• The Korean Journal of Health Service Management
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• v.5 no.2
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• pp.173-186
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• 2011

The purpose of this study was to know dysfunctions degree, daily living activity, depression and quality of life among stroke elderly person; and to know what kind of factors affecting to quality of life of the stroke elderly person; after that provide a fundamental data to nursing arbitration plan about increase height quality of life of the stroke elderly person. The study subjects were collected 119 people, over than 60 age, who were diagnosed with stoke in D hospital, living in B city. The data was collected by using personal interviews and questionnaire, from Nov 2008 to Jan 2009. The questionnaire were Pre-Stroke MRDS(Modified Rankin Disability Scale), Barthel-ADL(Activities of Daily Living), K-IADL(Korean-Instrumental Activities of Daily Living), GDS-15(Geriatric Depression Scale-15-question form) methods. The pre-stroke MRDS was appeared a functional obstacle. The mean score of activity of daily living was 18.24 which showed the subjects were mildly disabled, the score of instrumental activities of daily living was 7.94 which showed the mildly abled, and score of depressiveness was 7.41 which showed the subjects were mildly depression. There was a significantly correlation among MRDS, ADL, IADL, depressiveness and quality of life. Through these study result, important to check the old subjects' depressiveness, cognitive functions, daily living abilities, dysfunctions degree to main tain their quality of life.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.11 no.3
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• pp.608-618
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• 2007

Image binarization is an important preprocessing to identify the object of interest by dividing pixels into the background and object. We proposes efficient binarization method and a stroke reconstruction method of the low quality character image for an effective character recognition. First, the character image is binarized by using the both advantages of local and global thresholding method and then the noise elimination around the character stroke and the hole filling on the stoke by the analysis of the binarized stroke image are performed to enhance the quality of the character stroke. Proposed binarization algorithm for character image achieved an efficiency of both processing speed and performance by the adaptive threshold selection. Moreover, We could get a high qualify binary image by a stroke reconstruction of the step-by-step denoising process.

• YAKHAK HOEJI
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• v.58 no.3
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• pp.181-189
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• 2014

The aim of this was to evaluate the effects of Rhus Verniciflua Stoke (RVS) extract powder on the endurance capacity for the forced swimming mice. Thirty mice were divided into 3 groups including negative control, 250 (RVS-250) and 500 (RVS-500) mg/kg RVS extract powder groups for 4-times swimming exercises. The swimming times to exhaustion in RVS-250 and RVS-500 mice were prolonged 1.6- and 2.0-fold at 4 weeks compared with negative control mice, respectively. Blood biochemical parameters for AST, ALT, T-CHO and TG were not significantly different between RVS fed or negative control mice. However, blood concentration of creatinine was significantly increased in RVS-250 mice, but not in RVS-500 mice. During the longer swimming exercise in RVS group, blood glucose and lactate levels were significantly decreased, but free fatty acid not changed. And also LDH levels were significantly decreased in RVS groups compared to negative control mice. Hepatic lipid peroxidation was not affected by RVS, but SOD and catalase activity were significantly increased in RVS groups. Interestingly, the levels of testosterone and free testosterone were significantly increased in RVS groups before swimming exercise, but they were not significantly changed among groups after swimming exercise. The present results suggest that RVS extract powders may enhance swimming exercise performance by recovering the exercise-fatigue via reduction of blood LDH activity and by burning blood glucose as an energy source. These results imply that RVS-produced testosterone may act as an energy buster to enhance physical activity.

• Journal of The Korean Society of Emergency Medicine
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• v.29 no.5
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• pp.399-407
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• 2018

Objective: Regionalization is one of the principal subjects for the advancement of rural emergency medical service systems in South Korea. This study shows the characteristics of interhospital transfer and status of the incidence of three major emergency disorders (acute myocardial infarction [AMI], acute stroke, and severe trauma) in one local province. Methods: A retrospective study was conducted for patients with three major emergency disorders who visited emergency medical facilities in one local province from January 2013 to December 2015, on the basis of the National Emergency Department Information System (NEDIS) data. Results: The incidence of three major emergency disorders had increased annually. Patients with each of these disorders tended to choose distinguishing methods of visiting emergency medical facilities. AMI patients tended to visited emergency medical facilities using private cars or on foot, while severe trauma patients usually visited by 119 ambulance, and acute stroke patients used 119 ambulance and private car in similar amounts. Overall, 65% of AMI patients were treated in intraregional medical facilities, but about 70% of acute stoke and severe trauma patients were transferred outside of the region. Conclusion: Because each of these disorders has an individual characteristic, it is difficult to expect a solution for the problems associated with emergency disorders just by assuring the availability of medical resources. Based on regionalization, a policy to provide the optimal treatment for those emergency disorders should be developed by planning public medical service systems based on the individual characteristics of emergency disorders, the standardized transfer plans of emergency patients and the assurance for mobilization and sharing of confined medical resources.

• The Journal of Internal Korean Medicine
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• v.42 no.5
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• pp.1045-1053
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• 2021

Objectives: This study investigated the effectiveness of acupuncture and herbal medicine (Gami-banhabakchulchunma-tang) for post-stroke visual impairment. Methods: A 79-year-old male with headache, dizziness, visual field defects, and blurred vision caused by a posterior cerebral infarction was treated with acupuncture and Gami-banhabakchulchunma-tang for three months. We used the Numerical Rating Scale (NRS) for each symptom and measured the patient's eye-movement range. Results: Following treatment, the NRS score for headache decreased from 5 to 0, and for dizziness and blurred vision, it decreased from 5 to 1. The NRS score for visual field defects decreased from 5 to 2. The range of the patient's left and right eye movements both improved, and no adverse side effects were observed during the admission period. Conclusions: Korean medical treatment with acupuncture and herbal medicine (Gami-banhabakchulchunma-tang) could effectively treat post-stoke visual impairment.

• Journal of Ocean Engineering and Technology
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• v.36 no.3
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• pp.143-152
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• 2022

To reach a port, a ship must pass through a shallow water zone where seabed effects alter the hydrodynamics acting on the ship. This study examined the maneuvering characteristics of an autonomous surface ship at 3-DOF (Degree of freedom) motion in deep water and shallow water based on the in-port speed of 1.54 m/s. The CFD (Computational fluid dynamics) method was used as a specialized tool in naval hydrodynamics based on the RANS (Reynolds-averaged Navier-Stoke) solver for maneuvering prediction. A virtual captive model test in CFD with various constrained motions, such as static drift, circular motion, and combined circular motion with drift, was performed to determine the hydrodynamic forces and moments of the ship. In addition, a model test was performed in a square tank for a static drift test in deep water to verify the accuracy of the CFD method by comparing the hydrodynamic forces and moments. The results showed changes in hydrodynamic forces and moments in deep and shallow water, with the latter increasing dramatically in very shallow water. The velocity fields demonstrated an increasing change in velocity as water became shallower. The least-squares method was applied to obtain the hydrodynamic coefficients by distinguishing a linear and non-linear model of the hydrodynamic force models. The course stability, maneuverability, and collision avoidance ability were evaluated from the estimated hydrodynamic coefficients. The hydrodynamic characteristics showed that the course stability improved in extremely shallow water. The maneuverability was satisfied with IMO (2002) except for extremely shallow water, and collision avoidance ability was a good performance in deep and shallow water.

• Journal of Dental Anesthesia and Pain Medicine
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• v.22 no.1
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• pp.11-18
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• 2022

Background: The vasoconstrictive effect of epinephrine in local anesthetics affects the heart, which leads to hesitation among dentists in injecting local anesthetics into patients with cardiovascular disease. Due to its vasoconstrictive effects, the present study investigated the effects of vasopressin administration on cardiac function in rats. Methods: Experiment 1 aimed to determine the vasopressin concentration that could affect cardiac function. An arterial catheter was inserted into the male Wistar rats. Next, 0.03, 0.3, and 3.0 U/mL arginine vasopressin (AVP) (0.03V, 0.3V, and 3.0V) was injected into the tongue, and the blood pressure was measured. The control group received normal saline only. In Experiment 2, following anesthesia infiltration, a pressure-volume catheter was placed in the left ventricle. Baseline values of end-systolic elastance, end-diastolic volume, end-systolic pressure, stroke work, stroke volume, and end-systolic elastance were recorded. Next, normal saline and 3.0V AVP were injected into the tongue to measure their effect on hemodynamic and cardiac function. Results: After 3.0V administration, systolic blood pressures at 10 and 15 min were higher than those of the control group; they increased at 10 min compared with those at baseline. The diastolic blood pressures at 5-15 min were higher than those of the control group; they increased at 5 and 10 min compared with those at baseline. The preload decreased at 5 and 10 min compared to that at baseline. However, the afterload increased from 5 to 15 min compared with that of the control group; it increased at 10 min compared with that at baseline. Stroke volume decreased at 10 and 15 min compared with that of the control group; it decreased from 5 to 15 min compared with that at baseline. Stroke work decreased from 5 to 15 min compared with that of the control group; it decreased from 5 to 15 min compared with that at baseline. Conclusion: Our results showed that 3.0 U/mL concentration of vasopressin resulted in increased blood pressure, decreased stroke volume and stoke work, decreased preload and increased afterload, without any effect on myocardial contractility.

• Proceedings of the Korea Water Resources Association Conference
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• 2022.05a
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• pp.91-91
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• 2022

하천 합류부에서 수체의 흐름은 매우 역동적으로 변화하며 합류부의 복잡한 3차원 흐름과 난류 구조는 2차류(secondary currents)의 강도변화, 전단층(shear layer)의 뒤틀림 그리고 재순환구역(recirculation zone)의 발생 등 합류부에서의 독특한 특징을 형성한다. 이러한 특징들의 변화는 수체의 흐름구조 뿐만 아니라 하천으로 유입된 오염물의 거동에도 영향을 준다. 기존의 합류부 연구들은 주로 본류와 지류의 합류각이나 유량비에 차이를 두어 합류부의 특징 변화를 모의하였다. 하지만 실제 자연하천에서 홍수방지를 위한 수심확보, 건축자재의 골재수집 등 다양한 목적으로 수행되는 본류의 준설작업으로 인해 발생하는 본류와 지류의 하상면 단차 또한 합류부의 특성에 영향을 미치는 주요한 인자 중 하나이다. 단차가 커짐에 따라 증가하는 지류수체의 낙차는 이차류의 강화를 야기하며 이는 합류부에서의 유속구조를 변화시켜 흐름을 가속시키거나 지체시키며 오염물의 혼합에 영향을 미친다. 본 연구에서는 3차원 수치모의를 통해 90도로 합류되는 수로에서의 흐름구조와 오염물의 혼합에 단차비와 유량비가 미치는 영향을 모의하였다. 유동장 해석을 위해 3차원 RANS (Reynolds-averaged Navier-Stoke) 방정식을 사용하였으며 난류해석은 k-𝜔 SST 모델을 이용하였다. 본류의 경우 11.4m의 수로 연장을 갖고, 하폭은 0.3m이며 수심은 단차의 크기에 따라 변화한다. 지류의 경우는 수로연장 1m, 하폭 및 수로깊이는 0.1m이다. 수치결과의 검증을 위해 이주하(2013)이 수행한 실내 합류수로의 실험결과를 이용하였다. 모의결과를 통해 파악한 합류부의 흐름특성을 이용하여 적절한 2차원 분산계수를 산정한다. 자연하천에서 오염물의 혼합거동을 효과적으로 모의하기 위해 수심 평균된 2차원 이송-분산모형을 이용하는데 이때 적절한 분산계수의 산정이 필수적이다. 본 연구에서는 합류 후 흐름방향에 따라 분산특성이 상이한 구간을 구분하여 분산계수를 산정하였으며 이를 통해 오염물의 거동을 정확하게 모의하였다.

• Korean Journal of Radiology
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• v.22 no.10
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• pp.1671-1679
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• 2021

Objective: We quantitatively measured the fat fraction (FF) in the vertebrae of patients with ankylosing spondylitis (AS) using magnetic resonance imaging (MRI) and investigated the role of FF as an indicator of both active inflammation and chronicity. Materials and Methods: A total of 52 patients with AS who underwent spinal MRI were retrospectively evaluated. The FF values of the anterosuperior and anteroinferior corners of the bone marrow in the L1-S1 spine were assessed using the modified Dixon technique. AS activity was measured using the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), AS Disease Activity Score (ASDAS), and serum inflammatory marker levels. AS disease chronicity was assessed by AS disease duration and the modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS). Univariable and multivariable regression analyses were conducted to investigate the correlation between FF and other clinical characteristics. Results: The mean FF ± standard deviation of the total lumbar spine was 43.0% ± 11.3%. At univariable analysis, spinal FF showed significant negative correlation with BASDAI (β = -0.474, p = 0.002) and ASDAS with C-reactive protein (ASDAS-CRP; β = -0.478, p = 0.002) and a significant positive correlation with AS disease duration (β = 0.440, p = 0.001). After adjusting for patient age, sex, and total mSASSS score, spinal FF remained significantly negatively correlated with BASDAI (β = -0.543, p < 0.001), ASDAS-CRP (β = -0.568, p < 0.001), and ASDAS with erythrocyte sedimentation rate (β = -0.533, p = 0.001). Spinal FF was significantly lower in patients with very high disease activity (ASDAS-CRP > 3.5) than in those with only high disease activity (2.1 ≤ ASDAS-CRP ≤ 3.5) (p = 0.010). Conclusion: Spinal FF may help assess both AS disease activity and chronicity.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.1
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• pp.299-305
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• 2014

The purpose of this study was to determine the effect of a task-related circuit training in improving the function of lower extremity and quality of life in patient with hemiplegia. A total 25 paients with hemiplegia selected, the volunteers were randomly divided into a task-related circuit training group of 13 people and a treadmill training group of 12 people. The two groups received treadmill training for 30 minutes a day, 5 days a week for 8 weeks. The experimental group was additionally received the task related circuit training for 30 minutes. The assessment comprised of testing the patient's strength, walking, balance ability(strength of knee, balance ability, 10m walking test) and making use of the stroke impact scale. Post treatment, compared to the treadmill training group, task-related circuit training group showed significantly increased strength of knee extensor, flexor and balance ability, stoke impact scale(p<.05). The findings of this study suggest that a task-related circuit training can improve function of lower extremity and quality of life in patient of hemiplegia. Further studies with a greater sample size and a various intervention are needed to generalize the findings of the present study.