• Journal of Korean Neurosurgical Society
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• 제46권1호
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• pp.77-80
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• 2009

Orbital solitary fibrous tumor (SFT) is a rare tumor originating from the mesenchyme. We describe the clinical presentations, radiological and operative findings, and pathological features of a patient with orbital SFT. The patient was a 46-year-old female who presented with progressive proptosis advanced for 20 months. On ophthalmological examination, no visual impairment was detected, but left eye was found to be obviously protruded on exophthalmometry. Orbital magnetic resonance imaging showed a 2.5 ${\times}$ 2 ${\times}$ 2 cm, intensely enhanced mass in the left orbit, which compressed the eyeball forward and the optic nerve downward. The patient underwent frontal craniotomy with superior orbitotomy and gross total resection was performed for the tumor. The histopathological diagnosis including immunohistochemistry was a SFT. After the surgery, proptosis was markedly relieved without visual impairment. Although orbital SFT is extremely rare, it should be considered in the differential diagnosis of orbital tumors. Clinical presentations such as painless proptosis and CD34 immunoreactivity play a significant role in differentiating orbital SFT from other spindle-cell neoplasms of the orbit.

• Physical Therapy Rehabilitation Science
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• 제7권3호
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• pp.139-145
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• 2018

Objective: Older persons with diabetes mellitus (DM) are particularly more likely to have fallen in the previous year than those without DM. The purpose of this study was to investigate the relationship between the risk of falls and type 2 DM in older adults who are 65 years of age or above. Design: A systematic review. Methods: PubMed and other two databases were searched up to August 2, 2018. Observational and cohort studies evaluating fall risk in people who are 65 years of age or above with DM were included. This review extracted the following information from each study selected: first author's surname, year of publication, country, average follow-up period, sex, age at enrollment, study population, measurement variables, relative risk, 95% confidence intervals and controlled variables. Results: This review involved nine cohort studies with 3,765 older adults with DM and 12,989 older adults without DM. Six studies compared with or without DM and two studies compared fallers with non-fallers with DM. Risk factors for falls included impaired cognitive function, diabetes-related complications (peripheral nerve dysfunction, visual impairment), and physical function (balance, gait velocity, muscle strength, and severity of physical activities). Conclusions: People who are 65 years of age or above with DM have increased risk of falling caused by impaired cognitive function, peripheral nerve dysfunction, visual impairment, and physical function in community-dwellers. For adults who are 65 years of age or older with DM, research fields and clinical settings should consider therapeutic approaches to improve these risk factors for falls.

• 전기전자학회논문지
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• 제25권1호
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• pp.25-31
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• 2021

일반적인 신용카드 번호 인식 시스템은 정해진 위치에 카드를 배치했을 때에만 올바르게 동작하도록 설계되어 있다. 본 논문은, 저시력 장애인을 포함한 시력 취약 계층에게 보다 쉬운 사용자 경험을 제공하기 위해, 신용카드 내 16자리 숫자의 종횡비 특징을 이용한 자동 번호 인식 알고리즘을 제안한다. 제안하는 알고리즘은 형태학 연산을 통해 종횡비가 4:1 이상인 이미지 후보군을 찾고, 각각의 후보에 OCR과 BIN 번호 매칭 기술을 적용하여 신용카드 번호를 획득한다. OpenCV 및 Firebase ML에 기반한 실험 결과, 카드를 정해진 위치에 두지 않아도 77.75% 정확도로 카드 번호를 인식하였다.

• 음성과학
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• 제7권1호
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• pp.65-75
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• 2000

The present study attempted to determine the effect of olfactory stimulation on word retrieval deficit in Korean aphasics. Eleven nonfluent and 9 fluent aphasic patients served as subjects. The 20 subjects' age ranged from 14 to 65 with the mean of 43.0 (SD: 17.6). A neurologist examined them and diagnosed that they had no visual, auditory, and olfactory impairment. The study consisted of 2 experiments: Experiment I included visual stimulation while experiment II included visual and olfactory stimulation. The subjects were presented with 19 pictures for them to name in the experiment I, whereas they were exposed to the 19 pictures along with the corresponding olfactory stimulus in the experiment II. The 19 items included soy sauce, chilly pepper, Kimchi, chewing gum, cigarette (smoked), soybean paste, lemon, banana, alcohol (wine), apple, fish, vinegar, cuttlefish (dried), milk, rose, sesame oil, melon, coffee, and perfume. The results were as follows: First, olfactory stimulation tended to improve aphasics' word retrieval deficit although the improvement was not statistically significant. Second, the nonfluent aphasics seemed to take more advantage from olfactory stimulation compared to the fluent aphasics. Third, olfactory stimulation (olfactory + visual) did not produce a different naming performance compared to visual stimulation in the pre- and post-test when the pre- and post-test was composed of naming tasks through auditory + visual stimulation. Fourth, the fluent aphasics performed better with unpleasant olfactory stimulus while the nonfluent aphasics performed better with pleasant olfactory stimulus.

• 재활치료과학
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• 제6권2호
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• pp.37-45
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• 2017

Background: The presence of visuospatial impairment can make patients slow functional recovery and impede the rehabilitation process in TBI patients. Objective: The aim of this study is to investigate effects of prism adaptation treatment for functional outcomes in patients following traumatic brain injury. Methods: The subject received prism adaptation treatment for 2 weeks additionally during traditional rehabilitation for 4 weeks. The Patient has prism adaptation treatment while wearing wedge prisms that shift the external environment about $12^{\circ}$ leftward. The patient received 10 sessions, 15-20min each session. Outcome measures were visuospatial deficit(line bisection, latter cancellation), Visual and spatial perception(LOTCA-visual perception and spatial perception), motor function of upper extremity(FMA U/E; Fugl-Meyer motor assessment upper extremity, ARAT; Action research arm test), balance(BBS; Berg Balance Scale), mobility(FAC; Functional ambulation classification) and functional level(FIM; Functional independent measure). All Assessments took place on study entry and post-treatment assessments were performed at discharge from the hospital. Results: After prism adaptation, the visuospatial impairment scores improved as indicated in the line bisection(-15.2 to -6.02), latter cancellation(2 to 0) and LOTCA- spatial perception scores(7 to 9). The upper motor function improved as indicated in the scores of affected FMA U/E(21 to 40) and ARAT(4 to 22). Ambulation and balance improved as indicated in the BBS scores(25 to 38) and FAC scores(0 to 4). ADL function improved as indicated in the FIM total scores 54 to 70(motor 34 to 61, cognition 20 to 29). Conclusion: Prism adaptation did improve functional level such as motor functions and ADL abilities in TBI patient. Further research is recommended.

• 대한물리의학회지
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• 제15권4호
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• pp.155-161
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• 2020

PURPOSE: This study investigated the effect of a head-mounted display (HMD) based virtual reality (VR) cognitive rehabilitation program on the cognitive ability and activities of daily living in patients with mild cognitive impairment. METHODS: This study enrolled 5 mild cognitive impairment patients at the G welfare center in Gwangju metropolitan city. Patients were examined using the MMSEDS (Mini mental state examination-dementia screening). The VR cognitive rehabilitation program was applied twice a week for four weeks. The functional independence measure (FIM) and Loewenstein occupational therapy cognitive assessment-geriatric population (LOTCA-G) were compared before and after applying the VR cognitive rehabilitation program. RESULTS: Subsequent of application of the VR cognitive rehabilitation program, significant increase was observed in the LOTCA-G score. The FIM score was also perceived to increase, after the intervention, but was not statistically significant. CONCLUSION: Application of the VR cognitive rehabilitation program as a therapy is effective in improving the visual perception, and upper extremity executive ability, especially orientation, thinking organization, attention, and concentration.

• 한국임상보건과학회지
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• 제8권2호
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• pp.1426-1435
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• 2020

Objective: This study aims to develop CFT, a screening test for dementia that can be conducted on patients with mild cognitive impairment or early dementia. Methods: This study was conducted on therapists working at occupational therapy hospital in Gyeongsangnam-do. The data collection period is two months from July to September 2020, and the research participants were briefed on the purpose, significance, and anonymity of the research in consideration of ethical issues. A total of 33 copies of the data were finally analyzed, excluding those containing insufficient answers and errors, by distributing 40 copies of the data. SPSS Data Access pack 8.0 was used for data analysis, Cronbach's α value was evaluated for internal consistency reliability of each item, and Pearson Correlation coeffient between the lower scales of the assessment tool was measured. Results: The Cronbach's α value of the CFT was shown as .892 and the reliability of the assessment paper was shown to be quite high. The Cronbach's α value for each item in the cognitive assessment tool was the highest at .899 in the subtraction item, with exercise control (mook Chi Pa) at 888, visual memory, plus .887. The correlation of each item of cognitive assessment tools was found to be most correlated with the number of sustained concentrates and word2 to .934; in the stop word-numeric item and visual memory to be .85; and in the addition to the auditory memory item .739. Conclusion: Therefore, this study developed cognitive evaluation tools that can distinguish the diversity and cognitive level of screening tests and clarify standards, which are different from the existing dementia screening tools in Korea. Furthermore, the cognitive assessment tools of this study can be verified by applying them to patients with mild cognitive impairment and early dementia, and the criteria for generalization can be established.

• 동의신경정신과학회지
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• 제33권1호
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• pp.49-78
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• 2022

Objectives: This study was conducted to evaluate the efficacy of Korean Medicine Therapy (KMT) for the treatment of Chemotherapy-induced Cognitive Impairment (CICI) through systematic review and meta-analysis of randomized controlled trials (RCTs) as proceeding research to further research the efficacy of KMT for CICI patients. Methods: We conducted a systematic review and meta-analysis according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines (PRISMA). The RCTs on the efficacy of KMT for treatment of CICI were searched by structured search strategies in MEDLINE, EMBASE, Cochrane library, CAJD, KISS, NDSL, KoreaMed, and OASIS. The searched RCTs were screened by inclusion and exclusion criteria. We evaluated the quality of the method in the included studies using the Jadad score and Cochran ROB tool. The efficacy outcomes were the Visual Analogue Scale (VAS) and the Clinical total Effective Rate (CER) of CICI. They were analyzed using mean difference for continuous variable or Relative Risk (RR) for Dichotomous variable in the random-effect model. The RevMan 5.3 program was used for meta-analysis. Results: We included 19 RCTs, including 653 participants, in the systematic review and meta-analysis. There were favorable results for the KMT group after the intervention compared with the pharmacotherapy group, physiotherapy group, and combined treatment group. KMT group showed improvement using CER and VAS compared with exercises, but their heterogeneities were slightly significant. KMT was more effective compared to the Rehabilitation program in CER and the subgroup analysis results showed that KMT had a significant difference compared to other therapies in VAS, to Medication therapy in CER. Conclusions: KMT presented reasonable evidence on improving the Clinical total Effective Rate and Visual Analogue Scale in CICI patients. However, further evaluation in future research is required.

• 한국안광학회지
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• 제5권1호
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• pp.165-171
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• 2000

본 조사는 경북 농촌지역의 백내장 분포를 알아보기 위하여 실시하였다. 백내장은 전 세계적으로 설명과 시력장애의 주원인일 뿐 아니라 노인인구의 증가로 인해 백내장 환자의 수는 현저하게 증가하였다. 이러한 추세에도 불구하고 백내장으로 인해 심하게 시기능이 저하된 상태에 있으면서도 안과적 진단 기회를 얻지 못하고 있는 환자들이 아직도 많이 있다. 이런 환자들의 선별과 분포조사를 위해 경북 칠곡과 문경 지역에서 일반 건강검진을 희망한 50세 이상 주민 636명(1272안)을 대상으로 최근 일본 Kanazawa 의과대학의 Sasaki 등이 제안한 간편한 백내장 일차선별검사를 적용하여 다음과 같은 결과를 얻었다. 전체 조사대상자 중 시력장애를 호소한 사람은 모두 493명(77.5%)이었다. 제1단계 선별검사로 448명(90.9%), 제2단계 선별검사로 308명(48.4%)의 백내장이 의심되는 시력불량군을 분류하였고, 제1, 2단계일차 선별검사에 의해 최종적으로 백내장으로 분류된 사람의 수는 421명(66.2%)이었다. 연령에 따른 유병율은 50대 27.5%, 60대 62.5%, 70대 86.1%, 80세 이상 94.3%이었다. 따라서 백내장이 실명과 시력장애의 주원인 일 뿐 아니라 국내에서도 공중보건분야의 중요한 문제인 만큼 적절한 관리와 안보건 대책이 요구되며 특히 안보건을 위한 의료활동이 농촌지역에까지 확대되어야 할 것으로 사료되었다.

• 한국콘텐츠학회논문지
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• 제18권6호
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• pp.243-256
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• 2018

본 연구는 시각장애인을 대상으로 한 음악 연구의 동향을 살펴보기 위해 1998년부터 2017년까지 국내 국제 학술지에 게재된 총 62편의 학술논문을 내용분석 하였다. 발표연대, 학술지 분야, 연구방법, 연구유형, 연구주제, 연령, 장애특성을 분석틀로 하였다. 연구결과, 최근 10년간 국내 외 모두 논문 편수가 급증하였으며, 교육학, 치료학 등 다양한 분야로 확대되는 경향을 보였다. 연구방법에서 국내는 조사연구가 압도적으로 많은 반면, 국외는 질적연구와 실험연구가 고르게 분포하였다. 연구유형과 주제를 살펴보면, 국내는 음악흥미와 적성을 주제로 한 인식 및 현황조사 연구가 다수였으나, 국외는 음악중재, 음악지각 및 인지를 주제로 한 음악의 영향과 경험 연구가 높은 빈도를 나타냈다. 연령은 국내 외 모두 성인과 아동청소년으로 조사되었고 노인 대상은 확인되지 않았다. 장애특성별 빈도에서 전맹, 저시력을 대상으로 한 연구가 많은 반면, 중도나 중복장애는 적었다. 이는 시각장애와 음악에 관한 연구 동향을 설명함으로써 해당 분야 후속연구의 방향을 제안한다는 의의를 갖는다.