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Influence of kilovoltage- peak and the metal artifact reduction tool in cone-beam computed tomography on the detection of bone defects around titanium-zirconia and zirconia implants

  • Fontenele, Rocharles Cavalcante;Nascimento, Eduarda Helena Leandro;Imbelloni-Vasconcelos, Ana Catarina;Martins, Luciano Augusto Cano;Pontual, Andrea dos Anjos;Ramos-Perez, Flavia Maria Moraes;Freitas, Deborah Queiroz
    • Imaging Science in Dentistry
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    • v.52 no.3
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    • pp.267-273
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    • 2022
  • Purpose: The aim of this study was to assess the influence of kilovoltage- peak (kVp) and the metal artifact reduction (MAR) tool on the detection of buccal and lingual peri-implant dehiscence in the presence of titanium-zirconia (Ti-Zr) and zirconia (Zr) implants in cone-beam computed tomography (CBCT) images. Materials and Methods: Twenty implant sites were created in the posterior region of human mandibles, including control sites (without dehiscence) and experimental sites (with dehiscence). Individually, a Ti-Zr or Zr implant was placed in each implant site. CBCT scans were performed using a Picasso Trio device, with variation in the kVp setting (70 or 90 kVp) and whether the MAR tool was used. Three oral radiologists scored the detection of dehiscence using a 5-point scale. The area under the receiver operating characteristic (ROC) curve, sensitivity, and specificity were calculated and compared by multi-way analysis of variance (α=0.05). Results: The kVp, cortical plate involved (buccal or lingual cortices), and MAR did not influence any diagnostic values (P>0.05). The material of the implant did not influence the ROC curve values(P>0.05). In contrast, the sensitivity and specificity were statistically significantly influenced by the implant material (P<0.05) with Zr implants showing higher sensitivity values and lower specificity values than Ti-Zr implants. Conclusion: The detection of peri-implant dehiscence was not influenced by kVp, use of the MAR tool, or the cortical plate. Greater sensitivity and lower specificity were shown for the detection of peri-implant dehiscence in the presence of a Zr implant.

The Effects of Self-Sit-to-Stand Training Using Multi-Sensory Feedback Device on Balance Ability and Sit-to-Stand Ability in Hemiplegic Stroke Patients (다중감각 되먹임 장치를 이용한 자가 일어서기 훈련이 편마비 환자의 균형능력과 일어서기 동작 수행능력에 미치는 영향)

  • Min, Jun-Ki;Choi, Won-Jae;Jung, Jihye;Lee, Seung-Won
    • PNF and Movement
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    • v.20 no.2
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    • pp.157-166
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    • 2022
  • Purpose: The aim of this research was to investigate the effects of self-sit-to-stand training on balance ability and sit-to-stand ability in hemiplegic stroke patients using a multisensory feedback device. Methods: A total of 19 stroke patients participated in this study, and they were divided into two groups: 10 underwent self-sit-to-stand training using a multisensory feedback device, and 9 underwent sit-to-stand training with a physical therapist. In both groups, sit-to-stand training was performed for 30 min, 3 times a week, for 6 weeks. The subjects also underwent physical therapy twice a day for 30 min, 10 times a week, for a total of 60 sessions. Balance ability was evaluated using the AFA-50 and Berg Balance Scale. Sit-to-stand ability was evaluated using the five times sit-to-stand test. Results: Sway length, pressure, and total pressure all significantly increased in both groups, and there was no difference between the two groups. The Berg Balance Scale results showed that balance ability significantly increased in both groups, and there was no difference between the two groups. The five times sit-to-stand test results showed that sit-to-stand ability significantly increased in both groups, and there was no difference between the two groups. It was found that the self-sit-to-stand training using a multisensory feedback device had a positive effect on balance control and sit-to-stand ability. When the two groups were compared, no difference in balance ability or sit-to-stand ability was observed. Conclusion: The findings of this study indicate that self-sit-to-stand training using a multisensory feedback device is as effective as sit-to-stand training with a physical therapist. Hence, self-sit-to-stand training using a multisensory feedback device could be an effective home-based exercise protocol for hemiplegic stroke patients to improve their balance and sit-to-stand abilities.

Effects of non-pharmacological intervention on depressive symptoms in the older adults with mild cognitive impairment : A systematic review and meta-analysis (비약물 중재프로그램이 경도인지장애 노인의 우울 증상에 미치는 효과: 체계적 문헌고찰과 메타분석)

  • Pang, Yanghee;Cho, Mijung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.71-80
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    • 2022
  • The purpose of this study was to evaluate the effects of the non-pharmacological intervention on depressive symptoms in the older adults with mild cognitive impairment. A total of 1,147 studies were retrieved from PubMed, CINAHL, PsycINFO, Science direct, KISS, RISS, and DBPia. Twenty-one studies which met the criteria were selected and the quality assessment was conducted independently by two investigators. The effect size of non-pharmacological intervention was estimated using Comprehensive Meta-Analysis 3.0. The overall effect size turned out to be the medium effect size (Hedges' g=-0.68, 95% CI=-1.01~-0.36). As a result of the subgroup analysis, the intervention type was statistically significant. The effect size of cognitive intervention (Hedges' g=-1.03, 95% CI=-1.43~-0.61) and multi component intervention (Hedges' g=-0.97, 95% CI=-1.63~-0.33) was greater than excise intervention (Hedges' g=-0.53, 95% CI=-1.16~0.03). This study shows that non-pharmacological intervention was also effective in reducing depressive symptoms in the older adults with mild cognitive impairment. Based on the research results, it is expected that various non-pharmacological intervention studies will be attempted to improve cognitive function and depressive symptoms of the older adults with mild cognitive impairment.

Field Phenotyping of Plant Height in Kenaf (Hibiscus cannabinus L.) using UAV Imagery (드론 영상을 이용한 케나프(Hibiscus cannabinus L.) 작물 높이의 노지 표현형 분석)

  • Gyujin Jang;Jaeyoung Kim;Dongwook Kim;Yong Suk Chung;Hak-Jin Kim
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.67 no.4
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    • pp.274-284
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    • 2022
  • To use kenaf (Hibiscus cannabinus L.) as a fiber and livestock feed, a high-yielding variety needs to be identified. For this, accurate phenotyping of plant height is required for this breeding purpose due to the strong relationship between plant height and yield. Plant height can be estimated using RGB images from unmanned aerial vehicles (UAV-RGB) and photogrammetry based on Structure from Motion (SfM) algorithms. In kenaf, accurate measurement of height is limited because kenaf stems have high flexibility and its height is easily affected by wind, growing up to 3 ~ 4 m. Therefore, we aimed to identify a method suitable for the accurate estimation of plant height of kenaf and investigate the feasibility of using the UAV-RGB-derived plant height map. Height estimation derived from UAV-RGB was improved using multi-point calibration against the five different wooden structures with known heights (30, 60, 90, 120, and 150 cm). Using the proposed method, we analyzed the variation in temporal height of 23 kenaf cultivars. Our results demontrated that the actual and estimated heights were reliably comparable with the coefficient of determination (R2) of 0.80 and a slope of 0.94. This method enabled the effective identification of cultivars with significantly different heights at each growth stages.

Analysis of the Effect of Intralesional Steroid Injection on the Voice During Laryngeal Microsurgery (후두 미세수술 중 병변 내 스테로이드 주입이 음성에 미치는 효과 분석)

  • Jae Seon, Park;Hyun Seok, Kang;In Buhm, Lee;Sung Min, Jin;Sang Hyuk, Lee
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.3
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    • pp.166-171
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    • 2022
  • Background and Objectives Vocal fold (VF) scar is known to be the most common cause of dysphonia after laryngeal microsurgery (LMS). Steroids reduce postoperative scar formation by inhibiting inflammation and collagen deposition. However, the clinical evidence of whether steroids are helpful in reducing VF scar formation after LMS is still lacking. The purpose of this study is to determine whether intralesional VF steroid injection after LMS helps to reduce postoperative scar formation and voice quality. Materials and Method This study was conducted on 80 patients who underwent LMS for VF polyp, Reinke's edema, and leukoplakia. Among them, 40 patients who underwent VF steroid injection after LMS were set as the injection group, and patients who had similar sex, age, and lesion size and who underwent LMS alone were set as the control group. In each group, stroboscopy, multi-dimensional voice program, Aerophone II, and voice handicap index (VHI) were performed before and 1 month after surgery, and the results were statistically analyzed. Results There were no statistically significant differences in the distribution of sex, age, symptom duration, occupation and smoking status between each group. Both groups consisted of VF polyp (n=21), Reinke's edema (n=11), and leukoplakia (n=9). On stroboscopy, the lesion disappeared after surgery, and the amplitude and mucosal wave were symmetrical on both sides of the VFs in all patients. Acoustic parameters and VHI significantly improved after surgery in all patients. However, there was no significant difference between the injection and control group in most of the results. Conclusion There was no significant difference in the results of stroboscopy, acoustic, aerodynamic, and subjective evaluation before and after surgery in the injection group and the control group.

Assessment of ECMWF's seasonal weather forecasting skill and Its applicability across South Korean catchments (ECMWF 계절 기상 전망 기술의 정확성 및 국내 유역단위 적용성 평가)

  • Lee, Yong Shin;Kang, Shin Uk
    • Journal of Korea Water Resources Association
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    • v.56 no.9
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    • pp.529-541
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    • 2023
  • Due to the growing concern over forecasting extreme weather events such as droughts caused by climate change, there has been a rising interest in seasonal meteorological forecasts that offer ensemble predictions for the upcoming seven months. Nonetheless, limited research has been conducted in South Korea, particularly in assessing their effectiveness at the catchment-scale. In this study, we assessed the accuracy of ECMWF's seasonal forecasts (including precipitation, temperature, and evapotranspiration) for the period of 2011 to 2020. We focused on 12 multi-purpose reservoir catchments and compared the forecasts to climatology data. Continuous Ranked Probability Skill Score method is adopted to assess the forecast skill, and the linear scaling method was applied to evaluate its impact. The results showed that while the seasonal meteorological forecasts have similar skill to climatology for one month ahead, the skill decreased significantly as the forecast lead time increased. Compared to the climatology, better results were obtained in the Wet season than the Dry season. In particular, during the Wet seasons of the dry years (2015, 2017), the seasonal meteorological forecasts showed the highest skill for all lead times.

Development of an exclusive column method for 82Sr/82Rb generator using a 100 MeV proton linear accelerator of KOMAC

  • Kye-Ryung Kim;Yeong Su Ha;Sang-Pil Yoon;Yeon-ji Lee;Yong-Sub Cho;Hyeongi Kim;Sang-Jin Han;Jung Young Kim;Kyo Chul Lee;Jin Su Kim
    • Journal of Radiopharmaceuticals and Molecular Probes
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    • v.7 no.2
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    • pp.119-125
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    • 2021
  • 82Sr for 82Rb generator was produced through the irradiation of the proton beam on the nat.RbCI target at the target irradiation facility installed at the end of the Rl-dedicated beamline of the 100 MeV proton linear accelerator of KOMAC (Korea Multi-purpose Accelerator Complex). The average current of the proton beam was 1.2 µA for irradiation time of 150 min. For the separation and purification of the 82Sr from nat.RbCI irradiated, Chelex-100 resin was used. The activities of 82Sr in the irradiated nat.RbCI target solution and after purification were 45.29 µCi and 43.4 µCi, respectively. The separation and purification yield was 95.8%. As an adsorbent to be filled in the generator for 82Sr adsorption hydrous tin oxide was selected. The adsorption yield of 82Sr into the generator adsorbent was > 99 %, and the total amount of 82Sr adsorbed to the generator was 21.6 µCi as of the day of the 82Rb elution experiment. When the elution amount was 22 mL, the maximum82Rb elution yield was 93.3%, and the elution yield increased as the flow rate increased. After the eluted 82Rb was filled in the correction phantom of the small PET for animals, a PET image was taken. The image scan time was set to 5 min, and the phantom PET image was successfully obtained. As results of impurity analysis on eluted 82Rb using ICP-MS, nat.Rb stable isotopes that compete in vivo of 82Rb were identified as undetected levels and were determined to be No-Carrier-Added (NCA).

A prospective multicenter clinical study on the efficiency of detachable ball- and spring-retained implant prosthesis

  • Min-Jung Kim;Won-Tak Cho;Su-Hyun Hwang;Ji-Hyeon Bae;Eun-Bin Bae;June-Sung Shim;Jong-Eun Kim;Chang-Mo Jeong;Jung-Bo Huh
    • The Journal of Advanced Prosthodontics
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    • v.15 no.4
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    • pp.202-213
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    • 2023
  • PURPOSE. This prospective clinical study was conducted to evaluate the clinical usefulness of the freely detachable zirconia ball- and spring-retained implant prosthesis (BSRP) through a comparative analysis of screw- and cement-retained implant prosthesis (SCRP). MATERIALS AND METHODS. A multi-center, randomized, prospective clinical study evaluating the clinical usefulness of the detachable zirconia ball- and spring-retained implant prostheses was conducted. Sixty-four implant prostheses in 64 patients were examined. Periodic observational studies were conducted at 0, 3, 6, and 12 months after delivery of the implant prosthesis. Factors such as implant success rate, marginal bone resorption, periodontal pocket depth, plaque and bleeding index, and prosthetic complications were evaluated, respectively. RESULTS. During the 1-year observation period, all implants survived without functional problems and clinical mobility, showing a 100% implant success rate. Marginal bone resorption was significantly higher in the SCRP group than in the BSRP group only at the time of implant prosthesis delivery (P = .043). In all observation periods, periodontal pocket depth was slightly higher in the BSRP group than in the SCRP group, but there was no significant difference (P > .05). The modified plaque index (mPI) scores of both groups were moderate. Higher ratio of a score 2 in modified sulcus bleeding index (mBI) was observed in the BSRP group in the 6- and 12-months observation. CONCLUSION. Within the limitations of this study, the newly developed zirconia ball- and spring-retained implant prosthesis could be considered as an applicable and predictable treatment method along with the existing screw- and cement-retained prosthesis.

China and Central Asia : Soft Balancing Strategy against the U.S. (중국과 중앙아시아 관계 : 미국에 대한 소프트밸런싱 전략을 중심으로)

  • Kang, Teak Goo;Kim, Yei kyoung
    • Journal of International Area Studies (JIAS)
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    • v.16 no.2
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    • pp.121-146
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    • 2012
  • The purpose of this paper is to study on China's emergence and its influence on international society against the U.S. hegemony. Recently, China's influence has proliferated in Central Asia as well as East Asia at a rapid rate. China, through its soft balancing strategy, increased its influence in Central Asia in response to the U.S. power and behavior. This study analyzes the relationship among China and Central Asia with the view of soft balancing theory. In order to determine whether China's strategy on Central Asia is soft balancing, this paper presents three indicators: 1) Second-tier major power is willing to take a strategy that increase diplomatic cost of hegemony or counter the hegemony influence through using regional and global multilateral cooperation. 2) Second-tier major power is willing to not only increase its influence by strengthening regional economic cooperation, but also check the extension of the hegemony economic influence into its boundary. 3) Second-tier major power intends to prevent expanding hegemony military influence into the region through limited military cooperation and increasing military spending, and denying territory. This paper analyze China's multi-polar strategy, economic and energy cooperation with Central Asia countries, and the military and security cooperation with multilateral organizations such as SCO.

The Mediating Effects of Depression on Loneliness and Suicidal Ideation in Elderly Living Alone with Diabetes Mellitus: A Secondary Data Analysis (독거 당뇨병 노인의 외로움이 자살사고에 미치는 영향에 대한 우울의 매개효과 검증: 2차 자료 분석)

  • Moonhee Gang;Yujin Ahn
    • Journal of Industrial Convergence
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    • v.21 no.5
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    • pp.51-58
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    • 2023
  • The purpose of this study is to analyze suicidal ideation of elderly people with diabetes living alone and to investigate the relationship between suicidal ideation, loneliness, and depression. This study was conducted through secondary data analysis using total survey data for the elderly living alone in O province. The subjects of this study were 466 elderly people who were diagnosed with diabetes among the elderly living alone. The data of this study were analyzed using descriptive statistics, t-test, Pearson's correlation coefficients, multi-linear regression analysis, and the three-step mediating effect verification procedure of Baron & Kenny using the SPSS 26.0 program. The average loneliness score and average depression score of the subjects were 4.52±3.30 and 4.88±4.03, respectively, and 27.3% of the subjects said they had a suicidal ideation. The subject's loneliness (β=.20, p=.005) and depression (β=.30, p<.001) was found to be a significant factor in predicting suicide ideation. In addition, depression was found to be partially mediated in the relationship between loneliness and suicidal ideation. Through the results of this study, loneliness and depression were found to be important factors related to suicidal ideation in the elderly with diabetes living alone. In addition, in order to improve suicidal ideation in the elderly with diabetes living alone, intervention to lower the level of loneliness and depression is necessary.