Stroke is one of the most common disabilities experienced by the elderly in the community. However, stroke progresses to a chronic level, patients are discharged from medical institutions and eventually no longer receive therapeutic interventions at home. In this systematic review, we compared home-based rehabilitation (HBR) with comparison for patients with stroke. Literature published in Cumulative Index for Nursing and Allied Health Literature (CINAHL), Embase, Physiotherapy Evidence Database (PEDro), PubMed, and Google Scholar were reviewed. A total of 1,158 studies were initially retrieved. After reading the full texts, 11 articles were included in the systematic review. Quality assessment of the included studies was conducted using Risk of Bias (RoB) 2.0, and Egger's regression test was used to evaluate publication bias. Data analysis was performed using the R studio software (R Studio). According to the quality assessment using RoB 2.0, three studies were evaluated as low risk, two as of some concern, and three as high risk. The overall effect size was moderate (0.309). The value of the balance function was a small effect size (0.201), while the value of the gait function was a moderate effect size (0.353). The values were small and moderate effect (0.154, 0.411) for the chronic and subacute conditions, respectively. According to the Egger's regression test, no publication bias was observed. The findings of this study indicate that HBR resulted in the greatest improvement in gait function in patients with subacute stroke compared to those with chronic stroke. Therefore, the application of this intervention to patients with stroke in the community is recommended.
Backgrounds/Aims: In Korea, pancreatic cancer and "gallbladder and extrahepatic bile duct cancer" were ranked the 8th and 9th most frequent cancers in 2019 and the 4th and 6th most common causes of cancer deaths in 2020, respectively. Methods: This review provides national cancer statistics and secular trends of 207,521 patients with gallbladder (n = 44,178), extrahepatic bile duct (n = 61,856), and pancreatic cancer (n = 101,487) between 1999 and 2019 in Korea. Results: The crude incidence rate in both sexes increased in the gallbladder (2.8 to 5.4 per 100,000), extrahepatic bile duct (3.6 to 9.0), and pancreatic cancer (5.5 to 15.8). The age-standardized incidence rate in both sexes significantly increased in the extrahepatic bile duct (3.7 to 4.1) and pancreatic (5.6 to 7.6) cancers but decreased in gallbladder cancer (2.9 to 2.4). The overall 5-year relative survival rate increased in the gallbladder (21.8% to 30.6%), extrahepatic bile duct (23.1% to 27.5%), and pancreatic (8.5% to 13.3%) cancers. Between 2006 and 2019, the proportion of localized or regional stages remained stable. The proportion of surgical treatment within the first 4 months after diagnosis was relatively higher in the gallbladder (42.2%) and extrahepatic bile duct (45.9%) cancers than in pancreatic cancer (22.2%). Conclusions: The crude incidence and mortality rates of the gallbladder, extrahepatic bile duct, and pancreatic cancer are steadily increasing in Korea, and the prognosis remains poor. Early detection, active application of surgical treatment, and minimization of the proportion of untreated patients are required to improve the survival rates of these cancers.
Hearing loss is a common congenital disorder that is frequently associated with mutations in the Cx26 gene (GJB2). Recently, the mutation analysis of GJB2 has been used in a newborn screening test for the detection of hearing impairment. Population-based studies should be performed before the application of genetic testing for the identification of deaf newborns. In this study, 8 positions of GJB2 mutations-including 35delG, 167delT, 235delC, V27I, V37I, M34T, E114G, and I203T-were analyzed using PCR-direct sequencing in a total of 437 healthy Korean neonates. DNAs from dried blood spots were extracted using a commercial DNA extraction kit. The PCR-amplified products (783 bps) of the GJB2 gene were detected using 2% agarose gel electrophoresis and subjected to direct sequencing. The sequences were compared with those in the GenBank database by using the BLAST program. In this study, 5 GJB2 mutations -including V27I (79G>A), V37I (109G>A), E114G (341A>G), I203T (608T>C), and 235delC- were found. Of the 437 neonate samples, 301 subjects showed GJB2 mutations (68.9%, 301/437). The V27I mutation was found in 271 subjects and was the most frequent (62.0%, 271/437). The E114G, I203T and V37I mutations were shown in 146, 17 and 14 subjects, respectively. The 235delC mutation was found in 1 subject. The E114G mutation was frequently accompanied by the V27I mutation. V27I/E114G (97.2%, 143/147) was the most common double mutation and 3 subjects had the double mutation V27I/I203T. A triple mutation, V27I/E114G/I203T, was found in 1 subject. In conclusion, PCR-direct sequencing is a convenient tool for the rapid detection of GJB2 mutations and this data might provide information for the genetic counseling of the GJB2 gene.
Journal of the Korean Association of Geographic Information Studies
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v.18
no.3
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pp.21-34
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2015
In this study, a reference model is constructed that provides architects or designers with sufficient information on the intelligent service facility that is essential for U-City space configuration, and for the support of enhanced design, as well as for planning activities. At the core of the reference model is comprehensive information about the intelligent service facility that plans the content of services, and the latest related information that is regularly updated. A plan is presented to take advantage of the database of list information systems in the Public Procurement Service that handles intelligent service facilities. We suggest a number of improvements by analyzing the current status of, and issues with, the goods information in the Public Procurement Service, and by conducting a simulation for the proper placement of CCTV. As the design of U-City plan has evolved from IT technology-based to smart space-based, reviews of limitations such as the lack of standards, information about the installation, and the placement of the intelligent service facility that provides U-service have been carried out. Due to the absence of relevant legislation and guidelines, however, planning activities, such as the appropriate placement of the intelligent service facility are difficult when considering efficient service provision. In addition, with the lack of information about IT technology and intelligent service facilities that can be provided to U-City planners and designers, there are a number of difficulties when establishing an optimal plan with respect to service level and budget. To solve these problems, this study presents a plan in conjunction with the goods information from the Public Procurement Service. The Public Procurement Service has already built an industry-related database of around 260,000 cases, which has been continually updated. It can be a very useful source of information about the intelligent service facility, the ever-changing U-City industry's core, and the relevant technologies. However, since providing this information is insufficient in the application process and, due to the constraints in the information disclosure process, there have been some issues in its application. Therefore, this study, by presenting an improvement plan for the linkage and application of the goods information in the Public Procurement Service, has significance for the provision of the basic framework for future U-City enhancement plans, and multi-departments' common utilization of the goods information in the Public Procurement Service.
Localizing an object in image is a common task in the field of computer vision. As the existing methods provide a detection for the single object in an image, they have an utilization limit for the use of the application, due to similar objects are in the actual picture. This paper proposes an efficient method of object localization for image recognition. The new proposed method uses color correlation back-projection in the YCbCr chromaticity color space to deal with the object localization problem. Using the proposed algorithm enables users to detect and locate primary location of object within the image, as well as candidate regions can be detected accurately without any information about object counts. To evaluate performance of the proposed algorithm, we estimate success rate of locating object with common used image database. Experimental results reveal that improvement of 21% success ratio was observed. This study builds on spatially localized color features and correlation-based localization, and the main contribution of this paper is that a different way of using correlogram is applied in object localization.
Journal of Korea Spatial Information System Society
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v.3
no.1
s.5
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pp.27-36
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2001
The 4S represents four systems that are commonly related to spatial information: GIS, GNSS, SIIS, ITS. The 4S technology that integrates the four systems gets more and more interests recently. In this paper, we adopt component paradigm to 4S system, apply it to the disaster control field, and design a system based on component architecture. There are many application areas to which the 4S technology can be applied. but the disaster control system is one of the most typical fields. We apply 4S technology to the disaster control fields, including fire, flood, and typhoon. Because of the characteristics of disaster control system that handles large-volume map data, component-based 4S system will take considerable effects on the improvement of disaster control works. The core functions that are common to all disaster control fields are included in 4S kernel component because of the consideration of time performance. Remaining non-common functions are implemented as separate components named as work-specific components. In our suggested system, a vehicle named as 4S-Van collects real-time information on the spot of disaster and sends image and location information to control center via wireless transmission. The control center analyzes the information together with its own spatial database or map, which was not possible in the conventional disaster control works. The control center can get desired information by sending a request of re-transmission to 4S-Van. Such method of real-time transmission supported by on-the-spot information makes the current situation judgment, decision making, and order issuance more exact, effective, and timely. The suggested system and method are expected to bring remarkable improvement on disaster control works.
Broadband Convergence Network(BcN) is a critical infrastructure to provide wired-and-wireless high-quality multimedia services by converging communication and broadcasting systems, However, there exist possible danger to spread the damage of an intrusion incident within an individual network to the whole network due to the convergence and newly generated threats according to the advent of various services roaming vertically and horizontally. In order to cope with these new threats, we need to analyze the vulnerabilities of BcN in a system architecture aspect and classify them in a systematic way and to make the results to be utilized in preparing proper countermeasures, In this paper, we propose a new classification of vulnerabilities which has been extended from the ITU-T recommendation X.805, which defines the security related architectural elements. This new classification includes system elements to be protected for each service, possible attack strategies, resulting damage and its criticalness, and effective countermeasures. The new classification method is compared with the existing methods of CVE(Common Vulnerabilities and Exposures) and CERT/CC(Computer Emergency Response Team/Coordination Center), and the result of an application to one of typical services, VoIP(Voice over IP) and the development of vulnerability database and its management software tool are presented in the paper. The consequence of the research presented in the paper is expected to contribute to the integration of security knowledge and to the identification of newly required security techniques.
The timeliness and accuracy of test results are crucial factors for clinicians to decide and promptly administer effective and targeted antimicrobial therapy, especially in life-threatening infections or when vital organs and functions, such as sight, are at risk. Further research is needed to refine and optimize matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS)-based assays to obtain accurate and reliable results in the shortest time possible. MALDI-TOF MS-based bacterial identification focuses primarily on techniques for isolating and purifying pathogens from clinical samples, the expansion of spectral libraries, and the upgrading of software. As technology advances, many MALDI-based microbial identification databases and systems have been licensed and put into clinical use. Nevertheless, it is still necessary to develop MALDI-TOF MS-based antimicrobial-resistance analysis for comprehensive clinical microbiology characterization. The important applications of MALDI-TOF MS in clinical research include specific application categories, common analytes, main methods, limitations, and solutions. In order to utilize clinical microbiology laboratories, it is essential to secure expertise through education and training of clinical laboratory scientists, and database construction and experience must be maximized. In the future, MALDI-TOF mass spectrometry is expected to be applied in various fields through the use of more powerful databases.
Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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v.25
no.2
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pp.117-131
/
2007
Representation of building internal space is an active research area as the need for more geometrically accurate and visually realistic increases. 3 dimensional representation is common ground of research for disciplines such as computer graphics, architectural design and engineering and Geographic Information System (GIS). In many cases CAD plans are the starting point of reconstruction of 3D building models. The main objectives of building reconstruction in GIS applications are visualization and spatial analysis. Hence, CAD plans need to be preprocessed and edited to adapt to the data models of GIS SW and then georeferenced to enable spatial analysis. This study automated the preprocessing of CAD data using AutoCAD VBA (Visual Basic Application), and the processed data was topologically restructured for further analysis in GIS environment. Accuracy of georeferencing CAD data was also examined by comparing the results of coordinate transformation by using digital maps and GPS measurements as the sources of ground control points. The reconstructed buildings were then applied to visualization and network modeling.
Journal of the Korea Academia-Industrial cooperation Society
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v.18
no.1
/
pp.513-522
/
2017
Rapid urbanization is being portrayed around the world au causing difficulty to manage public hygiene and maintain public order. Common problems often detected in urban areas including traffic congestion and the deterioration of the ecological environment are also being exacerbated. Despite all the effort being made by the government and local governments to manage urban facilities, urban residents are subjected to various levels of difficulty, due to the number of facilities to be managed exceeding the number of management personnel and the lack of an adequate management system. The aim of this study is to propose a management method using smart phones to improve the maintenance efficiency of urban facilities. First, the one-stop maintenance of urban facilities, including facilities information management, maintenance management and history management, is made possible by using smart phones to collect and transfer pictures and the locations of the urban facilities. Second, maintenance management is based on the location and picture information of the subject, not the location of the smart phones, which enables a prompt understanding of and actions to be taken for the facility. This method is especially effective as the smart phone application sends the facility status information directly to the maintenance personnel. Third, all of the information and figures relating to the facilities is managed using a database, resulting in the easy utilization of the history management and data. Fourth, all of the urban residents have access to this information via smart phone applications and, therefore, expanding the role of the facility maintenance personnel is made possible without any additional investment in infrastructure. Lastly, the location-based information enables the management of roads, trees and trails.
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