• Title/Summary/Keyword: 진단 시스템

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Trend Analysis of Medical Care Utilization among People with Autistic Spectrum Disorder Using National Health Insurance Data (자폐성장애인의 의료이용 경향분석 및 시사점 : 국민건강보험자료를 이용한 융복합적 접근)

  • Yun, Jieun;Kim, Hyun Joo
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.411-418
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    • 2018
  • The purpose of this study was to estimate the current status and trends of healthcare utilization among people with ASD. Using National Health Insurance open database, from 2010 to 2017. We analyzed the treatment prevalence for people with ASD, the pattern of healthcare utilization, the difference in medical care utilization according to age, and the type and location of main medical institutions. The main results of the study are as follows: First, the medical utilization has been continuously increasing from 2010 to 2017. The total amount of medical utilization is increased by 50% in 2017 compared to 2010, and the treatment prevalence was estimated to be 79.1% in 2017 and medical uses for the next three years is also increasing. Second, the pattern of medical care utilization varied widely according to age, especially after 20 years of age. Third, the types of medical institutions that were mainly used were 45.6% in the medical clinic and 35.9% in Seoul. The results of this study can be used as a minimum reference point of evaluating the effectiveness of government policy on future autistic disorders. However, further studies are required to increase the prevalence of treatment for autistic patients and to find out the difference in medical use according to age.

The Effect of Intensive Weight Shift Training on Seated Postural Balance in Children With Spastic Cerebral Palsy: A Case Study (집중체중 이동훈련이 뇌성마비 아동의 체간조절 능력에 미치는 영향: 사례연구)

  • Ryu, Hyun-Nam;Han, Jin-Tae
    • The Journal of Korean Academy of Sensory Integration
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    • v.17 no.1
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    • pp.9-18
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    • 2019
  • Objective : This study investigated the effect of intensive weight shift training (IWST) on the ability to balance in a sitting posture of children with spastic cerebral palsy (SCP). Methods : One child with spastic diplegia participated in this study for a total of 8 weeks using the ABA experimental design. For the pre-intervention period (A1), general physical therapy (GPT) for children with SCP was performed. The intervention period (B1 and B2), GPT and IWST were conducted for children with SCP, and GPT was conducted again for the post-intervention period (A'1 and A'2). Trunk control capacity was measured using the Korean Trunk Control Measurement Scale (TCMS-K) and Biorescue (RM Ingenierie, France). Results : All TCMS-K variables increased from A1 to B2, and decreased from B2 to A'2. The total area with limit of stability (LOS) increased from A1 to B2, and decreased from B2 to A'2. The ratio of the left/right (Lt/Rt) and anterior/posterior (Ant/Post) LOS area was closer to 1, meaning symmetry, in B2 than in A1. The ratio of the Lt/Rt LOS area decreased further from 1 in A'2 than in B2. The ratio of the Ant/Post LOS area was closer to 1 in A'2 than in B2. Conclusion : IWST had a positive effect on the improvement of balance in the sitting posture of a child with SCP. The results suggest that IWST might help to improve the balance abilities of children with SCP for independent sitting, postural control, and activities of daily living.

A Study on the Development of Sleep Monitoring Smart Wear based on Fiber Sensor for the Management of Sleep Apnea (수면 무호흡증 관리를 위한 섬유센서 기반의 슬립 모니터링 스마트 웨어 개발에 관한 연구)

  • Park, Jin-Hee;Kim, Joo-Yong
    • Science of Emotion and Sensibility
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    • v.22 no.1
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    • pp.89-100
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    • 2019
  • Sleep apnea, a medical condition associated with a variety of complications, is generally monitored by standard sleep polysomnography, which is expensive and uncomfortable. To overcome these limitations, this study proposes an unconstrained wearable monitoring system with stretch-fiber sensors that integrate with the wearer's clothing. The system allows patients to undergo examinations in a familiar environment while minimizing the occurrence of skin allergies caused by adhesive tools. As smart clothing for adult males with sleep apnea, long-sleeved T-shirts embedding fibrous sensors were developed, enabling real-time monitoring of the patients' breathing rate, oxygen saturation, and airflow as sleep apnea diagnostic indicators. The gauge factor was measured as 20.3 in sample 4. The maximum breathing intake, measured during three large breaths, was 2048 ml. the oxygen saturation was measured before and during breath-holding. The oxygen saturation change was 69.45%, showing a minimum measurable oxygen saturation of 70%. After washing the garment, the gauge factor reduced only to 18.0, confirming the durability of the proposed system. The wearable sleep apnea monitoring smart clothes are readily available in the home and can measure three indicators of sleep apnea: respiration rate, breathing flow and oxygen saturation.

Improving Archival Descriptive Standard Based on the Analysis of the Reviews by Archival Communities on RiC-CM Draft (RiC에 대한 기록공동체의 리뷰를 통해 본 기록물 기술표준 개선을 위한 제안)

  • Park, Ziyoung
    • The Korean Journal of Archival Studies
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    • no.54
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    • pp.81-109
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    • 2017
  • This study suggests an analysis of the reviews provided by international archival professionals on the RiC-CM draft published by ICA EGAD. Some implications for the Korean archival management environment were also suggested. Some professional reviews were accessible through the internet. Italian archival professionals held workshops at various levels for the analysis and discussion of the draft. Duranti, the project director of InterPARES, also gave opinions about the draft in cluding the perspective of digital preservation. In the review of Artefactual, the draft was discussed in terms of system implementation. Reed, the director of Recordkeeping Innovation, also gave a feedback based on the record management experiences in Australia. Some implications can be suggested based on these professional opinions. First, we should try to build a test bed for the adoption of RiC to archival description in the Korean environment. Second, a minimum level of data elements that can secure authenticity and integrity will also be needed. Third and lastly, rich authority data for agents and functions related to archival records and records groups are essential to take full advantage of the standard.

Quantitative image processing analysis for handwriting legibility evaluation (글씨쓰기 명료도 평가의 정량적 영상처리 분석)

  • Kim, Eun-Bin;Lee, Cho-Hee;Kim, Eun-Young;Lee, OnSeok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.158-165
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    • 2019
  • Although evaluation of writing disabilities identification and timely intervention are required, clinicians adopt a manual scoring method and there is a possibility of error due to subjective evaluation. In this study, the size ratio and position of letters are digitized and quantified through image processing of offline handwritten characters. We tried to evaluate objectively and accurately the performance of writing through comparison with existing methods. From November 12th to 16th, 2018, 20 adults without neurological injury were selected. They used a pencil to follow the 10 words, 2 sentence stimuli after keeping the usual habit, and we collected the writing test data. The results showed that the height of the word was 1.2 times larger than the width and it tilted to the lower left. The spacing interval was 9mm on average. In the Paired T test, a high correlation was showed between our system and existing methods in the word and sentence 2. This demonstrated the possibility as a testing tool. This study evaluated objectively and precisely writing performance of offline handwritten characters through image processing and provided preliminary data for performance standards. In the future, it can be suggested as a basic data on writing diagnosis of various ages.

Functional and esthetic improvement through reconstruction of anterior guidance using the modified Dahl principle and copy-milled technique of CAD/CAM system: A case report (적절한 전방 유도 재현을 위해 수정된 Dahl 원리 및 CAD/CAM 복제 기법을 이용하여 전치부의 기능 및 심미성을 개선한 보철 수복 증례)

  • Kim, Sung-Ho;Choi, Yu-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.2
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    • pp.160-170
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    • 2019
  • The anterior guidance is one of the important factors in prosthodontic treatment of anterior teeth. The lingual surface shape of anterior restorations is so critical that small errors of treatment procedure can cause discomfort of the patient and disharmony of the dentition. If the anterior restorations are achieved harmonious anterior guidance through the fabrication and adjustment of provisional restorations, it is important to accurately reproduce the lingual surface shape of provisional restorations as the final prosthesis. In this case report, it was used the modified Dahl principle and copy-milled technique of computer-aided design/computer-aided manufacturing (CAD/CAM) system for systematic diagnosis and treatment. Therefore, we tried to reconstruct the restoration shape more precisely by setting the appropriate anterior guidance and superimposing the digital image of the abutment teeth and the provisional restorations. Thus, by promoting functional and esthetic recovery, this case report demonstrates satisfying results to both the patients and dentist.

Early Successional Change of Vegetation Composition After Clear Cutting in Pinus densiflora Stands in Southern Gangwon Province (강원도 남부지역에서 소나무림 벌채 후 초기 종조성 변화)

  • Cho, Yong Chan;Kim, Jun Soo;Lee, Chang Seok;Cho, Hyun Je;Lee, Ho Yeong;Bae, Kwan Ho
    • Journal of Korean Society of Forest Science
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    • v.100 no.2
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    • pp.240-245
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    • 2011
  • Vegetation changes were studied for 16 yr in clearcut logged Pinus densiflora forests in the southern Gangwon-do province in Korea by applying chronosequence approach. Ambient temperature and relative humidity, Detrended Correspondence Analysis (DCA), Multiple Responses Permutation Procedure (MRPP), Indicator Species Analysis (ISPAN) were used to examine successional trajectory and compositional changes. After clearcutting, canopy openness was increased abruptly at three folds (1yr 68.3% and R1 23.0%) and then decreased, but relative moisture was slightly decreased (6%) compare to control site. In the result of DCA, right after clear cutting, vegetation composition was developed heterogeneously compared to control sites, and then approached to control sites within 16 years. Based on MRPP, species composition of each developmental stages (1yr, 3yr, 10yr and 16yr) revealed signigicant differences to that of control vegetation (R1, R3, R10 and R16). Indicator species in 1yr and 3yr samples included various woody species rather than herbaceous species, but in 10yr and 16yr, herbaceous were more abundant. Earlier succession of pine forests likely can explain to Initial Floristic Composition (IFC) Model.

The Status of Higher Education Reform Drive and Improvement Tasks of Moon's administration : Focusing on University Restructuring Project and Higher Education Funding System (문재인 정부 고등교육 개혁 추진 현황 및 개선과제: 대학 구조개혁 및 재정지원 사업 재편 정책을 중심으로)

  • Byun, Ki yong;Song, In-Yeong
    • (The)Korea Educational Review
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    • v.24 no.2
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    • pp.51-79
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    • 2018
  • The purpose of this study is to critically reflect on whether the higher education(HE) restructuring & funding policy proposed by the Moon administration can properly tackle the structural problems confronting Korean HE system. The three major structural problems having entrenched during the rapid expansion of Korean HE system since 1945 can be identified as (1) a 'high cost - low efficiency system' based heavily on 4-year private universities, (2) lack of clear distinction of the roles and connection among different types of higher education institutions (HEIs), and (3) provider-oriented education system and culture seemingly still being widespread at Korean HEIs. This study analyzed the validity of Moon Administration's HE restructuring and funding policy from both a macro- and micro-perspective. From a macro-perspective, this study raised concerns regarding the projects to nurture a national university and a government-dependent private university which will require huge public money. In terms of both the feasibility to secure enough funds and the validity of the proposed policy measures in the existence of unclear roles between public and private HEIs in Korea, this study criticized these policies and proposed, as an alternative policy measure, a low-cost and flexibly operated HEIs such as a government-dependent polytechnic, and a measure to increase connection between different types of HEIs. From a micro perspective, this study suggested, based on 'the expanded principal-agent theory (Waterman & Meier, 1998)', that it would be considered to introduce a more flexible approach in designing the level of government intervention depending upon the maturity of quality assurance procedure at individual universities and the level of goal conflicts between government and individual university.

Study of Practical Method for International 10~20 Electrode System (국제적인 10~20 전극시스템의 실용적인 방법에 관한 연구)

  • Kim, Sung-Hee;Lee, Ok-Kyoung;Kim, Dae Jin
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.1
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    • pp.60-67
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    • 2021
  • Electroencephalography (EEG) is used for the diagnosis of epilepsy and testing the brain function. Clinical technologists are responsible for recording EEG without artifacts in accordance with the international 10~20 electrode system. Training on these techniques requires practical education. In the case of EEG, however, it is difficult for trainees to find the correct location of the electrode. Therefore, this study compared the time spent to locate the electrode attachment between traditional tape and the newly developed band. The time spent for sitting position patients using the band (196.7±61.8s) was 1084.3 s faster than the tape (1,281.0±457.4s) (P<0.001). Furthermore, the spend time spent for lying position patients using the band (200.2±49.3s) was 1217.7s faster than the tape (1417.9±482.3s) (P<0.001). Measurements using the band showed fewer differences due to various factors, such as position, practical experience, and gender. The newly developed band can locate the correct electrode attachment position quickly and efficiently, which has been a difficult problem in EEG practical education. In addition, this band is expected to be applied widely by new clinical technologists in the clinical field. Nevertheless, more study will be required to verify the accuracy of the location of the attaching electrode.

The Development of Park Analysis Indicators and Current Status: A Case Study of Daejeon Metropolitan City (공원 분석 지표 개발 및 현황 분석: 대전광역시를 중심으로)

  • Hwang, Jae-Yeon;Gwak, Seung-Yeon;Kim, Sang-Kyu;Park, Min-Ju
    • Land and Housing Review
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    • v.13 no.1
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    • pp.99-112
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    • 2022
  • There is growing significance in securing urban parks and enhancing their accessibility due to irrational residential developments and apartment construction. Accordingly, Daejeon Metropolitan City has carried out urban park management projects to improve the quality of parks and create new parks. Daejeon Metropolitan City generates and manages park data for the purpose of management by the administrative district. However, these datasets take different forms in each administrative district. This study integrates the park data in Daejeon, generated by administrative districts, into the same format and generates geographic information data with the area information of each park for analysis. Analysis results show that urban parks are severely imbalanced across administrative districts, requiring new policy measures. In addition, by normalizing the park analysis results and, then, creating their rankings, this study compares them with the actual park information in detail to confirm the soundness of the dataset. The analysis results provide implications to improve the management of urban parks. This study proposes integrated datasets and the continued management of them in each administrative district by including essential data that can feature the objective information of the parks along with park evaluation indicators based on previous studies.