• Title/Summary/Keyword: Rehabilitation technology

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Deep learning algorithms for identifying 79 dental implant types (79종의 임플란트 식별을 위한 딥러닝 알고리즘)

  • Hyun-Jun, Kong;Jin-Yong, Yoo;Sang-Ho, Eom;Jun-Hyeok, Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.4
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    • pp.196-203
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    • 2022
  • Purpose: This study aimed to evaluate the accuracy and clinical usability of an identification model using deep learning for 79 dental implant types. Materials and Methods: A total of 45396 implant fixture images were collected through panoramic radiographs of patients who received implant treatment from 2001 to 2020 at 30 dental clinics. The collected implant images were 79 types from 18 manufacturers. EfficientNet and Meta Pseudo Labels algorithms were used. For EfficientNet, EfficientNet-B0 and EfficientNet-B4 were used as submodels. For Meta Pseudo Labels, two models were applied according to the widen factor. Top 1 accuracy was measured for EfficientNet and top 1 and top 5 accuracy for Meta Pseudo Labels were measured. Results: EfficientNet-B0 and EfficientNet-B4 showed top 1 accuracy of 89.4. Meta Pseudo Labels 1 showed top 1 accuracy of 87.96, and Meta pseudo labels 2 with increased widen factor showed 88.35. In Top5 Accuracy, the score of Meta Pseudo Labels 1 was 97.90, which was 0.11% higher than 97.79 of Meta Pseudo Labels 2. Conclusion: All four deep learning algorithms used for implant identification in this study showed close to 90% accuracy. In order to increase the clinical applicability of deep learning for implant identification, it will be necessary to collect a wider amount of data and develop a fine-tuned algorithm for implant identification.

A Study on the Research Trends of Effectiveness of Telehealth for the Elderly through Bibliographic Analysis (계량서지 분석을 통한 노인 대상 원격보건의 효과성 연구 동향 규명)

  • Park, Sun Ha;Kim, Mi Kyeong;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.11 no.1
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    • pp.7-20
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    • 2022
  • Objective : This study aims to identify international academic trends regarding the effectiveness of telehealth for the elderly through bibliographic analysis and to secure the foundation for providing basic data and subsequent research to promote domestic research. Methods : This study collected bibliographic information on the effectiveness of telehealth for the elderly published in international academia from January 2010 to December 2020 and analyzed and visualized the relationships between information using VOS viewer software (version 1.6.16, CWTS, Netherlands, 2020). Results : First, the research trend analysis shows a 678% increase in the number of papers published over the past 10 years. Most of the research was conducted in 145 (45.89%) Health care science services, and the most papers were published in 39 Telemedicine and e-Health journals (9.11%). Second, the network analysis showed that Oxford University had a total of 168 connections in other countries and institutions in the U.K, indicating the strongest influence in international academic societies. Third, as a result of the keyword analysis, 'older adults (64 times)', 'care (62 times)', 'health (50 times)', 'technology (40 times)', and 'outcomes (41 times)' were used in the study. Conclusion : In this study, the trends and topics of international academia on the effectiveness of telehealth for the elderly were analyzed to form the basis for research activities and the institutional implementation of telehealth for the elderly in Korea.

A Study on Sustainable Service Improvement - Case of Seoul National University Hospital, Korea - (지속적인 서비스 개선을 위한 연구 - 서울대학교병원 사례를 중심으로 -)

  • Sung, Hyun Jin;Kim, Young Se
    • Korea Science and Art Forum
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    • v.19
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    • pp.417-424
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    • 2015
  • The healthcare service industry has become one of the business industries in South Korea where service design is most actively being researched on and applied. In accordance with the recent upsurge of the interest in health, healthcare service is expanding its area including disease prevention, patient management, and rehabilitation treatment as well as cure and nursing care. The health manpower is the supplier, and their professional knowledge and ability and the patients' trust in medical technology are the most important factors for their customers. In addition, service design has come into the spotlight given that the medical institute system, health manpower attitude, and information delivery system and touch point are considered important factors contributing to customer satisfaction. It is very hard to satisfy customers only through professionalism, the environment, and product improvement because healthcare service deals with much more sensitive and emotional customers compared to other service industries. This means that a change in the service mind-set and the attitude of the health manpower as emotional labourers have practical effects. Therefore, the fundamental solution is to establish a system that provides related education with manpower and that settles various problems by itself. This paper introduces several solutions, such as education for health manpower and a service design system applied to a national-university-affiliated hospital in South Korea, and takes a close look at its effects.

Factors Impacting the Work Efficiency and Stress of Case Managers with the Korea Worker's Compensation & Welfare Service (근로복지공단 사례관리자의 업무 효율 및 스트레스에 영향을 미치는 요인)

  • Lee, Su-jin;Kim, Seung Won
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.32 no.1
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    • pp.64-77
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    • 2022
  • Objectives: The purpose of this study is to objectify the level of case management performance and the factors influencing performance, to improve the case management performance at the Korea Worker's Compensation & Welfare Service (KWCWS) on the basis of the recognition of the objective realities of case management by job coordinators at the KWCWS, to develop a model of case management fit for the KWCWS, and to provide a basis for establishing guidelines for standardized case management. Methods: A total of 156 questionnaires were distributed to job coordinators at the KWCWS's headquarters, six regional headquarters, and 55 branches. One hundred forty-one questionnaires were collected and 126 were analyzed statistically using SPSS 21.0. Factor analysis and reliability analysis were conducted to verify the validity and reliability of the main measurement items in the research model. Frequency analysis was conducted for general characteristics of survey subjects. Frequency analysis or descriptive statistics were conducted to identify the level of independent variables (case manager's individual variables, job variables, institutional and organizational variables). Dependent variables (case management performance) and the degree of correlation were analyzed through correlation analysis between research variables. Multiple regression analysis and hierarchical regression analysis were conducted to examine the effect of independent variables on case management performance. Results: The results of the study showed that the level of overall performance in the five stages of case management was ordinary, with an average level of 3.45 on a 5-point scale. Levels of performance by step were institutional approach and intake (3.69), assessment (3.63), goal setting and intervention planning (3.46), implementation of intervention plan (3.32), and evaluation and termination (3.20), in that order. The explanatory power of case management performance (overall) by case managers with the KWCWS was case manager's institutional and organizational variables, job variables, and individual variables, in that order. At each stage of case management, the explanatory power of a case manager's institutional and organizational variables was found to be the greatest. The model changes at each stage of case management assume similar aspects statistically. In hierarchical regression analysis, it was institutional support that had a significant effect on case management performance (overall), and institutional support had the greatest effect. The results of multiple regression analysis in which all variables are input simultaneously showed that institutional support and expertise as well as self-efficacy had a positive effect. However, case management work experience, expertise (technology), and autonomy were found to have a negative effect during the stage of case management performance. Conclusions: As a result of the study, it was confirmed that raising the case manager's expertise and support from the institution and organization are important factors to improve the level of case management performance. The research also derived practical ways of reinforcement of case manager capacity, institutional and organizational support, operation of rehabilitation-case management teams, and occupational health-related aspects.

Transfer of Arsenic from Soilsto Rice Grains through Reducing the Thickness of Soil Covering in Soil Reclamation in an Abandoned Coal Mine Area (폐석탄광산 농경지(논) 토양개량복원 시 복토두께 조정에 따른 비소의 벼 전이효과 현장실증)

  • Il-Ha Koh;Yo Seb Kwon;Ju In Ko;Won Hyun Ji
    • Journal of Environmental Impact Assessment
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    • v.32 no.3
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    • pp.157-165
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    • 2023
  • In Korea, a major contaminant of farmland soils in the vicinity of abandoned mines is arsenic, for which the general soil reclamation method is contaminated soil stabilization and cover the stabilized soil with clean soil at a thickness of 40 cm. In a previous pot experiment study we confirmed the feasibility of a lower thickness (20 cm) of covering soil for such reclamation in abandoned coal mines, where arsenic contamination levels are generally lower than in metal mines. In this subsequent study a field experiment including rice plant cultivation in field test plots was conducted. For over 4 months, the transfer of arsenic from the contaminated soil to the unpolished rice grains was reduced by 44% when a clean soil covering with a thickness of 20 cm was applied. The maximum decrease (56%) was shown when the stabilization process was performed before the covering. These results reveal a lower thickness of clean soil covering has a high feasibility and it can increase cost-efficiency in the reclamation of an abandoned coal mine.

Fabrication of complete denture using CAD-based vertical dimension increase and monolithic disc: a case report (CAD를 이용한 수직 고경 증가와 monolithic disc를 사용한 총의치 수복 증례)

  • Hyeon, Kim;Woohyung, Jang;Chan, Park;Kwi-Dug, Yun;Hyun-Pil, Lim;Sangwon, Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.4
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    • pp.242-248
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    • 2022
  • Recently, through the development of CAD/CAM technology, it is also being used for fabricating dentures. Compared to conventional methods, when digital dentures are fabricated, the fabrication process is facilitated, and the number of visits to hospitals is reduced and errors are reduced. In this case, the vertical dimension was increased using a CAD program in a patient who needed vertical dimension recovery due to the use of old dentures, and the final denture was fabricated using a monolithic disc through the milling method. The centric relation was recorded using existing dentures, and using the information from the intraoral scan and the existing denture model scan, a trial denture was fabricated and delivered to the patient to evaluate the midline and occlusion. Based on the evaluation of the trial denture, the final denture was fabricated using a milling method and a monolithic disc, and the final denture showed satisfactory results functionally and aesthetically.

Investigation of Self-Rated Health and Happiness, Physical Activity, and Mental Health by Smartphone Overuse using Korea Youth Risk Behavior Web-Based Survey 2017 (2017년 청소년 건강행태온라인조사를 활용한 청소년의 스마트폰 과사용으로 인한 주관적 건강과 행복, 신체활동 및 정신건강에 대한 연구)

  • Moon, Jong-Hoon;Song, E-Seul;Seong, Hyun-Yong
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.515-524
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    • 2019
  • The purpose of this study was to investigate the influences of adolescents on self-rated health and happiness, physical activity, and mental health according to time of smartphone use. The researcher used raw data from the Korea youth risk-behavior web-based survey(2017). A total of 64,991 adolescents were enrolled and 54,603 were analyzed in logistic regression analysis. The researcher set gender, self-rated health and happiness, physical activity, and mental health as independent variables and performed logistic regression analysis with smartphone overuse time as dependent variables. As a result, the female had a smartphone overuse of 1.49 to 1.67 times higher than male. Subjectively healthy people were 1.2 to 1.35 times more likely to use smartphones than those who did not(p<.001). People with higher physical activity were higher by 1.17 to 1.18 times than people without physical activity(p<.001). Subjective happiness did not predict smartphone usage(p>.05). People with subjective stress were higher 1.13 to 1.22 times than people without stress, and person with sadness and despair and suicide plan, 1.37 to 1.54 times, 1.17 to 1.24 times than those who did not(p<.001). Depression tended to become more serious as smartphone use increased. These investigation suggest that the self-rated health, physical activity, and mental health excluding self-rated happiness are related to overuse of smartphone.

AI-based stuttering automatic classification method: Using a convolutional neural network (인공지능 기반의 말더듬 자동분류 방법: 합성곱신경망(CNN) 활용)

  • Jin Park;Chang Gyun Lee
    • Phonetics and Speech Sciences
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    • v.15 no.4
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    • pp.71-80
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    • 2023
  • This study primarily aimed to develop an automated stuttering identification and classification method using artificial intelligence technology. In particular, this study aimed to develop a deep learning-based identification model utilizing the convolutional neural networks (CNNs) algorithm for Korean speakers who stutter. To this aim, speech data were collected from 9 adults who stutter and 9 normally-fluent speakers. The data were automatically segmented at the phrasal level using Google Cloud speech-to-text (STT), and labels such as 'fluent', 'blockage', prolongation', and 'repetition' were assigned to them. Mel frequency cepstral coefficients (MFCCs) and the CNN-based classifier were also used for detecting and classifying each type of the stuttered disfluency. However, in the case of prolongation, five results were found and, therefore, excluded from the classifier model. Results showed that the accuracy of the CNN classifier was 0.96, and the F1-score for classification performance was as follows: 'fluent' 1.00, 'blockage' 0.67, and 'repetition' 0.74. Although the effectiveness of the automatic classification identifier was validated using CNNs to detect the stuttered disfluencies, the performance was found to be inadequate especially for the blockage and prolongation types. Consequently, the establishment of a big speech database for collecting data based on the types of stuttered disfluencies was identified as a necessary foundation for improving classification performance.

Digital immediate implantation and aesthetic immediate loading on maxillary incisor displaced due to root fracture: a case report (치근파절로 변위된 상악 중절치의 디지털을 이용한 즉시 임플란트 식립 및 심미 수복 증례)

  • Jieun Song;Songyi Park;Chan Park;Kwidug Yun;Hyun-Pil Lim;Sangwon Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.4
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    • pp.267-275
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    • 2023
  • To obtain better esthetic results when immediately placing a dental implant, the soft tissue surrounding the implant must be conditioned during healing of the extraction socket. To this end, the emergence profile can be customized through immediate restoration of the provisional prosthesis, and good clinical results can be obtained at the time of definitive restoration in the future, resulting in high patient satisfaction. In this case, horizontal root fracture occurred after trauma to both maxillary central incisors. Immediate implant placement and loading was planned considering aesthetics and alveolar bone condition. By taking an impression using a digital intraoral scanner, a digital diagnostic wax-up was performed to make a more aesthetic prosthesis without applying external force to the traumatized teeth. Based on this, the ideal placement location was determined and immediate implant placement was performed using a 3D printed surgical guide. The provisional prosthesis was restored 5 days after placement, and the definitive zirconia crown was restored through soft tissue conditioning and customization using the shape of the provisional prosthesis for 3 months.

Oral rehabilitation of a patient with collapsed occlusal plane resulting from loss of posterior teeth (구치부 상실로 인해 교합 평면이 기울어진 환자에서 임플란트를 이용한 구강 회복 증례)

  • Jinwoo Han;Jae-Seung Chang;Se-Wook Pyo;Sunjai Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.165-173
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    • 2024
  • Restoring lost teeth is very important in terms of both function and aesthetics. If tooth loss occurs in the posterior region and the loss of support is persistent, it may cause a gradual shift in the position of the mandible and a change in occlusion. This clinical case attempted to restore support for the posterior teeth with a fixed prosthesis using implants in a patient whose opposing teeth were erupted and the occlusal plane collapsed due to long-term loss of the maxillary left posterior teeth and mandibular right first molars. To correct the occlusal plane of remaining dentition, wax-up of maxillary left posterior teeth was duplicated with acrylic resin and placed on maxilla. Surgical template for implant placement were fabricated using digital technology. After the support of the posterior teeth was restored with the placement of the implant, stable occlusion with temporary restorations was observed for a sufficient time. Afterwards, monolithic zirconia prosthesis was placed on the patient to ensure functional and aesthetic improvement.