• Title/Summary/Keyword: The Other Cam

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A Study on the Perception of Concurrent Use of Western and Korean Medicine Care and Integrated Medical Service in Korea - Targeting tertiary hospital users - (의-한의 동시 진료 및 통합의료서비스에 대한 인식조사 - 3차 상급종합병원 이용자를 대상으로 -)

  • Seo, Sangwoo;Kim, Hyungsuk;Lee, Seung Hyeun;Kong, Moonkyoo;Lee, Beom-Joon;Heo, Sung Hyuk;Kwon, Seung-won;Park, Bong Jin;Yun, Dong Hwan;Lee, Euiju;Oh, Hyunjoo;Kim, Sung-Bum;Choi, Hye-Sook;Kim, Kwan-Il;Chung, Won-Seok
    • The Journal of Korean Medicine
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    • v.43 no.2
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    • pp.51-60
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    • 2022
  • Objectives: Currently, Korea's medical services are divided into Western medicine and Korean medicine, and people who are not satisfied with the existing treatments are looking for complementary and alternative medicine(CAM). Therefore, this study attempted to confirm patients' perception of the ongoing collaborative treatment and integrated medical service that added CAM to collaborative treatment based on tertiary hospital users. So that we can confirm the expected advantage and disadvantage of integrated medical service system and the necessity of supporting medical expenses for it. Methods: The survey was conducted on 100 people who experienced tertiary hospital treatment and other 100 people who experienced both tertiary hospital treatment and Korean medicine treatment at the same period. The survey was conducted until the number of respondents in both group reached 100. The survey was conducted through e-mail and was conducted from September 27, 2021 to October 8, 2021. Results: For the advantages of collaborative treatment 'increased in psychological stability,' and for disadvantages 'longer time spent for treatment' were the most common. If integrated medical services are implemented in the future, expected advantages include 'consideration of various treatments.' and expected disadvantages include 'increased medical cost.' The needs to expand support for health insurance for integrated medical services were 75.5% among responders. Conclusions: We were able to find out the (expected) advantages and disadvantages of the collaborative medical care and the integrated medical system that medical users experienced or expected, also confirmed positive answers to the expansion of health insurance support for the integrated medical system.

Cadms/SynCAMs/Necls/TSLCs Interact with Multi-PDZ Domain Protein MUPP1 (Cadms/SynCAMs/Necls/TSLCs와 multi-PDZ domain protein MUPP1 단백질의 결합)

  • Jang, Won Hee;Jeong, Young Joo;Choi, Sun Hee;Kim, Sang-Jin;Urm, Sang-Hwa;Moon, Il Soo;Seog, Dae-Hyun
    • Journal of Life Science
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    • v.24 no.12
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    • pp.1276-1283
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    • 2014
  • Cell adhesion molecules determine the cell-cell binding and the interactions between cells and extracellular signals. Cell-cell junctional complexes, which maintain the structural integrity of tissues, consist of more than 50 proteins including multi-PDZ domain protein 1 (MUPP1). MUPP1 contains 13 postsynaptic density-95/disks large/zonula occludens-1 (PDZ) domains and serves a scaffolding function for transmembrane proteins and cytoskeletal proteins or signaling proteins, but the mechanism how MUPP1 links and stabilizes the juxtamembrane proteins has not yet been elucidated. We used the yeast two-hybrid system to identify proteins that interact with PDZ domains of MUPP1. We found an interaction between MUPP1 and cell adhesion molecule 1 (Cadm1, also known as SynCAM1, Necl-2, or TSLC1). Cadm1 bound to the second PDZ domain of MUPP1. The carboxyl (C)-terminal end of Cadm1 has a type II PDZ-association motif (-Y-F-I) which was essential for the interaction with MUPP1 in the yeast two-hybrid assay. MUPP1 also bound to the C-terminal cytoplasmic tail region of other Cadm family members (Cadm2, Cadm3, and Cadm4). In addition, these protein-protein interactions were observed in the glutathione S-transferase (GST) pull-down assay and by co-immunoprecipitation. Anti-MUPP1 antibody co-immunoprecipitated Cadm1 and Cadm4 with MUPP1 from mouse brain extracts. These results suggest that MUPP1 could mediate interaction between Cadms and cytoskeletal proteins.

Determinants on Korean Medicine Use among Breast Cancer Patients (유방암환자의 한의약의료서비스이용 결정요인)

  • Han, Dong-Woon;Kim, Yoon-Yong;Choi, Soo-Jeong;Hwang, Jung-Hye
    • Journal of Society of Preventive Korean Medicine
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    • v.16 no.3
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    • pp.37-51
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    • 2012
  • Objectives : The objective of this study is to determine the present state of patients with breast cancer use of Korean medicine(KM) and predictive factors for the use. Through this, the present study is intended to present reasonable treatment approaches for patients with breast cancer as well as communicating correct information on KM to healthcare providers and presenting objective alternatives for patients with breast cancer management based on the subjects' experience in health benefits obtained from their use of KM. Methods : To collect data for the present study, questionnaire surveys were conducted on outpatients who visited four hospitals located in Seoul, Korea during around three weeks from May 31, 2012. Although the total number of the questionnaire sheet distributed in the form of directly asking questionnaire questions was 300, 12 incomplete questionnaire sheets were excluded. Therefore, the number of questionnaire sheets actually used in analyses was 288 and thus the collect rate was 96%. Results : Major results of this study are as follows. First, the number of subjects who responded to the questionnaire was 288 in total. Forty-six percent of the patients reported KM usage and the most commonly used ginseng and qigong/exercise. KM use was found to be associated with age, experiencing side effects of cancer treamnent. Factors that affect the use of KM were analyzed by Linear Logistic Regression and the results showed that age, experiencing side effects of cancer treatment, effectiveness of cancer treatment, and satisfaction of the treatment were factors that were related with relatively more frequent use of KM. Conclusions : Comparing the previous studies, it could be seen that patients with breast cancer were highly interested in and used KM in which conventional medicine and KM are used simultaneously. Knowledge on the integrative use of KM and conventional therapies is necessary for cancer physicians and traditional Korean medical doctors to help patients make informed choices. KM use may play a role in the positive benefits associated with process of breast center treatment. Healthcare providers should communicate correct information on the KM use that has been scientifically verified and talk with each other openly. The fact that the significant correlation between predictive factors for the use of KM was identified trough the present study is quite meaningful.

A Study on the Welding Amount Estimation System combined with 3D CAD Tool (3차원 CAD 통합형 용접물량 산출 시스템에 관한 연구)

  • Ruy, Won-Sun;Kim, Ho-Kyeong;Ko, Dae-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.7
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    • pp.3184-3190
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    • 2013
  • These days, the great part of design processes in the field of ship or offshore manufacturing are planed and implemented using the customized CAD system for each ship-building companies. It means that all information for design and production could be extracted and reused at the useful other area cost considerable time and efforts. The representative example is the estimation of welding length and material amount which is demanded during the construction of ship or offshore structures. The proper estimation of welding material to be used and the usage of them at the stage of schedule planning is mostly important to achieve the seamless process of production and expect the costing in advance. This study is related to the calculation of welding length and needed material amount at the stage of design complete utilizing the CAD system. The calculated amount are classified according to welding position, stage, block, bevel and welding type. Moreover it is possible to predict the working time for welding operation and could be used efficiently for the cost management using the results of this research.

Infulence of Spacer and Degree of Esterification on Thermotropic Liquid Crystalline Properties of Amyloses Bearing Cholesteryl Group (스페이서와 에스터화도가 콜레스테릴 그룹을 지닌 아밀로오스들의 열방성 액정 특성에 미치는 영향)

  • Jeong, Seung-Yong;Ma, Yung-Dae
    • Polymer(Korea)
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    • v.31 no.4
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    • pp.356-367
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    • 2007
  • Three kinds of amylose derivatives such as: cholesteryloxycarbonated amyloses(CAMs) with degree of esterification(DE) ranging from 1.8 to 3, (6-cholesteryloxycarbonyl)pentanoated amyloses(PAMs) with DE ranging from 0.3 to 3, and fully cholesteryloxycarbonated PAMs(CPAMs) were synthesized, and their thermotropic liquid crystalline properties were investigated. CAMs with $DE{\geq}2.6$, PAM with DE=1.6 and all the CPAMs formed enantiotropic cholesteric phases, whereas PAM with $DE{\geq}2.2$ exhibited monotropic cholesteric phases. PAM with $DE{\geq}2.2$ and CPAMs with (6-cholesteryloxycarbonyl)pentanoyl DE (DS) more than 1.0 formed cholesteric phases with left-handed helical structures whose optical pitches (${\lambda}_{m'}s$) decrease with increasing temperature. However, the ${\lambda}_{m'}s$ of these samples decreased with increasing DS at the same temperature. On the other hand, CAMs, PAM with DE=1.6, and CPAM with DS=0.3 did not display reflection colors over the full cholesteric range, suggesting that the helicoidal twisting power of the cholesteryl group highly depends on the length of the spacer joining the cholesteryl group to the main chain and DS. The thermal stability and degree of order in the mesophase observed for the amylose derivatives highly depended on DE or DS. The results were discussed in terms of the difference ul the hydrogen bond, the internal plasticization, and the decoupling of the motion of side group with the main chain.

Involvement of IS26 Element in the Evolution and Dissemination of $bla_{SHV-2a}$ and $bla_{SHV-12}$ ($bla_{SHV-2a}$$bla_{SHV-12}$ 항균제 내성 유전자의 분자적 진화 및 확산에 IS26 Mobile Element의 개입)

  • Kim, Jung-Min;Shin, Haeng-Seop;Cho, Dong-Taek
    • The Journal of the Korean Society for Microbiology
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    • v.35 no.3
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    • pp.263-271
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    • 2000
  • A clinical isolate of Klebsiella pneumoniae K7746 produced the extended-spectrum ${\beta}$-lactamase (ESBL) SHV-12. A 6.6 kb BamHI fragment containing the $bla_{SHV-12}$ gene of K7746 strain was cloned into pCRScriptCAM vector resulting in the recombinant plasmid p7746-Cl. The restriction map of 3.6 kb inserted DNA and sequences immediately surrounding $bla_{SHV-12}$ of p7746-C1 were homologous to plasmid pMPA2a carrying $bla_{SHV-2a}$. In addition, both $bla_{SHV-12}$ and $bla_{SHV-2a}$ were expressed from a common hybrid promoter made of the -35 region derived from the left inverted repeat of IS26 and the -10 region from the $bla_{SHV}$ promoter itself. The results indicate that $bla_{SHV-12}$ and $bla_{SHV-2a}$ may have evolved from a common ancestor in the sequential order of $bla_{SHV-2a}$ first, followed by $bla_{SHV-12}$. Furthermore, by the PCR mapping method using primers corresponding to the IS26 and $bla_{SHV}$, the association between IS26 and $bla_{SHV}$ was studied in 12 clinical isolates carrying $bla_{SHV-2a}$, 27 clinical isolates carrying $bla_{SHV-12}$, and 5 reference strains carrying $bla_{SHV-1}$ to $bla_{SHV-5}$. All 39 strains carrying $bla_{SHV-2a}$ or $bla_{SHV-12}$ were positive by the PCR, providing confirmative evidence that IS26 has been involved in the evolution and dissemination of $bla_{SHV-2a}$ and $bla_{SHV-12}$. But 5 reference strains carrying $bla_{SHV-1}$ to $bla_{SHV-5}$ were negative by the PCR. Therefore, we concluded that the molecular evolutionary pathway of $bla_{SHV-2a}$ and $bla_{SHV-12}$ may be different from that of other $bla_{SHV-ESBL}$, e.g., $bla_{SHV-2}$, $bla_{SHV-3}$, $bla_{SHV-4}$, and $bla_{SHV-5}$.

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Precision Evaluation of Scanning the Digital Dental Abutment Impression and Dental Gypsum Model according to 3-dimensional Superimposing Different Skills (3차원 중첩 기술 차이에 따른 디지털 치과용 지대치 인상체 및 경석고 모형의 스캐닝 정밀도 평가)

  • Jeon, Jin-Hun
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.639-645
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    • 2018
  • The objective of this research was to compare the precision of scanning the digital abutment impression and gypsum model according to 3-dimensional superimposing different skills. There were made with the abutment impression and gypsum model of a maxillary 1st premolar, blue light scanner scanned to obtain the stereolithography (STL) file. After the same process was performed 10 more times without moving them on the scanner table about the abutment impression and gypsum model, respectively (n=11, per types). By superimposing the date of scanning the abutment impression and gypsum model used with no control and best-fit-alignment skills, 10 color-difference maps and root mean square (RMS) data were obtained. The independent t-test was performed to compare RMS data between the each other groups (${\alpha}=0.05$). In the scanning abutment impressions, $RMS{\pm}SD$ of no control, best-fit-alignment showed $6.86{\pm}0.94$, $5.04{\pm}0.24$. in the scanning gypsum model, $4.98{\pm}1.16$, $3.39{\pm}0.07$, all groups showed a significant difference (P<0.001). Trough the this study's result, not only best-fit-alignment but no control is used with digital dental computer-aided design/computer-aided manufacturing (CAD/CAM) research and clinical part.

Binary classification of bolts with anti-loosening coating using transfer learning-based CNN (전이학습 기반 CNN을 통한 풀림 방지 코팅 볼트 이진 분류에 관한 연구)

  • Noh, Eunsol;Yi, Sarang;Hong, Seokmoo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.651-658
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    • 2021
  • Because bolts with anti-loosening coatings are used mainly for joining safety-related components in automobiles, accurate automatic screening of these coatings is essential to detect defects efficiently. The performance of the convolutional neural network (CNN) used in a previous study [Identification of bolt coating defects using CNN and Grad-CAM] increased with increasing number of data for the analysis of image patterns and characteristics. On the other hand, obtaining the necessary amount of data for coated bolts is difficult, making training time-consuming. In this paper, resorting to the same VGG16 model as in a previous study, transfer learning was applied to decrease the training time and achieve the same or better accuracy with fewer data. The classifier was trained, considering the number of training data for this study and its similarity with ImageNet data. In conjunction with the fully connected layer, the highest accuracy was achieved (95%). To enhance the performance further, the last convolution layer and the classifier were fine-tuned, which resulted in a 2% increase in accuracy (97%). This shows that the learning time can be reduced by transfer learning and fine-tuning while maintaining a high screening accuracy.

Full mouth rehabilitation of the patient with crossed occlusion using implant fixed prosthesis: A case report (엇갈린 교합 환자에서 임플란트 고정성 보철물을 이용한 수복증례)

  • Jung, Byung-Suk;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.338-346
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    • 2018
  • Crossed occlusion can be treated either by overdenture and telescopic denture or by placing an implant at the edentulous area to reestablish the support on the occlusion. If alveolar bony support is sufficient and an the environment where an implant is inserted is favorable to restoring the masticatory and aesthetic function of a patient, the implant-supported fixed prosthesis can provide more definitive occlusal support and more aid for other oral functions. In this case report, a patient with a severe residual alveolar bone resorption following the extraction of teeth and who had a crossed occlusion was treated with sinus bone graft and alveolar bone augmentation in order to place the implants at prosthetically position. The definitive restoration was made to reflect the patient's occlusal and aesthetic function using the CAD/CAM double scanning method. Finally, the treatment had the masticatory and aesthetic function adequately restored, which is reported here.

Comparison of Flexural Strength of Three-Dimensional Printed Three-Unit Provisional Fixed Dental Prostheses according to Build Directions

  • Park, Sang-Mo;Park, Ji-Man;Kim, Seong-Kyun;Heo, Seong-Joo;Koak, Jai-Young
    • Journal of Korean Dental Science
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    • v.12 no.1
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    • pp.13-19
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    • 2019
  • Purpose: The aim of this study was to compare the flexural strength of provisional fixed dental prostheses which was three-dimensional (3D) printed by several build directions. Materials and Methods: A metal jig with two abutment teeth and pontic space in the middle was fabricated. This jig was scanned with a desktop scanner and provisional restoration was designed on dental computer-aided design program. On the preprocessing software, the build angles of the restorations were arranged at $0^{\circ}$, $30^{\circ}$, $45^{\circ}$, $60^{\circ}$, and $90^{\circ}$ and support was added and resultant structure was sliced to a thickness of $100{\mu}m$. Processed restorations were printed with digital light processing type 3D printer using poly methyl meta acrylate-based resin. After washing and post-curing, compressive loading was applied at a speed of 1 mm/min on a metal jig fixed to a universal testing machine. The maximum pressure at which fracture occurred was measured. For the statistical analysis, build direction was set as the independent variable and fracture strength as the dependent variable. One-way analysis of variance and Tukey's post hoc analysis was conducted to compare fracture strength among groups (${\alpha}=0.05$). Result: The mean flexural strength of provisional restoration 3D printed with the build direction of $0^{\circ}$ was $1,053{\pm}168N$; it was $1,183{\pm}188N$ at $30^{\circ}$, $1,178{\pm}81N$ at $45^{\circ}$, $1,166{\pm}133N$ at $60^{\circ}$, and $949{\pm}170N$ at $90^{\circ}$. The group with a build direction of $90^{\circ}$ showed significantly lower flexural strength than other groups (P<0.05). The flexural strength was significantly higher when the build direction was $30^{\circ}$ than when it was $90^{\circ}$ (P<0.01). Conclusion: Among the build directions $0^{\circ}$, $30^{\circ}$, $45^{\circ}$, $60^{\circ}$, and $90^{\circ}$ set for 3D printing of fixed dental prosthesis, an orientation of $30^{\circ}$ is recommended as an effective build direction for 3D printing.