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A Systematic Study of Computer-Based Driving Intervention Program for Elderly Drivers (노인 운전자에게 적용한 컴퓨터 기반 운전중재 프로그램에 관한 체계적 고찰)

  • Kim, Deok Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.293-302
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    • 2019
  • This study systematically analyzed computer-based driving intervention programs for seniors, to provide the academic background for driving intervention for seniors. Articles published from January 2009 till December 2018 were researched and analyzed. 'PubMed, Google Scholar, and Science Direct' were used to search articles published overseas, and 'RISS, KERIS, and KISS' searched for articles published in Korea. Based on the inclusion and exclusion criteria, totally 359 papers were retrieved, and 10 articles were finally analyzed; 8 articles (80%) were evidence level I, and 2 articles (20%) were evidence level III. Amongst the computer-based interventions, driving simulators (70%) were the most common, followed by two video image training (20%) and one Nintendo Wii program (10%). In most studies, driving simulators trained the cognitive and visual abilities of seniors and enhanced their abilities to cope with risk situations under various simulated circumstances. Other interventions were also reported to have a positive effect. For evaluating elderly drivers, the driving performance evaluation using a driving simulator was the most common; in addition, evaluations of attention, space-time ability, cognitive function, risk perception, depression and anxiety were also commonly used. We believe that it is appropriate to employ computer-based driving intervention programs for seniors to train and evaluate various domains. We expect that these interventions can be used as an effective tool for safe driving.

Time Synchronization Robust to Topology Change Through Reference Node Re-Election (기준노드의 재선정을 통한 토폴로지 변화에 강인한 시간 동기화)

  • Jeon, Young;Kim, Taehong;Kim, Taejoon;Lee, Jaeseang;Ham, Jae-Hyun
    • KIPS Transactions on Computer and Communication Systems
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    • v.8 no.8
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    • pp.191-200
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    • 2019
  • In an Ad-hoc network, a method of time synchronizing all the nodes in a network centering on one reference node can be used. A representative algorithm based on a reference node is Flooding Time Synchronization Protocol (FTSP). In the process of sending and receiving messages, predictable and unpredictable delays occur, which should be removed because it hinders accurate time synchronization. In multi-hop communications, hop delays occur when a packet traverses a number of hops. These hop delays significantly degrade the synchronization performance among nodes. Therefore, we need to find a method to reduce these hop delays and increase synchronization performance. In the FTSP scheme, hop delays can be greatly increased depending on the position of a reference node. In addition, in FTSP, a node with the smallest node ID is elected as a reference node, hence, the position of a reference node is actually arbitrarily determined. In this paper, we propose an optimal reference node election algorithm to reduce hop delays, and compare the performance of the proposed scheme with FTSP using the network simulator OPNET. In addition, we verify that the proposed scheme has an improved synchronization performance, which is robust to topology changes.

Study on Compensation Method of Anisotropic H-field Antenna (Loran H-field 안테나의 지향성 보상 기법 연구)

  • Park, Sul-Gee;Son, Pyo-Woong
    • Journal of Navigation and Port Research
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    • v.43 no.3
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    • pp.172-178
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    • 2019
  • Although the needs for providing resilient PNT information are increasing, threats due to the intentional RFI or space weather change are challenging to resolve. eLoran, which is a terrestrial navigation system that use a high-power signal is considered as a best back-up navigation system. Depending on the user's environment in the eLoran system, the user may use one of E-field or H-field antennas. H-field antenna, which has no restriction on setting stable ground and is relatively resistant to noise of general electronic equipment, is composed of two loops, and shows anisotropic gain pattern due to the different measurement at the two loops. Therefore, the H-field antenna's phase estimation value of signal varies depending on its direction even at the static environment. The error due to the direction of the signal should be eliminated if the user want to estimate the own position more precisely. In this paper, a method to compensate the error according to the geometric distribution between the H-field antenna and the transmitting station is proposed. A model was developed to compensate the directional error of H-field antenna based on the signal generated from the eLoran signal simulator. The model is then used to the survey measurement performed in the land area and verify its performance.

Effects of Dementia Experience using Virtual Reality on Public Awareness and Attitude toward Dementia Patients (3D 가상치매체험 프로그램이 치매에 대한 태도와 인식변화에 미치는 효과)

  • Jeong, Ji Woon;Kim, Hyun Taek;Park, June Hyuk
    • Journal of the HCI Society of Korea
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    • v.13 no.4
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    • pp.5-14
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    • 2018
  • The Empathy for Dementia using Virtual Reality (EDuVR) system, developed by the Jeju Provincial Dementia Center, is a 3D video system capturing the experience of dementia in a first-person perspective using 360 degree vritual reality (VR) technology. It was developed to create a greater understanding of dementia and to help people empathize with individuals with dementia through an immersive VR experience. The EDuVR shows how a dementia patient has impairments in memory, orientation, language, judgment and problem solving, as well as problems with activities of daily living. The present study reported the effectiveness of the EDuVR experience in changing public awareness of, and attitude toward, dementia. Sixty-six participants were assigned to the EDuVR (n = 34) or the conventional education (n = 32) groups, and two types of questionnaires - attitude and awareness questionnaires - were administered to the subjects before and after the EDuVR experience or education. The simulator sickness and presence questionnaires were administered to the EDuVR group to assess cybersickness and presence of the VR experience. As a results, the attitude and awareness toward dementia patients changed positively in both the EDuVR and the conventional education groups, and these changes did not differ between two groups. Only one person reported a significant level of cybersicness after experiencing the EDuVR system. These results suggest that the EDuVR enhances the level of understanding and empathy for dementia and would be a useful tool for improving awareness in the general public.

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Effect of Nano-filled Protective Coating on Microhardness and Wear Resistance of Glass-ionomer Cements (나노필러가 함유된 표면보호재가 글라스 아이오노머 시멘트의 미세경도와 마모저항성에 미치는 효과)

  • Ryu, Wonjeong;Park, Howon;Lee, Juhyun;Seo, Hyunwoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.226-232
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    • 2019
  • The purpose of this study was to investigate the effect of adding a protective coating on the microhardness and wear resistance of glass ionomer cements (GICs). Specimens were prepared from GIC and resin-modified GIC (RMGI), and divided into 3 groups based on surface protection: (1) no coating (NC), (2) Equia coat coating (EC), and (3) un-filled adhesive coating (AD). All specimens were then placed in distilled water for 24 h. Surface hardness (n = 10) was evaluated on a Vickers hardness testing machine. Wear resistance (n = 10) was evaluated after subjecting the specimen to thermocycling for 10,000 cycles using a chewing simulator. Data were analyzed using a one-way ANOVA and the Kruskal-Wallis test. Surface hardness was highest in the NC groups, followed by the EC and AD groups. The wear depth of GI + NC was significantly higher than that of all RMGI groups. EC did not significantly lower the wear depth compared to AD. Based on these results, it was concluded that although EC does not increase the surface microhardness of GIC, it can increase the wear resistance.

The effect of Horse riding exercise, McKenzie Exercise on back pain and muscle activity in patients with low back pain (승마 운동과 McKenzie 운동이 만성허리통증환자의 허리통증과 근활성도에 미치는 영향)

  • Jung, Nam-Jin;Kim, Ki-Hyun;Kim, Hyun-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.502-509
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    • 2020
  • The aim of this study was to compare the effects of a horseback riding simulator, McKenzie, and gym ball exercises on the Korean-Oswestry Disability Index (K-ODI) and muscle activation in people suffering from chronic low back pain. The study was conducted on 30 adults with a K-ODI of 5 or more and chronic low back pain. This experiment was conducted from May to June 2020. They were randomly divided into the horse-riding exercise group (HEG), McKenzie exercise group (MEG), and the gym ball exercise group (GEG). Each group performed the relevant exercises for six weeks, three times a week. The low back pain was measured with K-ODI, and muscle activation was measured with surface electromyography (SEMG). A paired t-test was conducted to verify the change before and after the experiment in the groups, and a one-way ANOVA was conducted to verify the difference between the three groups. The results of the study showed significant differences before and after the experiment. K-ODI and muscle activity improved (p>.05), and significant differences were also found between the groups (p<.05). This study concluded that horse riding and McKenzie exercises could be effective methods for the treatment of pain and to stabilize the lumbar region in patients with chronic low back pain.

Estimation of Incident Detection Time on Expressways Based on Market Penetration Rate of Connected Vehicles (커넥티드 차량 보급률 기반 고속도로 돌발상황 검지시간 추정)

  • Sanggi Nam;Younshik Chung;Hoekyoung Kim;Wonggil Kim
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.22 no.3
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    • pp.38-50
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    • 2023
  • Recent advances in artificial intelligence (AI) technology have enabled the integration of AI technology into image sensors, such as Closed-Circuit Television (CCTV), to detect specific traffic incidents. However, most incident detection methods have been carried out using fixed equipment. Therefore, there have been limitations to incident detection for all roadways. Nevertheless, the development of mobile image collection and analysis technology, such as image sensors and edge-computing, is spreading. The purpose of this study is to estimate the reducing effect of the incident detection time according to the introduction level of mobile image collection and analysis equipment (or connected vehicles). To carry out this purpose, we utilized data on the number of incidents collected by the Suwon branch of the Gyeongbu expressway in 2021. The analysis results showed that if the market penetration rate (MPR) of connected vehicles is 4% or higher for two-lane expressway and 3% or higher for three-lane expressways, the incident detection time was less than one minute. Furthermore, if the MPR is 0.4% or higher for two-lane expressways and 0.2% or higher for three-lane expressways, the incident detection time decreased compared to the average incident detection time announced by the Korea Expressway Corporation for both two-lane and three-lane expressways.

The Structure of Korean Radiation Oncology in 1997 (국내 병원 별 방사선치료의 진료 구조 현황(1997년 현황을 중심으로 한 선진국과의 비교 구))

  • Kim Mi Sook;Yoo Seoung Yul;Cho Chul Koo;Yoo Hyung Jun;Yang Kwang Mo;Je Young Hoon;Lee Dong Hun;Lee Dong Han;Kim Do Jun
    • Radiation Oncology Journal
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    • v.17 no.2
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    • pp.172-178
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    • 1999
  • Purpose : To measure the basic structural characteristics of radiation oncology facilities in Korea during 1997 and to compare personnel, equipments and patient loads between Korea and developed countries. Methods and Materials : Mail serveys we conducted in 1998 and data on treatment machines, personnel and peformed new patients were collected. Responses were obtained from the 100 percent of facilities. The consensus data of the whole country were summarized using Microsoft Excel program. Results: In Korea during 1997, 42 facilities delivered megavoltage radiation theraphy with 71 treatment machines, 100 radiation oncologists, 26 medical physicist, 205 technologists and 19,773 new patients. Eighty nine percent of facilities in Korea had linear accelators at least 6 MeV maximum photon energy. Ninety five percent of facilities had simulators while five percent of facilities had no simulator, Ninety one percent of facilities had computer planning systems and eighty three percent of facilities reported that they had a written quality assurance program. Thirty six percent of facilities had only one radiation oncologist and thirty eight percent of facilities had no medical physicists. The median of the distribution of annual patients load of a facility, patients load per a machine, patients load per a radiation oncologist, patients load per a therapist and therapists per a machine in Korea were 348 patients per a year, 263 patients per a machine, 171 patients per a radiation oncologist, 81 patients per a therapist, and 3 therapists per a machine respectively. Conclusions : The whole scale of the radiation oncology departments in Korea was smaller than Japan and USA in population ratio regard. In case of hardware level like linear accelerators, simulators and computer planning systems, there was no big differences between Korea and USA. The patients loads of radiation oncologists and therapists had no significant differences as compared with USA. However, it was desirable to consider the part time system in USA because there were a lot of hospitals which did not employ medical physicists.

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The efficacy of continuous positive airway pressure (CPAP) for patient with left breast cancer (좌측 유방암 방사선치료에서 CPAP(Continuous Positive Airway Pressure)의 유용성 평가)

  • Jung, Il Hun;Ha, Jin Sook;Chang, Won Suk;Jeon, Mi Jin;Kim, Sei Joon;Jung, Jin Wook;Park, Byul Nim;Shin, Dong Bong;Lee, Ik Jae
    • The Journal of Korean Society for Radiation Therapy
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    • v.31 no.2
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    • pp.43-49
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    • 2019
  • Purpose: This study examined changes in the position of the heat and lungs depending on the patient's breathing method during left breast cancer radiotherapy and used treatment plans to compare the resulting radiation dose. Materials and methods: The participants consisted of 10 patients with left breast cancer. A CT simulator(SIMENS SOMATOM AS, Germany) was used to obtain images when using three different breathing methods: free breathing(FB), deep inspiration breath hold(DIBH with Abches, DIBH), inspiration breath hold(IBH with CPAP, CPAP). A Ray Station(5.0.2.35, Sweden) was used for treatment planning, the treatment method was volumetric modulated arc therapy (VMAT) with one partial arc of the same angle, and the prescribed dose to the planning target volume (PTV) was a total dose of 50Gy(2Gy/day). In treatment plan analysis, the 95% dose (D95) to the PTV, the conformity index(CI), and the homogeneity index (HI) were compared. The lungs, heart, and left anterior descending artery (LAD) were selected as the organs at risk(OARs). Results: The mean volume of the ipsilateral lung for FB, DIBH, and CPAP was 1245.58±301.31㎤, 1790.09±362.43 ㎤, 1775.44±476.71 ㎤. The mean D95 for the PTV was 46.67±1.89Gy, 46.85±1.72Gy, 46.97±23.4Gy, and the mean CI and HI were 0.95±0.02, 0.96±0.02, 0.95±0.02 and 0.91±0.01, 0.90±0.01, 0.92±0.02. The V20 of Whole Lung was 10.74±4.50%, 8.29±3.14%, 9.12±3.29% and The V20 of the ipsilateral lung was 20.45±8.65%, 17.18±7.04%, 18.85±7.85%, the Dmean of the heart was 7.82±1.27Gy, 6.10±1.27Gy, 5.67±1.56Gy, and the Dmax of the LAD was 20.41±7.56Gy, 14.88±3.57Gy, 14.96±2.81Gy. The distance from the thoracic wall to the LAD was measured to be 11.33±4.70mm, 22.40±6.01mm, 20.14±6.23mm. Conclusion: During left breast cancer radiotherapy, the lung volume was 46.24% larger for DIBH than for FB, and 43.11% larger for CPAP than FB. The larger lung volume increases the distance between the thoracic wall and the heart. In this way, the LAD, which is one of the nearby OARs, can be more effectively protected while still satisfying the treatment plan. The lung volume was largest for DIBH, and the distance between the LAD and thoracic wall was also the greatest. However, when performing treatment with DIBH, the intra-fraction error cannot be ignored. Moreover, communication between the patient and the radiotherapist is also an important factor in DIBH treatment. When communication is problematic, or if the patient has difficulty holding their breath, we believe that CPAP could be used as an alternative to DIBH. In order to verify the clinical efficacy of CPAP, it will be necessary to perform long-term follow-up of a greater number of patients.

Clinical Experience of Three Dimensional Conformal Radiation Therapy for Non-Small Cell Lung Cancer (비소세포성 폐암에서 3차원 입체조형 방사선 치료 성적)

  • Choi Eun Kyung;Lee Byong Yong;Kang One Chul;Nho Young Ju;Chung Weon Kuu;Ahn Seung Do;Kim Jong Hoon;Chang Hyesook
    • Radiation Oncology Journal
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    • v.16 no.3
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    • pp.265-274
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    • 1998
  • Purpose : This prospective study has been conducted to assess the value of three dimensional conformal radiation therapy (3DCRT) for lung cancer and to determine its potential advantage over current treatment approaches. Specific aims of this study were to 1) find the most ideal 3DCRT technique 2) establish the maximum tolerance dose that can be delivered with 3DCRT and 3) identify patients at risk for development of radiation pneumonitis. Materials and Methods : Beginning in Nov. 1994, 95 patients with inoperable non-small cell lung cancer (stage I; 4, stage II; 1, stage IIIa; 14, stage IIIb; 76) were entered onto this 3D conformal trial Areas of known disease and elective nodal areas were initially treated to 45 Gy and then using 3DCRT technique 65 to 70 Gy of total dose were delivered to the gross disease. Sixty nine patients received 65 Gy of total dose and 26 received 70 Gy Seventy eight patients (82.1$\%$) also received concurrent MVP chemotherapy. 3DCRT plans were compared with 2D plans to assess the adequacy of dose delivery to target volume, dose volume histograms for normal tissue, and normal tissue complication Probabilities (NTCP). Results : Most of plans (78/95) were composed of non-coplanar multiple (4-8) fields. Coplanar segmented conformal therapy was used in 17 pateints, choosing the proper gantry angle which minimize normal lung exposure in each segment. 3DCRT gave the full dose to nearly 100$\%$ of the gross disease target volume in all patients. The mean NTCP for ipsilateral lung with 3DCRT (range; 0.17-0.43) was 68$\%$ of the mean NTCP with 2D treatment planning (range; 0.27-0.66). DVH analysis for heart showed that irradiated volume of heart could be significantly reduced by non-coplanar 3D approach especially in the case of left lower lobe lesion. Of 95 patients evaluable for response, 75 (79$\%$), showed major response including 25 (26$\%$) with complete responses and 50 (53$\%$) with partial responses. One and two rear overall survivals of stage III patients were 62.6$\%$ and 35.2$\%$ respectively. Twenty percent (19/95) of patients had pneumonitis; Eight patients had grade 1 pneumonitis and 11 other patients had grade 2. Comparison of the average of NTCP for lung showed a significant difference between patients with and without radiation pneumonitis. Average NTCP for Patients without complication was 62$\%$ of those with complications. Conclusions : This study showed that non-coplanar multiple fields (4-8) may be one of the ideal plans for 3DCRT for lung cancer. It also suggested that 3DCRT may provide superior delivery of high dose radiation with reduced risk to normal tissue and that NTCP can be used as a guideline for the dose escalation.

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