• Title/Summary/Keyword: Rehabilitation Cost

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Development of a Tele-Rehabilitation System for Outcome Evaluation of Physical Therapy

  • Park, Hyung-Soon;Lee, Jeong-Wan
    • Journal of Biomedical Engineering Research
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    • v.29 no.3
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    • pp.179-186
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    • 2008
  • This paper presents a portable tele-assessment system designed for remote evaluation of the hypertonic elbow joint of neurologically impaired patients. A patient's upper limb was securely strapped to a portable limb-stretching device which is connected through Internet to a portable haptic device by which a clinician remotely moved the patient's elbow joint and felt the resistance from the patient. Elbow flexion angle and joint torques were measured from both master and slave devices and bilaterally fed back to their counterparts. In order to overcome problems associated with the network latency, two different tele-operation schemes were proposed depending on relative speed of tasks compared to the amount of time delay. For slow movement tasks, the bilateral tele-operation was achieved in real-time by designing control architectures after causality analysis. For fast movement tasks, we used a semi-real-time tele-operation scheme which provided the clinicians with stable and transparent feeling. The tele-assessment system was verified experimentally on patients with stroke. The devices were made portable and low cost, which makes it potentially more accessible to patients in remote areas.

Preliminary Analysis on Artificial Intelligence-based Methodology for Selecting Repair and Rehabilitation Methods of Bridges (인공지능 기반의 교량 보수공법 선정 기술 개발을 위한 선행 분석)

  • Kim, Jonghyeob;Jung, In-Su;Yun, Won-Gun;Kim, Jung-Yeol;Park, In-Seok
    • Journal of the Korean Society of Industry Convergence
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    • v.24 no.6_2
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    • pp.861-872
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    • 2021
  • An efficient cost management is important for the domestic social overhead capital(SOC) based on a long lifecycle after 30 years since completion. Maintenance in South Korea have had the restrictions of consistency and suitability of decision-making by the establishment of a budget plan based on the company estimate and repair and reinforcement methods determined by the inspection and diagnosis engineers' subjective determination for each facility. To resolve this issue, the Korea Institute of Civil Engineering and Building Technology is currently in development of a methodology to propose an optimum maintenance method according to the damage of components by artificial intelligence. This study has deduced the primary factors by analyzing information generated during bridge maintenance and management as a prior step for the development of technologies, and conducted a preliminary analysis to select the optimum artificial intelligence technology.

Advancements in craniofacial prosthesis fabrication: A narrative review of holistic treatment

  • Jazayeri, Hossein E.;Kang, Steve;Masri, Radi M.;Kuhn, Lauren;Fahimipour, Farahnaz;Vanevenhoven, Rabecca;Thompson, Geoffrey;Gheisarifar, Maryam;Tahriri, Mohammadreza;Tayebi, Lobat
    • The Journal of Advanced Prosthodontics
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    • v.10 no.6
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    • pp.430-439
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    • 2018
  • The treatment of craniofacial anomalies has been challenging as a result of technological shortcomings that could not provide a consistent protocol to perfectly restore patient-specific anatomy. In the past, wax-up and impression-based maneuvers were implemented to achieve this clinical end. However, with the advent of computer-aided design and computer-aided manufacturing (CAD/CAM) technology, a rapid and cost-effective workflow in prosthetic rehabilitation has taken the place of the outdated procedures. Because the use of implants is so profound in different facets of restorative dentistry, their placement for craniofacial prosthesis retention has also been widely popular and advantageous in a variety of clinical settings. This review aims to effectively describe the well-rounded and interdisciplinary practice of craniofacial prosthesis fabrication and retention by outlining fabrication, osseointegrated implant placement for prosthesis retention, a myriad of clinical examples in the craniofacial complex, and a glimpse of the future of bioengineering principles to restore bioactivity and physiology to the previously defected tissue.

Extracting of Interest Issues Related to Patient Medical Services for Small and Medium Hospital by SNS Big Data Text Mining and Social Networking (중소병원 환자의료서비스에 관한 관심 이슈 도출을 위한 SNS 빅 데이터 텍스트 마이닝과 사회적 연결망 적용)

  • Hwang, Sang Won
    • Korea Journal of Hospital Management
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    • v.23 no.4
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    • pp.26-39
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    • 2018
  • Purposes: The purpose of this study is to analyze the issue of interest in patient medical service of small and medium hospitals using big data. Methods: The method of this study was implemented by data mining and social network using SNS big data. The analysis tool were extracted key keywords and analyzed correlation by using Textom, Ucinet6 and NetDraw program. Findings: In the results of frequency, the network-centered and closeness centrality analysis, It was shown that the government center is interested in the major explanations and evaluations of the technology, information, security, safety, cost and problems of small and medium hospitals, coping with infections, and actual involvement in bank settlement. And, were extracted care for disabilities such as pediatrics, dentistry, obstetrics and gynecology, dementia, nursing, the elderly, and rehabilitation. Practical Implications: Future studies will be more useful if analyzed the needs of customers for medical services in the metropolitan area and provinces may be different in the small and medium hospitals to be studied, further classification studies.

The Efficiency of Steel Brace Strengthening of School Buildings according to the Failure Mode of Columns (기둥 파괴모드에 따른 학교 건물 철골 가새 보강의 효율성)

  • Lee, Hee Seop;Kim, Taewan
    • Journal of the Earthquake Engineering Society of Korea
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    • v.27 no.2
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    • pp.101-109
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    • 2023
  • Steel brace strengthening is the most popular seismic rehabilitation method for school buildings. This is because the design can be conducted by using relatively easy nonlinear pushover analysis and standard modeling in codes. An issue with steel brace strengthening is that the reinforced building should behave elastically to satisfy performance objectives. For this, the size of steel braces should be highly increased, which results in excessive strengthening cost by force concentration on existing members and foundations due to the considerable stiffness and strength of the steel braces. The main reason may be the brittle failure mode of columns, so this study investigated the relationship between the efficiency of steel brace strengthening and column failure modes. The result showed that the efficiency is highly dependent on the shear capacity ratio of columns and structural analysis methods. School buildings reinforced by steel braces do not need to behave elastically when the shear capacity ratio is low, and pushover analysis is used, which means reducing steel material is possible.

Performing Ultrasound-Guided Pharmacopuncture and Acupotomy for Nerve Entrapment in the Upper Extremity: A Guide for Teaching Procedural Skills

  • Taeseong Jeong;Eunbyul Cho;Sungha Kim;Seunghyun Oh;Suhak Kim;Jeongsu Park;Sungchul Kim
    • Journal of Acupuncture Research
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    • v.41 no.2
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    • pp.135-141
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    • 2024
  • The use of ultrasound (US)-guided interventions has rapidly increased in Korean medicine (KM) to ensure the safety and accuracy of invasive procedures, such as pharmacopuncture and acupotomy. Although hands-on training is important for the acquisition of skills, it requires considerable time and cost. A detailed guide on the procedure and treatment regions is needed to ensure hygiene and safety during US-guided procedures in KM practice. In this study, we present the overall procedure, target structures, and treatment approaches of US-guided pharmacopuncture and acupotomy for nerve entrapment in the upper extremities of the cubital and radial tunnel, posterior interosseous nerve, carpal tunnel, and Guyon's canal syndrome. We believe that the findings of our study will serve as a foundation for future clinical research, practice, and education on US-guided KM procedures. Further research involving US-guided interventions should specify target structures in three-dimension to delineate the treatment areas.

Comparative Analysis between GDP Deflator Method and Index Adjustment Rate Method on BTL Sewer Rehabilitation Projects in Jeju (제주도 내 하수관거정비 BTL사업의 GDP 디플레이터 방식과 지수조정률 방식과의 비교 분석)

  • Yang, Du-Suck;Lee, Dong Wook
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.1
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    • pp.217-227
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    • 2015
  • This study conducted case studies in order to suggest the improvement of GDP (Gross Domestic Product) deflator method which is adopted on calculating fluctuation rate on BTL (Build-Transfer-Lease) sewer rehabilitation projects in Jeju. As a result, because GDP deflator method calculates fluctuation rate by each quarterly, the fluctuation rate of GDP deflator method is higher than it of index adjustment rate method. And GDP deflator method cannot reflect real price because of applying fixed index in whole construction cost for calculating fluctuation rate. Especially, the notification day - the base point influences fluctuation rate and fluctuation amount strongly in GDP deflator method.

Prevalence of HER-2-Positive Invasive Breast Cancer: A Systematic Review from Iran

  • Keyhani, Elahe;Muhammadnejad, Ahad;Karimlou, Masoud
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.11
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    • pp.5477-5482
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    • 2012
  • Background: The HER-2/neu gene is altered in 15-20% of breast cancer patients. Immunohistochemistry (IHC) is considered to be the most cost-effective method for HER-2 detection in many countries. Approximately 8,000 new cases of breast cancer are observed annually in Iran. The aims of this study were to conduct a systematic review of the literature on the rate of HER-2-positive breast cancer diagnosed by IHC in Iran. Methods: A systematic search of the medical literature using the Medline/PubMed, ISI and SID databases revealed articles published in the English and Persian languages evaluating HER-2-positive breast cancer in Iran. Results: From 22 studies, 3,033 patients were evaluated, of whom 1,350 were diagnosed as HER-2-positive by IHC HER-2 testing. The mean percentage of HER-2-positive patients was 44.5%, which is higher than that recorded in international statistics. Results of this meta-analysis showed a significant heterogeneity between ratios. There was a statistically significant difference between the results of pre- and post implementation of 2007 American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guideline. IHC HER-2 testing has been performed in Iran for over 10 years. Similar to many other countries, before establishment of an infrastructure for IHC diagnostic tests, HER-2 testing was routinely performed in Iran. Our study showed that the statistics reported from Iran varied widely; for instance, the rate of HER-2-positive cases varied from 23.3% to 81.0%. Conclusions: Our results demonstrate that the lack of standardization and harmonization of this test have led to marked variations in breast cancer diagnosis in Iran.

Study of structural properties and development of high strength Cured-In-Place Pipe (CIPP) liner for sewer pipes using glass fiber (유리섬유를 이용한 하수관의 고강도 현장경화 비굴착 보수 공법 재료의 개발 및 물성 특성 연구)

  • Ji, Hyon Wook;Koo, Dan Daehyun;Yoo, Sung Soo;Kang, Jeong-Hee
    • Journal of Korean Society of Water and Wastewater
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    • v.34 no.2
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    • pp.149-159
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    • 2020
  • Cured-in-place-pipe(CIPP) is the most adopted trenchless application for sewer rehabilitation to extend the life of the existing sewer without compromising both direct construction and indirect social costs especially applied in the congested urban area. This technology is globally and domestically known to be the most suitable for partial and full deteriorated pipe structure rehabilitation in a sewer system. The typical design of CIPP requires a significant thickness of lining to support loading causing sewage flow interruption and increasing material cost. This paper presents development of a high strength glass fiber composite lining material for the CIPP application and structural test results. The test results exhibit that the new glass fiber composite lining material has 12 times of flexural strength, 6.2 times of flexural modulus, and 0.5 Creep Retention Factor. These test results can reduce lining design thickness 35% at minimum. Even though taking into consideration extra materials such as outer and inner films for actual field applications, the structural capacity of the composite material significantly increases and it reduces 20 percent or more line thickness as compared to the conventional CIPP. We expect that the newly developed CIPP lining material lowers material costs and minimizes flow capacity reduction, and fully replaceable to the conventional CIPP lining materials.

Development of Optimal Decision-Making System for Rehabilitation of Water Distribution Systems Divided by small Division (상수관망의 구역별 최적개량 의사결정 시스템의 개발)

  • Baek Chun-Woo;Kim Seok-Woo;Kim Eung-Seok;Kim Joong-Hoon;Park Moo-Jong
    • Journal of Korea Water Resources Association
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    • v.39 no.6 s.167
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    • pp.545-552
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    • 2006
  • The purpose of this study is to develop an optimal, long-term planning model for improvement of water distribution networks. The water distribution system is divided into sub-zones and the decision of improvement plan is made for each sub-zone. Costs for replacement, rehabilitation and repair, benefits including reduced pumping and leakage costs, and hydraulic reliability are considered to make optimal decision for improvement planning of water network. Harmony search algorithm is applied to optimize the system and hydraulic analysis model EPANET is interfaced with the optimal decision model to check the hydraulic reliability, The developed model is applied to actual water distribution system in Daegu-city, South Korea. The new model which use durability, conveyance and cost as a decision variable is different from existing methods which use only burying period and pipe type and can be used as optimal decision making system for water distribution network.