• 한국산학기술학회논문지
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• 제12권1호
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• pp.294-300
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• 2011

본 연구는 연하장애에 대한 병식이 없는 뇌졸중 환자들에서 연하장애의 유무와 양상을 알아보고자 시행되었다. 부산시에 소재하고 있는 P 재활의학병원을 내원한 뇌졸중 환자들 중 설문지 조사를 통하여 병식이 없다고 응답한 11명의 환자(남자 4명, 여자 7명)들을 최종대상으로 선정하였다. 설문지 조사, 비디오 투시 연하 조영 검사(video-fluoroscopic swallowing study, VFSS), 기능적 연하곤란 척도, 신경행동학적 인지상태 검사(neuro- behavioral cognitive status examination, NCSE)를 실시하였다. 결과 분석은 SPSS12.0을 사용하여 기술통계와 피어슨 상관분석을 하였다. 본 연구의 대상 뇌졸중 환자들 중 연하장애에 대한 병식이 없다고 응답한 환자들은 모두 연하장애를 동반하였다. 동반되는 연하장애의 양상으로는 구강기의 문제들과 인두기의 삼킴반사 지연이 있으며 인지적 특성에 있어서는 NCSE 항목 중 구성력, 기억력, 유사성이 다른 항목들보다 더 낮은 것으로 나타났다. 기능적 연하곤란 척도와 NCSE 항목들 간의 상관관계를 살펴본 결과 지남력과 판단력이 삼킴반사 지연과 언어이해가 구강 내 식괴의 잔여정도와 유의한 상관관계가 있었다. 본 연구의 결과에 의하면 연하장애에 대한 병식이 없는 뇌졸중 환자들이 연하장애를 가질확률이 높다. 따라서 연하장애로 인한 합병증을 예방하고 작업치료의 효과를 높이기 위해 뇌졸중 환자들에게 조기에 연하장애 평가가 이루어져야 할 것이다.

• Annals of Geriatric Medicine and Research
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• 제22권4호
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• pp.167-175
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• 2018

Sarcopenia, a common clinical syndrome in older adults, is defined as decreased muscle mass, strength, and physical performance. Since sarcopenia is associated with the incidence of functional decline, falls, and even mortality in older adults, researchers and health care providers have been keen to accumulate clinical evidence to advocate the screening and prevention of sarcopenia progression in older adults. The factors that may accelerate the loss of muscle mass and function include chronic diseases, inactivity, and deficiency in appropriate nutritional support. Among these, nutritional support is considered an initial step to delay the progression of muscle wasting and improve physical performance in community-dwelling older adults. However, a nationwide study suggested that most Korean older adults do not consume sufficient dietary protein to maintain their muscle mass. Furthermore, considering age-associated anabolic resistance to dietary protein, higher protein intake should be emphasized in older adults than in younger people. To develop a dietary protein recommendation for older adults in Korea, we reviewed the relevant literature, including interventional studies from Korea. From these, we recommend that older adults consume at least 1.2 g of protein per kg of body weight per day (g/kg/day) to delay the progression of muscle wasting. The amount we recommend (1.2 g/kg/day) is 31.4% higher than the previously suggested recommended daily allowance (i.e., 0.91 g/kg/day) for the general population of Korea. Also, evidence to date suggests that the combination of exercise and nutritional support may enhance the beneficial effects of protein intake in older adults in Korea. We found that the current studies are insufficient to build population-based guidelines for older adults, and we call for further researches in Korea.

• 대한전자공학회논문지SD
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• 제45권12호
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• pp.73-82
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• 2008

슈퍼스칼라 프로세서에서 리오더 버퍼의 복잡도를 줄이는 여러 가지 방법이 제시되었다. 그 중에서 리오더 버퍼의 포트를 가장 단순하게 하는 방법은 하나로 되어 있는 리오더 버퍼의 구조를 실행 유닛의 개수만큼 여러 개로 나누어 분산된 리오더 버퍼로 구현하는 것이다. 각각의 분산된 리오더 버퍼는 실행 유닛의 작업 부하에 따라 그 크기를 달리 할 수 있다. 하지만 분산된 리오더 버퍼의 크기에 따라 성능의 변화가 크다. 지금까지의 분산된 리오더 버퍼로 나누는 연구는 적절한 크기를 결정하기 위해 시뮬레이션 결과에 기반 하여 직관적으로 유추하였다. 본 논문은 분산된 리오더 버퍼에 M/M/1 큐잉 이론을 이용한 수학적모델을 적용하여 최적의 크기를 결정하고 CPU2000 벤치마크 프로그램을 수행하여 성능을 측정하고 평가하였으며 기존 슈퍼스칼라 프로세서 성능의 99.2%를 보여주는 분산된 리오더 버퍼의 최적 크기를 정할 수 있었다. 기존의 리오더 버퍼와 본 논문에서 제시한 분산된 리오더 버퍼를 HDL로 구현하였을 때 포트에서 82%의 하드웨어 자원과 30%이상의 지연시간을 줄였다.

• Elastomers and Composites
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• 제44권2호
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• pp.150-155
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• 2009

본 연구는 폴리비닐실록산 치과용 고무인상재의 조성에서 실리콘 프리폴리머 내 비닐그룹에 대한 가교제내 Si-H 그룹의 함량비 차이가 물성에 미치는 영향을 평가하였다. SiH/Vinyl 비가 1.6으로 가교제 함량이 낮은 $\underline{C6}$군(Cross-linker $\underline{6}$ parts 함유)은 인장강도가 실험군 중 가장 높았으나 경화속도가 너무 느렸고, SiH/Vinyl 비가 3.2인 C12군은 기계적 성질은 좋았으나 경화가 너무 빠르게 진행되어 조작이 용이하지 않은 단점을 보였다. 그러나 C14군은 가교제 함량이 더 낮은 실험군들에 비해 낮은 인장강도를 보였으며, C16군은 경화반응이 오히려 더 지연됨을 보여 과다한 가교제 첨가는 기계적 성질과 조작성에 불리한 영향을 미침을 알 수 있었다.

• 대한두개안면성형외과학회지
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• 제25권2호
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• pp.62-70
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• 2024

Background: The management of cleft lip and palate aims at improving the patient's aesthetic and functional outcomes. Delaying primary repair can disrupt the patient's functional status. Long-term follow-up is essential to evaluate the need for secondary repair or revision surgery. This article presents the epidemiology of cleft lip and palate, including comprehensive patient characteristics, the extent of delay, and secondary repair at our institutional center, the Bandung Cleft Lip and Palate Center, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia. Methods: This retrospective study aimed to determine the epidemiology and recurrence rates of cleft lip and palate at the Bandung Cleft Lip and Palate Center, Indonesia, from January 2007 to December 2021. The inclusion criteria were patients diagnosed with cleft lip and/or palate. Procedures such as labioplasty, palatoplasty, secondary lip and nasal repair, and alveolar bone grafting were performed, and data on recurrence were available. Results: In total, there were 3,618 patients with cleft lip and palate, with an age range of 12 months to 67 years. The mean age was 4.33 years, and the median age was 1.35 years. Males predominated over females in all cleft types (60.4%), and the cleft lip was on the left side in 1,677 patients (46.4%). Most cases were unilateral (2,531; 70.0%) and complete (2,349; 64.9%), and involved a diagnosis of cleft lip and palate (1,981; 54.8%). Conclusion: Delayed primary labioplasty can affect daily functioning. Primary repair for patients with cleft lip and palate may be postponed due to limited awareness, socioeconomic factors, inadequate facilities, and varying adherence to treatment guidelines. Despite variations in the timing of primary cleft lip repair (not adhering to the recommended protocol), only 10% of these patients undergo reoperation. Healthcare providers should prioritize the importance of the ideal timing for primary repair in order to optimize physiological function without compromising the aesthetic results.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제16권1호
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• pp.12-20
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• 1994

Generally, the totally paralyzed face can never be made normal by any of the current methods of reconstruction. Careful selection of patients based on sound judgment of what can and cannot be achieved by the proposed surgical technique is paramount to a successful operation and a satisfied patient. The results are related to time of delayed between injury and repair ; the shorter the delay the better are the results. The objectives in correcting facial paralysis are to achieve normal appearance at rest ; symmetry with voluntary motion ; control of the ocular, oral, and nasal sphincter ; symmetry with involuntary emotion and controlled balance when expressing when expressing emotion ; and no significant functional deficit secondary to the reconstructive surgery. It must be employed a number of concepts, for treatment of the paralyzed face by surgeon, depending on the cause, time interval, and wound characteristics, as well as the availability of and necessity for neuromuscular substitution. Nerve grafts, crossovers, muscle transfers, free muscle and nerve-muscle grafts, micronuerovascular muscle transfers, and regional muscle transposition are the principal methods being developed. We applied the temporal musle transposition for reanimation of unilatrally paralyzed faces for long times on two patients. The results of muscle transposition can be enhanced by the patient's learning to activate the transposed muscle by voluntary effort, and are best in patients who are motivated to learn the necessary motor-sensory coordination techniques.

• 한국축산식품학회지
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• 제34권1호
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• pp.49-56
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• 2014

The present study was carried out to investigate the effects of nanopowdered peanut sprout-added Caciocavallo cheese (NPCC) on the prevention and treatment of rheumatoid arthritis in DBA/IJ mice immunized with type II collagen. After the induction of arthritis, the mice were being divided into five groups: (1) normal, no immunization; (2) CIA, collagen-induced arthritis; (3) MTX, collagen-induced arthritis treated with methotrexate (0.3 mg/kg body weight); (4) CC, collagen-induced arthritis treated with Caciocavallo cheese (0.6 g/d); (5) NPCC, collagen-induced arthritis treated with nanopowdered peanut sprout-added Caciocavallo cheese (0.6 g/d). Nanopowdered peanut sprout was ranged from 300 to 350 nm, while regular powdered peanut sprouts were ranged from 50 to $150{\mu}m$. The NPCC group had considerable reductions of clinical scores and paw thicknesses at the end of experiment as compared to the CIA group. In the serum analysis, the TNF-${\alpha}$, IL-$1{\beta}$, IL-6 and $IgG_1$ levels in the NPCC group have decreased by 69.4, 75.9, 66.6, and 61.9%, respectively, when compared to the CIA group. The histological score and spleen index of the NPCC group were significantly lower than the CIA group. In conclusion, the feeding NPCC method could delay and/or prevent the rheumatoid arthritis in the collagen-induced arthritis mouse model. Based on this study, nanopowdered peanut sprouts could be applied to various functional cheeses.

• Asian Pacific Journal of Cancer Prevention
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• 제15권23호
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• pp.10057-10059
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• 2015

Positron emission tomography (PET) as the functional component of current hybrid imaging (like PET/CT or PET/MRI) seems to dominate the horizon of medical imaging in coming decades. $^{18}$Flourodeoxyglucose ($^{18}FDG$) is the most commonly used probe in oncology and also in cardiology and neurology around the globe. However, the major capital cost and exorbitant running expenditure of low to medium energy cyclotrons (about 20 MeV) and radiochemistry units are the seminal reasons of low number of cyclotrons but mushroom growth pattern of PET scanners. This fact and longer half-life of $^{18}F$ (110 minutes) have paved the path of a centralized model in which $^{18}FDG$ is produced by commercial PET radiopharmacies and the finished product (multi-dose vial with tungsten shielding) is dispensed to customers having only PET scanners. This indeed reduced the cost but has limitations of dependence upon timely arrival of daily shipments as delay caused by any reason results in cancellation or rescheduling of the PET procedures. In recent years, industry and academia have taken a step forward by producing low energy, table top cyclotrons with compact and automated radiochemistry units (Lab-on-Chip). This decentralized strategy enables the users to produce on-demand doses of PET probe themselves at reasonably low cost using an automated and user-friendly technology. This technological development would indeed provide a real impetus to the availability of complete set up of PET based molecular imaging at an affordable cost to the developing countries.

• 대한의용생체공학회:의공학회지
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• 제38권6호
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• pp.308-312
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• 2017

Skeletal muscle function plays a very important role in quality of life. However, skeletal muscle causes functional decline under aging or some diseases. Exercise and muscle training are good solutions to delay sarcopenia, but there are limitations to those who are uncomfortable in exercise. For this reason, alternative interventions for muscle sarcopenia are required, and many studies proved the increase of skeletal muscle mass by electrical stimulation. In conventional studies, however, mouse skeletal muscle cells have been mostly used in experiments to identify electrical stimulation conditions while human derived cells have not been frequently utilized in these studies. Stimulation used for rehabilitation has been uniformly treated without the consideration of aging. In addition, many studies have been used with conventional petri dish usually requiring many numbers of cells, which is not appropriate for rare. Moreover, they are not usually condition uniformity of electrical field. In this study, we have developed an electrical stimulation device which consumes a small amount of cells and can form a uniform electrical field. With the system, we analyzed the skeletal muscle differentiation and Myotube thickness depending on the electrical stimulation condition.

• 한국멀티미디어학회논문지
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• 제11권10호
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• pp.1385-1391
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• 2008

네트워크 기반 이동성 지원 기술인 Proxy MIPv6는 이동 노드가 Mobile IPv6 기능을 수행하지 않더라도 Proxy MIPv6 도메인 내에 위치하는 LMA (Local Mobility Anchor) 및 MAG (Mobile Access Gateway)에 의해 단말의 IP이동성을 지원한다. 그러나 이동 노드가 Proxy MIPv6 도메인 내에 존재하는 이동 네트워크 내부로 이동할 경우에는 MAG와 통신할 수 없으므로 더 이상 로컬 이동성 지원을 받을 수 없게 된다. 따라서 본 논문은 이동 라우터에 MAG 기능을 부여함으로써 Proxy MPv6도메인 내에서 중첩 네트워크 이동성을 지원하는 방안을 제안하고 그 성능을 평가한다. 성능 분석 결과 핸드오버 지연, 시그널릴 비용, 및 패킷 손실률 등에 있어서 제안 방안의 우수성을 확인할 수 있었다.