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A Fundamental Study for 8 Constitution Medicine Diagnosis Expert System Development (8체질(體質) 진단(診斷) 전문가(專門家) 시스템 개발을 위한 기초연구(基礎硏究))

  • Shin, Yong-Sup;Park, Young-Bae;Park, Young-Jae;Kim, Min-Yong;Lee, Sang-Chul;Oh, Hwan-Sup
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.11 no.1
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    • pp.25-47
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    • 2007
  • Background and Purpose: There was seldom study about method that diagnose 8 Constitution beside method of pulse diagnosis in 8 Constitution Medicine. Objectives: This study is to make out check list for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning). Methods: Review of literatures about special quality element of 8 Constitution and supplement learning advice of 8 Constitution Medicine Experts constructed knowledge base. And then, knowledge base divided through AHP(Analytic Hierarchy Process), and made out check list with this. Results: Knowledge base based on special quality element of 8 Constitution was divided by 5 greate classification and 25 bisection kind, and check list consisted of 251 item was made out through this. Conclusion: Based on this research, cases necessary to make 8 Constitution Medicine Diagnosis Expert System can be gathered through check list, and further study for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning) is needed to supplement this research.

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Analysis of Factors for Satisfying Functional Outcomes in Tongue Reconstruction (설결손의 재건 후 기능적 예측 인자의 분석)

  • Hong, Hyun Joon;Lee, Won Jai;Lew, Dae Hyun;Rah, Dong Kyoon;Tark, Kwan Chul
    • Archives of Plastic Surgery
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    • v.35 no.3
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    • pp.255-260
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    • 2008
  • Purpose: Tongue cancer is the most common malignant tumor of the oral cavity and the ultimate goal in treatment of the cancer is not only complete excision and meticulous closure of the wound, but also, reconstruction of a demensional and functional tongue. Our study focuses on various factors, such as defect size, extent of tumor, age, application of mandibulectomy or radiotherapy, and their influences on postoperative speech and swallowing function. Methods: Our study was based on 59 patients who underwent tongue cancer operation and reconstruction of the tongue. Speech and swallowing were evaluated according to categories documented by Sultan and Teichgraeber. Patients were classified into 3 groups as partial glossectomy, hemiglossectomy and total glossectomy groups for evaluation. The average age of the patients were 51, and the mean follow-up period was 4 years 2 months. Results: The partial glossectomy group showed statistically relevant results for speech articulation and swallowing abilities compared to the total glossectomy group. In cases of defects involving the mouth floor, the group showed decreased results compared to the group without mouth floor involvement. Increased age showed decreased postoperative results with statistical significance, while mandibulectomy and radiotherapy revealed no statistically significant data. Analysis according to TNM staging resulted in decreased functional result with advanced staging without statistical significance. Conclusion: To summarize the factors influencing the functional outcome in tongue reconstruction, younger patients and early stage cancer with minimal surgical extent revealed more satisfying results while mandibulectomy and radiation did not have influence on our analysis. Addition of various influencing factors and studies with longer follow up periods on our patient groups may provide effective data for more satisfying functional outcomes in the future.

Epidemiology and Clinical Features of Respiratory Viruses in Pediatric Inpatients in a Single Medical Center in Daegu from 2010 to 2012 (대구지역 단일병원에서 입원 환아의 호흡기 바이러스 역학 및 임상 양상: 2010-2012년)

  • Lee, Eun-Kyung;Lee, Yun-Young;Choi, Kwang-Hae
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.95-100
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    • 2013
  • Background: This study was performed to investigate the epidemiologic and clinical features of acute respiratory viral infection in hospitalized children. Methods: From 2010 to 2012, we tested nasopharyngeal swab specimen in 1,584 hospitalized children with multiple real-time polymerase chain reactions to identify 10 kinds of respiratory viruses (including influenza virus A, B (FluA, FluB), respiratory syncytial virus (RSV), human metapneumovirus (MPV), adenovirus (AdV), human coronavirus (CoronaV), human enterovirus (HEV), human bocavirus (HBoV), parainfluenza virus (PIV), and human rhinovirus (Rhinovirus)). We analyzed the positive rate, annual and seasonal variations, and clinical features (respiratory tract and non-respiratory tract) according to the retrospective review of medical records. Results: Respiratory viruses were detected from 678 (42.8%) of 1,584 patients. The most common detected virus was RSV (35.0%), and then AdV (19.0%), HEV (18.1%). The critical period of the respiratory viral infection was during the first 12 months of a child's life. PIV increased by 8.4%, 12.1%, and 21.1% annually. Bronchiolitis was most frequently caused by RSV, and croup was frequently caused by PIV. The most common cause of meningitis was HEV. Hepatitis-associated respiratory virus was developed 111 in 678 cases. Conclusion: Although this study was confined to a single medical center for three years, we identified the epidemiology and clinical feature of respiratory viruses in Daegu from 2010 to 2012. Future surveillance will be necessary for annual and seasonal variations.

Vitamin D Sufficiency: How Should it be Defined and what are its Functional Indicators?

  • Hollis Broce W.
    • Nutritional Sciences
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    • v.8 no.2
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    • pp.111-117
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    • 2005
  • It has been more than three decades since the first assay assessing circulating 25 (OH)D in human subjects was performed That publication as well as several that followed it defined 'normal' nutritional vitamin D status in human populations. Recently, the wisdom by which 'normal' circulating 25 (OH)D levels in human subjects were assigned in the past has come under question. It appears that sampling human subjects, who appear to be free from disease, and assessing 'normal' circulating 25 (OH)D levels by plotting a Gaussian distribution is grossly inaccurate. There are many reasons why this method is inaccurate, including race, lifestyle habits, sunscreen usage, age, latitude, and inappropriately low dietary recommendations for vitamin D. For instance, a 400 IU/day. AI for vitamin D is insignificant when one considers that a 10-15 minute whole body exposure to peak summer sun will generate and release up to 20,000 IU vitamin $D_3$ into the circulation. Recent studies, which orally administered up to 10,000 IU/day vitamin $D_3$ to human subjects for several months, have successfully elevated circulating 25 (OH)D levels to those observed in individuals from sun-rich environments. Further, we are now able to accurately assess sufficient circulating 25 (OH)D levels utilizing specific biomarkers instead of guessing what an adequate level is. These biomarkers include intact parathyroid hormone (PTH), calcium absorption, bone mineral density (BMD), insulin resistance and pancreatic beta cell function. Using the data from these biomarkers, vitamin D deficiency should be defined as circulating levels of 25 (OH)D$\leq$30 ng/mL. In certain cases, such as pregnancy and lactation, significantly higher circulating 25 (OH)D levels would almost certainly be beneficial to both the mother and recipient fetus/infant.

The Ethics of Robots and Humans in the Post-Human Age (포스트휴먼 시대의 로봇과 인간의 윤리)

  • You, Eun-Soon;Cho, Mi-Ra
    • The Journal of the Korea Contents Association
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    • v.18 no.3
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    • pp.592-600
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    • 2018
  • As the field of robots is evolving to intelligent robots that can replace even humans' mental or emotional labor, 'robot ethics' needed in relationship between humans and robots is becoming a crucial issue these days. The purpose of this study is to consider the ethics of robots and humans that is essential in this post-human age. It will deal with the followings as the main contents. First, with the cases of developing ethics software intended to make robots practice ethics, the authors begin this research being conscious about the matter of whether robots can really judge what is right or wrong only with the ethics codes entered forcibly. Second, regarding robot ethics, we should consider unethicality that might arise from learning data internalizing human biasness and also reflect ethical differences between countries or between cultures, that is, ethical relativism. Third, robot ethics should not be just about ethics codes intended for robots but reflect the new concept of 'human ethics' that allows humans and robots to coevolve.

Enhancement of BDNF Production by Co-cultivation of Human Neuroblastoma and Fibroblast Cells

  • Hong, Jong-Soo;Oh, Se-Jong;Kim, Sun-Hee;Park, Kwon-Tae;Cho, Jin-Sang;Park, Kyung-You;Lee, Jin-Ha;Lee, Hyeon-Yong
    • Biotechnology and Bioprocess Engineering:BBE
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    • v.3 no.2
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    • pp.51-54
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    • 1998
  • It has been proved that co-cultivation of human neroblastoma cells and human fibroblast cells can enhance nerve cell growth and the production of BDNF in perfusion cultivation. In batch co-cultivation, maximum cell density was increased up to 1.76${\times}$106 viable cells/mL from 9${\times}$105 viable cells/mL of only neuroblastoma cell culture. The growth of neuroblastoma cells was greatly improved by culturing both nerve and fibroblast cells in a perfusion process, maintaining 1.5${\times}$106 viable cells/mL, which was much higher than that form fed-batch cultivation. The nerve cell growth was greatly enhance in both fed-batch and perfusion cultivations while the growth of fibroblast cells was not. It strongly implies that the factors secreted from human fibrobast cells and/or the environments of co-culture system can enhance both cell growth and BDNF secretion. Specific BDNF production rate was not enhanced in co-cultures; however, the production period was increased as the cell growth was lengthened in the co-culture case. Competitive growth between nerve cells and fibroblast cells was not observed in all cases, showing no changes of fibroblast cell growth and only enhancement of the neuroblastoma cell growth and overall BDNF production. It was also found that the perfusion cultivation was the most appropriate process for cultivating two cell lines simultaneously in a bioreactor.

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Robot-Assisted Free Flap in Head and Neck Reconstruction

  • Song, Han Gyeol;Yun, In Sik;Lee, Won Jai;Lew, Dae Hyun;Rah, Dong Kyun
    • Archives of Plastic Surgery
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    • v.40 no.4
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    • pp.353-358
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    • 2013
  • Background Robots have allowed head and neck surgeons to extirpate oropharyngeal tumors safely without the need for lip-split incision or mandibulotomy. Using robots in oropharyngeal reconstruction is new but essential for oropharyngeal defects that result from robotic tumor excision. We report our experience with robotic free-flap reconstruction of head and neck defects to exemplify the necessity for robotic reconstruction. Methods We investigated head and neck cancer patients who underwent ablation surgery and free-flap reconstruction by robot. Between July 1, 2011 and March 31, 2012, 5 cases were performed and patient demographics, location of tumor, pathologic stage, reconstruction methods, flap size, recipient vessel, necessary pedicle length, and operation time were investigated. Results Among five free-flap reconstructions, four were radial forearm free flaps and one was an anterolateral thigh free-flap. Four flaps used the superior thyroid artery and one flap used a facial artery as the recipient vessel. The average pedicle length was 8.8 cm. Flap insetting and microanastomosis were achieved using a specially manufactured robotic instrument. The total operation time was 1,041.0 minutes (range, 814 to 1,132 minutes), and complications including flap necrosis, hematoma, and wound dehiscence did not occur. Conclusions This study demonstrates the clinically applicable use of robots in oropharyngeal reconstruction, especially using a free flap. A robot can assist the operator in insetting the flap at a deep portion of the oropharynx without the need to perform a traditional mandibulotomy. Robot-assisted reconstruction may substitute for existing surgical methods and is accepted as the most up-to-date method.

Transformative and Transhumanism in the film (영화 <엘리시움(Elysium)>에 비춰진 트랜스포머티브와 트랜스휴머니즘)

  • Kim, Hee-Kyung
    • Journal of Digital Contents Society
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    • v.19 no.8
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    • pp.1481-1488
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    • 2018
  • Recently, the terms of the fourth industrial revolution, deep running, artificial intelligence, post-human, and trans-human are frequently heard. These terms suggest that the rapid development of science and technology will make the future different from the present. However, rather than giving priority to striking a different future phenomenon, I think it is first of all to understand what kind of future technology or phenomenon is in the present stage. Therefore, in this study, in particular, the actual cases of linking or combining science and technology to the human body are increasing. So if you want to call this human being what kind of characteristics you have. To do this, I first looked at the meaning of trance, transformative, and trans humanism. Next, I looked at the relationship between science and technology and transhumanism. Next, we analyzed four transformative characteristics in the film Elysium and examined how it affects the understanding of transhumanism. This process will be the starting point for understanding post-human and post-humanism in the future.

Reconstruction of Midfacial Defect Using Various Free Flap (중안면부 복합조직결손부의 재건을 위한 다양한 유리피판술의 선택)

  • Cho, Jae Hyun;Lee, Won Jai;Lew, Dae Hyun;Rah, Dong Kun;Tark, Kwan Chul
    • Archives of Plastic Surgery
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    • v.33 no.3
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    • pp.283-288
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    • 2006
  • Various vascularized free flaps have been used for midfacial reconstruction after ablative head and neck cancer surgery. The most common donor sites for free flap include latissimus dorsi, rectus abdominis, and radial forearm. Between 1994 and 2004, 14 patients underwent free flap operation after head and neck cancer ablation, and were reviewed retrospectively. Among 14 free flaps, 8 were latissimus dorsi myocutaneous flaps, 3 rectus abdominis myocutaneous flaps and 3 radial forearm flaps, respectively. The overall survival rate of the flap was 100%. Complications were wound dehiscence(5 cases) and ptosis(1 case). We designed multiple dimensionally folded free flap for midfacial reconstruction. For 3-dimensional flap needs, we used latissimus dorsi myocutaneous flap. 2-Dimensional flap was latissimus dorsi or rectus abdominis myocutaneous flap and 1-dimensional flap was radial forearm flap. In this study we produced an algorithm for midfacial reconstruction. Large volume with many skin paddle defects were best reconstructed with latissimus dorsi myocutaneous flap or rectus abdominis myocutaneous flap. Radial forearm flap was used for reconstruction of small volume and little skin paddle defects.

Implementation of an Effective Human Head Tracking System Using the Ellipse Modeling and Color Information (타원 모델링과 칼라정보를 이용한 효율적인 머리 추적 시스템 구현)

  • Park, Dong-Sun;Yoon, Sook
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.38 no.6
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    • pp.684-691
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    • 2001
  • In this paper, we design and implement a system which recognizes and tracks a human head on a sequence of images. In this paper, the color of the skin and ellipse modeling is used as feature vectors to recognize the human head. And the modified time-varying edge detection method and the vertical projection method is used to acquire regions of the motion from images with very complex backgrounds. To select the head from the acquired candidate regions, the process for thresholding on the basis of the I-component of YIQ color information and mapping with ellipse modeling is used. The designed system shows an excellent performance in the cases of the rotated heads, occluded heads, and tilted heads as well as in the case of the normal up-right heads. And in this paper, the combinational technique of motion-based tracking and recognition-based tracking is used to track the human head exactly even though the human head moves fast.

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