• Clinics in Shoulder and Elbow
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• v.1 no.1
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• pp.19-25
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• 1998

Appropriate clinical examination and imaging may lead to early diagnosis and treatment of the shoulder impingement syndrome, thus preventing progressing to a complete tear of rotator cuff. The impingement syndrome was caused by repeated entrapment and compression of supraspinatus tendon between the proximal end of humerus inferiorly, particullary its greater tuberosity. and one or m <)re component of coracoacromial arch superiorly. The purpose of this study is to critically, evaluate the result of twenty-five consecutive subacromial decompression with impingement syndrome and to assess the diagnostic accuracy of MR imaging by using oblique coronal and oblique sagittal plan. These patients were treated by arthroscopic subacromial decompression after their pains failed to improve with conservative therapy over three month. The average follow up was 25 month(range, 12 to 50). The mean age was 43 year old. The results were rated based on subjective response and the UCLA shoulder rating scale of the result. Ten patients(40%) were rated as excellent, 11patients(44%) were good. while four patients(16%) were fair. Radiologic evaluation suggested that the oblique sagittal plan of MRI can be helpful in evaluation of bony and soft-tissue structure of the coracoacromial arch and determining depth of bony resection. There were no infection or neurovascular injury. In reviewing our result, it appears that the arthroscopic subacromial decompression can be successful sugery for shoulder impingement syndrome and diagnostic accuracy of supplimentary oblique sagittal view of MRI was relatively higher than oblique coronal view alone for apprqpriate surgical plan.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.15 no.2
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• pp.92-97
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• 2004

Background and Objectives : The purpose of this study was to examine objectively pre and post operative voice quality evaluation and intelligibility of alaryngeal voice using speech recognition program, HUVOIS. Materials and Methods : 2 laryngologists and 1 speech pathologist were evaluated 'G', 'R', 'B' in the GRBAS sclae and speech intelligibility using NTID rating scale from standard paragraph. And also acoustic estimates such as jitter, shimmer, HNR were obtained from Lx Speech Studio. Results : Speech recognition rate was not significantly different between pre and post operation for pathological vocie samples though voice quality(G, B) and acoustic values(Jitter, HNR) were significantly improved after post operation. In Alaryngeal voices, reed type electrolarynx 'Moksori' was the highest both speech intelligibility and speech recognition rate, whereas esophageal speech was the lowest. Coefficient correlation of speech intelligibility and speech recognition rate was found in alaryngeal voices, but not in pathological voices. Conclusion : Current study was not proved speech recognition program, HUVOIS during telephone program was not objective and efficient method for assisting subjective GRBAS scale.

• Journal of Korean Institute of Industrial Engineers
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• v.26 no.1
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• pp.54-65
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• 2000

The objective of this study is to evaluate the operator performance relating to hand switches with two or three buttons in the main control rooms of nuclear power plants. Based on the comparative analysis of the nuclear power plants, two different subjective workload-rating scales were used to evaluate the performance of 48 operators: the Overall Workload(OW) and National Aeronautics and Space Administration Task Load Index (NASA TLX). The survey questions consisting of the eight-items were asked to evaluate the operating experiences for the two different switch types. The OW scales ratings were applied to measure the workload of the switch-related tasks. The ratings revealed that signal detection tasks caused less workload in the three-buttoned-switch operators than the other switch group. However, in the switch operation tasks, the switch types did not show statistically significant effects on workload level. The NASA TLX scale ratings were performed based on detailed task scenarios that assumed the accident of small break loss of coolant, what we call, the small LOCH. The NASA TLX was administered to three different task groups: the reactor, the turbine, and the electric operator groups. Based on the NASA TLX, the two-buttoned switch groups showed higher workload than those with the three-buttoned switches. However, a statistically significant difference was found only in the reactor operator groups. When the current switch type was assumed to be changed for the other type, all of the three-buttoned switch groups were predicted to have higher workload than the other switch groups, respectively. The implications of these findings were discussed.

• Korean Journal of Psychosomatic Medicine
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• v.25 no.1
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• pp.56-62
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• 2017

Objectives : The objective of this study was to investigate the relationship between psychological distress and pain in cancer patients. Methods : 249 patients with cancer who visited National Health Insurance Service Ilsan Hospital between April 2013 and March 2014 were evaluated with National Cancer Center Psychological Symptom Inventory(NCC-PSI) which consisted of Modified Distress Thermometer(MDT) and Modified Impact Thermometer(MIT). Each scale was divided into 3 subscales targeting separate symptoms: insomnia, anxiety, and depression. Psychological distress was defined as positive for those who scored above the cutoff values in at least one of all six subscales. The Numeric Rating Scale for Pain(NRS-Pain) was used to assess the subjective severity of pain. Logistic regression was performed to investigate the association between psychological distress and pain. Results : Univariate logistic regression analysis showed that pain, gender, compliance, and two subscale scores of Hospital Anxiety and Depression Scale(HADS) were significantly associated with psychological distress. Multivariate logistic regression analysis showed that pain and HADS anxiety subscale score maintained a statistically significant association with psychological distress adjusted for variables including age, gender, years of education, Eastern Cooperative Oncology Group performance status, cancer stage, Charlson Comorbidity Index, compliance, and HADS depression subscale score. One point increase in pain was 1.31 times more likely to cause psychological distress. In secondary analysis, pain was significantly associated with all subscales of NCC-PSI, except MIT-anxiety subscale. Conclusions : This study suggests that NCC-PSI, a screening tool for psychological distress, reflects pain. We recommend that physicians who treat cancer patients consider the examination of psychological distress which provides comprehensive evaluation of various factors regarding quality of life.

• Journal of Korean Institute of Industrial Engineers
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• v.27 no.4
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• pp.413-423
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• 2001

Low back disorders (LBDs) are one of the most common and costly work-related musculoskeletal disorders. One of the major possible risk factors of LBDs is to work with static and awkward trunk postures, especially in a complex trunk posture involving flexion, twisting and lateral bending simultaneously. This study is to examine the effect of complex trunk postures on the postural stresses using a psychophysical method. Twelve healthy male students participated in an experiment, in which 29 different trunk postures were evaluated using the magnitude estimation method. The results showed that subjective discomfort significantly increased as the levels of trunk flexion, lateral bending and rotation increased. Significant interaction effects were found between rotation and lateral bending or flexion when the severe lateral bending or rotation were assumed, indicating that simultaneous occurrence of trunk flexion, lateral bending and rotation increases discomfort ratings synergistically. A postural workload evaluation scheme of trunk postures was proposed based on the angular deviation levels from the neutral position. Each trunk posture was assigned numerical stress index depending upon its discomfort rating, which was defined as the ratio of discomfort of a posture to that of its neutral posture. Four qualitative action categories for the stress index were also provided in order to enable practitioners to apply corrective actions appropriately. The proposed scheme is expected to be applied to several field areas for evaluating trunk postural stresses.

• Korean Journal of Human Ecology
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• v.18 no.5
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• pp.1123-1133
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• 2009

This study attempted to analyze the general and physical characteristics, the status of physical function, the type and number of current diagnosis and self-reported symptoms, healthy life mode and food preference according to self-rated health (SRH) of older adults (135 men and 270 women). It also attempted to assess the factors affecting the SRH standards in agricultural and fishery areas located in southwestern Korea. The subjects considered themselves as being 'good'(57.6%), 'normal'(29.6%) or 'poor'(12.85) SRH, meaning positive self-rating of health and it was found that the correlation between factors such as the gender, current marriage status, monthly wage, the reception of the government's livelihood subsidy and subjective economical status and the SRH were significant. Regardless of the categories of obesity, a large number of the participants rated themselves as 'healthy', but not statistically significant. The subjects who reported poor ADL and IADL capacities, indicators of the status of physical function, were significantly more classified to the 'poor' health category and vice versa (P<0.001). The reported chronic diseases in this study that have lasted more than three months, were lumbago, sciatica, arthritis, high blood pressure and peptic ulcer. The current ratios of smoking, drinking and exercise were 85.3, 39.0 and 18.6%, respectively. The less drinking and exercising there was, the higher the 'good' SRH categories obtained (P<0.05). The respondents who had less chance of eating sour and hot foods estimated their health status as being better.

• Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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• 2007.05a
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• pp.11-14
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• 2007

현재, 새로운 조명광원으로서 백색 LED가 기대되고 있으며, 이를 이용하는 조명이 확대되어 실용화 될 것으로 예상된다. LED 광원을 이용하여 조명기구를 제작하고 이것을 실내조명으로 사용할 때 조명기구에 의한 글레어가 편안함을 주는지 불편함을 주는지에 대한 평가가 요구된다. 실내 조명환경에 대한 불쾌글레어를 평가하기 위해 UGR(Unified Glare Rating)을 추천하고 있다. 그러나 균일한 글레어 광원의 평균휘도를 이용하여 계산된 종래의 불쾌글레어 평가법들은 불균일한 휘도를 갖는 LED 조명기구에 대해서는 적용하기 어렵게 될 것으로 판단된다. 그래서 UGR를 이용하였을 경우, 균일한 휘도를 갖는 조명기구와 불균일한 휘도를 갖는 조명기구에 대해서 어떠한 차이가 있는지 다음의 불쾌글레어의 주관평가 실험을 수행하였다. 평균휘도가 같고 최대 휘도와 최소 휘도가 다른 조명기구(균일한 휘도를 갖는 조명기구 1종과 불균일한 휘도를 갖는 조명기구 2종)를 글레어 광원으로 사용하였다. 입체각(${\omega}$)과 위치지수(Position Index)를 고정시키고 배경휘도($L_b$)와 광원휘도($L_s$)를 임의로 변화시켰다. 주어진 환경에서 피험자로 하여금 얼마나 편안하진 또는 불편한지에 대한 느낌을 값으로 평가하도록 하였다. 우선, UGR과 주관평가 사이에 차이가 나타났으며, 이는 동 서양에 따른 문화적 및 생리적 차이에 기인한다고 생각된다. 다음으로 균일한 휘도를 갖는 조명기구보다 불균일한 휘도를 갖는 LED 조명기구가 더 높은 값을 할당 받아 LED 조명기구가 불쾌감을 더 유발시키는 것으로 나타났다. 또한 LED 소자 간격에 따른 영향은 글레어 광원의 휘도가 높아질수록 크게 나타났으며, 배경휘도에 대해서도 광원의 휘도가 높아질수록 LED 소자 간격의 차이에 의한 영향이 나타났다. 따라서 UGR식은 균일한 휘도를 갖는 조명기구에 적용하기에는 적합하지만, 불균일한 휘도를 갖는 조명기구에 적용하기에는 부적합하다고 판단된다.

• YAKHAK HOEJI
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• v.37 no.5
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• pp.442-452
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• 1993

Previous experimental and clinical investigations suggest a possible role of new nootropic drug, oxiracetam, in improving cognitive performances in patients affected by organic brain syndrome. In this study, the cognitive and behavioral effects of oxiracetam treatment in patients with clinical symptoms of organic brain syndrome were evaluated. Sixty-six patients were enrolled and assigned to either oxiracetam or placebo, according to a randomized, double-blind design between two patient-groups. Either oxiracetam or placebo was orally given bid for 8 weeks ; daily dose of oxiracetam was 1600mg. All the patients, enrolled in this study, were diagnosed as having mild to moderate cognitive dysfunction as defined by a baseline Mini Mental State ExaminationKorean version (MMSE-K) score between 14 and 25. The patients under-went, at baseline, 4 weeks and 8 weeks after, routine laboratory study (CBC, SMA12, U/A, EKG) and the following neuropsychological tests ; MMSE-K, modified Korean Wechsler Intelligence Scale(MKWIS), Nurses' Observation Scale for Geriatric patients(NOSGER). Fifteen patients of whom were dropped out or excluded from the analysis because of poor compliance or violation of the protocol. Fiftyone patients (aged 54~78 years, male 25, female 26) were analyzed (vascular dementia, 30 ; senile dementia of Alzheimer type, 9 ; mixed type, 5 ; other cause, 7). Statistical analysis of the data demonstrated that the two groups were comparable at baseline. At the end of each study period the oxiracetam group scored significantly better on the majority of the tests evaluating cognitive function, psychometricity and the improvement rating scale of subjective symptoms than placebo group, in which worsening trends or no changes were seen on the whole. No side effects were noted during oxiracetam treatment. The present study, showing positive clinical findings after oxiracetam therapy, confirmed that this drug can be useful pharmacological treatment in organic brain syndrome.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.6 no.1
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• pp.51-58
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• 2012

In this study, the active exercise load control system was developed that monitors patient's muscular condition based on EMG signals and controls the load by biofeedback in real-time. In order to select appropriate muscular parameter for the system, the pre-exercise test was performed to obtain EMG signals from healthy 12 males. Subsequently, the main exercise test was performed to evaluate the active exercise load control system based on IEMG: a selected muscular parameter, on healthy 10 males without musculoskeletal disorder. The accuracy and availability of developed system were confirmed through observing changes between exercise load and IEMG. A correlation was analyzed between the fatigue of muscles and RPE indicating the individual subjective fatigue. As a result, the active exercise load control system that was suggested in this study could be useful to control the initial load-balancing and the amount of exercise appropriate for individual in rehabilitation exercise therapy.

• Journal of Korea Multimedia Society
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• v.23 no.4
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• pp.539-548
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• 2020

Deep learning technology is currently being used and applied in many different fields. Convolution neural network (CNN) is a method of artificial neural networks in deep learning, which is commonly used for analyzing different types of images through classification. In the conventional classification of histopathology images of prostate carcinomas, the rating of cancer is classified by human subjective observation. However, this approach has produced to some misdiagnosing of cancer grading. To solve this problem, CNN based classification method is proposed in this paper, to train the histological images and classify the prostate cancer grading into two classes of the benign and malignant. The CNN architecture used in this paper is based on the VGG models, which is specialized for image classification. However, color normalization was performed based on the contrast enhancement technique, and the normalized images were used for CNN training, to compare the classification results of both original and normalized images. In all cases, accuracy was over 90%, accuracy of the original was 96%, accuracy of other cases was higher, and loss was the lowest with 9%.