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Isolated Bilateral Midbrain Infarction in A Healthy Female Adolescent: A Case Report

  • Dong Ho Yoo;Byunghoon Lee;Yong Beom Shin;Myung-Jun Shin;Jin A Yoon;Sang Hun Kim
    • Physical Therapy Rehabilitation Science
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    • v.12 no.3
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    • pp.207-213
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    • 2023
  • Objective: The purpose of this study was to understand the complex anatomical structure and function of the midbrain to better understand the patient's symptoms and plan effective treatment including pharmacological and rehabilitation interventions. Design: A single case study Methods: A 17-year-old girl presented with acute onset of drowsiness, gait disturbance, mutism, and ptosis. Physical examination revealed postural instability, rigidity of all limbs, and limitations in extraocular movement. The brain MRI revealed an isolated acute infarction in the bilateral midbrain. Considering the location of the infarction, the presenting symptoms were the result of an impairment of the dopaminergic pathway in addition to lesions in the nuclei of the oculomotor nerve. Levodopa/carbidopa was prescribed. And the intensive and comprehensive rehabilitation program was done. Results: As a result of the study, through comprehensive intervention, which encompassed assessments such as the manual muscle test, Korean Modified Barthel Index score, and Trail-making test, significant enhancements in the patient's condition were observed. These findings provide evidence supporting the effectiveness of the intervention in promoting the patient's physical functioning and overall well-being. Conclusions: The results of this case highlight the significance of comprehending the intricate anatomical structure and functional aspects of the midbrain, which led us to approach appropriate pharmacological and rehabilitation interventions. Through active communication among the medical team, we were able to establish a therapeutic plan, which demonstrated that effective treatment can be achieved.

Reliability of a chairside CAD-CAM surgical guide for dental implant surgery on the anterior maxilla: An in vitro study

  • Phyo Ei Ei Htay;Richard Leesungbok;Suk Won Lee;Yu-Jin Jee;Kyung Lhi Kang;Sung Ok Hong
    • The Journal of Advanced Prosthodontics
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    • v.15 no.5
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    • pp.259-270
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    • 2023
  • PURPOSE. This study evaluated the reliability of the chair-side CAD-CAM surgical guide (CSG) in the anterior maxilla by comparing its accuracy with the laboratory 3D-printed surgical guide (3DSG) and manual surgical guide (MSG) concerning different levels of dentists' surgical experience. MATERIALS AND METHODS. Ten surgical guides of each type (MSG, 3DSG, and CSG) were fabricated on a control study model with missing right and left central incisors. Sixty implants were placed in 30 study models by two dentists (one inexperienced and one experienced) using three different types of surgical guides. Horizontal deviations at shoulder and at apex, vertical, and angular deviations were measured after superimposing the planned and placed implant positions in the software. Kruskal-Wallis and Mann-Whitney U tests were used to compare the accuracy of three types of surgical guides in each dentist group and the accuracy of each surgical guide between two dentists (α = .05). RESULTS. There were no significant differences in any deviations between CSG and 3DSG, apart from angular deviation, for both dentists' groups. Moreover, both CSG and 3DSG showed no significant differences in accuracy between the two dentists (P > .05). In contrast, MSG demonstrated significant differences from CSG and 3DSG and a significant difference in accuracy between the two dentists (P < .05). CONCLUSION. CSG provides superior accuracy to MSG in implant placement in the maxillary anterior region and is comparable to 3DSG at different levels of surgical experience, while offering the benefits of shorter manufacturing time and reduced patient visits.

Unsupervised Vortex-induced Vibration Detection Using Data Synthesis (합성데이터를 이용한 비지도학습 기반 실시간 와류진동 탐지모델)

  • Sunho Lee;Sunjoong Kim
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.36 no.5
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    • pp.315-321
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    • 2023
  • Long-span bridges are flexible structures with low natural frequencies and damping ratios, making them susceptible to vibrational serviceability problems. However, the current design guideline of South Korea assumes a uniform threshold of wind speed or vibrational amplitude to assess the occurrence of harmful vibrations, potentially overlooking the complex vibrational patterns observed in long-span bridges. In this study, we propose a pointwise vortex-induced vibration (VIV) detection method using a deep-learning-based signalsegmentation model. Departing from conventional supervised methods of data acquisition and manual labeling, we synthesize training data by generating sinusoidal waves with an envelope to accurately represent VIV. A Fourier synchrosqueezed transform is leveraged to extract time-frequency features, which serve as input data for training a bidirectional long short-term memory model. The effectiveness of the model trained on synthetic VIV data is demonstrated through a comparison with its counterpart trained on manually labeled real datasets from an actual cable-supported bridge.

A Study on Mission Software Reliability Test Methods of International Joint Development Project for KT-1 Military Aircraft Software (KT-1 군항공기 소프트웨어 국제공동개발 사업의 미션 소프트웨어 신뢰성 시험방안에 관한 연구)

  • Byung Duck Bae;Seonah Lee
    • Journal of Aerospace System Engineering
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    • v.17 no.6
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    • pp.108-117
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    • 2023
  • Thus far, a mission software component of the KT-1 military fixed-wing aircraft for overseas export has been developed through international joint development with foreign companies. The reliability of the software component could be certified by complying with the development environment and procedures of foreign companies based on DO-178B. However, recently, DO-178C certification is required for overseas exports, and reliability tests to comply with the weapon system software development guidelines are required for domestic military forces. In this paper, we describe the problems in obtaining domestic airworthiness certification in the international joint development of a previously developed KT-1 export-typed aircraft system integration project. To this end, we find a solution to comply with both DO-178C and the Weapon System Software Development and Management Manual and provide the optimal software reliability test method.

Development of YOLO-based apple quality sorter

  • Donggun Lee;Jooseon Oh;Youngtae Choi;Donggeon Lee;Hongjeong Lee;Sung-Bo Shim;Yushin Ha
    • Korean Journal of Agricultural Science
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    • v.50 no.3
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    • pp.373-382
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    • 2023
  • The task of sorting and excluding blemished apples and others that lack commercial appeal is currently performed manually by human eye sorting, which not only causes musculoskeletal disorders in workers but also requires a significant amount of time and labor. In this study, an automated apple-sorting machine was developed to prevent musculoskeletal disorders in apple production workers and to streamline the process of sorting blemished and non-marketable apples from the better quality fruit. The apple-sorting machine is composed of an arm-rest, a main body, and a height-adjustable part, and uses object detection through a machine learning technology called 'You Only Look Once (YOLO)' to sort the apples. The machine was initially trained using apple image data, RoboFlow, and Google Colab, and the resulting images were analyzed using Jetson Nano. An algorithm was developed to link the Jetson Nano outputs and the conveyor belt to classify the analyzed apple images. This apple-sorting machine can immediately sort and exclude apples with surface defects, thereby reducing the time needed to sort the fruit and, accordingly, achieving cuts in labor costs. Furthermore, the apple-sorting machine can produce uniform quality sorting with a high level of accuracy compared with the subjective judgment of manual sorting by eye. This is expected to improve the productivity of apple growing operations and increase profitability.

Growth characteristics and antioxidant activity of domestic calla lily (Zantedeschia aethiopica)

  • Kyung Hye Seo;Myung Suk Ahn;Ji Hun Yi;Young Ran Lee;Yun-Im Kang;Youn Jung Choi;Jung Nam Suh;Hye Sook Jang
    • Korean Journal of Agricultural Science
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    • v.50 no.2
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    • pp.219-230
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    • 2023
  • Calla lily is one of the most iconic and widely recognized ornamental plants. This study compared the extracts of 11 cultivars of domestic calla lily bred by the National Institute of Horticultural and Herbal Science for their total polyphenol and antioxidant activities. Eleven cultivars were evaluated for their growth and flowering characteristics as per the Manual for Agricultural Investigation Rural Development Administration (RDA) form. The antioxidant activities were measured using 2,2'-azinobis (3-ethylbebzothiazoloine-6-sulfonic acid)-diammounium salt (ABTS+) and 1,1-diphenyl-2-picrrylhydrazyl (DPPH) radical scavenging effect. The plants have an average height of 63.80 ± 5.4 cm, average flower diameter of 7.2 ± 1.1 cm, and width of 12.4 ± 1.7 cm. On average, the diameter and width of leaves were 33.7 ± 3.5 cm and 20.0 ± 1.4 cm, respectively. Extracts of flowers and leaves in the 11 cultivars of white calla lily were compared for their antioxidant activities and total polyphenol contents. ABTS+ and DPPH radical scavenging, which are indicative of antioxidant activity, were higher in flowers than in leaves. When comparing by cultivar, we found that 'White Egg' showed the highest antioxidant activity in both the flowers and the leaves. Additionally, we found that by part, the content of total polyphenols was highest in flowers, and by cultivar, it was highest in the 'Swan' and 'White Egg' cultivars. Furthermore, the days to flowering showed correlations with ABTS+ radical scavenging, total phenolic contents (TPC), and total flavonoid contents (TFC). Our results indicate that calla lily can be used as breeding material material according to its growth characteristics and as a natural antioxidant source.

Method of Automatically Generating Metadata through Audio Analysis of Video Content (영상 콘텐츠의 오디오 분석을 통한 메타데이터 자동 생성 방법)

  • Sung-Jung Young;Hyo-Gyeong Park;Yeon-Hwi You;Il-Young Moon
    • Journal of Advanced Navigation Technology
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    • v.25 no.6
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    • pp.557-561
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    • 2021
  • A meatadata has become an essential element in order to recommend video content to users. However, it is passively generated by video content providers. In the paper, a method for automatically generating metadata was studied in the existing manual metadata input method. In addition to the method of extracting emotion tags in the previous study, a study was conducted on a method for automatically generating metadata for genre and country of production through movie audio. The genre was extracted from the audio spectrogram using the ResNet34 artificial neural network model, a transfer learning model, and the language of the speaker in the movie was detected through speech recognition. Through this, it was possible to confirm the possibility of automatically generating metadata through artificial intelligence.

A Case Report on Right Hemiparesis after Left Thalamus Infarction Treated with Boyanghwanoh-tang-gagam and Complex Korean Medicine Treatment (보양환오탕가감방 및 복합한의치료로 호전된 시상 부위 뇌경색 후 우측 편마비 환자 치험 1례)

  • Eun-soo Park;Hyun-seo Park;Seong-hyun Jeon;Jin-won Kim
    • The Journal of Internal Korean Medicine
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    • v.44 no.5
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    • pp.823-829
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    • 2023
  • Objectives: This study reports the case of a patient with right hemiparesis after a left thalamic infarction, in which the patient experienced improved clinical symptoms (hemiparesis, constipation) after treatment with a complex Korean medicine treatment. Methods: A 81-year-old male patient diagnosed with acute left thalamic infarction was treated with daily acupuncture and herbal medicine (Boyanghwanoh-tang-gagam) three times a day. Jowiseunggi-tang extract granules were administered to treat constipation by adjusting the dosage according to the reported symptoms. The patient's clinical course was assessed using changes in Modified Barthel Index (MBI) score, Manual Muscle Testing (MMT) grade, and defecation frequency . Results: The patient's MBI score improved from 35 to 69 and was discharged with the ability to walk under supervision. The MMT grade also improved from 3/4 to 5/5 in the upper/lower extremities. Other clinical symptoms, including constipation, also improved, leading to the discontinuation of magnesium medication. Conclusion: These findings suggest that complex Korean medicine treatments, including herbal medicine and acupuncture, may be an effective treatment for post-stroke hemiplegic patients.

A Case Report of a Patient with Vascular Dementia Caused by Intracerebral Hemorrhage Treated with Modified Guibi-tang (뇌내출혈 이후 발생한 혈관성 치매 환자에 대한 귀비탕가미방 치험 1례)

  • Hye-soo Youn;Eun-chang Lee;Jung-min Son;Sun-woo Kwon;Choong-hyun Park;Yi-jae Kwon;Hyo-jeong Lee;Jung-eun Lee
    • The Journal of Internal Korean Medicine
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    • v.44 no.5
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    • pp.1033-1040
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    • 2023
  • Objectives: The aim of this study is to describe the effects of traditional Korean medicine treatment on a patient with vascular dementia caused by an intracerebral hemorrhage. Methods: The patient was treated with herbal medicine (modified Guibi-tang) and acupuncture. The effects of these treatments were evaluated using the Korean Mini Mental Status Examination (K-MMSE-2), Cognitive Dementia Rating (CDR), Manual Muscle Test (MMT), Korean version of Modified Barthel Index (K-MBI), and Videofluoroscopic Swallow Study (VFSS). Results: After treatment, the K-MMSE-2 score, CDR score, MMT, K-MBI, and VFSS improved. Conclusion: The results suggest that traditional Korean medicine may be effective for the symptoms of vascular dementia caused by intracerebral hemorrhage.

Peripheral Facial Palsy with Fatigue Symptoms is Improved by Korean Medicine Treatment: A Case Report (피로증상을 동반한 말초성 안면마비 환자에게 익기보혈탕과 약침치료를 포함한 한의복합치료 증례보고 1례)

  • Eun-je Oh;Woo-sub Song;Joo-hee Oh;Seung-hee Lee;Gun-hee Bae;Dong-jin Jang;Soo-kyeong Lee;Yoon-jung Lee;Mu-jin Park
    • The Journal of Internal Korean Medicine
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    • v.44 no.5
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    • pp.830-836
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    • 2023
  • Objective: This study investigated the efficacy of using Korean medicine treatments on a patient with peripheral palsy with fatigue symptoms. Methods: A 58-year-old female patient with peripheral palsy and fatigue symptoms was treated with herbal medicine (Yikgeebohyul-tang), acupuncture, pharmacopuncture, Chuna manual therapy, and cupping therapy for 21 days. The treatment effects on peripheral palsy were evaluated using the Yanagihara and House-Brackmann grading systems. Results: Following treatment, the patient showed decreases in the House-Brackmann grading system and fatigue symptoms, as well as an improved Yanagihara grading system score. Conclusions: These results show that Korean medicine treatment improved the condition of a patient with peripheral palsy with fatigue symptoms.