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The status and improvement course of dental treatment for the disabled in Korea (Original Article 1 - 한국 장애인의 치과의료 이용실태와 개선방향)

  • Shim, Su-Hyun;Lee, Won;Choi, Bohm
    • The Journal of the Korean dental association
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    • v.48 no.4
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    • pp.280-287
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    • 2010
  • Objective: In spite of increasing dental treatment for the disabled, there was a few collected data on dental treatment status and dentists' perception in Korea. The purpose of this' study is to research the current dental treatment status for the disabled in Korea and to suggest public health policies for the disabled. Material and methods: Total of 68 dentists who have treated the disabled regularly were asked to fill questionnaires regarding dental treatments for the disabled. Results: 1. It is necessary to set up public dental center for the disabled in rural area. 2. In case of dental treatments relating to cerebral palsy, ADHD, autism, the compensation for treatment time and extra investment is needed. 3. Only 39.7% of dentists charged treatment fees to the disabled as same as normal patients. Moreover 38.2% of dentists answered that they didn't charge treatment fees at all when their patient are disabled. 4.23.5% of dentists provided all of dental treatments including dental implant and orthodontic appliances in Korea. However, 54.3% of dentists reported the improvement of access to dental implant, orthodontic and esthetic treatment is needed. 5. It is imperative for the government to improve the support system for the disabled. Conclusions: Through this research only 26.5% of dentists answered that they had received the fund from the government and 11.1% of them were satisfied with the support for the disabled in Korea. This indicated the improvement of government financial support system for the disabled is needed.

Behavioral Contextualization for Extracting Occupant's ADL Patterns in Smart-home Environment (스마트 홈 환경에서의 재실자 일상생활 활동 패턴 추출을 위한 행동 컨텍스트화 프로세스에 관한 연구)

  • Lee, Bogyeong;Lee, Hyun-Soo;Park, Moonseo
    • Korean Journal of Construction Engineering and Management
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    • v.19 no.1
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    • pp.21-31
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    • 2018
  • The rapid increase of the elderly living alone is a critical issue in worldwide as it leads to a rapid increase of a social support costs (e.g., medical expenses) for the elderly. In early stages of dementia, the activities of daily living (ADL) including self-care tasks can be affected by abnormal patterns or behaviors and used as an evidence for the early diagnosis. However, extracting activities using non-intrusive approach is still quite challenging and the existing methods are not fully visualized to understand the behavior pattern or routine. To address these issues, this research suggests a model to extract the activities from coarse-grained data (spatio-temporal data log) and visualize the behavioral context information. Our approach shows the process of extracting and visualizing the subject's spaceactivity map presenting the context of each activity (time, room, duration, sequence, frequency). This research contributes to show a possibility of detecting subject's activities and behavioral patterns using coarse-grained data (limited to spatio-temporal information) with little infringement of personal privacy.

Relationship between Periodontal Disease and Chronic Kidney Disease: A Systematic Review of Cohort Studies (치주질환과 만성신장질환의 연관성: 코호트 연구에 대한 체계적 고찰)

  • Lee, Eun-Sun;Do, Kyung-Yi
    • Journal of dental hygiene science
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    • v.17 no.2
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    • pp.160-167
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    • 2017
  • The purpose of this systematic review was to investigate the association between periodontal disease and chronic kidney disease. A search of Embase, PubMed and The Cochrane Library databases was performed up to April 17, 2016. Article selection was based on cohort study design and the study subjects were patients with periodontal disease or severe periodontal disease. The final result was development of chronic kidney disease and kidney function decrease based on the estimated glomerular filtration rate values. The quantitative synthesis of the final selected articles was assessed using Review Manager statistical analysis software. A fixed-effects model meta-analysis was performed to estimate the degree of association between periodontal disease and chronic kidney disease. The search strategy identified 3,018 potentially eligible articles, of these, four studies were finally selected for meta-analysis, revealing that periodontal disease was significantly associated with the risk of developing chronic kidney disease (odds ratio, 1.65; 95% confidence interval, 1.44~1.90; p<0.001). In order to prevent the development of chronic kidney disease and kidney function decrease it is important to prevent periodontal disease, as well as minimizing the traditional risk factors known to reduce the quality of life of patients and increase disease burden.

Changes in the Training Conditions of Residents by Enforcement of Medical Residents Act (전공의법 시행에 따른 전공의 수련환경 변화)

  • Oh, Su-Hyun;Kim, Jin-Suk
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.427-434
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    • 2019
  • The Medical Residents Act was enacted in December 2016 to protect the rights of residents, and to ensuring the safety of patients, and nurturing good medical human resources. This study analyzed the changes of training conditions according to the enforcement of The Medical Residents Act by comparing the results of two surveys conducted in 2015(1,793 Residents) and 2017(1,768 Residents). As a result, Residents worked over 80 hours per week on average('15=92.4h, '17=87.3h) and they worked twice as many times as 36 hours('15=89.4h, '17=70.1h). Female residents' leave before and after childbirth('15=78.5day, '17=82.2day), Preparation of Standard training contract('15=19.3%, '17=40.8%), Delivery of training contract('15=12.4%, '17=36.1%) did not comply with the regulations. The training conditions of the residents is directly related to the safety of patients and the public's health. National support is needed for the support of substitute workforces, fair training evaluation conditions and incentives based on the evaluation results, labor costs for residents and supervising medical specialists, and the cost of making training programs.

An identification of optimized energy usage factors and monitoring System development for safety identification for elderly living (독거노인 안전확인을 위한 최적 에너지원 규명 및 모니터링 시스템 구현)

  • Kim, Hosik;Cha, Youna;Chin, Sangyoon
    • Korean Journal of Construction Engineering and Management
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    • v.15 no.4
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    • pp.39-48
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    • 2014
  • The speed of aging society is increasingly getting faster in Korea. Currently, there are over one million elderly living alone, which represents more than 19% of the total elderly in Korea. Although various policies and research have been implemented for caring the elderly living alone, there have been obvious limitations in realization of the caring system due to inconvenience, privacy violation, difficult operation and maintenance. Therefore, the objective of this study is to develop a method and a prototype system to monitor safety of elderly living alone by using energy usage information of automatic meter reading device. The proposed system is expected to improve or resolve the existing limitations and to provide 24 hour monitoring and early detection of death for the elderly living alone without adding staffs for operation and maintenance in a more effective and economic way.

Manufacturing of Metal Micro-wire Interconnection on Submillimeter Diameter Catheter (서브-밀리미터 직경의 카테터 표면 위 금속 마이크로 와이어 접착 공정)

  • Jo, Woosung;Seo, Jeongmin;Kim, Taek-Soo
    • Journal of the Microelectronics and Packaging Society
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    • v.24 no.2
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    • pp.29-35
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    • 2017
  • In this paper, we investigated a manufacturing process of metal micro-wire interconnection on submillimeter diameter catheter. Over the years, flexible electronic researches have focused on flexible plane polymer substrate and micro electrode manufacturing on its surface. However, a curved polymer substrate, such as catheter, is very important for medical application. Among many catheters, importance of submillimeter diameter steerable catheter is increasing to resolve the several limitations of neurosurgery. Steering actuators have been researched for realizing the steerable catheter, but there is no research about practical wiring for driving these actuators. Therefore we developed a new manufacturing process for metal micro-wire interconnection on submillimeter diameter catheter. We designed custom jigs for alignment of the metal micro-wires on the submillimeter diameter catheter. An UV curing system and commercial products were used to reduce the manufacturing time and cost; Au micro-wire, UV curable epoxy, UV lamp, and submillimeter diameter catheter. The assembled catheter was characterized by using an optical microscope, a resistance meter, and a universal testing machine.

Study on low-level laser therapy device according to the obesity development (비만치료기 개발에 따른 저준위레이저에 관한 연구)

  • Lee, Sang-sik;Kim, Jun-tae;Jeong, Jin-hyoung;Kim, Nam-Sun
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.9 no.1
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    • pp.82-89
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    • 2016
  • And by entering into an aging society with economic growth "beautiful and healthy desire to live', aesthetics industry as promote interest in 'Anti-aging' is emerging as a promising business increased significantly the skin care market. However, the management of the hospital or the temporal order to receive professional care providers, spatial, and cost constraints caused many companies to solve this problem began to approach the Home Care Area. Global trends in personal skin care market has been activated, the domestic has been activated at low cost, private market due to the recession. We have performed this test in order to develop a skin care device for home in order to compensate for this point.In this paper, we develop a low-level laser to create a personal skin care products and sought to incorporate them into the skin cosmetic.Expand the pores by using the low-level laser to the skin by to the dermal layer of the skin was penetrated aim experiment the ampoule, and by a comparison of the medical low-level laser reliability and determine the effectiveness or absence of the performance and efforts to commercialize.

Development of 1.0 Tesla Compact MRI System (1.0 Tesla 자기 공명 진단 장치의 개발)

  • Lee, H.K.;Oh, C.H.;Ahn, C.B.;Chang, Y.H.;Shin, D.W.;Lee, K.N.;Jang, K.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.11
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    • pp.129-134
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    • 1996
  • 1차 년도 G-7 개발 과제로 수행된 자기 공명 진단 장치 (Magnetic Resonance Imaging System)의 개발 내용을 간략히 소개하였다. 성공적인 IT Compact 자기 공명 진단 장치의 완성을 위해 일차적으로 (1)RF (고주파), Gradient(경사 자계), Spectrometer 등의 Hard-ware 관련 MRI 핵심부분, (2) RF, Gradient, Spectrometer, Magnet 등의 각 Sub-system을 연결, 조합, 조정하여 하나의 체계적인 시스템으로 통합하고 운영하는 과정(System Integration), (3)사용자와 시스템을 연결하는 User Interface, Data Base Management, Real time 운영 SW 등과 (4)임상에 적용하여 구체적인 성능과 효용성을 확인하는 기술 등에 대하여 집중 연구하였다. 개발 방법은 (1)지난 16년간 국내에 축적 된 연구 개발 인력들을 최대한 활용하고 (2)연구 개발을 국제화 시켜 필요한 경우 부분별로 개발 인력을 해외에서 보완하고 (3)소수 정예 전문 인력 주의와 요소 기술 또는 중요 부품을 경쟁성 검토 후 필요 시 Out-sourcing 활용으로 최저의 비용으로 개발 기간을 최소화 하는 데 두었다. 개발된 1.0Tesla자기 공명 영상 장치는 미국 물리 학회에서 규격화한 Phantom및 임상 적용을 통하여 서울대 의대 연구 팀과 지속적으로 성능을 평가해 왔다. 개발된 시스템의 해상도는 $256{\times}256$ head 영상에서 1mm 이 하의 해상도를 가짐을 resolution phantom 을 통하여 확인할 수 있었고, $512{\times}512$ 영상에서 는 약 0.5 mm 의 물체를 분리 해냄으로써 외제 시스템들 보다 우수하게 평가 되었다. 차폐 경사코일의 Eddy current영향은2%이내로 촬영 시 영향은 거의 무시할 수 있었다. 또한, 개발된 영상 기법들, 즉 Multislice/Multi Echo, Oblique angle imaging, 64 Echo train을 갖는 고속 촬영 기술들이 자기 공명 장치에 장착되어 임상 적용에 문제가 없도록 하였다. 또한 20mT/m/Amp의 강력한 능동 차폐 경사 자계 코일(Active Shield Gradient Coil)을 기본 사양으로 하고, 수신단을 최대 6개로 확장토록 하여 2차년도의 초고속 촬영 기법(EPI) 및 Phased Array 코일 촬영이 가능토록 하였다. 1차 년도 개발 과제 수행 결과와 향후 개발 과제를 바탕으로 최종 목표인 국제 경쟁력이 있는 자기 공명 진단 장치 즉 기능과 영상의 질은 선진국 제품과 동일하거나 우수하되, 저가격을 구현한 상용화 제품이 완성되어, 첨단 의료기기로서 산업 구조 고도화에 기여하고 수입대체 뿐만 아니 라 수출을 통한 국익 창출과 국가의 기술을 통한 위상 제고에 기여되길 기대한다.

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Measurement of Nondestructive Residual Stress by Acoustoelasticity (음탄성에 의한 비파괴적 잔류응력 측정)

  • 박인근;이철구
    • Journal of Welding and Joining
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    • v.17 no.2
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    • pp.25-28
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    • 1999
  • 국내에 건설되어 거의 20∼30년 가동되고 있는 발전설비, 석유화학 플랜트 등 거대설비 기기의 건전성(integrity) 및 신뢰성 확보와 잔존수명 예측을 위해서는 구조물 내부 또는 표층부에 존재하는 결 함의 특성을 아는 것과 함께 그 재료의 특정 부위에 어느정도의 응력이나 변형이 있는가를 아는 것이 매우 중요하다. 일반적으로 강 용접부의 비파괴적 결함검출에는 주로 SV파(vertically shear wave)와 SH파(horizontally shear wave)라 불리는 횡파를 이용한 초음파사각탐상법이 실용화되어 이용되고 있다. 그러나 비파괴적인 방법에 의한 실험적인 잔류응력 측정, 변형해석법에는 전기 저항 및 자기 스트레인 게이지법, X선회절법, 광탄성법(photoelasticity), 모아레(Mohr's)법, 레이저스펙클(Laser speackle)법, 응 력도료법, Barkhausen Nosise법, Caustics법 등이 제시되어 있으나 그 유용성 면에서는 아직 해결되야할 문제가 많이 남아 있는 실정이다. 응력이나 변형을 해석하는 방법으로 이론적 방법, 계산적 방법 실험적 방법이 잇다. 이론적 방법에는 재료 역학적으로 취급하는 방법, 탄성론 등이 있고, 계산적인 방법에는 유한요소법이 있지만, 이론적 방법이나 계산적 방법만으로는 해석이 불가능한 경우가 많기 때문에 실험 적 방법이 필요하게 된다. 이 글에서는 파괴 시험 또는 다른 비파괴평가기술에 비해 간편한 측정, 높은 측정정도, 시험결과 도출의 신속성, 검사비용의 절감 등 많은 장점을 가지고 있고 실험적으로 유용성이 일부 검증되고 있는 음탄성법(Acoustoelasticity)에 의한 잔류응력 측정법에 관해 소개하고자 한다.TEX> mg/L(평균 49 mg/L)로 비교적 안정적인 처리효율을 보여주었다. 본 연구결과 HVC 공정은 화학약품 사용량의 절감 및 이에 따른 화학슬러지 발생량의 감소를 기대 할 수 있는 친환경기술로 유지관리비를 최소화할 수 있는 장점이 있었다. 않은 사람들 중 미래의 검진실행의지에 건강소식지가 영향을 미친 경우는 48.7%였다. 보건교육을 받은 후 유방암 자가검진 실천율은 사업군에서 53.9%로 받기 전의 27.3%보다 증가하였으나 대조군의 경우는 별 차이가 없었다. 연령별로는 60대가 가장 높았고 사업군에서 검진율의 증가분은 30대가 가장 컸다. 교육수준별로는 사업군은 고졸이, 대조군은 전문대졸이 가장 높았고 사업군에서 검진율의 증가분은 고졸에서 가장 컸다. 보건교육 후 유방암과 관련된 건강지식의 정도는 사업군이 3.7점으로 대조군보다 유의하게 높았으며, 유방암 자가검진법을 실천하는 사람들의 동기는 ‘일반 대중매체의 영향’이 가장 많았으며 건강소식지가 동기인 경우도 20.4%였다. 사업군에서 건강소식지가 유방암 자가검진법 실천에 영향을 미친 경우가 79.6%였으며 유방암 자가검진법에 관한 보건교육을 받고 실천하지 않은 사람들 중 미래의 실천의지에 건강소식지가 영향을 미친 경우는 43.6%였다. 이상의 소견에서 지역주민을 대상으로 인쇄매체를 통한 보건교육은 인쇄물만으로도 쉽게 실천 할 수 있는 유방암 자가검진법이 가장 효과적이었으며, 자궁암검진에 관해서도 검진을 받을 수 있도록 지역사회의 보건의료의 하부구조를 정비하여 제도적 장치를 마련하고 정보를 제공한다면 자궁암검진 실천율도 증가할 것이다.고 12.9% 의 발달율을 보여 유의적인 차이를 보이지 않았다. 이상의 결과로 보아 핵이식 수정란을 효율적으로 생산하기 위하여

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A Time Slot Assignment Scheme for Sensor Data Compression (센서 데이터의 압축을 위한 시간 슬롯 할당 기법)

  • Yeo, Myung-Ho;Kim, Hak-Sin;Park, Hyoung-Soon;Yoo, Jae-Soo
    • Journal of KIISE:Computing Practices and Letters
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    • v.15 no.11
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    • pp.846-850
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    • 2009
  • Recently, wireless sensor networks have found their way into a wide variety of applications and systems with vastly varying requirements and characteristics such as environmental monitoring, smart spaces, medical applications, and precision agriculture. The sensor nodes are battery powered. Therefore, the energy is the most precious resource of a wireless sensor network since periodically replacing the battery of the nodes in large scale deployments is infeasible. Energy efficient mechanisms for gathering sensor readings are indispensable to prolong the lifetime of a sensor network as long as possible. There are two energy-efficient approaches to prolong the network lifetime in sensor networks. One is the compression scheme to reduce the size of sensor readings. When the communication conflict is occurred between two sensor nodes, the sender must try to retransmit its reading. The other is the MAC protocol to prevent the communication conflict. In this paper, we propose a novel approaches to reduce the size of the sensor readings in the MAC layer. The proposed scheme compresses sensor readings by allocating the time slots of the TDMA schedule to them dynamically. We also present a mathematical model to predict latency from collecting the sensor readings as the compression ratio is changed. In the simulation result, our proposed scheme reduces the communication cost by about 52% over the existing scheme.