• Title/Summary/Keyword: 위관

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Implementation of Digitizing System for Sea Level Measurements Record (조위관측 기록 디지타이징 시스템 구현)

  • Yu, Young-Jung;Park, Seong-Ho
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.8
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    • pp.1907-1917
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    • 2010
  • It is much needed research for ocean scientists to implement a digitizing system that effectively extracts and digitializes sea level records accumulated from the past. The main difficulty of such a system is huge anount of data to be processed. In this paper, we implement a digitizing system to handle such mass-data of sea level records. This system consists of a pre-process step, a digitizing step and a post-process step. In pre-process step, the system adjusts skewnesses of scanned images and normalizes the size of images automatically. Then, it extracts a graph area from images and thins the graph area in digitizing step. Finally, in the post-process step, the system tests the reliability. It is cost-effective and labour-reducing software for scientists not wasting their time to such boring manual digitizing jobs.

The Importance of Video Fluoroscopy Swallowing Study for Nasogastric Tube Removal of Rehabilitation Patient (재활치료환자의 비위관(nasogastric tube)제거에 따른 비디오투시연하검사(VFSS)의 중요성 평가)

  • Jung, Myo-Young;Choi, Nam-Gil;Han, Jae-Bok
    • Proceedings of the Korea Contents Association Conference
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    • 2014.11a
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    • pp.189-190
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    • 2014
  • 뇌경색, 뇌 신경장애 및 뇌졸중환자 중 급성기 환자는 의식이 없어 연하기능장애로 인한 흡인성 폐렴을 유발하기 때문에 비위관(nasogastric tube)을 삽입하고 영양공급을 한다. 재활훈련 후 회복기에 침상선별검사를 시행하지만 임상적 검사를 통해서는 무증상흡인은 발견할 수 없다. 그래서 연하장애로 비위관을 삽입한 연하재활치료 중인 환자 10명을 대상으로 VFSS를 시행하여 식이재료에 따른 삼킴 정도, 자세에 따른 삼킴을 재활의학과전문의가 평가 후, 흡인이 있거나 삼킴 곤란 등이 있으면 연하재활치료를 시행하여 환자의 상태에 따라 약 30일 ~ 50일후에 재평가를 시행한 후 흡인이 없을 시 비위관을 제거 하였다. 이때 VFSS 영상을 기능적 연하곤란척도를 이용, 분석하여 부여된 점수를 통계 산출 하였는데 비위관 유지군은 $49.79{\pm}9.431$을 보여 흡인의 위험을 나타내며, 비위관 제거군은 $11.20{\pm}1.932$로 흡인의 위험성이 낮아 비위관 제거관련 의미 있게 낮은 점수를 보였다. 두 군의 유의성을 평가하기 위해 Mann-Whitney test를 시행한 결과 p<0.001로 통계적으로 유의하다고 평가하였다. 결론적으로 VFSS는 구강, 인두, 식도의 구조적 이상과 움직임을 가장 효과적으로 평가, 기도흡인여부를 즉시 확인 및 환자에게 적합한 식이나 연하자세를 결정할 수 있어 비위관 제거를 위한 연하평가에 가장 확실한 표준검사로 제안할 수 있다.

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Feasibility Study of Laparoscopic Gastrostomy Tube Placement in Beagle Dogs (비글견에서 복강경을 이용한 위관삽입술의 유용성 평가 연구)

  • Lee, Jae-Woong;Park, Ji Young;Lee, Hae-Beom;Jeong, Seong Mok
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.28-35
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    • 2015
  • Aim of this study is demonstrate the feasibility of Laparoscopic gastrostomy (LG) tube placement in dogs by comparing with percutaneous endoscopic gastrostomy (PEG) tube placement, based on operative time, complications and gastro-peritoneal adhesion evaluation. Eight intact male beagle dogs were used in this study. Tri-Funnel Replacement Gastrostomy tube (Bard Inc., USA) of 20 Fr was used for LG technique and PEG kit (Ponsky "Pull" PEG Kit$^{(R)}$, Bard Inc., USA) with soft silicone retention dome consisting of a 20 Fr gastrostomy tube was used. Feeding via gastrostomy tube was performed in two weeks, maintenance energy requirement (MER) divided into 3 separate feeding. LG and PEG were evaluated at intraoperative, postoperative and postmortem period. Mean operative time for the PEG group was significantly shorter when compared with the LG group (p < 0.05). Successful maintenance of gastrostomy tube was confirmed in all dogs. Gastric and peritoneal wall adhesions were formed successfully in each group. The mean adhesion length (AL) and width (AW) were significantly larger in LG group compared with in PEG group (p < 0.05). The mean adhesion distance (AD) was not significantly different between two groups (p = 0.182). Consequently, LG is an effective minimally invasive, safe and easy to perform technique for providing enteral nutritional support in dogs.

The Importance of Video Fluoroscopy Swallowing Study for Nasogastric Tube Removal in Rehabilitation Patients (재활치료환자의 비위관(nasogastric tube)제거에 따른 비디오 투시연하검사(VFSS)의 중요성 평가)

  • Jung, Myoyoung;Choi, Namgil;Han, Jaebok;Song, Jongnam;Kim, Weonjin
    • Journal of the Korean Society of Radiology
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    • v.9 no.1
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    • pp.1-7
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    • 2015
  • Acute phase patients who are unconscious and are suffering from cerebral infarction, cranial nerve disorders, or cerebral apoplexy are susceptible to aspiration pneumonia due to dysphagia. In these cases, a nasogastric tube is inserted to supply nutrients. Although bedside screening tests are administered during recovery after rehabilitation, clinical examinations may not be able to ascertain asymptomatic aspiration. Therefore, a video fluoroscopy swallowing study (VFSS) was performed in 10 patients with dysphagia after rehabilitation therapy; these patients had nasogastric tubes inserted, and a rehabilitation specialist assessed the degree of swallowing based on the patients' diet and posture. If aspiration or swallowing difficulties were observed, dysphagia rehabilitation therapy was administered. The patients were reassessed approximately 30-50 days after administration of therapy, based on the patients' condition. If aspiration is not observed, the nasogastric tube was removed. A functional dysphagia scale was used to analyze the VFSS images, and the scores were statistically calculated. The mean score of patients with nasogastric tubes was $49.79{\pm}9.431$, thereby indicating aspiration risk, whereas the group without nasogastric tubes showed a mean score of $11.20{\pm}1.932$, which indicated low risk of aspiration. These results demonstrated that a significantly low score was associated with nasogastric tube removal. Mann-Whitney's test was performed to assess the significance of both the groups, and the results were statistically significant with a P value <0.001. In conclusion, VFSS can effectively assess the movements and structural abnormalities in the oral cavity, pharynx, and esophagus. It can also be used to determine the aspiration status and ascertain the appropriate diet or swallowing posture for the patient. Therefore, VFSS can potentially be used as a reliable standard test to assess swallowing in order to determine nasogastric tube removal.

The effects of feeding and articulation abilities in children with Spastic Cerebral Palsy with and without nasagastric tube in the era of fusion and convergence (융복합 시대 기구(비위관)사용여부가 경직형 뇌성마비 아동의 섭식능력과 조음능력에 미치는 영향)

  • Lee, Hye-Jung;Kim, Wha-Soo
    • Journal of Digital Convergence
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    • v.14 no.7
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    • pp.213-223
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    • 2016
  • The research mainly focused on how the nasagastric tube used to solve feeding troubles developed by 30 children with CP(Cerebral Palsy) affects the post-childhood feeding development right after their birth. It tested an articulation skill of the children and surveyed their feeding ability with their care-givers from 1st in July to 30th in August, 2015. This study conducted an investigation of the way a feeding ability affects an articulation skill. It suggested that an articulation accuracy significantly depends on whether or not the nasagastric tube is used. Also, the findings showed that the post-articulation accuracy is quite related with the problems for the liquid intake, the use of special feeding methods and tools, and biting and chewing among the evaluating problems for the childhood feeding ability. The research concluded that some areas in the early childhood feeding ability have an apparent influence on the post-articulation skill for children with CP.

A Convergence Study on Immediate Effects of kinesio taping on upper extremity pain and muscle activation of lateral epicondyle DOMS (가쪽위관절융기의 지연성 근육통을 유발하여 키네시오 테이핑 적용이 상지의 통증과 근활성도 미치는 즉각적 효과에 관한 융합적 연구)

  • In, Tae-Sung;Kim, Kyung-Hun
    • Journal of the Korea Convergence Society
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    • v.11 no.5
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    • pp.73-80
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    • 2020
  • The purpose of this study was to investigate the immediate effects of kinesio taping on upper extremity pain and muscle activation of lateral epicondyle DOMS. This research is randomized controlled designd study and conducted as a single-blind. Twenty four subjects were participated in this study, All the patients were divided two group, were kinesio taping applied group, placebo kinesio taping applied group. The participants were tested pressure upper extremity pain threshold and muscle activation, pre-post intervention. After raining, the change values of the pain and muscle activation in KT group were significantly greater than PKT group(p<0.05). This findings show that kinesio taping training convergence interventions for lateral epicondyle DOMS pain and upper extremity. Continued development on convergence interventions for lateral epicondyle DOMS with pain and upper extremity in the practice are suggested.

A Study on Hydrologic Variation Analysis for Agricultural Reservoir Using SLURP Model (농업용 저수지 운영을 고려한 SLURP 모형의 수문학적 거동 분석)

  • Park, Min-Ji;Park, Geun-Ae;Kim, Seong-Joon
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.204-208
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    • 2007
  • 본 연구에서는 SLURP 모형을 이용하여 농업용 저수지의 수문학적 영향을 분석하고자 하였다. 안성천 유역내 공도수위관측소 지점의 상류유역을 대상으로, 유역내 고삼 및 금광 농업용 저수지를 고려하여 두 저수지 지점 및 공도 지점에서 저수지의 고려시 및 미고려시에 대한 각각의 하천유출 거동을 분석하였다. 우선 공도수위관측소의 9개년$(1998{\sim}2006)$ 동안의 일별 하천 유출량 자료를 이용하여 모형의 보정(1999, 2002, 2004)과 검증(1998, 2006)을 실시한 결과, 보정과 검증기간의 Nash-Sutcliffe 모델효율계수는 각각 $0.70{\sim}0.82\;%,\;0.56{\sim}0.61\;%$이었다. 금광 및 고삼 저수지지점에서는 저수지 고려 및 미고려시 유출율의 차이는 2개년에 대하여 각각 $10.5{\sim}31.1\;%$의 차이를 보였다. 한편 공도지점에서의 하천유출량은 3.7 %, 7.2 %의 차이를 보여 두 저수지 유역에서 발생한 유역 유출량이 저수지 운영에 의하여 저류 및 방류시키는 영향을 반영한 것으로 판단되었다.

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