• 제목/요약/키워드: moderate deviation type

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Differences in facial soft tissue deviations in Class III patients with different types of mandibular asymmetry: A cone-beam computed tomography study

  • Ho-Jin Kim;Hyung-Kyu Noh;Hyo-Sang Park
    • 대한치과교정학회지
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    • 제53권6호
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    • pp.402-419
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    • 2023
  • Objective: This study assessed the differences in soft tissue deviations of the nose, lips, and chin between different mandibular asymmetry types in Class III patients. Methods: Cone-beam computed tomography data from 90 Class III patients with moderate-to-severe facial asymmetry were investigated. The sample was divided into three groups based on the extent of mandibular rolling, yawing, and translation. Soft tissue landmarks on the nose, lips, and chin were investigated vertically, transversely, and anteroposteriorly. A paired t test was performed to compare variables between the deviated (Dv) and nondeviated (NDv) sides, and one-way analysis of variance with Tukey's post-hoc test was performed for intergroup comparisons. Pearson's correlation coefficient was calculated to assess the relationship between the soft and hard tissue deviations. Results: The roll-dominant group showed significantly greater differences in the vertical positions of the soft tissue landmarks between the Dv and NDv than other groups (P < 0.05), whereas the yaw-dominant group exhibited larger differences in the transverse and anteroposterior directions (P < 0.05). Moreover, transverse lip cant was correlated with the menton (Me) deviation and mandibular rolling in the roll-dominant group (P < 0.001); the angulation of the nasal bridge or philtrum was correlated with the Me deviation and mandibular yawing in the yaw-dominant group (P < 0.01). Conclusions: The three-dimensional deviations of facial soft tissue differed based on the mandibular asymmetry types in Class III patients with similar amounts of Me deviation. A precise understanding of soft tissue deviation in each asymmetry type would help achieve satisfactory facial esthetics.

부분심내막상 결손증의 교정수술치험 3례 (Surgical Repair of Partial Atrioventricular Canal Defect)

  • 김영호;김공수
    • Journal of Chest Surgery
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    • 제18권2호
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    • pp.299-304
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    • 1985
  • The partial A-V canal defect consist of ostium primum type atrial septal defect with a cleft mitral anterior leaflet. The clinical findings depend upon the site and size of the left-to-right shunt, the degree of A-V valvular regurgitation, and the degree of resultant pulmonary artery hypertension. We experienced 3 cases of similar condition. The data were as follow: 1. Chest P-A showed increased pulmonary vascularity and moderate cardiomegaly with left atrial enlargement. 2. E.K.G. showed left axis deviation, left atrial enlargement, and left ventricular hypertrophy. 3. Right heart catheterization showed significant 02 step up of SVC-RA and left-to-right shunt. 4. Left ventriculogram showed mitral regurgitation and filling of both atrium. Operative findings were as follow: 1. Primum type atrial septal defect [2x2 cm]. 2. Cleft in the anterior leaflet of the mitral vave. 3. No evidence of ventricular septal defect and tricuspid anomaly. Through a right atriotomy with moderate hypothermia, the mitral cleft was approximated with interrupted sutures. The interatrial communication was closed by a patch of Dacron/pericardium. The patch was attached to junction of the mitral and tricuspid valves along the crest of the ventricular septum using interrupted sutures and the other site using continuous sutures. Postoperative course was uneventful and discharged in good general condition except postoperative bleeding in case 3.

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뇌성마비 성인의 음소대조 낱말명료도와 문장명료도 (A comparison of techniques for measuring intelligibility of dysarthric speech : toward phonetic intelligibility testing in dysarthria.)

  • 김수진
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2002년도 11월 학술대회지
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    • pp.141-144
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    • 2002
  • The relations between words intelligibility and sentences intelligibility were tested on adults with cerebral palsy(athetoid type). Intelligibility is used as an important evaluation value in the field of diagnosis and therapy of dysarthric patients. In order to develop one syllable phonetic contrast intelligibility test using specific phonetic contrasts, the correlation with sentences intelligibility was tested to find out the validity. Pearson's simple correlation coefficient was .83 that shows a high correlation. Also, comparing the range and standard deviation given by seven evaluators on each subject, it was shown that when evaluating patients of moderate intelligibility, words intelligibility was more reliable than sentences intelligibility.

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An Investigation on Fitting Dummies for the Making of Women's Clothing in their 50s~60s

  • Youngji Kook;Ho sun Lim
    • 한국의류산업학회지
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    • 제26권1호
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    • pp.55-64
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    • 2024
  • This study investigated the usage and product conditions of clothing companies and online dummy companies for the development of fitting dummy for South Korean women's wear in their 50s and 60s. These women-targeted apparel companies mainly used nude-sized torso type and torso crotch type made of FRP material. The frequency of use of the dummies was high, while the user satisfaction was moderate. Users expressed dissatisfaction with the inaccurate reflection of the body shape according to the KS sizing system and the measurements such as the front and back intercye, upper arms, abdomen, crotch, and waist back length. Upon survey, 73.7% of the respondents answered that development of the dummy and the appropriate age for it is 50 to 54, and they preferred the torso crotch form. In the production of online dummy companies, the torso crotch type and torso type were most widely produced, and polyurethane, FRP, and recycled paper materials were used. The size of dummy was expressed in numerical type, and 6, 7, 8, 9, 10, 12, 14, 16, 18 and 44, 55, 66, 77, 88 were being produced. Even models of the same size had significant deviation, especially in the waist circumference. Also, there was no dummy reflecting 25%~75% center interval to the KS garment sizing standards of women in their 50s and 60s. Therefore, it is desperately necessary to develop a fitting dummy for KS clothing sizing system that reflect their body sizes and shapes.

지역사회 거주 기혼 여성의 요실금 중증도에 따른 불안, 우울 및 삶의 질 (Anxiety, Depression and Quality of Life of Married Women with Urinary Incontinence Living in the Community)

  • 송영신;홍성경;송주은;조혜경;손연정
    • 기본간호학회지
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    • 제14권4호
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    • pp.483-492
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    • 2007
  • Purpose: The purpose of this study was to compare anxiety, depression and quality of life according to the severity of urinary incontinence in married women. Method: The participants were 168 married women aged 30-65 years who experienced urinary incontinence. The data were collected from May to July, 2006 using a structured questionnaire. Frequencies, percent, means and standard deviation, t-test, ANOVA, $X^2-test$ and Scheffe test with SPSS win 14.0 program were used to analyze the data. Results: The distribution of urinary incontinence severity was mild 87.5%, or moderate 12.5%. Significant differences in the severity of urinary incontinence were found for the general characteristics of age, education level, having a job and having a spouse and for the obstetric characteristics of type of delivery, and menopause. Differences in the score for anxiety(t=-2.41, p=0.001) and quality of life(t=5.50, p<0.001) according to the severity of urinary incontinence were statistically significant. Conclusion: Women with moderate to severe urinary incontinence should be screened for psychosocial factors. Severity of urinary incontinence in married women negatively affects their quality of life. Further research is needed to determine factors predicting the quality of life for incontinent women.

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유방절제술 환자의 신체상, 자아존중감과 건강증진행위의 관계 (Relationships among Body Image, Self-esteem and Health Promotion Behavior in Mastectomy Patients)

  • 정경숙;박금자
    • 종양간호연구
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    • 제7권1호
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    • pp.36-46
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    • 2007
  • Purpose: This study was designed to fine out the relationships among body image, self-esteem and health promotion behavior in mastectomy patients. Method: Data were obtained by self -reported questionnaires from 218 patients undergone mastectomy from September 1 to October 15, 2005. And data were analyzed using SPSS/PC WIN 12.0 program. For the statistical analysis of the date, frequency and percentage, mean and standard deviation, t-test, ANOVA and Scheffe test and Pearson's correlation coefficients were used. Result: The mean scores of the body image, self-esteem, and health promotion of the subjects were $41{\pm}7.40$ (range of scale : 17 to 68), $22.22{\pm}4.95$ range of scale : 10 to 40), and $130.45{\pm}23.99$ range of scale : 50 to 200), respectively. There were significant differences with the score of body image by the work type (F=4.018, p= .008), a number of child (F=3.069, p= .029), and participation with self help group program (t=68.177, p= .001). There were significant differences with the score of self-esteem by the type of religion (F=4.546, p= .002), work type (F=4.488, p= .004), post operation period (F=2.814, p= .026), and participation with self help group program (t=12.901, p= .001). There were significant differences with the score of the health promotion behavior by the type of religion (F=3.066, p= .018), economic state (F=11.765, p= .001), level of education (F=6.285, p= .001), operation site (F=.368, p=.027), family history (t=6.557, p= .011), and hope of breast reconstruction (t=7.025, p=.009). Relationship between body image and self-esteem showed moderate positive correlation (r=0.631, p= .001). The relationship between body image and health promotion behavior showed slightly positive correlation (r=0.257, p= .001). The relationship between self-esteem and health promotion behavior showed moderate positive correlation (r=0.431, p=.001). Conclusion: For the increasement of the health promotion behavior, it is needed to improve body image and self-esteem in mastectomy patients. And, It is needed to encourage to participate with self help group program in mastectomy patients.

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Demographics, Social Media Use and Perceived Academic Stress of Secondary School Students in St. Thomas Aquinas College, Akure, Nigeria

  • Igbinovia, Magnus Osahon;Idhalama, Ogagaoghene Uzezi;Alex-Nmecha, Juliet C.
    • International Journal of Knowledge Content Development & Technology
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    • 제9권4호
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    • pp.7-29
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    • 2019
  • The study was carried out to investigate the influence of demographics and social media use on perceived academic stress of secondary school students in St. Thomas Aquinas College, Akure, Nigeria. This was achieved using five research questions and four null hypotheses. The population of the study consisted of 1,107 students at ISCED level 3, out of which 286 were selected based on the Israel (2003) model for determining sample size. The Ex-Post Facto (EPT) research design of the correlational type was employed to investigate the study while questionnaire was used for data elicitation. Out of the 286 copies distributed, 192 (67% response rate) were retrieved and analyzed using descriptive statistics (frequency, percentage, mean and standard deviation) and inferential statistics (correlation and multiple regression). The findings revealed that there is high frequency of social media use among secondary school students, majorly for meeting new friends and chatting. The perceived academic stress (PAS) of the students was found to be moderate. Of the three demographics considered, only class had significant influence on PAS. Use of social media did not have significantly influence on PAS of the students. When combined, demographics and social media use predicted PAS; and when considered relatively, of the independent variables, only class as an aspect of demographics predicted PAS. Therefore, the authors concluded that PAS of secondary school students is not directly influenced by demographics (except for class) and social media use. Based on the study's conclusion, recommendations were made.

단심실 -III C Solitus 형의 수술치험- (Surgical Repair of Single Ventricle (Type III C solitus))

  • naf
    • Journal of Chest Surgery
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    • 제12권3호
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    • pp.281-288
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    • 1979
  • For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

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암환자의 퇴원 후 가정간호 요구 (The Homecare Needs of Cancer Patients)

  • 권인수;은영
    • 대한간호학회지
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    • 제29권4호
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    • pp.743-754
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    • 1999
  • The purpose of this descriptive study was to identify the homecare needs of patients with cancer and to provide a basis of interventions. One hundred and two patients at one general hospital in Gyeongnam responded to a questionnaire developed on the basis of care needs perceived by nurses caring for hospitalized patients with cancer. The questionnaire was a Likert type 5 point scale with 56 items on five need categories ; 1) informational 2) physical care : 3) emotional care 4) socioeconomic care and 5) special care needs. Internal consistency of this questionnaire was Cronbach's $\alpha$=.9101 for total items. The data was collected from March 1st to May 31th, 1998, by two graduate nurses. In the data analysis, mean & standard deviation were calculated to identify the degree of care need of each item, and the t-test & ANOVA were done to determine the effects of patients' demographic background on their care needs. The findings are summarized as follows ; 1) The mean score of total of need items was 3.048. Of the four need categories the highest score was informational at 3.4, followed by emotional care, 3.063, physical care, 2.623, and socioeconomic care, 2.599. 2) In the informational need category there were four subcategories with 19 items. Medication and pain control had the highest score, 3.755 ; second was diet and exercise, 3.613 ; third was disease and treatment process, 3.337 ; and last was personal hygiene and infection prevention at 2.687. 3) In the physical care need category there was nine items, IV infusion for nutrition and management of treatment complication was above 3.2 points and the remaining items were in the 2.847-2.070 score ranges. 4) In the emotional care need category there were seven items. The highest need was in support for relationships with health personnel, 3.673. The need for support of religions beliefs and support for having a religion were low at about 2 points. 5) In the socioeconomic care need category there were six items. Support for medical insurance expansion and financial support were above 3 points. Legal support and support for caring of children were low in the care needs. 6) In the special care need category the there were 15 items. Informational need about immunization and informational need about effects of disease on growth and development were high, above 4.1 points. Need for decubitus care and prevention, sitz bath and incontinence care were low, below 2 points. 7) There were significant differences in degree of care need according to admission rate, education level, marital status, religion and caregiver's religion. In conclusion, homecare needs perceived by hospitalized patient's with cancer was moderate, but informational need was higher than direct care need, leading to the conclusion that the provision of sufficient information to patients with cancer at discharge is needed. Nursing interventions should be developed considering the patient's background.

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