• 제목/요약/키워드: Digital Health

검색결과 2,295건 처리시간 0.026초

고관절 전치환술(Total Hip Replacement Arthroplasty) 환자의 수술후 활동저하가 하지근 위축에 미치는 영향 (Effect of a decreased activity following THRA on circumference, volume and strength of normal and operated lower extremities)

  • 채영란;최명애
    • 대한간호학회지
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    • 제24권1호
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    • pp.115-128
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    • 1994
  • The purpose of this study was to observe the change of circumference, volume and strength of normal and operated lower extremities on 3rd, 7th, 10th, and 14th days of postoperation following THRA compared with their condition on preoperation day. Subjects consisted of 13 male and 7 female Patients operated with THRA between the age of 20 and 69 years with a mean age of 38.55(SD=15.1). Circumference of upper and lower leg was measured by tape, leg volume was determined according to formula (Moor & Thornton, 1987) with measurement of 8 circumferences of leg. Leg strength was measured by pressing the center of digital health meter in supine position. The results can be summarized as follows : 1. Circumference of operated thigh decreased significantly at 14 following THRA compared with preoperative value, while that of normal thigh decreased significantly at day 3, 7, 10 and 14 after THRA compared with preoperative value. 2. Circumference of midcalf in both operated and normal limb decreased significantly at day 3, 7, 10 and 14 following THRA compared with preoperative value. 3. Leg volume of operated lower limb decreased significantly at 10, 14 following THRA compared with preoperative value, while that of normal limb decreased significantly at day 7 & 10 after THRA compared with preoperative value.4. Leg strength of operated limb decreased significantly at day 3, 7, 10, 14 following THRA compared with preoperative value. No significant difference of normal leg strength was shown following THRA. 5. Circumference of midcalf differed significantly at day 14 after THRA between normal and operated extremity. From these results, it can be suggested that a decreased activity after THRA caused muscle atrophies in normal and operated extremity.

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The accuracy of linear measurements of maxillary and mandibular edentulous sites in conebeam computed tomography images with different fields of view and voxel sizes under simulated clinical conditions

  • Ganguly, Rumpa;Ramesh, Aruna;Pagni, Sarah
    • Imaging Science in Dentistry
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    • 제46권2호
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    • pp.93-101
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    • 2016
  • Purpose: The objective of this study was to investigate the effect of varying resolutions of cone-beam computed tomography images on the accuracy of linear measurements of edentulous areas in human cadaver heads. Intact cadaver heads were used to simulate a clinical situation. Materials and Methods: Fiduciary markers were placed in the edentulous areas of 4 intact embalmed cadaver heads. The heads were scanned with two different CBCT units using a large field of view ($13cm{\times}16cm$) and small field of view ($5cm{\times}8cm$) at varying voxel sizes (0.3 mm, 0.2 mm, and 0.16 mm). The ground truth was established with digital caliper measurements. The imaging measurements were then compared with caliper measurements to determine accuracy. Results: The Wilcoxon signed rank test revealed no statistically significant difference between the medians of the physical measurements obtained with calipers and the medians of the CBCT measurements. A comparison of accuracy among the different imaging protocols revealed no significant differences as determined by the Friedman test. The intraclass correlation coefficient was 0.961, indicating excellent reproducibility. Inter-observer variability was determined graphically with a Bland-Altman plot and by calculating the intraclass correlation coefficient. The Bland-Altman plot indicated very good reproducibility for smaller measurements but larger discrepancies with larger measurements. Conclusion: The CBCT-based linear measurements in the edentulous sites using different voxel sizes and FOVs are accurate compared with the direct caliper measurements of these sites. Higher resolution CBCT images with smaller voxel size did not result in greater accuracy of the linear measurements.

길이쌓기에 따른 벽돌건축의 곡면형태 생성방법에 관한 연구 - 파라메트릭 디자인 프로세스를 중심으로 - (A Study on the Curved Form Generation Methodology of the Brick Architecture by Stretcher Bond - Focused on the Parametric Design Process -)

  • 조혜연;이현수
    • 한국실내디자인학회논문집
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    • 제26권6호
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    • pp.163-171
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    • 2017
  • Brick is not only aesthetically beautiful and emotional material, but also eco-friendly and good building commodity for human health. Nonetheless, the use of brick has declined, due to the difficulty of building high-rise buildings and the limitation of the free form implementation. However, modern society is increasingly interested in environmentally friendly finishing materials for solving environmental problems. From this point of view, the brick architecture is being reexamined as a material to improve the living environment and to provide comfort without destroying nature. In addition, the development of digital technology enables the implementation of various types of masonry method and curved forms. Parametric design is one of the ways to realize the curved forms and various architectural expressions for brick architecture. In this background, the purpose of this study is to develop algorithms that can easily generate curved brick walls through parametric design, enable various pattern designs, and respond to real-time feedback. The details of the study are as follows. First of all, we examine organic architecture, the trend of brick architecture, and the concept of parametric design. Secondly, In order to generate curved surface with complex curvature, major planning factors affecting form generation are examined. Finally, we develop a parametric design method that consists of generating a curved surface for brick arrangement, implementing a parametric algorithm, and generating a curved form using bricks. Consequentially, we propose an algorithm that can maximize the use of ready-made bricks without using cut bricks to design curved walls and present efficient and economical design alternatives.

Ultrasonic guided wave approach incorporating SAFE for detecting wire breakage in bridge cable

  • Zhang, Pengfei;Tang, Zhifeng;Duan, Yuanfeng;Yun, Chung Bang;Lv, Fuzai
    • Smart Structures and Systems
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    • 제22권4호
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    • pp.481-493
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    • 2018
  • Ultrasonic guided waves have attracted increasing attention for non-destructive testing (NDT) and structural health monitoring (SHM) of bridge cables. They offer advantages like single measurement, wide coverage of acoustical field, and long-range propagation capability. To design defect detection systems, it is essential to understand how guided waves propagate in cables and how to select the optimal excitation frequency and mode. However, certain cable characteristics such as multiple wires, anchorage, and polyethylene (PE) sheath increase the complexity in analyzing the guided wave propagation. In this study, guided wave modes for multi-wire bridge cables are identified by using a semi-analytical finite element (SAFE) technique to obtain relevant dispersion curves. Numerical results indicated that the number of guided wave modes increases, the length of the flat region with a low frequency of L(0,1) mode becomes shorter, and the cutoff frequency for high order longitudinal wave modes becomes lower, as the number of steel wires in a cable increases. These findings were used in design of transducers for defect detection and selection of the optimal wave mode and frequency for subsequent experiments. A magnetostrictive transducer system was used to excite and detect the guided waves. The applicability of the proposed approach for detecting and locating wire breakages was demonstrated for a cable with 37 wires. The present ultrasonic guided wave method has been found to be very responsive to the number of brokenwires and is thus capable of detecting defects with varying sizes.

병원경영의 위험요인이 운전자본 관리에 미치는 영향 (Effect of Risk Factors on the Management of Working Capital in Hospital Management)

  • 하오현
    • 융합정보논문지
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    • 제10권8호
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    • pp.187-193
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    • 2020
  • 본 연구는 우리나라 종합병원을 대상으로 경영의 위험요인이 운전자본 관리에 어떻게 영향을 미치는지를 분석하였다. 자료는 의료기관회계정보공시 시스템을 이용하여 271개 종합병원 3개연도(2016년, 2017년, 2018년)의 회계정보를 이용하였다. 도입변수는 종속변수로 운전자본 수준과 현금순환주기, 독립변수로 운영위험과 시장위험, 통제변수로 운전자금 구성요인(현금, 매출채권, 재고자산, 매입채무)을 선정하였다. 연구결과, 우리나라 종합병원들은 운영위험이 낮을수록 운전자본 수준은 높았으며, 운전자본 결정에는 운영위험, 현금, 재고자산, 매입채무가 작용하는 것으로 확인되었다. 그리고 시장위험(의료이익률)이 낮을수록 현금순환주기가 높았다는 것을 알 수 있었다. 따라서 의료기관들도 운영의 특수성을 고려하여 경기대응능력을 갖출 수 있도록 운전자본 결정요인으로 확인된 운영위험, 현금, 재고자산, 매입채무의 적절한 관리방안에 대한 검토의 필요성이 제기된다.

WBAN 환경에서 Weighted Fair Queuing 기반의 GTS 타임 슬롯 할당 알고리즘 (Algorithm of GTS Time Slots Allocation Based on Weighted Fair Queuing in Environments of WBAN)

  • 김경목;정원수
    • 한국컴퓨터정보학회논문지
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    • 제16권11호
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    • pp.45-56
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    • 2011
  • WBAN은 사람이 착용하는 옷이나 인체 내부 혹은 외부에 있는 여러 장치들을 상호 연결하여 통신할 수 있는 근거리 무선통신 기술이다. WBAN은 기술 적용 분야에 따라 의료용과 비의료용으로 구분할 수 있으며, 주기적인 특성을 가진 의료용 데이터의 경우 GTS 방식을 사용해서 데이터를 전송하여 QoS를 보장한다. 본 논문에서는 WBAN 슈퍼프레임 구조에서 GTS 방식으로 데이터를 전송시 부족한 GTS 타임 슬롯을 해결하는 알고리즘을 제안한다. 코디네이터는 디바이스의 데이터 전송률에 따라 GTS 타임 슬롯을 가변적으로 할당하며, GTS의 개수가 부족하면 GTS 타임 슬롯을 공유하여 사용하도록 할당한다. 제안한 기법의 성능평가를 위해 지연한도와 처리량을 비교하였다. 즉, WBAN 환경에 적합한 WFQ(Weighted Fair Queuing) 스케줄링을 적용하여 상이한 데이터 전송률을 지원하면서 GTS를 할당하는 방법을 제안하였고, 라운드로빈(Round Robin) 스케줄링 방법과 비교하여 처리량은 증가하면서 최대 지연이 감소함을 알 수 있다.

국내 인터넷기반 방송서비스의 보안 모델 설계 (A Design on Security Model of Domestic Internet-based Broadcasting Service)

  • 서희석;김성준;안우영
    • 한국컴퓨터정보학회논문지
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    • 제17권6호
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    • pp.183-190
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    • 2012
  • 최근 통칭 IPTV라고 불리는 새로운 개념의 텔레비전 서비스가 활성화되고 있다. VoD(Video On Demand)라고 불리는 콘텐츠 제공방식은 시청자들이 보고 싶은 프로그램을 시간에 구애받지 않고 원하는 시간에 볼 수 있게 되었고, 그 외에도 여러 부가서비스들이 제공되어 사업자들이 새로운 방식으로 수익을 창출하게 되었다. 다양한 서비스를 제공 중인 IPTV는 IP를 기본으로 하여 서비스된다. IP와 방송의 융합으로 IP기반의 서비스에서 발생 했던 보안 위협이 IPTV에서도 발생 할 수 있다. 국제 IPTV 보안 권고안은 추상적이라 현장에 바로 적용시키기는 어려움이 많다. 본 논문에서는 표준 모델을 기반으로 서비스가 어떠한 위협에 노출되어 있는지, 서비스를 제공하는 과정에서 수집하는 사용자의 어떠한 개인정보가 노출될 위협에 있는지에 대해 알아보고 이 취약점들을 분석하여 한국형 보안 모델을 설계하였다.

Glanzmann씨 혈소판무력증(Glanzmann's Thrombasthenia) 환자의 치주 치료 증례 (Periodontal treatment of a Glanzmann's thrombasthenia patient : A case report)

  • 이학철;한수부;김우성;이혜자
    • Journal of Periodontal and Implant Science
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    • 제27권3호
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    • pp.597-602
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    • 1997
  • Glanzmann's thrombasthenia is a Qualitative platelet disorder characterized by a deficiency in the platelet membrane glycoproteins IIb/IIIa. It belongs to a group of hereditary platelet disorders typified by normal platelet numbers and a prolonged bleeding time. The severity of bleeding does not correlate with the severity of the platelet glycoprotein IIb/IIIa a abnormality. The present case report describes the periodontal treatment of a patient with Glanzmann's thrombasthenia. A 30-year-old female with a history of Glanzmann's thrombasthenia was referred for gingival bleeding on tooth brushing and discomforts in #38 area. The periodontal finding revealed a diagnosis of localized slight adult periodontitis. Root planing and extraction of #38 was performed under 12 pack of platelets transfusion and digital compression was done for hemostasis. The gingival bleeding ceased within a day in maxilla and 2 days later in mandible. 42 pack of platelets was administered for 3 days of post-treatment and for iron-deficiency anemia 3 pack of RBCs was transfused 2 days later. 1 week later the inflammation in gingiva disappeared and gingival stippling appeared. The clinical result we got was good and in such a medically compromised patient it is an ability to maintain a proper oral hygiene that is essential both for oral and systemic health.

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하이브리드의 탈 장르화를 응용한 메이크업 디자인에 관한 연구(제 2보) (A Study on Make-up Design with Application of Genre Deconstruction in Hybrid(Ver. 2))

  • 방기정;김경희
    • 패션비즈니스
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    • 제16권2호
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    • pp.88-107
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    • 2012
  • Hybrid implies that elements in more than two are combined, and is what is merged and used complexly the technologies and materials in several fields according to the development in scientific technology and the progress in technology. In the formative and artistic aspect, the hybrid can be said to be phenomenon that two of mutually different genres are combined. The function and form in each genre, which were combined at this time, are remained wholly or partially, thereby revealing as well without hiding a fact of having been combined. In the digital communication era, the same time level was integrated into one culture, with destroying the temporal·spatial boundary. As for the objectives of this study, first, the aim is to suggest a model for researching into make-up by grasping the developmental process and the characteristics of hybrid art through considering an art theory of hybrid, which was shown in make-up. Second, the aim is to design make-up by analyzing trend by make-up style after applying the genre deconstruction in hybrid. The modern make-up design through genre-deconstruction characteristics beyond diverse plurality and genre could be known to be highlighted as aesthetic characteristic by a slight attempt as communication of open space, which connects culture and genre, which had failed to be recognized and was neglected. Through the results of this study, it could be known that there is infinite possibility in developing make-up design in line with modern sensation through aesthetic element and symbolic significance through genre deconstruction. Based on these findings, its significance can be said to be in substantially contributing to offering new sight to the design & formative characteristic and the expression mode in future make-up, to providing basic data, and to strengthening competitive edge of culture and art.

스마트 헬스케어 시스템이 결합된 미래 욕실 제품에 대한 연구 (A Study on the Future Bathroom Coupled with Smart Healthcare System)

  • 이가영;이동민
    • 한국융합학회논문지
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    • 제9권3호
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    • pp.203-209
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    • 2018
  • 최근 헬스케어에 적합한 디바이스의 발전, 만성 질환자의 증가와 고령화로 인한 사회적 니즈 증가는 스마트 헬스케어 시스템이 발전하는 계기가 되었고, 새로운 의료 패러다임을 제시하고 있다. 이에 따라 변화하는 의료 서비스 개념을 수용하려는 움직임이 현대 주거에서 나타나고 있으며 특히 주거 공간 속 욕실은 다양한 유형의 욕실 문화가 나타나면서 건강관리 공간으로 다원화되고 있다.[1] 따라서 디지털 의료 3단계를 적극 활용해 스마트 헬스케어 시스템이 적용된 스마트 샤워기, 스마트 체중계 등의 미래 욕실 용품을 구상해 보고, 개개인의 니즈에 필요한 기술을 모색하였다. 변화하고 있는 욕실에 적합한 제품들을 구상함으로써 4차 산업혁명 시대를 대비하고 향후 국가적, 정책적인 개선을 통해 스마트 헬스케어 기술의 발전에 도움이 되고자 한다.