• Title/Summary/Keyword: Local control rate

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Effectiveness of an extraoral cold and vibrating device in reducing pain perception during deposition of local anesthesia in pediatric patients aged 3-12 years: a split-mouth crossover study

  • Ashveeta Shetty;Shilpa S Naik;Rucha Bhise Patil;Parnaja Sanjay Valke;Sonal Mali;Diksha Patil
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.6
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    • pp.317-325
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    • 2023
  • Background: Local anesthetic injections may induce pain in children, leading to fear and anxiety during subsequent visits. Among the various approaches recommended to reduce pain, one is the use of a Buzzy BeeTM device that operates on the concept of gate control theory and distraction. The literature regarding its effectiveness during the deposition of local anesthesia remains limited; hence, the aim of the present study was to determine the efficacy of extraoral cold and vibrating devices in reducing pain perception during the deposition of local anesthesia. Methods: A split-mouth crossover study in which 40 children aged 3-12 years requiring maxillary infiltration or inferior alveolar nerve block for extractions or pulp therapy in the maxillary or mandibular posterior teeth were included. The control intervention involved the application of topical anesthetic gel for one minute (5% lignocaine gel), followed by the administration of local anesthetic (2% lignocaine with 1:80,000 adrenaline) at a rate of 1 ml/ minute. Along with the control protocol, the test intervention involved using the Buzzy BeeTM device for 2 minutes before and during the deposition of the local anesthetic injection. The heart rate and face, legs, arms, cry, and consolability revised (FLACC-R) scale scores were recorded by the dentist to assess the child's pain perception. Results: The mean age of the participants in Group A and Group B was 7.050 ± 3.12 years and 7.9 ± 2.65 years respectively. A reduction in the mean heart rate and FLACC-R score was observed during the deposition of local anesthetic solution in the tissues when the Buzzy BeeTM was used in both groups at different visits in the same subjects (P < 0.05) The Buzzy BeeTM device was effective in reducing the heart rate and FLACC-R scores when used during maxillary infiltration and inferior alveolar nerve block local anesthesia techniques (P < 0.05). Conclusion: The use of extraoral cold and vibrating devices significantly reduces pain perception during local anesthetic deposition in pediatric patients. Considering the results of this study, the device may be incorporated as an adjunct in routine dental practice while administering local anesthesia in children.

A performance study on the fairness of a feedback-based rate control scheme applied to a multicast connection (멀티캐스트 연결에 적용하는 피드백에 근거한 율 제어 기법의 공정성에 관한 성능 분석)

  • 이미정
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.21 no.11
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    • pp.2862-2868
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    • 1996
  • A sueueing model is developed and analyzed to evaluate the performance of a local and a remote destination of one multicast connection subject to a simple two-level(binary) feedback-based adaptive rate control scheme. The reate control scheme is a simple extension of the one for point-to-point case. Individual cell loss probabilities at the local and remote destinations are obtained to study the fairness of the adaptive rate control scheme. Numerical results show that this simple adaptive rate control scheme, which is fair when it is applied to a multicast connection consisting of destinations with equal propagation delays, bears bias against remote destination.

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Radiation Therapy of a Chordoma of the Thoracic Vertebra -A Case Report and Review of Literatures- (척색종의 방사선 치료)

  • Kim, Joo-Young;Choi, Myung-Sun
    • Radiation Oncology Journal
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    • v.6 no.2
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    • pp.295-300
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    • 1988
  • Chordoma is a malignant tumor arising from the primitive notochord involving the axial skeleton. It usually occurs at sacrococcygeal and besisphenoidal area but only rarely does at other vertebral areas, especially at the thoracic vertebrae. It has a slow growth rate and is locally aggressive with an extremely high rate of local recurrence. Either surgery or radiation alone often fails to cure the disease and the local failure is the main cause of treatment failure and death. Overall 5 year survival rate is less than $10\%$. Useful palliation or occasional cure can be obtained by the combination of surgery and radiotherapy. After incomplete resection, the tumor requires radiation dose of 7,000 cGy or more over 6-7 weeks for local control. Tumor regression is slow in response to irradiation and continuation of the regression for several months after completion of RT is not unusual. We report a case of chordoma of the thoracic vertebra, the site of extreme rarity, which showed good local control after partial resection and radiation therapy. He is well and alive without any evidence of recurrence after 13 months of treatment with near complete tumor regression.

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Study of Scene change Detection and Adaptive Rate Control Schemes for MPEG Video Encoder (MPEG 비디오 인코더를 위한 장면전환 검출 및 적응적 율 제어 방식 연구)

  • Nam, Jae-Yeol;Gang, Byeong-Ho;Son, Yu-Ik
    • The Transactions of the Korea Information Processing Society
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    • v.6 no.2
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    • pp.534-542
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    • 1999
  • A sell-designed rate control strategy can improve overall picture quality for video transmission over a constant bit rate channel and the rate control method is not a normative part of MPEG-video standard, the performance of MPEG video codec can be quite different depends on how to implement the rate control scheme. The rate control scheme proposed in MPEG show good results when scene changes is not occurred. But it has weakness that it does not properly handle scene-changed pictures. Therefore picture quality after scene change is deteriorated, and possibility of overflow occurrence becomes high. In this paper, a new method for detection of scene change occurrence using local variance and a new determination scheme for adaptive quantization parameter, mqunt, which can consider local characteristic of an image by using previously computed the local variance from the scene change detection part are proposed. IN addition, and adaptive rate control scheme which can handles scene changed picture very efficiently by scene-changed picture is proposed. Computer simulations are performed to verify the performance of the proposed algorithm. The suggested detection algorithm precisely detected scene change. And the proposed rate control scheme shows better rate control performance as compared with that of the conventional MPEG scheme.

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Control of Impinging Jet Heat Transfer with Mesh Screens (Mesh 스크린을 이용한 충돌제트 열전달 제어에 관한 연구)

  • Cho, Joung-Won;Lee, Sang-Joon
    • Proceedings of the KSME Conference
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    • 2000.11b
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    • pp.267-271
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    • 2000
  • The local heat transfer rate of an axisymmetric submerged air jet impinging on normal to a heated flat plate was investigated experimentally with varying solidity of mesh screen. The mean velocity and turbulent Intensity profiles of streamwise velocity component were measured using a hot-wire anemometry. The temperature distribution on the heated flat surface was measured with thermocouples. The screen installed in front of the nozzle exit(behind of 35mm) modify the jet flow structure and local heat transfer characteristics. For higher solidity screen, turbulence intensity at core lesion is high and increases the local heat transfer rate at nozzle-to-plate spacings(L/D<6). For larger nozzle-to-plate spacings(L/D>6), however, the turbulent Intensities of all screens tested in this study approach to an asymptotic curve, but the small mean velocity at the core region reduces the local heat transfer rate for high solidity screens.

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On Sweeping Operators for Reducing Premature Convergence of Genetic Algorithms (유전 알고리즘의 조기수렴 저감을 위한 연산자 소인방법 연구)

  • Lee, Hong-Kyu
    • Journal of Institute of Control, Robotics and Systems
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    • v.17 no.12
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    • pp.1210-1218
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    • 2011
  • GA (Genetic Algorithms) are efficient for searching for global optima but may have some problems such as premature convergence, convergence to local extremum and divergence. These phenomena are related to the evolutionary operators. As population diversity converges to low value, the search ability of a GA decreases and premature convergence or converging to local extremum may occur but population diversity converges to high value, then genetic algorithm may diverge. To guarantee that genetic algorithms converge to the global optima, the genetic operators should be chosen properly. In this paper, we analyze the effects of the selection operator, crossover operator, and mutation operator on convergence properties, and propose the sweeping method of mutation probability and elitist propagation rate to maintain the diversity of the GA's population for getting out of the premature convergence. Results of simulation studies verify the feasibility of using these sweeping operators to avoid premature convergence and convergence to local extrema.

Treatment Results of Hypopharyngeal Carcinoma (하인두암의 방사선치료 성적)

  • Lee Chang Gul;Loh John J.K.;Ryu Sam Youl;Park Kyung Ran;Suh Chang Ok;Kim Gew Earn;Hong Won Pyo;Kim Byung Soo
    • Radiation Oncology Journal
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    • v.6 no.1
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    • pp.23-33
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    • 1988
  • A rerospective review of fifty patients with carcinoma of hypopharynx treated with $RT{\pm}surgery$ was studied for eleven-year period from 1974 to 1984. Of the 50 patients,46 were pyriform sinus in origin, 4 were posterior pharyngeal wall. Eighty-eight percent of patients were locoregionally advanced(stage III, IV) and 78% of patients presented conical lymphadenopathy. 5-year disease-free survival rate of the pyriform sinus ca. was $25.4\%$ in RT alone group, $80\%$ in combined modality group and $30.6\%$ in overall. Local control rate with RT alone in early stage (II) was excellent $(100\%)$, however combined modality appears to be better for local control$(80\%)$ in advanced stage (III, IV) as compared with that of RT alone group $(32\%).$ On basis of this study, RT alone is effective in terms of local control and functional preservation in treatment of early stage of pyriform sinus ca. while surgery can be reserved for salvage purpose when RT fails and combined modality is recommended in patients with locally advanced stage for better local control and survival.

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The Usefulness of Stereotactic Radiosurgery for Radioresistant Brain Metastases

  • Kim, Hyool;Jung, Tae-Young;Kim, In-Young;Jung, Shin;Moon, Kyung-Sub;Park, Seung-Jin
    • Journal of Korean Neurosurgical Society
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    • v.54 no.2
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    • pp.107-111
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    • 2013
  • Objective : We investigated the effectiveness of stereotactic gamma knife Radiosurgery (GKR) for radioresistant brain metastases with the impact upon histology. Methods : Between April 2004 and May 2011, a total of 23 patients underwent GKR for 67 metastatic brain tumors from 12 renal cell cancers, 5 sarcomas and 6 melanomas. The mean age was 56 years (range, 18 to 79 years). Most of the patients were classified as the Radiation Therapy Oncology Group recursive partitioning analysis class II (91.3%). The synchronous metastasis was found in 6 patients (26.1%) and metachronous metastasis in 17 patients (73.9%). We analyzed the local control rate, intracranial progression-free survival (PFS) and overall survival (OS). Results : The mean tumor volume for GKR was 2.24 cc and the mean prescription dose was 19.4 Gy (range, 10 to 24) to the tumor margin. Out of metachronous metastases, the median duration to intracranial metastasis was 3.3 years in renal cell cancer (RCC), 2.4 years in melanoma and 1.1 years in sarcoma (p=0.012). The total local control rate was 89.6% during the mean 12.4 months follow-up. The six-month and one-year local control rate was 90.2% and 83% respectively. Depending on the pathology, the control rate of RCC was 95.7%, sarcoma 91.3% and melanoma 80.5% during the follow-up. The common cause of local failure was the tumor bleeding in melanoma. The median PFS and OS were 5.2 and 8.4 months in RCC patients, 6.5 and 9.8 months in sarcoma, and 3.8 and 5.1 months in melanoma. Conclusion : The GKR can be one of the effective management options for the intracranial metastatic tumors from the radioresistant tumors. The melanoma showed a poor local control rate compared to other pathologies because of the hemorrhage.

Use of Two Estrus Synchronization Protocols and Their Success on Pregnancy in Zebu and Crossbred Heifers at Char Areas of Bangladesh

  • Ghosh, Tapas;Paul, Ashit Kumar;Talukder, Anup Kumar;Alam, M. Golam Shahi;Bari, Farida Yeasmin
    • Journal of Embryo Transfer
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    • v.27 no.4
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    • pp.223-228
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    • 2012
  • This study was designed to adopt two estrus synchronization protocols in zebu and crossbred heifers and their effects on pregnancy rate after timed artificial insemination (TAI). A number of 120 cyclic heifers were allotted for two different treatment groups and one control group. Heifers under protocol A were injected with GnRH at first day followed by a single dose of $PGF_{2{\alpha}}$ at Day 11 and injection of GnRH at the day of AI; and heifers belonged to protocol B were treated with GnRH, two $PGF_{2{\alpha}}$ injections at 11 days apart and injection of GnRH at AI. AI was done at fixed time (within 72~96 hours after $PGF_{2{\alpha}}$ injection) in both protocols and pregnancy was confirmed by rectal palpation on 80~120 days of post AI. In control group; local heifers were conceived higher (30%) proportion than that of crossbred heifers (25%; p<0.05). In protocol A, the local breed were conceived higher (38.9%) proportion compared with crossbred (25%; p<0.05). In protocol B, local breed heifers were conceived higher (38.9%) proportion compared with crossbred heifers (33.3%; p<0.05). The overall pregnancy rate in protocol A and protocol B was 33.3% and 36.6%, respectively. The proportion of pregnancy rate of local heifers (38.9%; Protocol A) was significant (p<0.05) in comparison with local heifers (30%) in control group (p<0.05). The overall pregnancy rate between pooled control group (28.3%) and treatment group (35%) was significantly (p<0.05) differ from each other's. Results of present study concluded that estrus synchronization followed by fixed time AI could be applied for higher pregnancy rate in zebu and crossbred heifers.

An Adaptive MAC Protocol for Wireless LANs

  • Jamali, Amin;Hemami, Seyed Mostafa Safavi;Berenjkoub, Mehdi;Saidi, Hossein
    • Journal of Communications and Networks
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    • v.16 no.3
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    • pp.311-321
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    • 2014
  • This paper focuses on contention-based medium access control (MAC) protocols used in wireless local area networks. We propose a novel MAC protocol called adaptive backoff tuning MAC (ABTMAC) based on IEEE 802.11 distributed coordination function (DCF). In our proposed MAC protocol, we utilize a fixed transmission attempt rate and each node dynamically adjusts its backoff window size considering the current network status. We determined the appropriate transmission attempt rate for both cases where the request-to-send/clear-to-send mechanism was and was not employed. Robustness against performance degradation caused by the difference between desired and actual values of the attempt rate parameter is considered when setting it. The performance of the protocol is evaluated analytically and through simulations. These results indicate that a wireless network utilizing ABTMAC performs better than one using IEEE 802.11 DCF.