• Title/Summary/Keyword: loss of use

Search Result 3,343, Processing Time 0.033 seconds

Optimal First-Line Therapy for Acute Low-Tone Sensorineural Hearing Loss

  • Shin, Seung-Ho;Byun, Sung Wan;Park, Sohl;Kim, Eun Hye;Kim, Min Woo;Lee, Ho Yun
    • Korean Journal of Audiology
    • /
    • v.25 no.4
    • /
    • pp.209-216
    • /
    • 2021
  • Background and Objectives: We aimed to analyze treatment outcomes following different initial management approaches and confirm treatment regimens for acute low-tone sensorineural hearing loss (ALHL) that would yield the best results. Subjects and Methods: We retrospectively analyzed the medical records of 106 patients with ALHL who visited a university hospital's otology clinic from March 2013 to June 2019. Pure-tone averages at the initial visit and at 2 and 4 weeks after the initial visit were evaluated. Results: Forty-nine patients were enrolled in this study; of them, 41 (83.7%) exhibited complete recovery (CR) at 2 weeks and 43 (87.8%) exhibited CR at 1 month after the initial visit. Regression analysis revealed that CR at 2 weeks after the initial visit was associated with diuretic use [Exp(B): 10.309, 95% confidence interval (CI): 1.007-100]. An initial daily low-dose steroid use was marginally significant [Exp(B): 1.042, 95% CI: 0.997-1.092; p=0.066]. Isolated diuretic use [Exp(B): 25.641, 95% CI: 1.121-90.909; p=0.039] was an independent, good prognostic factor at 1 month after the initial visit. However, other treatment regimens did not affect the final results. Conclusions: A combination of initial daily administration of ≤30 mg prednisolone plus diuretics was sufficient as the first-line treatment for ALHL. High-dose steroids and salvage intratympanic steroid injections can be applied as a second choice; however, the predicted outcome would not be good in that case.

Users' Status Quo Bias in the Mobile Application Context : From the Myopic Loss Aversion Perspective (근시안적 손실회피 관점에서 본 모바일 애플리케이션 사용자의 현상유지 편향에 관한 연구)

  • Park, Sang-Cheol
    • The Journal of Information Systems
    • /
    • v.24 no.2
    • /
    • pp.189-208
    • /
    • 2015
  • Purpose While individuals have unique abilities for planned behavior, they also often act irrationally. In this study, we draw on myopic loss aversion perspective as a meta-theoretical lens to explain why mobile applications users have inertia from updating their applications, ultimately leading them to use current version of applications. Design/methodology/approach Based on a survey of 219 users, this study conducts its research model using partial least square analysis and also demonstrates that both subconscious triggers (habit and anxiety) of system 1 thinking and conscious triggers (sunk cost and transition cost) of system 2 thinking promotes user's inertia, thus leading to the willness to continue use current versions. Findings By grounding the research model in the combination of both status quo bias and dual information processing theory from the behavioral economics, this study provide an alternative theoretical lens to describe why mobile users hesitate to update their applications. The results of this research show that all triggers have significant impacts on inertia. This study also found that the relationship between inertia and willingness to continue to use current version was positively significant.

A review of the Implementation of Functional Brain Imaging Techniques in Auditory Research focusing on Hearing Loss (청각 연구에서 기능적 뇌 영상 기술 적용에 대한 고찰: 난청을 중심으로)

  • Hye Yoon Seol;Jaeyoung Shin
    • Journal of Biomedical Engineering Research
    • /
    • v.45 no.1
    • /
    • pp.26-36
    • /
    • 2024
  • Functional brain imaging techniques have been used to diagnose psychiatric disorders such as dementia, depression, and autism. Recently, these techniques have also been actively used to study hearing loss. The present study reviewed the application of the functional brain imaging techniques in auditory research, especially those focusing on hearing loss, over the past decade. EEG, fMRI, fNIRS, MEG, and PET have been utilized in auditory research, and the number of research studies using these techniques has been increasing. In particular, fMRI and EEG were the most frequently used technique in auditory research. EEG studies mostly used event-related designs to analyze the direct relationship between stimulus and the related response, and in fMRI studies, resting-state functional connectivity and block designs were utilized to analyze alterations in brain functionality in hearing-related areas. In terms of age, while studies involving children mainly focused on congenital and pre- and post-lingual hearing loss to analyze developmental characteristics with and without hearing loss, those involving adults focused on age-related hearing loss to investigate changes in the characteristics of the brain based on the presence of hearing loss and the use of a hearing device. Overall, ranging from EEG to PET, various functional brain imaging techniques have been used in auditory research, but it is difficult to perform a comprehensive analysis due to the lack of consistency in experimental designs, analysis methods, and participant characteristics. Thus, it is necessary to develop standardized research protocols to obtain high-quality clinical and research evidence.

Implant and root supported overdentures - a literature review and some data on bone loss in edentulous jaws

  • Carlsson, Gunnar E.
    • The Journal of Advanced Prosthodontics
    • /
    • v.6 no.4
    • /
    • pp.245-252
    • /
    • 2014
  • PURPOSE. To present a literature review on implant overdentures after a brief survey of bone loss after extraction of all teeth. MATERIALS AND METHODS. Papers on alveolar bone loss and implant overdentures have been studied for a narrative review. RESULTS. Bone loss of the alveolar process after tooth extraction occurs with great individual variation, impossible to predict at the time of extraction. The simplest way to prevent bone loss is to avoid extraction of all teeth. To keep a few teeth and use them or their roots for a tooth or root-supported overdenture substantially reduces bone loss. Jaws with implant-supported prostheses show less bone loss than jaws with conventional dentures. Mandibular 2-implant overdentures provide patients with better outcomes than do conventional dentures, regarding satisfaction, chewing ability and oral-health-related quality of life. There is no strong evidence for the superiority of one overdenture retention-system over the others regarding patient satisfaction, survival, peri-implant bone loss and relevant clinical factors. Mandibular single midline implant overdentures have shown promising results but long-term results are not yet available. For a maxillary overdenture 4 to 6 implants splinted with a bar provide high survival both for implants and overdenture. CONCLUSION. In edentulous mandibles, 2-implant overdentures provide excellent long-term success and survival, including patient satisfaction and improved oral functions. To further reduce the costs a single midline implant overdenture can be a promising option. In the maxilla, overdentures supported on 4 to 6 implants splinted with a bar have demonstrated good functional results.

A Design of Economic CUSUM Control Chart Incorporating Quality Loss Function (품질손실을 고려한 경제적 CUSUM 관리도)

  • Kim, Jungdae
    • Journal of Korean Society of Industrial and Systems Engineering
    • /
    • v.41 no.4
    • /
    • pp.203-212
    • /
    • 2018
  • Quality requirements of manufactured products or parts are given in the form of specification limits on the quality characteristics of individual units. If a product is to meet the customer's fitness for use criteria, it should be produced by a process which is stable or repeatable. In other words, it must be capable of operating with little variability around the target value or nominal value of the product's quality characteristic. In order to maintain and improve product quality, we need to apply statistical process control techniques such as histogram, check sheet, Pareto chart, cause and effect diagram, or control charts. Among those techniques, the most important one is control charting. The cumulative sum (CUSUM) control charts have been used in statistical process control (SPC) in industries for monitoring process shifts and supporting online measurement. The objective of this research is to apply Taguchi's quality loss function concept to cost based CUSUM control chart design. In this study, a modified quality loss function was developed to reflect quality loss situation where general quadratic loss curve is not appropriate. This research also provided a methodology for the design of CUSUM charts using Taguchi quality loss function concept based on the minimum cost per hour criterion. The new model differs from previous models in that the model assumes that quality loss is incurred even in the incontrol period. This model was compared with other cost based CUSUM models by Wu and Goel, According to numerical sensitivity analysis, the proposed model results in longer average run length in in-control period compared to the other two models.

Estimating Soil Loss in Alpine Farmland with RUSLE and SEDD (RUSLE와 SEDD를 이용한 고랭지 경작지로부터의 토양유실 평가)

  • Cho Hong-Lae;Jeoung Jong-Chul
    • Spatial Information Research
    • /
    • v.13 no.1 s.32
    • /
    • pp.79-90
    • /
    • 2005
  • The purpose of this study is to estimate quantitatively soil loss and sediment yield in alpine farmland. For this purpose, Naerinchon watershed in Gangwon province was selected as our study area and total annual soil loss and sediment yield was estimated respectively by the Revised Universal Soil Loss Equation (RUSLE) model and the Sediment Delivery Distributed (SEDD) model. The results of this study clearly show that dry field areas have significant impact on the total soil erosion and sediment yield compared with other land use. Dry field areas represent only $2.6\%$ of the total area of the watershed but soil loss and sediment yield account for $10.9\%$ and $33.12\%$ of the total amount respectively Especially as with alpine farmland, this result is more clearly shown. These areas account for $1.8\%$ of the entire watershed but contribute to $7.7\%$ and $15\%$ of the total soil loss and sediment yield respectively. From the above results, we can know that alpine farmland is important source of soil loss and sediment yield and it is need to prevent and control. soil erosion from alpine filmland urgently.

  • PDF

Clinical Factors Influencing the Trial and Purchase of Bilateral Microphones with Contralateral Routing of Signal in Patients with Asymmetric Sensorineural Hearing Loss

  • Seong, Jeon;Yang, Seung Koo;Jang, Pilkeun;Lee, Sang-Yeon;Carandang, Marge;Choi, Byung-Yoon
    • Journal of Audiology & Otology
    • /
    • v.24 no.1
    • /
    • pp.29-34
    • /
    • 2020
  • Background and Objectives: Bilateral microphones with contralateral routing of signal (BiCROS) hearing aid is an option for hearing rehabilitation in individuals with asymmetric sensorineural hearing loss (ASNHL). The clinical factors influencing the trial and purchase of BiCROS were investigated. Subjects and Methods: We reviewed the medical records of 78 patients with ASNHL who were recommended to use BiCROS and analyzed the demographic and audiological factors influencing the trial and purchase of BiCROS. Results: Among the 78 patients, 52 (66.7%) availed of the free BiCROS trial and 21 (26.9%) purchased BiCROS. The mean pure tone audiometry (PTA) air conduction (AC) threshold of the better- and worse-hearing ears were 44.2±12.8 dB and 90.7±22.5 dB HL, respectively. The decision for trial or purchase of BiCROS was not influenced by age, sex, duration of hearing loss of the worse-hearing ear, or PTA AC threshold or speech discrimination score of both ears. The first and third quartiles of the PTA AC thresholds for the better-hearing ear of BiCROS buyers were 38.75 dB and 53.75 dB HL, respectively. The counterpart values for the worse-hearing ear were 72.50 dB and 118.75 dB HL, respectively. Conclusions: The clinical factors analyzed in this study were found to be irrelevant to the trial and purchase of BiCROS in patients with ASNHL. Nevertheless, the distribution range of the auditory thresholds of the subjects using BiCROS can be a useful basis for the counseling of patients with ASNHL and selection of candidates for BiCROS use.

Study on the Threshing and Separating Performanee of the Newly Developed Throw-in Type Thresher (투입식 탈곡기의 탈곡 및 선별 성능에 관한 연구)

  • 이승규;정창규김성래
    • Magazine of the Korean Society of Agricultural Engineers
    • /
    • v.17 no.3
    • /
    • pp.3878-3884
    • /
    • 1975
  • This study was carried out to develop the throw-in type thresher with its size as small as possible. Developing the smallest possible size of the throw-in type thresher has been very important to increase mobility and to reduce the machine price. The thresher that developed for this purpose was tested as to threshing and separation performance for the samples collected in eight catch boxes under the concave while threshing. The amount of grain collected in each compartments was measured and the threshing and separating pattern along the total span of the threshing drum was determined. The performance of separating and threshing units of the test thresher and threshing loss was evaluated by use of the developed grain separating apparatus and the method for measuring the grain separating performance of threshers. The results are summarized as follows; 1. The unthreshed grain (drum losses) and semi-threshed grain did not appeared at all throughout the treatments. 2. When threshed by making use of the developed throw-in type thresher, the threshing grain loss at about 25 per cent grain moisture was about one-half when threshed at about 18 per cent grain moisture. 3. And its grain separating loss in higher feed rate was decreased in comparison with that of lower feed rate. These results suggests that the throw-in type thresher may be suitable for wet threshing and for higher feed rate of threshing. 4. Above 60 per cent of total grain passing through concave fell through the screen within a scant 30 cm from the feeding inlet. This threshing pattern may suggest that major threshing action may be finished before about one third of cylinder length. The required separating load extended over the whole drum span is so defferent that separating elements should be redesigned so as to accomodate this variable pattern of separation load. 5. It was apparent from the experiment that the length of the threshing drum of the throw-in type thresher could be reduced from 1285mm to about 1050mm without increasing grain separation loss greatly.

  • PDF

Leakage detection and management in water distribution systems

  • Sangroula, Uchit;Gnawali, Kapil;Koo, KangMin;Han, KukHeon;Yum, KyungTaek
    • Proceedings of the Korea Water Resources Association Conference
    • /
    • 2019.05a
    • /
    • pp.160-160
    • /
    • 2019
  • Water is a limited source that needs to be properly managed and distributed to the ever-growing population of the world. Rapid urbanization and development have increased the overall water demand of the world drastically. However, there is loss of billions of liters of water every year due to leakages in water distribution systems. Such water loss means significant financial loss for the utilities as well. World bank estimates a loss of $14 billion annually from wasted water. To address these issues and for the development of efficient and reliable leakage management techniques, high efforts have been made by the researchers and engineers. Over the past decade, various techniques and technologies have been developed for leakage management and leak detection. These include ideas such as pressure management in water distribution networks, use of Advanced Metering Infrastructure, use of machine learning algorithms, etc. For leakage detection, techniques such as acoustic technique, and in recent yeats transient test-based techniques have become popular. Smart Water Grid uses two-way real time network monitoring by utilizing sensors and devices in the water distribution system. Hence, valuable real time data of the water distribution network can be collected. Best results and outcomes may be produced by proper utilization of the collected data in unison with advanced detection and management techniques. Long term reduction in Non Revenue Water can be achieved by detecting, localizing and repairing leakages as quickly and as efficiently as possible. However, there are still numerous challenges to be met and future research works to be conducted in this field.

  • PDF

A Study on the Leading Phase Operation of Single Phase PWM Converter Train (단상PWM컨버터 차량의 진상운전에 관한 연구)

  • Kim, Baik
    • Journal of the Korean Society for Railway
    • /
    • v.15 no.4
    • /
    • pp.357-363
    • /
    • 2012
  • This paper presents a new operation method for the single phase PWM(Pulse Width Modulation) converter train. Recently, the trains adopting the PWM converter have become the majority in the electric locomotives since there are distinct advantages over the predecessors, which can be operated at near unity power factor. However, a slight modification of the control scheme makes this kind of vehicles run in the region of leading power factor. Although this feature seems to be of no significant use by itself, the leading phase operation can improve the voltage profile and the line loss of the feeding systems is decreased by compensating the reactive power loss along the line when it considered together with the feeding systems. This method is even more economical and efficient comparing with the installation of SVC that is mainly used for this purpose since the train can become a movable compensator. With the conditions and some essential formula for the leading phase operation, a new power factor control algorithm has been proposed to implement this scheme. The results of simulation through SIMULINK model show that the proposed method is suitable enough for practical use.