• Title/Summary/Keyword: Z-Score

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Three Cases of Submucous Cleft Palate with Hypernasality Treated with Double Opposing Z-plasty (과대비성을 동반한 점막하 구개열 환자에 대한 Double Opposing Z-plasty 3례)

  • 최홍식;이승수;김성국;김태만;김현준
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.9 no.2
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    • pp.168-172
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    • 1998
  • Several kinds of surgical methods have been used to treat the submucous cleft palate with hypernasality. The purpose of this study was to evaluate the double opposing Z-plasty which is one of the newly established surgical methods by Dr. Furlow in three cases of submucous cleft palate with hypernasality operated in this department. There were a number of advantage of double opposing Z-plasty. The surgery is adaptable for use in early patient. Midfacial growth retardation and complication were not seen in all cases. Hypernasality was improved subjectively. Using the nasometer, the nasalance score of the postoperative period was compared with that of before surgery, much improvement were noted in 'Ah', 'PaPa'. And fiberoptic endoscope was used to evaluate the velopharyngeal closure pattern. Velopharyngeal closure pattern with velum was improved dramatically, Double opposing Z-plasty seem to be a good procedure for the treatment of submucous cleft palate with hypernasality.

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A Study on the Differentiation of Women with Perimenstrual Symptom Severity and Perimenstrual Distress Patterns (월경 전후기 증상 정도 및 월경고통 유형 판별요인)

  • Park, Young-Joo;Ryu, Ho-Shin
    • Women's Health Nursing
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    • v.4 no.1
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    • pp.123-138
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    • 1998
  • The purpose of this study was to describe perimenstrual symptom severity levels and perimenstrual distress patterns of women. The study performed the discriminant analysis in which included seven factors : age, pariety, social support, menstrual socialization(mother's symptom, sister's symptom, and menstrual effect), attitude of sex role and depression. The subjects were 283 women that they were not pregnant or lactating, had at least one period in past three months, would understand the purpose of study and willingly accepted the participation. The data analysis was done by pc-SAS program after data collection from Nov. 20, 1997 to Dec. 18, 1997. The descriptive analysis was done to explore general characteristics of the subjects and the stepwise discriminant analysis was done to verify factors in relation to perimenstrual symptom severity levels(severe vs mild menstrual symptom group) and perimenstrual distress patterns(spasmodic vs congestive menstrual symptom group). The instruments were selected for this study from Interpersonal Support Evaluation List(ISEL) by Cohen and Hoberman(1983), Center for Epidemic Studies Depression(CES-D) by Radloff(1977), and Sex Role Attitude Scale by Yunok Suh(1995), Mother's symptom and sister's symptom measurements by Woods, Mitchell & Lentz(1995), and menstrual effect by Brooks-Gun & Ruble(1980). The major findings of this study are as follows : 1. Of the 283 women, 93 women(32.9%) were assessed to severe perimenstrual symptom group and 190 women(67.1%) were assessed to mild perimenstrual symptom group. Results from the stepwise discriminant analysis showed three factors, such as depression, menstrual effect, and age, significantly related to perimenstrual symptom severity and they explained 20% of the total variance. The linear discriminant equation included three factors related to perimenstrual symptom groups was showed(Z=1.445 depression+0.174 menstrual effect-0.054 age). The cutting score(Z) was 2.809. We classified the severe perimenstrual symptom group by more than the cutting score 2.809 and the mild perimenstrual symptom by less or equal than the cutting score 2.809. The correctedness of posterior probability from discriminant equation was 72% as two perimenstrual symptom group classifications. 2. Of the 264 women, 139 women(52.7%) were assessed to spasmodic perimenstrual distress group and women(47.3%) were assessed to congestive perimenstrual distress group. Results from the stepwise discriminant analysis showed two factors, such as depression, age, significantly related to perimenstrual distress groups and they explained 8% of the total variance. The linear discriminant equation included two factors related to perimenstrual distress group was showed(Z=-0.084 age-0.776 depression). The cutting score(Z) was -3.759. We classified the spasmodic perimenstrual distress group by more than cutting score -3.759 and the congestive perimenstrual distress group by less or equal than cutting score -3.759. The correctedness of posterior probability from discriminant equation was 65% as two perimenstrual distress group classifications.

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Effect of Hydro-meteorological and Surface Conditions on Variations in the Frequency of Asian Dust Events

  • Ryu, Jae-Hyun;Hong, Sungwook;Lyu, Sang Jin;Chung, Chu-Yong;Shi, Inchul;Cho, Jaeil
    • Korean Journal of Remote Sensing
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    • v.34 no.1
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    • pp.25-43
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    • 2018
  • The effects of hydro-meteorological and surface variables on the frequency of Asian dust events (FAE) were investigated using ground station and satellite-based data. Present weather codes 7, 8, and 9 derived from surface synoptic observations (SYNOP)were used for counting FAE. Surface wind speed (SWS), air temperature (Ta), relative humidity (RH), and precipitation were analyzed as hydro-meteorological variables for FAE. The Normalized Difference Vegetation Index (NDVI), land surface temperature (LST), and snow cover fraction (SCF) were used to consider the effects of surface variables on FAE. The relationships between FAE and hydro-meteorological variables were analyzed using Z-score and empirical orthogonal function (EOF) analysis. Although all variables expressed the change of FAE, the degrees of expression were different. SWS, LST, and Ta (indices applicable when Z-score was < 0) explained about 63.01, 58.00, and 56.17% of the FAE,respectively. For NDVI, precipitation, and RH, Asian dust events occurred with a frequency of about 55.38, 67.37, and 62.87% when the Z-scores were > 0. EOF analysis for the FAE showed the seasonal cycle, change pattern, and surface influences related to dryness condition for the FAE. The intensity of SWS was the main cause for change of FAE, but surface variables such as LST, SCF, and NDVI also were expressed because wet surface conditions suppress FAE. These results demonstrate that not only SWS and precipitation, but also surface variables, are important and useful precursors for monitoring Asian dust events.

Correlation between Bone Mineral Density(BMD) and Degenerative Lumbar Disease in Postmenopausal Patients with Low Back Pain (폐경 후 요통환자에서 골밀도와 퇴행성 요추 병변과의 관계)

  • Park, Young-Eun;Kim, Chul-Soo;Kim, Kyu-Tae;Lee, Je-Kyun;Ahn, Gun-Sang;You, Hye-Kyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.19 no.3
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    • pp.203-213
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    • 2006
  • Purpose : This study was carried out to evaluate correlation between Bone Mineral Density(BMD) and degenerative lumbar disease in postmenopausal low back pain patients. Methods : 69 postmenopausal patients with low back pain were examined. Magnetic resonance imaging was performed to evaluate degenerative lumbar disease and bone mineral density of lumbar spine was measured by Dual energy X-ray absorptiometry. Data were analyzed by Pearson's Linear Correlation Coefficient. Results : In postmenopausal patients with low back pain, BMD(T-score, Z-score) had negative correlation with the grade of intervertebral disc herniation and positive correlation with weight. Other lumbar diseases including Spinal stenosis, Spondylolisthesis and Facet joint arthrosis didn't have significant correlation with BMD. Conclusion : In postmenopausal patients with low back pain, BMD(T-score, Z-score) had inverse relationship with the grade of intervertebral disc herniation.

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Analysis of Food Habits and Nutrients Intake of Nursery School Children Living in Anyang City, based on Z-score of Weight for Height (보육시설 아동의 신장별 체중 Z-score에 따른 식습관과 식이섭취 분석 -안양시 동안구 소재 보육시설 대상-)

  • Ryu, Hyeon-Ju;Kim, Yeon-Jeong;Nam, Hui-Jeong;Min, Yeong-Hui;Park, Hye-Ryeon
    • Journal of the Korean Dietetic Association
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    • v.10 no.1
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    • pp.1-12
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    • 2004
  • To determine food preferences and nutrients intake of nursery school children, 199 children, ages 1 to 6 years, were assessed with a structured questionnaire completed by their mothers. The questionnaire included questions related to dietary habits, mother's interest in the child's health, family history of diseases, etc. The nutrients intake was measured by 24-hour recall method. Children's weight and height were measured by trained investigators on the same day. For analysis purposes, the subjects were grouped into underweight, normal and overweight groups based on the z-score of weight for height. Only 58.3% of the subjects were grouped into the normal weight group. On the other hand, 19.1% were in the underweight group and 22.6% were in the overweight group. Forty four percent of them showed unbalanced dietary habits such as preference for picky foods, 40.0% of them disliked vegetables, and 46.7% disliked minor grains other than rice. Children in the underweight group showed a higher score of inappropriate dietary habits compared to those of normal or obese groups. The level of nutrients intake of the subjects was higher than the Korean RDA value in general, except for Ca, calories, and Zn. However, 87.4% of the children showed a higher intake level than 125% of KRDA in protein, and 18.2% and 41.4% of them showed a lower intake level than 75% of KRDA in Fe and Ca, respectively. Children in the underweight group showed a higher percentage of eating less than 75% KRDA in niacin compared to those of the normal or overweight group (p<0.05) and we found a similar tendency in Fe, Zn and Vitamin $B_1$ intake.

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Correlation Between Accompanying Symptoms of Facial Nerve Palsy, Clinical Assessment Scales and Surface Electromyography

  • Gyu Hui, Kim;Jung Hyeon, Park;Tae Kyung, Kim;Eun Ju, Lee;Su Eun, Jung;Jong Cheol, Seo;Cheol Hong, Kim;Yoo Min, Choi;Hyun Min, Yoon
    • Journal of Acupuncture Research
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    • v.39 no.4
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    • pp.297-303
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    • 2022
  • Background: This retrospective study aimed to determine whether there were correlations between the number and type of accompanying symptoms of peripheral facial nerve palsy, and surface electromyography (SEMG) and clinical assessment scales to help diagnosis. Methods: There were 30, cases of peripheral facial nerve palsy at Visit 1 to the Korean Medicine Hospital, Dong-eui University, 22 cases at Visit 2 and 10 cases at Visit 3. The study period was from July 19, 2021 to November 31, 2021. Symptoms were evaluated three times (with two-week intervals which began 7 days from onset) using SEMG, clinical assessment scales and accompanying symptoms. In this study, the House-Brackmann grading system (HBGS), and the Yanagihara's unweighted grading system (Y-score) clinical assessment scales were used. The Pearson or Spearman correlation was used for statistical analysis. Results: On Visit 1, the number of accompanying symptoms of peripheral facial nerve palsy had no significant correlation with other measures. On Visits 1-3, the HBGS score had a significant negative correlation with the Y-score. On Visit 2, most of the mean values measured had significant correlations with each other although not between SEMG-Z and SEMG-O that Z means a zygomaticus muscle and O means a orbicularis oris muscle. On Visit 3, the number of accompanying symptoms significantly correlated with the clinical assessment scales. The HBGS score, Y-score, and SEMG measurements (except SEMG-Z) had significant correlations with each other. A significant positive correlation between SEMG-Z and SEMG-T was noted. Conclusion: We predict accompanying symptoms can be used to diagnose the peripheral facial nerve palsy including both clinical assessment scales and SEMG measurements at 2-5 weeks after onset.

A Study on the Correlation between of Bone Mineral Density and Cold Hypersensitivity of Hands (골밀도와 수냉증과의 상관성 연구)

  • Lee, Dong-Nyung;Lee, Jeong-Im;Go, Ho-Yeon;Kim, Hyung-Jun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.4
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    • pp.11-20
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    • 2015
  • Objectives The purpose of this study was to examine the relationship between cold hypersensitivity and bone mineral density. Methods 28 outpatients who visited OO University Oriental Hospital from July 11th, 2013 to August 28th, 2013 were analyzed. Patients were subjected to thermometer, and those with thermal difference greater than 0.3 ℃ between upper arm and palm and also with more than VAS 4 of cold hypersensitivity were diagnosed with cold sensitivity. Lumba spine (L2-4) and heel bone measurement were obtained on dual energy X-ray absorptiometry (DEXA) and Quantitative Computed Tomography (QCT). Results 1. There was statistically significant correlation between T-score of DEXA and body weight (0.522), BMI (0.643), OSTA (Osteoporosis elf-assesment Tool for Asians, 0.579), BMI, T-score and Z-score of QCT. OSTA and T-score of QCT (0.521) also had statistically significance. 2. There was no statistically significant correlation between body fat, abdominal obesity rate, degree of cold hypersensitivity, upper arm and palm's temperature difference, palm temperature, height and Z-score, T-score of QCT or T-sore of DEXA. Conclusions Bone mineral density was lower in women who had cold hypersensitivity of hand and feet. But there was no statistically significant correlation between bone mineral density and degree of cold hypersensitivity, upper arm and palm’s temperature difference.

Effect of Moxibustion on Urinary Incontinence in Stroke Patients - pilot study - (구(뜸)요법이 뇌졸중환자의 요실금에 미치는 효과 - 예비조사 -)

  • Kim, Byung-Eun;Lee, Hyang-Yeon
    • Journal of East-West Nursing Research
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    • v.7 no.1
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    • pp.82-93
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    • 2002
  • The purpose of this study was to investigate the effect of Moxibustion on urinary incontinence, voiding performance, muscle strength of the hip and ADL in stroke patients. The subjects of this study were 20 stroke patients hospitalized at the division of oriental medicine in K university Hospital in the period from December 26, 2001 to March 15, 2002. The research design was one group pretest-posttest design. The pretest and posttest included measuring frequency of incontinence, voiding performance score, healthy and paralytic muscle strength of the hip, and the performance level for ADL after Moxibustion for one week. Data was analyzed using the SPSS package program with Wilcoxon Signed Ranks test. The result of this study were as follows : 1) The frequency of incontinence was decreased from 3.80(SD=3.41) to 2.10(SD=2.10) after Moxibustion, and that was statistically significant(z=-3.803, p=.000). 2) The score of voiding performance was increased from 22.15(SD=12.04) to 30.65(SD=14.73) after Moxibustion, and that was statistically significant(z=-3.828, p=.000). 3) The healthy muscle strength of the hip was increased from 25.97(SD=26.87) to 46.00 (SD=40.75) after Moxibustion, and that was statistically significant(z=-3.183, p=.001). 4) The paralytic muscle strength was increased from 17.42(SD=27.04) to 33.58(SD=37.28) after Moxibustion, and that was statistically significant(z=-2.315, p=.021). 5) The performance level for ADL was increased from 17.15(SD=9.52) to 24.60(SD=13.38) after Moxibustion, and that was statistically significant(z=-3.416, p=.001). According to the results of this study, Moxibustion is effective for decreasing urinary incontinence, and improving voiding performance, muscle strength of the hip and ADL. Consequently, these findings showed that Moxibustion is effective in improvement of urinary incontinence in stroke patients.

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Pediatric dual-energy X-ray absorptiometry: interpretation and clinical and research application

  • Lim, Jung Sub
    • Clinical and Experimental Pediatrics
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    • v.53 no.3
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    • pp.286-293
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    • 2010
  • Peak bone mass is established predominately during childhood and adolescence. It is an important determinant of future resistance to osteoporosis and fractures to gain bone mass during growth. The issue of low bone density in children and adolescents has recently attracted much attention and the use of pediatric dual-energy X-ray absorptiometry (DXA) is increasing. The process of interpretation of pediatric DXA results is different from that of adults because normal bone mineral density (BMD) of children varies by age, body size, pubertal stage, skeletal maturation, sex, and ethnicity. Thus, an appropriate normal BMD Z-score reference value with Z-score should be used to detect and manage low BMD. Z-scores below -2.0 are generally considered a low BMD to pediatrician even though diagnoses of osteoporosis in children and adolescents are usually only made in the presence of at least one fragility fracture. This article will review the basic knowledge and practical guidelines on pediatric DXA based on the International Society for Clinical Densitometry (ISCD) Pediatric Official Positions. Also discussed are the characteristics of normal Korean children and adolescents with respect to BMD development. The objective of this review is to help pediatricians to understand when DXA will be useful and how to interpret pediatric DXA reports in the clinical practice for management of children with the potential to develop osteoporosis in adulthood.