• 제목/요약/키워드: Total system performance assessment

검색결과 136건 처리시간 0.029초

Gaps-In-Noise Test Performance in Children with Speech Sound Disorder and Cognitive Difficulty

  • Jung, Yu Kyung;Lee, Jae Hee
    • Journal of Audiology & Otology
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    • 제24권3호
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    • pp.133-139
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    • 2020
  • Background and Objectives: The Gaps-In-Noise (GIN) test is a clinically effective measure of the integrity of the central auditory nervous system. The GIN procedure can be applied to a pediatric population above 7 years of age. The present study conducted the GIN test to compare the abilities of auditory temporal resolution among typically developing children, children with speech sound disorder (SSD), and children with cognitive difficulty (CD). Subjects and Methods: Children aged 8 to 11 years-(total n=30) participated in this study. There were 10 children in each of the following three groups: typically developing children, children with SSD, and children with CD. The Urimal Test of Articulation and Phonology was conducted as a clinical assessment of the children's articulation and phonology. The Korean version of the Wechsler Intelligence Scale for Children-III (K-WISC-III) was administered as a screening test for general cognitive function. According to the procedure of Musiek, the pre-recorded stimuli of the GIN test were presented at 50 dB SL. The results were scored by the approximated threshold and the overall percent correct score (%). Results: All the typically developing children had normal auditory temporal resolution based on the clinical cutoff criteria of the GIN test. The children with SSD or CD had significantly reduced gap detection performance compared to age-matched typically developing children. The children's intelligence score measured by the K-WISC-III test explained 37% of the variance in the percent-correct score. Conclusions: Children with SSD or CD exhibited poorer ability to resolve rapid temporal acoustic cues over time compared to the age-matched typically developing children. The ability to detect a brief temporal gap embedded in a stimulus may be related to the general cognitive ability or phonological processing.

Gaps-In-Noise Test Performance in Children with Speech Sound Disorder and Cognitive Difficulty

  • Jung, Yu Kyung;Lee, Jae Hee
    • 대한청각학회지
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    • 제24권3호
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    • pp.133-139
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    • 2020
  • Background and Objectives: The Gaps-In-Noise (GIN) test is a clinically effective measure of the integrity of the central auditory nervous system. The GIN procedure can be applied to a pediatric population above 7 years of age. The present study conducted the GIN test to compare the abilities of auditory temporal resolution among typically developing children, children with speech sound disorder (SSD), and children with cognitive difficulty (CD). Subjects and Methods: Children aged 8 to 11 years-(total n=30) participated in this study. There were 10 children in each of the following three groups: typically developing children, children with SSD, and children with CD. The Urimal Test of Articulation and Phonology was conducted as a clinical assessment of the children's articulation and phonology. The Korean version of the Wechsler Intelligence Scale for Children-III (K-WISC-III) was administered as a screening test for general cognitive function. According to the procedure of Musiek, the pre-recorded stimuli of the GIN test were presented at 50 dB SL. The results were scored by the approximated threshold and the overall percent correct score (%). Results: All the typically developing children had normal auditory temporal resolution based on the clinical cutoff criteria of the GIN test. The children with SSD or CD had significantly reduced gap detection performance compared to age-matched typically developing children. The children's intelligence score measured by the K-WISC-III test explained 37% of the variance in the percent-correct score. Conclusions: Children with SSD or CD exhibited poorer ability to resolve rapid temporal acoustic cues over time compared to the age-matched typically developing children. The ability to detect a brief temporal gap embedded in a stimulus may be related to the general cognitive ability or phonological processing.

구강암 환자의 전문가 구강건강관리 수행현황 및 견해조사 (A survey on the current status and the opinion of professional oral health care for oral cancer patients)

  • 유지원;신보미;송가인;이수향;유상희;배수명;신선정;이효진
    • 한국치위생학회지
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    • 제19권6호
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    • pp.1025-1036
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    • 2019
  • Objectives: The purpose of this study is to identify the status and opinions of professional oral health care performance in oral cancer patients. Methods: Seven National University Dental Hospitals and the National Cancer Center in Korea surveyed the medical personnel in charge of oral health care for oral cancer patients. The questionnaire consisted of 16 questions, including the status of expert oral health care education and performance for oral cancer patients, etc. A total of 47 questionnaires were retrieved, and the collected data were used in PASW Statistics 23.0 to perform frequency analysis, cross-analysis, and kruskal Wallis tests. Results: A survey of oral health care education found that 29.8% of the medical personnel had received education. The most performed of professional oral health care was found that applying fluoride by dental hygienist, treating stomatitis by dentist, and wiping mouths with sponge by nurse. The assessment of self-performance has shown that applying fluoride by dental hygienists has a statistically significant difference. Only 37.8% of oral health care education for patients was conducted. Most recognized that oral health care in oral cancer patients was important, but it is difficult to provide care due to lack of performance personnel and time, opportunities for performance personnel to be educated. The improvement was found to require an increase in the number of performance personnel, placement of professionals, and practical training to enhance performance capabilities. Conclusions: For oral health care of oral cancer patients, continuous education for medical personnel, establishment of oral health care manual and medical system, research on oral health care of oral cancer patients and public relations campaign will have to be activated. Development of expert care manual analysis and evaluation tools for oral health care in oral cancer patients in the future and development of standardized curriculum will be necessary.

12주 OROS-Methylphenidate 약물 치료 후 ADHD 아동의 삶의 질 변화 (Change of Quality of Life in Children with ADHD after 12 Weeks OROS-Methylphenidate Treatment)

  • 김형인;김붕년;조수철;신민섭;유희정;김재원;김지훈;손정우;신윤미;정운선;한덕현
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제23권3호
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    • pp.103-108
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    • 2012
  • Objectives : The aim of this study is to investigate the effectiveness of treatment with osmotic-release oral system methylphenidate (OROS-MPH) on quality of life (QOL) in children with attention-deficit hyperactivity disorder (ADHD). Another aim is to assess the relationship between change in QOL and other factors including children's symptoms and academic performance or parents' depression and parenting stress. Methods : A total of 111 medication-naive children with ADHD in a multicenter, open-label, 12-week trial of OROS-MPH completed an evaluation using diverse rating scales at two time points; at baseline and after 12 weeks of treatment. Scales for investigation of children included the Parent Report Form-Children's Health and Illness Profile-Children's Edition (PRF-CHIP-CE) on QOL, the ADHD Rating Scale-IV on symptoms, and the Academic Performance Rating Scale (APRS). The Beck Depression Inventory and Parenting Stress Index were used for assessment of their parents. Results : Total scores for mean PRF-CHIP-CE increased from $207.9{\pm}26.7$ at baseline to $226.3{\pm}25.9$ after 12 weeks of treatment (p<.001). The change of APRS showed the strongest correlation with the increment of PRF-CHIP-CE scores (Pearson coefficient=0.561, p<.001), even after controlling for other factors (partial correlation coefficient=0.420, p<.001). Conclusion : Treatment with MPH-OROS results in improvement of QOL in children with ADHD in Korea. The advance in academic performance plays a key role in this change of QOL.

장심도 시추공 정밀수리시험 장비 구축 (The Development of Straddle Packer Hydraulic Testing Equipment to Characterize Permeability in Deep Boreholes)

  • 김경수;박경우;지성훈
    • 지질공학
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    • 제20권2호
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    • pp.213-220
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    • 2010
  • 현재 국내의 수리시험 장비는 적절한 장비가 갖추어지지 않은 상태로 시행되고 있기 때문에 투수성 해석 자료의 신뢰성은 그리 높다고 볼 수 없다. 본 연구는 고도의 정밀성을 요구하는 고준위폐기물의 처분기술 개발을 위해서는 무엇보다도 자연방벽에 대한 특성 평가가 중요하므로 현행 시험 장비의 기술적 문제들을 해결하기 위한 목적으로 장심도 (1,000 m) 시추공에서 정밀한 수리시험이 가능한 장비를 성공적으로 구축하였다. 본 장비에서 가장 중요하게 반영된 기술사항은 공내 저류효과를 최소화시키기 위하여 H-DHSIV를 장착하고, 시험 자료의 품질을 향상시키기 위하여 실시간으로 시험 구간을 포함한 3개 구간의 압력 변화자료를 취득할 수 있는 DAS를 구축한 것이다. 본 연구의 결과로 구축된 심부 시추공에서의 정밀 수리 시험 장비는 국내 현장조사 기술력의 획기적인 향상을 선도할 것이며, 방사성폐기물 처분기술 개발을 위한 연구와 부지 특성평가에 직접 적용될 것이다.

Development of a software framework for sequential data assimilation and its applications in Japan

  • Noh, Seong-Jin;Tachikawa, Yasuto;Shiiba, Michiharu;Kim, Sun-Min;Yorozu, Kazuaki
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2012년도 학술발표회
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    • pp.39-39
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    • 2012
  • Data assimilation techniques have received growing attention due to their capability to improve prediction in various areas. Despite of their potentials, applicable software frameworks to probabilistic approaches and data assimilation are still limited because the most of hydrologic modelling software are based on a deterministic approach. In this study, we developed a hydrological modelling framework for sequential data assimilation, namely MPI-OHyMoS. MPI-OHyMoS allows user to develop his/her own element models and to easily build a total simulation system model for hydrological simulations. Unlike process-based modelling framework, this software framework benefits from its object-oriented feature to flexibly represent hydrological processes without any change of the main library. In this software framework, sequential data assimilation based on the particle filters is available for any hydrologic models considering various sources of uncertainty originated from input forcing, parameters and observations. The particle filters are a Bayesian learning process in which the propagation of all uncertainties is carried out by a suitable selection of randomly generated particles without any assumptions about the nature of the distributions. In MPI-OHyMoS, ensemble simulations are parallelized, which can take advantage of high performance computing (HPC) system. We applied this software framework for several catchments in Japan using a distributed hydrologic model. Uncertainty of model parameters and radar rainfall estimates is assessed simultaneously in sequential data assimilation.

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사출성형 공정에서 유발되는 냄새의 후각 감성 특성 (Olfactory Sensitivity Characteristics of Odors from Injection Molding Processing)

  • 류영재;김보성;이예현;곽승현;서상혁;류태범;민병찬
    • 산업경영시스템학회지
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    • 제39권4호
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    • pp.67-71
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    • 2016
  • The purpose of this study was to explore olfactory sensitivity of odors from injection molding processing. To do this, the experiment was carried out in an injection molding factory, and participants were exposed to the environment where odor-substances (Formaldehyde, Benzene, Toluene, Ethylbenzene, Xylene, Styrene) exist. In addition, we used the subjective scale using semantic adjectives as an olfactory sensitivity. As a result, the assessment structure of olfactory sensitivity was composed of eight factors (irritant, thermal, tense, unique, like-dislike, active, stable, masculine), and the main factor which was irritant characteristics explained 20% of the total olfactory sensibility. These results suggested that odors from injection molding processing would cause more negative emotional responses than the flavor which is mainly used in olfactory sensitivity. This study, as a basic study of the improvement in a factory environment for the efficiency of work, has limits in that it was conducted to the extent of identifying the olfactory sensitivity structure of those who were at a laboratory and who were exposed to the environment of odor substance induced in the injection molding processing. Therefore, for the method of removing malodorous substance, the effect of materials which can neutralize it, and the comparison of a direct performance in the environment where negative sensitivity structure exists, a series of studies which aim to improve the environment of injection molding factories, such as performance assessment in the environment of a factory and an office need to be conducted. It is expected that when these studies are put together, the improvement guidelines will be provided as a type that can maximize the effectiveness of work in the factory environment where injection molding processing is done.

불포화 벤토나이트 완충재의 수분흡입력 측정기술 및 구성모델 고찰 (A Review on Measurement Techniques and Constitutive Models of Suction in Unsaturated Bentonite Buffer)

  • 이재완;윤석;김건영
    • 방사성폐기물학회지
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    • 제17권3호
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    • pp.329-338
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    • 2019
  • 불포화 벤토나이트 완충재의 수분흡입력은 공학적방벽의 수리-역학적 성능평가 및 설계에 있어 매우 중요한 입력인자이다. 본 연구에서는 문헌에 보고된 불포화 다공성매질의 수분흡입력 측정기술과 구성모델을 분석하고, 고준위폐기물처분장의 벤토나이트 완충재에 적합한 수분흡입력 측정기술과 구성모델을 제안하였다. 문헌 분석결과, 벤토나이트 완충재의 수분흡입력은 일반토질보다 훨씬 높은 값을 가지며, 매트릭수분흡입력과 삼투흡입력을 포함하는 총수분흡입력을 측정하여 사용하였다. 벤토나이트 완충재의 수분흡입력 측정에는 상대습도센서를 이용한 측정방법(RH-Cell, RH-Cell/Sensor)이 적합하였으며, 핵종 붕괴열에 의한 온도변화와 측정 소요시간을 고려했을 때에는 RH-Cell/Sensor 방법이 더 선호되었다. 벤토나이트 완충재의 수분보유모델은 실험을 통해 여러 가지 모델이 제안되었지만, 불포화 완충재의 수리-역학적 성능평가 구성모델로는 대부분 van Genuchten모델이 사용되었다. 벤토나이트 완충재의 수분특성곡선은 벤토나이트의 종류, 건조밀도, 온도, 염도, 측정 시 시료상태와 이력과정에 따라 서로 다른 경향을 보였다. 수분보유모델의 선정 및 모델인자 결정에는 신뢰도 향상을 위해 이러한 인자들의 영향이 고려되어야 한다.

칫솔질을 이용한 구강간호가 중환자실 환자의 구강상태 및 인공호흡기 관련 폐렴에 미치는 효과 (Effect of Tooth-brushing on Oral Health and Ventilator-Associated Pneumonia of Critically III Patients)

  • 윤혜영;이은숙;김정연;김향숙;김경애;김은성;손주온;김가희;김민정;김아람;박선정;추성미;손미정;하은진;오의금
    • 중환자간호학회지
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    • 제4권2호
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    • pp.27-38
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    • 2011
  • Purpose: The purpose of this study was to examine the effect of tooth-brushing oral care on oral health and ventilator-associated pneumonia of patients in Intensive Care Unit (ICU). Methods: A total of 74 participants were recruited from a medical, surgical, or neurosurgical ICU at S Hospital in Seoul, Korea, from September of 2010 to January of 2011. An experimental group (n= 36) received oral care with tooth-brushing while a control group (n=38) received oral care with cotton ball and gauze. In both group, the oral care was done three times a day at least one minute for 7 days. Oral health was examined by the Modified Oral Assessment Guide before the intervention and each night. Results: There is no difference between the groups in aspect of passage of time (p = .603), interaction between time and intervention (p =.300), the performance intervention (p = .766), and the incidence of VAP (p = .486). Conclusion: The effect of oral care with tooth-brushing on oral health and VAP was not different from that of usual oral care in ICU. However, further study is necessary due to high attrition in this study.

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유방자기공명영상에서 추가적으로 발견된 유방 병소에 대한 조영증강 초음파의 정량적 분석을 통한 진단 능력 평가와 동적 조영증강 유방 자기공명영상 결과와의 비교 (Assessment of Additional MRI-Detected Breast Lesions Using the Quantitative Analysis of Contrast-Enhanced Ultrasound Scans and Its Comparability with Dynamic Contrast-Enhanced MRI Findings of the Breast)

  • 이세영;우옥희;신혜선;송성은;조규란;서보경;황순영
    • 대한영상의학회지
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    • 제82권4호
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    • pp.889-902
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    • 2021
  • 목적 자기공명영상에서 추가적으로 발견된 조영증강 병소에 대한 조영증강 초음파의 진단능력을 평가하고 조영증강 초음파의 정량 분석을 사용하여 유방 동적 조영증강 자기공명영상과 유사한 운동 패턴 결과를 얻을 수 있는지 분석하였다. 대상과 방법 단일 센터 전향적 연구로 진행하였고, 총 71개의 자기공명영상에서 추가적으로 발견된 조영증강 병소가 포함되었다. 이러한 병소에 대해 조영증강 초음파를 시행하였고 Breast Imaging-Reporting and Data System (이하 BI-RADS)에 따라 분류하였다. 그리고 모든 병소의 BI-RADS 분류를 조직학적 결과와 비교하여 조영증강 초음파의 민감도, 특이도 및 진단 정확도를 계산하였다. 조영증강 초음파와 동적 조영증강 자기공명영상의 운동 패턴사이의 일치도는 가중 카파 분석을 사용하여 평가되었다. 결과 조영증강 초음파에서 총 46개의 병소가 BI-RADS 4B, 4C, 5로 분류되었고, 25개의 병소가 BI-RADS 3, 4A로 분류되었다. 자기공명영상에서 추가적으로 발견된 조영증강 병소에 대한 조영증강 초음파의 진단 능력은 84.9%의 민감도, 94.4%의 특이도 및 97.8%의 긍정적 예측값으로 우수하였다. 총 57/71 (80%) 병소는 조영증강 초음파와 동적 조영증강 자기공명영상 운동 패턴 결과가 일치하였고 가중 카파 값 0.66으로 좋은 일치도를 나타냈다. 부분 군 분석에서 양성 병소는 우수한 일치를 보였고(가중 카파 값 = 0.84), 관내암종은 좋은 일치를 보였다(가중 카파 값 = 0.69). 결론 MRI에서 추가 검출된 유방 결절에 대한 조영증강 초음파의 진단 능력은 우수했다. 양성 및 관내암종 병소에서 동적 조영증강 자기공명영상과 조영증강 초음파의 운동 패턴 결과는 좋은 일치도를 보였다.