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An Exploration on Prescription of Resistance Training for Geriatric Physical Therapy (노인물리치료를 위한 저항트레이닝 처방에 대한 탐색)

  • Shin Hong-Cheul;Jeong Dong-Hyuk
    • The Journal of Korean Physical Therapy
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    • v.15 no.1
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    • pp.61-81
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    • 2003
  • There can be little dissension that the ultimate goal of all physical therapy interventions with the elderly is to restore or maintain the highest level of function possible for the individual. Whenever physical therapists take on this challenge, they assist elders in maintaining their identities as competent adults. Advancing age is associated with profound changes in body composition, including increased fat mass, decreased fat-free mass(particularly muscle), decreased total body water and decreased bone density. Along with these changes in body compositions, and perhaps as a direct result of them, elderly people have lower energy needs, reduced strength and functional capacity and a greatly increased risk for such diseases as noninsulin-dependent diabetes mellitus and osteoporosis. Resistance training is considered a promising intervention for reversing the loss of muscle function and the deterioration of muscle structure that is associated with advanced age. This reversal is thought to result in improvements in functional abilities and health status in the elderly by increasing muscle mass, strength and power and by increasing bone mineral density. In the past couple of decades, many studies have examined the effects of Resistance training on risk factors for age-related diseases or disabilities. We have explored the positive and negative aspects of older adults' participation in resistance training programs. The benefits to older adults are reported to be increased strength, endurance, muscle capacity, and flexibility; more energy; and improved self-image and confidence. The negative aspects include some pain or stiffness and other nonspecific problems. The positive and negative aspects of resistance training are therefore very similar to those in younger populations. Scientific investigations over the past 10 years have demonstrated that resistance training can be safely and successfully implemented in older populations. Even the frail and very sick elderly can benefit and improve their quality of life. Proper design and progression of a resistance training program for older adults is vital to optimal benefits from resistance exercise. The results of data provided by this research on resistance training for health shows that there is enough existing evidence to conclude that resistance training, particularly when incorporated into a comprehensive fitness program, can offer substantial health benefits which can be obtained by persons of all ages. These benefits, including improvements in functional capacity, translate into an improved quality of life.

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Radioimmunoscintigraphy Using IMACIS-1 in Gastrointestinal Cancer (IMACIS-1을 이용한 위장관 종양의 방사면역신티그램)

  • Sohn, Hyung-Sun;Kim, Choon-Yul;Bahk, Yong-Whee
    • The Korean Journal of Nuclear Medicine
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    • v.24 no.1
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    • pp.29-36
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    • 1990
  • Most of the diagnostic methods currently used for the detection of neoplastic masses provide indirect evidence. To obtain greater specificity in the interpretation of neoplasias by in vivo methods, the immunological approach appears to be most promising. Two problems that interfered with progress in this field were the lack of tumor specific antigen and the lack of well-defined and reproducible antibodies. To improve the sensitivity and specificity of radioimmunoscintigraphy as a technique for tumor localization, the use of monoclonal antibodies, fragments of antibodies and single photon emission computerized tomography (SPECT) are reasonable. The obvious advantages of monoclonal antibodies are their homogeneity, their specificity for the immunizing antigen and the reaction with a single determinant-thus no large immunecomplexes with antigen are formed. Monoclonal antibody technique has recently provided an opportunity to reevaluate the role of nuclear medicine for the diagnosis of malignant diseases by using the immunological approach. Out first results by means of radioimmunoscintigraphy of CEA and CA 19-9 producing tumors using a cocktail of fragments F $(ab')_2$, of mocolonal antibodies to CA 19-9 and CEA labeled with $^{131}I$ (IMACIS-1) are reported. The aims of this investigation was to evaluate the role of immunoscintigraphy in patients with colorectal and other cancers for diagnosis of local recurrences and metastasis. This report contains results of the first 8 colorectal and pancreas cancer patients with the elevation of the level of serum CEA and/or CA 19-9. IMACIS-1 was injected intravenously during 30 minutes in 100 ml saline solution after skin test. Planar scintigrams were recorded 3, 5 and 7 days after the injection of the IMACIS-1. Anterior, lateral and posterior views of the liver as well as anterior and posterior views of the pelvis were obtained in each patients as an $^{131}I-antibody$ image. We were able to localize exactly the malignant process with the double-nuclide double-compound $^{99m}Tc\;^{131}I$ (Tc+l) scintigrams. In Tc & I double-nuclide scintigraphy, computer subtraction display provided more clear localization of the tumor. We compared the results of radioimmunoscintigraphy with CT, ultrasonograms, conventional scintigrams. The results were as follows: 1) The sensitivity and specificity of radioimmunoscintigraphy using the fragments $F(ab')_2$ of the cocktails of CEA and CA 19-9 monoclonal antibodies were 80% and 100% respectively. 2) Tumor detection rate was not proportionated to the level of serum tumor markets. 3) Second tracer technique was essential for tumor localization as an anatomic landmark using double-nuclide scintigraphy. 4) A slow infusion of the antibodies was necessary to prevent the formation of large immune complexes. 5) Tumor/non-tumor radioactivity was most elevated at 7 days delayed imaging. 6) Using planar scintigraphic technique of $^{131}I$ labeled monoclonal antibodies are possible for imaging most of the tumors.

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Improvement Plans for Increasing Satisfaction among Other Departments Based on The Survey (설문조사를 바탕으로 부서 간 만족도 향상을 위한 개선 안)

  • Park, Ji-Hye;Kim, Nyeon-Ok;Seo, Mi-Hye;Yoo, Soh-Yeon;Park, Hye-Mi
    • The Korean Journal of Nuclear Medicine Technology
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    • v.21 no.1
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    • pp.23-28
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    • 2017
  • Purpose Recently, there has been increasing demands for clinical departments at Asan Medical center in Seoul. They want to see the results of lab tests about blood samples as soon as possible and to be reported to them on the day. As the main contents of the survey, we explained the goodness of Asan medical center's in vitro and the points to be improved. Based on this, it became an opportunity to create a positive image of In vitro laboratory. In addition, we could identify their specific requirements through the surveys. Materials and Methods In September 2016, a total of 14 questionnaire surveys were conducted for 49 clinical departments and outpatient nurses at Asan Medical center in Seoul. The survey consists of description questions to be able to express the intention of the individual and the questions made on the Likert 4 point scale. The main contents of 14 questions are composed of goodness of In Vitro laboratory and points to be improved. Results 62% answered that the best service in In Vitro laboratory was "good accuracy and reproducibility". On the other hand, as an inconvenience when requesting blood tests, 73% pointed out that "the result report time was long", which was recognized as a part to be improved. There are many contents that "The result of all tests is reported within 2 hours" on the day of the examination. In the question - 'Are there some examination results which do not coincide well with clinical observations?', 55 of 56 people answered "no". Above all, the majority answered that waiting for re-examination results is too long. This problem must be causing discomfort to the patients. Conclusion In order to improve these problems, the first thing is to increase the number of blood tests by using the current personnel, equipments and reagents to the fullest by item in Asan Medical Center's Nuclear medicine in vitro part. Secondly, in case of re-examinations, we use the "AMIS message" to show other clinical departments the reporting time. This methode improves the efficiency of work with nurses and increases satisfaction of custom service. Thirdly, the correlation was evaluated by selecting the test species that can be carried out by the shortening method. Currently, C-peptide and insulin are implemented in the reaction process to shorten 2 hours into 1 hour. Finally, we are considering purchasing new equipments for quick test results.

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Development of a Semi-Atomatic Protocol for embodiment of a desirable 3D breast shape and deployment of bra cup pattern (3차원의 바람직한 유방형상 구현을 위한 Semi-Atomatic Protocol 개발 및 브래지어 컵 패턴으로의 전개)

  • Sohn, Boo-hyun;Kweon, Soo-ae
    • Journal of Fashion Business
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    • v.20 no.4
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    • pp.189-206
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    • 2016
  • A breast model was for the human body was devised by studying a body scan and human body index of a desirable breast type. Thus, when manufacturing various 3D models, these results can accordingly become a fundamental basis for realizing a desirable breast model. This study aims to provide a basic data for designing the cup patterns of brassieres in order to improve the function and wearing comfort. The comfort of three kinds of brassieres were compared: one manufactured by the actual measured size; another manufactured as per the ratio of desirable upper and lower breast lengths; and the third manufactured by the 3D model attained by the desirable human body ratio. In this study, we suggest a process for realizing the desirable breast model using the ratio of bust breadth and waist front length, which are the components for deciding the appropriate position and size of breast, and which are easy to measure. The ideal breast shape is an equilateral triangle formed by connecting the nipple with the center of the clavicle. After deciding the interval between the nipples, this value can be used to configure the locations of nipples by drawing a tangent, with equal length, from the anterior neck point (which is the center of clavicle) to the nipple. Also, since inside points of breast do not exist, the outer point of breast, upper point of breast, and below point of breast on the same plane, and the depths from the nipple point to the respective points, are applied to simulate a 3D image, by modifications along the x, y, and z axes. Depending on the type of breast, the length from the center of shoulder to the nipple, the diameter of breast, upper length of breast, and the position of nipple, are different. In conical or protruding breast, the wearing sensation is better when the nipple point of brassiere was lifted, by modifying the upper and lower lengths of breast. Considering the wearing sensation and function of a brassiere, it was better to leave the wearer's size as it is and use a pad within the same cup, rather than increase the basal area of the breast in order to increase the volume.

A H.264 based Selective Fine Granular Scalable Coding Scheme (H.264 기반 선택적인 미세입자 스케일러블 코딩 방법)

  • 박광훈;유원혁;김규헌
    • Journal of KIISE:Computing Practices and Letters
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    • v.10 no.4
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    • pp.309-318
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    • 2004
  • This paper proposes the H.264-based selective fine granular scalable (FGS) coding scheme that selectively uses the temporal prediction data in the enhancement layer. The base layer of the proposed scheme is basically coded by the H.264 (MPEG-4 Part 10 AVC) visual coding scheme that is the state-of-art in codig efficiency. The enhancement layer is basically coded by the same bitplane-based algorithm of the MPEG-4 (Part 2) fine granular scalable coding scheme. In this paper, we introduce a new algorithm that uses the temproal prediction mechanism inside the enhancement layer and the effective selection mechanism to decide whether the temporally-predicted data would be sent to the decoder or not. Whenever applying the temporal prediction inside the enhancement layer, the temporal redundancies may be effectively reduced, however the drift problem would be severly occurred especially at the low bitrate transmission, due to the mismatch bewteen the encoder's and decoder's reference frame images. Proposed algorithm selectively uses the temporal-prediction data inside the enhancement layer only in case those data could siginificantly reduce the temporal redundancies, to minimize the drift error and thus to improve the overall coding efficiency. Simulation results, based on several test image sequences, show that the proposed scheme has 1∼3 dB higher coding efficiency than the H.264-based FGS coding scheme, even 3∼5 dB higher coding efficiency than the MPEG-4 FGS international standard.

Current Status of Hyperspectral Data Processing Techniques for Monitoring Coastal Waters (연안해역 모니터링을 위한 초분광영상 처리기법 현황)

  • Kim, Sun-Hwa;Yang, Chan-Su
    • Journal of the Korean Association of Geographic Information Studies
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    • v.18 no.1
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    • pp.48-63
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    • 2015
  • In this study, we introduce various hyperspectral data processing techniques for the monitoring of shallow and coastal waters to enlarge the application range and to improve the accuracy of the end results in Korea. Unlike land, more accurate atmospheric correction is needed in coastal region showing relatively low reflectance in visible wavelengths. Sun-glint which occurs due to a geometry of sun-sea surface-sensor is another issue for the data processing in the ocean application of hyperspectal imagery. After the preprocessing of the hyperspectral data, a semi-analytical algorithm based on a radiative transfer model and a spectral library can be used for bathymetry mapping in coastal area, type classification and status monitoring of benthos or substrate classification. In general, semi-analytical algorithms using spectral information obtained from hyperspectral imagey shows higher accuracy than an empirical method using multispectral data. The water depth and quality are constraint factors in the ocean application of optical data. Although a radiative transfer model suggests the theoretical limit of about 25m in depth for bathymetry and bottom classification, hyperspectral data have been used practically at depths of up to 10 m in shallow and coastal waters. It means we have to focus on the maximum depth of water and water quality conditions that affect the coastal applicability of hyperspectral data, and to define the spectral library of coastal waters to classify the types of benthos and substrates.

Background Removal and ROI Segmentation Algorithms for Chest X-ray Images (흉부 엑스레이 영상에서 배경 제거 및 관심영역 분할 기법)

  • Park, Jin Woo;Song, Byung Cheol
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.11
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    • pp.105-114
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    • 2015
  • This paper proposes methods to remove background area and segment region of interest (ROI) in chest X-ray images. Conventional algorithms to improve detail or contrast of images normally utilize brightness and frequency information. If we apply such algorithms to the entire images, we cannot obtain reliable visual quality due to unnecessary information such as background area. So, we propose two effective algorithms to remove background and segment ROI from the input X-ray images. First, the background removal algorithm analyzes the histogram distribution of the input X-ray image. Next, the initial background is estimated by a proper thresholding on histogram domain, and it is removed. Finally, the body contour or background area is refined by using a popular guided filter. On the other hand, the ROI, i.e., lung segmentation algorithm first determines an initial bounding box using the lung's inherent location information. Next, the main intensity value of the lung is computed by vertical cumulative sum within the initial bounding box. Then, probable outliers are removed by using a specific labeling and the pre-determined background information. Finally, a bounding box including lung is obtained. Simulation results show that the proposed background removal and ROI segmentation algorithms outperform the previous works.

Detection of Artificial Displacement of a Reflector by using GB-SAR Interferometry and Atmospheric Humidity Correction (GB-SAR 간섭기법을 이용한 반사체의 인위적 변위탐지 및 대기습도보정)

  • Lee, Jae-Hee;Lee, Hoon-Yol;Cho, Seong-Jun;Sung, Nak-Hun;Kim, Jung-Ho
    • Korean Journal of Remote Sensing
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    • v.26 no.2
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    • pp.123-131
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    • 2010
  • In this paper we applied Ground-Based Synthetic Aperture Radar(GB-SAR) interferometry to detect artificial displacement of a reflector and performed an atmospheric humidity correction to improve the accuracy. A series of GB-SAR images were obtained using a center frequency of 5.3 GHz with a range resolution of 25 cm and a azimuth resolution of $0.324^{\circ}$, all in full-polarization (HH, VV, VH, HV) modes. A triangular trihedral corner reflector was located 160 m away from the system, and the artificial displacements of 0-40 mm was implemented during the GB-SAR image acquisition. The result showed that the RMS error between the actual and measured displacements, averaged in all polarization data, was 1.22 mm, while the maximum error in case of the 40 mm displacement was 2.72 mm at HH-polarization. After the atmospheric correction with respect to the humidity, the RMS error was reduced to 0.52 mm. We conclude that a GB-SAR system can be used to monitor the possible displacement of artificial/natural scatterers and the stability assessment with sub-millimeter accuracy.

Development of Suspended Sediment Algorithm for Landsat TM/ETM+ in Coastal Sea Waters - A Case Study in Saemangeum Area - (Landsat TM/ETM+ 연안 부유퇴적물 알고리즘 개발 - 새만금 주변 해역을 중심으로 -)

  • Min Jee-Eun;Ahn Yu-Hwan;Lee Kyu-Sung;Ryu Joo-Hyung
    • Korean Journal of Remote Sensing
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    • v.22 no.2
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    • pp.87-99
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    • 2006
  • The Median Resolution Sensors (MRSs) for land observation such as Landsat-ETM+ and SPOT-HRV are more effective than Ocean Color Sensors (OCSs) for studying of detailed ecological and biogeochemical components of the coastal waters. In this study, we developed suspended sediment algorithm for Landsat TM/ETM+ by considering the spectral response curve of each band. To estimate suspended sediment concentration (SS) from satellite image data, there are two difference types of algorithms, that are derived for enhancing the accuracy of SS from Landsat imagery. Both empirical and remote sensing reflectance model (hereafter referred to as $R_{rs}$ model) are used here. This study tried to compare two algorithm, and verified using in situ SS data. It was found that the empirical SS algorithm using band 2 produced the best result. $R_{rs}$ model-based SS algorithm estimated higher values than empirical SS algorithm. In this study we used $R_{rs}$ model developed by Ahn (2000) focused on the Mediterranean coastal area. That's owing to the difference of oceanic characteristics between Mediterranean and Korean coastal area. In the future we will improve that $R_{rs}$ model for the Korean coastal area, then the result will be advanced.

A Study on the Improvement of UAV based 3D Point Cloud Spatial Object Location Accuracy using Road Information (도로정보를 활용한 UAV 기반 3D 포인트 클라우드 공간객체의 위치정확도 향상 방안)

  • Lee, Jaehee;Kang, Jihun;Lee, Sewon
    • Korean Journal of Remote Sensing
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    • v.35 no.5_1
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    • pp.705-714
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    • 2019
  • Precision positioning is necessary for various use of high-resolution UAV images. Basically, GCP is used for this purpose, but in case of emergency situations or difficulty in selecting GCPs, the data shall be obtained without GCPs. This study proposed a method of improving positional accuracy for x, y coordinate of UAV based 3 dimensional point cloud data generated without GCPs. Road vector file by the public data (Open Data Portal) was used as reference data for improving location accuracy. The geometric correction of the 2 dimensional ortho-mosaic image was first performed and the transform matrix produced in this process was adopted to apply to the 3 dimensional point cloud data. The straight distance difference of 34.54 m before the correction was reduced to 1.21 m after the correction. By confirming that it is possible to improve the location accuracy of UAV images acquired without GCPs, it is expected to expand the scope of use of 3 dimensional spatial objects generated from point cloud by enabling connection and compatibility with other spatial information data.