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Comparison of the Pediatric Balance Scale and Fullerton Advanced Balance Scale for Predicting Falls in Children With Cerebral Palsy

  • Kim, Gyoung-mo
    • Physical Therapy Korea
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    • v.23 no.4
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    • pp.63-70
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    • 2016
  • Background: The Pediatric Balance Scale (PBS) and the Fullerton Advanced Balance (FAB) scale were used to assess balance function in patients with balance problem. These multidimensional clinical balance scales provide information about potential risk factors for falls. Objects: The purpose of this study was to investigate and compare the predictive properties of the PBS and FAB scales relative to fall risk in children with cerebral palsy (CP) using a receiver operating characteristic analysis. Methods: In total, 49 children with CP (boy=21, girl=28) who were diagnosed with level 1 or 2 according to the Gross Motor Function Classification System participated in this study. The PBS and FAB were performed, and verified cut-off score, sensitivity, specificity, and the area of under the curve (AUC). Results: In this study, the PBS scale was as a predictive measure of fall risk, but the FAB was not significant in children with CP. A cut-off score of 45.5 points provided optimal sensitivity of .90 and specificity of .69 on the PBS, and a cut-off score of 21.5 points provided optimal sensitivity of .90 and specificity of .62 on the FAB. Both scales showed moderately accurate of AUC with .79 and .76, respectively. Conclusion: The PBS is a useful screening tool for predicting fall risk in children with cerebral palsy, and those who score 45.5 or lower indicate a high risk for falls and are in need of balance intervention.

Anatomy of the Alar Lobule in Korean Nose (한국인 콧방울의 해부)

  • Chang, Hyun;Han, Seung-Kyu;Kim, Sang-Bum;Kim, Woo-Kyung
    • Archives of Plastic Surgery
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    • v.33 no.3
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    • pp.269-275
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    • 2006
  • This study is to provide details of the unique anatomical features on the alar lobule region in Korean nose. We hypothesized that the anatomy of this area differs according to the shape of the alar lobule. Based on the prominence and roundness of alar lobules, they were classified into horizontal and vertical types. A total of 20 fresh cadaver noses(10 for each type) were dissected. The anatomical differences between the horizontal and vertical types were investigated by gross and histologic studies. The alar lobule is composed of three layers, i.e., external skin, muscle, and vestibular skin. Profound differences between the two alar lobule types were evident in terms of the volume of the dilator naris anterior muscle, the insertion of the dilator naris posterior muscle, and the thickness of the external skin at the lateral end of the alar circumference. The horizontal type has a greater volume of dilator naris anterior muscle, an additional insertion of the dilator naris posterior muscle, and thicker external skin at the lateral end of the alar circumference than the vertical type. The Korean nose differs anatomically and morphologically from the Caucasian nose. This study shows that there are anatomic differences between the horizontal and vertical types of alar lobules in Korean nose.

Ultrasonographic Findings in a Case of Primary Hepatoma (원발성간암(原發性肝癌) 1례(例)의 초음파진단(超音液診斷))

  • Moon, Soo-Hyung;Kim, Kang-Sueck
    • The Journal of the Korean life insurance medical association
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    • v.3 no.1
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    • pp.233-244
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    • 1986
  • We'd experienced a case of primary hepatoma at medical department, Dae han Kyoyuk Ins. Company January 1985. As it was found very early stage, we made out the case long term-survival possibility unexpectedly. The conclusions we gained, making comparative-analysis of ultrasonic view and operation's view are as follows; 1. By ultrasonography, echogenicity of tumor was increased type as compared with liver parenchyme. 2. The margin of the primary hepatoma by ultrasonography encapsulated well and the extraction after operation was same. 3. The boundary of tumor was clear. 4. The space-occupying lesion in liver was solitary. 5. The affected site was left lobe of the liver. 6. We couldn't discover a little fluid echo in upper abdomen on the ultrasonography, but could see in the cul-de-sac area and it accorded with the gross finding during laparotomy. 7. The case was cholangiocarcinoma in view of pathologic histology. 8. After the operation of lobectomy. the prognosis which was passed a months was very satisfactory and she exists until present.

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A Study on Automatic Extraction of Buildings Using LIDAR with Aerial Imagery (LIDAR 데이터와 항공사진을 이용한 건물의 자동추출에 관한 연구)

  • 이영진;조우석
    • Proceedings of the Korean Society of Surveying, Geodesy, Photogrammetry, and Cartography Conference
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    • 2003.04a
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    • pp.471-477
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    • 2003
  • This paper presents an algorithm that automatically extracts buildings among many different features on the earth surface by fusing LIDAR data with panchromatic aerial images. The proposed algorithm consists of three stages such as point level process, polygon level process, parameter space level process. At the first stage, we eliminate gross errors and apply a local maxima filter to detect building candidate points from the raw laser scanning data. After then, a grouping procedure is performed for segmenting raw LIDAR data and the segmented LIDAR data is polygonized by the encasing polygon algorithm developed in the research. At the second stage, we eliminate non-building polygons using several constraints such as area and circularity. At the last stage, all the polygons generated at the second stage are projected onto the aerial stereo images through collinearity condition equations. Finally, we fuse the projected encasing polygons with edges detected by image processing for refining the building segments. The experimental results showed that the RMSEs of building corners in X, Y and Z were ${\pm}$8.1cm, ${\pm}$24.7cm, ${\pm}$35.9cm, respectively.

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A Case of Necrotizing Meningoencephalitis in a Shih-Tzu Dog (시츄견의 괴사성 뇌막뇌염 증례 보고)

  • Jung, Ji-Youl;Yun, Young-Min;Kim, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.33 no.1
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    • pp.70-73
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    • 2016
  • Necrotizing meningoencephalitis (NME) is a unique idiopathic nonsuppurative inflammatory disease of central nervous system in small-sized breed dogs. A 9-year-old intact male Shih-Tzu dog with anorexia, vomiting, salivation and intermittent seizures was submitted to the Jeju National University for diagnosis. Grossly, there were no obvious lesions in the brain, except dilatation of most blood vessels in meninges. Histopathologically, brain revealed severe multifocal nonsuppurative inflammation in perivascular area of meninges and cerebral cortex. Some areas of cerebral parenchyma were replaced with lots of macrophages contained periodic acid-Schiff positive materials. Many new-formed blood vessels were observed around the necrotic regions using Gomori reticulum stain. Immunohistochemistry and reverse transcription-polymerase chain reaction were negative for toxoplasmosis and canine distemper virus. Based on the gross, histopathologic features and antigen detection methods, this case was diagnosed as NME. Here we reported the NME in relatively uncommon breed, Shih-Tzu dog, than other small breed dogs.

Formation of an intestine-cartilage composite graft for tracheal reconstruction

  • Jheon, Sang-Hoon;Kim, Tae-Hun;Sung, Sook-Whan;Kim, Yu-Mi;Lim, Jeong-Ok;Baek, Woon-Yi;Park, Tae-In
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 2003.09a
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    • pp.107-107
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    • 2003
  • Purpose; Tracheal transplantation is necessary in patients with extensive tracheal stenosis, congenital lesions and many oncologic conditions but bears many critical problems compared with other organ transplantations. The purpose of this study was to make an intestine-cartilage composite graft for potential application for tracheal reconstruction by free intestinal graft. Methods; Hyaline cartilage was harvested from trachea of 2 weeks old New Zealand White Rabbits. Chondrocytes were isolated and cultured for 8 weeks. Cultured chodrocytes were seeded in the PLGA scaffolds and mixed in pluronic gel. Chondrocyte bearing scaffolds and gel mixture were embedded in submucosal area of stomach and colon of 3kg weighted New Zealand White Rabbits under general anesthesia. 10 weeks after implantation, bowels were harvested for evaluation. Results; We could identify implantation site by gross examination and palpation. Developed cartilage made a good frame for shape memory Microscopic examinations include special stain showed absorption of scaffold and cartilage formation even though not fully matured Conclusion; Intestine-cartilage composite graft could be applicable to future tracheal substitute and needs further Investigations.

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Metastatic malignant melanoma in digit of the dog (개의 발가락에 발생한 전이성 악성흑색종)

  • Han, Kyu-bo;Cho, Ik-hyun;Kim, Hyun-su;Kim, Hwi-yool
    • Korean Journal of Veterinary Research
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    • v.41 no.2
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    • pp.227-231
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    • 2001
  • A 8-year-old, intact male Yorkshire Terrier Dog was presented with dark-black mass on the third digits of the left forelimb. Three months earlier, the dog had experienced an episode of digit amputation because of growing mass with ulcerated nodule of the same area. According to the owner, the recurrence of the mass appeared suddenly and was growing rapidly from the amputation site. The mass was more infiltrative than the first one and measured 1.5 cm in diameter. The clinical signs were anorexia, coughing, respiratory distress, exercise intolerance, cardiac murmurs, and cyanosis on the oral mucous membrane. Plain radiographic findings revealed multiple, various-sized(0.5 to 7 cm in diameter), slightly firm-nodules on the thoracic region but digital bone lysis was not seen. These lesions on the thoracic cavity were considered likely to be metastatic from the digit and the dog was naturally died after 3 weeks from the time. Histologically, the digital mass confirmed the diagnosis of metastatic malignant melanoma that was composed of round melanocytic neoplastic, anaplastic, and melanin-containing cells. This report records clinical information and gross and light microscopic features of metastatic malignant melanoma in a dog.

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Investigation on Ongoing Tideland Reclamation Projects in Western Coast of North Korea using Satellite Image Data (인공위성 화상데이터를 이용한 북한 서해안지역의 미완공 간척지 조사)

  • 조병진;안기원
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.43 no.1
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    • pp.75-86
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    • 2001
  • North Korea reported that tideland reclamation projects had been successfully constructed and/or under construction during the period of the third development scheme(1987∼1993), which were 28,400ha in 9 project areas: 8 projects along the western coast and one in the eastern coast. In this study eight projects located in western coast were investigated in order to confirm the detail of works, construction stages and difference from our project formulation methods using the topographic maps published in different years and the recent sattelite image data especially Lansat TM and SPOT PN. Intensity-hue-saturation (IHS) method was adopted to merge two sattelite data for the image enhancement of remote sensing. Construction stages of sea-dikes, land consolidation for paddy and salt pan, reservoir for irrigation and desalinization and the present land use were investigated and estimated the acreage of the development areas. The total gross project areas of 38,105 ha: 16,555 ha completed for paddy or salt pan, 16,826 ha under construction, and 4,724 ha under planning were confirmed, although the area of 27,100 ha in 8 projects were reported to be completed or ongoing on the bimonthly journal of N. Korean Trend published in 1994.

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A Comparative Study of the Remodeling of an Existing Hospital and the Remodeling of an Existing Hospital with the Addition of an Annex - Focused on Adventist General Hospital in Seoul - (기존병원 중심의 리모델링과 새 병원중심의 리모델링 비교연구 - A 종합병원을 중심으로 -)

  • Hong, Soon-Myung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.1
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    • pp.7-20
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    • 2008
  • This study is an analysis of the characteristics between the remodeling of an existing hospital and the remodeling of an existing hospital with the addition of a new annex. The comparison of the two remodeling methods focused on the difference of gross area, circulation system, improvement of hospital function, profitability of remodeling construction, and so on. The result of this study can be summed up as follows. The remodeling of an existing hospital with a new annex has the merit of enlarging new areas, promoting the function of the hospital, changing the inner circulation system, and facilitating the construction. However, it has the demerit of requiring too much money and expanded space for the construction. Therefore, it is possible to use the existing hospital remodeling method for small scale hospitals that do not have many patients, but it would be necessary for big scale hospitals with many patients to adopt the method of remodeling the existing hospital with the addition of an annex.

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Research about the Financial Institution's Preparations for Electronic Financial Accidents under New e-Financial Transaction Act (새로운 전자금융거래법에서의 전자금융사고 대응 방안에 관한 연구)

  • Cho, Soung-In;Park, Tae-Hyoung;Lim, Jong-In
    • Convergence Security Journal
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    • v.8 no.4
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    • pp.9-19
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    • 2008
  • By e-Financial Transactions Act enacted in January 2007, the financial institutions are responsible for indemnifying user's damage to ensuring security of the electronic financial transactions and to protecting financial users when suffering from electronic financial accidents. However, when occurring unauthorized financial transactions or electronic financial accidents by user's moral hazard, it is difficult to determine where the accidents happened at and whether caused by the intention or gross negligence of users. To protecting financial parties and ensuring the security and reliability of electronic financial transactions, this paper attempts to propose the means, what enhance the notification process about financial transactions and to strengthen IT regulatory compliance by using area information about electronic financial transactions, to protect risk of the financial accidents.

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