• Title/Summary/Keyword: Case record

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Communication Support System for ALS Patient Based on Text Input Interface Using Eye Tracking and Deep Learning Based Sound Synthesi (눈동자 추적 기반 입력 및 딥러닝 기반 음성 합성을 적용한 루게릭 환자 의사소통 지원 시스템)

  • Park Hyunjoo;Jeong Seungdo
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.20 no.2
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    • pp.27-36
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    • 2024
  • Accidents or disease can lead to acquired voice dysphonia. In this case, we propose a new input interface based on eye movements to facilitate communication for patients. Unlike the existing method that presents the English alphabet as it is, we reorganized the layout of the alphabet to support the Korean alphabet and designed it so that patients can enter words by themselves using only eye movements, gaze, and blinking. The proposed interface not only reduces fatigue by minimizing eye movements, but also allows for easy and quick input through an intuitive arrangement. For natural communication, we also implemented a system that allows patients who are unable to speak to communicate with their own voice. The system works by tracking eye movements to record what the patient is trying to say, then using Glow-TTS and Multi-band MelGAN to reconstruct their own voice using the learned voice to output sound.

CLINICAL STUDY OF COMPLICATIONS OF ORTHOGNATHIC SURGERY FOR THE DENTOFACIAL DEFORMITIES (악변형환자의 악교정수술시 합병증에 관한 연구)

  • Kim, Yeo-Gab;Lee, Sang-Chull;Lee, Baek-Soo;Kim, Byung-Ju
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.3
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    • pp.247-258
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    • 1994
  • We got this conclusion from an investigation about complications from 144 cases of 130 patients who were to be searched their personal records, admission chart, clinical laboratory sheet, anesthetic record, consult sheet and radiographic opinion. They had orthognathic surgery for maxillofacial deformity treatment at the department of oral and maxillofacial surgery in dental school of Kyung Hee university for 4 years and 10 months, from March 1989 to December 1993. 1. In the intraoperative phase, by the frequency of complication, blood vessel injury was found the most-22%, and then soft tissue injury, unfavorable osteotomy split, and there were some cases of tooth injury and inappropriate osteotomy. In the mandibular segmental osteotomy, blood vessel injury was found the most frequently-20 cases (27%), soft tissue injury, unfavorable osteotomy split were the second frequent cases, and then unfavorable fragment position was found. In the extraoral vertical ramus osteotomy and Le Fort I osteotomy also, blood vessel injury and nerve injury were found the most. 2. In the postoperative hospitalization phase, by the frequency of complication, hematoma (23%) was happened the most, except for that, lkie the complication that can be happened by adverse reaction of medicine or long hospital life. In the case of SSRO, there were 21 cases (20%) of hematoma, and this wal the most frequently case. In the case of EVRO, hematoma wasn't happened that much-2 case (4%). 3. In the follow up phase, relaps, numbness and TMJ dysfunction were happened. In mandibular surgery, the forward relapse percentage of point B, was 27% when used wire fixation on SSRO, was 15% by miniplate fixation on SSRO and was 7% on EVRO. In the case of SSRO, numbness was kind of high, comparing to ordinary surgery-12 cases(16 There were many difficulties in analyzing this data accurately, Although orthognathic surgery is done many times, only available date is from the "success" stories and data is not consistently recorded for the cases with complications. In this manner, much essential informantion is lost and overlooked. When data is charted including those cases that are seemingly insignificalt, we can have a much clearer understanding and more accurate guide on treatment protocols.

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Development and Verifying of Calculation Method of Standard Rainfall on Warning and Evacuation for Forest Soil Sediment Disaster in Mountainous Area by Using Tank Model (Tank Model을 이용한 산지토사재해 경계피난 기준우량 산정법 개발 및 검토)

  • Lee, Chang-Woo;Youn, Ho Joong;Woo, Choong Shik
    • Journal of Korean Society of Forest Science
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    • v.98 no.3
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    • pp.272-278
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    • 2009
  • This study was conducted to develope calculation method of standard rainfall, which was used for predicting the outbreaking time of disaster by using Tank model, on warning and evacuation for soil sediment disaster. We investigate adeption possibility of developed method through comparing storage function method with Tank model. We calculated storage amount rainfall by storage function method and Tank model with 36 hillslope failures which have record on outbreaking time of disaster. The result in case of Sedimentary (quarternary period) showed that the difference of outbreaking time was 1.6 hour in case of tank model, but 3.2 hour in case of storage function method. In addition, the deviation of the peak storage were 7% in case of tank model, but 63% in case of storage function method. Total evacuation period was analyzed by using observed 5 years (1993-1997) rainfall data as well as each standard rainfalls which were determinated by two methods. The result showed that evacuation time by storage function method was about twice as many as that by tank model. Therefore, we concluded that calculation by tank model for predicting the outbreaking time of disaster was more useful and accurate than storage function method.

A Study on the Issues on the Right of Portrait for Performing Arts Archives (공연예술기록의 초상권에 관한 연구)

  • Lee, Ho-Sin
    • Journal of Korean Library and Information Science Society
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    • v.44 no.1
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    • pp.333-355
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    • 2013
  • This paper is to examine the issues of the right of portrait and to suppose practical guideline for performing arts archives. The right of portrait protects external looks of the human beings based on the constitutional human dignity, privacy of a secret and freedom. But sometimes these rights are limited in case of the right to know of the public shall have precedence to the interests of the privacy of individuals. It is hard to regard Performing Arts as a private life in two respects: first, Performing Arts is just one of societal expressions, two, performers are conducting a given role as a performing character. Producing database with the photos and videos under the reasonable agreement from the performers and making it available as a service can be disclaimers of the right of portrait. It is hard to be acknowledged, however, as disclaimers in case of being undermined sameness in the course of using the portraits of the performers.

Absorbed and effective dose from spiral and computed tomography for the dental implant planning (치과 임프란트 치료 계획을 위한 나선형 일반 단층촬영과 전산화 단층촬영시 흡수선량 및 유효선량 평가)

  • Hong Beong-Hee;Han Won-Jeong;Kim Eun-Kyung
    • Imaging Science in Dentistry
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    • v.31 no.3
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    • pp.165-173
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    • 2001
  • Objectives : To evaluate the absorbed and effective doses of spiral and computed tomography for the dental implant planning. Materials and Methods: For radiographic projection, TLD chips were placed in 22 sites of humanoid phantom to record the exposure to skin and the mean absorbed dose to bone marrow, thyroid, pituitary, parotid and submandibular glands and nesophagus. Effective dose was calculated, using the method suggested by Frederiksen et al.. Patient situations of a single tooth gap in upper and lower midline region, edentulous maxilla and mandible were simulated for spiral tomography. 35 axial slices (maxilla) and 40 axial slices (mandible) with low and standard dose setting were used for computed tomography. All the radiographic procedures were repeated three times. Results: The mean effective dose in case of maxilla was 0.865 mSv, 0.452 mSv, 0.136 mSv and 0.025 mSv, in spiral tomography of complete edentulous maxilla, computed tomography with standard mAs, computed tomography with low mAs and spiral tomography of a single tooth gap (p<0.05). That in case of mandible was 0.614 mSv, 0.448 mSv, 0.137 mSv and 0.036 mSv, in spiral tomography of complete edentulous mandible, computed tomography with standard mAs, computed tomography with low mAs and spiral tomography of a single tooth gap (p<0.05). Conclusions: Based on these results, it can be concluded that low mAs computed tomography is recommended instead of spiral tomography for the complete edentulous maxilla and mandible dental implant treatment planning.

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Fabrication of complete dentures for a patient with odontogenic myxoma: A case report (치성 점액종 환자의 총의치 수복증례)

  • Jeong, Da-Woon;Kim, Hyun-Hee;Bae, Jung-Yoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.64-69
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    • 2018
  • Odontogenic myxoma of the jaws is a rare benign odontogenic tumor. In this case, a 61-year-old male patient had a chief complaint about maxillary anterior gingival mass and excisional biopsy result confirmed odontogenic myxoma. The clear acrylic resin custom tray was designed to minimize displacement of flabby tissue which remained after the surgery. Neutral zone and external impression technique could provide satisfactory result in terms of denture stability and retention during jaw relation record and wax denture try-in procedure. This clinical report describes fabrication of complete dentures for a patient with odontogenic myxoma in regard to flabby tissue and neutral zone.

A Case Study on the Metacognition of Mathematically Gifted Elementary Students in Problem-Solving Process (초등 수학영재들이 수학문제 해결과정에서 보이는 메타인지 사례 연구)

  • Han, Sang-Wook;Song, Sang-Hun
    • Journal of Elementary Mathematics Education in Korea
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    • v.15 no.2
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    • pp.437-461
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    • 2011
  • The purpose of this study was to examine the metacognition of mathematically gifted students in the problem-solving process of the given task in a bid to give some significant suggestions on the improvement of their problem-solving skills. The given task was to count the number of regular squares at the n${\times}$n geoboard. The subjects in this study were three mathematically gifted elementary students who were respectively selected from three leading gifted education institutions in our country: a community gifted class, a gifted education institution attached to the Office of Education and a university-affiliated science gifted education institution. The students who were selected from the first, second and third institutions were hereinafter called student C, student B and student A respectively. While they received three-hour instruction, a participant observation was made by this researcher, and the instruction was videotaped. The participant observation record, videotape and their worksheets were analyzed, and they were interviewed after the instruction to make a qualitative case study. The findings of the study were as follows: First, the students made use of different generalization strategies when they solved the given problem. Second, there were specific metacognitive elements in each stage of their problem-solving process. Third, there was a mutually influential interaction among every area of metacognition in the problem-solving process. Fourth, which metacognitive components impacted on their success or failure of problem solving was ascertained.

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A case study of advanced gastric cancer patient with metastasis to liver (간전이를 동반한 진행성 위암 환자 1례(例)에 대한 임상보고(臨床報告))

  • Song Kee-Cheol;Choi Byung-Lyul;An Jung-Jo;Lim Seung-Min;Kim Man-Ho;Lee Ji-Young;Yoo Hwa-Seung;Cho Jung-Hyo;Lee Yeon-Weol;Son Chang-Gue;Cho Chong-Kwan;Kim Yeon-Jin
    • The Journal of Internal Korean Medicine
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    • v.24 no.4_2
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    • pp.1067-1074
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    • 2003
  • Objectives : This study was designed to evaluate the effects of traditional oriental therapies(TOT) on advanced gastric cancer(AGC) patient with metastasis to liver. Methods : We retrospectively analyzed the medical record of a case of AGC patient in stage IV with metastasis to liver who had been treated with TOT for 5 months continuously in East-West Cancer Center of Oriental Hospital of Daejeon University from 5 March 2003 through 22 July 2003. Results : After treated with TOT for the 5 months, most of symptoms were disappeared or improved and tumor size was decreased on abdominal CT compared with the previous result. The hematological results and tumor markers were not increased. Conclusions : From the above results, it could be suggested that TOT have effects on improving symptoms and quality of life as a supportive or curative therapy for AGC patients.

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A Study of the Analysis of Treatment Expenses of Selected Common Diseases Covered by Medical Care Inserance System (흔한 질병(疾病)의 진료비분석(診療費分析))

  • Kim, Jin-Soon
    • Journal of agricultural medicine and community health
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    • v.14 no.1
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    • pp.16-29
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    • 1989
  • The general objective of this study is to grasp the treatment expenses of common diseases by character of medical care institutions. The specific objective is to find out the treatment expenses for selected common diseases by type of medical care institutions and also by level of symptom. A record review method was employed to obtain required information for the analysis of expenses. A total of 40,000 cases treated by 85 medical care institutions were selected by the study team during the period 22 June to 14 July 1988. The 85 medical care institutions were sampled by stratified proportionate random sampling method. The major findings obtained from the information collected by the study team are as follows ; 1) Treatment expenses were composed of physical examination, medication, injection anesthesia, rehabilitation surgical intervention, lab test, X-ray and diagnosis. The highest expenses was for medication, accounted for 36.7% of the total: 13.9%, injection; Lab, tests respectively: 10.5%, physical examination : 8.6% surgical intervention; 7.9% admission : 6.3%, X-ray and diagnosis: 1.5%, rehabilitation. 2) Treatment expenses per case of common diseases were quite different from not only type of medical care institutions, such as university hospital, general hospital, hospital and clinic, but also from level of symptom. 3) Treatment expenses per case for the aged were higher than that of the young. The treatment cases for over 60 years of age accounted for 19.4% of the total, however the proportion of treatment expenses accounted for 23.8% of the total. 4) Duration of treatment and visits for same diseases varied from type of medical cara institutions. Based on these study findings, the following further research should be conducted: (1) Establishment of health care delivery system. (2) Feasibility of the development of health care programme for the aged. (3) Strengthening for primary health care approach.

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A case of the patient treated with Chunmagudung-um who was diagnosed with Vertebrobasilar insufficiency (척추기저동맥부전환자를 천마구등음(天麻鉤藤飮)으로 치료한 치험 1례)

  • Song, Cheol-Min;Chang, Tong-Young;Rhim, Eun-Kyung;Lee, Yun-Jae;Lee, Jung-Sub;Shin, Sun-Ho;Lee, In;Moon, Byung-Soon;Jeong, Hyun-Ae
    • The Journal of Internal Korean Medicine
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    • v.26 no.3
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    • pp.699-707
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    • 2005
  • Vertebrobasilar insuffciency(VBI) is also refered to as vertebrobasilar transient ischemic attack(V-B TIA). Vertebrobasilar insufficiency is often undiagnosed or misdiagnosed due to complexity of the symptoms. Transcranial doppler(TCD) can be used to possible to record the blood flow velocities in the cerebral arteries through the intact cranium. Transcranial doppler and magnetic resonance angiography(MRA) are both noninvasive techniques that can be used in vertebrobasilar insufficiency, but transcranial doppler is more sensitive with respect to evaluating stenotic lesion of the arteries than magnetic resonance angiographv. Diagnostic values of transcranial doppler were assessed in patients with vertebrobasilar insufficiency. A case of vertebrobasilar insufficiency is here reported. A 62-year-old man with dizzness, nausea and tremor because of vertebrobasilar insufficiency was admitted at Wonkwang Oriental Medicine Hospital. He was treated with the herbal medicine Chunmagudung-um and with acupunture. Results showed improvement of symptoms and favorable transcranial doppler readings. The process used in this successful treatment is here described.

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