• Journal of Dental Anesthesia and Pain Medicine
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• 제23권6호
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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 Bee^TM 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 Bee^TM 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 Bee^TM was used in both groups at different visits in the same subjects (P < 0.05) The Buzzy Bee^TM 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.

• 한국통신학회논문지
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• 제21권11호
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• pp.2862-2868
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• 1996

본 논문에서는 두계층(이진)의 간단한 적응적(adaptive) 율 제어를 원거리 목적지와 근거리 목적지를 모두 포함하고 있는 멀티캐스트(점-대-다중점) 연결에 적용하는 경우 원거리 및 근거리 경로에서의 성능을 개별적으로 동시에 평가할 수 있는 큐잉 모델을 제시하고 이를 분석하였다. 가정한 율 제어 기법은 점-대-점 연결을 위한 이진 율 제어 기법을 단순하게 멀티캐스트 연결에 적용한 것이다. 원거리 및 근거리 목적지에서의 개별적인 셀 손실율을 효율적으로 계산할 수 있는 방법을 개발하였고 이 방법을 사용하여 수치적 결과를 얻어 본 결과, 같은 거리의 경로만으로 이루어지는 멀티캐스트 연결에 적용할 경우 공정한 율 제어 방법이, 경로 별 거리차가 있는 멀티 캐스트 연결에 대해서는 원거리 경로가 근거리 경로에 비하여 불리한 대우를 받는 불공정성을 드러냄을 볼 수 있었다.

• Radiation Oncology Journal
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• 제6권2호
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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.

• 한국정보처리학회논문지
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• 제6권2호
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• pp.534-542
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• 1999

고정 비트 율 채널을 통해 비디오를 전송할 때 잘 설계된 율 제어 방식은 전반적인 화질을 향상시킬 수 있으며, 율 제어 방식은 MPEG 비디오 표준에는 포함되어 있지 않기 때문에 어떤 율 제어 방식을 채택했는가에 따라 MPEG 비디오 코덱의 성능은 많은 차이를 나타낼 수 있다. MPEG에서 제안된 기존의율 제어 방식은 장면전환이 없을 때는 좋은 성능을 보이나, 장면 전환된 영상은 잘 처리하지 못하는 단점을 갖고 있다. 따라서 장면전환 후에는 화질이 열화 되고 버퍼 넘침이 발생할 가능성이 높아진다. 본 논문에서는 국소분산을 이용한 새로운 장면전환 검출 방식을 제안한다. 또한, 장명전환 검출부에서 계산된 국소분산을 율 제어부의 비트 할당 및 적응적 양자화 단계에서 재사용하여 영상의 국소적인 특성을 고려한 양자화 변수, mqunt,를 결정하는 방식과 장면전환이 발생했을 경우 장면전환 발생 이전의 몇 프레임에서 절약한 비트 수를 장면 전환된 영상에 부가적으로 할당함으로써 장면전환을 효과적으로 대처하는 적응적 율 제어 방식을 제안한다. 제안된 방식을 검증하기 위해 컴퓨터 모의실험을 수행하였다. 제안된 검출방식은 장면전환을 정확하게 검출하였고, 제안된 율 제어 방식은 기존의 MPEG 방식보다 우수한 율 제어 성능을 보였다.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2000년도 추계학술대회논문집B
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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.

• 제어로봇시스템학회논문지
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• 제17권12호
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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.

• Radiation Oncology Journal
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• 제6권1호
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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.

• Journal of Korean Neurosurgical Society
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• 제54권2호
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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.

• 한국수정란이식학회지
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• 제27권4호
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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.

• Journal of Communications and Networks
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• 제16권3호
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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.