• Title/Summary/Keyword: Digital intervention

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An Automated Technique for Detecting Axon Structure in Time-Lapse Neural Image Sequence (시간 경과 신경계 영상 시퀀스에서의 축삭돌기 추출 기법)

  • Kim, Nak Hyun
    • Journal of the Korean Institute of Intelligent Systems
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    • v.24 no.3
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    • pp.251-258
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    • 2014
  • The purpose of the neural image analysis is to trace the velocities and the directions of moving mitochondria migrating through axons. This paper proposes an automated technique for detecting axon structure. Previously, the detection process has been carried out using a partially automated technique combined with some human intervention. In our algorithm, a consolidated image is built by taking the maximum intensity value on the all image frames at each pixel Axon detection is performed through vessel enhancement filtering followed by a peak detection procedure. In order to remove errors contained in ridge points, a filtering process is devised using a local reliability measure. Experiments have been performed using real neural image sequences and ground truth data extracted manually. It has been turned out that the proposed algorithm results in high detection rate and precision.

Meta-analysis on the effects of the prevention and intervention programs for internet addiction (인터넷 중독 예방 및 개입 프로그램의 효과에 대한 메타분석)

  • Oh, Ik-Soo;Kim, Chul
    • Journal of The Korean Association of Information Education
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    • v.13 no.4
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    • pp.529-537
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    • 2009
  • This study was to meta-analyze the effects of the internet addiction programs for elementary, junior, and high school students. The 54 programs to meet the conditions for meta-analysis were selected using internet search on the homepage of National Digital Library, KERIS, and National Assembly Library and the key words such as 'internet', 'addiction', 'counseling', and 'program' were used for searching the programs. The results of this study were followings: First, the average score of the effect sizes of 54 programs was 1.89 and thus the internet addiction programs had great positive effects on the improvement of adolescent's internet addiction. Second, all the programs' effect size scores showed more than 1.25 except psychological education program. Third, there were no significant differences at the effect size scores among elementary school students' goup, junior school student's group, and high school students' group. Fourth, when programs had more than 6 sessions, the programs showed desirable effect size. Fifth, when programs had were less than 15 subjects, the program's effect sizes were sufficiently great.

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A Study on the Factors Obstructing Prostitutes' Escape from Prostitution (성매매 여성들의 탈성매매 저해요인에 관한 연구)

  • Lee, Keun-Moo;Yu, Eun-Ju
    • Korean Journal of Social Welfare
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    • v.58 no.2
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    • pp.5-31
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    • 2006
  • Since enforcement of the anti-prostitution law, in spite of systematic setting helping escape prostitution of the women who engage in prostitution that they have had the will lasting prostitution. Therefore, this study aimed to devise intervention plan helping their escape prostitution and return to social by examining individual and structural factor obstructing their escape prostitution The data were collected through the in-depth interview and text. And these were analysed according to coding, constitution of concept, matching, construction of explanation on the phenomenon. The nine women who engaging in prostitution were participated in this study. As a result of the data analysis, 46 concepts and 10 categories were generated. By classification of individual and structural factor, the outcomes of an interpretation were as follows: The cause obstructing Prostitutes' escape prostitution were (1) distrust on the policy of the government, (2) life-script was made by reaction-formation, (3) predestined resignation caused by anxiety, (4) body as capital goods, and (5) the commensal model with pimp. Based on this result, we proposed practical and political alternative plans for prostitutes.

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Effect of Acupressure Massage on Temperatures of Acupoints, Severity of Facial Paralysis, Subjective Symptoms, and Depression in Bell's Palsy Patients

  • Lee, Jeongsoon;Chung, Younghae
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.140-149
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    • 2015
  • Purpose: Bell's palsy is a nerve paralysis disease that causes functional impairments and affects psychological and aesthetical parts. This study aimed to examine whether acupressure massage had positive effects on facial paralysis, subjective symptoms, and depression in Bell's palsy patients. Methods: This study was conducted by a nonequivalent control group pretest-posttest design. Participants were 60 patients with Bell's palsy. 30 patients were assigned to the experimental group and the remaining 30 patients were assigned to the control group. The period of the study was from October 1, 2008 to July 30, 2009. Acupressure massage was offered to the experimental group for 20 minutes per day for two weeks (a total of six times). A SPSS/Win 12.0 program was used for data analysis. Results: A difference in Digital Infrared Thermographic Imaging (DITI) between affected and unaffected sides was less in the experimental group having acupressure massage than in the control group and the score of the recovery of facial paralysis was also increased in the experimental group. The Facial Nerve Grade Systems by Brackmann score that is a more objective index showed a significant difference between two groups (F=26.81, p<.001). Subjective symptom and depression scores were more decreased in the acupressure massage group than in the control group. Conclusion: Based on the results, it is considered that acupressure massage can be applied to Bell's palsy patients as an alternative therapy. It can be used as an evidence-based East-West nursing intervention to improve patients' physical and mental functions.

The Radiation Exposure of Radiographer Related to the Location in C-arm Fluoroscopy-guided Pain Interventions

  • Chang, Young Jae;Kim, Ah Na;Oh, In Su;Woo, Nam Sik;Kim, Hae Kyoung;Kim, Jae Hun
    • The Korean Journal of Pain
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    • v.27 no.2
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    • pp.162-167
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    • 2014
  • Background: Although a physician may be the nearest to the radiation source during C-arm fluoroscope-guided interventions, the radiographer is also near the fluoroscope. We prospectively investigated the radiation exposure of radiographers relative to their location. Methods: The effective dose (ED) was measured with a digital dosimeter on the radiographers' left chest and the side of the table. We observed the location of the radiographers in each procedure related to the mobile support structure of the fluoroscope (Groups A, M and P). Data about age, height, weight, sex, exposure time, radiation absorbed dose (RAD), and the ED at the radiographer's chest and the side of the table was collected. Results: There were 51 cases for Group A, 116 cases for Group M and 144 cases for Group P. No significant differences were noted in the demographic data such as age, height, weight, and male to female ratio, and exposure time, RAD and ED at the side of the table. Group P had the lowest ED ($0.5{\pm}0.8{\mu}Sv$) of all the groups (Group A, $1.6{\pm}2.3{\mu}Sv$; Group M, $1.3{\pm}1.9{\mu}Sv$; P < 0.001). The ED ratio (ED on the radiographer's chest/ED at the side of the table) of Group A was the highest, and the ED radio of Group P was the lowest of all the groups (Group A, $12.2{\pm}21.5%$; Group M, $5.7{\pm}6.5%$; Group P, $2.5{\pm}6.7%$; P < 0.001). Conclusions: Radiographers can easily reduce their radiation exposure by changing their position. Two steps behind the mobile support structure can effectively decrease the exposure of radiographers by about 80%.

An Artificial Neural Network Learning Fuzzy Membership Functions for Extracting Color Sketch Features (칼라스케치 특징점 추출을 위한 퍼지 멤버쉽 함수의 신경회로망 학습)

  • Cho, Sung-Mok;Cho, Ok-Lae
    • Journal of the Korea Society of Computer and Information
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    • v.11 no.3
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    • pp.11-20
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    • 2006
  • This paper describes the technique which utilizes a fuzzy neural network to sketch feature extraction in digital images. We configure an artificial neural network and make it learn fuzzy membership functions to decide a local threshold applying to sketch feature extraction. To do this. we put the learning data which is membership functions generated based on optimal feature map of a few standard images into the artificial neural network. The proposed technique extracts sketch features in an images very effectively and rapidly because the input fuzzy variable have some desirable characteristics for feature extraction such as dependency of local intensity and excellent performance and the proposed fuzzy neural network is learned from their membership functions, We show that the fuzzy neural network has a good performance in extracting sketch features without human intervention.

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Use of an Optical Scanning Device to Monitor the Progress of Noninvasive Treatments for Chest Wall Deformity: A Pilot Study

  • Kelly, Robert E. Jr.;Obermeyer, Robert J.;Kuhn, M. Ann;Frantz, Frazier W.;Obeid, Mohammad F.;Kidane, Nahom;McKenzie, Frederic D.
    • Journal of Chest Surgery
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    • v.51 no.6
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    • pp.390-394
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    • 2018
  • Background: The nonsurgical treatment of chest wall deformity by a vacuum bell or external brace is gradual, with correction taking place over months. Monitoring the progress of nonsurgical treatment of chest wall deformity has relied on the ancient methods of measuring the depth of the excavatum and the protrusion of the carinatum. Patients, who are often adolescent, may become discouraged and abandon treatment. Methods: Optical scanning was utilized before and after the intervention to assess the effectiveness of treatment. The device measured the change in chest shape at each visit. In this pilot study, patients were included if they were willing to undergo scanning before and after treatment. Both surgical and nonsurgical treatment results were assessed. Results: Scanning was successful in 7 patients. Optical scanning allowed a visually clear, precise assessment of treatment, whether by operation, vacuum bell (for pectus excavatum), or external compression brace (for pectus carinatum). Millimeter-scale differences were identified and presented graphically to patients and families. Conclusion: Optical scanning with the digital subtraction of images obtained months apart allows a comparison of chest shape before and after treatment. For nonsurgical, gradual methods, this allows the patient to more easily appreciate progress. We speculate that this will increase adherence to these methods in adolescent patients.

Clinical Effectiveness of Acupuncture in the Treatment of Non-Alcoholic Fatty Liver Disease: A Systematic Review (비알코올성 지방간 질환에 대한 침치료의 효과 : 체계적 고찰)

  • Hyun, Joon;Lee, Joo-bok;Kim, So-yeon;Han, Chang-woo
    • The Journal of Internal Korean Medicine
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    • v.39 no.6
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    • pp.1206-1224
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    • 2018
  • Purpose: This systematic review was planned and performed in order to determine the clinical effectiveness of acupuncture for non-alcoholic fatty liver disease (NAFLD). Methods: We searched related randomized controlled trials in several medical online databases, including China National Knowledge Infrastructure (CNKI), Excerpta Medica dataBASE (EMBASE), Public/Publisher MEDLINE (PubMed), Cochrane Central Register of Controlled Trials (CENTRAL), National Digital Science Library (NDSL), and Research Information Sharing Service (RISS). NAFLD related outcomes were extracted from the included trials and meta-analyzed. Results: From the 8 included trials, the values of the following examinations were extracted: liver ultrasonography, liver CT, body fat CT, aspartate transaminase (AST), alanine transaminase (ALT), gamma-glutamyltransferase (GGT), total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL) cholesterol, high density lipoprotein (HDL) cholesterol, fasting blood sugar (FBS), hosmeostatic model assessment for insulin resistance (HOMA-IR), weight, body mass index (BMI), waist hip ratio (WHR), obesity degree, body fat mass, body fat rate, leptin, malondialdehyde (MDA), and super oxide dismutase (SOD). In the 4 outcomes, cure rate in liver ultrasonography (RR=1.56; 95%CI=1.05~2.31; P=0.03), cure rate in liver CT (RR=2.23; 95%CI=1.33~3.72; P=0.002), TC (MD=-0.78; 95%CI=-1.41~-0.15; P=0.02), and TG (MD=-2.05; 95%CI=-3.88~-0.21; P=0.03), acupuncture was more effective than the control intervention. Conclusions: In this meta-analysis, acupuncture relieved hepatic steatosis, and reduced TC, and TG in NAFLD patients. more well-planned studies are still needed due to the heterogeneity and the considerable methodological flaws in the analyzed trials.

Four-Year Experience Using an Advanced Interdisciplinary Hybrid Operating Room : Potentials in Treatment of Cerebrovascular Disease

  • Jeon, Hong Jun;Lee, Jong Young;Cho, Byung-Moon;Yoon, Dae Young;Oh, Sae-Moon
    • Journal of Korean Neurosurgical Society
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    • v.62 no.1
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    • pp.35-45
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    • 2019
  • Objective : To describe our experiences with a fully equipped high-end digital subtraction angiography (DSA) system within a hybrid operating room (OR). Methods : A single-plane DSA system with 3-dimensional rotational angiography, cone-beam computed tomography (CBCT), and real-time navigation software was used in our hybrid OR. Between April 2014 and January 2018, 191 sessions of cerebrovascular procedures were performed in our hybrid OR. After the retrospective review of all cases, the procedures were categorized into three subcategorical procedures : combined endovascular and surgical procedure, complementary rescue procedure during intervention and surgery, and frameless stereotaxic operation. Results : Forty-nine of 191 procedures were performed using hybrid techniques. Four cases of blood blister aneurysms and a ruptured posterior inferior cerebellar artery aneurysm were treated using bypass surgery and endovascular trapping. Eight cases of ruptured aneurysm with intracranial hemorrhage (ICH) were treated by partial embolization and surgical clipping. Six cases of ruptured arteriovenous malformation with ICH were treated by Onyx embolization of nidus and subsequent surgical removal of nidus and ICH. Two (5.4%) of the 37 cases of pre-mature rupture during clipping were secured by endovascular coil embolization. In one (0.8%) complicated case of 103 intra-arterial thrombectomy procedures, emergency surgical embolectomy with bypass surgery was performed. In 27 cases of ICH, frameless stereotaxic hematoma aspiration was performed using $XperGuide^{(R)}$ system (Philips Medical Systems, Best, the Netherlands). All procedures were performed in single sessions without any procedural complications. Conclusion : Hybrid OR with a fully equipped DSA system could provide precise and safe treatment strategies for cerebrovascular diseases. Especially, we could suggest a strategy to cope flexibly in complex lesions or unexpected situations in hybrid OR. CBCT with real-time navigation software could augment the usefulness of hybrid OR.

A Meta-Analysis of the Variables Related to Psychological Crisis in Korean Middle Aged Adults (한국 중년기 성인의 심리적 위기감 관련 변인에 대한 메타분석)

  • Jeon, Hae Ok;Kim, Ahrin;Chae, Myung-Ock
    • Journal of Korean Public Health Nursing
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    • v.32 no.3
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    • pp.451-467
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    • 2018
  • Purpose: The aim of this study was to determine the related factors for psychological crises in Korean middle aged adults. Methods: RISS, KISS, National Assembly Digital Library, CINAHL, and PubMed were searched for relevant articles published until October 3, 2016. Finally, a total of 23 studies were included. Meta-analysis of the studies was conducted using Comprehensive Meta-Analysis 3.0 software to calculate the effect size. Results: The related variables of psychological crisis were categorized into 23 variables and 5 factor groups. The effects size (ES) of the overall defensive variables was -0.28. In the defensive factors, the psychological factor (ES=-0.67), followed by cognitive and behavioral factor (ES=-0.34), physical factor (ES=-0.31), and social relational factor (ES=-0.29) had the greatest effect on psychological crises. The effects size of the overall risk variables was 0.48. In the risk factors, the physical factor (ES=0.61) had the greatest effect on psychological crises, followed by the psychological factor (ES=0.53), and cognitive and behavioral factor (ES=0.10). Conclusion: An intervention program is needed to strengthen the defensive factors and reduce the risk factors for psychological crises of Korean middle aged adults.