• 한국운동역학회지
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• 제23권2호
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• pp.179-187
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• 2013

This case study was conducted to determine the effects of water exercise on the foot pressure distribution (FPD) of persons who have a hemiplegia. A 43-year old female with hemiplegia acquired at the age of 3 years was selected from a local disability program. A 12-week water exercise program (60 min. per session and twice a week) focusing on gait training was developed and implemented as the intervention of this study. A recent product of the Pedar-X (Novel, Germany) was used to measure the FPD of hemiplegic gait before and after the intervention. Variables considered in this study included the average pressure (AP), contact area (CA), maximum pressure (MP), ground reaction force (GRF), and center of pressure (COP). The data collected were analyzed via the descriptive statistics and qualitative analyses on the graphical presentations of the FPD. Results revealed that the AP and CA of the hemiplegic foot was considerably increased before and after the intervention. Similar results were also found in the MP and GRF. Additionally, the graphical route of the COP related to hemiplegic foot was changed in a positive way after the intervention. It can be concluded that water exercise may be beneficial to restore hemiplegic gait. Limitations related to measurement and generalizability are further discussed.

• 동의신경정신과학회지
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• 제25권4호
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• pp.411-422
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• 2014

Objectives: A large number of patients require psychiatric therapy. We attempted to determine the present situation regarding psychotherapy and neuropsychological tests for dementia in Korean medicine for the benefit of the Health Insurance Review and Assessment Service (HIRAS). The aim of this study was to aware of the current status about psychotherapy and neuropsychological test for dementia in Korean medicine. Methods: We searched the medical practice records for psychotherapy and neuropsychological tests in oriental neuropsychiatry between 2009 and 2013 using the Health Insurance Review and Assessment Service (HIRAS) database. The search categories were: IJeongByunGi (Medical practice code:59001), JiUnGoRoen (59002), Kyungjapyungji (59003), OhJiSangSeung (59004), neuropsychological test for dementia (29005). Results: 1. The number of patients treated with Korean Medical Psychotherapy increased annually by 151%. The total number of patients treated with Korean Medical Psychotherapy was 4,289 in 2013. 2. The total cost for patients treated with Korean medical Psychotherapy in the public health medical insurance budget was 268,032,000 won in 2013. The average medical cost for one therapy was 17,000 won in 2013. 3. The number of patients in local clinics is increasing faster than the number in Korean medical hospitals. 4. The age group between 20~30 years of age, for both men and women, is the group with the greatest density in Korean Medical Psychotherapy. 5. Neuropsychological Testing for Dementia in Korean Medicine is slowly decreasing. Conclusions: The prevalence of mental illness in Korea is increasing, therefore, the demand for Korean Medical Psychotherapy has increased recently. Authorizing Korean Medical psychiatrists to utilize Korean mental Health resources is essential. This study could be helpful in understanding the current status for the purpose of expanding Korean Medical Psychotherapy.

• Parasites, Hosts and Diseases
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• 제58권4호
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• pp.467-473
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• 2020

Chinese edible frogs, Hoplobatrachus rugulosus, were examined to estimate the potential risks of human gnathostomiasis and sparganosis in Myanmar. A total of 20 frogs were purchased in a local market of Yangon and examined with naked eyes and the artificial digestion method after skin peeling in June 2018 and June 2019. Larvae of gnathostomes and Spirometra (=spargana) were detected in 15 (75.0%) and 15 (75.0%) frogs with average intensities of 10.5 and 6.3 larvae per infected frog, respectively. Gnathostome larvae were 2.75-3.80 (av. 3.30) mm long and 0.29-0.36 (0.33) mm wide. They had a characteristic head bulb with 4 rows of hooklets, a muscular long esophagus, and 2 pairs of cervical sac. The mean number of hooklets were 41, 44, 47, and 50 on the 1st, 2nd, 3rd, and 4th row, respectively. Collected spargana were actively moving, particularly with the scolex part, and have ivory-white color and variable in size. Conclusively, it has been first confirmed that Chinese edible frogs, H. rugulosus, are highly infected with larval gnathostomes and spargana in this study. Consuming these frogs is considered a potential risk of human gnathostomiasis and sparganosis in Myanmar.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제20권4호
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• pp.252-258
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• 2017

Purpose: Blunt trauma of pancreas in children is uncommon and its management varies from observational to early operative intervention. We analysed the feasibility and outcome of non-operative management in all grades of paediatric pancreatic injuries. Methods: A total of 15 patients of pancreatic trauma seen in a Paediatric Surgery Unit were retrospectively analyzed. Results: Age of the patients ranged from 3-11 years (mean, 7.7 years). The mode of injury was local trauma in 9 children. Only 3 patients had associated injuries and all were haemodynamically stable. Serum amylase levels were raised in 12 patients at admission which ranged from 400-1,000 IU. Computed tomography scan made a correct diagnosis in 14 patients. Grades of the injury varied from grade I-V (1, 3, 6, 4, 1 patients respectively). Fourteen patients were managed conservatively. One patient underwent laparotomy for suspected superior mesenteric hematoma. The average duration of enteral feeds was 3.7 days and of hospital stay was 9.4 days. Six patients formed pancreatic pseudocysts; two were managed conservatively while the other four underwent cystogastrostomy. The patients were followed up for a period of 1-12 years. All remained asymptomatic and none had exocrine or endocrine deficiencies. Conclusion: Non-operative treatment for isolated blunt trauma of pancreas in children may be safely followed for all the grades of injury; if associated injuries requiring surgical intervention are ruled out with a good quality imaging and the patients are hemodynamically stable. It did not increase the hospital stay and morbidity and avoided operative intervention on acutely injured pancreas.

• 한국산업보건학회지
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• 제5권1호
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• pp.68-86
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• 1995

This study was conducted at five Ethylene Oxide(EO) sterilizing processes in hospitals located in Seoul from August 8 to August 30, 1994. The main purposes of this study were to assess the TWA(Time Weighted Average) and short term exposures to EO and to evaluate factors affecting EO concentrations in sterilizing room. Results are summarized as follows. 1. The TWA concentrations of the sterilizing operators ranged from <0.005ppm to 3.04ppm and those of two sterilizing rooms out of five exceeded 1ppm, the Korean and ACGIH standards. 2. When the door of the sterilizer is opened at the end of the sterilization cycle, the short term concentrations of operators ranged from <0.005ppm to 11.4ppm, and those of three sterilizing room out of five exceeded 5ppm, the ACGIH short term exposure limit(STEL). The short term concentrations of area samples ranged from 0.24ppm to 49.2ppm and those of four sterilizing room out of five exceeded 5ppm. 3. Factors affecting EO exposure level were aeration type, the location of storage site for sterilized item, amount of gas, use period of sterilizer(p<0.005). 4. Following recommendations are suggested to minimize exposure to EO. The use of EO gas should be reduced by using another available sterilization methods, and the sterilizers and gas tank storage site should be isolated from, other work areas. Combination of local and general ventilation system should be installed. Metal carts or baskets for sterilization load should be used, and work environment and medical monitoring should be performed regularly.

• 보건행정학회지
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• 제25권3호
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• pp.221-228
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• 2015

Background: This study explored the relationship between hospital resources and services uses in outpatient/inpatient-based hospital service area (HSA) in Korea. Methods: Study hospitals included all acute care hospitals except tertiary hospitals. Inpatient and outpatient hospital claims from the Korean National Health Insurance (NHI) program in 2010 were used to identify the service uses. Hospital resources and the degree of insurance premium in study areas were identified with the NHI corporation data. Study variables were computed by summing the service uses or hospital resources of study hospitals in each HSA. Service uses were represented by the total medical charges and number of visits/inpatient days. Hospital resources were measured by number of beds, number of doctors, and number of computed tomography (CT). The economic status of NHI enrollees in each HSA was controlled by the average monthly premium of NHI program per household in each HSA. The degree of using local hospitals was controlled with the localization index. Results: Analysis results showed that hospital resources such as beds, CT were statistically related to the service uses. And also localization index was found to have positive significant relationships with service uses. Conclusion: Hospital resources such as beds, CT had not only positive impacts on inpatient service uses, but also influences on the outpatient setting. Health policy makers will require monitoring and assessing the hospital resources in Korea.

• 정보과학회 논문지
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• 제42권7호
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• pp.929-938
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• 2015

기회주의적 네트워크에서는 각 메시지들이 저장, 운반 및 전달을 반복하면서 목적지까지 전송된다. 최근 소셜 네트워크가 활성화되면서 기존의 많은 연구들은 메시지 전송 시 사회관계망을 고려하여, 기회적 메시지 전송에서의 성능 향상을 보여주었다. 하지만 기존 연구들은 사회관계망을 구성하고 있는 모든 노드들은 서로 무조건 협력한다는 강한 가정 아래 전송 범위 안에 메시지를 수신할 수 있는 노드가 발견되면 무조건 메시지를 전달했다. 또한, 단기적인 접촉 횟수 및 지역적 사회관계만 고려하고 최종 목적지와의 평균적인 관계는 고려하지 못했다. 본 논문에서는 기회주의적 네트워크에서 메시지 전달 시 노드의 그룹 친밀성 정보를 이용하여, 목적지 노드와 친밀도가 높은 노드를 통해 메시지를 전달함으로써 적은 메시지 복사수로 목적지 노드에 메시지를 전달하는 기법을 제안한다. 성능평가를 통해 제안 기법이 기존 기법에 비해 오버헤드 측면에서 최대 20%까지 성능향상이 있음을 보였다.

• 한국해양공학회지
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• 제30권4호
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• pp.294-302
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• 2016

Because of the importance of steel material saving and rational ship structural design due to the rapid increase in steel prices, a ship structural design system was developed for plate members reinforced by doubler plates subjected to biaxial in-plane compressive loads. This paper mainly emphasizes the design system improvement and upgrade according to the change in the in-plane loading condition of the doubler plate from the single load discussed in a previous paper to the biaxial in-plane compressive load discussed in this paper. A direct design process by a structural designer was added to this developed optimized system to increase the design efficiency and provide a way of directly inserting a designer's decisions into the design system process. As the second stage of preliminary steps of doubler design system development, design formulas subjected to these biaxial loads used in the doubler plate design system were suggested. Based on the introduction of influence coefficients $K_t_c$, $K_t_d$, $K_b_d$ and $K_a_d$ based on the variations in the doubler length, breadth, doubler thickness, and average corrosion thickness of the main plate reinforced by the doubler plate, respectively, the design formulas for the equivalent plate thickness of the main plate reinforced by the doubler plate were also developed, and a hybrid design system using these formulas was suggested for the doubler plate of a ship structure subjected to a biaxial in-plane compressive load. Using this developed design system for a main plate reinforced by a doubler plate was expected to result in a more rational reinforced doubler plate design considering the efficient reinforcement of ship plate members subjected to these biaxial loads. Additionally, a more detail structural analysis through local strength evaluations will be performed to verify the efficiency of the optimum structural design for a plate member reinforced by a doubler plate.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2008년 영문 학술대회
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• pp.45-52
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• 2008

In order to investigate the initiation and propagation processes of a spherical detonation wave induced by direct initiation, numerical simulations were carried out using two-dimensional compressible Euler equations with an axisymmetric assumption and a one-step reaction model based on Arrhenius kinetics with various levels of ignition energy. By varying the amount of ignition energy, three typical initiation behaviors, which were subcritical, supercritical and critical regimes, were observed. Then, the ignition energy of more than $137.5{\times}10^6$ in non-dimensional value was required for initiating a spherical detonation wave, and the minimum ignition energy(i.e., critical energy) was less than that of the one-dimensional simulation reported by a previous numerical work. When the ignition energy was less than the critical energy, the blast wave generated from an ignition source continued to attenuate due to the separation of the blast wave and a reaction front. Therefore, detonation was not initiated in the subcrtical regime. When the ignition energy was more than the minimum initiation energy, the blast wave developed into a multiheaded detonation wave propagating spherically at CJ velocity, and then a cellular pattern radiated regularly out from the ignition center in the supercritical regime. The influence on ignition energy was observed in the cell width near the ignition center, but the cell width on the fully developed detonation remained constant during the expanding of detonation wave due to the consecutive formation of new triple points, regardless of ignition energy. When the ignition energy was equal to the critical energy, the decoupling of the blast wave and a reaction front appeared, as occurred in the subcrtical regime. After that, the detonation bubble induced by the local explosion behind the blast wave expanded and developed into the multiheaded detonation wave in the critical regime. Although few triple points were observed in the vicinity of the ignition core, the regularly located cellular pattern was generated after the onset of the multiheaded detonation. Then, the average cell width on the fully developed detonation was almost to that in the supercritical regime. These numerical results qualitatively agreed with previous experimental works regarding the initiation and propagation processes.

• 한국컴퓨터정보학회논문지
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• 제17권2호
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• pp.119-126
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• 2012

무선 센서 네트워크에서 지역 감시는 데이터를 보호하는 효과적인 방법이지만 기존의 방법은 위조 데이터를 탐지하는데 많은 통신 부하를 요구하며, 이는 네트워크 수명을 단축시키는 결과를 야기한다. 따라서 본 논문에서는 시큐어 데이터 병합에 소요되는 에너지 소모 저감을 목적으로 하는 새로운 감시 기반 시큐어 데이터 병합 및 허위 데이터 필터링 방법을 제안한다. 제안된 방법에서 애그리게이터와 이의 감시 노드는 60o의 내각을 갖도록 분할된 육분원형 클러스터를 기반으로 데이터 병합을 수행한다. 그리고 데이터 병합 과정에서 메시지 인증 코드(MAC)의 비교를 통해 애그리게이터에 의해 병합된 데이터와 감시 노드에 의해 감지된 데이터가 불일치하는 것으로 판단되면 병합 데이터는 전달 애그리게이터에 의해 소거된다. 시뮬레이션에 의하면 제안된 방법은 평균 소모 에너지 측면에서 DAA 프로토콜에비해에너지 소모가 64% 감소되었음을확인하였다. 또한 이를통해제안된 프로토콜은DAA 프로토콜에 비해 네트워크 수명을 283% 연장 가능하며, 이 때 데이터 정확도 측면에서의 성능 저하는 없었다.