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The Usefulness of a Wearable Device in Daily Physical Activity Monitoring for the Hospitalized Patients Undergoing Lumbar Surgery

  • Kim, Dong Hwan;Nam, Kyoung Hyup;Choi, Byung Kwan;Han, In Ho;Jeon, Tae Jin;Park, Se Young
    • Journal of Korean Neurosurgical Society
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    • v.62 no.5
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    • pp.561-566
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    • 2019
  • Objective : Functional outcomes have traditionally been evaluated and compared using subjective surveys, such as visual analog scores (VAS), the Oswestry disability index (ODI), and Short Form-36 (SF-36), to assess symptoms and quality of life. However, these surveys are limited by their subjective natures and inherent bias caused by differences in patient perceptions of symptoms. The Fitbit $Charge^{(R)}$ (Fitbit Inc., San Francisco, CA, USA) provides accurate and objective measures of physical activity. The use of this device in patients after laminectomy would provide objective physical measures that define ambulatory function, activity level, and degree of recovery. Therefore, the present study was conducted to identify relationships between the number of steps taken by patients per day and VAS pain scores, prognoses, and postoperative functional outcomes. Methods : We prospectively investigated 22 consecutive patients that underwent laminectomy for spinal stenosis or a herniated lumbar disc between June 2015 and April 2016 by the same surgeon. When patients were admitted for surgery and first visited after surgery, preoperative and postoperative functional scores were recorded using VAS scores, ODI scores, and SF-36. The VAS scores and physical activities were recorded daily from postoperative day (POD) 1 to POD 7. The relationship between daily VAS scores and daily physical activities were investigated by simple correlation analysis and the relationship between mean number of steps taken and ODI scores after surgery was subjected to simple regression analysis. In addition, Wilcoxon's signed-rank test was used to investigate the significance of pre-to-postoperative differences in VAS, ODI, and SF-36 scores. Results : Pre-to-postoperative VAS (p<0.001), ODI (p<0.001), SF-36 mental composite scores (p=0.009), and SF-36 physical composite scores (p<0.001) scores were found to be significantly different. Numbers of steps taken from POD 1 to POD 7 were negatively correlated with daily VAS scores (r=-0.981, p<0.001). In addition, the mean number of steps from POD 3 to POD 7 and the decrease in ODI conducted one month after surgery were statistically significant (p=0.029). Conclusion : Wearable devices are not only being used increasingly by consumers as lifestyle devices, but are also progressively being used in the medical area. This is the first study to demonstrate the usefulness of a wearable device for checking patient physical activity and predicting pain and prognosis after laminectomy. Based on our experience, the wearable device used to provide measures of physical activity in the present study has the potential to provide objective information on pain severity and prognosis.

A basic research on the number of elementary school students for the proper school size policy in Korea - Focusing on small elementary school in Seoul - (우리나라 적정규모학교 정책 수립을 위한 기초 조사 연구 - 서울시 소규모 초등학교를 중심으로 -)

  • Yoon, Yong-Gi
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.18 no.1
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    • pp.27-37
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    • 2019
  • This study investigated and analyzed the rise and fall trend of enrolled students during the recent 30 years with the subject of 607 elementary schools in 11 Education Support Centers (25 Gu-districts) in Seoul to provide the basic data related to establishing the school accommodation plan of the Seoul Education Office. In particular, the study focuses on the 53 small schools in Seoul and examines whether a correlation exists between the 8 factors of the school accommodation plan and the increasing and decreasing of enrolled student numbers. First, 'school establishment policy' should not be a short-term therapy but a long-term and predictable sustainable policy. Second, among the eight factors, there seems to be a very high correlation between the 'aged low-rise house districts' and 'spatially isolated areas'. Third, 'close-packed apartment complexes' and 'rental apartment complexes' are also highly correlated. Fourth, the planning factors such as 'joint school districts, the reconstruction of apartment complexes and the connection to commercial districts' seem to be correlated to some degree. Therefore, further studies are needed to overcome these problems.

Development of real-time defect detection technology for water distribution and sewerage networks (시나리오 기반 상·하수도 관로의 실시간 결함검출 기술 개발)

  • Park, Dong, Chae;Choi, Young Hwan
    • Journal of Korea Water Resources Association
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    • v.55 no.spc1
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    • pp.1177-1185
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    • 2022
  • The water and sewage system is an infrastructure that provides safe and clean water to people. In particular, since the water and sewage pipelines are buried underground, it is very difficult to detect system defects. For this reason, the diagnosis of pipelines is limited to post-defect detection, such as system diagnosis based on the images taken after taking pictures and videos with cameras and drones inside the pipelines. Therefore, real-time detection technology of pipelines is required. Recently, pipeline diagnosis technology using advanced equipment and artificial intelligence techniques is being developed, but AI-based defect detection technology requires a variety of learning data because the types and numbers of defect data affect the detection performance. Therefore, in this study, various defect scenarios are implemented using 3D printing model to improve the detection performance when detecting defects in pipelines. Afterwards, the collected images are performed to pre-processing such as classification according to the degree of risk and labeling of objects, and real-time defect detection is performed. The proposed technique can provide real-time feedback in the pipeline defect detection process, and it would be minimizing the possibility of missing diagnoses and improve the existing water and sewerage pipe diagnosis processing capability.

Paleostress Inferred from Calcite Twins in the Pungchon Limestone, Joseon Supergroup (조선누층군 풍촌석회암 방해석 쌍정에서 유추된 고응력장)

  • Kang, Seong-Seung;Jang, Bo-An
    • The Journal of Engineering Geology
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    • v.32 no.1
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    • pp.13-26
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    • 2022
  • Calcite twins were analyzed in six oriented samples of the Pungchon limestone, Joseon Supergroup, to reconstruct the paleostress field. The orientations of c-axis of calcite and e twin plane were measured along with the average thickness and numbers of twins, and the widths of calcite grains. Twin strain, mean width, and intensity of twinning, and the relative magnitude and orientations of principal stresses were calculated using Calcite Strain Gauge program. Twin strain, mean width, and intensity of twinning showed ranges of 1.09-15.36%, 0.53-3.72 ㎛ and 21.0-53.1 twim/mm, respectively. Metamorphic temperatures calculated from the twins were 170-200℃, indicating that the twins developed after the Pungchon limestone was uplifted to at least half of the maximum burial depth. Results for five of the samples indicate that the calcite twins formed during two events with principal stress axes of different orientations, while the remaining sample recorded only one event that produced calcite twins. The axis of maximum compressive stress was oriented mainly WNW-ESE to ENE-WSW, and to a lesser degree NW-SE and NE-SW. Comparison of paleostress orientations measured here and in other studies indicates that most twins were produced during the Songrim orogeny. However, the Daebo orogeny and the Bulguksa orogeny also produced calcite twins in the Punchon limestone.

A Study on the Establishment of Entropy Source Model Using Quantum Characteristic-Based Chips (양자 특성 기반 칩을 활용한 엔트로피 소스 모델 수립 방법에 관한 연구)

  • Kim, Dae-Hyung;Kim, Jubin;Ji, Dong-Hwa
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.10a
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    • pp.140-142
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    • 2021
  • Mobile communication technology after 5th generation requires high speed, hyper-connection, and low latency communication. In order to meet technical requirements for secure hyper-connectivity, low-spec IoT devices that are considered the end of IoT services must also be able to provide the same level of security as high-spec servers. For the purpose of performing these security functions, it is required for cryptographic keys to have the necessary degree of stability in cryptographic algorithms. Cryptographic keys are usually generated from cryptographic random number generators. At this time, good noise sources are needed to generate random numbers, and hardware random number generators such as TRNG are used because it is difficult for the low-spec device environment to obtain sufficient noise sources. In this paper we used the chip which is based on quantum characteristics where the decay of radioactive isotopes is unpredictable, and we presented a variety of methods (TRNG) obtaining an entropy source in the form of binary-bit series. In addition, we conducted the NIST SP 800-90B test for the entropy of output values generated by each TRNG to compare the amount of entropy with each method.

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Estimation of Adult Season of Occurrence and Annual Generation Numbers of the Asiatic Pink Stem Borer, Sesamia inferens (Walker, 1856) (Lepidoptera: Noctuidae) (벼밤나방(Sesamia inferens (Walker, 1856))(나비목: 밤나방과) 성충 발생시기와 연중 세대수 추정)

  • Eun Young Kim;Young-Mi Park;Soon Do Bae;Gwan-Seok Lee;Chae-Hoon Paik;Do-Ik Kim;Wonhoon Lee;Jin Kyo Jung;Bo Yoon Seo
    • Korean journal of applied entomology
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    • v.62 no.4
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    • pp.227-243
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    • 2023
  • The Asiatic pink stem borer, Sesamia inferens (Walker, 1856) (Lepidoptera: Noctuidae) is a pest that attacks rice stems. In this study, we estimated the annual generation of insect in several regions of the Republic of Korea. Adult trapping using a sex pheromone trap detected the occurrence of S. inferens adults in the three northernmost areas around 38° latitude and showed that the insect inhabits all of Korea. In most areas investigated, the seasons of the adult generations estimated using the single-sine degree-day model did not deviate from the corresponding observed seasons of adult occurrence. We estimated that the overwintering larvae hypothetically-estimated using the model could be originated from the last generation of adults. When larvae collected in paddy fields during the autumn season in a few middle and southern areas were reared at 25℃, ca. 70% of pupae did not show additional larval molting before their pupation. All larvae collected in early March in a southern area (Goseong, Gyeongsangnam-do) pupated without additional larval molting when reared at 25℃. Based on these results, we presumed that S. inferens could overwinter as mainly the last instar larval stage in the area. Taken together, we conclude that S. inferens primarily has two generations per year in areas around 38° latitude, and three generations in the areas between 35.3° and 37.3° latitude. In addition, approximately 35% of insects captured by the sex pheromone trap were species other than S. inferens, as determined by analyzing the nucleotide sequences of the cytochrome c oxidase 1 gene. These species were not morphologically misidentified as S. inferens.

Effect of Complex Extracts of Mushroom and Sharp Toothed Eel on the Skin Conditions with Atopic Dermatitis and Acne Symptoms (갯장어 및 버섯 혼합추출물의 아토피 및 여드름 피부개선 효과)

  • Cha, Wol-Suk;Yoo, Ji-Hyun;Min, Myung-Ja;Nam, Hyung-Gun;Kim, Yun-Soo;Shin, Hyun-Jae;Kim, Jong-Soo;Choi, On-You;Kim, Ran;Choi, Du-Bok
    • KSBB Journal
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    • v.25 no.4
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    • pp.387-394
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    • 2010
  • This study was conducted to investigate effect of complex extract of various mushrooms and sharp toothed eel on the skin conditions with atopic dermatitis and acne symptoms. The total phenol concentration was increased in order of hot water> ethanol> ethyl acetate> petroleum ether> chloroform extract. Especially, when the hot water extract was used, it was about 2-3 fold higher than that of ethyl acetate, petroleumether, and chloroform extract. When the complex extract concentration was increased from 1.0 to 50 mg/L, the DPPH scavenging rate increased from 10.1 to 81.4%. The reduction power was sharply increased from 0.05 to 0.27 (700 nm) when the complex extract concentration was increased from 25 to 75 mg/L. However, above 100 mg/L, it was not decreased. In the case of SOD-like activity, it was 45.7% at 100 mg/L. Total numbers of patients with atopic dermatitis were 15 and 5 patients with severe acne symptoms. According to photos taken before and after the treatment and questionnaire results, considerable improvements in skin conditions are observed in the patients with atopic dermatitis and acne. For atopic patients, erythema and edema have been improved but the degree of effect was dependent on the individual's constitution. Concerning acne, the effect of coating of the extracts was prominent for first week and the degree decreased with time till 4 weeks. The complex extracts wereefficient in soothing rash and maturation. Side effects such as a scar were not detected during the application and treatment.

Influence of Shading and Irrigation on the Growth and Development of Leaves Tissue in Hot Pepper (고추 고온기 재배 시 차광과 관수가 생육 및 엽육조직 발달에 미치는 영향)

  • Lee, Sang Gyu;Choi, Chang Sun;Lee, Jun Gu;Jang, Yoon Ah;Lee, Hee Ju;Chae, Won Byoung;Do, Kyung Ran
    • Horticultural Science & Technology
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    • v.32 no.4
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    • pp.448-453
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    • 2014
  • Influences of shading and irrigation in summer hot pepper cultivation on the plant growth and mesophyll tissue were investigated. Hot pepper plants were exposed to three shade levels (0, $30{\pm}5$ and $80{\pm}5%$) and irrigated or non-irrigated in greenhouse condition. Plant height and leaf area were highest in 30% shading and stem diameter and fresh and dry weights were highest in no shading. Plant growth was better in rain shelters with irrigation than in those without irrigation. The numbers of hot pepper fruits in the beginning of harvest were 49 in rain shelters without irrigation and shading, 22 in those with irrigation and without shading, 5 in those without irrigation with 30% shading, and 1 in those with irrigation and 30% shading. However, 80% shading showed lowest flower number and flower abscission, resulting in no fruit set, regardless of irritation. This is because carbohydrate translocation from leaves to reproductive organs may be not enough for developing fruits due to the lack of sunlight. The yield of hot pepper tended to be higher in rain shelter with irrigation than in those without irrigation. In optical microscopy observation, the thickness and development of mesophyll tissues decreased as increasing the degree of shading but no effect of irrigation on mesophyll tissues was observed. When stomata were observed with scanning electron microscope (SEM), the shape of stomata was normal but tissues surrounding stomata were slightly wrinkled in plants grown under 30% shading. The large number of abnormal stomata and wrinkled leaves was observed among plants grown in rain shelters with 80% shading. In plants grown in rain shelters without irrigation, tissues surrounding stomata were wrinkled and 10-20% decrease in the number of stomata was observed. Therefore, in hot pepper cultivation in summer with high temperature, shading was not effective for fruit yield and mesophyll tissue development; if shading is unavoidable, high degree of shading is not advisable. Further studies are needed for appropriate cultivar selection and environment-control techniques in hot pepper cultivation in summer with high temperature.

Analysis of Effect of Environment on Growth and Yield of Autumn Kimchi Cabbage in Jeonnam Province using Big Data (빅데이터를 활용한 재배환경이 전라남도 지방 가을배추의 생육과 수량에 미치는 영향 분석)

  • Wi, Seung Hwan;Lee, Hee Ju;Yu, In Ho;Jang, YoonAh;Yeo, Kyung-Hwan;An, Sewoong;Lee, Jin Hyoung
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.22 no.3
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    • pp.183-193
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    • 2020
  • This study was conducted to evaluate the effect of environment factors on the growth of autumn season cultivation of Kimchi cabbage using the big data in terms of public open data(weather, soil information, and growth of crop, etc.). The growth data and the environment data such as temperature, daylength, and rainfall from 2010 to 2019 were collected. As a result of composing the correlation matrix, the height and leaf number showed high correlation in growing degree days(GDDs) and daylength, and the yield showed negative correlation in growing degree days and the concentration of clay. GDDs and daylength explained about 89% and 84% of variation in height, respectively. These two environmental factors also explained about 85% and 79% of variation in leaf numbers, respectively. In contrast, the coefficient of determination was low for yield when GDDs and concentration of clay was used. The outcome of regional statistical analysis indicated that relationship between yield and sum of sand and silt were high in Haenam and Jindo areas. Hierarchical cluster analysis, which was performed to verify the association of yield, GDDs, and concentration of clay, showed that Haenam and Jindo were clustered together. Although GDDs and yield vary by year and region, and there are regions with similar concentration of clays, observation data are grouped as the result. These suggests that GDDs and soil texture are expected to be related to yield. The cluster analysis results can be used for further data analysis and agricultural policy establishment.

A study of pain perception related to IV therapy in hospitalized preschool children and their mothers (정맥주사와 채혈시 학령전기 아동과 어머니가 인지하는 동통)

  • 임지영
    • Journal of Korean Academy of Nursing
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    • v.22 no.1
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    • pp.49-67
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    • 1992
  • Most hospitalized children will experience physical pain as well as psychological distress. Preschool children's pain perception related to painful procedures can increase due to elevated anxiety and fear because they do not have understanding logical of their disease and hospitalization. In particular, they are distressed about needle - related procedures which are feared because they are seen to be a cause of bodily damage. This descriptive study attempted to identify pain perception levels in preschool children and their mothers. A self-reporting measurement and behavioral observation were used to collect the data. A total of 25 hospitalized preschool children and their mothers were investigated and data were collected about 60 painful procedures. Data collection was carried out by the researcher and two trained investigators from November first to December tenth. Three insruments were used to collect the data : Faces Pain Rating Scale(FPRS) developed by Beyer was used to measure the degree of preschool children's pain perception about painful procedures. The Visual Analogue Scale(VAS) devised by Huskisson was used to assess the degree of mothers' pain perception about their children's painful procedures. A Pain Behavioral Checklist based on the Procedure Behavior Check List by LeBaron and Zelter and modified by the researcher was used to observe behaviors of preschool children, their mothers, and nurses when the painful procedures took place. The data were analyzed by an SPSS program, and were tested using real numbers, percentages, Pearson correlation coefficient, t-test, and ANOVA. The results of this study are as follows : 1. Of all the painful procedures, the mean score for the FPRS for the preschool children's pain perception was 4.02 points, and the mean score for the VAS of mothers' pain perception was 10.92 points. 2. A Positive correlation which was statistically significant was found between the pain perception of preschool children and their mothers (r=.53, p<.01). that is, the higher the children's pain perception was, the higher their mothers' pain perception was. 3. The characteristics of the painful procedures related with children's pain perception as follows : The type of painful procedure was found to be statistically significant (F=23.44, p<.01), Among the three procedures Ⅳ starting was found to be perceived as the most painful procedures to the children. The greater the number of times that the procedure had been done, the higher the pain perception was (F=4.44, p<.01), and the longer the duration of the procedure, the higher the pain perception wa(r=.30, p<.05). Pain perception in the treatment room was higher than in the children's room(t=6.30, <.01), pain perception in the mother's presence was the higher than when the mother was not present (t=2.91, p<.01). 4. The characteristics of the painful procedures related with the mothers' pain perception as follows : The type of painful procedure was found to be statistically significant(F=6.01, p<.01). Among the three procedures Ⅳ sampling was found to be perceived as the most painful procedures to the mothers. The greater the number of times that the procedure had been done, the higher the pain perception was (F=5.95, p<.01), and the longer the duration of the procedure, the higher the pain perception was (r=.31, p<.05). Pain perception in the treatment room was higher than in the children's room (t=3.51, p<.01), but pain perception in the mother's presence showed statistically significant no difference. 5. Of all of the 19 children's behaviors during the painful procedures, the most frequent behaviors observed Were as follows in order of frequency “crying”, “screamirig”, “facial grimacing”, “physical resistance”, Of all of the nine methers' behaviors, the most frequent by observed in “console children”, “hold children”, “applaud children”, Of all of the 11 nurses' behaviors during the painful procedures, the mast frequent in order were “smiling”, “physical restraint”, “console children”, “praise children”. 6. A positive correlation between children's and mothers' pain perception and children's behaviors was found to be statistically significant (r=.65, p<.01, r=67, p<.01). Also the relationship between children's and mothers' pain percertion, and mothers' behavior was found to be statistically significant (r=.57, p<. 01, 4=.60, p<.01). The relationship between children's pain perception and nurses' behaviors was also found to be statistically significant (r=.46, p<.01), but there was difference between mothers' pain perception and nurses' behaviors.

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