• Title/Summary/Keyword: Success rates

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Load response of the natural tooth and dental implant: A comparative biomechanics study

  • Robinson, Dale;Aguilar, Luis;Gatti, Andrea;Abduo, Jaafar;Lee, Peter Vee Sin;Ackland, David
    • The Journal of Advanced Prosthodontics
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    • v.11 no.3
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    • pp.169-178
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    • 2019
  • PURPOSE. While dental implants have displayed high success rates, poor mechanical fixation is a common complication, and their biomechanical response to occlusal loading remains poorly understood. This study aimed to develop and validate a computational model of a natural first premolar and a dental implant with matching crown morphology, and quantify their mechanical response to loading at the occlusal surface. MATERIALS AND METHODS. A finite-element model of the stomatognathic system comprising the mandible, first premolar and periodontal ligament (PDL) was developed based on a natural human tooth, and a model of a dental implant of identical occlusal geometry was also created. Occlusal loading was simulated using point forces applied at seven landmarks on each crown. Model predictions were validated using strain gauge measurements acquired during loading of matched physical models of the tooth and implant assemblies. RESULTS. For the natural tooth, the maximum vonMises stress (6.4 MPa) and maximal principal strains at the mandible ($1.8m{\varepsilon}$, $-1.7m{\varepsilon}$) were lower than those observed at the prosthetic tooth (12.5 MPa, $3.2m{\varepsilon}$, and $-4.4m{\varepsilon}$, respectively). As occlusal load was applied more bucally relative to the tooth central axis, stress and strain magnitudes increased. CONCLUSION. Occlusal loading of the natural tooth results in lower stress-strain magnitudes in the underlying alveolar bone than those associated with a dental implant of matched occlusal anatomy. The PDL may function to mitigate axial and bending stress intensities resulting from off-centered occlusal loads. The findings may be useful in dental implant design, restoration material selection, and surgical planning.

Clinical Effectiveness of Percutaneous Epidural Neuroplasty According to the Type of Single-Level Lumbar Disc Herniation : A 12-Month Follow-Up Study

  • Cho, Pyung Goo;Ji, Gyu Yeul;Yoon, Young Sul;Shin, Dong Ah
    • Journal of Korean Neurosurgical Society
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    • v.62 no.6
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    • pp.681-690
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    • 2019
  • Objective : To determine whether the outcomes of percutaneous epidural neuroplasty (PEN) are influenced by the type of lumbar disc herniation (LDH) and evaluate the effectiveness of PEN in patients with single-level LDH. Methods : This study included 430 consecutive patients with single-level LDH who underwent PEN. Before treatment, the LDH type was categorized as bulging, protrusion, extrusion, and sequestration, while Pfirrmann grades were assigned according to imaging findings. Visual analog scale (VAS) scores for back and leg pain and success rates (Odom's criteria) were assessed at 1, 3, 6, and 12 months after treatment. Results : The mean preoperative VAS scores for back and leg pain were 6.90 and 4.23, respectively; these decreased after PEN as follows : 2.25 and 1.45, respectively, at 1 month; 2.61 and 1.68, respectively, at 3 months; 2.28 and 1.48, respectively, at 6 months; and 2.88 and 1.48, respectively, at 12 months (p<0.001). The decrease in VAS scores for leg pain was significantly greater in the extrusion and sequestration groups than in the other two groups (p<0.05); there were no other significant differences among groups. More than 70% patients exhibited good or excellent 12-month outcomes according to Odom's criteria. Subsequent surgery was required for 59 patients (13.7%), with a significantly higher rate in the extrusion (25.0%) and sequestration (30.0%) groups than in the bulging (7.3%) and protrusion (13.8%) groups (p<0.05). Nevertheless, subsequent surgery was not required for >70% patients with extrusion or sequestration. Patients with Pfirrmann grades 1-3 (14.0-21.5%) showed a significantly higher rate of subsequent surgery than those with Pfirrmann grade 0 (4.9%; p<0.05). Conclusion : Our findings suggest that PEN is an effective treatment for back and leg pain caused by single-level LDH, with the outcomes remaining unaffected by the LDH type.

Effects of pre-applied orthodontic force on the regeneration of periodontal tissues in tooth replantation

  • Park, Won-Young;Kim, Min Soo;Kim, Min-Seok;Oh, Min-Hee;Lee, Su-Young;Kim, Sun-Hun;Cho, Jin-Hyoung
    • The korean journal of orthodontics
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    • v.49 no.5
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    • pp.299-309
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    • 2019
  • Objective: This study aimed to investigate the effect of pre-applied orthodontic force on the regeneration of periodontal ligament (PDL) tissues and the underlying mechanisms in tooth replantation. Methods: Orthodontic force (50 cN) was applied to the left maxillary first molars of 7-week-old male Sprague-Dawley rats (n = 32); the right maxillary first molars were left untreated to serve as the control group. After 7 days, the first molars on both sides were fully luxated and were immediately replanted in their original sockets. To verify the effects of the pre-applied orthodontic force, we assessed gene expression by using microarray analysis and real-time reverse transcription polymerase chain reaction (RT-PCR), cell proliferation by using proliferating cell nuclear antigen (PCNA) immunofluorescence staining, and morphological changes by using histological analysis. Results: Application of orthodontic force for 7 days led to the proliferation of PDL tissues, as verified on microarray analysis and PCNA staining. Histological analysis after replantation revealed less root resorption, a better arrangement of PDL fibers, and earlier regeneration of periodontal tissues in the experimental group than in the control group. For the key genes involved in periodontal tissue remodeling, including CXCL2, CCL4, CCL7, MMP3, PCNA, OPG, and RUNX2, quantitative RT-PCR confirmed that messenger RNA levels were higher at 1 or 2 weeks in the experimental group. Conclusions: These results suggest that the application of orthodontic force prior to tooth replantation enhanced the proliferation and activities of PDL cells and may lead to higher success rates with fewer complications.

A Prospective Randomized Trial Comparing Manual Needle Aspiration to Closed Thoracostomy as an Initial Treatment for the First Episode of Primary Spontaneous Pneumothorax

  • Kim, In Ha;Kang, Do Kyun;Min, Ho-Ki;Hwang, Youn-Ho
    • Journal of Chest Surgery
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    • v.52 no.2
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    • pp.85-90
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    • 2019
  • Background: Variation exists in the initial treatment for the first episode of primary spontaneous pneumothorax (PSP), and no definitive consensus exists due to a lack of high-quality evidence. This study examined the outcomes of needle aspiration and closed thoracostomy in first episodes of PSP requiring intervention. Methods: This study was a randomized, prospective, single-center trial conducted between December 2015 and August 2016. Patients of all ages with a documented first episode of PSP who were unilaterally affected, hemodynamically stable, and had a pneumothorax measuring over 25% in size were included. Patients with underlying lung disease, severe comorbidities, bilateral pneumothorax, tension pneumothorax, recurrent pneumothorax, traumatic pneumothorax, and pregnancy were excluded. Patients were randomly assigned to the needle aspiration or closed thoracostomy group using a random number table. Results: Forty patients with a first episode of PSP were recruited, and 21 and 19 patients were included in the needle aspiration group and the closed thoracostomy group, respectively. The hospital stay of each group was $2.1{\pm}1.8days$ and $5.4{\pm}3.6days$, respectively (p<0.01). However, no significant differences were found in the success rate of initial treatment or the 1-month and 1-year recurrence rates. Conclusion: Needle aspiration is a favorable initial treatment in patients experiencing a first episode of PSP.

Controlling Sacbrood Virus Disease in Apis cerana Colonies with Biological Methods in Korea

  • Vung, Nguyen Ngoc;Kim, Iksoo;Lee, Man Young;Kim, Hye Kyung;Kim, Dong Won;Choi, Yong Soo
    • Journal of Apiculture
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    • v.33 no.4
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    • pp.283-295
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    • 2018
  • As Sacbrood virus (SBV), a causative agent of larval death and colony collapse in Apis cerana honey bee, is prevalent and poses one of the most significant threats to the Korean apiculture, development of methods to counter this viral disease is urgently needed. In this study we tested some SBV controlling methods, such as requeen, shook swam, adding Apis mellifera and spraying yogurt to SBV inoculated colony. Colony size measured by number of sealed brood and adult were evaluated every 15 days until two months while instances of recurrence were recorded up to five months after applying treatment methods. We also test the effects of yogurt on healthy and SBV-infected larvae at both in vitro reared larvae and colony level. Our result showed that all SBV controlling methods had similar success rates with respect to elimination of SBV clinical symptom up to 30 days post treatment. Mix-species and spraying yogurt method had similar pattern of sealed brood and adult number and higher than that of other SBV controlling methods up to 45 days post treatment. These two groups also showed the lower percentage of SBV recurrence (50% and 66.7%) at 120 days post treatment than other group that mostly colony had clinical symptom. Result on in vitro reared larvae challenged with yogurt showed that yogurt have neither harmless on healthy larvae nor remedial effect on SBV infected larvae. However, at colony level, colony in group received yogurt treatment removed significantly more SBV-infected larvae, SBV-killed larvae, and even healthy larvae in comparison to the control, suggested that yogurt could trigger the hygienic behavior of nurse bee. Our results recommended that it is practical in beekeeping by adding A. mellifera and spraying yogurt to control SBV in A. cerana colony.

Stock prediction analysis through artificial intelligence using big data (빅데이터를 활용한 인공지능 주식 예측 분석)

  • Choi, Hun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.25 no.10
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    • pp.1435-1440
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    • 2021
  • With the advent of the low interest rate era, many investors are flocking to the stock market. In the past stock market, people invested in stocks labor-intensively through company analysis and their own investment techniques. However, in recent years, stock investment using artificial intelligence and data has been widely used. The success rate of stock prediction through artificial intelligence is currently not high, so various artificial intelligence models are trying to increase the stock prediction rate. In this study, we will look at various artificial intelligence models and examine the pros and cons and prediction rates between each model. This study investigated as stock prediction programs using artificial intelligence artificial neural network (ANN), deep learning or hierarchical learning (DNN), k-nearest neighbor algorithm(k-NN), convolutional neural network (CNN), recurrent neural network (RNN), and LSTMs.

Semen parameters on the intracytoplasmic sperm injection day: Predictive values and cutoff thresholds of success

  • Moubasher, Alaa El din-Abdel Aal;Taha, Emad Abdelrehim;Elnashar, Ehab Mohamed;Maged, Ahmed Abdel Aal Abdel;Zahran, Asmaa Mohamed;Sayed, Heba Hassan;Gaber, Hisham Diab
    • Clinical and Experimental Reproductive Medicine
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    • v.48 no.1
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    • pp.61-68
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    • 2021
  • Objective: This study was conducted to investigate the relationship of semen parameters in samples used for intracytoplasmic sperm injection (ICSI) with fertilization and pregnancy rates in infertile couples. Methods: In this prospective study of Infertile couples with male factor infertility that had undergone ICSI, fractions of the same semen samples obtained for microinjection (to ensure the best predictability) were evaluated to determine the semen parameters and sperm DNA fragmentation index (DFI) on the day of oocyte recovery. Results: In total, 120 couples completed the study and were subdivided into fertilized (n=87) and non-fertilized couples (n=33). The fertilized couples were further classified into pregnant (n=48) and non-pregnant (n=39) couples. Compared to non-fertilized and non-pregnant couples, fertilized and pregnant couples showed statistically significantly higher sperm viability and percentage of normal sperm morphology, as well as significantly lower sperm DFI values. A receiver operating characteristic curve analysis of data from the 120 ICSI cycles showed that sperm viability, normal sperm morphology percentages, and sperm DFI were significant prognostic indicators of fertilization at cutoff values of 40%, 7%, and 46%, respectively. A sperm DFI of 46% showed sensitivity and specificity of 95% and 90%, respectively, for predicting fertilization, and no clinical pregnancies occurred in couples with a sperm DFI above 46%. Conclusion: Semen parameters from the ICSI day sample, especially sperm viability, normal morphology, and DFI, had an impact on fertilization and pregnancy outcomes in ICSI cycles.

Real-Time Detection of Cache Side-Channel Attacks Using Non-Cache Hardware Events (비 캐시 하드웨어 이벤트를 이용한 캐시 부채널 공격 실시간 탐지)

  • Kim, Hodong;Hur, Junbeom
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.30 no.6
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    • pp.1255-1261
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    • 2020
  • Cache side-channel attack is a class of attacks to retrieve sensitive information from a system by exploiting shared cache resources in CPUs. As the attacks are delivered to wide range of environments from mobile systems to cloud systems recently, many detection strategies have been proposed. Since the conventional cache side-channel attacks are likely to incur tremendous number of cache events, most of the previous detection mechanisms were designed to carefully monitor mostly cache events. However, recently proposed attacks tend to incur less cache events during the attack. PRIME+ABORT attack, for example, leverages the Intel TSX instead of accessing cache to measure access time. Because of the characteristic, attack detection mechanisms based on cache events may hardly detect the attack. In this paper, we conduct an in-depth analysis of the PRIME+ABORT attack to identify the other useful hardware events for detection rather than cache events. Based on our finding, we present a novel mechanism called PRIME+ABORT Detector to detect the PRIME+ABORT attack and demonstrate that the detection mechanism can achieve 99.5% success rates with 0.3% performance overhead.

The Effect of Discomfort Index on Outfielder's Game Record Data (불쾌지수가 외야수의 경기 기록 데이터에 미치는 영향)

  • Kim, Semin;Shin, Chwa-Cheol
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.24 no.8
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    • pp.978-984
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    • 2020
  • In this study, the correlation between sports records and weather data was analyzed using the big data analysis method. To this end, data was collected by API and crawling, data was processed, statistics were performed, and data visualization was performed. The subject of this study was a player who entered the regular at-bat among outfielders in the 2019 KBO League. In addition, meteorological data were analyzed by using the unpleasant index and above 70 and below 70. As a result of the study, in the various hitting indicators, which are the records that pitchers intervene, the higher the unpleasant index, the better the outfielder's record, but pitchers, walks, pitches, pitching success rates, pitches per turn, pitches per game From the records of the back, it was found that the outfielder made the pitcher difficult. It is expected that this study will help the development of the sports data industry and the performance of baseball players, baseball teams, and coaching staff.

Implementation of Venoarterial Extracorporeal Membrane Oxygenation in Nonintubated Patients

  • Kim, Hyeon A;Kim, Young Su;Cho, Yang Hyun;Kim, Wook Sung;Sung, Kiick;Jeong, Dong Seop
    • Journal of Chest Surgery
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    • v.54 no.1
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    • pp.17-24
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    • 2021
  • Background: Although extracorporeal membrane oxygenation (ECMO) is generally performed percutaneously, the technology is deployed under sedation and necessitates endotracheal intubation. However, in some patients, the use of venoarterial (VA) ECMO without intubation may be beneficial. Herein, we describe our experiences with VA ECMO performed without prior endotracheal intubation. Methods: A total of 783 patients treated with VA ECMO at a single center between January 2013 and July 2018 were reviewed retrospectively. We included patients who underwent successful VA ECMO implementation without prior endotracheal intubation, and excluded those who were younger than 18 years, had ongoing cardiopulmonary resuscitation status, and had poor quality of the vessels needed for percutaneous cannulation. The primary study outcome was in-hospital survival. Results: In total, 50 patients were included in this study, 94% of whom showed cardiogenic shock. The mean age of the study participants was 56.3±14.5 years. The median VA ECMO support time was 7 days (range, 2-13 days). Twenty-one patients (42%) did not receive ventilator care during the VA ECMO support period, while 29 patients (58%) progressed to intubation after VA ECMO implementation. The rates of survival at discharge and weaning success were 82% (n=41) and 92% (n=46), respectively, and 80% (n=40) of patients presented good Glasgow-Pittsburgh Cerebral Performance Categories scores at discharge. Conclusion: Even in patients with cardiogenic shock, percutaneous VA ECMO can be introduced safely without prior endotracheal intubation by an experienced care team. The application of nonintubated VA ECMO might be a feasible strategy in selected cases.