• 제목/요약/키워드: Technology assessment, biomedical

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Assessment Methods for Problematic Eating Behaviors in Children and Adolescents With Autism Spectrum Disorder

  • Miji Lee;Seolha Lee;Jong-Woo Sohn;Ki Woo Kim;Hyung Jin Choi
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제35권1호
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    • pp.57-65
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    • 2024
  • Autism spectrum disorder (ASD) can be associated with eating problems. However, currently, there is a lack of established guidelines for assessing and addressing eating behaviors in individuals with ASD. This gap in research exists due to the challenges associated with using traditional assessment methods, which may lead to discrepancies in responses and unintentional potential biases from caregivers. In this review, we provided a comprehensive overview of various eating behaviors commonly observed in individuals with ASD. These behaviors include 1) food neophobia, 2) selective eating, 3) binge eating, 4) food avoidance, 5) chewing and swallowing problems, 6) pica, 7) rumination, 8) rituals, and 9) problematic behaviors. Furthermore, we provide a perspective of utilizing digital tools: 1) augmentative and alternative communication; 2) ecological momentary assessment; and 3) video analysis, behavioral analysis, and facial expression analysis. This review explores existing assessment methods and suggests novel assessment aiding together.

Improvement Status and Development Direction of New Health Technology Assessment (신의료기술평가제도 운영의 개선현황과 발전방향)

  • Lee, Seon Heui
    • Health Policy and Management
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    • 제28권3호
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    • pp.272-279
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    • 2018
  • Since the introduction of new health technology assessment in 2007, benefit coverage process of health insurance related to new health technology has become an upgraded system through the evidence-based decisions. As a result of enforcing this system for 10 years, however, there have been several rising concerns. It needs to support the insufficient evidence of medical technologies, introduce reassessment system for post management of market entry technologies, and improve evaluation methods and process. In addition, there is the possibility of emerging an unheard-of medical technology, fused various categories like artificial intelligence, robot, information technology, physics and life science in the fourth industrial revolution. Now, new updated system introduced to improve new technology assessment, such as 'limited health technology assessment system,' 'system for postponement of new health technology assessment,' 'one-stop service system,' and 'integrated operation of approval for medical devices and new health technology assessment.' Therefore it needs to prepare the improvement plan for new health technology assessment to be established more advanced system, and we have to resolve concerns by communication with various healthcare experts and patients now and for ever.

Non-invasive quantification methods for glucose monitoring (포도당 모니터링을 위한 비침습적 정량화 방법)

  • Young Ho, Kim;Yeong-Seo, Park;Byeong Uk, Park;inkwon, Yoon;Hee-Jae, Jeon
    • Journal of Industrial Technology
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    • 제42권1호
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    • pp.13-18
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    • 2022
  • Diabetes mellitus is an abnormally high glucose level in the bloodstream. Several pharmaceuticals are administered to diabetic patients to control their glucose levels. Early diagnosis and proper glycemic management are essential in this situation to prevent further progression and complications. Biosensor-based detection has progressed and shown potential in portable and inexpensive daily assessment of glucose levels because of its simplicity, low cost, and convenient operation without sophisticated instrumentation. This review discusses various systemic aspects of non-invasive glucose monitoring, including materials for monitoring and managing diabetes.

Physiological Status Assessment of Locomotive Engineer During Train Operation

  • Song, Yong-Soo;Baek, Jong-Hyen;Hwang, Do-Sik;Lee, Jeong-Whan;Lee, Young-Jae;Park, Hee-Jung;Choi, Ju-Hyeon;Yang, Heui-Kyung
    • Journal of Electrical Engineering and Technology
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    • 제9권1호
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    • pp.324-333
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    • 2014
  • In this study, physiological status of locomotive engineers were measured through EEG, ECG, EDA, PPG and respiration signals from 6 subjects to evaluate their arousal status during train operating. Existence of tunnels and mechanical vibration of train using 3-axes acceleration sensors were recorded simultaneously and were correlated with operator's physiological status. As the result of the analyzed subjects' physiological signals, mean SCR was increased in the section where more body movement is required. The RR interval was decreased before and after train stop due to the higher level of mental tension. The intensity of beta wave of EEG was found to be higher before and after train stop and tunnel section due to the increased mental arousal and tension. Therefore, it is expected that the outcomes of the physiological signals explored in this study can be utilized as the quantitative assessment methods for the arousal status to be used for sleepiness prevention system for vehicles operators which can greatly contribute to public transportation system safety.

Recent Developments in Nuclear Medicine Instrumentation (최근 핵의학 영상 기기 발전 동향)

  • Kim, Joon-Young;Choi, Yong;Kim, Jong-Ho;Im, Ki-Chun;Choe, Yearn-Seong;Lee, Kyung-Han;Kim, Sang-Eun;Kim, Byung-Tae
    • The Korean Journal of Nuclear Medicine
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    • 제32권6호
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    • pp.471-481
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    • 1998
  • The goals of developments in nuclear medicine instrumentation are to offer a higher-quality image and to aid diagnosis, prognosis assessment or treatment planning and monitoring. It is necessary for physicists and engineers to improve or design new instrumentation and techniques, and to implement, validate, and apply these new approaches in the practice of nuclear medicine. The researches in physical properties of detectors and crystal materials and advances in image analysis technology have improved quantitative and diagnostic accuracy of nuclear medicine images. This review article presents recent developments in nuclear medicine instrumentation, including scatter and attenuation correction, new detector technology, tomographic image reconstruction methods, 511 keV imaging, dual modality imaging device, small gamma camera, PET developments, image display and analysis methods.

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Structured Assessment to Evaluate a Family Medicine Clerkship Program (가정의학 임상실습과정에 대한 구조화된 평가)

  • Park, Eun Ju;Lee, Sang Yeoup;Im, Sun Ju;Yune, So Jung;Kam, Beesung;Baek, Sun Yong;Kim, Yun-Jin;Woo, Jae Seok;Lee, Jeong-Gyu;Jeong, Dong-Wook;Cho, Young-Hye;Yi, Yu-Hyeon;Tak, Young Jin
    • Korean Medical Education Review
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    • 제19권1호
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    • pp.47-55
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    • 2017
  • This study was conducted to analyze the strengths and weaknesses of a 3-week family medicine clerkship program based on the results of an online survey taken by the students (N=127) and a structured interview with a focus group (n=10), aimed to improve the quality of the clerkship program. The online survey contained questions pertaining to goals, schedule, contents, arrangement, atmosphere, environment, evaluation, and satisfaction regarding the clerkship. The focus group interview addressed the schedule and achievements of the program. Scores were reported on a 5-point Likert scale. Most students were highly satisfied with the overall quality of the clerkship. The structured interview results showed that 97.6% of the clerkship program was executed according to the schedule. The focus group reported a perfect score of 5 points on several measures including: accomplishment of the educational goals of the family medicine clerkship, providing many chances to obtain medical histories and perform physical examinations on real patients, experience with various symptoms and diseases, positive attitudes of faculty members when teaching, notification of the guidelines for evaluation beforehand, well-constructed and effective clerkship schedule, and reflection of student feedback. However, the focus group gave low scores on: support for health accidents of students, access to patient information, enough opportunities to practice clinical skills, appropriate rest facilities for students, and fairness of clerkship evaluation process. In conclusion, the structured evaluation performed after the 3-week clerkship program motivated students and helped them ensure an efficient clerkship. This structured evaluation also suggested basic data to make the professor who is subject of the assessment. This study shows that structured assessment is an effective method which can be used to improve the quality of clerkships.

Comparison of Bone Mineral Density with Pencil Beam and Fan Beam DXA Machine

  • Park, Jeong-Hoon;Lee, Jae-Mun;Youn, Je-Woong;Suh, Tae-Suk;Lee, Heung-Kyu
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.425-426
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    • 2002
  • The bone densitometer is to investigate the bone mineral content and density for the osteoporosis assessment by using dual energy X-ray photons. For the clinical verification of the ISOL's OSTEO plus, the clinical study was performed with healthy and non-menopausal 30 female volunteers. The fan-beam DXA machine (Lunar, Expert) was chosen as a reference. After correlation analysis of their bone mineral densities, a strong correlation was obtained. From the results, it is claimed that the new forearm bone densitometer is clinically useful in osteoporosis diagnosis.

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Quantitative Assessment of Tremor in PD Using a Wearable System on Both Hands (양손에서 웨어러블 시스템을 이용한 파킨슨병의 정량적 진전 평가)

  • Lee, Hongji;Kim, Sangkyong;Kim, Hanbyul;Jeon, Hyoseon;Park, Hyeyoung;Jung, Yujin;Kim, Jeonghwan;Jeon, Beomseok;Park, Kwangsuk
    • Journal of Biomedical Engineering Research
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    • 제35권4호
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    • pp.81-86
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    • 2014
  • One of the methods for Parkinson's disease(PD) tremor evaluation is the Clinical Tremor Rating Scale(CTRS). However, the method has some limitations that clinician ratings can vary because the scores are subjectively rated. In addition, most researches usually collected data measured on the more affected arm. In this study, we developed a portable wearable system(SNUMAP system) for measuring PD tremor. The SNUMAP system captures 3-dimensional motion using tri-accelerometer and tri-gyroscope on finger and wrist. 40 PD patients participated in resting tremor and postural tremor tasks, while wearing the system on both hands simultaneously. Estimated tremor scores from Leave-One-Out Cross Validation for regression were highly correlated to the average clinician CTRS scores for rest tremor($r^2$ = 0.87, RMSE = 0.48) and postural tremor($r^2$ = 0.82, RMSE = 0.48). Therefore, the quantitative assessment model can improve treatment of PD patients.

Development of a Brain Phantom for Multimodal Image Registration in Radiotherapy Treatment Planning

  • H. S. Jin;T. S. Suh;R. H. Juh;J. Y. Song;C. B. Y. Choe;Lee, H .G.;C. Kwark
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.450-453
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    • 2002
  • In radiotherapy treatment planning, it is critical to deliver the radiation dose to tumor and protect surrounding normal tissue. Recent developments in functional imaging and radiotherapy treatment technology have been raising chances to control tumor saving normal tissues. A brain phantom which could be used for image registration technique of CT-MR and CT-SPECT images using surface matching was developed. The brain phantom was specially designed to obtain imaging dataset of CT, MR, and SPECT. The phantom had an external frame with 4 N-shaped pipes filled with acryl rods, Pb rods for CT, MR, and SPECT imaging, respectively. 8 acrylic pipes were inserted into the empty space of the brain phantom to be imaged for geometric evaluation of the matching. For an optimization algorithm of image registration, we used Downhill simplex algorithm suggested as a fast surface matching algorithm. Accuracy of image fusion was assessed by the comparison between the center points of the section of N-shaped bars in the external frame and the inserted pipes of the phantom and minimized cost functions of the optimization algorithm. Technique with partially transparent, mixed images using color on gray was used for visual assessment of the image registration process. The errors of image registration of CT-MR and CT-SPECT were within 2mm and 4mm, respectively. Since these errors were considered within a reasonable margin from the phantom study, the phantom is expected to be used for conventional image registration between multimodal image datasets..

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