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Obtaining Informed Consent Using Patient Specific 3D Printing Cerebral Aneurysm Model

  • Kim, Pil Soo;Choi, Chang Hwa;Han, In Ho;Lee, Jung Hwan;Choi, Hyuk Jin;Lee, Jae Il
    • Journal of Korean Neurosurgical Society
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    • v.62 no.4
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    • pp.398-404
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    • 2019
  • Objective : Recently, three-dimensional (3D) printed models of the intracranial vascular have served as useful tools in simulation and training for cerebral aneurysm clipping surgery. Precise and realistic 3D printed aneurysm models may improve patients' understanding of the 3D cerebral aneurysm structure. Therefore, we created patient-specific 3D printed aneurysm models as an educational and clinical tool for patients undergoing aneurysm clipping surgery. Herein, we describe how these 3D models can be created and the effects of applying them for patient education purpose. Methods : Twenty patients with unruptured intracranial aneurysm were randomly divided into two groups. We explained and received informed consent from patients in whom 3D printed models-(group I) or computed tomography angiography-(group II) was used to explain aneurysm clipping surgery. The 3D printed intracranial aneurysm models were created based on time-of-flight magnetic resonance angiography using a 3D printer with acrylonitrile-butadiene-styrene resin as the model material. After describing the model to the patients, they completed a questionnaire about their understanding and satisfaction with aneurysm clipping surgery. Results : The 3D printed models were successfully made, and they precisely replicated the actual intracranial aneurysm structure of the corresponding patients. The use of the 3D model was associated with a higher understanding and satisfaction of preoperative patient education and consultation. On a 5-point Likert scale, the average level of understanding was scored as 4.7 (range, 3.0-5.0) in group I. In group II, the average response was 2.5 (range, 2.0-3.0). Conclusion : The 3D printed models were accurate and useful for understanding the intracranial aneurysm structure. In this study, 3D printed intracranial aneurysm models were proven to be helpful in preoperative patient consultation.

A Study on the determination of the optimal resolution for the application of the distributed rainfall-runoff model to the flood forecasting system - focused on Geumho river basin using GRM (분포형 유역유출모형의 홍수예보시스템 적용을 위한 최적해상도 결정에 관한 연구 - GRM 모형을 활용하여 금호강 유역을 중심으로)

  • Kim, Sooyoung;Yoon, Kwang Seok
    • Journal of Korea Water Resources Association
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    • v.52 no.2
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    • pp.107-113
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    • 2019
  • The flood forecasting model currently used in Korea calculates the runoff of basin using the lumped rainfall-runoff model and estimates the river level using the river and reservoir routing models. The lumped model assumes homogeneous drainage zones in the basin. Therefore, it can not consider various spatial characteristics in the basin. In addition, the rainfall data used in lumped model also has the same limitation because of using the point scale rainfall data. To overcome the limitations as mentioned above, many researchers have studied to apply the distributed rainfall-runoff model to flood forecasting system. In this study, to apply the Grid-based Rainfall-Runoff Model (GRM) to the Korean flood forecasting system, the optimal resolution is determined by analyzing the difference of the results of the runoff according to the various resolutions. If the grid size is to small, the computation time becomes excessive and it is not suitable for applying to the flood forecasting model. Even if the grid size is too large, it does not fit the purpose of analyzing the spatial distribution by applying the distributed model. As a result of this study, the optimal resolution which satisfies the accuracy of the bsin runoff prediction and the calculation speed suitable for the flood forecasting was proposed. The accuracy of the runoff prediction was analyzed by comparing the Nash-Sutcliffe model efficiency coefficient (NSE). The optimal resolution estimated from this study will be used as basic data for applying the distributed rainfall-runoff model to the flood forecasting system.

The Clinical Effect of School Sand Play Group Counseling on Child Emotion and Behavior (학교모래놀이 집단상담이 아동의 정서, 행동에 미치는 임상효과)

  • Kwak, Hyeon Jeong;An, Un Kyoung;Han, Kil Ja;Lim, Myung Ho
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.54-61
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    • 2018
  • The study was to identify the clinical effects of school sandplay group counseling on the emotions and behavior of elementary school students for the first time in Korea. The method of survey is to consult 113 students in the 4th - 6th grade of ${\bigcirc}{\bigcirc}$ elementary school for 10 weeks from March to July 2015. The small group consisted of 10 to 16 children, with one principal counselor and three or four assistant counselors participating, with 40 minutes of treatment, and a total of 12 follow-up sessions, including the Baseline assessment and treatment sessions. It was conducted to 56 male(49.6%) and 57 female(50.4%) students with questionnaires for their sex and age, assessing KCYP results at the point of baseline and post-therapeutic condition. A comparison of the clinical and detailed assessment scale scores of KCYP before and after 12 weeks of Sandplay resulted in a significant effects in improved and reduced symptoms depression of elementary school students after the school sandplay group counseling. School sandplay group counseling is thought to help elementary school students emotional problems and self-esteem.

Architecture Model of IOT Based Smart Animal Farms in Pakistan (파키스탄에서 IOT에 기반한 스마트 동물 농장의 아키텍처 모델)

  • Mateen, Ahamed;Zhu, Qingsheng;Afsar, Salman;Nazeer, Farah
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.6
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    • pp.43-52
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    • 2018
  • Livestock production is the second largest economic activity of Pakistan's rural population, more specifically; sixty-seven percent of Pakistan's total population that live in rural areas sources their income from livestock activities. As this subsector of agriculture within rural Pakistan is so critical to Pakistan's economy it is especially important to further develop the sector through the introduction of cost effective, efficient, and practical technologies. In an effort to improve such an important sector within the agriculture sector in Pakistan research has been carried out to better understand the capabilities and feasibility of leveraging Internet of Things based technologies, such as, microprocessors and microcontrollers within Pakistan's livestock production and management. The internet of Things can potentially allow for the scaling of small-scale rural livestock production to larger operations through cost effective and efficient livestock management through the application of IoT technologies. This paper discusses the architecture models of IoT based smart animal farms and delves into the pitfalls and advantages of applying IoT technologies in this sector. In this work we will explore the cheap sensors to monitor the internal activities of cattle farm with the aim of using these sensors as part of system to detect the important operations that need on the time response. This system should provide the feed and water as required, and control the temperature in sheds to protect the cattle being ill and on heat, and humidity level .internet connection used to connect these devices with smartphones or computers. In this paper we proposed the architecture model of IoT based smart animal farm.

An Approach for the Antarctic Polar Front Detection and an Analysis for itsVariability (남극 극 전선 탐지를 위한 접근법과 변동성에 대한 연구)

  • Park, Jinku;Kim, Hyun-cheol;Hwang, Jihyun;Bae, Dukwon;Jo, Young-Heon
    • Korean Journal of Remote Sensing
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    • v.34 no.6_2
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    • pp.1179-1192
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    • 2018
  • In order to detect the Antarctic Polar Front (PF) among the main fronts in the Southern Ocean, this study is based on the combinations of satellite-based sea surface temperature (SST) and height (SSH) observations. For accurate PF detection, we classified the signals as front or non-front grids based on the Bayesian decision theory from daily SST and SSH datasets, and then spatio-temporal synthesis has been performed to remove primary noises and to supplement geographical connectivity of the front grids. In addition, sea ice and coastal masking were employed in order to remove the noise that still remains even after performing the processes and morphology operations. Finally, we selected only the southernmost grids, which can be considered as fronts and determined as the monthly PF by a linear smoothing spline optimization method. The mean positions of PF in this study are very similar to those of the PFs reported by the previous studies, and it is likely to be well represents PF formation along the bottom topography known as one of the major influences of the PF maintenance. The seasonal variation in the positions of PF is high in the Ross Sea sector (${\sim}180^{\circ}W$), and Australia sector ($120^{\circ}E-140^{\circ}E$), and these variations are quite similar to the previous studies. Therefore, it is expected that the detection approach for the PF position applied in this study and the final composite have a value that can be used in related research to be carried out on the long term time-scale.

The Development of XML Message for Status Tracking the Importing Agrifoods During Transport by UBL (UBL 기반 수입농수산물 운송 중 상태 모니터링을 위한 XML 메시지 개발)

  • Ahn, Kyeong Rim;Ryu, Heeyoung;Lee, Hochoon;Park, Chankwon
    • The Journal of Society for e-Business Studies
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    • v.23 no.3
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    • pp.159-171
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    • 2018
  • The imported foods, which are imported and sold domestically, are on the rise every year, and the scale is expected to be larger, including processing the imported raw materials. However, the origin of raw materials is indicated when declaring cargo for finished products of agricultural products, but the standardization of inspection information management system for raw materials is insufficient. In addition, there is a growing concern about the presence of residual pesticides or radioactivity in raw materials or products, and customer want to know production history information when purchasing agrifoods. It manages the hazard analysis of imported agricultural products, but most of them are global issues such as microorganisms, residual pesticides, food additives, and allergy components, etc. Therefore, it is necessary to share among the logistics entities in the entire transportation process the related data. Additionally, to do this, it needs to design an architecture and standardize business model. In this paper, it defines the architecture and the work-flow that occurs between the business process for collecting, processing, and processing information for tracking the status of imported agricultural products by steps, and develops XML message with UBL and the extracted conceptual information model. It will be easy to exchange and share information among the logistics entities through the defined standard model and it will be possible to establish visibility, reliability, safety, and freshness system for transportation of agricultural products requiring real-time management.

Dual CNN Structured Sound Event Detection Algorithm Based on Real Life Acoustic Dataset (실생활 음향 데이터 기반 이중 CNN 구조를 특징으로 하는 음향 이벤트 인식 알고리즘)

  • Suh, Sangwon;Lim, Wootaek;Jeong, Youngho;Lee, Taejin;Kim, Hui Yong
    • Journal of Broadcast Engineering
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    • v.23 no.6
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    • pp.855-865
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    • 2018
  • Sound event detection is one of the research areas to model human auditory cognitive characteristics by recognizing events in an environment with multiple acoustic events and determining the onset and offset time for each event. DCASE, a research group on acoustic scene classification and sound event detection, is proceeding challenges to encourage participation of researchers and to activate sound event detection research. However, the size of the dataset provided by the DCASE Challenge is relatively small compared to ImageNet, which is a representative dataset for visual object recognition, and there are not many open sources for the acoustic dataset. In this study, the sound events that can occur in indoor and outdoor are collected on a larger scale and annotated for dataset construction. Furthermore, to improve the performance of the sound event detection task, we developed a dual CNN structured sound event detection system by adding a supplementary neural network to a convolutional neural network to determine the presence of sound events. Finally, we conducted a comparative experiment with both baseline systems of the DCASE 2016 and 2017.

Establishment Model of Entrance and Exit User of Urban Railway Station (도시철도역 출입구 유출입 이용자 추정 모형 수립)

  • Kim, Hwang Bae;Lee, Sang Hwa;Bae, Choon Bong
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.39 no.1
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    • pp.81-91
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    • 2019
  • Although the number of users of urban railways is greatly influenced by the land use plan around the railway station, Korea has been studying this problem in a small scale, so that the entrance width is uniformly calculated irrespective of the land use plan, And there is little deviation. Therefore, this study aims to establish a demand estimation model for the entrance and exit of urban railway stations. For this purpose, the demand, land use area, and socioeconomic indicators for each of the 20 urban railway stations were surveyed at 200m and 500m Regression model. The model is based on the assumption that the dependent variable (response variable) of the model is set to 1 day, peak 1 hour, peak time 5 minutes, Education, and park) and socioeconomic indicators (population, employer, employee, and student) as independent variables (explanatory variables). As a result, it was analyzed that the fit of the model is more statistically significant when the use area of the land use by 500 meters of the center radius of the city rail is used as an independent variable and the demand for the daily use of the railway station is used as a dependent variable. The purpose of this study is to estimate the optimal size of urban railway entrance in order to improve the mobility of the user and the transportation weak in urban railway station.

The Effectiveness and Safety of Acupuncture for Recovery of Patients with Vertebral Compression Fractures: A Systematic Review and Meta-analysis (척추 압박 골절 환자의 회복에 대한 침 치료의 유효성 및 안전성 평가: 체계적 문헌 고찰과 메타분석)

  • Bae, Ji min;Lee, Myeong su;Choi, Ji won;Yang, Gi young;Kim, Kun hyung
    • Korean Journal of Acupuncture
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    • v.36 no.1
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    • pp.1-18
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    • 2019
  • Objectives : The purpose of this study was to evaluate the effectiveness and safety of acupuncture treatment for recovery of patients with vertebral compression fracture(VCF). Methods : We searched ten English and Chinese and seven Korean database up to April 2018. Randomised controlled trials(RCTs), quasi-RCTs, non-radomised Controlled Trials(CCTs) were eligible. Quasi-RCTs and CCTs were assessed only for safety assessment. Pain and adverse events were primary outcome of this review. Quality of life, dysfunction, patient satisfaction, incidence of new vertebral compression fracture were regarded as secondary outcomes. The risk of bias was assessed by two independent authors using the Cochrane risk of bias tool. Level of evidence was tabulated using the GRADE methods. Results : Of 1656 screened, 15 RCTs, 1 quasi-RCT and 3 CCTs were included. Number of participants per study ranged from 45 to 135. Most of the studies had unclear or high risk of bias and considerable heterogeneity in terms of type of intervention, comparison and time-points for outcome measurement. Compared to usual care alone, acupuncture combined with usual care showed short-term favorable results for pain relief in patients with VCF(5 studies, n=252, MD -1.05 point on a 0 to 10 point scale, 95% CI -1.45 to -0.65, $I^2=74%$). Four studies reported mild and temporary adverse events, and no serious adverse events were reported. One study descriptively reported that acupuncture was effective for improving quality of life without providing numerical outcomes. There were no reports of patient satisfaction and incidence of new VCF. Conclusions : Level of evidence is very low for the effectiveness and safety of acupuncture for pain, harms and other clinical outcomes in patients with VCF. Included studies suffered from incomplete reporting, high or unclear risk of bias and substantial heterogeneity between studies. Future high-quality RCTs are needed to assess whether acupuncture is beneficial for recovery of patients with VCF.

Factors Affecting Emotional Status and Suicidal Risk in Hospitalized Medical Patients (일 종합병원 입원 환자의 자살 위험도 및 정서 상태에 영향을 미치는 요인 연구)

  • Lee, Jeon-Ho;Lee, Jong-Ha;Mok, Young-Eun;Lee, Ho-Jun;Jung, Hyun-Gang;Kim, Seung-Hyun;Lee, Moon-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.127-134
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    • 2018
  • Objectives : This study aimed to identify the group with high risk of suicide in general hospital inpatient by comparing the depression, anxiety, and distress and their clinical characteristics. Methods : The study included all patients admitted to a general hospital between January 2016 and December 2017, and the final 41,249 patients were analyzed. Distress thermometer (DT) and hospital anxiety-depression scale (HADS) were used for emotional state evaluation. Group with high risk of suicide was defined as showing more than 4 in the DT and more than 8 in one of the two subscales (anxiety and depression) of the HADS. Results : Among the subjects, 3,603 patients (8.7%) met the high-risk criteria for suicide. The group with high risk of suicide experienced more severe pain than the control patient group, and it was found that there was more underlying disease. Patients who reported pain showed higher scores than those who reported no pain on the DT and HADS subscales. Conclusions : Group with high risk of suicide showed more severe pain and more underlying disease. Therefore, suicide prevention program specifically targeted for the group with high risk of suicide should be developed according to the risk of the patient evaluated at the time of the admission.