• Title/Summary/Keyword: Falling rate

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Radiotherapy for pituitary adenomas: long-term outcome and complications

  • Rim, Chai-Hong;Yang, Dae-Sik;Park, Young-Je;Yoon, Won-Sup;Lee, Jung-Ae;Kim, Chul-Yong
    • Radiation Oncology Journal
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    • v.29 no.3
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    • pp.156-163
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    • 2011
  • Purpose: To evaluate long-term local control rate and toxicity in patients treated with external beam radiotherapy (EBRT) for pituitary adenomas. Materials and Methods: We retrospectively reviewed the medical records of 60 patients treated with EBRT for pituitary adenoma at Korea University Medical Center from 1996 and 2006. Thirty-five patients had hormone secreting tumors, 25 patients had non-secreting tumors. Fifty-seven patients had received postoperative radiotherapy (RT), and 3 had received RT alone. Median total dose was 54 Gy (range, 36 to 61.2 Gy). The definition of tumor progression were as follows: evidence of tumor progression on computed tomography or magnetic resonance imaging, worsening of clinical sign requiring additional operation or others, rising serum hormone level against a previously stable or falling value, and failure of controlling serum hormone level so that the hormone level had been far from optimal range until last follow-up. Age, sex, hormone secretion, tumor extension, tumor size, and radiation dose were analyzed for prognostic significance in tumor control. Results: Median follow-up was 5.7 years (range, 2 to 14.4 years). The 10-year actuarial local control rates for non-secreting and secreting adenomas were 96% and 66%, respectively. In univariate analysis, hormone secretion was significant prognostic factor (p = 0.042) and cavernous sinus extension was marginally significant factor (p = 0.054) for adverse local control. All other factors were not significant. In multivariate analysis, hormone secretion and gender were significant. Fifty-three patients had mass-effect symptoms (headache, dizziness, visual disturbance, hypopituitarism, loss of consciousness, and cranial nerve palsy). A total of 17 of 23 patients with headache and 27 of 34 patients with visual impairment were improved. Twenty-seven patients experienced symptoms of endocrine hypersecretion (galactorrhea, amenorrhea, irregular menstruation, decreased libido, gynecomastia, acromegaly, and Cushing's disease). Amenorrhea was abated in 7 of 10 patients, galactorrhea in 8 of 8 patients, acromegaly in 7 of 11 patients, Cushing's disease in 4 of 4 patients. Long-term complication was observed in 4 patients; 3 patients with cerebrovascular accident, 1 patient developed dementia. Of these patients, 3 of 4 received more than 60 Gy of irradiation. Conclusion: EBRT is highly effective in preventing recurrence and reducing mass effect of non-secreting adenoma. Effort to improve tumor control of secreting adenoma is required. Careful long-term follow-up is required when relatively high dose is applied. Modern radiosurgery or proton RT may be options to decrease late complications.

A Comparative Study on Sleep State, Sleep Time, and Quality of Life of Vietnam Migrant Women by Sasang Constitution (베트남 이주여성의 사상체질별 수면상태, 수면시간 및 삶의 질 비교연구)

  • Jang, Eunsu;Kim, Yunyoung;Baek, Younghwa;Moon, Sujeong;Lee, Siwoo;Kim, Sang-Hyuk
    • Journal of Sasang Constitution and Immune Medicine
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    • v.32 no.1
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    • pp.39-49
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    • 2020
  • The purpose of this study was to find out how sleep characteristics by Sasang constitution (SC) appear in Vietnamese immigrant women in Korea, and how sleep aberration by SC affected the quality of life. The number of 217 Vietnamese immigrant women joined this study. We surveyed SC with Korea Sasang Constitutional Diagnostic Questionnaire (KS-15) and sleep characteristics with Pittsburgh Sleep Quality Index(PSQI) questionnaire. We evaluated quality of life(QoL) with Euro Quality of Life-5Dimension(EQ 5D) questionnaire. A Chi-square test and a one-way ANOVA test were conducted according to SC, and T test also used to compare PSQI groups. Significant p was .05. The number(rate) of Taeeumin(TE), Soeumin(SE), and Soyangin(SY) were 40(18.4%), 55(25.3%), and 122(56.2%) respectively. The distribution of obstructive factors of sleep were significantly different according to SC(Too Cold in Sleeping, x =13.378, p=.037, Too Hot in Sleeping x2=12.834, p=.046). The distribution of daytime drowsiness(x2=15.379, p=.018) and falling concentration power (x2=17.533, p=.008) was significantly different according to SC. The sleep status of the subjects showed a significant negative correlation with the EQ 5D Visual Analogue Scale(VAS) (r =-.399, p<.001), and the EQ 5D Index (r=-.211, p=.002). In the EQ VAS, TE showed a difference between the good and bad sleeping groups (t=3.955, p<.001). SE showed a difference between the two groups in the EQ 5D Index (t=2.332, p=.037). SY did not show a difference between the two groups. This study reveals that sleeping is closely related with QoL and distribution of obstructive factors of sleep may be different according to SC. Further study to confirm the constitutional difference in race at Vietnam is needed.

A Retrospective Study of the Pattern and Treatment of Traumatic Dental Injury to Primary and Permanent Teeth (유치와 영구치의 외상 양상 및 치료에 대한 후향적 연구)

  • Kim, Yujeong;Kim;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.4
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    • pp.314-321
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    • 2014
  • This study investigated the pattern and treatment of traumatic dental injury (TDI), with respect to the time elapsed prior to the initial visit to the Department of Pediatric Dentistry, Chonnam National University Dental Hospital for TDI, from January 2009 to December 2013. The dental trauma records of a total of 378 patients (940 traumatic teeth) were analyzed. The prevalence rate of dental trauma was twofold higher in males versus females. The principal cause of injury, among all participants, was falling (36.5%). The most commonly affected teeth were the maxillary central incisors (66.9%). Subluxation (43.9%) represented the most common trauma for primary teeth, and uncomplicated crown fracture in permanent teeth (30.9%). Only 10% of patients visited the dental clinic within 1 hour of sustaining trauma. The principal treatment provided for primary teeth, during the initial clinical visit, was follow-up (53.2%); for permanent teeth it was root canal treatment (27.3%). The prevalence of root canal treatment for permanent teeth increased commensurate with the time elapsed since injury. These data suggest that delayed checkup following trauma may increase the risk of loss of pulp vitality.

A Study on the Risk of Lightning in Special Structures and its Verification Method (특수 구조물의 낙뢰 위험도와 검증 방안에 관한 연구)

  • Yoo, Jeong Hyun;Kim, Hei Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.664-668
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    • 2018
  • Free-standing structures that are especially high are more likely to receive brain attacks caused by lightning. Since special structures are generally part of national industrial structures, lightning strikes mostly cause socio-economic damage. Lightning protection facilities are installed to prevent such lightning damage, but in 2015, support cables on West Sea bridges were hit by lightning, causing a lot of economic damage. Accordingly, the design of a lightning protection system shall establish protective measures after analyzing the risk of debris falling onto the structure. In this thesis, lightning strikes are analyzed directly in relation to the modeling system that operates the actual information collection system for lightning strikes, depending on the location of the tall, free-standing structures, and practical lightning hazard information is provided by a meteorological station. In addition, we propose monitoring and applying a probability correction rate to the calculation of the lightning risk based on the number of lightning strikes directly reaching the ground in order to obtain an effective lightning risk assessment.

High Frequency Noise Reduction in ECG using a Time-Varying Variable Cutoff Frequency Lowpass Filter (시변 가변차단주파수 저역통과필터를 이용한 심전도 고주파 잡음의 제거)

  • 최안식;우응제;박승훈;윤영로
    • Journal of Biomedical Engineering Research
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    • v.25 no.2
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    • pp.137-144
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    • 2004
  • ECG signals are often contaminated with high-frequency noise such as muscle artifact, power line interference, and others. In the ECG signal processing, especially during a pre-processing stage, numerous noise removal techniques have been used to reduce these high-frequency noise without much distorting the original signal. This paper proposes a new type of digital filter with a continuously variable cutoff frequency to improve the signal quality This filter consists of a cutoff frequency controller (CFC) and variable cutoff frequency lowpass filter (VCF-LPF). From the noisy input ECG signal, CFC produces a cutoff frequency control signal using the signal slew rate. We implemented VCF-LPF based on two new filter design methods called convex combination filter (CCF) and weight interpolation fille. (WIF). These two methods allow us to change the cutoff frequency of a lowpass filter In an arbitrary fine step. VCF-LPF shows an excellent noise reduction capability for the entire time segment of ECG excluding the rising and falling edge of a very sharp QRS complex. We found VCF-LPF very useful and practical for better signal visualization and probably for better ECG interpretation. We expect this new digital filter will find its applications especially in a home health management system where the measured ECG signals are easily contaminated with high-frequency noises .

Changes of Vacuum Packed Pork Quality during Storage after Aging with Korean Traditional Sauces

  • Moon, Sung-Sil;Jin, Sang-Keun;Kim, Il-Suk;Park, Ki-Hoon;Hah, Kyung-Hee
    • Food Science of Animal Resources
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    • v.26 no.3
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    • pp.315-321
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    • 2006
  • Sixteen somimembranosus muscles were seamed out from sixteen left carcasses. They were cut into $7{\times}10{\times}2cm$ pieces and mixed randomly. Samples were assigned to four treatments: (T1) soy-based sauce; (T2) Kimchi-based sauce; (T3) pickled shrimp-based sauce; and (T4) onion-based sauce. Each treatment was aged in plastic box at $1^{\circ}C$ for 10 days. These samples were vacuum-packaged after treatment with sauces and held in a chill at $1^{\circ}C$ for 28 days. The pH of aged port in general, was decreased significantly (p<0.05) with storage in all treatments. Its falling rate was the slowest in T4 of all treatments, while it was faster in T2 and T3 than in T4. The salinity of aged pork was decreased (p<0.05) for T2 with increased storage days, but increased (p<0.05) for T1. The salinity showed T2 to be significantly higher (p<0.05) than T1 and T4 on 1 day, but to be lower(p<0.05) than T1 on 28 day. The saccharinity of T3 was significantly higher (p<0.05) on 1 day than those of T1 and T4, but decreased (p<0.05) on 14 and 28 day. While saccharinity of T1 was significantly the lowest(p<0.05) of all treatments on 1 day and increased (p<0.05) with increased storage days. For T1 and T2, the WHC (water holding capacity) results showed higher (p<0.05) on 14 day than on 1 and 28 day. On 28 day, the WHC result showed T4 to be the highest(p<0.05) of all treatments, but T2 to be the lowest (p<0.05). On 28 day, the shear force results showed a big difference (p<0.05) among treatments, being in order of T4>T3>T2>T1. Panelists rated T1 as having higher(p<0.05) aroma, flavor and overall acceptability than other treatments.

The Association of Subjective Symptoms of Students and Indoor Air Quality in Private Academic Facilities (학원시설 실내공기질과 이용자의 자각증상에 관한 연구)

  • Jung, Kyung-Sick;Kim, Nam-Soo;Lee, Jong-Dae;HwangBo, Young;Son, Bu-Soon;Lee, Byung-Kook
    • Journal of Environmental Health Sciences
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    • v.35 no.6
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    • pp.468-477
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    • 2009
  • To evaluate the current indoor air quality condition of private academic facilities in Korea and investigate its association with subjective symptoms of student residing at the same academic facilities, air quality monitoring was carried out in total of 20 academic facilities located in Seoul, Daejon and Chungnam from the beginning of January to the end of April, 2009. To assess the air quality condition of academic facilities, 6 air pollutants with temperature and humidity were measured simultaneously inside and outside of academic facilities. The rate of exceeding the Indoor Air Quality (IAQ) guideline concentrations in 6 air pollutants were 5%, 85%, 15%, 5%, 10% and 30% for CO, $CO_2$, PM10, HCHO, TVOCs and TBC, respectively. A questionnaire on 16 subjective symptoms related to indoor air quality was given to 342 students who studied at the 20 academic facilities. The most frequent symptom of students was 'I feel easily tired or sleepy', and this was followed by 'I feel muscular pain or stiffness on shoulder, back and neck'. The association of net difference (subjective symptoms at the academic facility - subjective symptoms of the usual situation) with air pollutants was analyzed using spearman rank correlation. In logistic analysis using proportional odds method, the students whose indoor air concentration of HCHO was ${\geq}60{\mu}g/m^3$ hadsignificant odds of having more subjective symptoms of 'My eyes are dry or feel irritated or itching' (OR=5.026: CI=1.587-15.911), 'I feel easily tired or sleepy' (OR=2.956: CI=1.072-8.152), 'I lose my concentration and I feel my memory is falling' (OR=7.745: CI=1.938-30.955) and 'I feel dizzy' (OR=4.424: CI=1.292-15.149) than those of <$60{\mu}g/m^3$.

A study on the occurrence of cracks in the tunnel pavement in the soil under use (토사구간 공용중 터널 포장부 균열 발생에 관한 연구)

  • Kim, Nag-Young;Lee, Kang-Hyun;Cho, Nam-Hun;You, Kwang-Ho;Baek, Seung-Chol
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.19 no.5
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    • pp.749-760
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    • 2017
  • Recently, the proportion of tunnel structures in roads and railways has increased rapidly. Along with this trend, the rate of occurrence of cracks and dropouts in concrete lining of tunnel structures is increasing. Generally, maintenance of such concrete lining is normalized and managed as the core of maintenance work in tunnel maintenance. However, the maintenance of the tunnel pavement is important in securing driver in the tunnel. In the design of tunnels, the underground condition of the tunnel is designed to be in good rock condition, so there have not been many cases of cracks in the tunnel pavement in the past. Recently, the construction of tunnel structures has been rapidly increased, and the length of the tunnels has become longer.Tunnel pavement installed in these ground conditions is increasing the occurrence of cracks in the pavement due to decrease of bearing capacity of the pavement after a long time. In this study, FWD and GPR were conducted to analyze the types of cracks and the reduction of bearing capacity in the tunnel.

Physical Properties of Dough with Bamboo Leaf Powder (죽엽 분말을 첨가한 반죽의 물리적 특성)

  • Hwang, Su-Jung
    • Food Science and Preservation
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    • v.18 no.4
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    • pp.517-526
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    • 2011
  • The physical properties of dough with different levels (2, 4, 6, and 8%) of bamboo leaf powder were inverstigated. The bamboo leaf powder had a moisture content of 5.15%, a crude protein content of 10.48%, a crude fat content of 5.21%, a crude fiber content of 22.74%, and a crude ash content of 17.63%. The following parameters showed significant differences with the increase in the amount of bamboo leaf powder added. The gelatinization degree measured by a rapid visco-analyzer increased with the increase in the powder amount added. In the values of the farinogram parameter for dough consistency, the elasticity of the dough increased with the increase in the powder amount added. The alveogram values showed a similar tendency as those of the farinogram in terms of elasticity, absorption rate, absorption time and stability. In the rheofermentometer analysis, the volume decreased with the increase in the powder amount added, but no significant difference was found at up to 4% powder amount addition, suggesting that the about 2% and up to 4% powder amount addition is moderate.

The Stability and Characteristic Analysis of Cut Slope Behavior using Real-time Monitoring System (상시 계측시스템을 이용한 붕괴 절토사면 거동 특성 분석 및 안정성 해석)

  • Baek, Yong;Koo, Ho-Bon;Jang, Ki-Tae;Yoo, Byung-Sun;Bae, Gyu-Jin
    • The Journal of Engineering Geology
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    • v.14 no.1
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    • pp.71-80
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    • 2004
  • The failure of cut slopes frequently occurs particularly during the thawing season and the rain season in summer. This study interpreted data collected from site to which a real-monitoring system was applied in order to analyze the causes of ground behaviors and to forecast future slope failure. As for research methods, this study analyzed the size and mechanism of failure by integrating the results of field surveys and measurements. Furthermore, it analyzed data transmitted by the monitoring system installed in the a result, three times of ground displacement occurred as well as a number of partial tension cracks. The cut slope composed of sandstone and siltstone started its initial behavior as a result of torrential downpour and the loss of support of the substructure. For quantitative analysis of the characteristics of ground behavior, this study measured 5 lateral lines. According to the result of the measurement, displacement happened little in the section to which countermeasure had been applied, but displacement of maximum 400mm happened in the section to which countermeasure had not bee applied. The analysis of data on displacement and rainfall suggested a close relationship between ground behavior and rainfall. According to the result of stability interpretation along with the change of ground saturation, stability rate appeared to be less than 1.0 when ground saturation is over 55%. Although the current trend of ground behavior is at a stable stage falling within the range of tolerance, it is considered necessary to continue monitoring and data analysis because ground displacement is highly possible with the change of temperature during the winter.