• Dementia and Neurocognitive Disorders
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• v.17 no.3
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• pp.120-129
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• 2018

Background and Purpose: Prospective memory (PM) has a known relationship with frontal function, and PM decline has been observed in amnestic mild cognitive impairment (aMCI). Cerebral small vessel disease, as evidenced by white matter hyperintensities (WMHs), is linked to frontal dysfunction. This study was undertaken to evaluate the relationship between PM decline and WMHs in patients with aMCI. Methods: Of 74 enrollees with aMCI, 69 completed this prospective study. We compared total scores and sub-scores of the Prospective and Retrospective Memory Questionnaire (PRMQ) administered at baseline and 3 months later, stratifying patients by degree of WMHs. Results: A significant decline was seen in PRMQ total scores and PM scores at the 3-month mark in patients with moderate (vs. mild) degrees of WMHs ($-2.8{\pm}7.2$ vs. $0.2{\pm}7.1$; p=0.032). In addition, patients with moderate (vs. mild) degrees of deep WMHs (DWMHs) showed greater PM decline, whereas PM loss in patients with mild, moderate, or severe degrees of periventricular WMHs (PVWMHs) did not differ significantly. Conclusions: Findings of this study indicate that the burden of WMHs is consistently implicated in PM deterioration experienced by patients with aMCI, and signifies greater PM decline, especially in instances of extensive DWMHs. Greater attention to the change of PM is therefore needed in aMCI patients with WMHs.

• Computers and Concrete
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• v.23 no.5
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• pp.321-327
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• 2019

Experimental isotherm compressive tests show that concrete behaviour is dependent on temperature. The aim of such tests is to reproduce how concrete will behave under environmental changes within a moderate range of temperature. In this paper, a novel constitutive elastic damage behaviour law is proposed based on a free energy with an apparent damage depending on temperature. The proposed constitutive behaviour leads to classical theory of thermo-elasticity at small strains. Fixed elastic mechanical characteristics and fixed evolution law of damage independent of temperature and the material volume element size are considered. This approach is applied to compressive tests. The model predicts compressive strength and secant modulus of elasticity decrease as temperature increases. A power scaling law is assumed for specific entropy as function of the specimen size which leads to a volume size effect on the stress-strain compressive behaviour. The proposed model reproduces theoretical and experimental results from literature for tempertaures ranging between $20^{\circ}C$ and $70^{\circ}C$. The effect of the difference in the coefficient of thermal expansion between the mortar and coarse aggregates is also considered which gives a better agreement with FIB recommendations. It is shown that this effect is of a second order in the considered moderate range of temperature.

• The korean journal of orthodontics
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• v.52 no.4
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• pp.258-267
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• 2022

Objective: This study aimed to evaluate the superimposition accuracy of digital modes for measuring tooth movement in patients requiring anterior retraction after premolar extraction based on the proposed reference regions. Methods: Forty patients treated with bilateral maxillary first premolar extraction were divided into two groups: moderate retraction (< 7.0 mm) and maximum retraction (≥ 7.0 mm). Central incisor displacement was measured using cephalometric superimpositions and three-dimensional (3D) digital superimpositions with the 3rd or 4th ruga as the reference point. The Wilcoxon signed-rank test and linear regression analyses were performed to test the significance of the differences and relationships between the two measurement techniques. Results: In the moderate retraction group, the central incisor anteroposterior displacement values did not differ significantly between 3D digital and cephalometric superimpositions. However, in the maximum-retraction group, significant differences were observed between the anteroposterior displacement evaluated by the 3rd ruga superimposition and cephalometric methods (p < 0.05). Conclusions: This study demonstrated that 3D digital superimpositions were clinically as reliable as cephalometric superimpositions in assessing tooth movements in patients requiring moderate retraction. However, the reference point should be carefully examined in patients who require maximum retraction.

• Journal of Audiology & Otology
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• v.25 no.2
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• pp.72-79
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• 2021

Background and Objectives: The speech-in-noise test is typically performed using an audiometer. The results of the digit-in-noise recognition (DIN) test may be influenced by the flat frequency response of free-field audiometry and frequency of the hearing aid fit based on fitting rationale. This study aims to investigate the DIN test in unaided and aided conditions. Subjects and Methods: Thirty four adults with moderate and severe sensorineural hearing loss (SNHL) participated in the study. The signal-to-noise ratio (SNR) for 50% of the DIN test was obtained in the following two conditions: 1) the unaided condition, performed using an audiometer in a free field; and 2) aided condition, performed using a hearing aid with an unvented individual earmold that was fitted based on NAL-NL2. Results: There was a statistically significant elevation in the mean SNR for the severe SNHL group in both test conditions when compared with that of the moderate SNHL group. In both groups, the SNR for the aided condition was significantly lower than that of the unaided condition. Conclusions: Speech recognition in hearing-impaired patients can be realized by fitting hearing aids based on evidence-based fitting rationale rather than by measuring it using free-field audiometry measurement that is utilized in a routine clinic setup.

• Human Ecology Research
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• v.60 no.3
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• pp.377-390
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• 2022

This study identified and compared family values within and across different generations concerning gender roles, attitudes toward diverse families, children, and parental roles. Data were obtained from the 2020 Seoul Family Report Survey. There were 1,949 study subjects, including first- and second-generation baby boomers and individuals in generations X, Y, and Z in Korea. Latent profile analyses were conducted using M-plus. Perceptions and views concerning family values were classified into different types. The main findings were as follows. Two types were identified among first baby boomers, and three were identified among second baby boomers. Most of the first and second baby boomers belonged to the "moderate" type. Two types were detected among those in Generation X. Regarding gender roles, most views of Generation X were slightly progressive, while their other family values were more moderate. Three types were identified among those in Generation Y: "progressive," "moderate," and "very liberal." Generation Z was identified as a "progressive" group. This study provides basic data to explore the direction of the coexistence of generations by identifying and comparing diverse family values within and across generations.

• Archives of Plastic Surgery
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• v.50 no.2
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• pp.194-199
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• 2023

Moderate soft-tissue defects need stable coverage, ideally with tissue of similar characteristics and low donor site morbidity. We propose a simple technique for the coverage of moderate skin defects in the limbs. It allows intraoperative transformation of a propeller perforator flap (PPF) into a keystone design perforator flap (KDPF) in cases of unsatisfying perforator vessel or in cases of unpredictable intraoperative events. Between March 2013 and July 2019, nine patients with moderate soft-tissue defects (mean defect size 4.5 × 7.6 cm) in the limbs (two on the upper limbs and seven on the lower limbs) were covered using this technique. We performed four PPFs and five KDPFs. The mean follow-up was 5 months. There was one complication, partial distal tip necrosis in a PPF located in the leg, which healed by secondary intention within 3 weeks. The donor site was closed directly in all cases. No functional impairments were noted regardless of the perforator flap utilized. This technique enables us to employ flexible surgical strategies and allows us to make adjustments based on the patient's vascular anatomy.

• Archives of Plastic Surgery
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• v.50 no.4
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• pp.393-397
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• 2023

Constricted ear has a prevalence of 5.2 to 10% among ear abnormalities, and various surgical methods are suggested for treatment. We introduce a case of a constricted ear treated with a simple method using a novel concept cartilage graft and transposition flap, along with the well-known Mustardé suture, which is used for pediatric patients with mild to moderate constricted ears of Tanzer classification type IIA. A 10-year-old female patient visited the hospital complaining of an abnormality in the congenital right ear. Surgical approach was planned under the diagnosis of Tanzer classification type IIA constricted right ear. Posterior helix onlay graft and perichondrocutaneous transposition flap using excessive helical cartilage were performed along with the Mustardé suture. In the immediate postoperative period, ear contour was improved, and it was well-maintained without recurrence until 6 months' follow-up. In conclusion, the combination of Mustardé suture, and cartilage onlay graft and perichondrocutaneous transposition flap in the mild to moderate constricted ear would be a useful surgical option, producing aesthetically good results in a simple and effective method.

• Journal of Yeungnam Medical Science
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• v.40 no.1
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• pp.37-48
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• 2023

Background: Commensal bacteria play an important role in the pathogenesis of inflammatory bowel disease (IBD) and probiotics have been used as treatment options. We aimed to explore the current use of probiotics and factors associated with their prescription in patients with IBD. Methods: This cross-sectional study was conducted on a single hospital-based cohort. Patients were eligible if they were ≥18 years old, visited the IBD clinic as an outpatient more than twice during the study period, and had a confirmed diagnosis of IBD. Patients were divided into two groups based on the prescription of probiotics. Clinical assessments were compared between the two groups. Results: In total, 217 patients were enrolled in this study. In patients with Crohn disease (CD), moderate or severe abdominal pain; prior use of methotrexate (MTX), iron, thiopurines, or biologics; history of IBD-related surgery; and stool frequency were independently associated with the prescription of probiotics. In patients with ulcerative colitis (UC), moderate or severe abdominal pain, hematochezia, stool frequency, and moderate or severe physician global assessment score were independently associated with the prescription of probiotics. Conclusion: Increased disease activity may be associated with fewer prescriptions of probiotics in patients with IBD. However, physicians prescribed probiotics to control symptoms, such as abdominal pain and increased stool frequency in patients with UC and CD, and hematochezia in patients with UC. Additionally, the use of MTX and iron, and a history of IBD-related surgeries were associated with more frequent probiotic prescriptions in patients with CD.

• The Bulletin of The Korean Astronomical Society
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• v.46 no.1
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• pp.28.2-28.2
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• 2021

We investigate the impact of ram pressure stripping due to the intracluster medium (ICM) on star-forming disk galaxies with a multiphase interstellar medium maintained by strong stellar feedback. We carry out radiation-hydrodynamic simulations of an isolated disk galaxy embedded in a 1011 M⦿ dark matter halo with various ICM winds mimicking the cluster outskirts (moderate) and the central environment (strong). We find that both star formation quenching and triggering occur in ram pressure-stripped galaxies, depending on the strength of the winds. HI and H2 in the outer galactic disk are significantly stripped in the presence of moderate winds, whereas turbulent pressure provides support against ram pressure in the central region, where star formation is active. Moderate ICM winds facilitate gas collapse, increasing the total star formation rates by ~40% when the wind is oriented face-on or by ~80% when it is edge-on. In contrast, strong winds rapidly blow away neutral and molecular hydrogen gas from the galaxy, suppressing star formation by a factor of 2 within ~200 Myr. Dense gas clumps with nH≳10 M⦿ pc-2 are easily identified in extraplanar regions, but no significant young stellar populations are found in such clumps. In our attempts to enhance radiative cooling by adopting a colder ICM of T=106K only a few additional stars are formed in the tail region, even if the amount of newly cooled gas increases by an order of magnitude.

• The Korean Journal of Zoology
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• v.15 no.4
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• pp.183-191
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• 1972

A histochemical study of the respiratory tract in developing chick was done to demonstrate PAS-postivie materials, ribonucleic acid, phospholipid, and alkaline phosphatase activity. Following results are obtained: 1. The alkaline phosphatase activity was found to be high before the appearance of cartilage in mesenchyme surrounding the tracheal epithelium. The enzyme activity declined after the cartilage formation, followed by the restricted activity in epithelium in the postembryonic stage. 2. A moderate positive reaction of ribonucleic acid was found in the cytoplasm of the epithelium and undifferentiated mesenchyme. As the cartilage grew differentiated the reaction of ribonucleic acid was found to disappear in the mesenchyme surrounding the epithelim, but the cytoplasm of the glands showed a moderate positive reaction. 3. Goblet cells of the mucosa and glandular cells showed highly positive reaction, but the basement membrane exhibited slightly positive PAS-reaction. 4. Epithelial cells of the mucosa showed a weak to moderate reaction. However, the epithelia of bronchiol and alveoli in the differentiating period and glandular cells showed a strong positive reaction in Baker's hematein test.