• Title/Summary/Keyword: 연하

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Dysphagia Caused by Osteochondroma of the Cervical Vertebral Body: A Case Report (경추체 전방에 발생한 골연골종으로 인한 연하곤란: 증례 보고)

  • Min, Hak-Jin;Kim, Jin-Soo;Kim, Jong-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.18 no.1
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    • pp.32-36
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    • 2012
  • A 56 year-old female presented with dysphagia 8 weeks ago and newly developed dysphonia 2 weeks ago. The radiology study and swallowing difficulty evaluation study revealed the esophagus and the posterior wall of the laryngopharynx to be severely compressed by the mass of the anterior $4^{th}$ and $5^{th}$ vertebral body of cervical spine. En bloc excisional biopsy of the bony mass was performed, which completely resolved the clinical symptoms. We report a rare case of osteochondroma occurring at the anterior portion of cervical spine leading to dysphasia and dysphonia with a review of relevant literature.

Comparative a Study on Trend Analysis using Extreme Rainfall Data and Scaling Exponent (강우자료와 스케일 지수에 대한 경향성 비교)

  • Jung, Younghun;Kim, Taereem;Joo, Kyungwon;Heo, Jun-Haeng
    • Proceedings of the Korea Water Resources Association Conference
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    • 2019.05a
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    • pp.339-339
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    • 2019
  • 지구 온난화와 기후변화의 영향으로 태풍의 발생과 집중호우로 인한 홍수피해는 꾸준히 증가하고 있는 실정이다. 이와 같이 홍수와 관련된 강수량은 기상인자 중에서 유역의 유출과 관계가 있고, 유역의 내수침수 등의 도시홍수를 일으키는 원인이 되고 있다. 그러나 본 연구에서는 자료의 경향성을 판단하기 위해 국내 연최대강우자료의 경향성을 분석하였으며, 또한 연최대강우자료의 시간적 특성을 나타내는 지표로써 스케일 지수에 대하여 경향성과 변동성을 분석하였다. 이를 위해 the block bootstrap-based MK (BBS-MK) 분석을 실시하였고, 연최대강우자료로부터 BBS-MK분석에 대한 경향성 분석 결과, 다수 지점의 연최대강우자료에서 경향성이 나타나지 않았으나, 큰 변동성을 확인하였고, 연별 스케일 지수의 변동성 보다 월별 스케일 지수의 변동성 중 우기에 해당하는 월 (6-10월)에 대한 변동성은 크게 나타났다. 스케일 지수의 경향성은 연최대강우자료의 경향성 분석 결과와는 반대로 많은 강우지점에서 경향성이 존재함을 알 수 있었다. 스케일 지수의 경향성 분석 결과, 해안 지역의 강우 관측소에서 감소 경향이 확인되었지만, 내륙 지역에서는 스케일 지수가 증가하는 경향을 확인할 수 있었다.

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LSTM based Gait Phase Estimation Method Robust to Changes in Gait Speed (LSTM 기반 보행 속도 변화에 강인한 웨어러블 로봇의 보행 위상 추정 방법)

  • Kim, Ho-Bin;Lee, Jong-Bok;Kim, Sun-Woo;Kim, Sang-Do;Park, Shin-Suk;Kim, KangGeon;Lee, Jongwon
    • Annual Conference of KIPS
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    • 2022.11a
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    • pp.429-431
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    • 2022
  • 하지 웨어러블 로봇의 근력 보조 성능을 극대화하기 위해서는 착용자의 보행 상태를 인식하는 보행 위상 추정 기술이 필수적으로 요구된다. 본 논문에서는 착용자의 보행 속도 변화 및 착용자 간 보행 특성 차이에도 강인하게 보행 위상을 추정할 수 있는 LSTM 기반 보행 위상 강건 인식 기술을 개발하였다. 웨어러블 고관절 보조 로봇을 착용한 총 5명의 트레드밀 및 실외 overground의 보행 센서 정보를 바탕으로 학습을 수행하였다. 저속 및 고속 보행을 포함한 다양한 보행 속도에서 정밀한 보행 위상 추정이 가능한 웨어러블 센서 조합을 도출하였고, 보행 위상 인식 정밀성은 5-Fold Cross Validation 기준 RMSE 약 1.68% 수준의 결과를 얻을 수 있었다.

A Study of the Distinctive Characteristics of Government Funded Research Institutes Engaged in Technological Cooperation with SMEs (중소기업의 기술협력에서 출연연의 차별적 특징에 관한 연구)

  • Jun, Seung-pyo;Park, Hun;Yoo, Jae Young
    • Journal of Korea Technology Innovation Society
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    • v.20 no.3
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    • pp.607-641
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    • 2017
  • Recently, there has been an increase in government-wide demand for technological cooperation between government funded research institutes (GFRIs) and small and medium-sized enterprises (SMEs), while there remain a tension between positive and negative views regarding the support given by GFRIs to encourage the technological innovation of SMEs. Although preceding studies have found that the support given by GFRIs to SMEs tends to have the effect of enhancing the technological innovation outcomes of SMEs, this study examines the question of why the agent that provides technological cooperation to SMEs should be limited to GFRIs. To answer this question, in this study, we first examined the qualitative changes in the external technological cooperation behavior of SMEs over time, from 2007 to 2014. Next, we performed cluster analysis to examine whether there were distinctive characteristics of SMEs that engage in technological cooperation with GFRIs, compared to the various other alternatives available as technological cooperation partners for SMEs. Lastly, to help us identify the characteristics of the companies that technologically cooperate with GFRIs and to facilitate the administrative or practical effort to find companies that would be strong candidates for technological cooperation with GFRIs, we used discriminant analysis to define a discriminant formula for such companies likely to engage in technological cooperation. The results of this study were as follows. First, GFRIs were the most competitive -- as demonstrated by the highest level of satisfaction, etc. - compared to the other alternatives for external technological cooperation available to SMEs. This confirmed the necessity for GFRIs to provide technological cooperation to SMEs. Secondly, the issue of whether the small and medium-sized enterprise had engaged in technological cooperation specifically with GFRIs was found not to be a very significant factor in distinguishing these companies. It was found, however, that SMEs engaged in technological cooperation were distinctive, regardless of the type of institution involved in the technological cooperation. Thirdly, SMEs that were in technological cooperation with GFRIs had the characteristics of being already active in joint research and already familiar with utilizing the systems available for governmental support. The findings of this study offers various insights relevant to establishing national R&D strategies using GFRIs and improving the efficiency of policies and administrative practices intended to help GFRIs assist SMEs.

Comparison of asymmetric degree between maxillofacial hard and soft tissue in facial asymmetric subjects using three-dimensional computed tomography (안면비대칭자의 3차원 전산단층사진 분석에서 경$\cdot$연조직간 비대칭 정도 차이)

  • Kim, Wang-Sik;Lee, Ki-Heon;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.35 no.3 s.110
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    • pp.163-173
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    • 2005
  • The purpose of this study was to compare the asymmetric degree between maxillofacial hard and soft tissues in individuals with facial asymmetry. Computerized tomographies (CT) of 34 adults (17 male, 17 female) who had facial asymmetry were taken. The CT images were transmitted to personal computers and then reconstructed into three-dimensional (3D) images through the use of computer software. In order to evaluate the degree of facial asymmetry, 6 measurements were constructed as the hard tissue measurements while 6 counterpart measurements were taken as the soft tissue measurements. The means and standard deviations were obtained for each measurement using 3D measure, then t-test was used to investigate the differences between each hard tissue measurement and the corresponding soft tissue measurement All measurements used in the present study showed statistically significant differences between the hard and soft tissues. The degree of soft tissue asymmetry was smaller than that of corresponding hard tissue asymmetry in case of chin deviation, frontal ramal inclination difference, and frontal corpus inclination difference. On the other hand, the degree of soft tissue asymmetry was greater than that of underlying hard tissue asymmetry in the measurement of lip canting and lip cheilion height difference The present study suggests that asymmetric differences of hard and soft tissue is observed nu facial asymmetric subjects and thus soft tissue analysis is needed in addition to hard tissue analysis when making an evaluation of facial asymmetry.

Occupational Therapy in Hypoxic-Ischemic Brain Injury Patient by Suicidal Attempt: Case Report (자살시도로 인한 저산소성 허혈성 뇌손상 환자의 재활치료 - 인지 재활과 연하 재활을 중심으로: 사례연구)

  • Lee, Eui-Yun;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.11-26
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    • 2018
  • Objective : This case study was to verify effects of cognitive rehabilitation and swallowing rehabilitation on Hypoxic-Ischemic Brain Injury patient by Suicidal Attempt. Methods : The subject was a 32-year old Hypoxic-ischemic brain injury patient by suicidal attempt. He received treatment once a day five times a week, for a half an hour for each session from September 8th to December 16th, 2016. Treatment were cognitive and swallowing rehabilitation. He was assessed based on Mini-Mental State Examination-Korean (MMSE-K), Korean-Modified Barthel Index (K-MBI), Computerized Neurocognitive Function Test (CNT), Videofluoroscopic Dysphagia Scale (VDS), American Speech-Language-Hearing Association National Outcomes Measurements System (ASHA-NOMS). Results : The patient's total MMSE-K score increased from 25 to 27. His K-MBI score increased from 74 to 88. His memory, attention span, and executive function (DST, VST, SWCT, WCST) by CNT scores were improved. VDS score has no changes to 34, 44.5 and 34. ASHA-NOMS score also has no change to 6, 2 and 6. Conclusion : The study showed that the application of the treatment of cognitive and swallowing in hypoxic-ischemic brain injury patient by suicidal attempt results has positive effects on cognitive functions, and swallowing function.

The Usefulness of Video Fluoroscopic Swallowing Study in Post-Stroke Dysphagia Patients (뇌졸중 후 연하장애 환자에서 비디오 투시 연하 조영검사의 유용성)

  • Eun, Sung-Jong;Kim, Sung-Gil;Hong, Jea-Ran
    • Journal of the Korean Society of Radiology
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    • v.4 no.3
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    • pp.19-25
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    • 2010
  • Dysphagia is common and serious problems in post-stroke patients. The post-stroke dysphagia with aspiration is associated with dehydration, malnutrition, pneumonia, sepsis and death. Up to date, gag reflex and choking history used to decide the aspiration in clinical. The purpose of this study was to evaluate the aspiration and to choice the proper meal formation using by video fluoroscpic swallowing study(VFSS) with post-stroke dysphagia patients. 58 post-stroke patients and ten normal person participated to perform the VFSS with liquid type, puding, yoplait, rice mixed with barium(Ba). Two rehabilitation medicine doctors and a radiological technologist analysed the phase(oral, pharyngeal, esophageal phase)with video film, and checked the pharyngeal transition time(PTT). 38 patients showed abnormality in pharyngeal phase, 13 patients in oral and pharyngeal phase, 3 patients in oral phase, and 2 patients in pharyngeal and esophageal phase. 43 patients(65.2%) occured the aspiration, but 23 of 43 patients improved by the chin tuck position. Aspiration occured 34 patients in liquid type, 2patients in rice gruel and nothing in boiled rice. After VFSS, 13 of 23 patients change the intaking pathway from nasogastric tube(NGT) to oral, On the contrary with 3 of 42 patients from oral to NGT. Consequently VFSS is clearly effective to evaluate the aspiration with post-stroke dysphagia patients.

Blood Lead Levels of Children in Ulsan Industrial Area (울산공단지역 초등학생들의 혈중 연농도에 관한 연구)

  • Yoo, Cheol-In;Lee, Ji-Ho;Lee, Choong-Ryeol;Kim, Sung-Ryul;Lee, Seon-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.2 s.61
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    • pp.240-248
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    • 1998
  • We conducted this study to obtain basic data of lead concentrations in children of Ulsan industrial area and to evaluate the difference in blood lead levels between industrial area and suburban area. The study subjects were composed of 348 school children residing in industrial area and 100 school children of suburban area. There is no difference in age and sex distribution of study participants between industrial and suburban area. The obtained results were as follows; 1. The geometric means of blood lead levels of study participants were $4.90{\mu}g/d\ell$, which is lower than current acceptable value $10{\mu}g/d\ell$. 2. The children residing in industrial area had the higher blood lead levels$(5.26{\mu}g/d\ell)$ than suburban children$(3.81{\mu}g/d\ell)$ with statistical significance(P<0.001).

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The Relationship of Lew-Level Blood Lead to Plasma Renin Activity and Blood Pressure (저농도 혈중연과 혈장레닌활성도 및 혈압과의 관련성)

  • Park, Soon-Woo;Kim, Doo-Hie
    • Journal of Preventive Medicine and Public Health
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    • v.24 no.4 s.36
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    • pp.516-530
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    • 1991
  • A case-control study was conducted to investigate the effect of low-level blood lead on the blood pressure. The plasma renin activity(PRA) was measured also to investigate one of the possible mechanisms by which lead nay play a role to influence on the blood pressure. Seventy-two hypertensive and sixty -nine control study subjects were selected from the workers who had no history of b-related lead exposure, in Ulsan city and it's vicinity, Korea. In addition to measuring blood lead levels and PRA, body mass index(BMI), hematocrit, serum sodium, potassium, creatinine, ionized calcium, and cholesterol were measured. Also, the habits of smoking, alcohol drinking and family history of hypertension were checked. The blood lead level of the hypertensive group was $19.8{\pm}5.5{\mu}g/dl$, which was significantly higher than that of the control group, $12.5{\pm}4.7{\mu}g/dl$(p<0.01). On multiple logistic regression analysis, the odds ratio of blood lead level on the occurence of high blood pressure was 1.38, also statistically significant (p<0.01). There was no significant differences between the hypertensive and the control group in the PRA or In (PRA), but there was a marginally significant linear relationship between blood lead and PRA in the hypertensive group(p<0.1). In conclusion, blood lead level which has been known to be within normal limits may be one of the possible risk factors of hypertension and PRA alteration by lead may act as one of the mechanisms.

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Marital Decision Process of Older Women and Younger Men Couple: Focusing on 30-40 years old Women (연상녀-연하남 부부의 결혼결정 과정: 30-40대 여성의 경험을 중심으로)

  • Lee, Se Ran;Kim, Hyun Joo
    • Korean Journal of Family Social Work
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    • no.54
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    • pp.107-153
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    • 2016
  • The purpose of this study was to explore the marriage decision-making process and experience of the 'Older women-Younger men couple' and presenting a substantive theory to explain the decision-making process that married women experience of 'Older women-Younger men couple'. This in-depth interviews were conducted 11 female people among 32-48 years of 'Older women-Younger men couple.' Analysis of the data was applied to the "grounded theory" method of Qualitative research methods suggested by Strauss and Corbin(1998). Research questions of this study is that what is the experience of the marriage decision-making process to 'Older women-Younger men couple?'. After analyzing the data to the grounded theory method 75 concepts and 29 sub-categories, 14 categories were derived. Older women experienced a central phenomenon of 'ambivalence of love and anxiety'.'Older women-Younger men couple's marriage decision-making process of the women had to 'step adjustment', 'acceptable level', 'Step enacted', and 'Older women-Younger men couple's core category of married women in the decision-making process' was 'Intimacy based on the trust each other beyond the prejudices of the differences'. This study is meant by presenting the basic data provided professional counseling intervention measures for 'Older women-Younger men' couple by collectively Understanding the decision-making process of Older women-Younger men couple married.