• Title/Summary/Keyword: 3 section control

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Association of maxillary dental developmental abnormality with precocious puberty: a case-control study

  • Kim, Yesel;Lee, Nam-Ki;Kim, Jae Hyun;Ku, Jeong-Kui;Lee, Bu-Kyu;Jung, Hoi-In;Choi, Sun-Kyu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.30.1-30.7
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    • 2020
  • Background: Dental studies of precocious puberty have focused on examination of jaw and dentition growth. The aim of the study was to analyze the relationship between precocious puberty and maxillary dental developmental abnormalities (DDAs). Methods: This retrospective study was conducted on the Korean patients in whom dental panoramic and hand-wrist radiographs had been taken before they were 15 years of age. The maxillary DDAs were assessed as mesiodens, congenital missing teeth, peg-shape lateral incisors, or impacted teeth. The chronological ages of the control group members were within the normal range of the hand-wrist bone age. Others with a peak luteinizing hormone of ≥ 5 and < 5 IU/L were allocated to central precocious puberty (CPP) and peripheral precocious puberty (PPP), respectively. Results: Of the enrolled 270 patients, 195, 52, and 23 were allocated to the control, CPP, and PPP groups, respectively. The maxillary DDAs were significantly more prevalent in the CPP group than in the other groups. Among those with maxillary DDA, the mesiodens predominated. Age- and sex-adjusted multivariate analysis revealed maxillary DDA (odds ratio, 3.36; 95% CI, 1.60-7.05) and especially mesiodens (odds ratio, 5.52; CI, 2.29-13.28) to be significantly associated with CPP. Conclusions: Maxillary DDAs were significantly more prevalent in the CPP group than in the PPP or control groups. Among the many types of maxillary DDAs, mesiodens was significantly associated with CPP and may be considered a predictor of the development of CPP.

How Compliant are Tobacco Vendors to India's Tobacco Control Legislation on Ban of Advertisments at Point of Sale? A Three Jurisdictions Review

  • Goel, Sonu;Kumar, Ravinder;Lal, Pranay;Tripathi, J.P.;Singh, Rana J.;Rathinam, Arul;Christian, Anant
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.24
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    • pp.10637-10642
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    • 2015
  • Background: Section 5 of India's tobacco control legislation "Cigarettes and Other Tobacco Products Act (COTPA), 2003"comprehensively prohibits all kinds of tobacco advertisement, promotion and sponsorship (TAPS), but permits advertisments at the point-of-sale (POS) under certain conditions. This provision has been exploited by the tobacco companies to promote their products. Objective: To measure compliance with the provisions of Section 5 of Indian tobacco control legislation (COTPA, 2003) at point of sale. Materials and Methods: A cross-sectional survey using an observation checklist was conducted in 1860 POS across three jurisdictions (Chennai city, District Vadodara and District Mohali) in India. Results: The most common mode of advertisement of tobacco products was product showcasing (51.1%), followed by dangles (49.6%), stickers (33.8%) and boards (27.1%). More than one fourth of POS were found violating legal provisions for displaying advertisement boards in one or other forms (oversized, extended to full body lenth of POS, displayed brandname/packshot and promotional messages). Advertisement boards (16.3%) without health warnings were also found and wherever found, more than 90% health warning were not as per the specification in respect to size, font and background color. Conclusions: Point of sale advertising is aggressively used by the tobacco industry to promote their products. There is an urgent need of effective implementation of a comprehensive ban on tobacco product advertisement, promotion and sponsorship at point of sale.

Prophylactic Intravenous Ephedrine Infusion during Spinal Anesthesia for Cesarean Section (제왕절개술을 위한 척추 마취시 Ephedrine의 예방적 정맥적주에 관한 연구)

  • Koo, Bon-Up
    • Journal of Yeungnam Medical Science
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    • v.8 no.1
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    • pp.72-78
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    • 1991
  • Ephedrine sulfate was administrated 30 healthy parturients undergoing elective repeat cesarean section under spinal anesthesia. Fifteen patients received ephedrine infusion (0.01% solution, beginning with approximately 5 mg/min) immediately after induction of spinal anesthesia to maintain maternal systolic blood pressure between 90% and 100% of the baseline systolic blood pressure (mean dose of ephedrine 31.6mg). Fifteen patients (contral group) received 20mg of ephedrine as an intravenous bolus, and additional 10mg increments, if neccessary, when systolic blood pressure decreased to 80% of the baseline systolic blood pressure (mean dose of ephedrine 26.8 mg). Nausea and/or vomiting occurred in seven women in the control group and one patient in the infusion group (p<0.001). Apgar scores, fetal blood gas tension, and time for onset of respiration was comparable in the two groups. The results suggest that prophylactic ephedrine infusion is safe and desirable in healthy parturients undergoing cesarean section under spinal anesthesia.

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Analysis for Randomized Controlled Clinical Trials of Acupuncture-type Treatment on Gastrointestinal Dysfunction after Ceasarean Section (제왕절개술 후 발생한 위장관 기능장애에 대한 최신 RCT 연구 동향 분석 - 경혈 자극을 중심으로 -)

  • Jeong, So-Mi;Lee, Jin-Moo;Lee, Chang-Hoon;Hwang, Deok-Sang;Jang, Jun-Bock
    • The Journal of Korean Obstetrics and Gynecology
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    • v.33 no.1
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    • pp.19-35
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    • 2020
  • Objectives: The purpose of this study was to show effectiveness of Acupuncture treatment on gastrointestinal dysfunctions after Cesarean section by analyzing randomized controlled clinical trials. Methods: We searched randomized controlled clinical trials related with acupuncture treatment on gastrointestinal dysfunctions after Cesarean section through national and overseas database and analyzed them in detail. Results: 6 articles were included according to our selection criteria and 1,084 women were involved. 3 studies used TEAS (Transcutaneous Electrical Acupoint Stimulation), 2 studies used Elastic band and 1 study used Acupressure by hand. Their results were statistically more effective than control groups. The most frequently used acupoints were Neiguan (PC6), Zusanli (ST36) followed by Sanyinjiao (SP6), Hegu (IL4). Conclusions: There was significant difference in the effectiveness of the intervention including Acupuncture treatment. Based on analysis, it could be an effective way for the treatment of gastrointestinal dysfunctions after Cesarean section in clinical practice.

The Effect of Low-dose Ketamine on Post-caesarean Delivery Analgesia after Spinal Anesthesia

  • Han, Seung Yeup;Jin, Hee Cheol;Yang, Woo Dae;Lee, Joon Ho;Cho, Seong Hwan;Chae, Won Seok;Lee, Jeong Seok;Kim, Yong Ik
    • The Korean Journal of Pain
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    • v.26 no.3
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    • pp.270-276
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    • 2013
  • Background: Ketamine, an N-methyl-D-aspartate receptor antagonist, might play a role in postoperative analgesia, but its effect on postoperative pain after caesarean section varies with study design. We investigated whether the preemptive administration of low-dose intravenous ketamine decreases postoperative opioid requirement and postoperative pain in parturients receiving intravenous fentanyl with patient-controlled analgesia (PCA) following caesarean section. Methods: Spinal anesthesia was performed in 40 parturients scheduled for elective caesarean section. Patients in the ketamine group received a 0.5 mg/kg ketamine bolus intravenously followed by 0.25 mg/kg/h continuous infusion during the operation. The control group received the same volume of normal saline. Immediately after surgery, the patients were connected to a PCA device set to deliver 25-${\mu}g$ fentanyl as an intravenous bolus with a 15-min lockout interval and no continuous dose. Postoperative pain was assessed using the cumulative dose of fentanyl and visual analog scale (VAS) scores at 2, 6, 24, and 48 h postoperatively. Results: Significantly less fentanyl was used in the ketamine group 2 h after surgery (P = 0.033), but the difference was not significant at 6, 12, and 24 h postoperatively. No significant differences were observed between the VAS scores of the two groups at 2, 6, 12, and 24 h postoperatively. Conclusions: Intraoperative low-dose ketamine did not have a preemptive analgesic effect and was not effective as an adjuvant to decrease opioid requirement or postoperative pain score in parturients receiving intravenous PCA with fentanyl after caesarean section.

A Study on the D-Q Control based Output Voltage Control Algorithm and EMTP-RV Simulation of Three-phase 6-Pulse PWM Rectifier (3상 6펄스 PWM 정류기의 D-Q 제어 기반 출력전압 제어 알고리즘 및 EMTP-RV 시뮬레이션 연구)

  • Ko, Yun-Seok
    • The Journal of the Korea institute of electronic communication sciences
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    • v.16 no.1
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    • pp.45-52
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    • 2021
  • The space vector control based voltage control method for a three-phase PWM rectifier requires a lot of effort to design an optimal switching pattern since a switching pattern for the switching section must be designed. In this study, a D-Q control based SPWM output voltage control algorithm was studied for the three-phase six-pulse CVS type rectifier. In the output voltage control algorithm, three-phase reference signals are obtained from the D-Q transformation based on the space vector representation method, instead of the switching pattern, SPWM method is used to generate rectifier switching control signals. Next, a three-phase six-pulse CVS PWM rectifier based on D-Q transformation and SPWM was modeled using EMTP-RV. Finally, the validity of the D-Q control-based SPWM voltage control algorithm was confirmed by comparing the output voltage waveform obtained through EMTP-RV simulation works with a reference value and confirming that the output voltage accurately follows the reference voltage.

Development of a scale to Measure the Self Concept of Cesarean Section Mothers. (제왕절개술 산모의 자아개념 측정 도구 개발)

  • 이미라;조정호
    • Journal of Korean Academy of Nursing
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    • v.20 no.2
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    • pp.131-141
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    • 1990
  • Recently, the rate of cesarean section in Korea has been increasing. The results of several previous studies in foreign countries on the emotional responses of cesarean section mothers showed that they might experience difficulties in the mother- infant interaction due to fatigue, lack of early mother - infant interaction, disappointments, anger, feelings of loss of control, and other factors. Human behavior is said to be determined by one's self concept, and self concept is influenced by both internal and external environmental factors. A scale to measure the self concept of cesarean section mothers was needed in order to identify those who might have difficulties in the mother- infant interactions in future. The purposes of this study were to develop a measuring scale, and to test its reliability and validity. The process of this study was as follows. A structured interview was done with 50 cesarean section and vaginal delivery mothers to find their state of emotional reaction after giving birth to their babies. Based on the results of the interviews, a 50 items Likert scale was developed. The self concept of 268 cesarean section and vaginal delivery mothers who were hospitalized at six hospital in seoul were measured, during the period between Feb. 1 and April 30. Reviewing the discriminating power of each item by means of crosstabulation, ten items were selected for the final scale. The reliability and validity of this ten item scale were tested by Cronbach's alpha and t-test, using spss pc+package. The results of this study and recommendation are as follows. 1. The ten selected items were as follows. I feel pains in my breast. (-) I have a good appetite now. (+) I feel pains in my flank. (-) I feel fine now. (+) My body seems to have returned to its prepregnant state. (+) Thinking of the delivery process, I feel sorry. (-) I want to hold my baby in my arms. (+) I want to keep my own life, even if I became a mother. (-) I want to delegate the care of the baby to my mother / mother in law. (-) I think baby is my alter ego. (+) 2. The reliability of this scale was tested by Cronbach's alpha, and the coefficient of this scale was .8066. 3. The construct validity of this scale was tested by means of known group methods. The value of self concept for cesarean section mother was significantly lower than for vaginal delivery mothers(t=-5.51, df=266, p=0.007). 4. The criterion validity of this scale was tested indirectly. Though this scale could discriminate the differences in the self concept between cesarean section and vaginal delivery mothers, the five items on the personal self concept scale didn's show any differences between cesarean section and vaginal delivery mothers. Therefore, the study indicates that those who shows lower values in the personal self concept measurement, that is, lower than 12.03 points, could be regaled as “risk mothers” 5. Further studies using this scale to clarify the influencing factors on negative self concept are strongly recommended.

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Investigation of Shape Parameters for a Profile with Variable-cross Sections Produced by Flexible Roll Forming (가변롤성형 공정을 이용한 단면이 가변하는 프로파일의 형상변수 분석에 관한 연구)

  • Park, J.C.;Cha, M.W.;Kim, D.G.;Nam, J.B.;Yang, D.Y.
    • Transactions of Materials Processing
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    • v.23 no.6
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    • pp.369-375
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    • 2014
  • Flexible roll forming allows profiles to have variable cross-sections. However, the profile may have some shape errors, such as, warping which is a major defect. The shape error is induced by geometrical deviations in both the concave zone and the convex zone. In the current study, flexible roll forming was modeled with FE simulations to analyze the shape error and the longitudinal strain distribution along the flange section over the profile. A distribution of analytically calculated longitudinal strains was used to develop relationships between the shape error and the longitudinal strain distribution as a function of the defined shape parameters for the profile. The FE simulations showed that the shape error is primarily affected by the deviations between the distribution of analytically calculated longitudinal strain and the longitudinal strain distribution of the profile. The results show that the shape error can be controlled by designing the shape parameters to control the geometrical deviations at the flange section in the transition zones.

Local Obstacle Avoidance Method of Mobile Robots Using LASER scanning sensor (레이저 스캐닝 센서를 이용한 이동 로봇의 지역 장애물 회피 방법)

  • Kim, Sung Cheol;Kang, Won Chan;Kim, Dong Ok;Seo, Dong Jin;Ko, Nak Yong
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.51 no.3
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    • pp.155-160
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    • 2002
  • This paper focuses on the problem of local obstacle avoidance of mobile robots. To solve this problem, the safety direction section search algorithm is suggested. This concept is mainly composed with non-collision section and collision section from the detecting area of laser scanning sensor. Then, we will search for the most suitable direction in these sections. The proposed local motion planning method is simple and requires less computation than others. An environment model is developed using the vector space concept to determine robot motion direction taking the target direction, obstacle configuration, and robot trajectory into account. Since the motion command is obtained considering motion dynamics, it results in smooth and fast as well as safe movement. Using the mobile base, the proposed obstacle avoidance method is tested, especially in the environment with pillar, wall and some doors. Also, the proposed autonomous motion planning and control algorithm are tested extensively. The experimental results show the proposed method yields safe and stable robot motion through the motion speed is not so fast.

A Study on the Machining Characteristics of Prototype of Roller Gear Cams (롤러 기어 캠의 시제품 가공특성에 관한 연구)

  • Kim, Jin-Su;Kang, Seong-Ki;Lee, Dong-Seop
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.11 no.5
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    • pp.60-67
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    • 2012
  • In the study, the effect grinding condition on the workpiece arithmetical average roughness(Ra) to 10 steps leading to cutting each section with the spindle rotational speed 8000rpm and feed rate 150mm/min of grinding in GC(green silicon carbide) grinding processing after heat treatment and non heat treatment of SCM415 material. Also the following conclusions were obtained analysis of stress distribution displacement and finite elements method(FEM) on assemble parts with 3+2 axis simultaneous control through grinding and gave a load 11kg on ATC arm both sides gave a load of 11kg. For the centerline average roughness(Ra) in the heat and non-heat treatment work pieces, which were appeared the most favorable in the fifth section were $0.511{\mu}m$ and $0.514{\mu}m$, that were shown in the near the straight line section was the smallest deformation of curve. In addition, the bad surface roughness appeared on the path is too long by changing angle, the more inclined depth of cut, because the chip discharging is not smoothly.