Does Hip Bone Density Differ between Paretic and Non-Paretic Sides in Hemiplegic Stroke Patients? and Its Relationship with Physical Impairment

이후영,Jung Hyun Park,Hyanglim Lee,김태우,유승돈 대한골대사학회 2020 대한골대사학회지 Vol.27 No.4

Background: Bone loss after stroke escalates the risk of fractures, mainly in the hip, leading to further disability in individuals with stroke. We aimed to investigate the skeletal effect of bone mineral density (BMD) based on the duration of onset of stroke, compare the BMD of the paretic and non-paretic sides, and elucidate the relationship between BMD and disability variables. Methods: The 31 male hemiplegic stroke patients between 20 and 70 years of age with cerebral infarction or hemorrhage were considered in this study. Subacute and chronic cases included 13 and 18 patients with lag time from the onset of 1 to 6 months and beyond 6 months, respectively. BMD in the lumbar, paretic, and non-paretic hip as well as the disability variables were analyzed retrospectively. Results: The subacute group showed a significant reduction in the femoral neck BMD on the paretic side compared to that on the non-paretic side based on T-scores (P=0.013). Bone loss was significantly correlated with lower limb muscle strength and overall physical impairment (P<0.05). The chronic group demonstrated significant reduction in femur neck and total femur BMD on the paretic side compared to that on the non-paretic side based on T-scores (P=0.002 and P<0.001, respectively). T-scores of BMD in the chronic phase were not significantly associated with the clinical parameters. Conclusions: Early screening of bilateral hip BMD in the early stages after stroke, monitoring, and timely implementation of prevention strategies are important to minimize subsequent bone loss and prevent possible complications in patients who experience stroke.

Nutrition Management in Patients With Traumatic Brain Injury: A Narrative Review

이후영,Oh Byung-Mo 대한뇌신경재활학회 2022 뇌신경재활 Vol.15 No.1

Traumatic brain injury (TBI) is a major cause of long-term physical and psychological disability and death. In patients with TBI, undernutrition is associated with an increased mortality rate, more infectious complications, and worse neurologic outcomes. Therefore, timely and effective nutritional therapy is particularly crucial in the management of TBI to improve patients’ prognoses. This narrative review summarizes the issues encountered in clinical practice for patients with neurotrauma who receive acute and post-acute in-patient rehabilitation services, and it comprehensively incorporates a wide range of studies, including recent clinical practice guidelines (CPGs), with the aim of better understanding the current evidence for optimal nutritional therapy focused on TBI patients. Recent CPGs were reviewed for 6 topics: 1) hypermetabolism and variation in energy expenditure in patients with TBI, 2) delayed gastric emptying and intolerance to enteral nutrition, 3) decision-making on the route and timing of access in patients with TBI who are unable to maintain volitional intake (enteral nutrition versus parenteral nutrition), 4) decision-making on the enteral formula (standard or immune-modulating formulas), 5) glycemic control, and 6) protein support. We also identified areas that need further research in the future.

Rehabilitation for Impaired Attention in the Acute and Post-Acute Phase aAfter Traumatic Brain Injury: A Narrative Review

이후영,현성은,Byung-Mo Oh 대한신경손상학회 2023 Korean Journal of Neurotrauma Vol.19 No.1

Impaired attention is the most common and debilitating cognitive deficit following a traumatic brain injury (TBI). Attention is a fundamental function that profoundly influences the performance of other cognitive components such as memory and execution. Intriguingly, attention can be improved through cognitive rehabilitation. This narrative review summarizes the essential elements of rehabilitation for attention problems in acute and post-acute TBI. In the acute phase of mild TBI, investigations into the medical history and daily life performance, neurological examination, screening and management of concomitant sleep-wake disorders or neuropsychiatric disorders, and support and education on the natural course of concussion are covered. Rehabilitation for patients with moderate-to-severe TBI consists of serial assessment for patients with disorders of consciousness and a post-traumatic confusion state. In the post-acute phase after TBI, components of rehabilitation include investigating medical history; neurological, imaging, and electrophysiological tests; evaluation and treatment of factors that may impact attention, including sleep-wake, emotional, and behavioral disorders; evaluation of attention function; and cognitive rehabilitation as a matter of course. We summarized metacognitive strategy, direct attention training, computer-based cognitive interventions, medication, and environmental control as interventions to enhance attention.

도로터널 내 수소차 누출시나리오에 따른 가연영역에 대한 위험성분석 연구

이후영,유지오 사단법인 한국터널지하공간학회 2022 한국터널지하공간학회논문집 Vol.24 No.4

Hydrogen energy is emerging as an alternative to the depletion of fossil fuels and environmental problems, and the use of hydrogen vehicles is increasing in the automobile industry as well. However, since hydrogen has a wide flammability limit of 4 to 75%, there is a high concern about safety in case of a hydrogen car accident. In particular, in semi-enclosed spaces such as tunnels and underground parking lots, a fire or explosion accompanied by hydrogen leakage is highly likely to cause a major accident. Therefore, it is necessary to review hydrogen safety through analysis of flammability areas caused by hydrogen leakage. Therefore, in this study, the effect of the air velocity in the tunnel on the flammability area was investigated by analyzing the hydrogen concentration according to the hydrogen leakage conditions of hydrogen vehicles and the air velocity in the tunnel in a road tunnel with standard section. Hydrogen leakage conditions were set as one tank leaking and three tanks leaking through the TPRD atthe same time and a condition in which a large crack occurred and leaked. And the air velocity in the tunnel were considered 0, 1, 2.5, and 4.0 m/s. As a result of the analysis of the flammability area, it is shown that when the air velocity of 1 m/s or more exists, it is reduced by up to 25% compared to the case of air velocity of 0 m/s. But there is little effect of reducing the flammability area according to the increase of the wind speed. In particular, when a large crack occurs and completely leaks in about 2.5 seconds, the flammability area slightly increases as the air velocity increases. It was found that in the case of downward ejection, hydrogen gas remains under the vehicle for a considerably long time. 화석연료의 고갈과 환경문제의 대안으로 수소에너지가 부각되고 있으며, 자동차 산업에서도 수소차의 보급이 증가하고있다. 그러나 수소는 가연농도 범위가 4~75%로 넓은 가연영역을 가지고 있어 수소차 사고 시 안전에 대한 우려가 높은 실정이다. 특히, 터널이나 지하주차장과 같은 반밀폐 공간에서는 수소누출에 따른 화재나 폭발이 대형사고를 유발할 가능성이 높기 때문에 수소누출에 따른 가연영역 분석을 통해 수소 안전성에 대한 검토가 필요한 실정이다. 이에 본 연구에서는 표준단면의 도로터널에서 수소차량의 수소 누출조건과 터널 내 풍속에 따른 수소농도 해석을 수행하여 터널 내 풍속이 가연영역에 미치는 영향을 검토하였다. 수소의 누출조건은 1개의 탱크와 3개의 탱크가 통시에 TPRD를 통해 누출되는 조건과 대형크랙이 발생하여 누출하는 조건으로 하였으며, 터널 내 풍속은 0, 1, 2.5, 4.0 m/s를 고려하였다. 가연영역에 대한 검토결과, 1 m/s 이상의 풍속이 존재하는 경우에는 풍속이 없는 경우와 비교하여 최대 25%수준까지 감소하는것으로 나타나고 있으며, 풍속증가에 따른 가연영역의 감소효과는 거의 없는 것으로 나타나고 있다. 특히 대형크랙이 발생하여 약 2.5초 만에 완전히 누출되는 경우에는 풍속이 증가하면 가연영역이 약간 증가하는 것으로 나타나고 있다. 또 한 하향 분출되는 경우에 풍속이 작은 차량하부 영역에 수소가스가 상당히 긴 시간동안 잔류하는 것으로 분석되었다.

Modification and Mechnical Properties of PLA / PBAT Blends

이후영,박해영,노태경,이동현,김상구,서관호 한국고분자학회 2012 한국고분자학회 학술대회 연구논문 초록집 Vol.2012 No.4

KEPCO"s AMI System & Application

이후영,이중호 대한전기학회 2015 대한전기학회 학술대회 논문집 Vol.2015 No.5

KEPCO Smart Grid 확산사업의 경제성 분석

이후영,김경환,황우현 대한전기학회 2013 대한전기학회 학술대회 논문집 Vol.2013 No.11

조세심판 문서 검색 효율 향상 모델에 관한 연구

이후영,박구락,김동현 한국융합학회 2019 한국융합학회논문지 Vol.10 No.6

It is very important to search for and obtain an example of a similar judgment in case of court judgment. The existing judge's document search uses a method of searching through key-words entered by the user. However, if it is necessary to input an accurate keyword and the keyword is unknown, it is impossible to search for the necessary document. In addition, the detected document may have different contents. In this paper, we want to improve the effectiveness of the method of vectorizing a document into a three-dimensional space, calculating cosine similarity, and searching close documents in order to search an accurate judge's example. Therefore, after analyzing the similarity of words used in the judge's example, a method is provided for extracting the mode and inserting it into the text of the text, thereby providing a method for improving the cosine similarity of the document to be retrieved. It is hoped that users will be able to provide a fast, accurate search trying to find an example of a tax-related judge through the proposed model. 조세 심판에 대한 선결정례는 법원 판례의 경우 유사 심판례를 검색하여 파악하는 것이 매우 중요한 상황이다. 그러나 기존 심판문에 대한 검색은 사용자가 입력하는 키워드를 통하여 검색하는 방법을 사용하고 있으나, 정확한 키워드의 입력이 필요하며, 키워드를 모르는 경우 필요한 문서를 검색하는 것은 불가능하다. 또한 검색된 문서 중에는 내용이 다른 경우도 발생한다. 이에 본 논문에서는 정확한 심판례의 검색을 위하여 문서를 3차원 공간에 벡터화하고, 코사인 유사도를 계산하여, 거리상 가까운 문서를 검색하는 방법의 효율성을 향상시키기 위하여 심판례에서 사용되고 있는 단어들의 유사도를 분석한 후, 최빈값을 추출하여 본문의 텍스트에 삽입하는 방법으로 검색하고자 하는 문서의 코사인 유사도를 향상시키는 방안을 제안한다. 제안 모델을 통하여 조세와 관련된 심판례를 검색하고자 하는 사용자에게 신속하고, 정확한 검색을 제공할 수 있을 것으로 기대된다.

오프라인 마켓에 적용 가능한 빅데이터 분석 시스템 구축 방안에 관한 연구

이후영,박구락,김동현 한국디지털정책학회 2016 디지털융복합연구 Vol.14 No.9

Big Data is now seen as a major asset in the company's competitiveness, its influence in the future is expected to grow. Companies that recognize the importance are already actively engaged with Big Data in product development and marketing, which are increasingly applied across sectors of society, including politics, sports. However, lack of knowledge of the system implementation and high costs are still a big obstacles to the introduction of Big Data and systems. It is an objective in this study to build a Big Data system, which is based on open source Hadoop and Hive among Big Data systems, utilizing POS sales data of small and medium-sized offline markets. This approach of convergence is expected to improve existing sales systems that have been simply focusing on profit and loss analysis. It will also be able to use it as the basis for the decisions of the executive to enable prediction of the consumption patterns of customer preference and demand in advance. 빅데이터는 현재 기업 경쟁력의 주요 자산으로 여겨지고 있고 향후에 그 영향력은 더욱 확대될 것으로 전망된다. 그 중요성을 인식한 기업들은 이미 빅데이터를 제품 개발과 마케팅에 적극적으로 활용하고 있으며 정치, 스포츠 등 사회 전반에 걸쳐 적용분야는 점점 늘어나고 있다. 그러나 시스템 구축에 따른 노하우 부족과 고비용은 빅데이터 시스템 도입에 여전히 큰 장애가 되고 있다. 본 논문에서는 중소규모 오프라인 마켓의 POS 판매 데이터를 빅데이터 시스템 중 오픈소스인 하둡(Hadoop) 및 하이브(Hive)를 기반으로 하는 빅데이터 시스템 구현을 목표로 한다. 이러한 융복합을 통해 단순히 손익분석과 재고관리 등에 집중되었던 기존 판매 시스템을 보완하여 고객의 소비 패턴과 선호도 조사, 수요에 대한 사전 예측이 가능하도록 하는 경영자의 합리적인 의사결정에 기초자료로 활용할 수 있을 것으로 기대된다.

CNN(Convolutional Neural Network) 알고리즘을 활용한 음성신호 중 비음성 구간 탐지 모델 연구

이후영 중소기업융합학회 2021 융합정보논문지 Vol.11 No.6

음성인식 기술은 딥러닝과 결합되며 빠른 속도로 발전하고 있다. 특히 음성인식 서비스가 인공지능 스피커, 차량 용 음성인식, 스마트폰 등의 각종 기기와 연결되며 음성인식 기술이 산업의 특정 분야가 아닌 다양한 곳에 활용되고 있다. 이러한 상황에서 해당 기술에 대한 높은 기대 수준을 맞추기 위한 연구 역시 활발히 진행되고 있다. 그중에서 자연어처리 (NLP, Natural Language Processing)분야에서 음성인식 인식률에 많은 영향을 주는 주변의 소음이나 불필요한 음성신 호를 제거하는 분야에 연구가 필요한 상황이다. 이미 많은 국내외 기업에서 이러한 연구를 위해 최신의 인공지능 기술을 활용하고 있다. 그중에서 합성곱신경망 알고리즘(CNN)을 활용한 연구가 활발하게 진행되고 있다. 본 연구의 목적은 합성 곱 신경망을 통해서 사용자의 발화구간에서 비음성 구간을 판별하는 것으로 5명의 발화자의 음성파일(wav)을 수집하여 학습용 데이터를 생성하고 이를 합성곱신경망을 활용하여 음성 구간과 비음성 구간을 판별하는 분류 모델을 생성하였다. 이후 생성된 모델을 통해 비음성 구간을 탐지하는 실험을 진행한 결과 94%의 정확도를 얻었다. Speech recognition technology is being combined with deep learning and is developing at a rapid pace. In particular, voice recognition services are connected to various devices such as artificial intelligence speakers, vehicle voice recognition, and smartphones, and voice recognition technology is being used in various places, not in specific areas of the industry. In this situation, research to meet high expectations for the technology is also being actively conducted. Among them, in the field of natural language processing (NLP), there is a need for research in the field of removing ambient noise or unnecessary voice signals that have a great influence on the speech recognition recognition rate. Many domestic and foreign companies are already using the latest AI technology for such research. Among them, research using a convolutional neural network algorithm (CNN) is being actively conducted. The purpose of this study is to determine the non-voice section from the user's speech section through the convolutional neural network. It collects the voice files (wav) of 5 speakers to generate learning data, and utilizes the convolutional neural network to determine the speech section and the non-voice section. A classification model for discriminating speech sections was created. Afterwards, an experiment was conducted to detect the non-speech section through the generated model, and as a result, an accuracy of 94% was obtained.