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Improving High-resolution Impedance Manometry Using Novel Viscous and Super-viscous Substrates in the Supine and Upright Positions: A Pilot Study

  • Wong, Uni;Person, Erik B;Castell, Donald O;von Rosenvinge, Erik;Raufman, Jean-Pierre;Xie, Guofeng
    • Journal of Neurogastroenterology and Motility
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    • v.24 no.4
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    • pp.570-576
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    • 2018
  • Background/Aims Swallows with viscous or solid boluses in different body positions alter esophageal manometry patterns. Limitations of previous studies include lack of standardized viscous substrates and the need for chewing prior to swallowing solid boluses. We hypothesize that high-resolution impedance manometry (HRiM) using standardized viscous and super-viscous swallows in supine and upright positions improves sensitivity for detecting esophageal motility abnormalities when compared with traditional saline swallows. To establish normative values for these novel substrates, we recruited healthy volunteers and performed HRiM. Methods Standardized viscous and super-viscous substrates were prepared using "Thick-It" food thickener and a rotational viscometer. All swallows were administered in 5-mL increments in both supine and upright positions. HRiM metrics and impedance (bolus transit) were calculated. We used a paired two-tailed t test to compare all metrics by position and substrate. Results The 5-g, 7-g, and 10-g substrates measured 5000, 36 200, and 64 $700mPa{\cdot}sec$, respectively. In 18 volunteers, we observed that the integrated relaxation pressure was lower when upright than when supine for all substrates (P < 0.01). The 10-g substrate significantly increased integrated relaxation pressure when compared to saline in the supine position (P < 0.01). Substrates and positions also affected distal contractile integral, distal latency, and impedance values. Conclusions We examined HRiM values using novel standardized viscous and super-viscous substrates in healthy subjects for both supine and upright positions. We found that viscosity and position affected HRiM Chicago metrics and have potential to increase the sensitivity of esophageal manometry.

A Clinical Study on the Distribution and The Bond Failure of Etched(Maryland) Bridge: A Preliminary Report of 135 Cases (Maryland Bridge의 적용분포 및 결합실패에 관한 임상적 연구(I))

  • Yang, Jae-Ho
    • The Journal of the Korean dental association
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    • v.25 no.6 s.217
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    • pp.578-587
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    • 1987
  • The purpose of this was to examine the distribution and the bond failure of the acidetched ceramometal retainer (Maryland Bridge). 126 subjects who treated by faculty and residents of Department of Prosthodontics, Seoul National University Hospital from Dec. 1982 to Dec. 1986 were selected for this study. From the foregoing study author obtained the following conclusions. 1. A total of 135 restorations were placed in the mouths of patients ranging in age from 11 to 70 years (Man 62, woman 64) 2. Most restorations were applied to replace anterior teeth. 3. It was found that of the total number of bridges constructed 59.3 percent were the three-unit type. 4. Replacing one tooth missing was the most frequent cases(74.1 percent). 5. Of the total number of cases, 10.4percent showed bond failure. 6. The bond failure, author suggest, be due to one or more of mis-fit of framework, occlusion, material in itself, faulty case selection and lack of technique.

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A CLINICAL STUDY ON THE DISTRIBUTION AND THE BOND FAILURE OF ETCHED (MARYLAND) BRIDGE: A PRELIMINARY REPORT OF 135 CASES (MARYLAND BRIDGE의 적용분포 및 결합실패에 관한 임상적 연구(I))

  • Yang, Jae-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.24 no.1
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    • pp.7-16
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    • 1986
  • The purpose of this study was to examine the distribution and the bond failure of the acid-etched ceramometal retainer (Maryland Bridge). 126 subjects who treated by faculty and residents of Department of Prosthodontics, Seoul National University Hospital from Dec. 1982 to Dec. 1986 were selected for this study. From the foregoing study author obtained the following conclusions. 1. A total of 135 restorations were placed in the mouths of patients ranging in age from 11 to 10 years (man 62, woman 64). 2. Most restorations were applied to replace anterior teeth. 3. It was found that of the total number of bridges constructed 59.3 percent were the three-unit type. 4. Replacing one tooth mining was the most frequent cases (74.1 percent). 5. Of the total number of cases, 10.4 percent stowed bond failure. 6. The bond failure, author suggest, be due to one or more of mis-fit of framework, occlusion, material in itself, faulty case selection and lack of technique.

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Generational Differences in Children's Externalizing Behavior Problems

  • Moon, Ui Jeong;Hofferth, Sandra L.
    • International Journal of Human Ecology
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    • v.16 no.2
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    • pp.45-61
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    • 2015
  • This study examines the effects of time spent with parents and peers on generational differences in children's externalizing behavior problems in immigrant families. Using the Child Development Supplement and Time Diaries from the Panel Study of Income Dynamics, we found that first and second generation children exhibited fewer externalizing behavior problems than did third generation children, despite their lower socioeconomic status. First and second generation children spent more time with either one or both parents, and less time with peers, on the weekend day than did third generation children. We found a marginal but beneficial effect of time spent with fathers on the weekday, but not on the weekend day. The implications are that time spent with fathers on weekdays differs from time spent with fathers on the weekend, and that promoting immigrant father involvement on the weekday through school or community programs could benefit immigrant children.

$CO_2$ Transcritical Cycle Research at CEEE

  • Hwang, Yun-Ho;Radermacher, Reinhard
    • The Magazine of the Society of Air-Conditioning and Refrigerating Engineers of Korea
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    • v.31 no.7
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    • pp.45-52
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    • 2002
  • 1991년에 Maryland 대학에 Dr. Reinhard Rader-macher에 의해 환경에너지공학연구소(CEEE)가 설립되었다. 이 연구소는 환경 및 경제적인 관점에서 에너지 변환 시스템을 개발하는데 선두적인 역할들 수행해왔다. 환경 에너지 공학 연구소는 산업체, 정부,및 연구소에서 지원 받는 컨소시엄 형태의 연구 센터이다. 대체 냉매, $CO_2$초월임계 사이클에 관한 연구를 1993년에 시작한 이래, 현재 세계적으로 40여 개의 회사가 지원을 하고 있다. 2단 압축 $CO_2$ 사이클 최적화, 초월 임계 사이클에서의 오일에 따른 열전달 영향, 초월$CO_2$임계 시스템에서의 오일 정체, $CO_2$압축기 모델링, 자동차에서의 $CO_2$기후 조절 시스템, $CO_2$냉매를 이용한 에어컨, $CO_2$저온 냉동 시스템 등에 관한 연구를 수행하고 있다. CEEE는 향후 연구로 구성요소 및 시스템 최적화, 효율향상, 시스템 적용확대에 관한 연구를 할 예정이다. 센터는 보고서, 컨소시엄 미팅. 워크샵, 교과목 개설, 당문 연구자 초청들을 통해 산업계 및 기술을 전달하고 있다. 본 고에서는 환경에너지 공학 연구소에서 $CO_2$ 초월임계 사이클에 초점을 맞추어 연구소의 연구활동을 기술한다.

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Is Colorectal Cancer A Western Disease? Role of Knowledge and Influence of Misconception on Colorectal Cancer Screening among Chinese and Korean Americans: A Mixed Methods Study

  • Lu, Xiaoxiao;Holt, Cheryl L;Chen, Julia C;Le, Daisy;Chen, Jingjing;Kim, Gil-yong;Li, Jun;Lee, Sunmin
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4885-4892
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    • 2016
  • Background: Chinese and Korean Americans have lower colorectal cancer (CRC) screening rates than other racial/ ethnic groups, which may be explained by a low level of CRC knowledge and a high level of misconceptions. This study explores the role of knowledge in CRC screening among these groups. Methods: Chinese (N=59) and Korean (N=61) Americans older than 50 were recruited from the Washington D.C. Metropolitan area. They completed a detailed survey and participated in focus groups to discuss their knowledge on CRC and CRC screening. Seventeen physicians, community leaders, and patient navigators participated in key informant interviews. Using a mixed methods approach, data were analyzed quantitatively and qualitatively. Results: Participants lacked knowledge about CRC and CRC screening. More than half did not know that screening begins at age 50 and there are several types of tests available. More than 30% thought CRC screening was not necessary if there were no symptoms or there was nothing they could do to prevent CRC. Focus group findings suggested understanding about CRC was limited by an inadequate source of linguistically and culturally relevant health information. For example, many participants considered CRC a western condition mainly caused by unhealthy diet. This led to under-estimations about their susceptibility to CRC. Knowledge was positively associated with self-reported screening. Participants who had higher knowledge scores were more likely to report ever having had a colonoscopy and confidence in ability to have CRC screening. Conclusions: Mixed-methods analysis provides multi-faceted perspectives on CRC knowledge and its influence on screening. Study findings can help inform interventions to increase CRC screening among Chinese and Korean Americans.

Numerical Analysis of Combined Natural and Forced Convection Around Cylinders (II) (실린더로부터 전달되는 혼합대류 열전달의 수치해석 (II))

  • Moon, S.H.;Shih, T.M.;Johnson, A.T.
    • Journal of Biosystems Engineering
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    • v.12 no.4
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    • pp.22-30
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    • 1987
  • 실린더로부터 Prandtl수가 0.7인 주변공기로 전달되는 혼합대류 열전달현상을 Stream-Vorticity 함수로 표시된 재배방정식으로부터 유한차분법으로 분석하였다. Nusselt수와 실린더 주변의 온도분포가 조사된 제1편에 이어 Reynolds수와 Gradhof수가 실린더 주변의 공기속도분포, 경계층 박리지점(Separation point), 실린더 표면에서의 마찰계수 및 실린더 주변에서의 압력분포에 미치는 영향을 분석하였다.

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Torsional analysis for multiple box cells using softened truss model

  • Yang, Daili;Fu, Chung C.
    • Structural Engineering and Mechanics
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    • v.5 no.1
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    • pp.21-32
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    • 1997
  • A new torsional analysis method for multiple cell box based on the Softened Truss Model Theory was developed. This softened truss model unifies shear and torsion to address the problem associated with a torque applied on a box. The model should be very useful for the analysis of a reinforced concrete box under torque, especially for the bridge superstructure with multiple cell box sections.

Social Geography of Homelessness in Maryland, USA (노숙자의 사회지리학적 연구 - 미국 메릴랜드주를 사례로)

  • Bae Mi-Ae
    • Journal of the Korean Geographical Society
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    • v.40 no.2 s.107
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    • pp.202-220
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    • 2005
  • The substantial economic expansion of the 1990s with the dramatic changes in the provision of welfare services in America, including welfare services for the homeless, had unexpected and differential impacts on homelessness and poverty rates across the states. This paper examines a spatial pattern and process of homelessness by counties in Maryland, USA, considering the spatial differences in the composition of financial income and expenditure with sharply different poverty situation and welfare services. This social geographical approach of homelessness in Maryland focuses on the changing personal characteristics of homeless people and the relation=hip between homelessness and poverty; homelessness and the provision of welfare services such as shelter beds and emergency food providers. It makes a conclusion that there is an uneven sociospatial patterns of homelessness, relating to diverse poverty situation and provision of welfare services for the homeless by variable welfare policy among counties, Maryland.