• 제목/요약/키워드: stroke code

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Mapping Items of Functioning Questionnaires into the International Classification of Functioning, Disability and Health: Stroke

  • Song, Ju-Min;Lee, Hae-Jung
    • The Journal of Korean Physical Therapy
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    • 제28권5호
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    • pp.341-347
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    • 2016
  • Purpose: The aim of the study was to investigate items of commonly used questionnaires that measure functioning status of persons with stroke and map to the International Classification of Functioning, Disability and Health (ICF). Methods: Eighty-six patients with stroke were recruited from 12 medical institutes for the study. Each item of the Modified Bathel Index (MBI), Stroke Impact Scale (SIS), Mini Mental Status Evaluation (MMSE) and SF-36 were examined and compared its concept with the ICF. Concept linking was performed by 10 health professionals independently. A field test was performed to assess its correlation between those of scales and their linked ICF category sets. Results: It was found that 11 items in MBI was linked to 14 ICF categories, whereas 27 items of MMSE had 10 categories of ICF linked. 60 items of SIS were to be linked with 35 ICF categories. Agreement between professionals in linking was found to be high: 97.5% for MBI items, 78.0%, 78.0%, and 74.8% for MMSE, SIS, and SF-36 respectively. Strong relationship was observed between measurement scales and linked ICF code sets (r=-0.76 for SIS, r=-0.78 for MBI, r=-0.47 for MMSE) whereas there was no relationship was found between SF-36 and its ICF code set (r=-0.06) from the field test. Conclusion: It was found that items of SIS, MMSE and MBI may be linked to ICF categories. Those of linking concept between clinical tools and the ICF could be helpful for clinical data standardization.

재활병동에 입원한 뇌졸중 환자의 구강건강 및 구강건강관련 삶의 질에 관한 연구: 예비연구 (A Study on the Oral Health and Oral Health Related Quality of Life of Stroke Patients in a Rehabilitation Ward: A Pilot Study)

  • 김은경;김민선;이희경
    • 치위생과학회지
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    • 제16권2호
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    • pp.127-133
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    • 2016
  • 이번 연구는 영남대학교의료원 재활병동에 입원 중인 뇌졸중 환자 78명을 대상으로 구강위생 및 건강, 구강건강관련 삶의 질을 검사하였으며 다음과 같은 결과를 얻었다. Gingival index는 3명(3.8%)의 대상자만이 정상소견에 해당하는 code 0의 상태를 보였으며 이외 대다수의 대상자는 치은의 출혈 소견을 의미하는 code 2 이상의 수치를 보였다. CPI code의 경우에는 42명(53.8%)의 대상자가 중등도 치주염 및 중증의 치주염을 의미하는 code 3 또는 4의 상태를 보였다. CPI에 따라 대상자를 분류한 결과 치주염이 심한 그룹이 그렇지 않은 그룹에 비해 교육수준이 낮고 흡연경험이 있었으며 잔사, 치석 지수 및 치은 건강이 유의하게 불량하였다. 구강건강관련 삶의 질은 일상생활수행도 및 인지능력과 유의한 상관관계를 보였다(p<0.05). 이상의 결과를 종합해볼 때 재활병동에 입원 중인 뇌졸중 환자의 구강위생 상태는 개선할 필요가 있으며 이를 바탕으로 뇌졸중 환자의 구강건강의 악화를 방지하며 나아가 환자의 전신적 회복에 기여할 수 있을 것이다.

선박용 디젤기관(4-Stroke)의 특정인자가 질소산화물에 미치는 영향 고찰 (Effects of Each Characteristics on NOx Emission Values for Marine 4-Stroke Diesel Engine)

  • 이재우;권오신;김주태;이병운
    • 한국마린엔지니어링학회:학술대회논문집
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    • 한국마린엔지니어링학회 2005년도 전기학술대회논문집
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    • pp.74-80
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    • 2005
  • It becomes necessary for engine manufactures to verify whether lots of engines on test bed during shop test are in compliance with NOx Technical Code for marine diesel engines more efficiently on the basis of engine group test concept which contains parent engine and member engines since all the engines are not needed to take NOx measurement. In addition, it becomes more obliged to consider parameters which affect NOx emission level and describe these parameters in NOx technical file as engine information and settings to define engine operation range with tolerance to make sure the engines are still in compliance with NOx emission limit on board after shop test. During preparation of engine group test for 4-stroke marine diesel engines, we evaluated NOx emission value under different engine operating conditions and found that there are certain parameters, for example, Charge air temperature and Max. cylinder pressure which have influence on NOx emission level. The NOx emission shall be satisfied with NOx technical code by means of controlling such parameters.

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CAI 응용프로그램 작성시 자료공유를 위한 한자 코드 체계 정의에 관한 연구 (A Study on Data Sharing Codes Definition of Chinese in CAI Application Programs)

  • 고대곤
    • 정보교육학회논문지
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    • 제2권2호
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    • pp.162-173
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    • 1998
  • CAI 프로그램 작성시 자료 공유를 위한 한자 공통코드 정의를 위하여 주요 한자문화권 국가의 한자 코드에 대한 고찰 결과, 한자코드 정의시 발음순과 부수순을 혼용 및 동일 한자에 대한 간체자(중국 GB)와 이체자(일본 Shift JIS)의 개발, 사용이 많아 정체자(KSC 한국)간의 자료 호환시 적절한 변환 장치가 요한다. 발음순 원칙은 동차 이음어가 다른 코드로 인식되어 코드 영역의 낭비가 있고, 부수순 원칙은 자국의 두음법칙에 맞지 않으나 중복 코드를 방지할 수 있어 자료의 복원시 유리하다. KSC 제1수준과 제2수준 한자 영역은 학계 및 업계의 요구를 수용할 수준으로 확대시킬 필요가 있다. 유니코드는 시스템의 호환, 확장에 유리하고, 다양한 문자 표현이 가능하여 교육목적 코드의 일시적인 대안이 될 수 있다.

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중풍환자의 편비에 대한 대승기탕의 임상적 연구 (Effects of Daeseungki-tang on Constipated Stroke Patients)

  • 구본수;김영석;이대식;문상관;고창남;조기호;배형섭;이경섭
    • 대한한의학회지
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    • 제21권2호
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    • pp.3-13
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    • 2000
  • Objectives : In oriental medicine, Daeseungki-tang is one of the most useful prescriptions for the therapy of constipation. And we also frequently use this prescription for constipated stroke patients. Methods : In order to identify the effects of Daeseungki-tang on constipated stroke patients, we administrated the extract of Daeseungki-tang(code number, HH264) to constipated stroke patients. We gave the medicine in two ways, one-pack group and two-pack group by random allocation and investigated the amount of stool, the frequency of defecation, the stool-form and the changes of blood pressure and body temperature before and after defecation. We also tried to examine the difference of symptoms between defecation-group and non-defecation group. Results : 1. There were no distinct symptoms between defecation-group and non-defecation-group in one-pack group. 2. After defecation, body temperature decreased significantly(P<0.05) in one-pack group and blood pressure decreased significantly(P<0.05) in two-pack group. 3. As for the stool-form, watery-soft was 41.9% in the firstt defecation and 47.1 % in the second defecation. 4. In one-pack group(23 cases), 13 cases(57%) defecated and 10 cases(43%) didn't defecate. And in two-pack group(24 cases), 19 cases(80%) defecated and 5 cases(20%) didn't defecate. These results meant that the effect of Daeseungki-tang was dose dependent. The amount of stool and the frequency of defecation were also dose dependent.

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Storing information of stroke rehabilitation patients using blockchain technology: a software study

  • Chang, Min Cheol
    • Journal of Yeungnam Medical Science
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    • 제39권2호
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    • pp.98-107
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    • 2022
  • Background: Stroke patients usually experience damage to multiple functions and a long rehabilitation period. Hence, there is a large volume of patient clinical information. It thus takes a long time for clinicians to identify the patient's information and essential pieces of information may be overlooked. To solve this, we stored the essential clinical information of stroke patients in a blockchain and implemented the blockchain technology using the Java programming language. Methods: We created a mini blockchain to store the medical information of patients using the Java programming language. Results: After generating a unique pair of public/private keys for identity verification, a patient's identity is verified by applying the Elliptic Curve Digital Signature Algorithm based on the generated keys. When the identity verification is complete, new medical data are stored in the transaction list and the generated transaction is verified. When verification is completed normally, the block hash value is derived using the transaction value and the hash value of the previous block. The hash value of the previous block is then stored in the generated block to interconnect the blocks. Conclusion: We demonstrated that blockchain can be used to store and deliver the patient information of stroke patients. It may be difficult to directly implement the code that we developed in the medical field, but it can serve as a starting point for the creation of a blockchain system to be used in the field.

깊이 영상 기반 적응적 체인 코드를 이용한 한자 학습 시스템 (Depth Image based Chinese Learning Machine System Using Adjusted Chain Code)

  • 김기상;최형일
    • 한국콘텐츠학회논문지
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    • 제14권12호
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    • pp.545-554
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    • 2014
  • 본 논문에서는 깊이 카메라를 이용한 실시간 사용자 한자 학습 시스템을 제안한다. 사용자 학습 방법으로는 사용자가 화면에서 손을 움직여 한자를 입력하고, 입력 제스처와 미리 저장된 템플릿을 매칭하여 사용자가 한자를 올바르게 썼는지 판단한다. 이를 위해 본 논문에서는 손가락 검출 및 검증을 통한 손 영역 검출 및 추적 방법과 스트로크의 연속성을 분석하기 위해 적응적 체인 코드를 제안한다. 손가락 검출로는 깊이 값을 이용하여 손 영역을 검출 후, 손가락의 축을 생성, 손가락의 두께를 이용하여 검증한다. 손 영역 추적으로 생성된 스트로크는 추적된 점들과 순서 그리고 길이 정보가 포함되어 있다. 이들을 이용하여 사용자가 올바른 입력을 했는지 확인하기 위해 적응적 체인 코드 방법을 제안한다. 이 방법은 매칭 속도와 스트로크 안에서 잘못 입력된 부분을 찾는데 매우 효율적이다. 실험 결과에서는 본 논문에서 제안한 시스템이 실시간으로 동작하며 학습 과정과 오류 검출에 매우 효과적임을 보여준다.

냉간단조용 친환경 수용성 윤활제의 개발 (Development of Environmentally Friendly Water-Soluble Lubricant for Cold Forging)

  • 이인수;강종훈;김영량;제진수;고대철;김병민
    • 한국소성가공학회:학술대회논문집
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    • 한국소성가공학회 2006년도 춘계학술대회 논문집
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    • pp.195-198
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    • 2006
  • Zinc phosphate coating is required in nearly all steel cold forging operations. However, the chemical byproducts of this lubricant system are difficult to dispose of and have a negative environmental impact. In order to replace zinc phosphate based lubricants partially or completely, candidate lubricant has been developed in this study. The performance evaluation of these lubricants was conducted using the double cup extrusion test and spike forging test. With the use of the commercial FEM code DEFORM, friction factor calibration curves, i.e. cup height ratio vs. punch stroke and spike height vs. punch stroke, were established for different friction factor values. By matching the cup height ratio and the punch stroke and spike height vs. punch stroke from experiment to that obtained from FE simulations, the friction factor of the lubricants was determined. Three water-soluble lubricants; namely, Mec Homat, Royalcoat, and the developed lubricant were found to perform comparable to or better than zinc phosphate.

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Real-World Impact of Modern Reperfusion Therapy for Acute Ischemic Stroke : A Nationwide Population-Based Data Study in Korea

  • Yung Ki Park;Byul-Hee Yoon;Yu Deok Won;Jae Hoon Kim;Hee In Kang
    • Journal of Korean Neurosurgical Society
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    • 제67권2호
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    • pp.186-193
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    • 2024
  • Objective : The treatment paradigm for acute ischemic stroke has undergone several major changes in the past decade, contributing to improved patient prognosis in clinical practice. However, the extent to which these changes have affected patient prognosis in the real-world is yet to be clarified. This study aimed to evaluate the real-world impact of modern reperfusion therapy for acute ischemic stroke using data from the National Health Insurance Service in Korea. Methods : This study included patients aged 18-80 years who were admitted via the emergency room with an I63 code between 2011 and 2020. The rates of intravenous thrombolysis use and endovascular treatment according to the year of admission were investigated. Furthermore, the rates of decompressive craniectomy and 3-month mortality were also analyzed. The 10-year observational period was divided into three periods based on the 2015 guideline change as follows : prior, 2011-2014; transitional, 2015-2016; and modern, 2017-2020. Results : A total of 307117 patients (mean age, 65.7±10.9 years) were included, and most patients were male (59.7%). The rate of endovascular treatment gradually increased during the study period from 0.71% in the prior period to 1.32% in the transitional period and finally to 1.85% in the modern period. Meanwhile, the 3-month mortality rate gradually decreased from 4.78% in the prior period to 4.03% in the transitional period and to 3.71% in the modern period. Conclusion : In Korea, the mortality rate decreased as the rate of modern reperfusion therapy increased in patients with acute ischemic stroke. Overall, technical and scientific advances in reperfusion therapy have improved the outcome of patients with acute ischemic stroke in Korea.

선박용 2행정 디젤기관의 성능시뮬레이션 프로그램 개발 (Development of Simulation Program of Two-Stroke Marine Diesel Engines)

  • 최재성;정찬호;조권회;이진욱;하태범;김형수
    • Journal of Advanced Marine Engineering and Technology
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    • 제34권1호
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    • pp.62-68
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    • 2010
  • 대기오염 및 지구온난화와 관련하여 디젤기관의 친환경, 고효율에 대한 요구가 선박기관에도 강화되고 있다. 이와 관련하여 많은 새로운 기술들이 연구, 적용되고 있으나, 이들은 주로 신조선에 관심이 집중되어 있다. 선박은 건조된 후 비교적 장기간 이용되기 때문에 이미 운항중인 현존선에 대하여도 이에 관한 연구가 필요하다고 판단되며 이는 주로 엔진성능의 개선에 관한 연구가 될 것이다. 이 논문은 선박용 2행정 디젤기관의 성능을 시뮬레이션 하기위한 프로그램을 개발한 결과를 보고한다. 현존선의 엔진성능은 운전시간의 경과에 따라 열화되어 가기 때문에 엔진의 열화성능을 예측할 수 있도록 한 것이 본 연구에서 개발된 프로그램의 특징이다. 예측결과는 엔진메이커에서 사용하고 있는 TOP-CODE 프로그램의 계산결과와 비교하였으며, 양호한 결과를 보이고 있음을 확인하였다.