• Title/Summary/Keyword: Abnormal Status

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Impact of Complex Hemodynamics to the Management of ArterioVenous(AV) Fistula (동정맥루의 복합성 혈류학 소견이 그 관리에 미치는 영향)

  • Lee Byung-Boons
    • Proceedings of the KSME Conference
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    • 2002.08a
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    • pp.9-10
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    • 2002
  • Human circulatory system between heart and tissue is not directly connected in normal condition but mandatory to go through the capillary system in order to fulfill its physiologic aim to deliver oxygen and nutrients, etc. to the tissue and retrieve used blood together with waste products from the tissue properly. When abnormal connection between arterial and venous system (AV fistula), these two circulatory systems respond differently to the hemodynamic impact of this abnormal connection between high pressure (artery) and low pressure (vein) system. Depending upon the location and/or degree (e.g. size and flow) of fistulous condition, each circulatory system exerts different compensatory hemodynamic response to this newly developed abnormal inter-relationship between two systems in order to minimize its hemodynamic impact to own system of different hemodynamic characteristics. Pump action of the heart can assist the failing arterial system directly to maintain arterial circulation against newly established low peripheral resistance by the AV fistula during the compensation period, while it affects venous system in negative way with increased venous loading. However, the negative impact of increased heart action to the venous system is partly compensated by the lymphatic system which is the third circulatory system to assist venous system independently with different hemodynamics. The lymphatic system with own unique Iymphodynamics based on peristaltic circulation from low resistance to high resistance condition, also increases its circulation to assist the compensation of overloaded venous system. Once these compensation mechanisms should fail to fight to newly established hemodynamic condition due to this abnormal AV connection, each system start to show different physiologic ${\underline{de}compensation}$ including heart and lymphatic system. The vicious cycle of decompensation between arterial and vein, two circulatory system affecting each other by mutually negative way steadily progresses to show series of hemodynamic change throughout entire circulation system altogether including heart. Clinical outcome of AV fistula from the compensated status to decompensated status is closely affected by various biological and mechanical factors to make the hemodynmic status more complicated. Proper understanding of these crucial biomechanical factors iii particular on hemodyanmic point of view is mandatory for the advanced assessment of biomechanical impact of AV fistula, since this new advanced concept of AY fistula based on blomechanical information will be able to improve clinical control of the complicated AV fistula, either congenital or acquired.

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Drone Flight Path for Countacting of Industry Disaster (산업 재해 대응 드론 비행경로 설정 방법)

  • Choo, Sang-Mok;Chong, Ui-Pil;Lee, Jung-Chul
    • Journal of the Korean Institute of Intelligent Systems
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    • v.27 no.2
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    • pp.132-137
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    • 2017
  • Drone is currently used for wide application areas in our real life. Also it performs more important functions. We propose a method of drone operation system for the prevention of industrial disaster. In normal operation of drone system the drone monitors the industrial sites according to the planned flight path with acquiring the monitored images and send the image information to the server. The server analyzes and compares the images to DB information by calculating the similarity based on the threshold. Then the system decides whether the industrial sites has problems or not. If the abnormal condition is occurred, the drone change the flight path to abnormal flight path and keep monitoring the industrial sites with measuring the air status by sensors and sends all information to server system on the ground. If the emergency case is occurred, drone approaches the closest position of accident points and acquiring the all information and send them to server and 119 center.

The Growth and Development of Infants in Orphanage (일 지역 시설 영.유아의 신체 성장과 발달 평가)

  • Kim, Tae-Im
    • Korean Parent-Child Health Journal
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    • v.5 no.2
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    • pp.177-190
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    • 2002
  • This study were conducted to assess the physical growth and developmental status of infants in orphanage in order to provide an empirical data. The subjects for this study were 104 infants and toddlers who were reared in an orphanage in D Metropolitan city. The instrument used for this study were anthropometric assessment and DDST for normative data of development. Data has been collected from September 1st, 1998 to August 31st, 2000 and were analyzed using SPSS/PC(Version 10.0) with frequency, mean, standard deviation, ANOVA and Chi-square test. The results of this study were as follows; 1. 30.8% of infants in orphanage had abnormal weight, 26.9% had abnormal length, and 22.1% had abnormal head circumference and most of them were distributed below 50 percentile of growth chart. 2. 53.8% of infants in orphanage had normal, 27.9% had qustionable, and 18.3% had abnormal developmental screening test results, especially, 31.5% of infants in orphanage ages 3 to 5 years had abnormal developmental screening test results, according to the Denver Developmental Screening Test(DDST). There was a significant developmental delay noted in the language and fine motor-adaptive sector. 3. It is anticipated that developmental delays would increase in severity by older the mean age of orphanage infants and longer the time being raised in orphanage. It would be concluded that the physical growth and developmental status of orphaned infants were very vulnerable and serious and it is suggested that there needed an effective intervention strategies to promote growth and development of infants in orphanage.

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Effect of Food Preferance on the Health Status of Adults in Iksan City (식품 기호가 성인의 건강상태에 미치는 영향 -익산시를 중심으로-)

  • Shin, Mee-Kung;Han, Sung-Hee
    • Journal of the East Asian Society of Dietary Life
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    • v.7 no.2
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    • pp.181-198
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    • 1997
  • The purpose of this study was to investigated relationship between heath status and food preference of male and fermale adults who live in Iksan City, Cheonbuk, Korea. The subjects consisted of 96 male and 93 fermale adults were aged 20 to 70 years old. Each subject was interviewed to get information of food preference. Blood samples were taken concentration of serum in hemoglobin, glucose, total cholesterol, GOT(glutamic oxaloacetic transaminase), GPT(glutamic pyruvic transaminase) were measured. The results obtained were as follows: Among the food preference were like, dislike and ordinary answered to male and fermale adults the normal average of serum concentration with hemoglobin level showed 15.4, 14.2, 15.5, 12.9, 15.8 and 13.2g/dl, glucose level showed 85.8, 86.1, 87.5, 88.1, 87.9 and 86.1mg/dl, total cholesterol level showed 183.1, 185.0, 172.4, 193.5, 181.2 and 184.0mg/dl, GOT level showed 4.8, 23.4, 24.8, 23.9, 24.9 and 21.7ppm, GPT level showed 22.7, 20.2, 26.3, 18.5, 22.5 and 18.4ppm respectively. The abnormal average of serum concentration with hemoglobin level showed 11.1, 10.8, 12.2, 11.3, 12.5 and 11.0g/dl, abnormal glucose level showed 155.7 168.5, 166.2, 134.1, 124.1, 130.1, abnormal total cholesterol level showed 260.3, 273.7, 255.2, 286.5, 255.9 and 251.8mg/dl, abnormal GOT level showed 58.8, 66.8, 51.8, 50.3, 51.2 and 51.0ppm abnormal GPT level showed 54.3, 48.6, 51.3, 50.2, 53.2 and 45.5ppm respectively.

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A Study on Physiological Parameter, Physical Health Status, and Health Perception in the Elderly (노인의 생리적 지수와 신체건강 상태, 건강지각과의 관계연구)

  • Han, Ae-Kyung
    • Korean Journal of Adult Nursing
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    • v.16 no.3
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    • pp.460-469
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    • 2004
  • Purpose: The purpose was to investigate the physiological parameter and physical health status and health perception in the elderly, and to find the correlation between these variables. The subjects were 139 in Kyungi senior center. Method: The instruments for this study were physiological parameters, which were composed of vital capacity, blood pressure, pulse oxygenation, hand grip power, body fat and physical health status scale developed by researcher, and health perception scale developed by Ware(1976). The data were analyzed by the SPSS-PC 11.0 version. Results: 1) 7.9% of subjects were included in abnormal range of vital capacity, 40.3% were systolic hypertension and 11.5% were diastolic hypertension. And 92.1% were included in normal range of pulse oxygenation, 79.8% were weakened hand grip power, and 10.1% of subjects were included in normal range of body fat. 2) The total mean score of the physical health status was 26.34 of a possible maximum score of 45. The physical health status score of women was lower than man's. 3) The mean score of man's health perception was 24.52 and women's was 20.39 of a possible maximum score of 44. 4) There was a significant positive correlation between hand grip power and physical health status(r=.28, p=.001). And a significant correlation between physical health status and health perception was found (r=.24, p=.004). Conclusion: It is concluded that the blood pressure, hand grip power and body fat among the physiological parameters of elderly subjects in Kyungi senior center were included in abnormal range. The factors were related life style. therefore, it is suggested that the health education to change life style for the elderly is needed.

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Analysis of Driver Injuries Caused by Frontal Impact during Abnormal Driver Position (비정상 상태 운전 시 정면충돌에서의 상해 분석)

  • Park, Jiyang;Youn, Younghan;Kwak, Youngchan;Son, Changki
    • Journal of Auto-vehicle Safety Association
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    • v.10 no.3
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    • pp.32-37
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    • 2018
  • Recently, the driver can be assisted by the advanced active safety devices such as ADAS from road traffic risks. With this system, driver and passenger may freed from can driving tasks or kept eyes on forward direction while on the road. Help from adoptive cruise control, auto parking and newly develped automated driving vehicles technologies, the driver positions will vary significantly from the current standard driver position during the travel time. On this hypothesis, the objective of this study is analyze the behavior and injuries of drivers in the event of frontal impact under these abnormal driver position. Based on the KNCAP frontal impact testing method, this simulation matrix was set-up with dummies of 5 th tile female Hybrid III dummy and 50 th tile male Hybrid III dummy. The small sedan type passenger car was modeled in this simulation. The series of simulation was performed to compare the injuries and behaviour of each dummy, varying the seating status and seat position of each dummy.

Association of Uric Acid Levels with Arterial Stiffness in Korean Women and Non-smoking Men

  • Sull, Jae Woong;Koh, Eun Na;Cho, Sung Kweon;Bae, Hyung-Joon;Jee, Sun Ha
    • Biomedical Science Letters
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    • v.23 no.3
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    • pp.201-207
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    • 2017
  • Measuring the pulse wave velocity (PWV) is a non-invasive method for evaluating the stiffness of the vessel wall. While previous studies investigated the association of uric acid level with arterial stiffness, most did not consider smoking status and obesity as covariates. The objective of this study was to investigate the relationship between uric acid levels and arterial stiffness, considering smoking status and obesity. We studied 3390 subjects (1940 males and 1450 females). Abnormal PWV was also defined as the highest quartile of values in the subjects. Data were analyzed using Pearson correlation, t-test, and multiple regression analysis. Approximately 41.9% of men and 3.7% of women were current smokers. Prevalence of hypertension was 11.4% in men and 7.0% in women. In women, hyperuricemia was associated with abnormal PWV (OR 1.58; 95% CI 1.03~2.43). Hyperuricemia was also associated with abnormal PWV (OR 2.37; 95% CI 1.01~5.59) in non- or light male smokers with normal blood pressure. This study suggests that uric acid is associated with arterial stiffness in women and non-smoking men.

The Relationship between the Period of Engraftment and the Nutritional Status in Patients Undergoing Allogenic Bone Marrow Transplantation for Acute Myelogenous Leukemia (동종 골수이식을 받은 급성 골수성 백혈병 환자의 영양상태와 생착일수에 관한 연구)

  • 홍정임;장은재
    • Korean Journal of Community Nutrition
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    • v.7 no.4
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    • pp.578-584
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    • 2002
  • This study was designed to investigate the association between the period of engraftment and the nutritional status of patient s undergoing bone marrow transplantation for acute myelogenous leukemia (AML). Nutritional status was evaluated by body mass index (BMI), percentage of ideal body weight (PIBW), percentage of weight loss, and serum albumin, total protein (T protein), hemoglobin (HGB) and hematocrit (HCT) levels on the day prior to transplantation and on the day of bone marrow transplantation. The periods of engraftment were determined by absolute neutrophil counts (ANC) above $500/mm^3$ from the day of bone marrow transplantation. The study subjects were 80 patients (55 males, 25 females) with acute myelogenous leukemia admitted to the University Hospital in Seoul. The result of this study is as follows : Tie nutritional status values of the majority of patients on the day prior to transplantation were in the normal range except for HGB and HCT ; however, during hospitalization, all of the levels of the nutritional status values were significantly decreased. The periods of engraftment of the abnormal group according to their BMI, PIBW, HGB and HCT levels on the day of bone marrow transplantation showed no difference when compared to the normal group. However, the periods of engraftment of the abnormal group, according to the percentage of weight loss, albumin, and T protein levels were significantly decreased when compared to the normal group. Therefore, the nutritional status of patients at the time of transplant had a noticeable influence on the periods of engraftment. Our results suggested that nutritional status is a critical factor of engraftment in BMT during pre-transplant and post-transplant. Futhermore, we recommend that the process of nutritional preparation for the transplant should initiate immediately after the transplant decision has been made.

A Study on the Neural Network Diagnostic System for Rotating Machinery Failure Diagnosis (신경망을 이용한 회전축의 이상상태 진단에 관한 연구)

  • 유송민;박상신
    • Tribology and Lubricants
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    • v.16 no.6
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    • pp.461-468
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    • 2000
  • In this study, a neural network based diagnostic system of a rotating spindle system supported by ball bearings was introduced. In order to create actual failure situations, two exemplary abnormal status were made. Out of several possible data source locations, ten measurement spots were chosen. In order to discriminate multiple abnormal status, a neural network system was introduced using back propagation algorithm updating connecting weight between each nodes. In order to find the optimal structure of the neural network system reducing the information sources, magnitude of the weight of the network was referred. Hinton diagram was used to visually inspect the least sensitive weight connecting between input and hidden layers. Number of input node was reduced from 10 to 7 and prediction rate was increased to 100%.

Development of Diagnostic Expert System for Rotating Machinery Failure Diagnosis (볼베어링으로 지지된 회전축의 이상상태 진단을 위한 진단전문가 시스템의 개발)

  • 유송민;김영진;박상신
    • Journal of the Korean Society for Precision Engineering
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    • v.15 no.11
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    • pp.218-226
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    • 1998
  • In this study a neural network based expert system designed to diagnose operating status of a rotating spindle system supported by ball bearings was introduced. In order to facilitate practical failure situations, five exemplary abnormal status was fabricated. Out of several possible data source locations, seven most effective spots were chosen and proven to be the most successful in predicting single and multiple abnormalities. Increased signal strength was measured around where abnormality was embedded. Signal mea-surement locations producing high prediction rate were also classified. Even though multiple abnormalities were hard to be decoupled into their individual causes, proposed diagnostic system was somewhat effective in predicting such cases under certain combination of sensor locations. Among several abnormal operating conditions, highest prediction rate can be expected when signal is spoiled by the failure or damage in outer race. Proposed diagnostic system was again proven to be the most effective system in analyzing and ranking the importance of data sources.

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