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표준화 화병환자를 활용한 한의대생의 진료 및 의사소통 수준연구 (A Study about the Medical Communication Proficiency of Korean Traditional Medical Students Using Standardized Patients with Hwa-Byoung)

  • 김경옥;김희경;안효자;신헌태
    • 대한예방한의학회지
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    • 제17권1호
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    • pp.163-179
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    • 2013
  • Objectives : After analyzing the proficiency of medical communication of the students in College of Korean Traditional Medicine using standardized patients, we suggests ways to improve clinical practice in the future class and medical communication curriculum development. Methods : 20 students before clinical practice class (3rd grade) and 20 students after 1 year clinical practice class (4th grade) participated and did their medical interview on Standardized patient. They were evaluated on patient-physician communication skills by standardized patients and professor evaluator. In addition to be evaluated on patient-physician relationship, medical interview skills by professor evaluator. Results : As follows in the evaluation of clinical practice with standardized patients 1. More than half of the participated students regardless of their grade received poor score in their medical communication evaluated by SP(Standardized patient) and PE(Professor evaluator). 2. Greeting, History taking parts were higher in the 4th students who received 1 year clinical practice class, but verbal-nonverbal response, voice tone parts were higher in the 3rd students who do not received clinical practice lesson. 3. Pronunciation&Voice tone parts were higher in the male students but, gathering information part was higher in the female students. Conclusions : We think that the current clinical practice lessons are insufficient as a way to learn and improve medical knowledge and medical communication skills, and it is necessary a new form of clinical practice class. Participatory lesson using standardized patient could be a good alternative of that in the future class.

Text Mining 기법을 활용한 농촌마을 긴급구호서비스 접근 취약성 평가 (Evaluation of Vulnerability on Rural Emergency Relief Service using Text Mining)

  • 우재형;박진선;윤성수
    • 농촌계획
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    • 제24권1호
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    • pp.67-74
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    • 2018
  • The rural areas are large residential space with fewer people than urban areas. That is why they are vulnerable to social services such as health care and security. This research analyzed the vulnerability of emergency relief service in rural village through text mining and the weighting value have been calculated. Based on the calculated statistics data, the police facilities are the most important, While the fire fighting and hospital facilities are important as well. In addition, the distance from the emergency relief service facility to the rural village was confirmed by using Open API. By combining these results, The vulnerable areas of the rural villages and the emergency relief service facilities were calculated and classified into 5 levels. For rural areas, the 1st class will have 33 places, following by 1,179 in 2nd class, 199 in 3rd class, 17 in 4th class and 8 in 5th class. Hence in order to further supplement the vulnerable areas to emergency relief service in villages, geographical relocation and policy approach of emergency relief service facilities are necessary.

Express Train Seat Discomfort Evaluation using Body Pressure and Anthropometric Data

  • Park, Se Jin;Min, Seung Nam;Lee, Heeran;Subramaniyam, Murali;Suh, Woo Sung
    • 대한인간공학회지
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    • 제33권3호
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    • pp.215-227
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    • 2014
  • Objective: The purpose of this study was to evaluate Korea's Honam express train's first- and second-class seat discomfort by using pressure measurement, subjective discomfort rating, and physical compatibility. Background: Over the years, the demand for an express train service is continually increasing. A comfortable ride is important to achieving passenger satisfaction. A train seat plays a significant role in fulfilling passenger seating comfort. With this in view, a field survey and pressure measurements were performed on the selected train seat. Method: The pressure ratio at the body-seat interface (thigh and buttock regions) was measured by the pressure mat system. The interface pressure ratio was calculated and compared. The subjective discomfort rating scale was used to evaluate the subjects' overall feeling. The dimensions of train seats were analysed according to the anthropometric and demographic characteristics of the population data from Size Korea. Results: The results highlighted that the interface pressure ratio was greater while participants sat on the second-class seat than the first-class seat in the left- and right-side thigh regions. Also the pressure ratio was greater for the participants in the 1st~25th percentile height groups (149.8~160.8cm). The subjects rated higher discomfort for the second-class seat than the first-class seat. The physical compatibility results showed that the second-class seat's breadth was inadequate for the 95th and 99th percentile male. Conclusion: Overall, interface pressure measurement, subjective discomfort score and physical compatibility results showed that the second-class seat was more uncomfortable for the passengers than the first-class seat. Application: The adopted methodologies could be used to measure the seating comfort of the train seats.

동종동맥판 보존용액중 우혈청의 항원효과에 관한 연구 (Antigenicity of Fetal Calf Serum as Preserving Solution for Aortic Allograft)

  • 임창영
    • Journal of Chest Surgery
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    • 제29권12호
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    • pp.1293-1298
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    • 1996
  • 동종동맥판의 보존용액에 흔히 첨가되는 우혈청(Fetal Calrserum)의 항원성을 검사하기 위하여 쥐를 이용한 실험을 하였다 동종동맥 판을 2개의 군으로 나누어 대조군은 우릴청을 첨가하지 않은 보존용액을 사용하여 보존처리하고, 실험군은 우혈청을 첨가한 보존용액을 사용하여 보존처리하였다. 14일간에 걸친 냉장보존(4$^{\circ}C$) 및 냉동보존후 혈관내피세포를 분리하여 면역화학적 검사를 통한 면역표현정도를 조사하였다. 이때 면역표현정도의 검사로써 MHC class I 항체, MHC class II항체, ICAM-1 항체를 측정하였다. 실험의 결과 대조군과 실험군사이에 통계적으로 의미있는 차이를 발견할 수 없었다(MHC class I 표현: p=0.524, MHC class 표현: p=0.897, ICAM 1 표현: p=0.1305). 이와 같은 결과를 볼 때 동종동맥판의 보존처리를 할 때 세포의 생육성보존효과를 갖고있는 우혈청을 보존용액에서 배제하는 것이 바람직하다고 볼 수 없다.

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Three-dimensional analysis of tooth movement in Class II malocclusion treatment using arch wire with continuous tip-back bends and intermaxillary elastics

  • Lee, Ji-Yea;Choi, Sung-Kwon;Kwon, Tae-Hoon;Kang, Kyung-Hwa;Kim, Sang-Cheol
    • 대한치과교정학회지
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    • 제49권6호
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    • pp.349-359
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    • 2019
  • Objective: The aim of this study was to analyze three-dimensional (3D) changes in maxillary dentition in Class II malocclusion treatment using arch wire with continuous tip-back bends or compensating curve, together with intermaxillary elastics by superimposing 3D virtual models. Methods: The subjects were 20 patients (2 men and 18 women; mean age 20 years 7 months ${\pm}$ 3 years 9 months) with Class II malocclusion treated using $0.016{\times}0.022-inch$ multiloop edgewise arch wire with continuous tip-back bends or titanium molybdenum alloy ideal arch wire with compensating curve, together with intermaxillary elastics. Linear and angular measurements were performed to investigate maxillary teeth displacement by superimposing pre- and post-treatment 3D virtual models using Rapidform 2006 and analyzing the results using paired t-tests. Results: There were posterior displacement of maxillary teeth (p < 0.01) with distal crown tipping of canine, second premolar and first molar (p < 0.05), expansion of maxillary arch (p < 0.05) with buccoversion of second premolar and first molar (p < 0.01), and distal-in rotation of first molar (p < 0.01). Reduced angular difference between anterior and posterior occlusal planes (p < 0.001), with extrusion of anterior teeth (p < 0.05) and intrusion of second premolar and first molar (p < 0.001) was observed. Conclusions: Class II treatment using an arch wire with continuous tip-back bends or a compensating curve, together with intermaxillary elastics, could retract and expand maxillary dentition, and reduce occlusal curvature. These results will help clinicians in understanding the mechanism of this Class II treatment.

디자인씽킹 기반 어플리케이션 적용 음악수업 활동과 이에 대한 효과성 탐색 (Explore the Effectiveness of Music Class Based on Design Thinking and Using Applications)

  • 김수연;오유진
    • 한국콘텐츠학회논문지
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    • 제20권1호
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    • pp.233-244
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    • 2020
  • 본 연구는 디자인씽킹에 기반한 어플리케이션 적용 음악 수업 활동과 이에 대한 효과성을 탐색하는 것에 목적이 있다. 이를 위해 본 연구자의 '디자인씽킹 기반 어플리케이션 활용 음악 수업 프로그램 개발' 선행연구를 기초로 하여 효과성 연구를 실시하였다. 연구 대상은 경기도 소재 P 중학교에 재학 중인 1학년 두 반을 실험집단(29명)과 통제집단(29명)으로 선정하였다. 실험집단은 본 프로그램을 사용하여 수업을 진행하였고 통제집단은 일반적인 음악수업을 진행하였다. 본 수업이 학생들의 창의성, 공감능력, 협동심, 문제해결력에 미치는 효과를 알아보기 위해 사전-사후검사를 진행하였다. 연구의 과정은 개발된 프로그램으로 수업을 7주간 실시하고, 프로그램 사전-사후 설문검사를 실시, 대응 표본 t 검정을 사용해 그 결과를 분석하였다. 연구 결과 실험집단은 창의성, 공감능력, 협동심, 문제해결력 부분에서 모두 유의미한 차이를 보이는 반면, 일반적인 음악수업을 진행한 통제집단은 사전-사후 비슷한 결과가 나타났다. 실험집단의 학생들은 문제 상황 속 타인에 대한 공감 능력이 향상되고 협동심을 통한 빠른 문제 해결과 성취감이 높게 나타났으며 문제를 해결하는 과정에서 창의적 아이디어를 창출하며 창의역량 증진 효과가 있었음을 알 수 있었다. 향후 본 음악수업 활동이 새롭고 창의적이며 다양한 수업 모델을 필요로 하는 현장에서 활용되기를 기대해본다.

동영상 동기화 알고리즘을 이용한 수업 분석 방법 (Class Analysis Method Using Video Synchronization Algorithm)

  • 권오성
    • 정보교육학회논문지
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    • 제19권4호
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    • pp.441-448
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    • 2015
  • 본 논문은 기 촬영된 수업 동영상을 분석 결과와 동기화하여 재생시키고 확인할 수 있는 소프트웨어 구현에 관한 것이다. 이를 위하여 본 논문에서는 동영상 재생 구간과 분석 내용이 동기화 될 수 있도록 하는 동영상 인덱싱 방법, 자료구조, 그에 따른 선별적 재생 방안을 제시한다. 사용자는 제안하는 방식을 이용하여 동영상 재생 내용을 구간별로 확인할 수 있고 역으로 분석 결과를 입력으로 원하는 지점의 동영상 구간을 검색할 수 있다. 본 논문에서는 수업 분석을 도입, 전개, 정리의 시간 흐름 단계로 구분하여 진행하였고, 단계별 재생에 맞게 일정 간격으로 분석 필터를 적용하였다. 구현된 수업 분석 소프트웨어를 사용하여 몇 가지 수업 사례를 적용한 결과, 성공적으로 필요한 수업 분석을 진행할 수 있었고 동기화 성능 실험에서도 그 효율성을 확인할 수 있었다.

Three-dimensional analysis of the positional relationship between the dentition and basal bone region in patients with skeletal Class I and Class II malocclusion with mandibular retrusion

  • Jun Wan;Xi Wen;Jing Geng;Yan Gu
    • 대한치과교정학회지
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    • 제54권3호
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    • pp.171-184
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    • 2024
  • Objective: This study aimed to determine the maxillary and mandibular basal bone regions and explore the three-dimensional positional relationship between the dentition and basal bone regions in patients with skeletal Class I and Class II malocclusions with mandibular retrusion. Methods: Eighty patients (40 each with Class I and Class II malocclusion) were enrolled. Maxillary and mandibular basal bone regions were determined using cone-beam computed tomography images. To measure the relationship between the dentition and basal bone region, the root position and root inclination were calculated using the coordinates of specific fixed points by a computer program written in Python. Results: In the Class II group, the mandibular anterior teeth inclined more labially (P < 0.05), with their apices positioned closer to the external boundary. The apex of the maxillary anterior root was positioned closer to the external boundary in both groups. Considering the molar region, the maxillary first molars tended to be more lingually inclined in females (P = 0.037), whereas the mandibular first molars were significantly more labially inclined in the Class II group (P < 0.05). Conclusions: Mandibular anterior teeth in Class II malocclusion exhibit a compensatory labial inclination trend with the crown and apex relative to the basal bone region when mandibular retrusion occurs. Moreover, as the root apices of the maxillary anterior teeth are much closer to the labial side in Class I and Class II malocclusion, the range of movement at the root apex should be limited to avoid extensive labial movement.

First Trial of Cervical Cytology in Healthy Women of Urban Laos using by Self-sampling Instrument

  • Nabandith, Viengvansay;Pholsena, Vatsana;Mounthisone, Phouthasone;Shimoe, Kyoko;Kato, Saiko;Aoki, Kunio;Noda, Sadamu;Takamatsu, Reika;Saio, Masanao;Yoshimi, Naoki
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권9호
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    • pp.4665-4667
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    • 2012
  • Cervical cancer is the most common cancer in Laos women and a screening programme, even with the PAP smear test (PAP test), has yet to be established for routine use. The Pap test is accepted as the most appropriate for cervical cancer screening in some settings but it is not commonly available in Laos hospitals, because there are few cytopathologists and gynecologists have little experience. As a pilot program, seminars for the PAP test were given in 2007 and 2008, and then PAP tests were carried out using self-sampling instrument (Kato's device) with 200 healthy volunteers in Setthathirath hospital, Laos, in 2008. The actual examination number was 196, divided into class I 104 (53.1%), class II 85 (43.3%), class IIIa 4 (2.0%), class IIIb 1 (0.5%), and class V 1 (0.5%) by modified Papanicolau classification. Four cases had menstruation. There were 6 cases with epithelial cell abnormalities including malignancy. There were 7 cases with fungus and 2 cases with trichomonas in Class II. More than 70% volunteers felt comfortable with the Kato's device and wanted to use it next time, because of the avoidance of the embarrassment and a low cost as compared with pelvic examination by gynecologists. This first trial for PAP test for healthy Laos women related to a hospital found three percent to have abnormal cervical epithelial cells. Therefore, this appraoch using a self-sampling device suggests that it should be planned for cervical cancer prevention in Laos.

One-class 문서 분류를 위한 가상 부정 예제의 사용 (One-Class Document Classification using Pseudo Negative Examples)

  • 송호진;강인수;나승훈;이종혁
    • 한국정보과학회:학술대회논문집
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    • 한국정보과학회 2005년도 한국컴퓨터종합학술대회 논문집 Vol.32 No.1 (B)
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    • pp.469-471
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    • 2005
  • 문서 분류에서의 one class classification 문제는 오직 하나의 범주를 생성하고 새로운 문서가 주어졌을 때 미리 만들어진 하나의 범주에 속하는가를 판별하는 문제이다. 기존의 여러 범주로 이루어진 분류 문제를 해결할 때와는 달리 one class classification에서는 학습 시에 이미 정해진 하나의 범주와 관련이 있는 문서들만을 사용하여 학습을 수행하기 때문에 범주의 경계를 정하는 것이 매우 어려운 작업이며 또한 분류기의 성능에 있어서도 매우 중요한 요소로 작용하게 된다. 본 논문에서는 기존의 연구에서 one class classification 문제를 해결할 때 관심의 대상이 되는 예제의 일부를 부정 예제로 간주하여 one class문제를 two class문제로 변경시켜 학습을 수행했던 것에서 더 나아가 추가적으로 새로운 가상 부정 예제를 설정하여 학습을 수행하고, SVM을 통하여 범주화 성능을 확인해 보기로 한다.

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