Journal of the Korean Institute of Telematics and Electronics B
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v.32B
no.11
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pp.1445-1454
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1995
In this study, we have developed a prototype of the automatic defects detection system for capsule inspection using the computer vision techniques. The subjects for inspection are empty hard capsules of various sizes which are made of gelatine. To inspect both sides of a capsule, 2-stage recognition is performed. Features we have used are various lengths of a capsule, area, linearity, symmetricity, head curvature and so on. Decision making is performed based on average value which is computed from 20 good capsules in training and permission bounds in factories. Most of time-consuming process for feature extraction is computed by hardware to meet the inspection speed of more than 20 capsules/sec. The main logic for control and arithmetic computation is implemented using EPLD for the sake of easy change of design and reduction in time for developement. As a result of experiment, defects on size or contour of binary images are detected over 95%. Because of dead zone in imaging system, detection ratio of defects on surface, such as bad joint, chip, speck, etc, is lower than the former case. In this case, detection ratio is 50-85%. Defects such as collet pinch and mashed cap/body seldom appear in binary image, and detection ratio is very low. So we have to process the gray-level image directly in partial region.
Bariatric surgery has evolved from a surgical measure for treating morbid obesity to an epochal remedy for treating metabolic syndrome as a whole, which is represented by type 2 diabetes mellitus. Numerous clinical trials have advocated bariatric or metabolic surgery over nonsurgical interventions because of markedly superior metabolic outcomes in morbidly obese patients who satisfy traditional criteria for bariatric surgery (body mass index [BMI] >$35kg/m^2$) and in less obese or simply overweight patients. Nevertheless, not all diabetes patients achieve the most desirable outcomes; i.e., diabetes remission after metabolic surgery. Thus, candidates for metabolic surgery should be carefully selected based on comprehensive preoperative assessments of the risk-benefit ratio. Predictors for diabetes remission after metabolic surgery may be classified into two groups based on mechanism of action. The first is indices for preserved pancreatic beta-cell function, including younger age, shorter duration of diabetes, and higher C-peptide level. The second is the potential for an insulin resistance reduction, including higher baseline BMI and visceral fat area. Several prediction models for diabetes remission have been suggested by merging these two to guide the joint decision-making process between clinicians and patients. Three such models, DiaRem, ABCD, and individualized metabolic surgery scores, provide an intuitive scoring system and have been validated in an independent external cohort and can be utilized in routine clinical practice. These prediction models need further validation in various ethnicities to ensure universal applicability.
Purpose: The diagnosis of pelvic fractures pattern has become to be essential in the decision making of treatment modality and reducing morbidity and mortality in multiple trauma patients. Sacroiliac joint (SIJ) disruption can cause life-threatening massive arterial bleeding. This study aimed to determine a method of predicting the prognosis and treatment direction with pelvis X-ray alone in the emergency room. We investigated whether SIJ disruption can be used alone as a poor prognostic factor. Methods: We analyzed the medical records and radiologic examination results of 167 patients with pelvic fractures from January 1, 2015 to December 31, 2016 retrospectively. Patients with pathologic fractures, thoraco-abdominal bleeding, and acetabulum fractures and pediatric patients (n=63) were excluded. Factors related to the clinical manifestations and treatments, such as transfusion and surgery, were statistically compared. Results: The cross-sectional analysis showed that there was no correlation between SIJ injury and sex; there were statistically significant relationships between occurrences of shock, conjoined fractures, transfusion, and surgeries. The hospitalization period and partial thromboplastin time and prothrombin time values increased. The logistic regression analysis showed that when an SIJ injury occurred, blood transfusion and hypotension possibilities increased. Conclusions: When pelvic fractures occur near the SIJ, blood transfusion and shock possibilities increase. Physicians must be aware of the high severity and poor prognosis of such fractures when these are diagnosed in the emergency room. And furthermore, the physician has to predict and prepare the intensive care and multidisciplinary approaches.
Journal of the Korean Society of Physical Medicine
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v.2
no.2
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pp.243-250
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2007
Purpose : Shoulder subluxation is a very common problem in patients with hemiplegia with stroke. Prevention of the low tone subluxed shoulder has been an issue for physical therapists working with neurological patients for many years. Methods : This study reviewed the literature to definite the management and a cause of shoulder subluxation with hemiplegia patients after stroke. Various modalities have been suggested for realigning the glenohumeral joint, but their use is controversial. The purpose of this paper is to review critically the evidence base in order to inform the clinical decision-making process for physiotherapists working in neurology. Results : Literature has identified supports, strapping and functional electrical stimulation(FES) in the management of low tone shoulders. Following review of this evidence it is suggested that there is a lack of reliable and valid research evidence on which to base conclusions. The modalities with the best supporting evidence for realigning the low tone subluxed glenohumeral joint are the triangular sling, Harris hemi sling and the Rolyan humeral cuff used in a standing position and the lap board and arm trough while the patient is sitting. However, due to soft tissue adaptation with associated lack of movement, over-correction and the need for careful patient positioning these supports need to be evaluated for each patient and should be used only in appropriate situations. Conclusion : Similarly, there is a lack of evidence on the effects of long-term use to this equipment. Electrical stimulation is also thought to have potential in the treatment to subluxed low tone shoulders but additional research is required to clarify the parameters for use and the long-term effects of these forms of management.
Journal of Korean Society of Industrial and Systems Engineering
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v.40
no.2
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pp.41-50
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2017
The purpose of this paper is to improve the service tree analysis introduced recently by Geum et al. [15]. Service tree analysis structures the service based on the customer participation perspective and provides a qualitative analysis method categorizing the service elements on the basis of its impact to top service. This paper attempts to apply the concept of reliability importance to the service tree analysis as a perspective of quantitative analysis, which is considered little in Geum et al. [15]. Reliability importance is a measure of the structural impact of the components that make up the system on the system lifetime in reliability engineering field and often used in fault tree analysis. We transform the reliability importance into service importance in accordance with service tree analysis, so that the influence of service elements on the service can be judged and compared. The service importance is defined as the amount of change of the service according to the change of the service element, therefore, it can be utilized as an index for determining a service element for service improvement. In addition, as an index for paired service elements, the relationship between the two service components can be measured by joint service importance. This paper introduces conceptual changes in the process of applying reliability importance to service analysis, and shows how to use the service importance for identifying the priority of service element for the final service and improving customer satisfaction through an example. By using the service importance and joint service importance in service tree analysis, it is possible to make efficient decision making in the process of determining the service elements for analyzing and improving the service.
This study was undertaken to explore the antecedent factors and process of the treatment-seeking behaviors of medical and alternative treatments in patients with arthritis using methodological triangulation. The data were collected from 995 arthritic patients who were registered either in a center of rheumatology for medical treatment or residents of community having no treatment to classify different treatment patterns. Sixteen patients with various types of treatment only, alternative treatment only, and no treatment were selected among the total samples to identify the antecedent factors through in-depth interview. The quantitative data were analyzed by percentile, t-test, chi-square test and discrimant analysis using SAS PC program, while the qualitative data were analyzed by means of grounded theory methodology. Treatment-seeking behaviors of patients change from the early stage to the sick-role stage. At the early stage, initial characteristics of pain and acculturation of medical professionalism affect the choice of treatment patterns. The acculturation of medical professionalism is affected by health care accessibility, level of education, duration of sickness and lay referral system. At the sick-role stage, lay referral system and acculturation of medical professionalism affect the choice of treatment patterns. The acculturation of medical professionalism is affected by characteristics of symtoms, perceived treatment effects, perceived causes of diseases and socio-economic status as well as health care accessibility, level of education and lay referral system. In conclusion, different factors as well as common factors are influencing the treatment-seeking behaviors depending on the disease and treatment stages. More detailed further studies are required to explore the value system or medical acculturation of patients which is one of the most important factors in decision-making about treatment modalities.
Kim, Do-Eun;Jung, Hae-Joon;Kang, Dong-Jin;Son, Yonghoon
Journal of Korean Society of Rural Planning
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v.30
no.2
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pp.51-68
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2024
Since 1949, the UK has implemented a national land planning strategy to sustain rural areas, emphasizing the concept of 'Natural Beauty.' This involves designating "Areas of Outstanding Natural Beauty (AONB)" as a political approach to conserving rural landscapes and fostering a societal consensus on environmental conservation. AONB adopts an integrated and systematic approach to achieve harmony between the environment and human activities. This study investigates the implications of the AONB rural landscape management approach through case studies of the Cotswolds Conservation Board and Cannock Chase Joint Committee. It examines the legislative designation and supporting processes of AONB, analyzing the governance system to clarify the roles of authorities in policy decision-making. AONB's system revolves around joint committees or conservation boards of local authorities responsible for establishing, implementing, and monitoring management plans. The planning process involves a harmonious management plan system reflecting regional demands, including regular forums. AONB serves as a powerful tool for local residents to engage in the development of their region through stewardship. The study suggests that understanding the AONB model could provide a foundation for developing rural landscape conservation and spatial management plans tailored to Korea's context in the future.
This study applies Policy Streams and Expert Group Standing Change Framework (PSECF) proposed by SangJung Park and Chan KOH to analyze the Roh's Participatory government's decision making process on the wartime Operational Control (OPCON) transition. PSECF case study's results are as follows: Strong commitments of the former president Roh Moohyun and the progressive National Security Committee (NSC) were primary drivers in the policy developing process. But military expert groups such as the Ministry of National Defense (MND) and the Joint Chiefs of Staffs (JCS) were thoroughly excluded due to their passive role against the wartime OPCON transition. After the policy resolution, the standing of expert groups changed: the standing of advocate effects, the former progressive NSC who led the wartime OPCON transition in the Roh's Participatory government, went down but the conservatives such as ROK MND and JCS improve their standing because the conservative government kicks off 8 months later from the policy decision. In conclusion, the proposed PSECF through the Roh's Participatory government's case-study is worthy as an explanatory framework for high level national policies.
The investigation on the rock discontinuity geometry has been usually undergone by direct measurement on the rock exposures. But this sort of field work has disadvantages, which we, for example, restriction of surveying areas and consuming excessive times and labors. To cover these kinds of disadvantages, image processing could be regarded as an altemative way, with additional advantages such as automatic and objective tools when used under adequate computerized algorithm. This study was focused on the recognition of the rock discontinuities captured in the image of rock exposure by digital camera and the production of the discontinuity map automatically. The whole process was written using macro commands builtin image analyzer, ImagePro Plus. ver 4.1(Media Cybernetic). The procedure of image processing developed in this research could be divided with three steps, which are enhancement, recognition and extraction of discontinuity traces from the digital image. Enhancement contains combining and applying several filters to remove and relieve various types of noises from the image of rock surface. For the next step, recognition of discontinuity traces was executed. It used local topographic features characterized by the differences of gray scales between discontinuity and rock. Such segments of discontinuity traces extracted from the image were reformulated using an algorithm of computer decision-making criteria and linked to form complete discontinuity traces. To verify the image processing algorithms and their sequences developed in this research, discontinuity traces digitally photographed on the rock slope were analyzed. The result showed about 75~80% of discontinuities could be detected. It is thought to be necessary that the algorithms and computer codes developed in this research need to be advanced further especially in combining digital filters to produce images to be more acceptable for extraction of discontinuity traces and setting seed pixels automatically when linking trace segments to make a complete discontinuity trace.
The purpose of this study is to analyze the status of the joint forest project, which is one of the national forest management system, by using stakeholder participation, transparency of decision making, accountability of actors and stakeholders, The questionnaire survey was conducted using the 5 - point scale and the written form. As a result of the questionnaire survey, various stakeholder participation items had the highest opportunity to participate with an average of 3.3 and the lowest score with 2.3 points for establishing conflict and conflict resolution structures. Transparency was analyzed to be 3.4 points for the project disclosure, 2.7 points for information sharing and education promotion activities for local residents, 3.3 points for the detailed role of the project implementer, and 2.7 points for internal and external monitoring and evaluation of the project with various stakeholders. The results of this research, analyzed through the participatory forest management index, are deemed to be used as basic data for the establishment of a plan for the revitalization of national forest participation management.
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