• Journal of the Korean Society of Physical Medicine
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• v.14 no.2
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• pp.71-77
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• 2019

Purpose: The purpose of this study was to compare the level of muscle activation on the cervical erector spinae (CES), lumbar erector spinae (LES), and upper trapezius (UT) according to the sitting postures while using a smartphone in the bathroom. Method: Thirty-two healthy subjects were recruited for this study. The CES, LES, and UT were evaluated by surface electromyography according to two sitting postures while using a smartphone on the toilet seat. A paired t test was performed for the root mean square of reference voluntary contraction (%RVC) comparisons between two sitting postures, and one-way ANOVA was used to compare the three muscle activations within each posture. Results: A comparison between the two sitting postures revealed the muscle activation of both CESs in sitting posture 2 and both LESs in sitting posture 1 to be significantly higher than those of the others. In sitting posture 1, the muscle activation of both LESs was significantly higher than those of the CES and UT. In sitting posture 2, the muscle activation of both CESs was significantly higher than those of the LES and UT. Conclusion: High muscle activation of the CES and LES was observed according to the sitting postures when using smartphone in the restroom. Therefore, long time use of smartphones on a toilet seat should be avoided.

• PNF and Movement
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• v.17 no.1
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• pp.69-79
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• 2019

Purpose: This study aims to investigate the effects of a group computerization cognitive rehabilitation program on cognitive function in patients with cognitive impairment. Methods: The subjects of this study comprised 34 patients with cognitive impairment (15 males and 19 females) who were randomized into two groups. The experimental group (n = 17) were trained with the group computerization cognitive rehabilitation program, while the control group (n=17) received traditional cognitive therapy. The interventions for both groups were performed for 1 hour per day, once a week for 12 weeks. The cognitive functions of the subjects before and after the experiment were measured using the Korean mini-mental state examination (K-MMSE), global deterioration scale (GDS), clinical dementia rating (CDR), and Lowenstein occupational therapy cognitive assessment (LOTCA). A paired t-test was conducted to examine the intragroup differences before and after the experiment, and ANCOVA was performed to check intergroup differences. Results: The intragroup comparison results showed that the cognitive function of the group that were trained with the group computerization cognitive rehabilitation program improved after the experiment more than for the group that received traditional cognitive therapy. The intergroup comparison results showed significant differences in orientation, visual perception, and visuomotor organization between the two groups. Conclusion: The results of this study confirmed that the group computerization cognitive rehabilitation program was more effective in improving cognitive function than the traditional cognitive therapy in patients with cognitive impairment. Based on the results of this study, the group computerization cognitive rehabilitation program can be used as an effective intervention method for patients with cognitive impairment.

• Journal of The Korean Society of Integrative Medicine
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• v.9 no.1
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• pp.49-57
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• 2021

Purpose: The purpose of this study was to investigate the effect of manual lymphatic drainage (MLD) methods on muscle tone, pain, and depression in patients with breast cancer. Methods: The study had a two-group pretest-posttest design. A total of 24 patients with breast cancer voluntarily participated in the study. Subjects were randomly assigned to the MLD (n=12) and control (n=12) groups. Measurements of muscle tone, pain, and depression were taken prior to starting the intervention and after completing the 4 week program. The muscle tone, pain, and depression were measured using noninvasive muscle tone measuring equipment, the short-form McGill pain questionnaire, and the Beck depression inventory, respectively. The intervention was performed for 20 minutes a day, three times a week, for four weeks. A paired t-test was used to compare pretest and posttest values within each group, and an independent t-test was used to compare to pretest and posttest changes between the groups. Results: Comparison of the effects within the groups revealed significant reductions in muscle tone, pain, and depression in the MLD group after 4 weeks (p<.05), whereas the control group showed no differences. Comparison of the effects between the groups revealed significantly better reductions in muscle tone, pain, and depression in the MLD group than in the control group after 4 weeks (p<.05). Conclusion: These results suggest that MLD is an effective method for reducing muscle tone, pain, and depression in patients with breast cancer.

• Progress in Medical Physics
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• v.32 no.4
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• pp.107-115
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• 2021

Purpose: The purpose of this study was to compare the clinical quality assurance results of portal dosimetry using an electronic portal imaging device, a method that is extensively used for patient-specific quality assurance, and the newly released Mobius3D for intensity-modulated radiotherapy (IMRT) and volumetric modulated arc therapy (VMAT). Methods: This retrospective study includes data from 122 patients who underwent IMRT and VMAT on the Novalis Tx and VitalBeam linear accelerators between April and June 2020. We used a paired t-test to compare portal dosimetry using an electronic portal imaging device and the average gamma passing rates of MobiusFX using log files regenerated after patient treatment. Results: The average gamma passing rates of portal dosimetry (3%/3 mm) and MobiusFX (5%/3 mm) were 99.43%±1.02% and 99.32%±1.87% in VitalBeam and 97.53%±3.34% and 96.45%±13.94% in Novalis Tx, respectively. Comparison of the gamma passing rate results of portal dosimetry (3%/3 mm) and MobiusFX (5%/3 mm as per the manufacturer's manual) does not show any statistically significant difference. Conclusions: Log file-based patient-specific quality assurance, including independent dose calculation, can be appropriately used in clinical practice as a second-check dosimetry, and it is considered comparable with primary quality assurance such as portal dosimetry.

• Journal of radiological science and technology
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• v.23 no.1
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• pp.49-54
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• 2000

It is important to identify modifiable risk factors for breast cancer, because the breast cancer is one of the major causs of mortality among women. Some reported that obesity is a risk factor for breast cancer, but the results are not constant. Many risk factors are related to the duration of estrogenic stimulation of the breast. In general, early menarche and late menopause are positive risk factors. Human breast cancer has different characteristics according to the status of menopause(premenopause and postmenopause). In premenopausal women, about 60% of circulating estrogen is from the ovaries in the form of estradiol, and the remaining 40% is estrogen formed primarily in the adipose(fat) tissue via aromatization of androstenedion from the adrenal glands. After menopause this adipose cell production of estrone is the main source of estrogens and the level of estrone is maintained approximately at premenopausal levels. This study was undertaken to determine the role of body size and body mass index by status of menopause in development of breast cancer using retrospective case/control study. From March 1991 to February 1997 at the Wonkwang University Hospital, the breast cancer cases(n=72) and controls(n=86) were selected. By statistical analysis method, regression analysis, paired T-test and multiple logistic regression were done to estimate the influenced factors same as height, weight, BMI, age at menarche and age at menopause. The following results were obtained : 1. In premenopausal women, age at menarche was showed comparatively high correlation coefficients and BMI was described prominently highly in postmenopause. 2. At the results of multiple regression analysis, age at monarch, BMI and weight were showed as significant variables. In this method, critical factor ($R^2$) was 0.054. 3. Paired samples T-test was undertaken to test mean difference between two groups of cases and controls. The result of test performance showed a significant difference. 4. In comparison with women whose weight less than 50 kg, the ORs for the upper 5th group was 1.82(95% confidence interval). The heaviest women had a higher risk(OR=1.14, 95% confidence interval $1.12{\sim}1.31$, p=0.005). Higher body mass index was significantly associated with increased risk of premenopausal breast cancer (OR=1.01, 95% confidence interval $1.08{\sim}l.18$, p=0.05).

• Journal of the Korean Society of Tobacco Science
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• v.28 no.1
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• pp.58-66
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• 2006

Threshold limit value (TLV) test between expert and consumer panel was conducted about absolute, recognition and difference threshold respectively. And we tried to suggest appropriate and minimum acceptable menthol concentration level by consumer panel. Determination of threshold value was based on ASTM E 679-79 method by forced-choice ascending concentration series. In addition, a semi-ascending paired difference method was referred to conduct test. The group threshold value was determined as the value of geometric mean individual threshold. The smokers were dividend by two groups, trained and consumer panel. Trained panel was selected according to sensitivity to menthol discrimination. Consumer panel wasrecruited in proportion as population ratios including female smokers. They were all over twenty years old volunteers and summed up thirty four persons. In terms of sensor evaluation, overall difference test with seven-category scale by both trained and consumer panelists were done. On judging correct or incorrect answer, two by three cut-off levels applied to. Every test was conducted with two sessions, before smoking and during smoking period. And, only two samples served each paneI per test with regard to sensory fatigue and reliable results. All tests were replicated, and in total 32 times per panelist. In conclusion, the recognition threshold about consumer and expert panel was 358 ppm/cig. and 276 ppm/cig. in separately. Besides, absolute and difference thresholds were obtained also. And, we conduct difference threshold test with two different ways, upward and downward. And, The results of each method were 246, 195 ppm/cig., 1414, 1336 ppm/cig. and 1047, 972 ppm/cig.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.7 no.1
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• pp.33-48
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• 1997

Korean diffusive sampler (KDS) and charcoal tube (CT) were used for sampling n-hexane, trichloroethylene and toluene in air KDS was made by Department of Environmental Health, SNU-SPH in 1995. Surveys were conducted at ten industrial plants with organic solvents. The relationship between two sampling methods was examined by linear regression analysis, and concentrations by two sampling methods were compared using paired t-test. The results are as follows: 1. The geometric means by CT and KDS methods were 3.26ppm and 3.32ppm for n-hexane, 5.07ppm and 6.34ppm for toluene, and 7.18ppm and 7.90ppm for toluene, respectively. There was no significant difference between results by CT and KDS methods in three organic vapors (p>0.05). When linear regression analysis was performed, two sampling methods were highly related ; correlation coefficients were 0.98, 0.90 and 0.96 for n-hexane, toluene and trichloroethylene, respectively. 2. Airborne concentrations of n-hexane (n=21) were below 0.5 TLV level. The GM by two methods were almost same (3.09 ppm). And there was no significant difference between results by two methods (p>0.05). 3. Since toluene and trichloroethylene concentrations showed several levels, appropriate sampling rates were applied for each level. The GM of toluene concentrations by two methods at 0.5 TLV level were 3.75ppm and 5.48ppm. The KDS method overestimated the toluene concentrations at 0.5 TLV level (p<0.05). The GM values of toluene concentrations at 1 TLV level were 31.80ppm and 25.38ppm and at 2 TLV level were 64.13 ppm and 51.37 ppm. The KDS method underestimated concentration at both level (p<0.05). For trichloroethylene, the GM at 0.5 TLV level were 4.97 ppm and 7.11ppm. The KDS method overestimated the concentration of trichloroethylene (p<0.05). In conclusion, concentrations of three organic vapors measured by CT and KDS were not significantly different and results by two methods were highly related. But at contain concentrations, the levels by method were significantly different. Therefore, it is suggested that sampling rate of KDS should be studied simultaneously using CT method for organic vapors.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.11
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• pp.6527-6535
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• 2014

This research aims is to confirm the effects of cultural competence of an action learning based teaching method in multicultural nursing education. Cultural competence was composed of cultural knowledge, cultural awareness and cultural acceptance. A total of 118 college students were enrolled in this study. Both before and after learning, the students were guided to fill out a questionnaire regarding culture competence. The students from each group studied multicultural nursing by different teaching types: the Traditional Lecture-based Teaching method (TLT) and Action Learning based Teaching method (ALT). Data analysis was carried out by SPSS 21.0. A pre-post comparison within the group was performed using a paired t-test and the comparison between groups was performed using ANCOVA. The results showed that there was a significant difference in the culture competence in both teaching methods. In addition, ALT showed higher cultural acceptance results than TLT; however, there was no difference in cultural knowledge and cultural awareness between the two groups Therefore, ALT should be considered as a teaching method to enhance cultural competence in multicultural nursing education for Nursing students. Further studies on instructional design according to the task types, nursing performance, and the validity of ALT will be needed.

• Journal of Korean society of Dental Hygiene
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• v.12 no.6
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• pp.1082-1089
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• 2012

Objectives : The aim of this study was to determine the accuracy of digitized stone models, impression materials compared to the master model and the reliability of the computer aided analysis. Methods : A master model(500B-1, Nissin dental product, Japan) with the prepared lower full arch tooth was used. Ten vinyl polysiloxane impressions(Examix$^{(R)}$, GC Industrial Corp, Japan) of master model were taken and type IV stone(aesthetic-base gold$^{(R)}$, Dentona, Germany) were poured in stone models. The linear distance between the reference points were measured and analyzed on the Delcam Copycad$^{(R)}$(Delcam plc, UK). The t-student test for paired samples was used for statistical analysis. Results : The mean differences to master model for stone model and impression material were 0.11~0.19mm, and 0.19~0.29mm, respectively. There were statistical differences in dimensional accuracy for full arch impression between master model and stone model/impressions(p<.05). Conclusions : Two different scanning methods showed clinically acceptable accuracy of full arch digital impression produced by them. These results will have to be confirmed in further clinical studies.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.41
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• pp.35.1-35.7
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• 2019

Background: The purpose of this study was to measure the time of the conventional surgical planning (CSP) and virtual surgical planning (VSP) in orthognathic surgery and to compare them in terms of cost. Material and method: This is a retrospective study of the patients who underwent orthognathic surgery at the Pusan National University Dental Hospital from December 2017 to August 2018. All the patients were analyzed through both CSP and VSP, and all the surgical stents were fabricated through manual and three-dimensional (3D) printing. The predictor variables were the planning method (CSP vs. VSP) and the surgery type (group I: Le Fort I osteotomy + bilateral sagittal split osteotomy [LFI+BSSO] or group II: only bilateral sagittal split osteotomy [BSSO]), and the outcomes were the time and cost. The results were analyzed using the paired t test. Results: Thirty patients (12 females, 18 males) met the inclusion criteria, and 17 patients were excluded from the study due to missing or incomplete data. There were 20 group I patients (LFI+BSSO regardless of genioplasty) and 10 group II patients (BSSO regardless of genioplasty). The average time of CSP for group I was 385 ± 7.8 min, and that for group II was 195 ± 8.33 min. The time reduction rate of VSP compared with CSP was 62.8% in group I and 41.5% in group II. On the other hand, there was no statistically significant cost reduction. Conclusions: The time investment in VSP in this study was significantly smaller than that in CSP, and the difference was greater in group I than in group II.