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Self-supervised Meta-learning for the Application of Federated Learning on the Medical Domain (연합학습의 의료분야 적용을 위한 자기지도 메타러닝)

  • Kong, Heesan;Kim, Kwangsu
    • Journal of Intelligence and Information Systems
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    • v.28 no.4
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    • pp.27-40
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    • 2022
  • Medical AI, which has lately made significant advances, is playing a vital role, such as assisting clinicians with diagnosis and decision-making. The field of chest X-rays, in particular, is attracting a lot of attention since it is important for accessibility and identification of chest diseases, as well as the current COVID-19 pandemic. However, despite the vast amount of data, there remains a limit to developing an effective AI model due to a lack of labeled data. A research that used federated learning on chest X-ray data to lessen this difficulty has emerged, although it still has the following limitations. 1) It does not consider the problems that may occur in the Non-IID environment. 2) Even in the federated learning environment, there is still a shortage of labeled data of clients. We propose a method to solve the above problems by using the self-supervised learning model as a global model of federated learning. To that aim, we investigate a self-supervised learning methods suited for federated learning using chest X-ray data and demonstrate the benefits of adopting the self-supervised learning model for federated learning.

Experience of Disaster Response Team in Jecheon Sports Center Fire

  • Ha, Jeongmin;Kim, Hyun-Jung;Kim, Jin-Hwa;Park, Dahye
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.1
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    • pp.39-48
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    • 2022
  • Purpose : This study aimed to determine the experiences of the disaster response team 9 participants who participated in the disaster after the fire incident occurred in Jecheon Sports Center and their meaning and essence. Methods : Nine disaster response teams were the subjects of the study, and Individual in-depth interviews were conducted. Data were collected online between January 6 and April 30, 2021, from the software ZoomTM. This study was conducted as a qualitative study by applying Giorgi's phenomenological experiential research method, which has an advantage in revealing the essential structure and meaning of experience. Results : Three major themes were derived from the study results: the stimulus through unfamiliar experiences, the grievances due to work environment and regional characteristics, and dullness resulting from hiding and enduring. The following 17 sub-themes were identified: learning through unfamiliar experiences, frustration due to unexpected circumstances, shock from unfamiliar experiences, doing my best in the present, confidence due to increased experience, disunified system, intervention of various interests, the atmosphere that puts responsibility on others, inactive help, unforgettable regional characteristics, working without time to settle, tolerating it in my own way, memories left in the unconsciousness, sudden suffering from memories that come to mind, movement in anxiety and tension, dullness, work with colleagues in the same situation. Conclusion : This study is meaningful in that it attempted to provide basic data in preparing a long-term strategy for effective policy direction and institutional protection based on the systematic mental health management of the disaster response team. Additionally, this study's results can be used as primary data for future research among Disaster Response Team.

Acute Effects of Dynamic Stretching and Self-Mobilization of the Ankle Joint on Dorsiflexion Range of Motion, Muscle Strength, and Balance in Healthy Adults

  • Kim, Kyoung-Han;Choi, Yun-Seo;Jeon, Jeongwoo;Hong, Jihoen;Yu, Jaeho;Kim, Jinseop;Kim, Seong-Gil;Lee, Dongyeop
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.3
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    • pp.63-72
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    • 2022
  • Purpose : Several studies have investigated the effects of dynamic stretching (DS) and self-mobilization (SM), however, studies comparing the two interventions are rare. Therefore, the purpose of this study was to compare the effects of DS and SM on ankle strength, dorsiflexion range of motion (DFROM), and balance to determine which is superior. Methods : Thirty-two healthy young adults participated in this study. Participants were randomly assigned to two groups (SM and DS). DS was performed for the purpose of stretching the medial gastrocnemius muscle. For the SM group, ankle joint SM was performed in three ways. For all participants, the following measurements were performed as pre- and post-tests: isometric strength of dorsiflexor and plantar flexor, weight-bearing lunge test (WBLT) to evaluate DFROM, Tetrax system to evaluate static balance, and y balance test (YBT) to evaluate dynamic balance. Differences before and after the intervention within each group were compared using paired t-test. Also, the variable's variation was compared between groups using an independent t-test. Results : Significant differences were found in ankle dorsiflexor strength, WBLT, YBT, weight distribution index (WDI) (pillow and opened eyes; PO), and stability index (ST) (normal and closed eyes; NC) before and after intervention in the SM group (p<.05). In the DS group, significant differences were found in ankle dorsiflexor and plantar flexor strength, WBLT, YBT anterior, WDI (normal and opened eyes; NO, PO), and ST (NO, NC, PO, pillow and closed eyes) before and after the intervention (p<.05). Ankle plantar flexor strength and WDI (PO) were significantly different between groups. Conclusion : Based on the results of this study, DS or SM can be considered as a possibility for selective use according to variables for improving ankle joint function (DFROM, muscle strength, balance).

Injury trends among foreign and domestic tourists in Jeju from 2008 to 2018

  • Hwang, Ki Sang;Lee, Sung Kgun;Song, Sung Wook;Kim, Woo Jeong;Kang, Young Joon;Kang, Kyeong Won;Park, Hyun Soo;Park, Chang Bae;Kang, Jeong Ho;Bu, Ji Hwan;Ko, Seo Young
    • Journal of Medicine and Life Science
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    • v.19 no.1
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    • pp.8-13
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    • 2022
  • Jeju is the largest island in Korea and one of its key tourist attractions. As the number of foreign tourists steadily increases, so does the number of injuries incurred there. Accordingly, this study aimed to describe and compare the characteristics of injuries suffered by foreign tourists versus those of domestic tourists. As a cross-sectional study of a retrospective medical record survey, the study was conducted with reference to the Jeju Injury Surveillance System from the 11-year period of January 2008 to December 2018. The following factors were investigated: demographic data, mechanism of injury, place of occurrence, activity when injured, patient outcome, and mortality. A total of 92,095 injured Jeju Island visitors was recorded during this time, a number that included 88,050 Koreans and 4,045 foreigners. The gender ratio showed similar patterns between the two groups and there were no significant age differences. In both groups, the most common mechanism of injury was collisions/cuts. Also, more foreigners experienced falls than Koreans. Regarding the location, Koreans had the most road accidents, while foreigners were most likely to be injured at outdoor locations, such as seas and rivers. Furthermore, more foreigners experienced severe injuries requiring hospitalization. Notably, this study showed the differences in injury between foreign and Korean tourists visiting Jeju Island and its findings lend support to targeted safety promotion programs.

Establishing a Thinking Process for Revolution in Military Affairs to Create Future Crucial Capabilities for the Republic of Korea Army (육군의 미래 핵심역량 창출을 위한 군사혁신 사고과정 정립)

  • Cho, Sang Keun;Lee, Gwang Woon;Min, Chulki;Yeoi, Byung Ik;Choi, Hyun Gyu;Park, Sang-Hyuk
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.453-458
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    • 2022
  • The Republic of Korea Army(ROKA) has carried out a deep change to prepare for the future war since 2017. For this, Korea Army Research Center for Future & Innovation(KARCFI) established in 2018 tried to spread out boom of innovation toward the whole ROKA. A number of ROKA members mentioned the necessity of research methodology creating future crucial capabilities, weapons, combat concepts, structures, etc. KARCFI researchers established a thinking process for revolution in military affairs(RMA) to rapidly respond field requests and optimized it through validity assessment of professionals and experiment in Army Innovation School. As a result, a thinking process for RMA provided creative ideas with the Army's vision and strategy, was included in its education system. Simultaneously, it became one of methodologies for the Army's research tasks and KCI journals. From now on, a thinking process for RMA will be able to signpost for RMA of the Army through diverse following studies.

Six-year clinical performance of lithium disilicate glass-ceramic CAD-CAM versus metal-ceramic crowns

  • Ahmed Aziz;Omar El-Mowafy
    • The Journal of Advanced Prosthodontics
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    • v.15 no.1
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    • pp.44-54
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    • 2023
  • PURPOSE. To assess the clinical performance of monolithic CAD-CAM lithium disilicate glass-ceramic (LDGC) crowns and metal-ceramic (MC) crowns provided by predoctoral students. This study also assessed the effects of patient and provider-related factors on their clinical performance as well as patient preference for these types of crowns. MATERIALS AND METHODS. Twenty-five patients who received 50 crowns (25 LDGC CAD-CAM and 25 MC) provided by predoctoral students were retrospectively examined. LDGC CAD-CAM crowns were milled in-house using the CEREC Bluecam system and cemented with either RelyX Unicem or Calibra Esthetic resin cements. MC crowns were cemented with RelyX Unicem cement. Clinical assessment of the crowns and the supporting periodontal structures were performed following the modified California Dental Association (CDA) criteria. Patients' preference was recorded using a visual analog scale (VAS). The results were statistically analyzed using log-rank test, Pearson Chi-squared test and Kaplan-Meier survival analysis. RESULTS. Twelve complications were observed in the MC crown group (9-esthetic, 2-technical and 1-biological). In comparison, 2 complications in the LDGC CAD-CAM crown group were observed (1-technical and 1-esthetic). The 6-year cumulative survival rates for MC crowns and LDGC CAD-CAM were 90.8% and 96%, respectively, whereas the success rates were 83.4% and 96%, respectively. Overall, patients preferred the esthetic outcomes of LDGC CAD-CAM crowns over MC crowns. CONCLUSION. The high survival and success rates, low number of complications, and the high level of patients' acceptance of monolithic LDGC CAD-CAM crowns lend them well as predictable and viable alternatives to the "gold standard" MC crowns.

Quantitative Safety Risk Assessment using Aviation Safety Data (항공안전데이터를 사용한 위해요인 위험도 정량적 평가기법)

  • Hyunjin Paek;Jun Hwan Kim;Jae Jin Lim;Sungjin Jeon;Young Jae Choi
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.30 no.4
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    • pp.145-158
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    • 2022
  • To manage State Safety Program (SSP) in a more integrative and proactive manner, an aviation safety authority of the state shall detect and assess the risk of emerging or hidden safety hazards before they provoke accidents or incidents(ICAO, 2018). In case of South Korea, safety risk assessment is conducted by calculating the likelihood and severity of the hazard following ICAO's safety management manual. It is reasonable to extract the safety risk likelihood by calculating the number of occurrence caused by the hazard. However, it is ambiguous to assess the safety risk severity defined as the extent of harm that might be expected to occur as a consequence of the identified hazard. In this paper, a safety risk assessment method which quantitatively calculates the risk of hazard using aviation safety data(i.e. aviation safety mandatory report, etc.) is proposed. By utilizing the proposed method, the existing process that safety risk is being subjectively assessed by safety inspectors can be supplemented. So that essential aviation safety policy decision making can be accomplished by the accurate result of safety risk assessment.

Weight Loss Experience of Highly Obese Young Adult Who Underwent Bariatric Surgery (비만대사수술을 받은 고도비만 청년들의 체중감량 경험)

  • Lee, Hoim;Jeong, Hyoju;Kwon, Suhye
    • Journal of Korean Academy of Nursing
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    • v.53 no.2
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    • pp.260-273
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    • 2023
  • Purpose: This study aimed to explore the weight loss experience of highly obese young people who underwent bariatric surgery. Methods: Data were collected, from October 2021 to April 2022, through individual in-depth interviews with eight highly obese young adults who underwent bariatric surgery and analyzed using Colaizzi's phenomenological method. Results: The following four theme clusters were extracted. First, 'The unbearable sorrow of obese people' explains the process of choosing bariatric surgery after fluctuations and frustration despite countless repeated weight loss attempts. Second, 'The impact aftermath of bariatric surgery' revealed participants struggling in the face of unexpected changes due to bariatric surgery. Third, 'Efforts to rebuild a healthy myself' demonstrated the struggle to regain health by using the surrounding support system to overcome the difficulties of this surgical procedure. Lastly, 'Facing life by getting rid of the yoke of obesity' displayed the experiences of the participants who felt ambivalent about their changed appearance, but coping positively with the new life. Conclusion: This study provides an in-depth understanding of the weight loss experiences of highly obese adolescents who underwent bariatric surgery and presents a new perspective on clinical practice. The results of this study are expected to be useful in developing and applying systematic and customized nursing interventions before and after bariatric surgery.

Research on the War Records of Hamyang-gun, Gyeongsangnam-do, during the Korean War: With a Focus on the Military Records of the Korean Army during the 6.25 War (한국전쟁기 경남 함양군 전쟁 기록 연구 : 육군의 6·25 전쟁 군사기록물을 중심으로)

  • Sunyoung Byun
    • Journal of Korean Society of Archives and Records Management
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    • v.23 no.3
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    • pp.137-163
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    • 2023
  • In 2020, the digitization of the previously partially researched "6.25 War military records" was completed and transitioned to public access, allowing anyone to utilize the digitized materials. Following concerns regarding the effective utilization of these records and the creation of historical value, this study analyzed issues found in the specific region of Hamyang in Gyeongsangnam-do based on the management status and utilization information of the National Archives of Korea, War Memorial of Korea, and Army Records and Information Management System that primarily managed the records. Furthermore, it proposes developing the metadata elements to address the issues, constructing a digital archive, enhancing the interconnectedness of war records, providing educational and exhibition services, and offering various forms of research materials.

Types of perception toward non-face-to-face clinical practice among nursing students (간호대학생의 비대면 임상실습에 대한 인식 유형)

  • Kim, Geun Myun;Chang, Soo Jung;Kim, Jeong Ah
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.3
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    • pp.247-262
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    • 2023
  • Purpose: This study aimed to identify the types of perception toward non-face-to-face clinical practice and to characterize the types of students who experienced online clinical practice during the coronavirus disease 2019 (COVID-19) pandemic. Methods: Q-methodology was used in this study, and 270 Q populations were formed based on in-depth interviews with 10 nursing students who had experienced non-face-to-face clinical practice, as well as related literature. Interviews were performed from August 1 to 31, 2022. A total of 42 Q samples were extracted, and Q sorting was performed on 33 nursing students who had experienced non-face-to-face clinical practice. A Q factor analysis was performed using the PC-QUANL program. Results: The nursing students' perceptions of non-face-to-face clinical practice were classified into the following five types: "future professional competency-focused type," "realistic convenience priority type," "task burden awareness type," "negative critic type," and "limited experience dissatisfaction type." Conclusion: This study revealed non-face-to-face clinical practice's positive and negative aspects in nursing education. Moreover, it identified the aspects of clinical practice that cannot be replaced by non-face-to-face clinical practice and the elements of non-face-to-face practice that can complement clinical practice. These findings can be used as fundamental data to establish a stable and efficient system for improving the quality of clinical practice in the post-COVID-19 era and to implement effective non-face-to-face clinical practice according to student types.