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THE EFFECT OF THE LENGTH OF THE LINGUAL FRENUM AND THE TONGUE MOTION ON SPEECH (설소대의 크기와 운동이 발음에 미치는 영향)

  • Park, Seong-Hee;Son, Woo-Sung;Kim, Yong-Deok;Shin, Sang-Hun;Kim, Uk-Kyu;Chung, In-Kyo;Kwon, Soon-Bok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.6
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    • pp.526-534
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    • 2001
  • Purpose : The objective of this study is to ascertain whether the positive exists among the frenum length, the tongue movement and the speech and to present the normal range of tongue movement and guidelines for the choice of surgery, observation if necessary. Materials and Methods : 180 patients were evaluated. We divided 180 patients into 6 group by age. Each group was separated as follows; the age of 2.5-4, 5-6, 7-9, 10-12, 16-18. We measured the frenal length, the range of tongue motion and evaluated the speech so that we really questioned about the positive relationship between the tongue-tie and speech. We let the patient exercise the protrusive both(right, left) laterotrusive superior movement of the tongue. During these movements, we measured the distance between the vermilion border and the tongue tip. We also measured the distance from the tongue tip to the point contacting the upper lip with dorsum of the tongue during the maximal protrusive movement of the tongue. Three linear measurement of the anterior, inferior segment of the tongue including the lingual frenum, are made. These measurements are as follows: 1. Distance A. Free anterior portion of the tongue from the point of frenular insertion to the tongue tip. 2. Distance B. The distance from the initiating point of the lingual frenum to the point connecting the two sublingual carundcles to the lingual frenum perpendicularly. 3. Distance C. The distance from the point contacting the line crossing the sublingual caruncles with the lingual frenum to the terminating point of the lingual frenum. We transform three linear measures into a statistical ratio, A/(A-B+C), representing the length of the free portion of the tongue compared with the total sublingual dimensions. In addition, we assessed the speech through Picture Consonant Articulation Test(PCAT) and tried to find out the relationship between the length of the lingual frenum and speech. Conclusion : As people are born, they have small and restricted tongue. As people grow old, tongue motions are more liberate, and unrestricted and they can speak so freely. Therefore we suggest that until age 5, oral and maxillofacial surgeons postpone the surgery if not urgent, evaluate the maximal lingual motions and PCAT according to this article and observe their changes.

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A Study on School-level Science Elective-centered Curriculum Operation Through Science Teacher Interviews (과학 교사와의 면담을 통해 알아 본 과학 선택 중심 교육과정의 운영 실태)

  • Hong, Mi-Young
    • Journal of The Korean Association For Science Education
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    • v.30 no.5
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    • pp.609-620
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    • 2010
  • The purpose of this study was to examine school-level science elective-centered curriculum operation and teachers' perception of their instruction of elective-centered science courses. Data were collected from 12 science teachers in 12 high schools in the metropolitan Seoul area through semi-constructed interviews. The results showed that students were supposed to select science subjects under insufficient guidance and their choices on subject were also restricted due to school administrative processes such as teacher's instructional time allocation. Participants were well-perceived different group characteristics among humanities course and science course students toward science learning, still, they felt difficulties in valuing students' variety by differentiating contents and teaching methodologies due to school assessment system and workload of extra instructional material preparation. Influenced by the current college entrance examination system, low motivation for humanities course students and students' choice concentrated in chemistry and life science for science course students, were pointed out as main problems. As a way to improve science education for 11th - 12th graders, developing customized science curriculum for humanities course and science course respectively, changing of entrance system into increasing importance of science for students who will major in non-science fields, and designations of essential prerequisite science subject for students who will major in engineering & science fields, were suggested.

Feeding Trials to Compare Theoretical Accuracy between Apparent and True Metabolizable Energy Systems in Chick Diets (병아리 사료에서 일반대사에너지와 순대사에너지의 이론적 정확성 비교를 위한 실험)

  • 지규만
    • Journal of Nutrition and Health
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    • v.25 no.7
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    • pp.543-554
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    • 1992
  • True metabolizable energy(TME) is believed a better indicator for animal performance than apparent metabolizable energy (AME) for excluding the endogenous energy losses from excreta, However few researches have been conducted to compare superiority of any energy systems through practical animal feeding tests. Present study was to compare the energy systems in young chicks in terms of predictability of energy intake for the birds performances including body energy retention and of methodological accuracy by evaluating reproducibility and additi-vity of energy values of feed ingredients and compound diets. Five ingredients such as yellow corn wheat soybean meal fish meal and wheat bran were measured for their various biological energy values. in the first feeding trial chicks were restric-ted-fed the basal diet at 80, 60 and 40% on weight basis of the amount of feed ingested by chicks fed ad libitum the same diet. chicks in the second trial were also restricted-fed diets at levels of 80, 70, 60 and 50% on energy basis of the amount consumed by the basak duet group fed ad libitum The diets in the latter trial were however composed of differeent formulations from the basal diet. One-week-old Single Comb White Leghorn male chicks were individually alloted in a cage on 10 cages/treatment basis and fed the diets for 14 days. Individual carcass energy was measured after the feeding trials. Coefficients of variation of energy measurements were lesser for nitrogen-corrected AME and TME(AMEn & TMEn respectively) than AME and TME values suggesting taht reprodu-cibility of energy determinations by former systems could be better than the latters. The coeffi-cients for AME and TME were almkost of the same values. Additivity obtained by the rations between the calculated values and catual measurements appeared quite satisfactory for all the energy systems. Those of AME and TME however were relatively better than the other systems. Regression coefficient ${r}^2$ between energy intake by various systems and chick performances appeared higher for TME, AMEn and TMEn than AME implying that the former systems could provide better predictability for body weight gain and energy retention than the AME. The ${r}^2$ values for TME and AMEn particularly for body weight gain were on the average 0.967 and 0.960 respectively. In conclusion TME or AMEn can be recommended as choice for dietary energy system in terms of performance predictability of the birds and of procedural convenience for the measurements.

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Regional Path Re-selection Period Determination Method for the Energy Efficient Network Management in Sensor Networks applied SEF (통계적 여과 기법이 적용된 센서 네트워크에서 에너지 효율적인 네트워크 관리를 위한 영역별 경로 재설정 주기 결정 기법)

  • Park, Hyuk;Cho, Tae-Ho
    • Journal of the Korea Society for Simulation
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    • v.20 no.3
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    • pp.69-78
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    • 2011
  • A large-scale sensor network usually operates in open and unattended environments, hence individual sensor node is vulnerable to various attacks. Therefore, malicious attackers can physically capture sensor nodes and inject false reports into the network easily through compromised nodes. These false reports are forwarded to the base station. The false report injection attack causes not only false alarms, but also the depletion of the restricted energy resources in a battery powered network. The statistical en-route filtering (SEF) mechanism was proposed to detect and drop false reports en route. In SEF, the choice of routing paths largely affect the energy consumption rate and the detecting power of the false report. To sustain the secure routing path, when and how to execute the path re-selection is greatly need by reason of the frequent network topology change and the nodes's limitations. In this paper, the regional path re-selection period determination method is proposed for efficient usage of the limited energy resource. A fuzzy logic system is exploited in order to dynamically determine the path re-selection period and compose the routing path. The simulation results show that up to 50% of the energy is saved by applying the proposed method.

Comparison of Dosimetrical and Radiobiological Parameters on Three VMAT Techniques for Left-Sided Breast Cancer

  • Kang, Seong-Hee;Chung, Jin-Beom;Kim, Kyung-Hyeon;Kang, Sang-Won;Eom, Keun-Yong;Song, Changhoon;Kim, In-Ah;Kim, Jae-Sung
    • Progress in Medical Physics
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    • v.30 no.1
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    • pp.7-13
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    • 2019
  • Purpose: To compare the dosimetrical and radiobiological parameters among various volumetric modulated arc therapy (VMAT) techniques using restricted and continuous arc beams for left-sided breast cancer. Materials and Methods: Ten patients with left-sided breast cancer without regional nodes were retrospectively selected and prescribed the dose of 42.6 Gy in 16 fractions on the planning target volume (PTV). For each patient, three plans were generated using the $Eclipse^{TM}$ system (Varian Medical System, Palo Alto, CA) with one partial arc 1pVMAT, two partial arcs 2pVMAT, and two tangential arcs 2tVMAT. All plans were calculated through anisotropic analytic algorithm and photon optimizer with 6 MV photon beam of $VitalBEAM^{TM}$. The same dose objectives for each plan were used to achieve a fair comparison during optimization. Results: For PTV, dosimetrical parameters such as Homogeneity index, conformity index, and conformal number were superior in 2pVMAT than those in both techniques. $V_{95%}$, which indicates PTV coverage, was 91.86%, 96.60%, and 96.65% for 1pVMAT, 2pVMAT, and 2tVMAT, respectively. In most organs at risk (OARs), 2pVMAT significantly reduced the delivered doses compared with the other techniques, excluding the doses to contralateral lung. For the analysis of radiobiological parameters, a significant difference in normal tissue complication probability was observed in ipsilateral lung while no difference was observed in the other OARs. Conclusions: Our study showed that 2pVMAT had better plan quality and normal tissue sparing than 1pVMAT and 2tVMAT but not for all parameters. Therefore, 2pVMAT could be considered the priority choice for the treatment planning for left breast cancer.

A single case study using Contextual Support Model based music therapy intervention for a terminal pediatric patient (말기질환 아동을 위한 환경적 지지모델(The Contextual Support Model of Music Therapy)에 근거한 음악치료사례연구)

  • Jun, Mi Hye
    • Journal of Music and Human Behavior
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    • v.2 no.2
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    • pp.15-31
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    • 2005
  • Terminal pediatric patient include congenital metabolic abnormalities, chromosome aberrations, congenital anomalies, neuromuscular diseases and other incurable conditions as well as malignant tumors. One third of these diseases are cancers, and two thirds of cancers are lymphadenoma and leukemia. Terminal pediatric patient may feel fear, anger and frustration against treatment process in hospitals, lose control of themselves and stay in helplessness due to restrictions within controlled hospital environment. This study examined the relationship between hospitalized childrens behavior and music using Contextual Support Model of Music Therapya theory stating therapeutic music environments possess three elements of Structure, Autonomy support and Involvement, and increase childrens active engagement. Focused on these three therapeutic elements, this study analyzed music therapy cases of terminally ill children to examine the relationship between childrens behavior and music as environmental supportive medium in the environment. This study is on a single case case subject, a 10-year-old girl with acute lymphocytic leukemia. Nine sessions of music therapy activities were conducted and analyzed using qualitative method. Focusing on three therapeutic elements of Contextual Support Model, analysis of sessions was made on the basis of activities specifically designed for this study. Main music therapy activities included singing while playing musical instruments, singing while listening to music through CD player, making up songs, and searching for song lines. The findings of this study are as follows: a) in terms of Structure, music therapy suggested a direction for effective musical activities for terminally ill children by providing environments where child can sing, play musical instruments and make up songs; b) in terms of Autonomy support, music therapy encouraged childs voluntary participation by giving her chances to make choice while singing or playing musical instruments; c) in terms of Involvement, child could gain positive approval of the therapist and conduct musical activities in cooperation with the therapist. Music therapy serves as supportive medium in the environment, develops spontaneity and self-reliance in emotionally depressed children, and promotes voluntary attitudes in the restricted hospital environment. Based on the positive effects of music therapy, more studies need to be conducted with an approach to more various terminal pediatric patients.

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