• Title/Summary/Keyword: challenging problems

Search Result 434, Processing Time 0.024 seconds

The Concept of Health Systems Science and Educational Needs in the Korean Context (의료시스템과학의 개념과 교육 필요성 고찰)

  • Eunbae B. Yang;Danbi Lee;Jong Tae Lee
    • Korean Medical Education Review
    • /
    • v.25 no.3
    • /
    • pp.192-197
    • /
    • 2023
  • Physicians should be able to address health-related issues of patients and populations from a multidimensional perspective. Therefore, medical schools have a social responsibility to develop and implement curricula that enable trainees to acquire the competencies needed to improve all aspects of patient care and healthcare delivery. This study explored the concept of health systems science concept as the third pillar of medical education (the other two are basic science and clinical medicine) in the Korean context, as well as related educational needs. The theoretical foundation of health systems science is the biopsychosocial conceptual model, which emphasizes the biological, psychological, and social factors surrounding patients. We concluded that the three domains (core functional, foundational, linking) and 12 subcategories of health systems science proposed by the Association of American Medical Colleges could be applied to Korean medical education. Health systems science education must be emphasized to solve the various healthcare problems facing Korea today and to train physicians to provide medical services in line with society's needs. Introducing a health systems science curriculum will be challenging in the Korean medical environment, which has traditionally emphasized basic science and clinical medical education. Health systems science education should begin in the basic medical education phase, where physicians' professional identity is formed, and continue through graduate medical education. It is essential to understand related educational needs, develop curricular content, conduct faculty development programs, and provide financial resources for the development of an integrated curriculum.

Convolutional Autoencoder based Stress Detection using Soft Voting (소프트 보팅을 이용한 합성곱 오토인코더 기반 스트레스 탐지)

  • Eun Bin Choi;Soo Hyung Kim
    • Smart Media Journal
    • /
    • v.12 no.11
    • /
    • pp.1-9
    • /
    • 2023
  • Stress is a significant issue in modern society, often triggered by external or internal factors that are difficult to manage. When high stress persists over a long term, it can develop into a chronic condition, negatively impacting health and overall well-being. However, it is challenging for individuals experiencing chronic stress to recognize their condition, making early detection and management crucial. Using biosignals measured from wearable devices to detect stress could lead to more effective management. However, there are two main problems with using biosignals: first, manually extracting features from these signals can introduce bias, and second, the performance of classification models can vary greatly depending on the subject of the experiment. This paper proposes a model that reduces bias using convo utional autoencoders, which can represent the key features of data, and enhances generalizability by employing soft voting, a method of ensemble learning, to minimize performance variability. To verify the generalization performance of the model, we evaluate it using LOSO cross-validation method. The model proposed in this paper has demonstrated superior accuracy compared to previous studies using the WESAD dataset.

  • PDF

Hybrid Lymphovenous Anastomosis Surgery Guided by Intraoperative Mesenteric Intranodal Lymphangiography for Refractory Nontraumatic Chylous Ascites: A Case Report

  • Soo Jin Woo;Saebeom Hur;Hee Seung Kim;Hak Chang;Ji-Young Kim;Soo Jin Park;Ung Sik Jin
    • Archives of Plastic Surgery
    • /
    • v.51 no.1
    • /
    • pp.130-134
    • /
    • 2024
  • Refractory chylous ascites can cause significant nutritional and immunologic morbidity, but no clear treatment has been established. This article introduces a case of a 22-year-old female patient with an underlying lymphatic anomaly who presented with refractory chylous ascites after laparoscopic adnexectomy for ovarian teratoma which aggravated after thoracic duct embolization. Ascites (>3,000 mL/d) had to be drained via a percutaneous catheter to relieve abdominal distention and consequent dyspnea, leading to significant cachexia and weight loss. Two sessions of hybrid lymphovenous anastomosis (LVA) surgery with intraoperative mesenteric lymphangiography guidance were performed to decompress the lymphatics. The first LVA was done between inferior mesenteric vein and left para-aortic enlarged lymphatics in a side-to-side manner. The daily drainage of chylous ascites significantly decreased to 130 mL/day immediately following surgery but increased 6 days later. An additional LVA was performed between right ovarian vein and enlarged lymphatics in aortocaval area in side-to-side and end-to-side manner. The chylous ascites resolved subsequently without any complications, and the patient was discharged after 2 weeks. The patient regained weight without ascites recurrence after 22 months of follow-up. This case shares a successful experience of treating refractory chylous ascites with lymphatic anomaly through LVA, reversing the patient's life-threatening weight loss. LVA was applied with a multidisciplinary approach using intraoperative mesenteric lipiodol, and results showed the possibility of expanding its use to challenging problems in the intraperitoneal cavity.

An Efficient Routing Scheme Based on Node Density for Underwater Acoustic Sensors Networks

  • Rooh Ullah;Beenish Ayesha Akram;Amna Zafar;Atif Saeed;Sultan H. Almotiri;Mohammed A. Al Ghamdi
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • v.18 no.5
    • /
    • pp.1390-1411
    • /
    • 2024
  • Underwater Wireless Sensors Networks (UWSNs) are deployed in remotely monitored environment such as water level monitoring, ocean current identification, oil detection, habitat monitoring and numerous military applications. Providing scalable and efficient routing is very challenging in UWSNs due to the harsh underwater environment. The biggest difficulties are the nodes inherent movement due to water current, long delay in data transmission, low bandwidth of the acoustic signal, high error rate and energy scarcity in battery powered nodes. Many routing protocols have been proposed to solve the aforementioned problems. There are three broad categories of routing protocols namely depth based, energy based and vector-based routing. Vector Based Forwarding protocols perform routing through virtual pipeline by defining their radius which give proper direction to packets communication. We proposed a routing protocol termed as Path-Oriented Energy Scaled Expanded Vector Based Forwarding (PESEVBF). PESEVBF takes into account all parameters; holding time, the source nodes packets routing path and void holes creation on the second hop; PESEVBF not only considers the packet upward advancement but also focus on density of the forwarded nodes in terms of number of potential forwarding and suppressed nodes for path selection. Node selection in resultant holding time is based on minimum Path Factor (PF) value. Moreover, the suppressed node will be selected for packet forwarding to avoid the void holes occurrences on the second hop. Performance of PESEVBF is compared with other routing protocols using matrices such as energy consumption, packet delivery ratio, packets dropping ratio and duplicate packets creation indicating considerable performance improvement.

Development of 1:1 customized Smartphone Education Application for the Elderly using Generative AI (생성형 AI를 활용한 1:1 맞춤형 노인 스마트폰 교육 어플리케이션 개발)

  • Min-Young Chu;Yeon-Woo Park;Seung-Hyeon Noh;Soo-Jin Heo;Won-Whoi Huh
    • The Journal of the Institute of Internet, Broadcasting and Communication
    • /
    • v.24 no.4
    • /
    • pp.15-20
    • /
    • 2024
  • Local governments are conducting smartphone usage training for the elderly to bridge the information gap caused by a super-aged society. However, the one-to-many educational approach has limitations, and the elderly face difficulties due to insufficient learning effectiveness. This study proposes an educational service that can be used in offline training settings, considering an environment where the elderly can repeatedly learn to address these issues. This service utilizes generative AI to identify the parts that users find challenging and provides personalized problems for individualized practice. Integrating this app with existing local government training programs is expected to significantly enhance the efficiency of smartphone education in terms of personalized 1:1 training, time management, and the appropriateness of educational content.

A Study on Recruitment Strategies for Military Officer Personnel Considering the Characteristics of the MZ Generation (MZ세대 특성을 고려한 군 간부 인력 충원 전략 연구)

  • Seung-Hyun Kim
    • The Journal of the Convergence on Culture Technology
    • /
    • v.10 no.4
    • /
    • pp.105-109
    • /
    • 2024
  • This study analyzes the increasingly severe issue of recruiting military officer personnel due to low birth rates and social changes, and seeks to explore recruitment strategies that consider the characteristics of the MZ generation. The military strives to maintain security amidst ongoing military threats from North Korea, but the sharp decline in birth rates significantly impacts conscription resources and personnel recruitment. Additionally, the shift in values among the MZ generation and the cultural gap between them and the military organization make it challenging to attract outstanding talents. The MZ generation values work-life balance, horizontal relationships, and self-fulfillment, finding the authoritative and hierarchical military culture unattractive. Therefore, this study aims to diagnose the problems in military personnel recruitment and propose tailored recruitment strategies reflecting the characteristics of the MZ generation, ultimately exploring sustainable development directions for the future military.

Behavioral Interventions for Autism Spectrum Disorder: A Brief Review and Guidelines With a Specific Focus on Applied Behavior Analysis

  • Kyong-Mee Chung;Eunsun Chung;Hoomyung Lee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.35 no.1
    • /
    • pp.29-38
    • /
    • 2024
  • We conducted a comprehensive review of behavioral and educational interventions for individuals with autism spectrum disorder (ASD). The most prominent type of intervention, Comprehensive Early Intervention, often referred to as Early Intensive Behavioral Intervention (EIBI), has been found to be particularly effective in improving intelligence and adaptive behaviors. The naturalistic developmental behavioral intervention, designed to enhance social and communication abilities, showed effectiveness in improving language, cognitive function, and social initiation. However, more studies are needed to examine its effectiveness. Intensive individualized intervention, which provides a tailored intervention for a specific target behavior, was effective in improving social skills and communication, as well as reducing sleep, eating, and toileting problems. Cognitive behavioral therapy (CBT) is the most effective method for dealing with emotional difficulties, but it has not been widely used because of the shortage of trained experts. Parent-mediated intervention (PMI) involves parents acquiring knowledge and specific skills to improve their child's functioning or reduce challenging behaviors. Speech and language therapy, sensory integration, Treatment and Education of Autistic and related Communications Handicapped Children, developmental approaches, and social stories are frequently used interventions. However, evidence of their effectiveness has yet to be well established. Based on these findings, intervention recommendations for autism include EIBI, Early Start Denver Model, intensive individualized intervention, CBT, and PMI. The choice of intervention should be tailored to the individual's needs and delivered by qualified professionals with expertise in the specific intervention.

Summative Evaluation of 1993, 1994 Discussion Contest of Scientific Investigation (제 1, 2회 학생 과학 공동탐구 토론대회의 종합적 평가)

  • Kim, Eun-Sook;Yoon, Hye-Gyoung
    • Journal of The Korean Association For Science Education
    • /
    • v.16 no.4
    • /
    • pp.376-388
    • /
    • 1996
  • The first and the second "Discussion Contest of Scientific Investigation" was evaluated in this study. This contest was a part of 'Korean Youth Science Festival' held in 1993 and 1994. The evaluation was based on the data collected from the middle school students of final teams, their teachers, a large number of middle school students and college students who were audience of the final competition. Questionnaires, interviews, reports of final teams, and video tape of final competition were used to collect data. The study focussed on three research questions. The first was about the preparation and the research process of students of final teams. The second was about the format and the proceeding of the Contest. The third was whether participating the Contest was useful experience for the students and the teachers of the final teams. The first area, the preparation and the research process of students, were investigated in three aspects. One was the level of cooperation, participation, support and the role of teachers. The second was the information search and experiment, and the third was the report writing. The students of the final teams from both years, had positive opinion about the cooperation, students' active involvement, and support from family and school. Students considered their teachers to be a guide or a counsellor, showing their level of active participation. On the other hand, the interview of 1993 participants showed that there were times that teachers took strong leading role. Therefore one can conclude that students took active roles most of the time while the room for improvement still exists. To search the information they need during the period of the preparation, student visited various places such as libraries, bookstores, universities, and research institutes. Their search was not limited to reading the books, although the books were primary source of information. Students also learned how to organize the information they found and considered leaning of organizing skill useful and fun. Variety of experiments was an important part of preparation and students had positive opinion about it. Understanding related theory was considered most difficult and important, while designing and building proper equipments was considered difficult but not important. This reflects the students' school experience where the equipments were all set in advance and students were asked to confirm the theories presented in the previous class hours. About the reports recording the research process, students recognize the importance and the necessity of the report but had difficulty in writing it. Their reports showed tendency to list everything they did without clear connection to the problem to be solved. Most of the reports did not record the references and some of them confused report writing with story telling. Therefore most of them need training in writing the reports. It is also desirable to describe the process of student learning when theory or mathematics that are beyond the level of middle school curriculum were used because it is part of their investigation. The second area of evaluation was about the format and the proceeding of the Contest, the problems given to students, and the process of student discussion. The format of the Contests, which consisted of four parts, presentation, refutation, debate and review, received good evaluation from students because it made students think more and gave more difficult time but was meaningful and helped to remember longer time according to students. On the other hand, students said the time given to each part of the contest was too short. The problems given to students were short and open ended to stimulate students' imagination and to offer various possible routes to the solution. This type of problem was very unfamiliar and gave a lot of difficulty to students. Student had positive opinion about the research process they experienced but did not recognize the fact that such a process was possible because of the oneness of the task. The level of the problems was rated as too difficult by teachers and college students but as appropriate by the middle school students in audience and participating students. This suggests that it is possible for student to convert the problems to be challengeable and intellectually satisfactory appropriate for their level of understanding even when the problems were difficult for middle school students. During the process of student discussion, a few problems were observed. Some problems were related to the technics of the discussion, such as inappropriate behavior for the role he/she was taking, mismatching answers to the questions. Some problems were related to thinking. For example, students thinking was off balanced toward deductive reasoning, and reasoning based on experimental data was weak. The last area of evaluation was the effect of the Contest. It was measured through the change of the attitude toward science and science classes, and willingness to attend the next Contest. According to the result of the questionnaire, no meaningful change in attitude was observed. However, through the interview several students were observed to have significant positive change in attitude while no student with negative change was observed. Most of the students participated in Contest said they would participate again or recommend their friend to participate. Most of the teachers agreed that the Contest should continue and they would recommend their colleagues or students to participate. As described above, the "Discussion Contest of Scientific Investigation", which was developed and tried as a new science contest, had positive response from participating students and teachers, and the audience. Two among the list of results especially demonstrated that the goal of the Contest, "active and cooperative science learning experience", was reached. One is the fact that students recognized the experience of cooperation, discussion, information search, variety of experiments to be fun and valuable. The other is the fact that the students recognized the format of the contest consisting of presentation, refutation, discussion and review, required more thinking and was challenging, but was more meaningful. Despite a few problems such as, unfamiliarity with the technics of discussion, weakness in inductive and/or experiment based reasoning, and difficulty in report writing, The Contest demonstrated the possibility of new science learning environment and science contest by offering the chance to challenge open tasks by utilizing student science knowledge and ability to inquire and to discuss rationally and critically with other students.

  • PDF

Efficient Mining of Frequent Subgraph with Connectivity Constraint

  • Moon, Hyun-S.;Lee, Kwang-H.;Lee, Do-Heon
    • Proceedings of the Korean Society for Bioinformatics Conference
    • /
    • 2005.09a
    • /
    • pp.267-271
    • /
    • 2005
  • The goal of data mining is to extract new and useful knowledge from large scale datasets. As the amount of available data grows explosively, it became vitally important to develop faster data mining algorithms for various types of data. Recently, an interest in developing data mining algorithms that operate on graphs has been increased. Especially, mining frequent patterns from structured data such as graphs has been concerned by many research groups. A graph is a highly adaptable representation scheme that used in many domains including chemistry, bioinformatics and physics. For example, the chemical structure of a given substance can be modelled by an undirected labelled graph in which each node corresponds to an atom and each edge corresponds to a chemical bond between atoms. Internet can also be modelled as a directed graph in which each node corresponds to an web site and each edge corresponds to a hypertext link between web sites. Notably in bioinformatics area, various kinds of newly discovered data such as gene regulation networks or protein interaction networks could be modelled as graphs. There have been a number of attempts to find useful knowledge from these graph structured data. One of the most powerful analysis tool for graph structured data is frequent subgraph analysis. Recurring patterns in graph data can provide incomparable insights into that graph data. However, to find recurring subgraphs is extremely expensive in computational side. At the core of the problem, there are two computationally challenging problems. 1) Subgraph isomorphism and 2) Enumeration of subgraphs. Problems related to the former are subgraph isomorphism problem (Is graph A contains graph B?) and graph isomorphism problem(Are two graphs A and B the same or not?). Even these simplified versions of the subgraph mining problem are known to be NP-complete or Polymorphism-complete and no polynomial time algorithm has been existed so far. The later is also a difficult problem. We should generate all of 2$^n$ subgraphs if there is no constraint where n is the number of vertices of the input graph. In order to find frequent subgraphs from larger graph database, it is essential to give appropriate constraint to the subgraphs to find. Most of the current approaches are focus on the frequencies of a subgraph: the higher the frequency of a graph is, the more attentions should be given to that graph. Recently, several algorithms which use level by level approaches to find frequent subgraphs have been developed. Some of the recently emerging applications suggest that other constraints such as connectivity also could be useful in mining subgraphs : more strongly connected parts of a graph are more informative. If we restrict the set of subgraphs to mine to more strongly connected parts, its computational complexity could be decreased significantly. In this paper, we present an efficient algorithm to mine frequent subgraphs that are more strongly connected. Experimental study shows that the algorithm is scaling to larger graphs which have more than ten thousand vertices.

  • PDF

Sustainable Livestock Production in Hill and Woodland (산지에서의 환경친화형 조사료변산과 이용)

  • 김태환;성경일;김병완
    • Proceedings of the Korean Society of Grassland Science Conference
    • /
    • 2002.09b
    • /
    • pp.131-156
    • /
    • 2002
  • Although economically viable, the livestock industry is currently facing a number of challenging environmental problems and highly complex social issues, many of which are related to its size and geographically concentrated nature. Increased emphasis on environmental quality has also placed new demands on livestock producers to ensure that their production practices are in harmony with natural environment. In terms of sustainable agricultural systems, ruminants have served and will continue to serve a valuable role. They are particularly useful in converting vast renewable resources from rangeland, pasture, and crop residues or other by-product into food edible for human. With ruminants, land that is too poor or too erodable to cultivate becomes productive. Also, nutrients in by-products are utilized and do not become a waste-disposal problem. In Korea, however, native and dairy cattle production is not consistent with the advantageous roles of ruminant livestock in sustainable agricultural system because imported feed grains become the main basis for cattle raising. At present the ruminant livestock producers are heavily concentrated in and around the urban areas. About 75% of all the nation's cattle herds are kept on the outskirts of urban areas. As a result, the amount of pasture and forage land available per head of cattle is generally small. Furthermore, animals are raised in a cattle shed with high density. This situation is rather unfavorable for the national economic and environmental points of view As nation income increased, the demand for livestock products grew at an unforeseeable pace. But the pasture area involving in current utilization is tended to decrease during recent years. Based on the above figures more than 250,000 ha of pasture ought to be available for the present herd of cattle. It is obvious that these needs can scarcely be met with arable lands. Lands area for the establishment of new grassland have to be found in the hills and mountains which have not yet been used for crop framing or livestock. The development of extensive grasslands in the hill and woodland areas is now a declared aim. The starting point of the present work is the lack of knowledge of forage production and utilization in hill pasture and woodland in spite of indispensable necessity for livestock production in Korea. The importance of pastoral system in hill region and woodland is particularly emphasized in a standpoint of sustainable livestock production. Main chapter comprises the principle and techniques applicable for improving the utilization of hill pasture and woodland. We finally discussed the problems to solve and future works for a successful livestock production in hill and mountainous area in Korea.

  • PDF