body mass index, levels of triglyceride, total cholesterol and low density lipoprotein, numbers of metabolic syndrome factors, and the 10-year CV risk estimate after one month of concentrated intervention. In addition, their physical activity behavior significantly improved after the intervention. Conclusion: This APN-led self-management program targeting modifiable risk factors by offering tailored counseling and concentrated support during the transition might be effective in preventing progression to the cardiovascular disease.

Feeding Habits and Consumption by Finless Porpoises (Neophocaena asiaeorientalis) in the Yellow Sea (한국 서행 상괭이 (Neophocaena asiaeorientalis)의 먹이습성과 섭식량)

  • Park, Kyum-Joon;An, Yong-Rock;Lee, Young-Ran;Park, Ji-Eun;Moon, Dae-Yeon;Choi, Seok-Gwan
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.44 no.1
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    • pp.78-84
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    • 2011
  • We investigated the stomach contents of finless porpoises collected in the Yellow Sea. Prey organisms in the stomachs of 109 finless porpoises were identified as 11 species of fish, 8 species of shrimp and 4 species of cephalopod. Index of Relative Importance analysis revealed that the porpoises fed mainly on the Japanese sand shrimp (Crangon affinis). The energy density of the prey was estimated to be 5.46 kJ. The daily energy requirement was estimated to be 18,051 kJ/day for a porpoise with an average weight of 32.49 kg. The estimated annual consumption by finless porpoises in the Yellow Sea was 25,454 tons. The average commercial catch in the Yellow Sea by Korean fisheries was 135,913 tons from 2005 to 2009. Assuming that the abundance of finless porpoises is stable, porpoises ate approximately 18.7% of the commercial catch. The fishery catch may be influenced by the consumption by finless porpoises, while fishery bycatch is a cause of porpoise mortality in the Yellow Sea.