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A comprehensive comparison of IMRT and VMAT plan quality for orbital lymphoma (안와 림프종 환자의 방사선치료를 위한 세기조절방사선치료와 용적세기조절회전치료의 전산화 치료계획에 대한 고찰)

  • Yoo, Soon Mi;Ban, Tae Joon;Yun, In Ha;Baek, Geum Mun;Kwon, Kyung Tae
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.2
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    • pp.281-287
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    • 2014
  • Purpose : The purpose of this study is to compare the plan quality of volumetric-modulated arc therapy (VMAT) and intensity-modulated radiation therapy (IMRT) for the treatment of orbital lymphoma. IMRT, partial single arc(SA) and partial-double arc(DA) VMAT plans for four patients with orbital lymphoma treated at our institution were used for this study. Conformity Index(CI), Paddick's Conformity Index(PCI) and Homogeneity Index(HI) of planning target volume(PTV) were used to evaluate dosimetric quality of each plan. The Monitor Unit (MU), treatment time and dose of ipsilateral lens from each type of plan were measured for comparison. Materials and Methods : The CI of PTV for IMRT, SA and DA were measured as 0.88, 0.86, 0.92. The PCI of DA was the lowest as 1.33. Also HI of DA was the lowest in measured plans as 1.15. Mean dose of lens, lacrimal gland, optic chiasm, the opposite optic nerve and both orbit was analyzed with V30, V20, V10, V5. The result showed that the lowest dose in IMRT highest in SA in opposite lens, lacrimal gland, optic nerve, orbit. Results : Treatment time and average MU of IMRT was about three times higher than SA. Conclusion : Considering the superior plan quality as well as the delivery efficiency of VMAT compared with that of IMRT, VMAT may be the preferred modality for treating orbital lymphoma.

Implant Fixture Installation in the Posterior Maxilla Using a Tooth-supported Surgical Template Based on Computer Assisted Treatment Planning (컴퓨터 보조 기반 치아 지지 서지컬 템프레이트를 이용한 상악구치부 임플란트 식립)

  • Kim, Soung Min;Kim, Myung Joo;Lee, Jee Ho;Myoung, Hoon;Lee, Jong Ho;Kim, Myung Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.6
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    • pp.381-389
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    • 2013
  • Two patients with partial edentulous maxilla were scheduled to undergo installation of implant fixtures using a tooth-supported surgical template based on computer assisted treatment planning. After 3-dimensional (3D) computed tomographic scanning was transferred to the OnDemand3D (Cybermed Co., Seoul, Korea) software program for virtual planning, fixtures of MK III Groovy RP implant of the Br${\aa}$nemark System (Nobel Biocare AB Co., G$\ddot{o}$teborg, Sweden) was installed using the In2Guide (CyberMed Co., Seoul, Korea) tooth-supported surgical template with a Quick Guide Kit (Osstem Implant Co., Seoul, Korea) system in the posterior maxilla of each patient. Sinus floor elevation with a xenogenic bone graft procedure was also performed simultaneously in one patient. Fixture installations were completed successfully without complications, such as sinus mucosa perforation, bony bleedings, fenestrations, or others. During the last two-year follow-up period after prosthetics delivery, each implant was found to be fine with no other minor complications. The entire procedures are reported and the literatures on use of tooth-supported surgical template was reviewed.

Impact of Uncertainty on the Anxiety of Hospitalized Pregnant Women Diagnosed with Preterm Labor: Focusing on Mediating Effect of Uncertainty Appraisal and Coping Style (입원한 조기진통 임부의 불확실성이 불안에 미치는 영향: 불확실성 평가와 대처양상의 매개효과를 중심으로)

  • Kim, Eun Mi;Hong, Sehoon
    • Journal of Korean Academy of Nursing
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    • v.48 no.4
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    • pp.485-496
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    • 2018
  • Purpose: This study aimed to test the mediating effect of uncertainty appraisal and coping style in the relation between uncertainty and anxiety in hospitalized pregnant women diagnosed with preterm labor. Methods: The participants were 105 pregnant women diagnosed with preterm labor in hospitals in Korea. Data were collected from July to October 2017. The measurements included the Uncertainty in Illness Scale, Uncertainty Appraisal Scale, Coping Style Scale, and State Anxiety Inventory. Data were analyzed using descriptive statistics, an independent t-test, correlation, and multiple regression following the Baron and Kenny method and Sobel test for mediation. Results: The mean score for anxiety was 2.29 out of 4.00 points and for uncertainty it was 2.46 out of 5.00 points. There were significant correlations among uncertainty, uncertainty danger appraisal, uncertainty opportunity appraisal, problem-focused coping, emotion-focused coping, and anxiety. Uncertainty danger appraisal (${\beta}=.64$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=4.54, p<.001). Uncertainty opportunity appraisal (${\beta}=-.45$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=3.28, p<.001). Emotion-focused coping (${\beta}=-.23$, p=.021) had a partial mediating effect in the relation between uncertainty and anxiety (Z=2.02, p=.044). Conclusion: Nursing intervention programs focusing on managing uncertainty appraisal and improving emotion-focused coping are highly recommended to decrease anxiety in hospitalized pregnant women diagnosed with preterm labor.

Adjacent Effect of Oriental Medical Therapy on Aphasia after Stroke (뇌졸중 환자의 실어증에 대한 언어치료시 한방치료가 병행되었을 때의 효과)

  • Kwon, Seung-Won;Park, Joo-Young;Byeon, Hyung-Sik;Yoon, Seung-Kyu;Seo, Yu-Ri;Jung, Woo-Sang;Moon, Sang-Kwan;Cho, Ki-Ho;Kim, Young-Suk
    • The Journal of Korean Medicine
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    • v.31 no.4
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    • pp.129-140
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    • 2010
  • Objective: The aim of this study was to prove adjacent effect of Oriental Medical Therapy on aphasia after stroke. Method: We studied patients who took K-WAB (AQ; aphasia quotient) twice during their language therapy at Kyunghee University Hospital & Oriental Medicine Hospital to retrospectively investigate the effect of Oriental medical therapy on aphasia. 18 patients with post-stroke aphasia were assigned to receive one of the following adjuncts: Group A that received language therapy with Oriental medical therapy (n=12) and Group B (n=6) that received language therapy only; AQ score of Group A was compared against Group B. Result: Total AQ score and most partial scores, except 'Contents delivery', were better in Group A. 'Total AQ score', 'Fluency', and 'Auditory verbal comprehension score' presented statistical significance. Conclusion: In this study, we demonstrated the effect of Oriental medical therapy on aphasia after stroke through AQ score improvement.

Effects of Service Quality on Customer Satisfaction, Brand Image, and Customer Loyalty of Female University Students in a Coffee Shop (여대생들의 커피 전문점 서비스 품질 인식이 고객 만족, 브랜드 이미지, 고객 충성도에 미치는 영향)

  • Kim, Byoungsoo;Yoon, Jimi;Moon, Shin-Young
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.428-438
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    • 2013
  • In the highly competitive coffee market, each coffee shop is striving to improve customer loyalty by providing a high level of service quality. To deepen our understanding of service quality in the coffee shop market, this study identifies the key elements of service quality of coffee shops and investigates their impacts on decision-making processes of female university students. This study also investigates the effects of customer satisfaction and brand image on customer loyalty in a coffee shop market. Moreover, it considers the two critical customer loyalty: repurchasing intention and recommendation intention. Data collected from 206 female university students were empirically tested against a research model using partial least squares. Analysis results showed that service product and service delivery significantly affect customer satisfaction and brand image whereas service intangible and service environment do not significantly influence on them. Customer satisfaction and brand image play an important role on the formation of repurchasing and recommendation intention.

A Survey on Understanding and Actual Condition of Breast-feeding of Woman at Oriental Medicine Hospital Postpartum Care Center (한방병원 산후조리센터 산모를 대상으로 한 모유수유 실태 및 인식조사)

  • Jung, Ji-Ho;Kim, Mi-Ki;Park, Jin-Soo;Shin, Kwon-Sung;Park, Eun-Jung
    • The Journal of Pediatrics of Korean Medicine
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    • v.24 no.2
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    • pp.13-21
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    • 2010
  • at Jeonju Wonkwang University Oriental Medicine hospital postpartum care center. Results The majority of women(79.2%) had planned breast-feeding. However, only 32.1% of women currently have fed breast-feeding. 58% of mothers who did partial breast-feeding and breast-feeding currently have planned to breast-feed more than 7 months. The main reason of bottle-fed is concern of insufficient amount of breast milk(72.2%). Also the main reason of breast-feeding is good for baby's health(90%). The average score on the test of the understanding about the methods and advantages of breast-feeding was $13.98{\pm}1.92$ out of total 18.49.1% of women thought that taking herbal medicine would affect baby during breast-feeding. Also 71.7% of women thought that herbal treatments (acupuncture, herbal medicine) would be helpful when the amount of breast milk is insufficient. Conclusions This survey has showed that in spite of full breast-feeding plan, the percentage of actual breast-feeding rate is low. Timely education is needed to increase breast-feeding rate. It is worth to consider herbal treatment to increase breast milk amount. In addition to that it is necessary to create a hospital environment in which mothers can easily begin breast-feeding as soon as possible after delivery. Moreover, beyond the medical field, political and social supports for breast-feeding are needed.

Examination of the Effect of Job Rotation on Subjective Career Satisfaction : The Mediating Effect of Employability (직무순환이 주관적 경력만족에 미치는 영향: 고용경쟁력 매개효과를 중심으로)

  • Kwon, Na-Kyung;Kim, Hye-Lin
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.431-441
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    • 2014
  • In order to maximize customer's satisfaction, high-value service needs to be created by reducing service delivery errors and miscommunications. Employee's job rotation experience will help them to reduce errors and develop their career. The purpose of this study is to examine the effect of job rotation on employability and subjective career satisfaction. The results clarifies the hotel's job rotation system and examine the relationship among job rotation, employability and subjective career satisfaction. Taking samples from full-time workers in hotel, total 370 participants were used in the analysis. The SEM approach was used to analysis the data with AMOS 20.0. The results show that job rotation has a positive influence on employability and subjective career satisfaction. Moreover, employability has a partial mediation effect between job rotation and subjective career satisfaction. Therefore, the study contributes to generate theoretical and practical implications in hospitality industry.

Rapid Management Mechanism Against Harmful Materials of Agri-Food Based on Big Data Analysis (빅 데이터 분석 기반 농 식품 위해인자 신속관리 방법)

  • Park, Hyeon;Kang, Sung-soo;Jeong, Hoon;Kim, Se-Han
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.40 no.6
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    • pp.1166-1174
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    • 2015
  • There were the attempts to prevent the spread of harmful materials of the agri-food through the record tracking of the products with the bar code, the partial information tracking of the agri-food storage and the delivery vehicle, or the control of the temperature by intuition. However, there were many problems in the attempts because of the insufficient information, the information distortion and the independent information network of each distribution company. As a result, it is difficult to prevent the spread over the life-cycle of the agri-food using the attempts. To solve the problems, we propose the mechanism mainly to do context awareness, predict, and track the harmful materials of agri-food using big data processing.

Design of High-Speed VPN for Large HD Video Contents Transfer (대용량 HD 영상콘텐츠 고속전송 VPN(Virtual Private Network)의 설계)

  • Park, Hyoungy-Ill;Shin, Yong-Tae
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.12 no.4
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    • pp.111-118
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    • 2012
  • When broadcasters want immediately a variety of VOD files in a distributed server of them data centers and away contents provider, CPs of different platform to exchange high-quality HD, 3DTV video and other video files over the IP networks of high-performance that can be transferred quickly and must be configured quickly. This paper, by using an optional encryption method to complement a QoS and security of public network, suggests high speed and secure content transmission protocol such as VPN(Virtual Private Network) for large video files and big data. As configured high performance VPN, end to end devices use the best of available resources over public network by parallel transfer protocol and the secure content delivery network.

Critical Success and Failure Factors of e-Government Project Implementation in Kenya (케냐의 전자정부 프로젝트 핵심 성공 및 실패 요인)

  • Wamoto, Francis O.K.;Hwang, Gee-Hyun
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.39 no.2
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    • pp.119-128
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    • 2016
  • Use of ICT in Government has ability to improve service delivery to its citizens, and yet many developing countries have lagged behind in the implementation of e-Government. Many e-Government initiatives also failed to achieve their objectives in developing countries. This paper therefore aims to identify critical failure or success factors in Kenya, using Heeks' Factor Model. A survey questionnaire was developed and data were collected and analyzed from officials and interested citizens. The analysis results enabled to highlight seven specific success and failure factors, and their constituent elements in Kenya. The Kenyan overall e-Government implementation score belongs to the Zone of Improvement (3.52 of total 5.0), which means partial success or failure. The enablers of e-Government projects are good strategy formulation, and internal and external drive, whereas main failures of e-Government are weak ICT infrastructure. The areas for improvement are project management, design, competencies and funding. Data analysis highlights both strengths and weaknesses for each factor or variable. In particular, Kenyan government excels at the drive for change by top to bottom government officers as well as external stakeholders, while the government officers who are using e-Government are satisfied with the availability of vision, strategy and plan of e-Government implementation. Both technologies and e-transactions laws were the worst of all the variables in e-Government implementation. Two areas should be improved using immediate corrective action. In-depth study reveals that government officers and citizens can't fully use their laptop and mobile devices due to the lack of both ICT network and its operating technology, and legal system associated with the transaction of business information. Finally, the study ends up with recommendations for policy makers to shape the future of e-Government system in both developing and developed countries.