• Journal of Oral Medicine and Pain
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• 제25권1호
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• pp.117-128
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• 2000

The present study explored the influence of temporomandibular disorders(TMD) with anterior open bite on swallowing. Fifteen subjects with anterior open bite(group A), 9 subjects with anterior open bite and TMD(group B), and 24 subjects without malocclusion or TMD symptoms (group C) were included. BioPAK system(Bioresearch Inc., Milwaukee, WI, USA) was used to record the muscle activities of anterior temporal, masseter, sternocleidomastoid(SCM) and anterior digastric muscles during maximum clenching and swallowing. Positional change of the mandible during swallowing was also recorded using the same system. The obtained results were as follows: 1. Group A, B, and C did not show significant differences each other in the muscle activity of resting position in most of head and neck muscles. 2. Group B showed significantly lower muscle activity in maximum clenching than group C in anterior temporal(p<0.01), masseter(p<0.05), SCM(p<0.05) and digastric muscles(p<0.05). 3. Group A showed significantly lower muscle activity during swallowing than group C in anterior temporal and masseter muscles(p<0.01). Group B showed significantly lower muscle activity during swallowing than group C in anterior temporal(p<0.01), masseter(p<0.01), and SCM muscles(p<0.05). 4. Group A and B showed increased positional change of the mandible during swallowing measured from vertical, anteroposterior and lateral aspects, and prolonged swallowing(p<0.05). 5. After given instructions for normal swallowing pattern, group A and B showed increased muscle activity during swallowing in anterior temporal, masseter and SCM muscles(p<0.01). Positional change of the mandible and time elapsed for swallowing also decreased after the instruction(p<0.01). 6. Occlusal splint did not change the muscle activity during swallowing. However, vertical change(p<0.01) and swallowing time(p<0.05) were decreased with splint.

• Imaging Science in Dentistry
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• 제33권3호
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• pp.151-159
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• 2003

Purpose: The purpose of this study is to evaluate the effectiveness and usefulness of newly developed personal computer-based software to eliminate the linear artifacts by the metal restorations. Materials and Methods: A 3D CT image was conventionally reconstructed using ADVANTAGE WINDOWS 2.0 3D Analysis software (GE Medical System, Milwaukee, USA) and eliminated the linear artifacts manually. Next, a 3D CT image was reconstructed using V-works 4.0/sup TM/(Cybermed Inc., Seoul, Korea) and the linear artifacts eliminated manually in the axial images by a skillful operator using a personal computer. A 3D CT image was reconstructed using V-works 4.0/sup TM/(Cybermed Inc., Seoul, Korea) and the linear artifacts were removed using a simplified algorithm program to eliminate the linear artifacts automatically in the axial images using a personal computer, abbreviating the manual editing procedure. Finally, the automatically edited reconstructed 3D images were compared to the manually edited images. Results and Conclusion: We effectively eliminated the linear artifacts automatically by this algorithm, not by the manual editing procedures, in some degree. But programs based on more complicated and accurate algorithms may lead to a nearly flawless elimination of these linear artifacts automatically.

• Imaging Science in Dentistry
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• 제49권4호
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• pp.301-306
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• 2019

Purpose: This report presents a procedure for performing power Doppler ultrasound-guided sialography using the phenomenon of increased blood flow and illustrates its application to practical patient cases. Materials and Methods: The salivary gland was scanned using ultrasound equipment (GE LOGIQ5 Expert^® device; GE Medical Systems, Milwaukee, WI, USA) to identify pathological findings related to the patient's chief complaint. To identify the orifice of the main duct, it should be cannulated using a lacrimal dilator. After inserting the catheter into the cannulated main duct, the position of the catheter within the duct was confirmed by ultrasound. A contrast agent was injected until the patient felt fullness, and ultrasound (B-mode) was used to confirm whether the contrast agent filled the main canal and secondary and tertiary ducts. Then, power Doppler ultrasound was performed to determine whether the salivary gland had increased blood flow. Results: In 2 cases in this report, a power Doppler ultrasound scan showed a significant increase in blood flow after contrast medium injection, which was not observed on a preoperative scan. Conclusion: Power Doppler ultrasound was found to be a simple, safe, and effective tool for real-time sialography monitoring.

• 한국의학물리학회지:의학물리
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• 제9권3호
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• pp.143-154
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• 1998

상강화기는 형광 영상장치에서 영상의 특성을 결정하는 주된 요소이다. 본 연구는 두가지의 상강화기를 임상에서 평가하기 위하여 간단하고 비파괴적이며 적당한 시간내에 행할 수 있는 계의 활동 프로그램을 제시하였다. 이 프로그램은 크게 세 부분 즉, X-선 발생장치, 영상의 질, 조준으로 되어있다. X-선의 발생장치에 대하여 관전압의 정확도와 자동노출 조절기능을 비교하였다. 영상의 질을 위해서는 저대비 및 고대비 분해능 측정, 체격자 실험 등을 수행하였으며 이 실험에서는 비디오 모니터 및 순간영상을 필름화한 정량적인 분석을 분석하였다. 조준에 대해서는 상강화기의 유용한 영역의 직경과 상의 찌그러짐을 측정하고 정량적인 분석을 하였다. 이 실험들의 과정 및 결과들이 상강화기의 인수검사 및 계의 활동지수를 평가하는데 이용되기를 바란다.

• 종양간호연구
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• 제12권2호
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• pp.175-185
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• 2012

Purpose: This micro-ethnographic study aimed to understand coping experiences of Korean-American (K-A) women after diagnosis with breast cancer due to a hereditary gene mutation. Methods: Participatory observation and in-depth interviews were performed at one breast cancer screening center in Southern California, in 2005 with eleven first generation K-A immigrant women. All transcribed interviews and field notes were analyzed using ethnographic methodology. Results: K-A women's experience varied based on acculturation risk factors including: limited English speaking ability; disrupted family relationships, individualistic family values, or intergenerational communication barriers; lack of Korean speaking nurses; and Korean physicians' who lacked knowledge about hereditary breast cancer risk. These risk factors led to isolation, loneliness, lack of emotional and social support. In comparison to Korean homeland women in a similar medical situation, these K-A immigrants felt disconnected from the healthcare system, family support and social resources which increased their struggling and impeded coping during their survivorship journey. These women were not able to access self-support groups, nor the valuable resources of nurse navigator programs. Conclusion: Professional oncology associations for nurses and physicians have a moral obligation to support and promote knowledge of hereditary cancer risk and self-help groups for non-native speaking immigrants.

• 대한의용생체공학회:의공학회지
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• 제30권4호
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• pp.333-340
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• 2009

MR compatible coaxial-slot antenna for microwave hyperthermia was developed while its structure and size of each part were determined by computer simulation using finite element method(FEM). Its local heating performance was evaluated using tissue-mimic phantom and swine muscles. 2% agarose gel mixed with 6mM/$\ell$ $MnCl_2$ as a biological tissue-mimic phantom was heated by the proposed antenna driven by a 2.45GHz microwave generator. The temperature changes of the phantom were monitored using multi-channel digital thermometer at the distance of 0mm, 5mm, 10mm and 20mm from the tip center of the antenna. Also muscle tissue of swine was heated for 2 and 5minutes with 50W and 30W of microwave generator powers, respectively, to evaluate the local heating performance of the antenna. MRI compatibility was also verified by acquiring MR images and MR temperature map. MR signals were acquired from the agarose gel phantom using $T2^*$ GRE sequence with 1.5T clinical MRI scanner(Signa Echospeed, GE, Milwaukee, WI, U.S.A.) at Pusan Paik Hospital and were transferred to PC in order to reconstruct MR images and temperature map using proton resonance frequency(PRF) method and laboratory-developed phase unwrapping algorithm. Authors found that it has no severe distortion due to the antenna inserted into the phantom. Finally, we can conclude that the suggested coaxial-slot antenna has an excellent local heating performance for both of tissue-mimic phantom and swine muscle, and it is compatible to 1.5T MRI scanner.

• 한국간호교육학회지
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• 제24권1호
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• pp.100-109
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• 2018

Purpose: This study evaluated the effect of a teaching model to improve cultural competency (TMCC) for Korean undergraduate nursing students. Methods: A nonequivalent control group pretest/posttest quasi-experimental study was conducted with a convenience sample of 168 undergraduate nursing students in South Korea. The experimental group of 121 seniors was taught a 13-week teaching model in order to improve cultural competence. A control group with 47 junior students underwent nursing major courses, but did not take this teaching model. Before and after the program, students' level of cultural competency was measured using the Questionnaire for Cultural Competence (QCC) consisting of three sub-scales: "awareness and desire," "encounter," and "nursing skill and knowledge." Results: After the experiment, the experimental group showed significantly higher improvement in the Questionnaire for Cultural Competence in the three sub-scales of "awareness and desire," "encounter," and "nursing skill and knowledge" than the control group (p=<.050). Conclusion: A teaching model to improve cultural competence was effective in improving Korean undergraduate nursing students' cultural competency. Further studies need to be repeated in order to identify the effectiveness of the teaching model to improve cultural competency with graduate or clinical nurses.

• 대한자기공명의과학회:학술대회논문집
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• 대한자기공명의과학회 2001년도 제6차 학술대회 초록집
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• pp.135-135
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• 2001

Purpose： To know the differences of the proton MR spectroscopic features of the liver between th patients with graft-versus-host disease (GVHD) and without GVHD (non-GVHD) after to marrow transplantation (BMT), and to evaluate the possibility to discriminate GVHD fro non-GVHD by analysis of the in vivo proton MR spectra. Method： We evaluated the in vivo proton MR spectra from the livers of 37 patients wh underwent BMT. Our series included 14 cases with GVHD and 23 without GVHD in the liver. Nineteen men and 18 women were included in our series. All cases of GVHD and 2 o non-GVHD were confirmed by liver biopsy and remaining of non-GVHD by evaluation clinical follow up. Proton MR spectroscopy (1H-MRS) was performed at 1.5T GE Sign Horizon (GE Medical System, Milwaukee, USA) system using localized proton STEAM sequence and body coil in all cases with subjects were located in supine position. N respiratory interruption was required during the spectroscopic signal acquisition. Paramete using in MRS were： TR = over 3000ms, TE = 30ms, number of scans = 128, voxel size = ($2{\times}2{\times}2$)$cm^3$, and one NEX. We evaluated the spectra with an attention to the differences o patterns of the peaks between GVHD and non-GVHD groups. The ratio of peak area of peaks at 1.6-4.1ppm to lipid (0.9-1.6ppm) [P(1.6-4.1ppm)/P(0.9-1.6ppm)] was calculated in GVHD and non-GVHD group, and compared the results between these groups. We als evaluated the sensitivity and specificity for discriminating GVHD from non-GVHD by anal of 1H-MRS.

• Journal of Magnetics
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• 제14권4호
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• pp.137-143
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• 2009

The convergence behavior of the all-electron full-potential linearized augmented plane-wave (FLAPW) method with the explicit orthogonalization (XO) scheme is tested on ferromagnetic bulk body-centered-cubic Fe. Applying a commonly used criterion relating the plane-wave and angular momentum cutoffs, $l_{max}\;=\;R_{MT}K_{max}$, where $R_{MT}$ is the muffin-tin (MT) sphere radius and $K_{max}$ is the plane-wave cutoff for the basis - the total energy is converged and stable for $K_{max}R_{MT}$ = 10. The total energy convergence dependence on the star-function cutoff, $G_{max}$, is minimal and so a $G_{max}$ of 3$K_{max}$ or a large enough $G_{max}$ is a reasonable choice. We demonstrate that the convergence with respect to $l_{max}$ or a fixed large enough $G_{max}\;and\;K_{max}$ are independent, and that $K_{max}$ provides a better measure of the convergence than $R_{MT}K_{max}$. The dependence of the total energy on $R_{MT}$ is shown to be small if the core states are treated equivalently, and that the XO scheme is able to treat systems with significantly smaller $R_{MT}$ than the standard LAPW method. For converged systems, the calculated lattice parameter, bulk modulus, and magnetic moments are in excellent agreement with the experimental values.

• 한국주거학회논문집
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• 제25권3호
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• pp.13-23
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• 2014

This study explores the daily life patterns and housing adjustment behaviors of low-income Korean elderly immigrants residing in affordable housing in the Chicago metropolitan area. Utilizing an intercultural perspective, the study focuses on identifying the immigrants' their cultural attributes of daily living and coping responses to residential misfits. These housing adjustment behaviors are classified into five modes consisting of residential mobility, structural adaptation, residential alteration, normative adaptation, and behavioral adaptation. Two-hour in-depth interviews with open-ended questions were conducted with 138 participants from 15 affordable housing complexes. Collected information includes demographic data, immigration experiences and cultural identity, daily life patterns, as well as housing evaluation and housing adjustment behaviors. The study results indicate that many research participants maintained their cultural attributes of daily living accumulated from past experiences (i.e. mostly based upon Korean cultural contexts), but also made adjustments as they complied with their aging body and new living conditions. This also reflects that immigrants' cultural needs are not limited to the use of language and ethnic goods, but are also embedded deeply in their daily life patterns to influence one's uses of the dwellings in a broader sense. All five modes of housing adjustment behaviors were observed with research participants within their residential settings. More importantly, normative and behavioral adaptations along with residential alterations occurred more simultaneously rather than sequentially when the respondents perceived discrepancy between oneself (i.e. including one's attributes, needs, and preferences) and his/her dwelling.