• Title/Summary/Keyword: Virtual patients

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Cases of IT Based Innovation in a Hospital (IT관점의 병원혁신 사례)

  • Hwang, Einjeong
    • Korea Journal of Hospital Management
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    • no.spc
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    • pp.74-84
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    • 2016
  • This research is for an innovative health information service cases based on Information Communication Technology (ICT), conducted at a general hospital in Korea. This study introduces a personal use self-diagnosis & self management device for pulmonary chronic disease patients, a mobile communication application service for doctor rounds, a surgical education system providing natural-user-interface with virtual reality for surgeons, and an Internet of things(IOT) technology using personal electrocardiogram (ECG) measurement device cases. Due to every case is on developing, there are still many issues needed to be improved. For this reason, various opinions with constructive critiques from the readers of this paper will be welcomed for better practical implementation.

Postpolio Syndrome (소아마비후 증후군)

  • Lee, Dong Kuck
    • Annals of Clinical Neurophysiology
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    • v.5 no.2
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    • pp.202-209
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    • 2003
  • Postpolio syndrome (PPS) refers to a constellation of neuromuscular and orthopedic symptoms and signs that have been noted to occur in patients with remote antecedent poliomyelitis. It has been increasingly recognized that individuals recovering from acute poliomyelitis develop new symptoms, most commonly weakness, fatigue, and pain that develops decades after initial disease in the region previously affected. Associated symptoms may include dysphagia, respiratory insufficiency, new muscular atrophy, dysarthria, muscle cramps, fasciculations, sleep abnormalities, and cold intolerance. Although the concepts of PPS was first described in the late 1800s, it was not until nearly 100 years later that the concept of PPS was more widely recognized and defined. This was due largely to the polio epidemic of the 1940s and 1950s that left many survivors in the world. The virtual epidemic of PPS that occurred among these polio survivors in the 1980s and 1990s has served as a catalyst to attract medical attention to this syndrome.

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Identification of inhibitors against ROS1 targeting NSCLC by In- Silico approach

  • Bavya, Chandrasekhar
    • Journal of Integrative Natural Science
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    • v.15 no.4
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    • pp.171-177
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    • 2022
  • ROS1 (c-ros oncogene) is one of the gene with mutation in NSCLC (non-small cell lung cancer). The increased expression of ROS1 is leading to the increase proliferation of cell, cell migration and survival. Crizotinib and Entrectinib are the drugs that have been approved by FDA against ROS1 protein, but recently patients started to develop resistance against Crizotinib and there is a need of new drug that could act as an effective drug against ROS1 for NSCLC. In this study, we have performed virtual screening, where compounds are taken from Zinc 15 dataset and molecular docking was performed. The top compounds were taken based upon their binding affinity and their interactions with the residues. The compounds stability and chemical reactivity was also studied through Density Functional theory and their properties. Further study of these compounds could reveal the required information of ROS1-inhibitor complex and in the discovery of potent inhibitors.

Three-dimensional evaluation of the correlation between lip canting and craniofacial planes

  • Kim, Jun-Young;Park, Hee-Keun;Shin, Seung-Woo;Park, Jin Hoo;Jung, Hwi-Dong;Jung, Young-Soo
    • The korean journal of orthodontics
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    • v.50 no.4
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    • pp.258-267
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    • 2020
  • Objective: This study aimed to analyze the correlation of horizontal and sagittal planes used in two-dimensional diagnosis with lip canting by using three-dimensional (3D) analysis. Methods: Fifty-two patients (25 men, 27 women; average age: 24 years) undergoing treatment for dentofacial deformity were enrolled. Computed tomography images were acquired, and digital imaging and communication in medicine files were reconstructed into a 3D virtual model wherein horizontal and sagittal craniofacial planes were measured. Subsequently, the correlations of lip canting with these horizontal and sagittal planes were investigated. Results: The mandibular symmetry plane, the occlusal plane, Camper's plane, the mandibular plane, Broadbent's plane, and the nasal axis plane were correlated with the amount of lip canting (Pearson's correlation coefficients: 0.761, 0.648, 0.556, 0.526, 0.438, and 0.406, respectively). Planes associated with the lower part of the face showed the strongest correlations; the strength of the correlations decreased in the midfacial and cranial regions. None of the planes showed statistically significant differences between patients with clinical lip canting (> 3°) and those without prominent lip canting. Conclusions: The findings of this study suggest that lip canting is strongly correlated with the mandibular symmetry plane, which includes menton deviation. This finding may have clinical implications with regard to the treatment of patients requiring correction of lip canting. Further studies are necessary for evaluating changes in lip canting after orthognathic surgery.

Correlations between Biomechanical Characteristics, Physical Characteristics, and the Ability to Maintain Dynamic Sitting Balance on an Unstable Surface in the Disabled with Spinal Cord Injury

  • Kim, Solbi;Chang, Yoonhee;Kim, Gyoosuk
    • Journal of the Ergonomics Society of Korea
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    • v.33 no.1
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    • pp.15-25
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    • 2014
  • Objective: This study aims to analyze the factors that affect the ability to maintain dynamic sitting balance (DSB), biomechanical characteristics, and physical characteristics in spinal cord injuries (SCI) patients. Background: Virtual ski training systems, ski equipment, and training protocols for disabled skiers are being studied to spread awareness. However, few studies have been reported on the sitting balance ability associated with chair mono skiing. Method: A dynamic sitting balance border system was built to investigate the ability to maintain dynamic sitting balance in SCI patients. Trunk muscle activity was evaluated by electromyogram while conducting dynamic sitting balance tests. The trunk muscle strength was tested with a portable handheld dynamometer. Physical activity scores were measured with the physical activity recall assessment. Results: There were high levels of correlation between the ability to maintain DSB and trunk flexor strength, extensor strength, rotator strength, and physical activity score. However, height, weight, and injury level in SCI patients were not correlated with the ability to maintain DSB. Additionally, strong negative correlations were found between muscle activities of the external oblique and lumbar erector spinae muscles and the ability to perform the backward tilt test. Trunk extensor muscle activity during the ball lifting test was significantly higher than in other tests. Conclusion: The results indicate that improving trunk muscle strength and physical activity can increase the ability to maintain DSB. Application: The findings of a close relationship between trunk strength, physical activity, and the ability to maintain DSB need to be reflected in the chair mono ski training program.

Implant Fixture Installation in the Posterior Maxilla Using a Tooth-supported Surgical Template Based on Computer Assisted Treatment Planning (컴퓨터 보조 기반 치아 지지 서지컬 템프레이트를 이용한 상악구치부 임플란트 식립)

  • Kim, Soung Min;Kim, Myung Joo;Lee, Jee Ho;Myoung, Hoon;Lee, Jong Ho;Kim, Myung Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.6
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    • pp.381-389
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    • 2013
  • Two patients with partial edentulous maxilla were scheduled to undergo installation of implant fixtures using a tooth-supported surgical template based on computer assisted treatment planning. After 3-dimensional (3D) computed tomographic scanning was transferred to the OnDemand3D (Cybermed Co., Seoul, Korea) software program for virtual planning, fixtures of MK III Groovy RP implant of the Br${\aa}$nemark System (Nobel Biocare AB Co., G$\ddot{o}$teborg, Sweden) was installed using the In2Guide (CyberMed Co., Seoul, Korea) tooth-supported surgical template with a Quick Guide Kit (Osstem Implant Co., Seoul, Korea) system in the posterior maxilla of each patient. Sinus floor elevation with a xenogenic bone graft procedure was also performed simultaneously in one patient. Fixture installations were completed successfully without complications, such as sinus mucosa perforation, bony bleedings, fenestrations, or others. During the last two-year follow-up period after prosthetics delivery, each implant was found to be fine with no other minor complications. The entire procedures are reported and the literatures on use of tooth-supported surgical template was reviewed.

The Design and Development of Healing Depression Convergence Content using Movement of Thought, HMD, Leap Motion, Color and Music Therapy (생각 이동, HMD, 립 모션, 색채 치료, 음악 치료를 이용한 우울증 치유 융합 콘텐츠 설계 및 개발)

  • Kim, Ji-Soo
    • Journal of the Korea Convergence Society
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    • v.7 no.3
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    • pp.45-51
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    • 2016
  • The development of advanced technology gives us many problems. In mentally view point, the major one is depression. Depression appears in various forms. In worst case, it leads into suicide. This study designs and develops a new type of healing content which the convergence in the virtual space, Movement of Thought, Head Mounted Display, Leap Motion, Color Therapy, Music Therapy methods in order to improve the symptoms of depression. The developed convergence content will be effective in healing methods instead of the existing medication relieve depression and improve self-esteem of patients with depression. Future research will try to apply the clinical development of a prototype content.

3-Dimensional Printing for Mesh Types of Short Arm Cast by Using Computed Tomography (전산화단층영상을 이용한 그물형 손목 부목의 3D 프린팅)

  • Seoung, Youl-Hun
    • The Journal of the Korea Contents Association
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    • v.15 no.1
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    • pp.308-315
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    • 2015
  • The purpose of this study, using 3D printer, was tried to fabricate the short arm cast of mesh types that can be hygienic and adequate ventilation with a good radiography. We used the multi channel computed tomography (MDCT) with three dimension printer device of the fused deposition modeling (FDM) techniques. The material is used a degradable plastic (poly lactic acid, PLA). Three-dimensional images of the short arm were obtained in the MDCT and then make the three-dimensional volume rendering. Three dimension volume rendering of the short arm is implemented as a tomography obtained in MDCT. Virtual mesh type cast model was output as three-dimensional images is designed based on the three-dimensional images of the short arm. As a results, the cast output by 3D printers were able to obtain excellent radiograph images than the conventional cast, and then it can decreased itching with unsanitary, and can break down easily to the cast. In conclusion, the proposed virtual mesh type cast output by 3D printers could be used as a basis for future three-dimensional printing cast productions and offered help to patients in the real life.

Identification and Pharmacological Analysis of High Efficacy Small Molecule Inhibitors of EGF-EGFR Interactions in Clinical Treatment of Non-Small Cell Lung Carcinoma: a Computational Approach

  • Gudala, Suresh;Khan, Uzma;Kanungo, Niteesh;Bandaru, Srinivas;Hussain, Tajamul;Parihar, MS;Nayarisseri, Anuraj;Mundluru, Hema Prasad
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8191-8196
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    • 2016
  • Inhibition of EGFR-EGF interactions forms an important therapeutic rationale in treatment of non-small cell lung carcinoma. Established inhibitors have been successful in reducing proliferative processes observed in NSCLC, however patients suffer serious side effects. Considering the narrow therapeutic window of present EGFR inhibitors, the present study centred on identifying high efficacy EGFR inhibitors through structure based virtual screening strategies. Established inhibitors - Afatinib, Dacomitinib, Erlotinib, Lapatinib, Rociletinib formed parent compounds to retrieve similar compounds by linear fingerprint based tanimoto search with a threshold of 90%. The compounds (parents and respective similars) were docked at the EGF binding cleft of EGFR. Patch dock supervised protein-protein interactions were established between EGF and ligand (query and similar) bound and free states of EGFR. Compounds ADS103317, AKOS024836912, AGN-PC-0MXVWT, GNF-Pf-3539, SCHEMBL15205939 were retrieved respectively similar to Afatinib, Dacomitinib, Erlotinib, Lapatinib, Rociletinib. Compound-AGN-PC-0MXVWT akin to Erlotinib showed highest affinity against EGFR amongst all the compounds (parent and similar) assessed in the study. Further, AGN-PC-0MXVWT brought about significant blocking of EGFR-EGF interactions in addition showed appreciable ADMET properties and pharmacophoric features. In the study, we report AGN-PC-0MXVWT to be an efficient and high efficacy inhibitor of EGFR-EGF interactions identified through computational approaches.

Basic Experiment on Rehabilitation of Upper-Limb Motor Function Using Haptic-Device System (햅틱 장치를 이용한 상지 운동기능 장애인의 재활치료에 관한 기초 실험)

  • Lee, Ho-Kyoo;Kim, Young-Tark;Takahashi, Yoshiyuki;Miyoshi, Tasuku;Suzuki, Keisuke;Komeda, Takashi
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.5
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    • pp.459-467
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    • 2011
  • Rehabilitation exercises must maintain a patient's interest and permit a quantitative evaluation of the rehabilitation. We have developed a haptic-device system. When users move a grip, the haptic device provides a virtual force that either assists the movement of their arm or working against it. To investigate the functional effect of this system in a rehabilitation program, we used for five subjects with motor-function disorders and measured the grip position, velocity, force exerted on the grip, and EMG activities during a reaching task of one subject. The accuracy of the grip position, velocity and trajectories patterns were similar for all the subjects. The results suggested that the EMG activities were improved by applying the virtual force to the grip. These results can be used for the development of rehabilitation programs and evaluation methods.