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Comparison of tooth movement and biological response in corticotomy and micro-osteoperforation in rabbits

  • Kim, Junghan;Kook, Yoon-Ah;Bayome, Mohamed;Park, Jae Hyun;Lee, Won;Choi, Hojae;Abbas, Noha H.
    • The korean journal of orthodontics
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    • v.49 no.4
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    • pp.205-213
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    • 2019
  • Objective: The aim of this study was to evaluate the amount of tooth movement and histologic changes with different corticotomy designs and micro-osteoperforation in rabbits. Methods: The sample consisted of 24 rabbits divided into three experimental groups (triangular corticotomy [TC] and indentation corticotomy [IC] with flap, and flapless micro-osteoperforations [MP]) and a control. A traction force of 100 cN was applied by connecting the first premolars to the incisors. The amount of tooth movement was measured. Kruskal-Wallis test was used to assess differences in tooth movement between the groups. Micro-computed tomography, hematoxylin and eosin staining, and tartrate-resistant acidic phosphatase (TRAP) analysis were performed. Analysis of variance was applied to assess differences in TRAP-positive osteoclast count between the groups. Results: The amount of tooth movement increased by 46.5% and 32.0% in the IC and MP groups, respectively, while the bone fraction analysis showed 69.7% and 8.5% less mineralization compared to the control. There were no significant intergroup differences in the number of TRAP-positive osteoclasts. Conclusions: The micro-osteoperforation group showed no significant differences in the amount of tooth movement compared to the corticotomy groups, nor in the TRAP-positive osteoclast count compared to both corticotomy groups and control.

Palatal en-masse retraction of segmented maxillary anterior teeth: A finite element study

  • Park, Jae Hyun;Kook, Yoon-Ah;Kojima, Yukio;Yun, Sunock;Chae, Jong-Moon
    • The korean journal of orthodontics
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    • v.49 no.3
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    • pp.188-193
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    • 2019
  • Objective: The aim of this finite element study was to clarify the mechanics of tooth movement in palatal en-masse retraction of segmented maxillary anterior teeth by using anchor screws and lever arms. Methods: A three-dimensional finite element method was used to simulate overall orthodontic tooth movements. The line of action of the force was varied by changing both the lever arm height and anchor screw position. Results: When the line of action of the force passed through the center of resistance (CR), the anterior teeth showed translation. However, when the line of action was not perpendicular to the long axis of the anterior teeth, the anterior teeth moved bodily with an unexpected intrusion even though the force was transmitted horizontally. To move the anterior teeth bodily without intrusion and extrusion, a downward force passing through the CR was necessary. When the line of action of the force passed apical to the CR, the anterior teeth tipped counterclockwise during retraction, and when the line of action of the force passed coronal to the CR, the anterior teeth tipped clockwise during retraction. Conclusions: The movement pattern of the anterior teeth changed depending on the combination of lever arm height and anchor screw position. However, this pattern may be unpredictable in clinical settings because the movement direction is not always equal to the force direction.

Postoperative chemoradiotherapy versus radiotherapy alone for elderly cervical cancer patients with positive margins, lymph nodes, or parametrial invasion

  • Cushman, Taylor R.;Haque, Waqar;Menon, Hari;Rusthoven, Chad G.;Butler, E. Brian;Teh, Bin S.;Verma, Vivek
    • Journal of Gynecologic Oncology
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    • v.29 no.6
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    • pp.97.1-97.12
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    • 2018
  • Objective: Women with cervical cancer (CC) found to have positive surgical margins, positive lymph nodes, and/or parametrial invasion receive a survival benefit from postoperative chemoradiotherapy (CRT) vs. radiation therapy (RT) alone. However, older women may not benefit to the same extent, as they are at increased risk of death from non-oncologic causes as well as toxicities from oncologic treatments. This study sought to evaluate whether there was a survival benefit of CRT over RT in elderly patients with cervical cancer. Methods: The National Cancer Database was queried for patients ${\geq}70$ years old with newly diagnosed IA2, IB, or IIA CC and positive margins, parametrial invasion, and/or positive nodes on surgical resection. Statistics included logistic regression, Kaplan-Meier overall survival (OS), and Cox proportional hazards modeling analyses. Results: Altogether, 166 patients met inclusion criteria; 62 (37%) underwent postoperative RT and 104 (63%) underwent postoperative CRT. Younger patients and those living in areas of higher income were less likely to receive CRT, while parametrial invasion and nodal involvement were associated with an increased likelihood (p<0.05 for all). There were no OS differences by treatment type. Subgroup analysis by number of risk factors, as well as each of the 3 risk factors separately, also did not reveal any OS differences between cohorts. Conclusion: In the largest such study to date, older women with postoperative risk factor(s) receiving RT alone experienced similar survival as those undergoing CRT. Although causation is not implied, careful patient selection is paramount to balance treatment-related toxicity risks with theoretical outcome benefits.

Development Plan for the First GMT ASM Reference Body

  • Yang, Ho-Soon;Oh, Chang-Jin;Biasi, Roberto;Gallieni, Daniele
    • The Bulletin of The Korean Astronomical Society
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    • v.46 no.2
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    • pp.76.3-77
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    • 2021
  • GMT secondary mirror system consists of 7 segmented adaptive mirrors. Each segment consists of a thin shell mirror, actuators and a reference body. The thin shell has a few millimeters of thickness so that it can be easily bent by push and pull force of actuators to compensate the wavefront disturbance of light due to air turbulence. The one end of actuator is supported by the reference body and the other end is adapted to this thin shell. One of critical role of the reference body is to provide the reference surface for the thin shell actuators. Therefore, the reference body is one of key components to succeed in development of GMT ASM. Recently, Korea Research Institute of Standards and Science (KRISS) and University of Arizona (UA) has signed a contract that they will cooperate to develop the first set of off-axis reference body for GMT ASM. This project started August 2021 and will be finished in Dec. 2022. The reference body has total 675 holes to accommodate actuators and 144 pockets for lightweighting. The rear surface has a curved rib shape with radius of curvature of 4387 mm with offset of 128.32mm. Since this reference body is placed just above the thin shell so that the front surface shape needs to be close to that of thin shell. The front surface has a concave off-axis asphere, of which radius of curvature is 4165.99 mm and off-axis distance is about 1088 mm. The material is Zerodur CTE class 1 (CTE=0.05 ppm/oC) from SCHOTT. All the actuator holes and pockets are machined normal to the front surface. It is a very complex challenging optical elements that involves sophisticated machining process as well as accurate metrology. After finishing the fabrication of reference body in KRISS, it will be shipped to UA for final touches and finally sent to Adoptica in Italy, in early 2023. This paper presets the development plan for the GMT ASM Reference Body and relevant fabrication and metrology plans.

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The US National Ecological Observatory Network and the Global Biodiversity Framework: national research infrastructure with a global reach

  • Katherine M. Thibault;Christine M, Laney;Kelsey M. Yule;Nico M. Franz;Paula M. Mabee
    • Journal of Ecology and Environment
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    • v.47 no.4
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    • pp.219-227
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    • 2023
  • The US National Science Foundation's National Ecological Observatory Network (NEON) is a continental-scale program intended to provide open data, samples, and infrastructure to understand changing ecosystems for a period of 30 years. NEON collects co-located measurements of drivers of environmental change and biological responses, using standardized methods at 81 field sites to systematically sample variability and trends to enable inferences at regional to continental scales. Alongside key atmospheric and environmental variables, NEON measures the biodiversity of many taxa, including microbes, plants, and animals, and collects samples from these organisms for long-term archiving and research use. Here we review the composition and use of NEON resources to date as a whole and specific to biodiversity as an exemplar of the potential of national research infrastructure to contribute to globally relevant outcomes. Since NEON initiated full operations in 2019, NEON has produced, on average, 1.4 M records and over 32 TB of data per year across more than 180 data products, with 85 products that include taxonomic or other organismal information relevant to biodiversity science. NEON has also collected and curated more than 503,000 samples and specimens spanning all taxonomic domains of life, with up to 100,000 more to be added annually. Various metrics of use, including web portal visitation, data download and sample use requests, and scientific publications, reveal substantial interest from the global community in NEON. More than 47,000 unique IP addresses from around the world visit NEON's web portals each month, requesting on average 1.8 TB of data, and over 200 researchers have engaged in sample use requests from the NEON Biorepository. Through its many global partnerships, particularly with the Global Biodiversity Information Facility, NEON resources have been used in more than 900 scientific publications to date, with many using biodiversity data and samples. These outcomes demonstrate that the data and samples provided by NEON, situated in a broader network of national research infrastructures, are critical to scientists, conservation practitioners, and policy makers. They enable effective approaches to meeting global targets, such as those captured in the Kunming-Montreal Global Biodiversity Framework.

Adverse Events in Total Artificial Heart for End-Stage Heart Failure: Insight From the Food and Drug Administration Manufacturer and User Facility Device Experience (MAUDE)

  • Min Choon Tan;Yong Hao Yeo;Jia Wei Tham;Jian Liang Tan;Hee Kong Fong;Bryan E-Xin Tan;Kwan S Lee;Justin Z Lee
    • International Journal of Heart Failure
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    • v.6 no.2
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    • pp.76-81
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    • 2024
  • Background and Objectives: Real-world clinical data, outside of clinical trials and expert centers, on adverse events related to the use of SyncCardia total artificial heart (TAH) remain limited. We aim to analyze adverse events related to the use of SynCardia TAH reported to the Food and Drug Administration (FDA)'s Manufacturers and User Defined Experience (MAUDE) database. Methods: We reviewed the FDA's MAUDE database for any adverse events involving the use of SynCardia TAH from 1/01/2012 to 9/30/2020. All the events were independently reviewed by three physicians. Results: A total of 1,512 adverse events were identified in 453 "injury and death" reports in the MAUDE database. The most common adverse events reported were infection (20.2%) and device malfunction (20.1%). These were followed by bleeding events (16.5%), respiratory failure (10.1%), cerebrovascular accident (CVA)/other neurological dysfunction (8.7%), renal dysfunction (7.5%), hepatic dysfunction (2.2%), thromboembolic events (1.8%), pericardial effusion (1.8%), and hemolysis (1%). Death was reported in 49.4% of all the reported cases (n=224/453). The most common cause of death was multiorgan failure (n=73, 32.6%), followed by CVA/other non-specific neurological dysfunction (n=44, 19.7%), sepsis (n=24, 10.7%), withdrawal of support (n=20, 8.9%), device malfunction (n=11, 4.9%), bleeding (n=7, 3.1%), respiratory failure (n=7, 3.1%), gastrointestinal disorder (n=6, 2.7%), and cardiomyopathy (n=3, 1.3%). Conclusions: Infection was the most common adverse event following the implantation of TAH. Most of the deaths reported were due to multiorgan failure. Early recognition and management of any possible adverse events after the TAH implantation are essential to improve the procedural outcome and patient survival.

Tests of Hypotheses in Multiple Samples based on Penalized Disparities

  • Park, Chanseok;Ayanendranath Basu;Ian R. Harris
    • Journal of the Korean Statistical Society
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    • v.30 no.3
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    • pp.347-366
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    • 2001
  • Robust analogues of the likelihood ratio test are considered for testing of hypotheses involving multiple discrete distributions. The test statistics are generalizations of the Hellinger deviance test of Simpson(1989) and disparity tests of Lindsay(1994), obtained by looking at a 'penalized' version of the distances; harris and Basu (1994) suggest that the penalty be based on reweighting the empty cells. The results show that often the tests based on the ordinary and penalized distances enjoy better robustness properties than the likelihood ratio test. Also, the tests based on the penalized distances are improvements over those based on the ordinary distances in that they are much closer to the likelihood ratio tests at the null and their convergence to the x$^2$ distribution appears to be dramatically faster; extensive simulation results show that the improvement in performance of the tests due to the penalty is often substantial in small samples.

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The Relationship between Pre-service Teachers' Geometric Reasoning and their van Hiele Levels in a Geometer's Sketchpad Environment

  • LEE, Mi Yeon
    • Research in Mathematical Education
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    • v.19 no.4
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    • pp.229-245
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    • 2015
  • In this study, I investigated how pre-service teachers (PSTs) proved three geometric problems by using Geometer's SketchPad (GSP) software. Based on observations in class and results from a test of geometric reasoning, eight PSTs were sorted into four of the five van Hiele levels of geometric reasoning, which were then used to predict the PSTs' levels of reasoning on three tasks involving proofs using GSP. Findings suggested that the ways the PSTs justified their geometric reasoning across the three questions demonstrated their different uses of GSP depending on their van Hiele levels. These findings also led to the insight that the notion of "proof" had somewhat different meanings for students at different van Hiele levels of thought. Implications for the effective integration of technology into pre-service teacher education programs are discussed.

Effects of LDPC Code on the BER Performance of MPSK System with Imperfect Receiver Components over Rician Channels

  • Djordjevic, Goran T.;Djordjevic, Ivan B.;Ivanis, Predrag N.
    • ETRI Journal
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    • v.31 no.5
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    • pp.619-621
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    • 2009
  • In this letter, we study the influence of receiver imperfections on bit error rate (BER) degradations in detecting low-density parity-check coded multilevel phase-shift keying signals transmitted over a Rician fading channel. Based on the analytical system model which we previously developed using Monte Carlo simulations, we determine the BER degradations caused by the simultaneous influences of stochastic phase error, quadrature error, in-phase-quadrature mismatch, and the fading severity.

THE ACCELERATION AND TRANSPORT OF COSMIC RAYS WITH HELIOSPHERIC EXAMPLES

  • JOKIPII J. R.
    • Journal of The Korean Astronomical Society
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    • v.37 no.5
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    • pp.399-404
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    • 2004
  • Cosmic rays are ubiquitous in space, and are apparently present wherever the matter density is small enough that they are not removed by collisions with ambient particles. The essential similarity of their energy spectra in many different regions places significant general constraints on the mechanisms for their acceleration and confinement. Diffusive shock acceleration is at present the most successful acceleration mechanism proposed, and, together with transport in Kolmogorov turbulence, can account for the universal specta. In comparison to shock acceleration, statistical acceleration, invoked in many situations, has significant disadvantages. The basic physics of acceleration and transport are discussed, and examples shown where it apparently works very well. However, there are now well-established situations where diffusive shock acceleration cannot be the accelerator. This problem will be discussed and possible acceleration mechanism evaluated. Statistical acceleration in these places is possible. In addition, a new mechanism, called diffusive compression acceleration, will be discussed and shown to be an attractive candidate. It has similarities with both statistical acceleration and shock acceleration.