Purpose: In the event of mass casualties, triage must be done promptly and accurately so that as many patients as possible can be recovered and returned to the battlefield. However, medical personnel have received many tasks with less manpower, and the battlefield for classifying patients is too complex and uncertain. Therefore, we studied an artificial intelligence model that can assist and replace medical personnel on the battlefield. Method: The triage model is presented using reinforcement learning, a field of artificial intelligence. The learning of the model is conducted to find a policy that allows as many patients as possible to be treated, taking into account the condition of randomly set patients and the medical capability of the military hospital. Result: Whether the reinforcement learning model progressed well was confirmed through statistical graphs such as cumulative reward values. In addition, it was confirmed through the number of survivors whether the triage of the learned model was accurate. As a result of comparing the performance with the rule-based model, the reinforcement learning model was able to rescue 10% more patients than the rule-based model. Conclusion: Through this study, it was found that the triage model using reinforcement learning can be used as an alternative to assisting and replacing triage decision-making of medical personnel in the case of mass casualties.
The purposes of this study were to 1) develop fluid intake enhancing program for the institutionalized elderly and 2) examine the effect of fluid intake enhancing program on amount of daily fluid consumed, urine specific gravity, and urine color. Data were collected from 39 nursing home residents in a nursing home located in urban Chung-chung providence. With a convenient sample of 39 nursing home residents, consecutive three days of 24 hour fluid intake, were measured and recorded. Urine samples were obtained and urine specific gravity, urine color were analyzed at pre-intervention, 4 weeks, and 6 weeks following the intervention. When compared to pre-intervention, the average amount of daily fluid intake was significantly increased at 4 weeks and 6 weeks following the intervention. The proportion of subjects who consumed less than Adequate Intake(AI) was 35.9% at pre-intervention and was decreased to 10.3%, 7.7%. In conclusion, inadequate fluid intake among institutionalized elderly is prevalent. From careful employment of the fluid intake enhancing program, increase in fluid consumption among institutionalized elderly can be expected.
Park, Seok Won;Kim, Hwang Min;Kim, Jong Soo;Cha, Jae Kuk;Lee, Hae Ran
Clinical and Experimental Pediatrics
/
v.45
no.5
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pp.588-595
/
2002
Purpose : The incidence of obesity has increased in Korea recently. Obesity leads to higher risks of hypertension, hyperlipidemia and insulin resistance. It also leads to risks of respiratory complications. This study was performed to see the effects of obesity on children's pulmonary functions and on developed bronchospasm after exercise loading according to their obesity degrees. Methods : 257 obese children and 150 non-obese children were enrolled. Obese children were divided into 3 groups by the obesity degrees. Pre- and post-exercise loading $FEV_1$(forced expiratory volume at one second), FVC(forced vital capacity) and PEFR(peak expiratory flow rate) were checked in all subjects. The percent predicted values of each parameter was compared according to obesity degrees and the differences between pre-exercise and post-exercise values. Results : The percent predicted value of $FEV_1$, FVC decreased only in the severe obesity group compared with those in the control group. However percent predicted PEFR declined according to obesity degrees. The percent predicted value of $FEV_1$, FVC and PEFR after exercise loading were much lower than those before exercise loading in all groups. Conclusion : As the degree of obesity was higher, the percent predicted value of pulmonary function was lower. And after exercise loading, as the degree of obesity was higher, the reduction of percent predicted value of pulmonary function was larger. Therefore the pulmonary function in obese children must be observed carefully. Further studies on the effects of pulmonary functions in obese children are necessary.
Predictional study for lateral change between pre- and post-orthognathic surgery has been emphasized mainly on anterior area of lateral profile; upper lip, lower lip and chin et al. So interest for lateral profile change has been less in posterior area of lateral profile and literature analyzing gonial angle change is rare. The purpose of this study is to make prediction for gonial angle change possible and to offer somewhat treatment guidance for gonial angle to be improved by investigating overall gonial angle change between pre- and post-orthognathic surgery and inquiring into factors influencing on pattern of genial angle change. For this study 35 patients were selected retrospectively. Lateral cephalometric radiographs were taken in just pre-op time, pod 1 day, pod 1 year. They were analyzed and genial angles were measured. The results were as follows : 1. Gonial angle at pod 1 day was decreased about $9.3^{\circ}$ than pre-op and gonial angle at pod 1 year was increased about $4.0^{\circ}$ than pod 1 day. So genial angle at pod 1 year was decreased about $5.3^{\circ}$ than pre-op genial angle(p<0.01). 2. Mean pre-op gonial angle was $129.4^{\circ}$, showing significantly high value than normal and mean gonial angle at pod 1 year was $124.1^{\circ}$, showing value near to normal. 3. Mean gonial angle change between pre-op and pod 1 year was decreased about $5.4^{\circ}$ in female and $5.3^{\circ}$ in male. There was no statistically significant difference between male and female(p>0.05). 4. Principal factor influencing on decreased gonial angle in gonial angle change between pre-op and pod 1 year was amount of mandibular setback. 5. Principal factor influencing on increased gonial angle in gonial angle change between pod 1 day and pod 1 year was % horizontal relapse, and it was thought that resorption and bone remodelling on posterior area in mandibular distal segment also were related to increased gonial angle. 6. It is thought that sagittal split ramus osteotomy in mandibular prognathic patients with high value of gonial angle is effective to improvement of gonial angle, and In patients who have normal range of gonial angle and are required with excessive mandibular setback, short lingual cut method, additional resection of posterior margin of distal segment, Obwegeser II method will be considerd. 7. More prudent operation and careful post-op management will be responsible for maintenance of postoperative stable gonial angle.
This study was undertaken to find the effect of radiation therapy on the healing ability of surgical wounds and on this basis, to find the proper time interval between the radiation therapy and surgery. Two hundred and fifty-two mice were used and a single dose of 2000 cGy was given in each instances to the hind limb of mice. Incisional wounds were produced after varying intervals in the previously irradiated areas and then they were followed up at regular intervals by the measurement of tensile strength. The wounds which received surgery immediately, 1 or 2 weeks after irradiation revealed marked delay and the wounds which received surgery 12, 16 or 20 weeks after irradiation demonstrated slight delay in wound healing in terms of tensile strength measurement. But the wounds which received irradiation 4 or 8 weeks before surgery did not differ much in the wound healing process from that of the control group. Histopathologic studies of the wounds demonstrated epithelization in most instances as quickly as in the control wounds. The appearance of fibroblasts and collagen fibers has delayed momently and appeared to have close correlation with the tensile strength healing curves.
This study was proposed to investigate the effects of water extract of aged black garlic on ethanol induced hangovers in rats. Male Sprague-Dawley rats weighing $180{\pm}10\;g$ were divided into the following three groups; control, 130 mg/kg, and 260 mg/kg of aged black garlic extract. Aged black garlic was administered orally 30 min before and 30 min after ingestion of 40% ethanol (5 g/kg, B.W.). The rats were killed 24 hr after ethanol treatment, and blood was taken from the caudal artery at 1, 3, and 5 hr to test for ethanol or acetaldehyde in the serum. Groups that were administered aged black garlic extract pre- and post-alcohol consumption showed a significant decrease in ethanol levels in the blood at 1, 3, and 5 hr. The acetaldehyde concentrations decreased in both 130 mg/kg and 260 mg/kg groups that were administered aged black garlic extract pre- and post-alcohol consumption. The activities of alcohol dehydrogenase seemed to be unaffected, although the aged black garlic showed slightly higher activities of acetaldehyde dehydrogenase in pre- or post-alcohol consumption. The aspartate aminotransferase (AST) activity in the serum, elevated by ethanol, was decreased by administering a high dosage of aged black garlic extract, but resulted in no significant change in serum alanine aminotransferase (ALT) activity. These results concluded that aged black garlic extract can reduce hangover syndrome through the elevation of ALDH.
In order to identify hormone activities which related to the changing of cutaneous tissue and pupal bodies and also to identify the interaction of corpora allata hormone and prothoracic glandular band hormone which act upon the metamorphosis of the insect. The item of treatment is carried out in 5 different times at the interval of about 12 hours after 4 weeks from the first feeding of 4th instar stage, and as far as 5th instar stage in concerned 6 times of item treatments have been carried out, at about 12 hours interval after 72 hours from the molting, Item treatments were, made in the stage of spring, autumn rearing, However, during the period of post mounting stage and pre pupation by picking out of corpora allata in 5 times at the interval of hours the following change of pupal colour is observed; 1) By an early pick out of 4th instar stage, the three molters are found in greater number, However, by a later pick out the four molters are found instead of others. 2) An abnormal colour is found in the three and four molters when comparing with the control molters. 3) The most of control molters have shown the normal colour except a few samples. 4) As shown in the table 1 and 2, the death number of item treatment is greater in the autumn rearing season. 5) The picking out of corpora allata of 5th instar stage, the post mounting stage and pre pupation period is affecting the change of colour. 6) As a final conclusion, the corpora allata hormone is closely related to the changing of pupal colour.
This study analyzed the water quality characteristics and developed empirical models prior to and after the construction of Baekje Weir, in the Geum River watershed between 2004-2017. The comparative evaluation of the surface water chemistry before and after the four major river projects on the weirs indicated that total phosphorus (TP), based on annual data, rapidly decrease after the construction of the weir while the total nitrogen(TN) decreased. Conversely, chlorophyll-a (CHL) concentration, which is a good indicator of primary productivity, increased after the construction of the weir together with an increase in specific conductivity. Simply put, the construction of the weir led to the decrease in concentrations of N and P due to the increased water residence time (WRT), whereas the CHL :TP ratio greatly increased in magnitude. The regression analysis of the empirical model indicated that CHL had no significant relation (r=0.068, p=0.6102, n=58) with TP before the weir construction, but had a relation with TP after the weir construction (r=0.286, p<0.05, n=56). Therefore, such conditions resulted in an increase in primary productivity on a given unit of phosphorus, resulting in frequent algal blooms. In contrast, seasonal suspended solids (SS) and TP increased during the monsoon period, compared to the pre-monsoon, thereby showing positive correlations (r>0.40, p<0.01, n=163) with precipitation. If the government consistently discharges water from the weir, the phosphorus concentration will be increased due to its reversion to a lotic waterbody from a lentic waterbody hereby reducing algal blooms in the future.
In 1980, rice was considerably damaged by abnormal low temperature. In this paper, to determine the effect of low temperature on the growth and nutrition of rice, the experiment were carried out: varietal response to low temperature in the region with different elevations. Regional differences of heading response to low temperature were observed among varieties. The difference of days between regions were bigger in tongil lines than Japonica lines. Especially, Milyang 42 and Hangangchalbeo might belong the cold suceptible group, since the varieties were severely delayed their heading in the high mountainous region as comparred to plain region. The delay of heading with low temperature was brought out grain sterility, and fertility and ripening ratio is influenced cold tolerance and elevations, and it's decreased yield. Varieties with higher grain sterility by low temperature have higher total nitrogen content, but tended to have lower potassium and phosphate contents in the flag leaf. High content of total nitrogen, low contents of potassium and silicate were observed in the sterilized grain chaff an the opposite result were noted in the ferilized grain chaff at the ripening stage. The results reveal that the balance of these mineral element may play an important role in ripening and possibly cold tolerance.
Kim, Euy-Neyng;Sohn, Hyung-Sun;Choi, Jung-Eun;Kim, Sung-Hoon;Chung, Yong-An;Chung, Soo-Kyo;Kim, Choon-Yul
The Korean Journal of Nuclear Medicine
/
v.35
no.1
/
pp.43-51
/
2001
Purpose: In this study, we compared the quantitative characteristics of dynamic salivary gland scintigraphy with static scintigraphy in patients with clinical sicca syndrome using Tc-99m pertechnetate. Materials and Methods: Fifty-two parotid glands and 52 submandibular glands out of 26 patients with clinical sicca syndrome were studied by dynamic and static salivary gland scintigraphy. Ten normal volunteers were also studied as a control group for comparison of scintigraphic parameters. Ten minutes after injection of 370 MBq Tc-99m pertechnetate, we obtained pre-stimulus static images for a few minutes. Then dynamic salivary gland scintigraphy with lemon juice stimulation was performed for 20 minutes. Finally we obtained post-stimulus static images after dynamic images. On dynamic study, functional parameters such as uptake rate, secretion rate and re-uptake rate were calculated. The results of dynamic study and static images were compared. Results: On dynamic study, we could obtain functional parameters of salivary glands successfully. On dynamic study, 22 parotid glands and 22 submandibular glands out of each of 52 glands are abnormal. The static images demonstrated somewhat different results, of which reasons we could assume via dynamic study. Conclusion: Dynamic salivary gland scintigraphy using Tc-99m perechnetate were more functional than static images and might be useful in the assessment of the functional change of the salivary gland in patients with clinical sicca syndrome.
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