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Effects of Telerehabilitation on Motor Function of Stroke Patients: A Systematic Review (뇌졸중 환자의 운동기능에 원격재활이 미치는 효과: 체계적 문헌고찰)

  • Shin, Yun-Chan;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.7 no.4
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    • pp.7-18
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    • 2018
  • Objective: The purpose of this study was to investigate the effects of telerehabilitation on stroke patients through remotely operated intervention and monitoring. Methods: Literature from 2000 to April 2018 was collected through PubMed, Embase, Cochrane, and RISS. We used telerehabilitation, telemedicine, and stroke as the search terms in regard to foreign literature, and the terms telerehabilitation, stroke, and CVA in regard to Korean literature. A total of 406 foreign and 15 Korean published studies were found. As a result, a total of seven documents was selected for the analysis. Results: As a result of the analysis, all the interventions applied through telerehabilitation were provided remotely, and significant effects were reported between pre-post assessments. In addition, the significant effects of telerehabilitation were reported through analyzing pre-post(n=7) and between groups(n=4) assessments. The monitoring used could be categorized according to purpose, that is, for checking (n=3) and as an intervention (n=4). Conclusions: This study confirmed, within limits, that the application of telerehabilitation could be a potential alternative for stroke patients with limited rehabilitation services. In order to apply telerehabilitation in Korea, it is necessary to study the cost effectiveness, according to the current domestic situation, and confirm the most effective monitoring method based on the intervention.

Design and Implementation of Factory Equipment Monitoring System using Grid-based Key Pre-Distribution (그리드 기반 키 선분배 방식을 사용하는 공장 설비 모니터링 시스템 설계 및 구현)

  • CHO, YANGHUI;PARK, JAEPYO;YANG, SEUNGMIN
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.51-56
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    • 2016
  • In this paper, we propose an Arduino-based plant monitoring system. The proposed system is based on the Arduino platform, using an environmental sensor and a pressure sensor for measuring temperature, humidity and illuminance in order to monitor the state of the environment and the facilities of the plant. Monitoring data are transmitted to a ZigBee coordinator connected to a server through a radio frequency transceiver. When using a pressure sensor and the environment sensor data stored on the host server, checking the pressure in the environment of the plant and equipment is intended to report any alarm status to the administrator. Using a grid line-based key distribution scheme, the authentication node dynamically generates a data key to protect the monitoring information. Applying a ZigBee wireless sensor network does not require additional wiring for the actual implementation of a plant monitoring system. Possible working-environment monitoring of an efficient plant can help analyze the cause of any failure by backtracking the working environment when a failure occurs. In addition, it is easy to expand or add a sensor function using the Arduino platform and an expansion board.

Changes in the Quality of Hallabong Tangor(Citrus kiyomi ${\times}$ ponkan) with Growth Stage and Temperature Pretreatment Conditions (생육단계와 온도처리에 따른 한라봉 감귤의 품질변화)

  • Lee, Sang-Hyup;Kim, Jong-Hun;Jeong, Hee-Chan;Koh, Jeong-Sam
    • Food Science and Preservation
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    • v.14 no.6
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    • pp.565-570
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    • 2007
  • Changes in the quality of Hallabong tangor during growth stage and with temperature pre-treatment after harvest were investigated. Soluble solids of Hallabong increased continuously until early December. The acid content of M16A, a variant species of Hallabong, decreased by 1% after October and continued to decrease until the middle of January. After ripening, treatment to reduce the acid content was required. Fruit firmness decreased gradually until November and was maintained at 1000 g-force after this time. Soluble solids and acid content were $13.3{\pm}0.83^{\circ}Brix$ and $1.07{\pm}0.52%$. Soluble solids increased in temperature-treated Hallabong with prolonged storage, but acid content did not decrease. Fruit firmness also decreased with storage period, regardless of temperature pre-treatment. Therefore, water management during cultivation, temperature treatment above $35^{\circ}C$ after harvest, and checking of the acid content and soluble solids with prolonged storage are recommended in achieving high quality Hallabong.

The Usefulness of a Wearable Device in Daily Physical Activity Monitoring for the Hospitalized Patients Undergoing Lumbar Surgery

  • Kim, Dong Hwan;Nam, Kyoung Hyup;Choi, Byung Kwan;Han, In Ho;Jeon, Tae Jin;Park, Se Young
    • Journal of Korean Neurosurgical Society
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    • v.62 no.5
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    • pp.561-566
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    • 2019
  • Objective : Functional outcomes have traditionally been evaluated and compared using subjective surveys, such as visual analog scores (VAS), the Oswestry disability index (ODI), and Short Form-36 (SF-36), to assess symptoms and quality of life. However, these surveys are limited by their subjective natures and inherent bias caused by differences in patient perceptions of symptoms. The Fitbit $Charge^{(R)}$ (Fitbit Inc., San Francisco, CA, USA) provides accurate and objective measures of physical activity. The use of this device in patients after laminectomy would provide objective physical measures that define ambulatory function, activity level, and degree of recovery. Therefore, the present study was conducted to identify relationships between the number of steps taken by patients per day and VAS pain scores, prognoses, and postoperative functional outcomes. Methods : We prospectively investigated 22 consecutive patients that underwent laminectomy for spinal stenosis or a herniated lumbar disc between June 2015 and April 2016 by the same surgeon. When patients were admitted for surgery and first visited after surgery, preoperative and postoperative functional scores were recorded using VAS scores, ODI scores, and SF-36. The VAS scores and physical activities were recorded daily from postoperative day (POD) 1 to POD 7. The relationship between daily VAS scores and daily physical activities were investigated by simple correlation analysis and the relationship between mean number of steps taken and ODI scores after surgery was subjected to simple regression analysis. In addition, Wilcoxon's signed-rank test was used to investigate the significance of pre-to-postoperative differences in VAS, ODI, and SF-36 scores. Results : Pre-to-postoperative VAS (p<0.001), ODI (p<0.001), SF-36 mental composite scores (p=0.009), and SF-36 physical composite scores (p<0.001) scores were found to be significantly different. Numbers of steps taken from POD 1 to POD 7 were negatively correlated with daily VAS scores (r=-0.981, p<0.001). In addition, the mean number of steps from POD 3 to POD 7 and the decrease in ODI conducted one month after surgery were statistically significant (p=0.029). Conclusion : Wearable devices are not only being used increasingly by consumers as lifestyle devices, but are also progressively being used in the medical area. This is the first study to demonstrate the usefulness of a wearable device for checking patient physical activity and predicting pain and prognosis after laminectomy. Based on our experience, the wearable device used to provide measures of physical activity in the present study has the potential to provide objective information on pain severity and prognosis.

Analysis Program for Offshore Wind Energy Substructures Embedded in AutoCAD (오토캐드 환경에서 구현한 해상풍력 지지구조 해석 프로그램)

  • James Ban;Chuan Ma;Sorrasak Vachirapanyakun;Pasin Plodpradit;Goangseup Zi
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.27 no.4
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    • pp.33-44
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    • 2023
  • Wind power is one of the most efficient and reliable energy sources in the transition to a low-carbon society. In particular, offshore wind power provides a high-quality and stable wind resource compared to onshore wind power while both present a higher installed capacity than other renewables. In this paper, we present our new program, the X-WIND program well suitable for the assessment of the substructure of offshore wind turbines. We have developed this program to increase the usability of analysis programs for offshore wind energy substructures by addressing the shortcomings of existing programs. Unlike the existing programs which cannot solely perform the substructure analyses or lack pre-post processors, our X-WIND program can complete the assessment analysis for the offshore wind turbines alone. The X-WIND program is embedded in AutoCAD so that both design and analysis are performed on a single platform. This also performs static and dynamic analysis for wind, wave, and current loads, essential for offshore wind power structures, and includes pre/post processors for designs, mesh developments, graph plotting, and code checking. With this expertise, our program enhances the usability of analysis programs for offshore wind energy substructures, promoting convenience and efficiency.

Evaluation for Importance and Performance of Sanitary Characteristics by Bakers in Busan (부산지역 제과제빵종사자의 위생요인에 대한 중요도와 수행도 평가)

  • Kim, So-Hee
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.4
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    • pp.602-612
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    • 2010
  • This study was conducted to investigate the state of hygiene education aimed for by bakers, and the evaluations of the importance and the performance concerning sanitary characteristics by the bakers. The questionnaires were administered to 186 bakers in Busan and the data evaluated by 5 scales method of Likert were statistically analyzed. 20.4% of bakers have not received hygiene education. Only 32.8% of bakers have experienced hygiene education regularly. The more the bakers were educated, the more they practiced the contents of hygiene education. The major reason of education unfulfilment was due to insufficient equipments and facilities. The scores of the hygienic performance of educated bakers were significantly (p<0.05) higher than those of uneducated bakers in food sanitation, especially for sanitary characteristics on inspection, pre-preparation and distribution. The mean scores of the importance and the performance evaluated by bakers were 4.05/5.00 and 3.76/5.00, respectively. The bakers assessed the highest scores on the importance and the performance of personal hygiene. The gap score was -0.30 between the importance and the performance for sanitary characteristics. The baker recognized that sanitary management was not performed as much as they recognized its importance. The importance and the performance grid of bakers revealed that the items of checking the certification for the origin of new food ingredient, inspecting deliveries as quickly as possible, separation between preparing and breading time, thawing frozen food under running tap water/in refrigerator, separating disposal gloves and utensils by the purpose, putting products in cleaned and sterilized utensils, letting consumes know the expiration date of products, preventing a rubber hose from being left on the kitchen floor, checking insect nets frequently and so on showed lower scores compared to the mean scores of the importance and the performance. The levels of the hygienic performance by bakers were positively correlated (p<0.01) with the recognitions of the importance on sanitary characteristics. These results might provide basic data for hygienic training and play a role on the improvement of the sanitary management in bakery.

Nursing Time Use in a Newborn Intensive Care Unit (NICU) (신생아중환자실 간호사의 간호업무량 분석)

  • Jun, Eun-Kyoung
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.1
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    • pp.55-81
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    • 2000
  • This study examined nursing care in a Newborn Intensive Care Unit (NICU) by reviewing nursing activities for the newborns. Through direct observation, time used for nursing care according to the nursing activity, shift, day of the week, and position of the nurses was measured. This study was done on November 15, 21, 24, 1999 at a university medical center hospital and included eight nurses and 179 newborns as the study subjects. The data were collected from the medical records, and by using a nursing activity record for the NICU, and a nursing activity time record for the NICU. The first step in the data collection process was to develop a list of nursing activities which was done through a literature review, examination of medical affairs and duty records. Content validity was measured by a panel of three professors who were experienced clinicians. In the second step two pre-training sessions were held with three sophomore student nurses who then measured the time for each nursing activity using a stopwatch. The data were analyzed using frequencies for nursing activities, averages, percentages and ANOVA for differences between shift and between days of the week, and percentages and t-test for differences according to position of the nurse. The results are as follows: 1) The total number of activities was 156, direct or indirect nursing activities. Direct nursing activity classified according to physical, educational, emotional/social/economic/spiritual needs. There were 109 direct nursing activities in 16 fields. 2) The order of nursing activities, according to time required, was record keeping, nutritional care, measurement/observation, medication, hygiene care, examination and specimen collection, and checking supplies, and according to frequency, measurement/ examination, record keeping, nutrition care, hygiene care, elimination care and medication. 3) According to shift, direct care during the night shift at 313.4 minutes was the longest time and indirect nursing care during the night shift at 252.2 minutes was the highest time. 4) For days of the week, Monday had the highest time for direct care 275.8 minutes (34.6%) and Wednessday had the highest time for indirect nursing care 269.6 minutes (36.1%). 5) For nursing time according to position of nurse, general nurses had the highest for direct care (330.7 minutes), nurse managers for indirect nursing activities (239.0 minutes) and general nurses for individual private time (63.9 minutes). The results of this study show that the major nursing time consuming activities included record keeping, nutrition care and measurement/examination. For newborns, time needs to be allowed for care to be sensitive, sophisticated and specialized rather than concentrated on indirect nursing tasks such as record keeping. Therefore, it is imperative to develop computerized systems that support a systematic approach to record keeping which is more efficient. Moreover, nursing needs according to shift, day or position of nurse can be utilized in assessing nursing resources through a computerized process.

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Effects of Seed Size, Temperature and GA Treatment on Hypocotyl Elongation in Soybean (콩의 종자크기, 온도 및 GA처리가 하배축신장에 미치는 영향)

  • 이성춘;서홍일;김진호;최경구
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.37 no.1
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    • pp.68-77
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    • 1992
  • The present experiments were conducted to investigate the variability of hypocotyl elongation among the major soybean varieties by checking several conditions. The results obtained are summarized as follows. The rate of hypocotyl elongation is the highest during the day from 3.0 to 3.5 after seeding. It follows that it may be reasonable to evaluate the hypocotyl elongation of soybean seeds by comparison of hypocotyl length. And the tested 15 major cultivars could be classified as follow ; long ; Eunhakong, Janggyungkong and Bokwangkong, medium ; Namhekong, Dangyung-kong, Danyubkong, Milyangkong, Dugyukong, Paldalkong, Mangunjoseng, Namchunkong and Seal kong, short ; Gwanggyo, Begunkong and Jangbegkong. The hypocotyl elongation in small seed is longer than large seed. Correlation coefficients(r) for the relationships between 100 seed weight and hypocotyl elongation is -0.2506$^{**}$. As the rising temperature, the hypocotyl length is elongated, and longest at the range of 30 to 35$^{\circ}C$. The effects G $A_3$ hastened the hypocotyl elongation of soybean seed, and ABA, Kinetin and BA inhibit it, and that of those in short hypocotyl cultivars are higher than long hypocotyl cultivars. Hypocotyl length of long hypocotyl cultivars are longer than that of short hypocotyl cultivars under high temperature pre -treatment.

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A Study on the Nurse's Recognition and Performance in Intravenous Therapy Management (간호사의 정맥주사 관리에 대한 인식과 수행에 관한 연구)

  • Kim Myung-Hee;Kim Youn-Hwa
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.2
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    • pp.207-224
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    • 1998
  • The purposes of this study were to identify nurse's recognition and performance and to represent the factors of hindrance in the IV therapy management. The subjects were 420 nurses who worked at five general hospitals in Pusan. Tha data were collected using a questionnaire and the period of data collection was from January 1 to January 31, 1998. The instrument for this study was made by author oneself on the basis of guidelines Simmons et al', CDC' Stanley' and Kurdi' guideline, Cllinical Nurse's Association' that consist of 68 items for 5 fields ; pre-injection, just before-injection, needle-injection, during injection, post-injection field. Cron-bach Alpha coefficient of recognition and performance in the IV therapy management was .93 and .87. The datas were analized by a SPSS program using frequency, percent, paired t-test, t-test and oneway ANOVA. The results obtained were as follows : 1. The mean score of recognition in IV therapy management was significantly higher than that of performance(t=5.86, P<.001). 2. The items of lower than mean score of each fields in performance were the identification of drugs, hands washing, patient teaching about medication, disinfectional methods of the injection site and the rubber stopper in bottle, the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, use of tape and armboard, changing the IV tubing, labeling the dressing over the injection site, observation and recordings of patient's condition after medication and confirmation of the needle length at the needle removal. 3. The factors of hindrance in IV therapy were 'having no time', 'insufficiency of goods', 'unknowing of methods', 'no disadvantage', and 'factors of doctor's doing'. The most important factor was 'have no time', especially item of hands washing. The other factors of hindrance showed high frequency in the following items ; 'insufficiency of goods' in the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, 'unknowing of methods' in the certification of drugs compatibility, 'no disadvantage' in the labeling the dressing over the injection site, and 'factors of doctor's doing' in the changing the subclavian catheter dressing and checking the glucose level during the TPN infusion. In conclusion, there is necessity of educational program which can improve the nurse's knowledge of drugs, disinfection methods, comfort of patient and recordings in IV therapy management and alternative plan which are political and financial aids such as setting up the sink, giving of paper towels and necessary goods in the IV therapy for reducing the factors of hindrance for IV therapy management.

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A Study on the Improved Parity Check Receiver for the Extended m-sequence Based Multi-code Spread Spectrum System with Code Set Partitioning and Constant Amplitude Precoding (코드집합 분할 방식의 확장 m-시퀀스 기반 정진폭 멀티코드 대역확산 통신 시스템을 위한 개선된 패리티 검사 기반 수신기에 관한 연구)

  • Han, Jun-Sang;Kim, Dong-Joo;Kim, Myoung-Jin
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.49 no.8
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    • pp.1-11
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    • 2012
  • The multi-code spread spectrum communication system, which spreads data bit stream by multiplexing orthogonal codes, can transmit data in high rate. However it needs the high-cost good linear amplifier because of the multi-level output signal. In order to overcome this drawback several systems making the amplitude of output signal constant with Walsh codes have been proposed. Recently constant amplitude pre-coded multi-code spread spectrum systems using extended m-sequence have been proposed. In this paper we consider an extended m-sequence based constant amplitude multi-code spread spectrum system with code set partitioning. By grouping the orthogonal codes into 4 subsets, not only is the computational complexity of the transceiver reduced but BER performance also improves. It has been shown that parity checking on four detected codes at the receiver can correct code detection error and result in BER performance enhancement. In this paper we propose a improved parity check receiver. We carried out computer simulation to verify feasibility of the proposed algorithm.