• Journal of Bone Metabolism
• /
• v.25 no.4
• /
• pp.213-217
• /
• 2018

Patients with gastrointestinal disease (GI) are at risk for osteopenia or osteoporosis, which can lead to fractures. Although these patients may be at risk from a young age, gastroenterologists often overlook this fact in practice. There are well-known GI diseases associated with osteopenia and osteoporosis, such as the post-gastrectomy state, inflammatory bowel disease (IBD), and celiac disease. As there is an increase in the prevalence of IBD patients, newly diagnosed celiac disease in adulthood, and gastric cancer survivors following gastrectomy, bone disease in these patients becomes an important issue. Here, we have discussed osteoporosis and fractures in GI disease, especially in the postgastrectomy state, IBD, and celiac disease. Although the pathogenesis of bone loss in each disease has not been fully identified, we have confirmed that the prevalence of osteoporosis and fractures in each of these diseases is high. There are scarce studies comparing the prevalence of osteoporosis or osteoporotic fractures in GI disease patients with studies in postmenopausal women, and specific guidelines for their management in each disease have not been established. Intensive surveillance and management are needed to ensure that these patients attain peak bone mass for age and sex to prevent fractures.

• Research in Community and Public Health Nursing
• /
• v.29 no.4
• /
• pp.510-519
• /
• 2018

Purpose: The purpose of this meta-analysis isto identify social psychological factors related to quality of life and estimate the effect sizes of the factors among patients with strokes. Methods: Thirteen studies with a total of 1,814 patients published from the earliest records to January 8, 2017 were selected through a systematic process of searching the literature, and evaluated against influencing factors of quality of life and their effect sizes. Pooled effect sizes were calculated using the random effect model. Meta-analysis was conducted by R software. Results: The following influencing factors had a strong association with quality of life with stroke: depression (r=-.50; 95% CI: -0.63~-0.46), activities of daily living (r=.46; 95% CI: 0.35~0.56), and social support (r=.40; 95% CI: 0.24~0.53). Conclusion: The findings confirm that depression, activities of daily living and social support are associated with quality of life among patients with stroke survivors. We recommend that any intervention program to improve the quality of life with stroke patients consider addressing these modifiable influencing factors.

• Journal of Oriental Neuropsychiatry
• /
• v.32 no.1
• /
• pp.39-53
• /
• 2021

Objectives: To analyze the reports of qualitative research about natural disasters in Korea. Methods: Nine published qualitative research studies were selected for the analysis. The selected reports were analyzed by Consolidated Criteria for Reporting Qualitative Research (COREQ), a reporting guideline for qualitative research. In addition, each subject of the study was qualitatively synthesized. Results: In the quality assessment using COREQ, detailed information about the researchers were insufficient. The results of the studies were integrated into six themes: "Disaster experience", "Disaster damage", "Dealing with disasters", "Disaster compensation issues", "Arbitration Resources", and "Post-disaster change". Conclusions: In further qualitative research on natural disasters, it is necessary to report the research according to the COREQ checklist. Based on the results of this study, continuous attention and research are needed to explore the areas of Korean medicine care in the event of a disaster.

• Journal of Information Processing Systems
• /
• v.17 no.6
• /
• pp.1097-1114
• /
• 2021

The primary objective of this work was to discover a solution for the survival of people in an emergency flood. The geographical information was obtained from remote sensing techniques. Through helpline numbers, people who are in need request support. Although, it cannot be ensured that all the people will acquire the facility. A proper link is required to communicate with people who are at risk in affected areas. Mobile sensor networks with field-programmable gate array (FPGA) self-configurable radios were deployed in damaged areas for communication. Ad-hoc networks do not have a centralized structure. All the mobile nodes deploy a temporary structure and they act as a base station. The mobile nodes are involved in searching the spectrum for channel utilization for better communication. FPGA-based techniques ensure seamless communication for the survivors. Timely help will increase the survival rate. The received signal strength is a vital factor for communication. Cognitive radio ensures channel utilization in an effective manner which results in better signal strength reception. Frequency band selection was carried out with the help of the GRA-MADM method. In this study, an analysis of signal strength for different mobile sensor nodes was performed. FPGA-based implementation showed enhanced outcomes compared to software-based algorithms.

• Journal of Korean Neurosurgical Society
• /
• v.65 no.6
• /
• pp.841-845
• /
• 2022

Objective : Chiari III malformations are extremely rare hindbrain malformations that are associated with a high early mortality rate, or severe neurologic deficits in the survivors. The treatment is early operative closure and cerebrospinal fluid diversion (CSF) shunting. Methods : We operated on 15 patients by repair and excision between July 2014 till June 2020 and retrospective data collection was done. Only one patient doesn't need ventriculoperitoneal (VP) shunt and the other 14 patients need a VP shunt. We described stepwise dissection and untethering of the cerebellum from the bony edge to regrowth and herniation of cerebellum again into this potential space and simple dural closure or repair with graft was done. Results : We started with VP in eight patients (53%) and the other seven patients (46.7%) started with excision and then six patients need VP shunt later on because four patients developed CSF leak and two patients developed increased high intracranial tension. Only four patients (26.7%) needed a blood transfusion. Conclusion : There are variations in the outcome and not all cases of Chiari malformation III will die and severe developmental delay is not a must. Proper management and repair carry a good prognosis.

• Journal of Sensor Science and Technology
• /
• v.31 no.1
• /
• pp.64-68
• /
• 2022

Herein, we propose a LoRaWAN-based small draft system that can measure the ocean current flow (speed, direction, and distance) in real time at the request of the Coast Guard to develop a device that can promptly find survivors at sea. This system has been implemented and verified in the early stages of rescue after maritime vessel accidents, which are frequent. GPS signals often transmit considerable errors, so correction algorithms using the improved triangulation method algorithm are required to accurately indicate the direction of currents in real time. This paper is structured in the following manner. The introduction section elucidates rescue activities in the case of a maritime accident. Chapter 2 explains the characteristics and main parameters of the GPS surveying technique and LoRaWAN communication, which are related studies. It explains and expands on the critical distance error correction algorithm for GPS signals and its improvement. Chapter 3 discusses the design and analysis of small draft buoys. Chapter 4 presents the testing and validation of the implemented system in both onshore and offshore environments. Finally, Section 5 concludes the study with the expected impact and effects in the future.

• Clinical and Experimental Pediatrics
• /
• v.64 no.12
• /
• pp.608-618
• /
• 2021

Hypoxic-ischemic encephalopathy (HIE) is the most common cause of neonatal encephalopathy with a global incidence of approximately 1 to 8 per 1,000 live births. Neonatal encephalopathy can cause neurodevelopmental and cognitive impairments in survivors of hypoxic-ischemic insults with and without functional motor deficits. Normal neurodevelopmental outcomes in early childhood do not preclude cognitive and behavioral difficulties in late childhood and adolescence because cognitive functions are not yet fully developed at this early age. Therapeutic hypothermia has been shown to significantly reduced death and severe disabilities in term newborns with HIE. However, children treated with hypothermia therapy remain at risk for cognitive impairments and follow-up is necessary throughout late childhood and adolescence. Novel adjunctive neuroprotective therapies combined with therapeutic hypothermia may enhance the survival and neurodevelopmental outcomes of infants with HIE. The extent and severity of brain injury on magnetic resonance imaging might predict neurodevelopmental outcomes and lead to targeted interven tions in children with a history of neonatal encephalopathy. We provide a summary of the long-term cognitive outcomes in late childhood and adolescence in children with a history of HIE and the association between pattern of brain injury and neurodevelopmental outcomes.

• Journal of Oriental Neuropsychiatry
• /
• v.34 no.1
• /
• pp.43-59
• /
• 2023

Objectives: Although a manual for a disaster medical support using Korean medicine doctors for disaster survivors has been developed, education programs for using the manual in disaster situations need to be developed. Thus, the purpose of this study was to analyze existing online education programs for disaster mental health to develop education programs for Korean medicine doctors. Methods: We conducted website searching for disaster mental health education programs using Google. Compositions, contents, hours, methods, costs, organizers, and targets of included educational programs were analyzed qualitatively. Results: After searching, eight websites among a total of 64 were included for the analysis. Lectures consisted of Psychological First Aid, Skills for Psychological Recovery, Self-Care, and Psychological Education after a disaster experience. Training hours for each program ranged from 30 minutes to 31 hours. All lectures were given only online. They could only be taken online. Free lectures were the most common ones. Most of them were for the general public. Conclusions: Findings of this study provide information regarding trends of online education programs for disaster mental health. Our information could be used for developing disaster trauma response education programs for Korean medicine doctors in the future.

• Journal of Environmental Health Sciences
• /
• v.49 no.1
• /
• pp.1-10
• /
• 2023

Low-dose radiation exposure has received considerable attention because it reflects the general public's type and level of exposure. Still, controversy remains due to the relatively unclear results and uncertainty in risk estimation compared to high-dose radiation. However, recent epidemiological studies report direct evidence of health effects for various types of low-dose radiation exposure. In particular, international nuclear workers' studies, CT exposure studies, and children's cancer studies on natural radiation showed significantly increased cancer risk among the study populations despite their low-dose radiation exposure. These studies showed similar results even when the cumulative radiation dose was limited to an exposure group of less than 100 mGy, demonstrating that the observed excess risk was not affected by high exposure. A linear dose-response relationship between radiation exposure and cancer incidence has been observed, even at the low-dose interval. These recent epidemiological studies include relatively large populations, and findings are broadly consistent with previous studies on Japanese atomic bomb survivors. However, the health effects of low-dose radiation are assumed to be small compared to the risks that may arise from other lifestyle factors; therefore, the benefits of radiation use should be considered at the individual level through a balanced interpretation. Further low-dose radiation studies are essential to accurately determining the benefits and risks of radiation.

• The Journal of Korea Robotics Society
• /
• v.18 no.4
• /
• pp.376-384
• /
• 2023

In this paper, we introduce an upper extremity rehabilitation robot, NREH (NRC End-effector based Rehabilitation arm at Home). Through NREH, stroke survivors could continuously exercise their upper extremities at home. NREH allows a user to hold the handle of the end-effector of the robot arm. NREH is a end-effector-based robot that moves the arm on a two-dimensional plane, but the tilt angle can be adjusted to mimic a movement similar to that in a three-dimensional space. Depending on the tilting angle, it is possible to perform customized exercises that can adjust the difficulty for each user. The user can sit down facing the robot and perform exercises such as arm reaching. When the user sits 90 degrees sideways, the user can also exercise their arms on a plane parallel to the sagittal plane. NREH was designed to be as simple as possible considering its use at home. By applying error augmentation, the exercise effect can be increased, and assistance force or resistance force can be applied as needed. Using an encoder on two actuators and a force/torque sensor on the end-effector, NREH can continuously collect and analyze the user's movement data.