• 제목/요약/키워드: changes in mean

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성상신경절 차단시 Bioimpedance를 이용한 혈액학적 변화의 측정 (Hemodynamic Changes on Stellate Ganglion Block Measured by Bioimpedance Method)

  • 곽동면;김시오;홍정길;박진웅
    • The Korean Journal of Pain
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    • 제9권2호
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    • pp.336-339
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    • 1996
  • Stellate ganglion block which usually practiced in pain clinics may combined with hemodynamic changes because it blocks sympathetic nerve chains. We measured the hemodynamic changes with NCCOM3-$R7^{(R)}$ (BOMED, U.S.A.) which applicated bioimpedance method in twenty-two patients. Mean arterial pressure, heart rate, cardiac output, ejection fraction and left ventricle end diastolic volume (LEDV) were measured before stellate ganglion block (control), 1, 3, 5, 10 and 20 minutes after stellate ganglion block with 8 ml of 0.25% bupivacaine. The results were as follows: Mean arterial pressure decreased significantly (p<0.05) in 10, 20 minutes after stellate ganglion block comparing to control, but not clinically significant. Heart rate, cardiac output, ejection fraction and LVEDV showed no significant change compared to control value. These results showed that stellate ganglion block is a safe technique without significant hemodynamic changes.

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위성영상과 임상통계를 이용한 충남해안지역의 기후변화에 따른 임상 변화 (Changes of the Forest Types by Climate Changes using Satellite imagery and Forest Statistical Data: A case in the Chungnam Coastal Ares, Korea)

  • 김찬수;박지훈;장동호
    • 환경영향평가
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    • 제20권4호
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    • pp.523-538
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    • 2011
  • This study analyzes the changes in the surface area of each forest cover, based on temperature data analysis and satellite imagery as the basic methods for the impact assessment of climate change on regional units. Furthermore, future changes in the forest cover are predicted using the double exponential smoothing method. The results of the study have shown an overall increase in annual mean temperature in the studied region since 1990, and an especially increased rate in winter and autumn compared to other seasons. The multi-temporal analysis of the changes in the forest cover using satellite images showed a large decrease of coniferous forests, and a continual increase in deciduous forests and mixed forests. Such changes are attributed to the increase in annual mean temperature of the studied regions. The analysis of changes in the surface area of each forest cover using the statistical data displayed similar tendencies as that of the forest cover categorizing results from the satellite images. Accordingly, rapid changes in forest cover following the increase of temperature in the studied regions could be expected. The results of the study of the forest cover surface using the double exponential smoothing method predict a continual decrease in coniferous forests until 2050. On the contrary, deciduous forests and mixed forests are predicted to show continually increasing tendencies. Deciduous forests have been predicted to increase the most in the future. With these results, the data on forest cover can be usefully applied as the main index for climate change. Further qualitative results are expected to be deduced from these data in the future, compared to the analyses of the relationship between tree species of forest and climate factors.

Positional changes in the mandibular proximal segment after intraoral vertical ramus osteotomy: Surgery-first approach versus conventional approach

  • Jung, Seoyeon;Choi, Yunjin;Park, Jung-Hyun;Jung, Young-Soo;Baik, Hyoung-Seon
    • 대한치과교정학회지
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    • 제50권5호
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    • pp.324-335
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    • 2020
  • Objective: To compare postoperative positional changes in the mandibular proximal segment between the conventional orthognathic surgery (CS) and the surgery-first approach (SF) using intraoral vertical ramus osteotomy (IVRO) in patients with Class III malocclusion. Methods: Thirty-eight patients with skeletal Class III malocclusion who underwent bimaxillary surgery were divided into two groups according to the use of preoperative orthodontic treatment: CS group (n = 18) and SF group (n = 20). Skeletal changes in both groups were measured using computed tomography before (T0), 2 days after (T1), and 1 year after (T2) the surgery. Three-dimensional (3D) angular changes in the mandibular proximal segment, condylar position, and maxillomandibular landmarks were assessed. Results: The mean amounts of mandibular setback and maxillary posterior impaction were similar in both groups. At T2, the posterior portion of the mandible moved upward in both groups. In the SF group, the anterior portion of the mandible moved upward by a mean distance of 0.9 ± 1.0 mm, which was statistically significant (p < 0.001). There were significant between-group differences in occlusal changes (p < 0.001) as well as in overjet and overbite. However, there were no significant between-group differences in proximal segment variables. Conclusions: Despite postoperative occlusal changes, positional changes in the mandibular proximal segment and the position of the condyles were similar between CS and SF, which suggested that SF using IVRO achieved satisfactory postoperative stability. If active physiotherapy is conducted, the proximal segment can be adapted in the physiological position regardless of the occlusal changes.

Study of Thyroid-Related Hormones During Second Trimester of Pregnancy

  • Laeeq Faiqa;Nagra Saeed Ahmad;Elahi Shan
    • Nutritional Sciences
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    • 제8권3호
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    • pp.196-199
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    • 2005
  • A study during second trimester of pregnancy was conducted among 100 women from a population with mild to moderate deficient iodine intake (median 7 ${\mu}g$/L)to monitor the changes in serum free thyroxin ($FT_4$), triiodothyionine ($T_3$) and thyrtropin (TSH). Thyroid related hormones were assessed using radioimmunoassay (RIA) and immunoradiometricassay (IRMA). As compared with non pregnant women, mean $FT_4$ levels decreased, $T_3$ levels increased and TSH levels were slightly depressed in pregnant women. Mean $FT_4$ concentration reached its highest level in the $4^{th}$ month and linearly decreased until the $6^{th}$ month. Mean $T_3$ level remained almost constant during $2^{nd}$ trimester of pregnancy. Mean TSH level remained unaltered during the $4^{th}$ and $5^{th}$ months and was slightly lower than that for the control group. However, these differences were statistically insignificant At the end of the second trimester, hypothyroxinemia and $T_3$ levels greater than the upper limit of the laboratory reference range were found in $34\%$ and $38\%$ of women, respectively. These changes in thyroid hormones reflect typical adaptations of the thyroid gland during pregnancy to the limited availability of iodine.

회귀모형에 의한 서해안 평균해면의 연시계열자료의 평가 (The Evaluation of the Annual Time Series Data for the Mean Sea Level of the West Coast by Regression Model)

  • 조기태;박영기;이장춘
    • 한국환경과학회지
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    • 제9권1호
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    • pp.19-25
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    • 2000
  • As the tideland reclamation is done on a large scale these days, construction work is active in the coastal areas. Facilities in the coastal areas must be built with the tide characteristics taken into consideration. Thus the tide characteristics affect the overall reclamation plan. The analysis of the tide data boils down to a harmonic analysis of the hourly changes of long-term tide data and extraction of unharmonic coefficients from the results. Since considerable amount of tide data of the West Coast are available, the existing data can be collected and can be used to obtain the temporal changes of the tide by being fitted into the tide prediction model. The goal of this thesis lies in assessing whether the mean sea level used in the field agrees with the analysis results from the long-term observation data obtained with their homogeneity guaranteed. To achieve this goal, the research was conducted as follows. First the present conditions of the observation stations, the land level standard, and the sea level standard were analyzed to set up a time series model formula for representing them. To secure the homogeneity of the time series, each component was separated. Lastly the mean sea level used in the field was assessed based on the results obtained form the analysis of the time series.

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배편이 중풍 환자의 혈압에 미치는 영향 (The Effect of Defecation on Blood Pressure in Stroke Patients)

  • 이태호;신정애;이영구;윤희식
    • 대한한의학회지
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    • 제24권1호
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    • pp.181-189
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    • 2003
  • Background : Patient, family, society and country are badly damaged by stroke (CVA : cerebrovascular accident). To reduce sequelae and return rapidly to society, treatment in the acute stage is very important. In many studies on purgation therapy (下法) used in acute stages of stroke, the changes of blood pressure, pulse and so on before and after purgation therapy were reported. However, the changes in the human body according to the day elapsed after defecation were not reported, so study was needed to confirm such changes. Methods : Seventy-six patients were studied. We observed forty-three patients at acute stroke and thirty-three patients at convalescent stroke. To confirm the importance of regular defecation in stroke patients, we analyzed blood pressure according to the day elapsed after defecation. Results : The following result were obtained. 1. In stroke group, compared with the day after defecation, the mean blood pressure of the third day after defecation increased. It increased the most in the acute stroke group. 2. Especially in stroke and acute stroke groups, compared with the second day after defecation, the mean systolic blood pressure of the third day after defecation increased significantly. 3. In the infarction group, compared with the day after defecation, the mean blood pressure of the third day after defecation increased. It increased the most in the acute infarction group. 4. Especially, in the infarction and acute infarction groups, compared with the second day after defecation, the mean systolic blood pressure of the third day after defecation increased significantly. Conclusion : In stroke patients, regular defecation is important, so we think that purgation therapy (下法) is needed in stroke patients over the third day elapsed after defecation. We think that the bowel movement control in acute stroke patients is more important than in convalescent stroke patients.

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변형된 페이스 마스크의 치아 및 골격적 효과 (Effects of conventional and modified facemask therapies on dentofacial structures)

  • Yagci, Ahmet;Uysal, Tancan
    • 대한치과교정학회지
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    • 제40권6호
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    • pp.432-443
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    • 2010
  • 이번 연구의 목적은 기존의 페이스 마스크와 변형된 페이스 마스크의 치아 및 골격적 효과를 평가하고자 III급 부정교합환에서 치료군과 비치료군을 비교하였다. 24명의 환자(여자: 13명, 남자: 11)로 구성된 기존의 페이스 마스크 그룹(Group 1, mean age, $9.2{\pm}1.4$ years)과 24명의 환자(여자: 12명, 남자: 12명)로 구성된 변형된 페이스 마스크(Group 2, mean age, $9.3{\pm}1.6$ years); 그리고 21 명(여자: 11 명, 남자: 10명)으로 구성된 대조군 그룹(Group 3, mean age, $9.8{\pm}1.9$ years)으로 분류하였다. 그룹 내 그룹 간에 치료군과 대조군을 통계학적으로 분석하였다. 그룹 내 비교는 비모수적인 방법의 Wilcoxon's test으로 그룹 간의 변화는 Kruskal-Wallis test를 이용하여 분석하였다. 이후 그룹 간의 통계적인 유효성 검증을 위하여 Mann-Whitney test와 Bonferroni's correction 을 시행하였다 (p < 0.016). Group 1에서 SNB 변화가 대조군보다 적었다. SNA, ANB, SN-MP, A to N perp과 Upper lip to E plane이 증가하였다. Group 2에서는 SNB, U1-NA (mm) U1-NA ($^{\circ}$) and Pog to N perp (mm) 변화는 대조군보다 적었다. SNA, ANB, SN-MP, A to N perp과 Upper lip to E plane이 증가하였다. 변형된 페이스 마스크는 상악 열성장이 있는 III급 부정교합 환자에게 효과적으로 사용될 수 있다. 상악궁 확장을 동반한 페이스 마스크를 통하여 상악은 회전을 야기시키지 않고 전방으로 이동하였으며 모든 치료군에서 하악은 후하방으로 이동하였다.

Evaluation of transcutaneous electrical nerve stimulation as an adjunct therapy in trigeminal neuralgia - a randomized double-blind placebo-controlled clinical study

  • Bisla, Suman;Gupta, Ambika;Agarwal, Shalini;Singh, Harneet;Sehrawat, Ankita;Singh, Aarti
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제21권6호
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    • pp.565-574
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    • 2021
  • Background: Trigeminal neuralgia (TN) is a severe form of pain that affects the daily activities of a patient. Transcutaneous electrical nerve stimulation (TENS) therapy is an emerging option for the treatment of acute and chronic pain. The aim of this study was to evaluate the effect of TENS therapy as an adjunct to drug therapy for the treatment of TN. Methods: A total of 52 patients diagnosed with TN according to the International Classification of Headache Disorders (version 3) were included. Each patient was randomized to either the TENS or placebo TENS groups. Intervention was given in continuous mode and 100-Hz frequency for 20 mins biweekly for 6 weeks. Parameters were measured at baseline, TENS completion and 3 months, 6 months, and 1 year of follow up. The parameters observed were mean carbamazepine dose, mean visual analog scale (VAS) score, mean present pain intensity (PPI) score, and functional outcome. Non-parametric analyses, one-way ANOVA and the Kruskal-Wallis test were applied for intragroup comparisons, while the Mann-Whitney U test and independent t-test were used for intergroup comparisons of variables. The chi-square test was applied to analyze categorical data. Results: Compared to the placebo TENS group, the mean dose of carbamazepine in the TENS group was significantly reduced at TENS completion, as well as at 6 months and 1 year follow up. Changes in mean VAS score, mean PPI score, and functional outcome did not show significant differences between the groups (P>0.05). Conclusion: TENS therapy does not lead to any changes in pain levels but it may reduce the mean dose of carbamazepine when used as an adjunct treatment in patients with TN.

Cumulative Weighted Score Control Schemes for Controlling the Mean of a Continuous Production Process

  • Park, Byoung-Chul;Park, Sung H.
    • Journal of the Korean Statistical Society
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    • 제18권2호
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    • pp.135-148
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    • 1989
  • Cumulative sum schemes based on a weighted score are considered for controlling the mean of a continuous production process; in which both the one-sided and two-sided schemes are proposed. The average run lengths and the run length distributions for the proposed schemes are obtained by the Markov chain approach. Comparisons by the average run length show that the proposed schemes perform nearly as well as the standard cumulative sum schemes in detecting changes in the process mean. Comparisons of the one-sided schemes by the run length distribution are also presented.

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ECHO-G/S에 나타난 기후변화에 따른 엘니뇨 변화 특성 분석 (ENSO Response to Global Warming as Simulated by ECHO-G/S)

  • 이효신;권원태;안중배;부경온;차유미
    • 대기
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    • 제17권4호
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    • pp.365-379
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    • 2007
  • Global warming may shift the properties and dynamics of ENSO. We study the changes in ENSO characteristics in a coupled general circulation model, ECHO-G/S. First, we analyse the mean state changes by comparing present day simulation and various high $CO_2$ climates. The model shows a little El Nino-like changes in the sea surface temperature and wind stress in the eastern tropical Pacific. As the mean temperature rises, the ENSO amplitude and the frequency of strong El Ninos and La Nina decrease. The analysis shows that the weakening of the oceanic sensitivities is related to the weakening of ENSO. In addition to the surface changes, the remote subsurface sea temperature response in the western Pacific to the wind stress in the eastern Pacific influences the subsequent ENSO amplitude. However, ENSO amplitude does not show linear response to the greenhouse gas concentrations.