• Title/Summary/Keyword: 보조기기법

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맥진기 연구에 대한 중의사의 인식에 대한 수요조사

  • Kim, Gyeong-Cheol;Kim, Jung-Han;Sin, Sun-Sik;Kim, Hun;Lee, Hae-Ung;Kim, Jong-Hwan;Du, Seung-Hui;Park, Ju-Yeon;Jo, Yeong-Il
    • Journal of Korean Medical classics
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    • v.22 no.3
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    • pp.299-320
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    • 2009
  • 한중 맥진기 관련 학술 교류와 맥진기 수출을 위한 전략으로 중국의 광주중의약대학 중의사를 대상으로 맥진과 맥진기에 대한 인식을 조사하여 보고하는 바이다. 임상에서 가장 중요하게 생각하고 활용도가 높은 전통적인 병증으로 장부병증과 팔강병증으로 나타났으며, 한방 진단방법 중 가장 중요하게 생각하고 활용하는 방법으로 문진과 맥진으로서, 그 이유는 진단 효율성과 환자와의 상담으로 나타났다. 또한 임상에서 한방 진단기기의 중요한 이유로는 측정기술과 데이터의 신뢰를 들었으며, 중요하지 않다고 생각하는 이유로는 측정기술과 데이터의 신뢰성 부족과 전통적인 진단법을 보조하기엔 적합하지 못함을 들었다. 진단방법 중에서 맥진의 중요도와 활용도는 75%가 가장 높게 나타났고, 맥진법 중에서 가장 잘 활용하는 부위는 촌구맥진법으로 나타났다. 촌구 맥진시 가장 중요하게 생각하는 요소는 환자의 자세와 손목 높이와 촌관척 부위였으며, 단안(單按)과 총안(總按)의 순서는 총안(總按)후 단안(單按)이 단연 우수하였다. 임상의 중요 맥상으로는 부침(浮沈)을 들었으며, 맥상 형성 기전과 표준화 연구에 가장 적합한 연구 방법론은 위수형세론에 입각한 문헌 연구와 병증별 맥상에 대한 임상 데이터 구축으로 나타났다. 그리고 대표적인 노인 특유의 맥상은 미세약맥이었으며, 그 이유는 노화로 인한 체력저하와 기혈부족을 들었다. 그리고 맥진기와 연계하는 만성 생활습관병 병증지표 연구개발에 가장 적합하다고 판단되는 병증 체계는 장부병증이었으며, 질병은 고혈압과 동맥경화증으로 나타났다. 또한 임상에서의 활용도와 유의성이 높은 맥진기로써의 주된 기능으로는 오장육부 상태 진단을 들었으며, 맥진기의 임상적인 활용도를 높일 수 있는 현대적인 임상 분야는 심혈관 질환이 가장 높게 나타났다. 맥진기 개발에 선행되어야 할 기반연구로는 촌관척 부위 찾기의 기준 확립과 임상 변증과의 관계 확립으로 나타났으며, 제공 받고자 하는 맥상 정보구성은 환자의 맥상명과 맥상 정도와 환자의 맥상에 따른 병증명 제시로 나타났으며, 제공되는 병증 서비스로는 장부병증이 가장 높게 나타났다.

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Development of a Vertebral Fusion Device and Its Mechanical Analysis using 3-D Finite Element Method (척추용 퓨전 디바이스의 개발 및 3차원 유한요소법을 이용한 역학적 해석)

  • 김현수;전병찬;손한철;최경호;박정호;최태원
    • Journal of Biomedical Engineering Research
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    • v.23 no.5
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    • pp.385-390
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    • 2002
  • Nowadays, there are many attempts to develop domestic medical-equipments. In this study, it is performed to developed a new vertebral fusion device. The basic models are a rectangular-frame type and a screw type which are generally used for the patients. The main purpose of the development of a new device is to reduce the amount of bone taken out for the insertion of a device to vertebral disc and this paper is focused on th concept of a new device shape. In the results, two types are devised. One is a folding type and the other is a separate-push-in type device both are in primitive stage. However, in a folding type there are mechanical pins and the analysis of pins and the lock system is still in study and needs some time. Therefore a separate-push-in type is introduced in this study mainly and a prototype and 3-D finite element model are made and experimented and stress analyzed. From the results it is considered that it is stable for the basic loading condition of vertebra, however, it is required to develop a supporting operational equipment for the convenience of the operation in practice.

Development of Safety Management Procedures for an Autonomous Navigation Element Technology Test (선박 자율운항 요소기술 시험을 위한 안전관리절차서 개발)

  • Woo, Donghan;Lee, In-Gyu;Im, Namkyun
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.27 no.5
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    • pp.566-573
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    • 2021
  • In this study, safety management procedures were developed based on domestic and foreign guidelines and related maritime law to ensure the safe development and implementation of smart autonomous ship technology and Samsung Heavy Industry. The safety management procedure was developed according to the guidelines for (MASS) sea trials (MSC.1/Circ.1604, Annex: Interim guidelines for MASS trials), proposed by International Maritime Organization (IMO) for the relevant authorities and stakeholders of MASS to properly conduct tests of systems and infrastructure related to safety and environmental protection. The developed safety management procedure applies to the maritime demonstration test of a system applying autonomous navigation element technology mounted as a navigation aid on a ship operating under a watch system, while complying with the environmental protection and navigation safety of the coast of Korea.

Analytical Performance of Sensitivity and Specificity for Rapid Multiplex High Risk Human Papillomavirus Detection Kit: HPV ViroCheck (고위험군 HPV 검출을 위한 분석적 민감도와 특이도 성능평가)

  • Park, Sunyoung;Yoon, Hyeonseok;Bang, Hyeeun;Kim, Yeun;Choi, Seongkyung;Ahn, Sungwoo;Kim, Jungho;Lee, Suji;Yang, Ji Yeong;Lee, Dongsup
    • Korean Journal of Clinical Laboratory Science
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    • v.49 no.4
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    • pp.446-454
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    • 2017
  • Human papillomaviruses (HPVs) are major causes of cervical cancer. Sixteen high risk HPVs, including HPV 16, HPV 18, HPV31, HPV 33, HPV 35, HPV 39, HPV 45, HPV 51, HPV 52, HPV 53, HPV 56, HPV 58, HPV 59, HPV 66, HPV 68, and HPV 69 are found in cervical cancer. HPVs 16 and 18 are mainly presented in 70% of cervical cancer. Therefore, identifying the presence of these high-risk HPVs is crucial. The objective of this study is to establish the HPV ViroCheck for detecting 16 HR-HPVs and genotypes of HPVs 16 and 18, as well as to analyze the analytical performance of HPV ViroCheck. We performed the analytical sensitivity of HPV E6 / E7 genes of 16 high risk HPVs to confirm the limit of detection. Then, a cross reactivity of HPV ViroCheck with microorganisms and viruses related to the cervix were analyzed for analytical specificity. Analytical sensitivity of high risk HPV genotypes ranged from 1 to 100 copies when using cloned DNAs. The limit of detection was 10 cells for both SiHa and HeLa cells. Cervical-related microorganisms and viruses did not show cross-reactivity to HPV DNA. Moreover, the intra- and inter-assay coefficient variations (CVs) were below 5%. In conclusion, HPV Virocheck will be useful for the detection of 16 HR HPVs, as well as HPV 16 and HPV 18 genotypes rapidly.

Ex vivo Morphometric Analysis of Coronary Stent using Micro-Computed Tomography (미세단층촬영기법을 이용한 관상동맥 스텐트의 동물 모델 분석)

  • Bae, In-Ho;Koh, Jeong-Tae;Lim, Kyung-Seob;Park, Dae-Sung;Kim, Jong-Min;Jeong, Myung-Ho
    • Journal of the Korean Society of Radiology
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    • v.6 no.2
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    • pp.93-98
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    • 2012
  • Micro-computed tomography (microCT) is an important tool for preclinical vascular imaging, with micron-level resolution. This non-destructive means of imaging allows for rapid collection of 2D and 3D reconstructions to visualize specimens prior to destructive analysis such as pathological analysis. Objectives. The aim of this study was to suggest a method for ex vivo, postmortem examination of stented arterial segments with microCT. And ex vivo evaluation of stents such as bare metal or drug eluting stents on in-stent restenosis (ISR) in rabbit model was performed. The bare metal stent (BMS) and drug eluting stent (DES, paclitaxel) were implanted in the left or right iliac arteries alternatively in eight New Zealand white rabbits. After 4 weeks of post-implantation, the part of iliac arteries surrounding the stent were removed carefully and processed for microCT. Prior to microCT analysis, a contrast medium was loaded to lumen of stents. All samples were subjected to an X-ray source operating at 50 kV and 200 ${\mu}A$ by using a 3D isotropic resolution. The region of interest was traced and measured by CTAN analytical software. Objects being exposed to radiation had different Hounsfield unit each other with values of approximately 1.2 at stent area, 0.12 ~ 0.17 at a contrast medium and 0 ~ 0.06 at outer area of stent. Based on above, further analyses were performed. As a result, the difference of lengths and volumes between expanded stents, which may relate to injury score in pathological analysis, was not different significantly. Moreover, ISR area of BMS was 1.6 times higher than that of DES, indicating that paclitaxel has inhibitory effect on cell proliferation and prevent infiltration of restenosis into lumen of stent. And ISR area of BMS was higher ($1.52{\pm}0.48mm^2$) than that of DES ($0.94{\pm}0.42mm^2$), indicating that paclitaxel has inhibitory effect on cell proliferation and prevent infiltration of restenosis into lumen of stent. Though it was not statistically significant, it showed that the extent of neointema of mid-region of stents was relatively higher than that of anterior and posterior region in parts of BMS as showing cross-sectional 2-D image. suggest that microCT can be utilized as an accessorial tool for pathological analysis.

Development of a smart cane concept for guiding the visually impaired - focused on design thinking learning practices for students - (시각장애인을 위한 길 안내용 스마트 지팡이 콘셉트 개발)

  • Park, Hae Rim;Lee, Min Sun;Yang, Ho Jung
    • Journal of Service Research and Studies
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    • v.13 no.1
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    • pp.186-200
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    • 2023
  • This study aims to improve the usability of the white cane, which is walking equipment that most local visually impaired people use and carry when going out, and to contribute to the prevention of safety accidents and the walking rights of visually impaired people by providing improvement and resolution measures for the problems identified. Also, this study is a study on the visually impaired, primarily targeting the 1st to 2nd degree visually impaired people, who cannot go out on their own without walking equipment such as a white cane, corresponding to 20% among approximately 250,000 blind and low vision people in the Korean population. In the study process, the concept has been developed from the user's point of view in order that the white cane becomes a real help in the walking step of the visually impaired and the improvement of usability of the white cane, the main walking equipment for the visually impaired, are done by problem identification through the Double Diamond Model of Design Thinking (Empathize → Define → Ideate → Prototype → Test (verify)). As a result of the investigation in the process of Empathy, a total of five issues was synthesized, including an increase in the proportion of the visually impaired people, an insufficient workforce situation to help all the visually impaired, an improvement and advancement of assistive devices essential for the visually impaired, problems of damage, illegal occupation, demolition, maintenance about braille blocks, making braille block paradigms for the visually impaired and for everyone. In Ideate and Prototype steps, situations derived from brainstorming were grouped and the relationship were made through the KJ method, and specific situations and major causes were organized to establish the direction of the concept. The derived solutions and major functions are defined in four categories, and representative situations requiring solutions and major functions are organized into two user scenarios. Ideas were visualized by arranging the virtual Persona and Customer Journey Map according to the situation and producing a prototype through 3D modeling. Finally, in the evaluation, the final concept derived is a device such a smart cane for guidance for the visually impaired as ① a smart cane emphasizing portability + ② compatibility with other electronic devices + ③ a product with safety and convenience.