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Influence of lifestyle, depression, and marital intimacy on quality of life in breast cancer survivors (유방암 생존자의 생활습관, 우울, 부부친밀도가 삶의 질에 미치는 영향)

  • Seo, Su-Jin;Nho, Ju-Hee;Lee, Myoungha;Park, Youngsam
    • Women's Health Nursing
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    • v.26 no.1
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    • pp.28-36
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    • 2020
  • Purpose: This study investigated lifestyle, depression, marital intimacy, and quality of life (QoL) in breast cancer survivors, with the goal of identifying the impacts of these factors on QoL. Methods: A sample of 146 breast cancer survivors was surveyed in this cross-sectional study. Data were collected from March 20 to May 30, 2019, using self-report structured questionnaires at a hospital located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and hierarchical regression analysis. Participants agreed to complete a face-to-face interview, including administration of the Health Promoting Lifestyle Profile II, Depression Anxiety Stress Scale 21-Depression Scale, Marital Intimacy Scale, and Functional Assessment Cancer Therapy-Breast Cancer tool. Results: QoL was positively correlated with lifestyle (r=.49, p<.001) and marital intimacy (r=.45, p<.001) and negatively correlated with depression (r=-.72, p<.001). Hierarchical multiple regression analysis showed that depression (β=-0.63, p<.001), marital intimacy (β=0.19, p=.001), and lifestyle (β=0.13, p=.031) had significant effects on the QoL of breast cancer survivors, accounting for 63.3% of variance in related QoL. Conclusion: This study provides insights into how breast cancer survivors' QoL was influenced by depression, marital intimacy, and lifestyle. To improve the QoL of breast cancer survivors, healthcare providers should consider developing strategies to decrease depression, to increase marital intimacy, and to improve lifestyle.

Numerical investigation of the impact of geological discontinuities on the propagation of ground vibrations

  • Haghnejad, Ali;Ahangari, Kaveh;Moarefvand, Parviz;Goshtasbi, Kamran
    • Geomechanics and Engineering
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    • v.14 no.6
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    • pp.545-552
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    • 2018
  • Blast-induced ground vibrations by a significant amount of explosives may cause many problems for mining slope stability. Geological discontinuities have a significant influence on the transmission of dynamic pressure of detonation and according to their position relative to the slope face may have damaging or useful impacts on the slope stability. In this study, the effect of geological discontinuities was investigated by modelling a slope with geological discontinuities through applying the dynamic pressure in three-dimensional discrete element code (3DEC). The geological discontinuities in four states that generally apperceived in mine slopes are considered. Given the advantages of the pressure decay function defined by some researcher, this type of function was used to develop the pressure-time profile. The peak particle velocities (PPV) values were monitored along an axis by utilization of Fish programming language and the results were used as an indicator to measure the effects. As shown in the discontinuity-free model, PPV empirical models are reliable in rocks lacking discontinuities or tightly jointed rock masses. According to the other results, the empirical models cannot be used for the case where the rock mass contains discontinuities with any direction or dip. With regard to PPVs, when the direction of discontinuities is opposite to that of the slope face, the dynamic pressure of detonation is significantly damped toward the slope direction at the surface of discontinuities. On the other hand, when the discontinuities are horizontal, the dynamic pressure of detonation affects the rock mass to a large distance.

Grouping System for e-Learning Community(GSE): based on Intelligent Personalized Agent (온라인 학습공동체 그룹핑 시스템 개발: 지능적 에이전트 활용)

  • Kim, Myung Sook;Cho, Young Im
    • The Journal of Korean Association of Computer Education
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    • v.7 no.6
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    • pp.117-128
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    • 2004
  • Compared with traditional face-to-face instruction, online learning causes learners to experience more severe feeling of isolation and results in higher dropout rate. This is due to the lack of interaction, sense of belonging, membership, interdependency, cooperation among members and social environment that enables persistence in online learning. Therefore, it is very important for grouping e-learning community to lower the dropout rate and eliminate feeling of isolation. In this paper, the research has been done on the inclination test list to be applied for grouping the desirable learning community. And on the basis of this research, the grouping system for e-learning community(GSE) based on intelligent multi agents for an inclination test using homogeneous and heterogeneous items has been developed. GSE system has such properties that construct a personalized user profile by an agent, and then make groupings according to users' inclination. When this system was evaluated, about 88% of learners were satisfied, and they wanted the group not to be disorganized but to be maintained.

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Prevalence of Known Risk Factors in Women Diagnosed with Breast Cancer at Inmol Hospital, Lahore, Punjab

  • Mansha, Muhammad;Saleem, Maryam;Wasim, Muhammad;Tariq, Muhammad
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.563-568
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    • 2016
  • Background: Breast cancer is the most prevalent cancer in women worldwide and its frequency is increasing gradually in many countries. Over the last three decades an increase in the breast cancer has been witnessed in the earlier low-risk Asian countries including Pakistan. Purpose: The objective of the current study was to assess the prevalence of known risk factors like early menarche, late menopause, socio economic, reproductive and demographic factors, among women diagnosed with breast cancer at INMOL hospital, Lahore, Punjab, as little information exists in this regard. Materials and Methods: A survey study was conducted on 200 women diagnosed with breast cancer who were seen at Institute of Nuclear Medicine and Oncology (INMOL) hospital, Lahore. A structured questionnaire was administered to these patients regarding the known risk factors through face to face interviews after obtaining appropriate consent. Results: Regarding non-modifiable risk factors, our study showed that majority of the breast cancer patients were diagnosed at 35-45 years (32.5%) or at older age (${\leq}46$) and experienced menarche at 12 years or older (66 %). Likewise, a large number of patients reached menopause at the age of 45 years (60%), had no family and personal history of breast cancer (80%) and hence fell in a low risk category. Regarding modifiable risk factors in women diagnosed with breast cancer, most of the patients fell in low risk strata as the majority were married (98%) at young age, breastfed their children for 12 months or more (88%) and bore two to three children (80%). Considering income criteria, the majority of the patients had a low risk profile as they belonged to middle class (70%), urban area (60%) and were house wives (80%). However, it was noted that a considerable number of women (34%) diagnosed with breast cancer experienced menarche at an early age (<12) and reached menopause after the age of 45 years. This situation is further augmented by environmental changes and dietary habits and places them in a high risk category.

Measurement-based Face Rendering reflecting Positional Scattering Properties (위치별 산란특성을 반영한 측정기반 얼굴 렌더링)

  • Park, Sun-Yong;Oh, Kyoung-Su
    • Journal of Korea Game Society
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    • v.9 no.5
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    • pp.137-144
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    • 2009
  • This paper predicts 6 facial regions that may have sharply different scattering properties, rendering the face more realistically based on their diffusion profiles. The scattering properties are acquired in the form of high dynamic range by photographing the pattern formed around an unit ray incident on facial skin. The acquired data are fitted to a 'linear combination of Gaussian functions', which well approximates the original diffusion profile of skin and has good characteristics as the filter. During the process, to prevent its solutions from converging into local minima, we take advantage of the genetic algorithm to set up the initial value. Each Gaussian term is applied to the irradiance map as a filter, expressing subsurface scattering effect. In this paper, to efficiently handle the maximum 12 Gaussian filterings, we make use of the parallel capacity of CUDA.

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Smart monitoring analysis system for tunnels in heterogeneous rock mass

  • Kim, Chang-Yong;Hong, Sung-Wan;Bae, Gyu-Jin;Kim, Kwang-Yeom;Schubert, Wulf
    • 한국지구물리탐사학회:학술대회논문집
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    • 2003.11a
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    • pp.255-261
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    • 2003
  • Tunnelling in poor and heterogeneous ground is a difficult task. Even with a good geological investigation, uncertainties with respect to the local rock mass structure will remain. Especially for such conditions, a reliable short-term prediction of the conditions ahead and outside the tunnel profile are of paramount importance for the choice of appropriate excavation and support methods. The information contained in the absolute displacement monitoring data allows a comprehensive evaluation of the displacements and the determination of the behaviour and influence of an anisotropic rock mass. Case histories and with numerical simulations show, that changes in the displacement vector orientation can indicate changing rock mass conditions ahead of the tunnel face (Schubert & Budil 1995, Steindorfer & Schubert 1997). Further research has been conducted to quantify the influence of weak zones on stresses and displacements (Grossauer 2001). Sellner (2000) developed software, which allows predicting displacements (GeoFit$\circledR$). The function parameters describe the time and advance dependent deformation of a tunnel. Routinely applying this method at each measuring section allows determining trends of those parameters. It shows, that the trends of parameter sets indicate changes in the stiffness of the rock mass outside the tunnel in a similar way, as the displacement vector orientation does. Three-dimensional Finite Element simulations of different weakness zone properties, thicknesses, and orientations relative to the tunnel axis were carried out and the function parameters evaluated from the results. The results are compared to monitoring results from alpine tunnels in heterogeneous rock. The good qualitative correlation between trends observed on site and numerical results gives hope that by a routine determination of the function parameters during excavation the prediction of rock mass conditions ahead of the tunnel face can be improved. Implementing the rules developed from experience and simulations into the monitoring data evaluation program allows to automatically issuing information on the expected rock mass quality ahead of the tunnel.

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Soft tissue evaluation using 3-dimensional face image after maxillary protraction therapy (3차원 얼굴 영상을 이용한 상악 전방견인 치료 후의 연조직 평가)

  • Choi, Dong-Soon;Lee, Kyoung-Hoon;Jang, Insan;Cha, Bong-Kuen
    • The Journal of the Korean dental association
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    • v.54 no.3
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    • pp.217-229
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    • 2016
  • Purpose: The aim of this study was to evaluate the soft-tissue change after the maxillary protraction therapy using threedimensional (3D) facial images. Materials and Methods: This study used pretreatment (T1) and posttreatment (T2) 3D facial images from thirteen Class III malocclusion patients (6 boys and 7 girls; mean age, $8.9{\pm}2.2years$) who received maxillary protraction therapy. The facial images were taken using the optical scanner (Rexcan III 3D scanner), and T1 and T2 images were superimposed using forehead area as a reference. The soft-tissue changes after the treatment (T2-T1) were three-dimensionally calculated using 15 soft-tissue landmarks and 3 reference planes. Results: Anterior movements of the soft-tissue were observed on the pronasale, subnasale, nasal ala, soft-tissue zygoma, and upper lip area. Posterior movements were observed on the lower lip, soft-tissue B-point, and soft-tissue gnathion area. Vertically, most soft-tissue landmarks moved downward at T2. In transverse direction, bilateral landmarks, i.e. exocanthion, zygomatic point, nasal ala, and cheilion moved more laterally at T2. Conclusion: Facial soft-tissue of Class III malocclusion patients was changed three-dimensionally after maxillary protraction therapy. Especially, the facial profile was improved by forward movement of midface and downward and backward movement of lower face.

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New bimaxillary orthognathic surgery planning and model surgery based on the concept of six degrees of freedom

  • Jeon, Jaeho;Kim, Yongdeok;Kim, Jongryoul;Kang, Heejea;Ji, Hyunjin;Son, Woosung
    • The korean journal of orthodontics
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    • v.43 no.1
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    • pp.42-52
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    • 2013
  • The aim of this paper was to propose a new method of bimaxillary orthognathic surgery planning and model surgery based on the concept of 6 degrees of freedom (DOF). A 22-year-old man with Class III malocclusion was referred to our clinic with complaints of facial deformity and chewing difficulty. To correct a prognathic mandible, facial asymmetry, flat occlusal plane angle, labioversion of the maxillary central incisors, and concavity of the facial profile, bimaxillary orthognathic surgery was planned. After preoperative orthodontic treatment, surgical planning based on the concept of 6 DOF was performed on a surgical treatment objective drawing, and a Jeon's model surgery chart (JMSC) was prepared. Model surgery was performed with Jeon's orthognathic surgery simulator (JOSS) using the JMSC, and an interim wafer was fabricated. Le Fort I osteotomy, bilateral sagittal split ramus osteotomy, and malar augmentation were performed. The patient received lateral cephalometric and posteroanterior cephalometric analysis in postretention for 1 year. The follow-up results were determined to be satisfactory, and skeletal relapse did not occur after 1.5 years of surgery. When maxillary and mandibular models are considered as rigid bodies, and their state of motion is described in a quantitative manner based on 6 DOF, sharing of exact information on locational movement in 3-dimensional space is possible. The use of JMSC and JOSS will actualize accurate communication and performance of model surgery among clinicians based on objective measurements.

Gender Differences and Relationships among Lifestyle and Reproductive Health in University Students (성별에 따른 대학생의 생활습관과 생식건강과의 관계)

  • Nho, Ju-Hee;Kim, Hee Sun
    • Women's Health Nursing
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    • v.25 no.4
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    • pp.446-458
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    • 2019
  • Purpose: University students happen to be in a transitional period at the beginning of one's adult life and thereby establish the basis for their health care. The negative lifestyles followed by students during this period can also affect their reproductive health. The purpose of this study was to identify lifestyle, reproductive health, gender differences and relationships between lifestyle and reproductive health in university students. Methods: We used a descriptive cross-sectional design. A total of 300 subjects were enrolled. Data were collected using structured questionnaires between October 11 and 25, 2017 and analyzed using SPSS 25.0. Subjects agreed to undergo a face-to-face interview, including administration of the Health Promotion Lifestyle Profile II (HPLP-II) and reproductive health (knowledge, attitude, and behaviors). Results: The mean age of the subjects was 21.4 years. HPLP-II and reproductive health behaviors were significantly different between the genders. The scores of physical activity and nutrition in females were significantly lower than males. The scores of safe sex and sexual responsibility in females were significantly higher than males, and the score of genital health management was significantly lower in females than males. High HPLP-II score was observed to be in correlation with high reproductive health attitudes and behaviors. Conclusion: The result revealed differences in lifestyle and reproductive health between both the genders. For improvement of reproductive health of university students, provision of lifestyle intervention including healthy nutritional habits and physical activity is imperative.

Vibration analysis of damaged core laminated curved panels with functionally graded sheets and finite length

  • Zhao, Li-Cai;Chen, Shi-Shuenn;Xu, Yi-Peng;Tahouneh, Vahid
    • Steel and Composite Structures
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    • v.38 no.5
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    • pp.477-496
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    • 2021
  • The main objective of this paper is to study vibration of sandwich open cylindrical panel with damaged core and FG face sheets based on three-dimensional theory of elasticity. The structures are made of a damaged isotropic core and two external face sheets. These skins are strengthened at the nanoscale level by randomly oriented Carbon nanotubes (CNTs) and are reinforced at the microscale stage by oriented straight fibers. These reinforcing phases are included in a polymer matrix and a three-phase approach based on the Eshelby-Mori-Tanaka scheme and on the Halpin-Tsai approach, which is developed to compute the overall mechanical properties of the composite material. Three complicated equations of motion for the panel under consideration are semi-analytically solved by using 2-D differential quadrature method. Several parametric analyses are carried out to investigate the mechanical behavior of these multi-layered structures depending on the damage features, through-the-thickness distribution and boundary conditions. It is seen that for the large amount of power-law index "P", increasing this parameter does not have significant effect on the non-dimensional natural frequency parameters of the FG sandwich curved panel. Results indicate that by increasing the value of isotropic damage parameter "D" up to the unity (fully damaged core) the frequency would tend to become zero. One can dictate the fiber variation profile through the radial direction of the sandwich panel via the amount of "P", "b" and "c" parameters. It should be noticed that with increase of volume fraction of fibers, the frequency parameter of the panels does not increase necessarily, so by considering suitable amounts of power-law index "P" and the parameters "b" and "c", one can get dynamic characteristics similar or better than the isotropic limit case for laminated FG curved panels.