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Neonatal Respiratory Distress Syndrome Diagnosis Method Based on X-ray Images Using Semantic Segmentation (의미론적 분할을 이용한 X-ray 영상 기반 신생아 호흡곤란 증후군 진단 기법)

  • Jang, Eojin;Cho, Hanyong;You, Sunkyoung;Gang, Mi Hyeon;Jang, Haneol
    • Proceedings of the Korea Information Processing Society Conference
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    • 2022.05a
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    • pp.539-542
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    • 2022
  • 신생아 호흡곤란 증후군은 주로 미숙아에게 발생하는 호흡기 질환으로, 특징적 영상 소견 및 다른 검사 소견을 바탕으로 진단된다. 본 논문은 기계 장치 등 외부 요소의 영향을 최소화하고자 폐 영역을 분할하여 신생아 호흡곤란 증후군을 진단하는 기법을 제안한다. 분할에는 UNet 구조를 사용하고 진단에는 EfficientNet-B5를 사용하여 최종적으로 신생아 호흡곤란 증후군의 진단 정확도 0.852를 달성하였다.

The Instructional Influences of Vee Diagram and Regulative Metacognitive Learning Strategies in Elementary School Science Course (초등학교 자연 수업에서 브이도와 조절적 메타인지 학습 전략의 효과)

  • Noh, Tae-Hee;Jang, Shin-Ho
    • Journal of The Korean Association For Science Education
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    • v.19 no.2
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    • pp.229-238
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    • 1999
  • This study investigated the influences of Vee diagram and regulative metacognitive learning strategies upon 6th-graders' achievement, difficulty toward science lesson, self-efficacy, and learning approach. The Vee diagram and regulative metacognitive learning strategies were modified in a pilot study. Before instruction, an achievement test was administered, and its score was used as a blocking variable. A previous science grade was used as a covariate for post-achievement. Tests of difficulty toward science lesson, self-efficacy, and learning approach were also administered, and the test scores were used as covariates. After instruction, a researcher-made achievement test and post-tests of the above variables were administrated. Two-way ANCOVA results revealed that although there were no significant differences in the achievement test scores, the application subtest scores of the two treatment groups were significantly higher than those of the control group. There were no significant differences in the difficulty toward science lesson and learning approach, but self-efficacy scores for the students with Vee diagram and regulative metacognitive learning strategies were significantly higher than those of the other groups. The perceptions of the students using Vee diagram were also analyzed.

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An Effect of Parent-Child Interactions on Children's Academic Performance: the Mediating Effect of Children's Executive Function Difficulty (부모-아동 상호작용이 아동의 학업수행에 미치는 영향: 아동의 집행기능 곤란의 매개효과)

  • Choi, Hyesun
    • Journal of Korean Home Economics Education Association
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    • v.33 no.1
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    • pp.81-99
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    • 2021
  • The purpose of this study was to examine the effect of parent-child interactions on children's academic performance focusing on the mediating effect of children's executive function difficulty. The data for this study were drawn from the Panel Study on Korean Children(PSKC). The participants were 559 children of elementary school and their families from 8th wave(1st graders), 9th wave(2nd graders), and 10th wave(3rd graders) of PSKC. The data were analyzed with structural equation modeling. The results of this study were as follows. First, mother-child interaction and father-child interaction didn't have a significant direct effect on children's academic performance. Second, mother-child interaction had a significant positive indirect influences on academic performance through children's executive function difficulty. The results of this study indicated that mother-child interaction and children's executive function difficulty are important for children's academic performance.

Assessment of the Relationship between Pulmonary Function Test and Dyspnea Index in Patients with Bronchial Asthma (기관지천식 환자에서 폐기능검사와 호흡곤란지수의 관련성에 관한 연구)

  • Kim, Se-Kyu;Cheon, Seon-Hee;Chang, Joon;Ha, Jong-Won;Hong, Chein-Soo;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.5
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    • pp.392-399
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    • 1992
  • Background: Despite dyspnea is a predominant complaint of patients with respiratory disease, the mechanisms contributing to the sensation of breathlessness are poorly understood. Traditionally, physicians have measured objective pulmonary function to assess severity of dyspnea. But it will be also useful to measure subjective dyspnea index because dyspnea probably depends on a complex interplay of mechanical, experimental, emotional and other factors. Method: We measured breathlessness at rest, after Methacholine challenge and then bronchodilator inhalation using a Visual Analogue Scale (VAS) and Borg Scale Dyspnea Index (BSDI) in stable asthmatic patients. Spirometry was performed concomittently. Results: There was no correlation between dyspnea index and FEV1. There was also no correlation between the change in dyspnea index and change in FEV1. The change in dyspnea index after methacholine and bronchodilator was greater in clinically mild asthmatic patients than clinically severe symptomatic group. Conclusion: In asthmatic patients, there was a wide variation in sensory response for any given FEV1, and the change in perception of dyspnea was greater in those with clinically mild symptoms. The measurement of dyspnea index may yield information complementary to that obtained by spirometry.

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Quantitative Evaluation of Dysphagia Using Scintigraphy (신티그라피를 이용한 연하곤란증의 정량적 평가)

  • Park, Seok-Gun;Hyun, Jung-Keun;Lee, Seong-Jae
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.3
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    • pp.276-289
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    • 1998
  • Purpose: To evaluate dysphagia objectively and quantitatively, and to clarify the effect of neck position and viscosity changes in patients with aspiration and laryngeal penetration. Materials and Methods: We studied 35 patients with dysphagia and 21 normal controls using videofluoroscopy and scintigraphy. Videofluoroscopy was performed with barium with three different viscosity, and scintigraphy was done with water, yogurt, and steamed egg mixed with Tc-99m tin colloid. If aspiration was found during videofluoroscopic examination, patient's neck position was changed and study repeated. Videofluoroscopy was analyzed qualitatively. We calculated 7 quantitative parameters from scintigraphy. According to the videofluoroscopic findings, we divided patients into 3 subgroups; aspiration, laryngeal penetration, and no-aspiration group. Results: The result of videofluoroscopy revealed that the most common finding was the delay in triggering pharyngeal swallow. Pharyngeal transit time (PTT) and pharyngeal swallowing efficiency(PSE) in patients with aspiration were signifi-cantly different from other groups. After neck position change, aspiration could be reduced in all of 7 patients, and laryngeal penetration reduced by about 82%. PTT and PSE were also improved after position change. Aspiration and laryngeal penetration occurred more frequently in thin liquid swallowing than in thick liquid and solid swallowing. Conclusion: PTT and PSE were useful for the evaluation of dysphagia. Aspiration and laryngeal penetration could be reduced when appropriate position assumed. We could decrease the chance of aspiration by changing the patient diet consistency. Scintigraphy might be useful tool to quantitate and follow up these changes.

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Right Ventricle Ejection Fraction Contributes Severity of Dyspnea in Chronic Obstructive Pulmonary Disease (COPD) (만성폐쇄성폐질환 환자의 호흡곤란 평가에서 우심실 박출계수의 의의)

  • Lee, Jung Eun;Min, Bo Ram;Park, Jae Seok;Park, Hun Pyo;Jun, Mi Jung;Won, Kyung Sook;Choi, Won Il
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.6
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    • pp.631-637
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    • 2006
  • Background: Patients with COPD generally complain of very different degrees of dyspnea regardless of their pulmonary function. The study, we assessed the right ventricular ejection fraction in relation to dyspnea in COPD patient. Methods: The pulmonary function including the diffusion capacity was measured. The right ventricle ejection fraction (RVEF) was measured using a first-pass radionuclide scan by multigated acquisition (MUGA). Forty patients with chronic obstructive pulmonary disease (COPD) were stratified for dyspnea according to the Medical Research Council (MRC) scale. Moderate dyspnea and severe dyspnea is defined as MRC 2/3 (n = 16) and MRC 4/5 (n = 24) respectively. Results: The baseline pulmonary function tests including DLCO and the resting arterial blood gas were similar in the moderate and severe dyspnea group, with the exception of the residual volume (% predicted) (moderate $160{\pm}27$, severe $210{\pm}87$, p < 0.03). The right ventricle ejection fraction was significantly (p < 0.001) lower in the severe dyspnea group ($25{\pm}8$) than in the moderate group ($35{\pm}6$). The independent factor assessed by multiple logistic regression revealed only the severity of dyspnea to be significantly associated with RVEF (p < 0.02). Conclusion: This study showed that the right ventricle ejection fraction would contributes to severity of dyspnea in patients with a similar pulmonary function.

Pulmonary Function, Dyspnea and SGRQ in Patients With COPD (만성 폐쇄성 폐질환자의 폐기능, 주관적인 호흡곤란정도 및 SGRQ와의 상관관계)

  • Kang, In-Soon;Jeon, Jeong-Hae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.8
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    • pp.2134-2140
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    • 2009
  • The purpose of this study is to compare relationship among pulmonary function, dyspnea, and health-related quality of life in patients with COPD. The instruments were used FEV1(%), the Baseline Dyspnea Index(BDI), the Medical Research Council Scale(MRCS), and the St. George's respiratory questionnaire(SGRQ). Dyspnea of patients with moderate and severe stage were deeper than one of patients with mild stage(BDI F=5.452, p=.007; MRCS F=4.925, p=.011). And health-related quality of life of patients with severe stage were poorer than one of patients with mild stage(F=3.778, p=.030). There were significant, but weak, correlations between scores of the BDI(r=.471), the MRCS(r=-.403), the SGRQ(r=-.476) and FEV1. There were strong correlations between scores of the BDI(r=-.752), the MRCS(r=.645) and the SGRQ. And FEV1 didn't correlated with the BDI, the MRCS, and the SGRQ scores in patient of moderate stage and severe stage. But there were also strong correlations between the BDI(r=-.719), the MRCS(r=.607) and the SGRQ in patient of moderate stage and severe stage. Specially, correlation between the BDI and the SGRQ were higher than one between the MRCS and the SGRQ. In conclusion, Using the BDI for evaluation of the subjective dyspnea with objective pulmonary functional test in patients with COPD, it will able to grasp the health-related quality of life.

The Influence of Yong Adult ADHD Tendency on Smartphone Addiction: The Mediating Effects of Difficulties in Emotional Regulation and Perceived Social Support (젊은 성인(20-30대)의 ADHD 경향이 스마트폰 중독에 미치는 영향:정서조절곤란과 지각된 사회적 지지의 매개 효과)

  • Han, Yeo–Wool;Chung, Eun-Jung;Suh, Kyung-Hyun
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.398-408
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    • 2021
  • The purpose of this study is to verify the mediating effects of difficult in emotional regulation and perceived social support on the relationship between adult ADHD tendency and smartphone addiction. For this study, Data were collected from 348 adults in 20s to 30s who live in Seoul, Gyeong-Gi Provinces. The SPSS 21.0 program was used to analyze the statistical data. The data was analyzed by structural equation modeling test mediating effects with AMOS and Mplus.. The results of the analysis were as follows: First adult ADHD tendency was positively correlated with difficulties in emotional regulation and smart phone addiction, while perceived social support was negatively correlated with those variables. Second difficulties in emotional regulation was partially mediated adult ADHD tendency and perceive social support. Third difficulties in emotional regulation and perceived social support had a dual mediating effect on adult ADHD tendency and smartphone addiction. These results reiterate the difficulties in emotional regulation is a determinant for the influence of adult ADHD on smartphone addiction, and suggest that smartphone addiction as an avoidant alternative activity could be reduced by overcoming the difficulties in emotional regulation and promoting the perceived social supports. Finally, some limitations of this study and suggestions for further researches were discussed.

연간 특별기획-제3편 천식

  • Go, Jin-A
    • 건강소식
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    • v.32 no.4 s.353
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    • pp.6-13
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    • 2008
  • 환절기만 되면 발작적 호흡곤란 때문에 고생을 하는 사람이 있다. 이들은 곤히 잠든 새벽녘에 천식발작을 일으켜 숨이 차서 밤을 꼬박 새우기도 한다. 천식은 기관지가 정상인보다 민감해서 작은 자극에도 쉽게 반응을 하기 때문에 생기는 병이다. 숨을 쉴 때 휘파람을 불 듯‘휘휘’소리가 나는 천명, 호흡곤란, 기침이 천식의 3대 증상이다. 발작이 일어나면 숨을 제대로 못 쉬기 때문에 안색이 창백해지고 입술이 파랗게 되는 등 고통이 심하지만 발작이 끝나면 거짓말처럼 깨끗이 낫는 게 특징이다.

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방위산업 경영합리화 방안

  • Kim, Hyeong-Uk
    • Defense and Technology
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    • no.3 s.229
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    • pp.22-29
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    • 1998
  • 국내 방산업체는 현재도 수요 부족으로 경영 위기에 직면하고 있는 상황에서 국방비가 현재보다 약간만 축소되어도 심한 곤란을 겪을 것으로 예측되며, 특히 기본병기 생산업체는 방산공장을 유지하기조차 곤란하리라 생각된다. 우리 방위산업이 처한 국내외적인 환경변화에 능동적으로 적응하기위해서는 방위산업에 대한 전면적인 구조조정 및 대책이 강구되어야 할 시점이다.

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