• Perspectives in Nursing Science
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• v.2 no.1
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• pp.76-91
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• 2005

Stroke patients often develop post stroke sequelae when they survive. Post stroke fatigue and emotional disturbances including depression are common along with motor dysfunction. However, medical personnel have paid relatively little attention to emotional changes and the presence of fatigue following strokes. Post-stroke fatigue was common, occurring in 57% of the patients in our series. The post-stroke fatigue appears to be related to the pre-stroke fatigue, physical disability and post stroke depression (PSD) although the relation to the lesion location remains elusive. The prevalence of post-stroke emotional disturbance has been reported to range from 12% to 64%. The wide variation in the frequency of post stroke depression may be related to methodological heterogeneity in items such as the criteria for depression, the timing of assessment, and the study population. Emotional incontinence, which is characterized by inappropriate or excessive laughing or crying is also common. The incidence of and factor related to this post-stroke emotional incontinence (PSEI) also remains unclear. We reported that out-patients with single, unilateral stroke, 18% had PSD and 34% had PSEI. Although both PSD and PSEI were related to motor dysfunction and location (anterior vs. posterior cortex) of the lesion, the latter was a stronger determinant for PSD. PSEI was more closely associated with subcortical strokes than was PSD. Another manifestation of post stroke patients is the occurrence of post stroke anger proneness (PSAP). They may become easily irritated, impulsive, less generous, and prone to be angry or aggressive at others. We also have reported the PSAP which seems to be closely associated with the presence of PSEI. The lesion distribution appears to be also similar. Both PSEI and PSAP respond well to serotonin reuptake inhibitors suggesting that these symptomsmay be possibly related to the alteration of serotonin after brain injury. Likewise, PSAP also produces a great deal of frustration and embarrassment among patients and caregivers. In summary, emotional disturbances such as depression, emotional incontinence, anger-proneness and fatigue are fairly common but under-recognized sequelae of stroke. These emotional disturbances decrease the quality of life of the patients and caregivers, and may adversely affect the overall prognosis. Therefore, these problems must be appropriately recognized and alleviated. Finding strategies to relieve the symptoms is imperative by understanding the causative factors in individual patient.

• 한국신재생에너지학회:학술대회논문집
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• 2007.11a
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• pp.485-488
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• 2007

Riverbank filtration is a kind of artificial aquifer recharge for the fresh water supply. By construction of several production wells penetrating the riverbank, surface water withdrawn from the river would pass riverbed. This extracted water is well known to be cooler than surface water in summer and warmer than surface water in winter, showing more constant water temperature. This characteristic of extracted water is applied to geothermal energy utilization. Prediction of the annual temperature variation of filtrated water is the major concern in this study. In Daesan-myeon, Changwon-si, Gyeongsangnam-do, South Korea, riverbank filtration facility has been on its operation for municipal water supply and thermal energy utilization since 2006. Appropriate hydraulic and thermal properties were estimated for flow and heat transfer modeling with given pumping rate and location. With the calibrated material properties and boundary conditions, we numerically reproduced measured head and temperature variation with acceptable error range. In the numerical simulation, the change of saturation ratio and river stage caused by rainfall was calculated and the resulting variation of thermal capacity and thermal conductivity was considered. Simulated temperature profiles can be used to assess the possible efficiency of geothermal energy utilization using riverbank filtration facility. Influence of pumping rate, pumping location on the extracted water temperature will be studied.

• Journal of Trauma and Injury
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• v.25 no.4
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• pp.122-131
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• 2012

Purpose: Diffuse axonal injury (DAI) is clinically defined as a coma of over six hours in a head trauma victim without a focal mass lesion. The emergency physician usually resuscitates and stabilizes a comatose head trauma victim in the emergency Department. After assessment and treatment, the prognosis is very important to both the victim and the physician. The prognosis for DAI is based on Glasgow Coma Scale (GCS) and other imaging data. We investigated the prognostic value of computed tomography (CT) and gradient-echo magnetic resonance imaging (GRI) for head trauma victims with DAI. Methods: Fifty-three(53) head trauma victims of DAI were enrolled in this study from 2007 to 2012. During the study period of six years, data on trauma victims were collected retrospectively. We analyzed the differences in the Glasgow Outcome Scale (GOS) result between the CT and the GRI modalities. Results: We classified the study group by using GOS. Between the good outcome subgroup (GOS scores of 4 and 5) and the poor outcome subgroup (GOS score of 1-3), there were no statistical difference in sex, age, initial vital signs and initial GCS score. The good outcome subgroup had non-hemorrhage on CT(52%), which was correlated with good outcome and a shorter awakening time, while a larger number and a deeper location of hemorrhagic lesions on in GRI were correlated with poor outcome in DAI. Conclusion: We conclude that the existence of hemorrhagic lesions on CT, and the number and location of those lesions on GRI had good prognostic value for head trauma victims with DAI.

• Proceedings of the Korean Geotechical Society Conference
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• 2002.10a
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• pp.499-506
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• 2002

The purpose of this study is to develop landslide susceptibility analysis techniques using artificial neural networks and to apply the newly developed techniques for assessment of landslide susceptibility to the study area of Yongin in Korea. Landslide locations were identified in the study area from interpretation of aerial Photographs and field survey data, and a spatial database of the topography, soil type and timber cover were constructed. The landslide-related factors such as topographic slope, topographic curvature, soil texture, soil drainage, soil effective thickness, timber age, and timber diameter were extracted from the spatial database. Using those factors, landslide susceptibility and weights of each factor were analyzed by two artificial neural network methods. In the first method, the landslide susceptibility index was calculated by the back propagation method, which is a type of artificial neural network method. Then, the susceptibility map was made with a GIS program. The results of the landslide susceptibility analysis were verified using landslide location data. The verification results show satisfactory agreement between the susceptibility index and existing landslide location data. In the second method, weights of each factor were determinated. The weights, relative importance of each factor, were calculated using importance-free characteristics method of artificial neural networks.

• Korean Institute of Interior Design Journal
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• v.23 no.4
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• pp.169-180
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• 2014

Since Seoul city supplied 'Sangsang Children's Park', domestic children's parks are changing from formal facilities to creative play space recently. From eco-friendly safe playground model development project, the awareness of eco-friendly playground, namely children's park is increasing and its necessity is magnified. However, we could not know how well most children's parks aimed at the eco-friendly playground reflect eco-friendly features and whether they are eco-friendly or not because there are not the specific planning guidelines and evaluation standards for making the eco-friendly playground or children's park. Therefore, in this study we established the environment-friendliness evaluation standards of children's parks and estimated the environment-friendly features of the 9 parks built on the subject of green among Sangsang Children's Parks. In the observational survey of the 9 parks, we evaluated the environment-friendliness of these parks in the 8 fields(location and placement, ecological environment, play space, play equipment and facilities, additional facilities, materials and resources, energy saving, environmental load reduction) according to the levels(suitable, partial reflection, unsuitable, non-reflection) of reflection of eco-friendly planning factors. The assessment results showed that 4 items (location and placement, additional facilities, play space, play equipment and facilities) were suitable and others (energy saving, environmental load reduction, ecological environment, materials and resources) were partial reflection or unsuitable. Therefore, on the basis of these results, this study proposed the planning indicators to be considered first and the planning factors that should be complemented and improved in the construction of eco-friendly children's park in future.

• Restorative Dentistry and Endodontics
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• v.42 no.3
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• pp.200-205
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• 2017

Objectives: The aim of this in vivo study was to assess the accuracy of 2 third-generation electronic apex locators (EALs), Propex II (Dentsply Maillefer) and Root ZX II (J. Morita), and radiographic technique for locating the major foramen (MF). Materials and Methods: Thirty-two premolars with single canals that required extraction were included. Following anesthesia, access, and initial canal preparation with size 10 and 15 K-flex files and SX and S1 rotary ProTaper files, the canals were irrigated with 2.5% sodium hypochlorite. The length of the root canal was verified 3 times for each tooth using the 2 apex locators and once using the radiographic technique. Teeth were extracted and the actual WL was determined using size 15 K-files under a ${\times}25$ magnification. The Biostat 4.0 program (AnalystSoft Inc.) was used for comparing the direct measurements with those obtained using radiographic technique and the apex locators. Pearson's correlation analysis and analysis of variance (ANOVA) were used for statistical analyses. Results: The measurements obtained using the visual method exhibited the strongest correlation with Root ZX II (r = 0.94), followed by Propex II (r = 0.90) and Ingle's technique (r = 0.81; p < 0.001). Descriptive statistics using ANOVA (Tukey's post hoc test) revealed significant differences between the radiographic measurements and both EALs measurements (p < 0.05). Conclusions: Both EALs presented similar accuracy that was higher than that of the radiographic measurements obtained with Ingle's technique. Our results suggest that the use of these EALs for MF location is more accurate than the use of radiographic measurements.

• Archives of Plastic Surgery
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• v.45 no.3
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• pp.284-288
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• 2018

Dynamic infrared thermography (DIRT) has been used for the preoperative mapping of cutaneous perforators. This technique has shown a positive correlation with intraoperative findings. Our aim was to evaluate the accuracy of perforator mapping with DIRT and augmented reality using a portable projector. For this purpose, three volunteers had both of their anterolateral thighs assessed for the presence and location of cutaneous perforators using DIRT. The obtained image of these "hotspots" was projected back onto the thigh and the presence of Doppler signals within a 10-cm diameter from the midpoint between the lateral patella and the anterior superior iliac spine was assessed using a handheld Doppler device. Hotspots were identified in all six anterolateral thighs and were successfully projected onto the skin. The median number of perforators identified within the area of interest was 5 (range, 3-8) and the median time needed to identify them was 3.5 minutes (range, 3.3-4.0 minutes). Every hotspot was correlated to a Doppler sound signal. In conclusion, augmented reality can be a reliable method for transferring the location of perforators identified by DIRT onto the thigh, facilitating its assessment and yielding a reliable map of potential perforators for flap raising.

• Korean Journal of Head & Neck Oncology
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• v.24 no.1
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• pp.53-56
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• 2008

Objectives：The purpose of this study was to evaluate the variable sonographic features in addition to classic findings and to find the helpful characteristic findings for diagnosis of branchial cleft cysts. Subjects and Methods：We retrospectively analyzed the sonographic finding of 16 histopathologically proven branchial cleft cysts. Assessment involved the following variables : location related to carotid artery, size, cyst wall, border, margin, shape, internal echotexture, post echoic enhancement, orientation of longitudinal axis relative to the long axis of the neck, and tapering edge. Results：Most branchial cleft cysts were seen as well defined(15/16), oval shape(13/16), smooth inner (12/16) and outer margin(13/16), and post echoic enhancement(16/16). Their diameter varied from 1 to 6cm (mean 3.3cm). The branchial cleft cysts showed variable internal echopatterns；hyperechogenicity or pseudosolid appearance(1/16), heterogeneous echogenicity(4/16) in addition to classic form of anechoic(5/16) or hypoechoic internal echogenicity(6/16). Longitudinal axis of most branchial cleft cysts were arranged in the direction of the long axis of the neck(13/16) and some branchial cleft cysts had tapering edge(6/16). Conclusion：If both atypical sonographic findings and location are showed, longitudinal arrangement of long axis and tapering edge of branchial cleft cysts are helpful findings for differential diagnosis.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.37 no.5
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• pp.303-313
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• 2019

After a disaster happens in urban areas, many people need support for a quick evacuation. This work aims to develop a method for the calculation of the most feasible evacuation route inside buildings. In the methodology we simplify the geometry of the structural and non structural elements from the BIM (Building Information Modeling) to store them in a spatial database which follows standards to support vector data. Then, we apply the multicriteria analysis with the allocation of prioritization values and weight factors validated through the AHP (Analytic Hierarchy Process), in order to obtain the Importance Index S(n) of the elements. The criteria consider security conditions and distribution of the building's facilities. The S(n) is included as additional heuristic data for the calculation of the evacuation route through an algorithm developed as a variant of the $A^*$ pathfinding, The experimental results in the simulation of evacuation scenarios for vulnerable people in healthy physical conditions and for the elderly group, shown that the conditions about the wide of routes, restricted areas, vulnerable elements, floor roughness and location of facilities in the building applied in the multicriteria analysis has a high influence on the processing of the developed variant of $A^*$ algorithm. The criteria modify the evacuation route, because they considers as the most feasible route, the safest instead of the shortest, for the simulation of evacuation scenarios for people in healthy physical conditions. Likewise, they consider the route with the location of facilities for the movement of the elderly like the most feasible in the simulation of evacuation route for the transit of the elderly group. These results are important for the assessment of the decision makers to select between the shortest or safest route like the feasible for search and rescue activities.

• Journal of the Korean Geotechnical Society
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• v.37 no.10
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• pp.41-54
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• 2021

In this study, probabilistic steady seepage behavior of soil foundation beneath water retaining structures according to the location of cutoffs was studied. A Monte Carlo Simulation based on the random finite element method that considers the uncertainty and spatial variability of soil permeability was performed to evaluate the probabilistic seepage behavior. Fragility curves were developed by calculating the failure probability conditional on the occurrence of a given water level from the probability distribution obtained from Monte Carlo simulations. The fragility curve was prepared for the flow quantities such as flow rate through foundation soil, uplift force on the base of structure, and exit gradient in downstream to examine the reliability of the water retaining structure and the foundation soil. From the fragility curves, the effect of the location of cutoff wall on the reliability of water retaining structure and foundation soil according to the rise in water level was studied.