• Maxillofacial Plastic and Reconstructive Surgery
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• v.41
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• pp.19.1-19.6
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• 2019

Background: The submucous cleft palate (SMCP) is a type of cleft palate that may result in velopharyngeal insufficiency (VPI). Palate muscles completely separate oral and nasal cavities by closing off the velopharynx during functional processes such as speech or swallow. Also, hypernasality may arise from anatomical or neurological abnormalities in these functions. Treatments of this issue involve a combination of surgical intervention, speech aid, and speech therapy. This case report demonstrates successfully treated VPI resulted from SMCP without any surgical intervention but solely with speech aid appliance and speech therapy. Case presentation: A 13-year-old female patient with a speech disorder from velopharyngeal insufficiency that was caused by a submucous cleft palate visited to our OMFS clinic. In the intraoral examination, the patient had a short soft palate and bifid uvula. And the muscles in the palate did not contract properly during oral speech. She had no surgical history such as primary palatoplasty or pharyngoplasty except for tonsillectomy. And there were no other medical histories. Objective speech assessment using nasometer was performed. We diagnosed that the patient had a SMCP. The patient has shown a decrease in speech intelligibility, which resulted from hypernasality. We decided to treat the patient with speech aid (palatal lift) along with speech therapy. During the 7-month treatment, hypernasality measured by a nasometer decreased and speech intelligibility became normal. Conclusions: Surgery remains the first treatment option for patients with velopharyngeal insufficiencies from submucous cleft palates. However, there were few reports about objective speech evaluation pre- or post-operation. Moreover, there has been no report of non-surgical treatment in the recent studies. From this perspective, this report of objective improvement of speech intelligibility of VPI patient with SMCP by non-surgical treatment has a significant meaning. Speech aid can be considered as one of treatment options for management of SMCP.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.2 no.1
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• pp.39-44
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• 2006

Cerebral palsy(CP) is one of the most common motor disease, due to brain injury during fetal and neonatal development which results in neuromotor paralysis and associated neuromuscular symptoms. Features of CP include motor disability due to the lack of muscle control, often accompanied by sensory disorders, mental retardation, speech disorders, hearing loss, epilepsy, behavior disorders, etc. There are increasing chances of treatment of dental patients with cerebral palsy, as the occurrence of CP is increasing with the decrease in infant mortality and an increase in immature birth and premature birth and also, there is a trend to pursue of higher quality of life. Reports on the relationship between CP and maxillofacial deformity are uncommon, but it is well known that the unbalance and discontrol of the facial muscles, lip, tongue and the jaws leads to malocclusion and temporomandibular joint disorders, and statistics show that class 2 relationship of the jaws and open bite is frequently reported. However, it is difficult to perform maxillofacial deformity treatment, which consists of orthodontic treatment, maxillofacial surgery and muscle adaptation training, due to difficulties in communication and problems of muscle adaptation caused by difficulties in motor control which leads to a high recurrence rate. This case report is to trearment of maxillofacial deformity in CP patient. A 26 year old female patient came to the department with the chief complaint of prognathism of the mandible and facial asymmetry. According to the past medical history, she was diagnosed as cerebral palsy 1 week after birth, classified as GMFC, classII accompanied with left side torticollis. The patient's intelligence was moderate, and there were no serious problems in communication. For two years time, the patient underwent lingual frenectomy, pre-operation orthodontic treatment and then bimaxillary orthognathic surgery to treat mandibular prognathism and facial asymmetry followed by rehabilitatory exercise of facial muscle. After 6 months of follow up, there was a good result. This is to report to the typical signs and symptoms of DFD in CP patient and the limitation of the usual method of the treatment of DFD in CP patient with literature review.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.17 no.4
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• pp.124-137
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• 2018

The main purpose of this study is to find the hotspots of crimes that occur frequently in the space and to derive the appropriate CCTV installation location. One of the characteristics of crime is clustered around past occurrence area, and these crimes are strongly correlated. It is also possible to find the cause of the clusters and the variables that affect the crime through the history of the crime. In addition to the traditional OLS model, spatial differential model including spatial autocorrelation and spatial error model were used to select the variables influencing the five major crime rate, the theft rate and the foreign resident rate. The variables affecting the Five major crimes were positive (+) sign for the welfare and the rate of the bar cluster rate, and negative (-) for the street density. The CCTV area occupies 46% of the hotspots based on the overlapping of the areas where the elderly people are crowded, the bar cluster, many multicultural families, and the areas with low density of street lamps. It turned out. Taking into account the current CCTV operation, the total number of new cases to cover the risk point was 89.

• Industry Promotion Research
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• v.5 no.2
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• pp.83-91
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• 2020

The purpose of this article is to analyse the military thought of Ferdinand Foch and to present its contemporary meanings. 1.Foch's life: Since 1871 to end of World War I, he acted as a military philosopher, battle field commander, and Supreme Commender of the Unified Forces so as to be judged as Clausewitz of the 20th century. 2. Historical Background of Foch's Activity Period : The series of the domestic revolutions after Napoleon's downfall were extended to Europe for independence, unification and overseas colonial wars. Thus Foch's growing and acting period was in totally imminent danger at all fields. 3. Foch's Military Thought : Through his three books, he argued cleary the absolute importance of the immaterial power including the technical esteem and the offensive fighting will for the victory. 4. The Contemporary Application of Foch's Thought : Though the operation plan based on Foch's strategic thought was defeated at the early stage of the World War I, its offensive-oriented immaterial spirit power should be remembered. 5. Conclusion : Foch's thought which develops the penetration through the war history and emphasizes the importance of the immaterial power should be highly appraised. Thus it should be also reinterpreted and redeveloped into a modern contemporary meaning.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.17
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• pp.7853-7857
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• 2015

Background: Mortality from breast cancer is high in low- and middle-income countries, in part because most patients have advanced stage disease when first diagnosed. Case-finding may be one approach to changing this situation. Materials and Methods: We conducted a pilot study to explore the feasibility of population-based case finding for breast cancer by community health workers (CHWs) using different data collection methods and approaches to management of women found to have breast abnormalities. After training 8 CHWs in breast problem recognition, manual paper data collection and operation of a cell-phone software platform for reporting demographic, history and physical finding information, these CHWs visited 3150 women >age 18 and over they could find-- from 2356 households in 8 villages in rural Bangladesh. By 4 random assignments of villages, data were collected manually (Group 1), or with the cell-phone program alone (Group 2) or with management algorithms (Groups 3 and 4), and women adjudged to have a serious breast problem were shown a motivational video (Group 3), or navigated/accompanied to a breast problem center for evaluation (Group 4). Results: Only three visited women refused evaluation. The manual data acquisition group (1) had missing data in 80% of cases, and took an average of 5 minutes longer to acquire, versus no missing data in the cell phone-reporting groups (2,3 and 4). One woman was identified with stage III breast cancer, and was appropriately treated. Conclusions: Among very poor rural Bangladeshi women, there was very limited reluctance to undergo breast evaluation. The estimated rarity of clinical breast cancer is supported by these population-based findings. The feasibility and efficient use of mobile technology in this setting is supported. Successor studies may most appropriately be trials focusing on improving the suggested benefits of motivation and navigation, on increasing the numbers of cases found, and on stage of disease at diagnosis as the primary endpoint.

• Korean Journal of Hospice Care
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• v.2 no.1
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• pp.87-111
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• 2002

The hospice activities in Korea have still stood in the premature stage, although the contemporary hospice program, which professionally accommodates terminally ill patients, appeared in the history 35 years ago. Especially, the availability of the facility hospice is not only poor in number, but also lack of a guideline for the conduct of the facility. Saemmul Hospice has keenly felt the necessity of more facility hospices and has interchanged experiences and informations with people interested in hospice. However, the number of facilities has fallen short of one's expectations, and many problems have been revealed in order to maintain the operation. This paper was written in order to improve these atmospheres and to help more terminally ill cancer patients properly. This paper clarifies in detail the principle of management, the method of practice in each departments of Saemmul Hospice, expected effects and supplemental items. We try to provide concrete and practical informations and to help extensively for all peoples who are to begin or currently working. 1.Facility: It secures, maintain, and manage the hospice environment for all around care of patients effectively. 2.Education and Volunteer: It trains and manages hospice volunteers devoted to hospice. 3.Financial: It manages donation by healthy soul with an effective method. 4.Administration and Organization: It executes the administration efficiently and constitutes the organization to operate. 5.Medical and Nursing: It offers the maximum professional supports to a hospital. 6.Medicine and alternative medicine: It improves the quality of life of patients by medical and pharmaceutical approach and by other possible methods available. 7.Nutrition: It helps patients to have diets in accord with the order of the creation. 8.Belief: It offers spiritual care which allows the profound relationship with God. 9. Funeral ceremonies: Funeral ceremonies may heal grieves of families faced with their deaths. 10. Bereaved families: It supports the families after the deaths of patients. 11.Reception and consultation: It seeks to help the patients who meet the purposes for which Saemmul Hospice is established. 12.Publication: It allows publicity activities for Saemmul Hospice. Facility hospice programs are able to overcome the disadvantages that the other type of the hospice possess, like as the economic burdens of the families, and the patients' losses of comforts of home after being transferred to a hospital. Facility hospice can provide home atmosphere with professional manpower and facilities like hospital to the patients. Therefore, it can also improve patients' qualities of life and make them comfortable death. We anticipate that the hospice program in Korea would be more active to let more people be indebted to maintain the nobel human dignity and to cross beautifully in the most painful process of dying in the journey of their lives.

• Journal of Digital Convergence
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• v.18 no.5
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• pp.55-63
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• 2020

Recently, there is a strong interest in SW basic education for non-major students in universities, but SW non-majors are having a hard time learning. This paper proposes a class operation method that utilizes customized contents reflecting the interests of non-majors, rather than using existing learning contents for SW majors. The proposed method is to improve the education effects by increasing the learning motivation of SW non-majors. The paper shows a case study of A university, which has operated non-major SW basic education for more than five years. The case study analyzed the change of class satisfaction of students of pre- and post- learning group that reformed major-friendly contents about the same curriculum. As a result, the students of social sciences are interested in learning contents using public data that can examine the social and cultural phenomena of the country, and humanities students are interested in text contents such as novels, history books, and SNS articles. In addition to the understanding of the lectures, the class satisfaction was also greatly improved, and it showed that the major-friendly contents is useful for SW basic education of non-majors.

• Journal of Korea Multimedia Society
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• v.13 no.3
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• pp.417-429
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• 2010

Though background subtraction has been widely studied for last decades, it is still a poorly solved problem especially when it meets real environments. In this paper, we first address some common problems for background subtraction that occur in real environments and then those problems are resolved by improving an existing GMM-based background modeling method. First, to achieve low computations, fixed point operations are used. Because background model usually does not require high precision of variables, we can reduce the computation time while maintaining its accuracy by adopting fixed point operations rather than floating point operations. Secondly, to avoid erroneous backgrounds that are induced by high pedestrian traffic, static levels of pixels are examined using shot-time statistics of pixel history. By using a lower learning rate for non-static pixels, we can preserve valid backgrounds even for busy scenes where foregrounds dominate. Finally, to adapt rapid illumination changes, we estimated the intensity change between two consecutive frames as a linear transform and compensated learned background models according to the estimated transform. By applying the fixed point operation to existing GMM-based method, it was able to reduce the computation time to about 30% of the original processing time. Also, experiments on a real video with high pedestrian traffic showed that our proposed method improves the previous background modeling methods by 20% in detection rate and 5~10% in false alarm rate.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.9
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• pp.32-38
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• 2020

Cargo train braking uses the pressure changes in the air braking pipe to operate the braking tightening and releasing service repeatedly. Air-braking release failure means partial braking caused by a failure of the variable load valve after the driver handling the brake release. This phenomenon causes wheel flaws while driving a wagon, resulting in wheel breakage or train derailment. This study developed the air-braking release failure proof valve considering the technical requirements of the railway operation corporations. In addition, a durability test of the valve was carried out using a braking performance simulator, and its operating performance was evaluated from the pneumatic history under cyclic braking conditions. The warranty life of this valve was assessed by performing 160,000 cycles of testing of 12 prototypes in accordance with the zero-failure test method, considering the number of braking cycles while driving the wagon. During the durability test, the pneumatic input time, output time, and release velocity were almost constant. The warranty life of this valve was 59,860 times the 95% confidence level, which means that it can be operated without trouble for four years when the valve is installed in the bogie of the wagon.

• Journal of Chest Surgery
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• v.36 no.1
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• pp.30-34
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• 2003

As classical acute aortic dissection, atherosclerotic penetrating ulcers and intramural hematoma have different pathophysiology and natural history, treatment strategy should be different and, therefore, accurate differential diagnosis is necessary. However, these three aortic diseases may be indistinguishable by clinical observation and even by various diagnostic modalities such as cardiac echocardiography, CT and MRI. The patients was a 71-year-old female with chief complaints of anterior chest pain, nausea and vomiting which occurred suddenly 3 days before admission. CT angiographic with 3 dimensional reconstruction shows intramural hematoma in ascending aorta, aortic arch, descending thoracic aorta and right brachiocephalic trunk, heompericardium, and blood in mediastinum and both pleural cavities. The CT angiographic finding of focal out-bulging in the ascending thoracic aorta was diagnosed as penetrating atherosclerotic ulcer. The patient underwent emergency operation under a preoperative diagnosis of penetrating atherosclerotic ulcer with a sign of aortic rupture. In the intraoperative findings, however, intimal tear was seen in the anterior portion of the ascending aorta about 1cm below the brachiocephalic trunk and falselumen appeared after hematoma was removed from the layer of tunica media. We report a case of type A aortic dissection which mimicked clinical and diagnostic features of penetrating atherosclerotic ulcer.