• 제목/요약/키워드: 시간적 연관성

검색결과 918건 처리시간 0.033초

Clinical Presentation of the Patients with Non-traumatic Chest Pain in Emergency Department (응급의료센터에 내원한 비외상성 흉통환자의 임상 양상)

  • Chung, Jun-Young;Lee, Sam-Beom;Do, Byung-Soo;Park, Jong-Seon;Shin, Dong-Gu;Kim, Young-Jo
    • Journal of Yeungnam Medical Science
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    • 제16권2호
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    • pp.283-295
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    • 1999
  • Background: Patients with acute non-traumatic chest pain are among the most challenging patients for care by emergency physicians, so the correct diagnosis and triage of patients with chest pain in the emergency department(ED) becomes important. To avoid discharging patients with acute myocardial infarction(AMI) without medical care, most emergency physicians attempt to admit almost all patients with acute chest pain and order many laboratory tests for the patients. But in practice, many patients with non-cardiac pain can be discharged with simple tests and treatment. These patients occupy expensive intensive care beds, substantially increasing financial cost and time of stay at ED for the diagnosis and treatment of myocardial ischemia and AMI. Despite vigorous efforts to identify patients with ischemic heart disease, approximately 2% to 5% of patients presented to the ED with AMI and chest pain are inadvertently discharged. If the cause for the chest pain is known, rapid and accurate diagnosis can be implemented, preventing wastes in time and money and inadvertent discharge. Methods and Results: The medical records of 488 patients from Jan. 1 to Dec. 31, 1997 were reviewed. There were 320(angina pectoris 140, AMI 128) cases of cardiac diseases, and 168(atypical chest pain 56, pneumothorax 47) cases of non-cardiac diseases. The number of associated symptoms were $1.1{\pm}0.9$ in non-cardiac diseases, $1.4{\pm}1.1$ in cardiac diseases and $1.7{\pm}1.1$ in AMI(p<0.05). In laboratory finding the sensitivity of electrocardiography(EKG) was 96.1%, while the sensitivity of myoglobin test ranked 45.1%. Admission rate was 71.6% in for cardiac diseases and 50.6% for non-cardiac diseases(p<0.01). Mortality rate was 8.8% in all cases, 13.8% in cardiac diseases, 0.6% in non-cardiac diseases, and 28.1% especially in AMI. Conclusion: In conclusion, all emergency physicians should have thorough knowledge of the clinical characteristics of the diseases which cause non-traumatic chest pain, because a patient with any of these life-threatening diseases would require immediate treatment. Detailed history on the patient should be taken and physical examination performed. Then, the most simple diagnostic approach should be used to make an early diagnosis and to provide treatment.

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Computation of Green's Tensor Integrals in Three-Dimensional Magnetotelluric Modeling Using Integral Equations (적분방정식을 사용한 3차원 MT 모델링에서의 텐서 그린 적분의 계산)

  • Kim, Hee Joon;Lee, Dong Sung
    • Economic and Environmental Geology
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    • 제27권1호
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    • pp.41-47
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    • 1994
  • A fast Hankel transform (FHT) algorithm (Anderson, 1982) is applied to numerical evaluation of many Green's tensor integrals encountered in three-dimensional electromagnetic modeling using integral equations. Efficient computation of Hankel transforms is obtained by a combination of related and lagged convolutions which are available in the FHT. We express Green's tensor integrals for a layered half-space, and rewrite those to a form of related functions so that the FHT can be applied in an efficient manner. By use of the FHT, a complete or full matrix of the related Hankel transform can be rapidly and accurately calculated for about the same computation time as would be required for a single direct convolution. Computing time for a five-layer half-space shows that the FHT is about 117 and 4 times faster than conventional direct and multiple lagged convolution methods, respectively.

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Performance effectiveness of pediatric index of mortality 2 (PIM2) and pediatricrisk of mortality III (PRISM III) in pediatric patients with intensive care in single institution: Retrospective study (단일 병원에서 소아 중환자의 예후인자 예측을 위한 PIM2 (pediatric index of mortality 2)와 PRIMS III (pediatric risk of mortality)의 유효성 평가 - 후향적 조사 -)

  • Hwang, Hui Seung;Lee, Na Young;Han, Seung Beom;Kwak, Ga Young;Lee, Soo Young;Chung, Seung Yun;Kang, Jin Han;Jeong, Dae Chul
    • Clinical and Experimental Pediatrics
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    • 제51권11호
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    • pp.1158-1164
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    • 2008
  • Purpose : To investigate the discriminative ability of pediatric index of mortality 2 (PIM2) and pediatric risk of mortality III (PRISM III) in predicting mortality in children admitted into the intensive care unit (ICU). Methods : We retrospectively analyzed variables of PIM2 and PRISM III based on medical records with children cared for in a single hospital ICU from January 2003 to December 2007. Exclusions were children who died within 2 h of admission into ICU or hopeless discharge. We used Students t test and ANOVA for general characteristics and for correlation between survivors and non-survivors for variables of PIM2 and PRISM III. In addition, we performed multiple logistic regression analysis for Hosmer-Lemeshow goodness-of-fit, receiver operating characteristic curve (ROC) for discrimination, and calculated standardized mortality ratio (SMR) for estimation of prediction. Results : We collected 193 medical records but analyzed 190 events because three children died within 2 h of ICU admission. The variables of PIM2 correlated with survival, except for the presence of post-procedure and low risk. In PRISM III, there was a significant correlation for cardiovascular/neurologic signs, arterial blood gas analysis but not for biochemical and hematologic data. Discriminatory performance by ROC showed an area under the curve 0.858 (95% confidence interval; 0.779-0.938) for PIM2, 0.798 (95% CI; 0.686-0.891) for PRISM III, respectively. Further, SMR was calculated approximately as 1 for the 2 systems, and multiple logistic regression analysis showed ${\chi}^2(13)=14.986$, P=0.308 for PIM2, ${\chi}^2(13)=12.899$, P=0.456 for PRISM III in Hosmer-Lemeshow goodness-of-fit. However, PIM2 was significant for PRISM III in the likelihood ratio test (${\chi}^2(4)=55.3$, P<0.01). Conclusion : We identified two acceptable scoring systems (PRISM III, PIM2) for the prediction of mortality in children admitted into the ICU. PIM2 was more accurate and had a better fit than PRISM III on the model tested.

An Analysis of Characteristic Parameters for the Design of Detention Pond in Urbanized Area (도시유역에서 저류지 설계를 위한 특성인자 분석)

  • Lee, Jae-Joon;Kim, Ho-Nyun;Kwak, Chang-Jae
    • Journal of the Korean Society of Hazard Mitigation
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    • 제6권4호통권23호
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    • pp.37-47
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    • 2006
  • Urban development results in increased runoff volume and flowrates and shortening in time of concentration, which may cause frequent flooding downstream. Flow retardation structures to limit adverse downstream effects of urban storm runoff are used. There are various types of flow retardation measures include detention basins, retention basins, and infiltration basins. In basic planning phase, a number of planning models of detention ponds which decide storage volume by putting main variables were used to design detention ponds. The characteristics of hydrological parameters $\alpha,\;\gamma$ which are used in planning models of detention pond were analyzed. In this study, detention ponds data of Disaster Impact Assessment report at 22 sites were analyzed in order to investigate correlation between characteristic of urban drainage basin parameter and characteristics of detention pond parameter due to urbanization effects. The results showed that storage volume was influenced by peak discharge ratio $\alpha$ more than runoff coefficient ratio $\beta$ and peak discharge ratio $\alpha$ was influenced by runoff coefficient ratio $\beta$ less than regional parameter n. Storage ratio was mainly influenced by duration of design rainfall in the case of trapezoidal inflow hydrograph such as Donahue et al. method.

Expression of Jun and p53 Genes from the Brain of Rats Irradiated with $^{60}Co{\gamma}$-ray (감마선 조사에 의한 뇌조직의 Jun 및 p53유전자 발현)

  • Kim Yong Seok;Woo Chong Kyu;Lee Yong Sung;Koh Jai Kyung;Chun Ha Chung;Lee Myung Za
    • Radiation Oncology Journal
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    • 제14권4호
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    • pp.265-279
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    • 1996
  • Damage produced by radiation elicits a complex response in mammalian cells, including growth rate changes and the induction of a variety of genes associated with growth control and apoptosis. At doses of 10,000 cGy or greater, the exposed individual was killed in a matter of minutes to a couple of days, with symptoms consistent with pathology of the central nervous system(CNS) including degenerative changes. The nature of the damage in irradiated cells underlies the unique hazards of ionizing radiation. Radiation injury to CNS is a rare event in clinical medicine, but it is catastrophic for the patient in whom it occurs. The incidence of cerebral necrosis has been reported as high as 16% for doses greater than 6,000 cGy. In this study, the effect of radiation on brain tissue was studied in vivo. Jun and p53 genes in the rat brain were induced by whole body irradiation of rat with 600Co in doses between 1 Gy and 100 Gy and analyzed for expression of jun and p53 genes at the postirradiation time up to 6 hours. Northern analyses were done using 1.8 Kb & 0.8 Kb-pGEM-2-JUN/Eco RI/Pst I fragments, 2.0 Kb-php53B/Bam HI fragment and ,1.1 Kb-pBluescript SK--ACTIN/Eco RI fragment as the digoxigenin or [${\alpha}^{32}P$] dCTPlabeled probes for Jun, p53 and ${\beta}$-actin genes, respectively. Jun gene seemed to be expressed near the threshold levels in 1 hour after irradiation of $^{60}$Co in dose less than 1 Gy and was expressed in maximum at 1 hour after irradiation of $^{60}$Co in dose of 30 Gy. Jun was expressed increasingly with time until 5 or 6 hours after irradiation of $^{60}$Co in doses of 1 Gy and 10 Gy. After irradiation of $^{60}$Co in dose between 20 Gr and 100 Gy, the expression of Jun was however increased to peak in 2 hours and decreased thereafter. p53 gene in this study also seemed to be expressed near the threshold levels in 1 hour after irradiation of $^{60}$Co in dose less than 1 Gy and was expressed in maximum at 6 hours after irradiation of $^{60}$Co in dose of 1 Gy, p53 was expressed increasingly with time until 5 or 6 hours after irradiation of $^{60}$Co in dose between 1 Gy and 40 Gy. After irradiation of $^{60}$Co in doses of 50 Gy and 100 Gy, the expression of p53 was however increased to peak in 2 hours and decreased thereafter. The expression of Jun and p53 genes was not correlative in the brain tissue from rats. It seemed to be very important for the establishment of the optimum conditions for the animal studies relevant to the responses of genes inducible on DNA damage to ionizing radiation in mammalian cells. But there are many limitations to the animal studies such as the ununiform patterns of gene expression from the tissue because of its complex compositions. It is necessary to overcome the limitations for development of in situ Northern analysis.

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Topic maps Matching and Merging Techniques based on Partitioning of Topics (토픽 분할에 의한 토픽맵 매칭 및 통합 기법)

  • Kim, Jung-Min;Chung, Hyun-Sook
    • The KIPS Transactions:PartD
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    • 제14D권7호
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    • pp.819-828
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    • 2007
  • In this paper, we propose a topic maps matching and merging approach based on the syntactic or semantic characteristics and constraints of the topic maps. Previous schema matching approaches have been developed to enhance effectiveness and generality of matching techniques. However they are inefficient because the approaches should transform input ontologies into graphs and take into account all the nodes and edges of the graphs, which ended up requiring a great amount of processing time. Now, standard languages for developing ontologies are RDF/OWL and Topic Maps. In this paper, we propose an enhanced version of matching and merging technique based on topic partitioning, several matching operations and merging conflict detection.

Variation of parameters according to cardiac cycle length, evaluated by TDI in children (소아에서 심장 주기 시간 변화에 따른 조직 도플러 지표들의 변화양상)

  • Lee, Chang-Hyun;Kim, Jae-Kwang;Jin, Hyun-Seung;Park, Kie-Young;Kim, Bong-Seong;Han, Myung-Ki
    • Clinical and Experimental Pediatrics
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    • 제52권3호
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    • pp.339-345
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    • 2009
  • Purpose : This study aimed to determine the variation in parameters according to cardiac cycle length (CL; time interval between the QRS peaks on ECG) in children by using the conventional pulsed Doppler and tissue Doppler imaging echocardiography. Methods : Eighteen children with an anatomically normal heart were enrolled for the study. All children were examined by conventional and pulsed Doppler echocardiography at Gangneung Asan hospital between July 2006 and June 2007. We measured the CLs, mitral inflow velocities (E,A) and tissue Doppler imaging (TDI) parameters (s', e', a') from apical 4-chamber view. The TDI parameters were measured at the lateral (Lat) and septal (Sep) part of the mitral valve. All parameters were measured at 6 to 18 consecutive beats from each child. We then evaluated the linear correlation between CL and each parameter. Results : The mean age was $3.6{\pm}0.5$ years (M:F=8:10). There were significantly negative linear correlations between CL and A, Lat s', Lat a', Sep s', Sep e', Sep a' (P<0.01). There were significantly positive linear correlations between CL and E/A, Lat e'/a', Sep e'/a' (P<0.01). However, the E and Lat e' were not correlated with CL (P=0.229 and 0.221, respectively). Conclusion : This study showed that the values of the left ventricular functional parameters were changed according to CL. From our results, it is imperative to carefully examine beat-to-beat variations in children.

A study on the analysis of customer loan for the credit finance company using classification model (분류모형을 이용한 여신회사 고객대출 분석에 관한 연구)

  • Kim, Tae-Hyung;Kim, Yeong-Hwa
    • Journal of the Korean Data and Information Science Society
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    • 제24권3호
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    • pp.411-425
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    • 2013
  • The importance and necessity of the credit loan are increasing over time. Also, it is a natural consequence that the increase of the risk for borrower increases the risk of non-performing loan. Thus, we need to predict accurately in order to prevent the loss of a credit loan company. Our final goal is to build reliable and accurate prediction model, so we proceed the following steps: At first, we can get an appropriate sample by using several resampling methods. Second, we can consider variety models and tools to fit our resampling data. Finally, in order to find the best model for our real data, various models were compared and assessed.

A Study on Ni Electroless Plating Process for Solder Bump COG Technology (COG용 Solder Bump 제작을 위한 Ni 무전해 도금 공정에 관한 연구)

  • Han, Jeong-In
    • Korean Journal of Materials Research
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    • 제5권7호
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    • pp.794-801
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    • 1995
  • To connect the driver IC and Al coated glass, a method has been developed to plate electrolessly Ni on Al/PR system. It Is necessary to pretreat Al to remove oxide film before plating. In order to find pretreatment process which does not damage photoresist or glass, alkaline and fluoride zincate process have been investigated. Because photoresist and aluminum thin film can easily dissolve in alkaline solution, it is considered that the fluoride zincate process was a suitable one. After immersion in the zincate solution containing 1.5 g/$\ell$ ammonium bifluoride and 100 g/$\ell$ zinc sulfate, electroless nickel plating could be performed. The additive in the zincate solution and thiourea in the plating solution increased smoothness of the plated surface. Acld dip could improve the uniformit of the surface.

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The Analysis of Promising Technology of Regional Main Industry Using Patent Indicators - Focusing on Changwon-si - (특허지표를 활용한 지역주력산업 유망기술 분석에 관한 연구 - 창원시를 중심으로 -)

  • Park, Jang-Hoon;Ock, Young-Seok
    • Journal of the Korea Institute of Information and Communication Engineering
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    • 제23권11호
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    • pp.1414-1419
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    • 2019
  • Patent indicators were used to analyze the movements of local industries in order to derive blank technologies due to rapid changes in technology in the 4th Industrial Revolution and to discover promising technologies. Currently, Changwon-si is gathering a lot of technical information to develop hydrogen electric vehicle technology as a future regional flagship industry to discover it as a promising technology in the future. Collecting technical information has many problems in terms of time and cost due to classification methods, technical trends, and similar technologies. Therefore, a systematic classification of technical information and a method for easily deriving technical trends are needed. In this paper, we analyzed the blank technology and promising technology trends for the future core industries of the region through the method of measuring the growth rate of patents and the frequency of patent application through the patent indicators.