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Effect of digital therapies on balance and gait in children with cerebral palsy: A systematic review (디지털 치료제가 뇌성마비 아동의 균형 및 보행에 미치는 효과: 체계적 고찰)

  • Jung-Hyun Kim
    • Journal of Korean Physical Therapy Science
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    • v.30 no.4
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    • pp.92-110
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    • 2023
  • Background: Digital therapeutics are software medical devices that provide evidence-based treatments to prevent, manage, and treat disease. Digital therapies have recently been shown to be effective in motivating children with cerebral palsy as a tool in neuropsychological therapy. Digital therapies improve postural control, balance and gait in children with cerebral palsy. Therefore, this study aims to investigate the effects of digital therapies on balance and gait in children with cerebral palsy and to provide guidelines for prescribing digital therapies for children with cerebral palsy. Design: A Systematic Review Methods: This study searched for English-language articles published in medical journals from January 2000 to July 2023 using PubMed and MEDLINE based on the year of initiation of the digital therapy. The search terms used in the study were 'digital technology' OR 'digital therapeutic' OR 'mobile application' OR 'mobile health' OR 'virtual reality' OR 'game' AND 'cerebral palsy', 'balance' 'gait' as the main keywords. The final article was assigned an evidence level and a Physiotherapy Evidence Database (PEDro) score to assess the quality of clinical trials studies. Results: The digital therapies applied to improve balance and gait in children with cerebral palsy are game-based virtual reality training and the Nintendo Wii Fit program. Both digital therapy interventions had a significant effect on improving balance in children with cerebral palsy, and virtual reality training significantly improved balance and gait. However, there were no significant improvements in balance and gait within two weeks of treatment, regardless of the type of digital intervention. Conclusion: The study suggests that this data will be important in building the evidence base for the effectiveness of digital therapies on balance and gait in children with cerebral palsy and in advancing clinical protocols.

The Relationship between Syntactic Complexity Indices and Scores on Language Use in the Analytic Rating Scale (통사적 복잡성과 분석적 척도의 언어 사용 점수간의 관계 탐색)

  • Young-Ju Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.229-235
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    • 2023
  • This study investigates the relationship between syntactic complexity indices and scores on language use in Jacobs et al.(1981)' analytic rating scale. Syntactic complexity indices obtained from TAASSC program and 440 essays written by EFL students from the ICNALE corpus were analyzed. Specifically, this study explores the relationship between scores on language use and Lu(2011)'s traditional syntactic complexity indices, phrasal complexity indices, and clausal complexity indices, respectively. Results of the stepwise regression analysis showed that phrasal complexity indices turned out to be the best predictor of scores on language use, although the variance in scores on language use was relatively small, compared with the previous study. Implications of the findings of the current study for writing instruction (i.e., syntactic structures at the phrase level) were also discussed.

Postmortem Degradation of Fish Muscle Proteins 1. Nature of proteolysis and bacterial contribution (어육단백질의 사후분해 1. 단백질분해의 본질과 세균기여)

  • CHUNG Jong Rak;KIM In Soo
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.9 no.2
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    • pp.120-128
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    • 1976
  • Two experiments were conducted to study the nature of protein degradation in fish muscle postmortem, first one with English sole (Paraphyrus vetulus) followed by another with rockfish (Sebastodes spp.). In the first one, proteolysis was measured by the increase of amino-N in gutted fish during storage in ice and in the homogenates prepared from fish of different ice storage during $20^{\circ}C-incubation$. In order to test the possible involvement of fish muscle a cathepsin, a portion of each homogenate sample was exposed to 0.5 Mrad of gamma radiation to destroy viable microorganisms prior to the incubation. Proteolysis was not detected until viable count reached a level above $10^7$ cells per gm fish flesh, corresponding to 31 days of ice storage. Even if fish flesh were mechanically disrupted by means of homogenization and subsequently incubated at $20^{\circ}C$, proteloysis attributable to muscle cathepsin was not detected. In the second with rockfish muscle aseptically prepared from freshly killed fish, the samples were inoculated with a proteolytic strain of fish spoilage Pseudomonad or irradiated at 0, 0.5 and 3.0 Mrad. The four samle groups were stored at $0-2^{\circ}C$ to compare the spoilage pattern of sterile and non-sterile muscle. In sterile muscle both total-N (extracted in 0.5M KCl) and amino-N $(soluble\;in\;70\%\;ethanol)$ declined slightly while the inoculated muscle showing increase in parallel with the increase of number of inoculated bacterium. The results indicate that proteolysis is a part of normal fish spoilage and the onset of proteolysis is delayed until viable count reaches its maximum level. Contribution of fish muscle cathepsin to protein degradation in white flesh fish muscle post-mortem is nil.

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The Study on the Validity of the OHIP 14 (Oral Health Impact Profile 14) Using Health Index on Elderly Population, Gangneung City (강릉시 노인의 임상지표를 이용한 OHIP 14 (Oral Health Impact Profile 14)의 타당도 연구)

  • Lee, Ji-Youn
    • Journal of dental hygiene science
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    • v.9 no.4
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    • pp.475-483
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    • 2009
  • Subjects of the research were 668 elderly people aged over 65 from Gangneung city. OHIP 14 went through a first translation from English to Korean, discussion among experts, a second translation from Korean to English, and then the translation was approved. After the primary and main research were carried out, validity and correlation coefficient with the outcome of oral and mental health examination were studied. OHIP 14 in terms of the perception of oral health was relevant to the perception of overall health and oral health, the necessity of dental treatment, the satisfaction about oral health, the level of pain from observation, and the satisfaction about artificial tooth. OHIP 14 on account of oral health state was related to the number of present natural teeth, the necessity of dental treatment, and the status of no teeth. OHIP 14 according to overall health was correlated to the number of ailments, the state of mind, nerve systems, bones and sinews, digestive systems, urogenital systems, cerebrovascular systems, respiratory systems, eyes, ears, and dementia. OHIP 14 according to the perception of oral health showed a significant difference in the perception of overall health and oral health, the level of pain in terms of observation, and the satisfaction on artificial tooth. OHIP 14 on account of oral health state demonstrated a meaningful difference in the number of present natural teeth, the necessity of dental treatment, and status of no teeth. OHIP 14 in terms of overall health exhibited considerable difference in the state of mind, nerve systems, bones and sinews, digestive systems, cerebrovascular systems, respiratory systems, ears, and dementia. From the study, it was proven that there was relevance between the validity of OHIP 14 and the perception of oral health, the state of oral health, and the state of overall health in the experiment on some Korean elderly people.

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A Proposal of Educational 3D Modelling Software Development Type Via User Experience Analysis of Open Source 3D Modelling Software (무료공개 3D모델링 소프트웨어 사용자 경험 분석을 통한 교육용 3D모델링 소프트웨어 개발유형 제안)

  • Lee, Guk-Hee;Cho, Jaekyung
    • Science of Emotion and Sensibility
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    • v.20 no.2
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    • pp.87-102
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    • 2017
  • With increasing interest in 3D printing, the interest in the 3D modelling training that should precede the 3D printing is increasing. However, the existing 3D modelling software is developed mostly by foreign brands. Thus, the interfaces are all in English. 3D modelling software training for Korean novices who are not familiar with these terms has constraints. This study aims to explore what to consider when developing a Korean model for 3D modelling educational software for 3D printing in the face of such reality. For this goal, after having novices with no experience in 3D modeling to perform a house building task using either 12D Design or Tinker CAD, we conducted a survey. It was found in the result that more users favored Tinker CAD over 123D Design, and the errors involved while working with the Tinker CAD were less than those with the 123D Design, and the ratio of people who completed the task with the Tinker CAD was higher than that with the 123D Design. In general discussion, an introductory level educational 3D modeling software development is proposed which utilize characteristics of Tinker CAD (easy modelling is possible by three-dimensional figures) and web-based method. Also, a beginner/intermediate level educational 3D modeling software development is proposed which utilize characteristics of 123D Design (with finer measurement manipulations and figure alignment) and Windows-based method.

Translation Study of Miller Assessment of Preschoolers (MAP) for Using in Korea (Miller Assessment for Preschoolers(MAP)의 국내 적용을 위한 번역 연구)

  • Hong, Eunkyoung;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.1
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    • pp.35-44
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    • 2018
  • Objective : This study aimed to perform a translation, backward translation, item modification, and test of content validity for Korean version of Miller Assessment for Preschoolers (MAP). Methods : Professors in department of occupational therapy, translators, or occupational therapists participated in the processes of translation, comparison and synthesis I, backward translation, comparison and synthesis II, test of understanding, and modify of items. Content Validity Indices (CVI) was calculated for data analysis by using Microsoft Office Excel. Results : Results of comparison between the original MAP and Korean MAP in professor panels were mean $3.66{\pm}0.40$, item-level CVI (I-CVI) 0.94, and overal scale CVI (S-CVI) 0.83. In agreement, result of comparison between of the original MAP and backward translated MAP (version English) was mean 3.14. The erroneous content was omission 13 times, the addition 3 times, the substitution 6 times, erroneous terms 11 times, and reordering 6 times. Average of understanding test in the therapist panels was $3.66{\pm}0.27$. The agreements were I-CVI 0.93 and S-CVI 0.58. Conclusion : Using assessment tools that developed in another country is important to do test of content validity and systematic translation process in Korea. For developing Korean version of MAP, validity and reliability studies need to be followed in near future.

An Application of Fuzzy Decision Trees for Hierarchical Recognition of Handwriting Symbols (퍼지 결정 트리를 이용한 온라인 필기 문자의 계층적 인식)

  • 전병환;김성훈;김재희
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.31B no.3
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    • pp.132-140
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    • 1994
  • SCRIPT (Symbol/Character Recognition In Pen-based Technology) is an algorithm for on-line recognition of handwriting Hangeul. English upperacase letters, decimal digits, and some keyboard symbols. The shape of handwriting symbols has a large variation even when written by the same person. Though the feature analysis approach using a conventional decision tree is efficient, it is not robust under shape variations and prone to misclassification. Thus, a new method to overcome this shortcoming is necessary. In this paper, a feature analysis algorithm using two fuzzy decision trees which utilize the hierarchical property of the pattern is proposed. The first tree is used to represent the stroke shape, and the other tree is used to represent the relation between the strokes. since this method stores various possibilities. it is robust to shape variations and can readily modify false selections. In addition, there is a large increase in the recognition rate of high-level patterns due to low-level candidated. Experimental results show 91% recognition rate for Hangeul at the recognition speed of 0.33 second per character, and the recognition rate of alphanumerics and some keyboard symbols is 95% at 0.08 second per symbol. This is 8~18% increase in the recognition rate over th method not applying fuzzy decision trees.

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A Study on the Design of Mathematics Education Program for Foreign Students Majoring in Natural Science and Engineering at University in Korea (이공계 대학 유학생을 위한 수학교육 프로그램 설계 및 적용)

  • Kim, Soocheol
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.5
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    • pp.147-157
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    • 2019
  • In this study, mathematics education program was developed for the foreign students who entered the science and engineering college of Korea in order to improve their basic competency and to prevent dropouts. It is applied to 5 Chinese students, 4 male students and 1 female student. Three students are majoring in engineering college and two students are majoring in natural science college. Before applying the mathematics education program to foreign students, most students did not draw a graph of the 'irrational function' and the 'exponential function' and did not understand the concept of the 'limit' at all. However, after applying the mathematics program, all foreign students were able to draw graphs of the various function and the limit values were calculated accurately. Through the results of this study, the researcher proposes some of the following. When developing mathematics education programs for foreign students, it is very important to develop teaching materials suitable for their level. Textbook developers need to select and organize contents that are essential for learning in university mathematics and to present mathematical concepts and examples considering the Korean language level of foreign students. Moreover, it will be necessary to try to present mathematical terms commonly used in Korea in their native language or English.

The Effectiveness and Safety of Acupuncture for Recovery of Patients with Vertebral Compression Fractures: A Systematic Review and Meta-analysis (척추 압박 골절 환자의 회복에 대한 침 치료의 유효성 및 안전성 평가: 체계적 문헌 고찰과 메타분석)

  • Bae, Ji min;Lee, Myeong su;Choi, Ji won;Yang, Gi young;Kim, Kun hyung
    • Korean Journal of Acupuncture
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    • v.36 no.1
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    • pp.1-18
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    • 2019
  • Objectives : The purpose of this study was to evaluate the effectiveness and safety of acupuncture treatment for recovery of patients with vertebral compression fracture(VCF). Methods : We searched ten English and Chinese and seven Korean database up to April 2018. Randomised controlled trials(RCTs), quasi-RCTs, non-radomised Controlled Trials(CCTs) were eligible. Quasi-RCTs and CCTs were assessed only for safety assessment. Pain and adverse events were primary outcome of this review. Quality of life, dysfunction, patient satisfaction, incidence of new vertebral compression fracture were regarded as secondary outcomes. The risk of bias was assessed by two independent authors using the Cochrane risk of bias tool. Level of evidence was tabulated using the GRADE methods. Results : Of 1656 screened, 15 RCTs, 1 quasi-RCT and 3 CCTs were included. Number of participants per study ranged from 45 to 135. Most of the studies had unclear or high risk of bias and considerable heterogeneity in terms of type of intervention, comparison and time-points for outcome measurement. Compared to usual care alone, acupuncture combined with usual care showed short-term favorable results for pain relief in patients with VCF(5 studies, n=252, MD -1.05 point on a 0 to 10 point scale, 95% CI -1.45 to -0.65, $I^2=74%$). Four studies reported mild and temporary adverse events, and no serious adverse events were reported. One study descriptively reported that acupuncture was effective for improving quality of life without providing numerical outcomes. There were no reports of patient satisfaction and incidence of new VCF. Conclusions : Level of evidence is very low for the effectiveness and safety of acupuncture for pain, harms and other clinical outcomes in patients with VCF. Included studies suffered from incomplete reporting, high or unclear risk of bias and substantial heterogeneity between studies. Future high-quality RCTs are needed to assess whether acupuncture is beneficial for recovery of patients with VCF.

Recognition of Toilet Terms and Pictograms by Elders Living in Seoul and Incheon (경인지역 노인의 화장실 용어와 그림문자 인식)

  • Lee, kyung Hee;Kim, Jung Hee;Sohn, Young Ae
    • 한국노년학
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    • v.28 no.4
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    • pp.1113-1128
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    • 2008
  • Purpose: The aim of the present study was to investigate toilet terms and pictograms recognized by elders living in Seoul and Incheon. Method: Data were collected from 308 elders by individual interviews using questionnaires. Result: As for the name of places for elimination, those elders responded Hwajangsil 88.3%, followed by Byeonso 49.3% and Dwitgan 44.4%. Most elders preferred Hwajangsil as the term indicating the place for elimination. The mean age of the group preferred Bunso was significantly higher than that of the group preferred Hwajangsil, whereas educational level was higher in the latter group. Of the 256 respondents, 55% preferred the pictogram of international toilet sign, while 34.8% preferred the pictogram of toilet stool. Those with no formal education tended to prefer the pictogram of toilet stool. Conclusion: The term Hwajangsil is suggested for indicating toilet for elders in general. Other terms familiar with residents need to be investigated in the facilities for elders and those terms should be used in combination with Hwajangsil. English toilet signs alone are not recommended for elders. Simple pictograms of toilet stool is suggested for elders with low educational level. Toilet signs for elders need to include both terms and pictograms.