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A study on the development of severity-adjusted mortality prediction model for discharged patient with acute stroke using machine learning (머신러닝을 이용한 급성 뇌졸중 퇴원 환자의 중증도 보정 사망 예측 모형 개발에 관한 연구)

  • Baek, Seol-Kyung;Park, Jong-Ho;Kang, Sung-Hong;Park, Hye-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.126-136
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    • 2018
  • The purpose of this study was to develop a severity-adjustment model for predicting mortality in acute stroke patients using machine learning. Using the Korean National Hospital Discharge In-depth Injury Survey from 2006 to 2015, the study population with disease code I60-I63 (KCD 7) were extracted for further analysis. Three tools were used for the severity-adjustment of comorbidity: the Charlson Comorbidity Index (CCI), the Elixhauser comorbidity index (ECI), and the Clinical Classification Software (CCS). The severity-adjustment models for mortality prediction in patients with acute stroke were developed using logistic regression, decision tree, neural network, and support vector machine methods. The most common comorbid disease in stroke patients were hypertension, uncomplicated (43.8%) in the ECI, and essential hypertension (43.9%) in the CCS. Among the CCI, ECI, and CCS, CCS had the highest AUC value. CCS was confirmed as the best severity correction tool. In addition, the AUC values for variables of CCS including main diagnosis, gender, age, hospitalization route, and existence of surgery were 0.808 for the logistic regression analysis, 0.785 for the decision tree, 0.809 for the neural network and 0.830 for the support vector machine. Therefore, the best predictive power was achieved by the support vector machine technique. The results of this study can be used in the establishment of health policy in the future.

Machine Learning Model to Predict Osteoporotic Spine with Hounsfield Units on Lumbar Computed Tomography

  • Nam, Kyoung Hyup;Seo, Il;Kim, Dong Hwan;Lee, Jae Il;Choi, Byung Kwan;Han, In Ho
    • Journal of Korean Neurosurgical Society
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    • v.62 no.4
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    • pp.442-449
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    • 2019
  • Objective : Bone mineral density (BMD) is an important consideration during fusion surgery. Although dual X-ray absorptiometry is considered as the gold standard for assessing BMD, quantitative computed tomography (QCT) provides more accurate data in spine osteoporosis. However, QCT has the disadvantage of additional radiation hazard and cost. The present study was to demonstrate the utility of artificial intelligence and machine learning algorithm for assessing osteoporosis using Hounsfield units (HU) of preoperative lumbar CT coupling with data of QCT. Methods : We reviewed 70 patients undergoing both QCT and conventional lumbar CT for spine surgery. The T-scores of 198 lumbar vertebra was assessed in QCT and the HU of vertebral body at the same level were measured in conventional CT by the picture archiving and communication system (PACS) system. A multiple regression algorithm was applied to predict the T-score using three independent variables (age, sex, and HU of vertebral body on conventional CT) coupling with T-score of QCT. Next, a logistic regression algorithm was applied to predict osteoporotic or non-osteoporotic vertebra. The Tensor flow and Python were used as the machine learning tools. The Tensor flow user interface developed in our institute was used for easy code generation. Results : The predictive model with multiple regression algorithm estimated similar T-scores with data of QCT. HU demonstrates the similar results as QCT without the discordance in only one non-osteoporotic vertebra that indicated osteoporosis. From the training set, the predictive model classified the lumbar vertebra into two groups (osteoporotic vs. non-osteoporotic spine) with 88.0% accuracy. In a test set of 40 vertebrae, classification accuracy was 92.5% when the learning rate was 0.0001 (precision, 0.939; recall, 0.969; F1 score, 0.954; area under the curve, 0.900). Conclusion : This study is a simple machine learning model applicable in the spine research field. The machine learning model can predict the T-score and osteoporotic vertebrae solely by measuring the HU of conventional CT, and this would help spine surgeons not to under-estimate the osteoporotic spine preoperatively. If applied to a bigger data set, we believe the predictive accuracy of our model will further increase. We propose that machine learning is an important modality of the medical research field.

Automated Clothing Analysis System through Image Analysis (이미지 분석을 통한 자동화 의류 분석 시스템)

  • Choi, Moon-hyuk;Lee, Seok-jun;Lee, Hak-jae;Kim, So-yeong;Moon, Il-young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2019.05a
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    • pp.313-315
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    • 2019
  • Although Korea's fashion market has negative growth, it has been growing again since 2018. This phenomenon means that people are becoming more interested in fashion. As interest in fashion grows, people visit various community sites for reference to find a suitable coordination for themselves. Most community sites, however, are manually categorizing each garment. Not only do these tasks take a lot of time, but they also make it difficult to search for multiple clothing at the same time. In other words, I can't choose what I want at the same time, and if I choose what I want, I have to look at what the model is wearing and refer to it. The problem with this may not help because the coordination in which the model provided is worn is more likely to be the one that the user does not want. In this paper, when the image is uploaded to improve the problem, the clothing is analyzed with AI analysis model and automatically classified and stored. Therefore, not only can you search for one clothes in the existing way, but you can also search for multiple clothes at the same time. The service is expected to allow more people to easily find and refer to the code for themselves.

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Preparation and Quality Characteristics of Different Mackerel Scomber japonicas-based Processed Products as Senior-friendly Seafoods (물성을 달리한 고등어(Scomber japonicus) 활용 고령친화식품의 제조 및 품질특성)

  • Jang, Mi-Soon;Oh, Jae-Young;Kim, Poong-Ho;Park, Sun Young;Kim, Ye Youl;Kang, Sang In;Kim, Jin-Soo
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.54 no.5
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    • pp.703-713
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    • 2021
  • Mackerel Scomber japonicus is an excellent source of vitamins (A, D and B12), omega-3 fatty acids, dietary protein and minerals. This study was conducted to prepare mackerel-based processed seafood products such as grilled product with super-heated (GM), tang (TM) and salad with sweet potato (SSM) using mackerel as senior-friendly seafoods and to examine their quality characteristics. The hardness of GM, TM and SSM were 240.3×1.03, 21.7×1.03 and 7.4×1.03 N/m2, respectively. The viscosity of SSM was 25,450 m·Pas. The nutritional content of mackerel-processed products was within the senior-friendly standard specifications for protein, vitamin C, vitamin B2 (riboflavin) and vitamin B3 (niacin) ing GM, protein, vitamin B3 and calcium for TM, and protein, vitamin D, vitamin B2 and vitamin B3 in SSM. All the mackerel-processed products were safe as senior-friendly seafoods, since digestibility rates were 81.5% for GM, 87.9% for TM and 93.5% for SSM. The physical, nutritional and the sanitation results indicated that senior-friendly seafoods classified of the mackerel-processed products was step 1 for GM, step 2 for TM and step 3 for SSM according to the Korean Food Code and Korean Indusrty Standards.

Effective Defense Mechanism Against New Vulnerability Attacks (신규 취약점 공격에 대한 효율적인 방어 메커니즘)

  • Kwak, Young-Ok;Jo, In-June
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.499-506
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    • 2021
  • Hackers' cyber attack techniques are becoming more sophisticated and diversified, with a form of attack that has never been seen before. In terms of information security vulnerability standard code (CVE), about 90,000 new codes were registered from 2015 to 2020. This indicates that security threats are increasing rapidly. When new security vulnerabilities occur, damage should be minimized by preparing countermeasures for them, but in many cases, companies are insufficient to cover the security management level and response system with a limited security IT budget. The reason is that it takes about a month for analysts to discover vulnerabilities through manual analysis, prepare countermeasures through security equipment, and patch security vulnerabilities. In the case of the public sector, the National Cyber Safety Center distributes and manages security operation policies in a batch. However, it is not easy to accept the security policy according to the characteristics of the manufacturer, and it takes about 3 weeks or more to verify the traffic for each section. In addition, when abnormal traffic inflow occurs, countermeasures such as detection and detection of infringement attacks through vulnerability analysis must be prepared, but there are limitations in response due to the absence of specialized security experts. In this paper, we proposed a method of using the security policy information sharing site "snort.org" to prepare effective countermeasures against new security vulnerability attacks.

Effect of Hooked-end Steel Fiber Volume Fraction and Aspect Ratio on Flexural and Compressive Properties of Concrete (후크형 강섬유 혼입율 및 형상비에 따른 콘크리트의 휨 및 압축 특성)

  • Kim, Dong-Hui;Jang, Seok-Joon;Kim, Sun-Woo;Park, Wan-Shin;Yun, Hyun-Do
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.25 no.3
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    • pp.40-47
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    • 2021
  • This study investigates the influence of hooked-end steel fiber volume fraction and aspect ratio on the mechanical properties, such as compressive and flexural performance, of concrete with specified compressive strength of 30MPa. Three types of hooked-end steel fibers with aspect ratios of 64, 67 and 80 were selected. The flexural tests of steel fiber reinforced concrete (SFRC) prismatic specimens were conducted according to EN 14651. The compressive performance of SFRC with different volume fractions (0.25, 0.50 and 0.75%) were evaluated through standard compressive strength test method (KS F 2405). Experimental results indicated that the flexural strength, flexural toughness, fracture energy of concrete were improved as steel fiber volume fraction increases but there is no unique relationship between steel fiber volume fraction and compressive performance. The flexural and compressive properties of concrete incorporating hooked-end steel fiber with aspect ratio of 64 and 80 are a little better than those of SFRC with aspect ratio of 67. For each SFRC mixture used in the study, the residual flexural tensile strength ratio defined in Model Code 2010 was more than the limit value to be able to substitute rebar or welded mesh in structural members with the fiber reinforcement.

Seismic Performance Evaluation of Dam Structures and Penstock Considering Fluid-Structure Interaction (유체-구조물 상호작용을 고려한 댐 구조체와 수압철관의 내진성능평가)

  • Heo, So-Hyeon;Nam, Gwang-Sik;Jeong, Yeong-Seok;Kwon, Minho
    • Land and Housing Review
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    • v.13 no.1
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    • pp.141-150
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    • 2022
  • Responding to the increasing demand for research on seismic resistance of structures triggered by a large-scale earthquake in Korea, the Ministry of the Interior and Safety revised the typical application of the existing seismic design standards with the national seismic performance target enhanced. Therefore, in this paper, the dam body of the aged Test-Bed and the penstock with fluid were modeled by the three-dimensional finite element method by introducing several variables. The current seismic design standard law confirmed the safety of the dam structure and penstock against seismic waves. As a result of the 3D finite element analysis, the stress change due to the water impact of the penstock was minimal, and it was confirmed that the effect of the hydraulic pressure was more significant than the water impact in the earthquake situation. When the hydrostatic pressure is in the form of SPH, it was analyzed that the motion of the fluid and the location of stress caused by the earthquake can be effectively represented, and it will be easier to analyze the weak part. As a result of the analysis, which considers penstock's corrosion, the degree of stress dispersion gets smaller because the penstock is embedded in the body. The stress result is minimal, less than 1% of the yield stress of the steel. In addition, although there is a possibility of micro-tensile cracks occurring in the inlet of the dam, it has not been shown to have a significant effect on the stress increa.

Risk Analysis and Safety Assessment of Microbiological and Chemical Hazards in the Dried Sea Mustard Undaria pinnatifida Distributed in Markets (유통중인 건미역(Undaria pinnatifida)의 미생물학적·이화학적 위해요소 분석 및 안전성 평가)

  • Jeon, Eun Bi;Kim, Ji Yoon;Song, Min Gyu;Kim, Jin-Soo;Heu, Min Soo;Lee, Jung Suck;Park, Shin Young
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.54 no.6
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    • pp.904-911
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    • 2021
  • For the safety assessment of microbiological and chemical hazards in dried sea mustard, fifteen samples of dried sea mustards Undaria pinnatifida were purchased from the supermarkets distributed throughout Korea. The contamination levels of total viable bacteria, coliforms, Escherichia coli, and nine pathogenic bacteria [Staphylococcus aureus, Salmonella spp., Listeria monocytogenes, Bacillus cereus, Vibrio spp., Clostridium perfringens, Enterohemorrhagic Escherichia coli (EHEC), Yersinia enterocolitica and Campylobacter jejuni/coli] were quantitatively or qualitatively assessed. Also, the heavy metals (lead, cadmium, total mercury, and inorganic arsenic), and radioactivity (131I, 134CS+137CS) were quantitatively assessed. This microbial and chemical analysis was performed using standard methods in Korean food code. The total viable bacteria ranged from 4.3×102 (5.0×10-1.5×103) CFU/g. Coliforms and E. coli were not detected in all samples (ND, <1 log10 CFU/g). All nine pathogenic bacteria were qualitatively detected as negative. The contamination levels of lead, cadmium, total mercury, and inorganic arsenic were 0.036 (0.015-0.051), 0.117 (0.088-0.156), 0.030 (0.017-0.048), and 0.058 (0.056-0.064) mg/kg, respectively. Radioactivity was also not detected in any sample. The microbial contamination levels determined in the current study may be potentially used as basis for performing microbial risk assessments of dried sea mustards.

Structural Behavior of RC Beams with Headed Bars using Finite Element Analysis (유한요소해석 기반 확대머리 이형철근 상세 따른 RC보의 구조성능 효과 분석)

  • Kim, Kun-Soo;Park, Ki-Tae;Park, Chang-Jin
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.25 no.5
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    • pp.40-47
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    • 2021
  • In this study, the structural behavior by the details of the lap region with the headed bar was estimated through finite element analysis. To solve the finite element analysis of the anchorage region with complex contact conditions and nonlinear behavior, a quasi-static analysis technique by explicit dynamic analysis was performed. The accuracy of the finite element model was verified by comparing the experimental results with the finite element analysis results. It was confirmed that the quasi-static analysis technique well reflected the behavior of enlarged headed bar connection. As a result of performing numerical analysis using 21 finite element models with various development lengths and transverse reinforcement indexes, it was confirmed that the increase of development length and transverse reinforcement index improved the maximum strength and ductility. However, to satisfy the structural performance, it should be confirmed that both design variables(development length and transverse reinforcement index) must be enough at the design criteria. In the recently revised design standard(KDS 14 20 52 :2021), a design formula of headed bar that considers both the development length and the transverse reinforcing bar index is presented. Also the results of this study confirmed that not only the development length but also transverse reinforcing bars have a very important effect.

Analyzing Cancer Incidence among Korean Workers and Public Officials Using Big Data from National Health Insurance Service (건강보험 빅데이터를 통한 전체 근로자 및 공무원 근로자의 암 발생률 분석)

  • Baek, Seong-Uk;Lee, Wanhyung;Yoo, Ki-Bong;Lee, Woo-Ri;Lee, Won-Tae;Kim, Min-Seok;Lim, Sung-Shil;Kim, Jihyun;Choi, Jun-Hyeok;Lee, Kyung-Eun;Yoon, Jin-Ha
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.32 no.3
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    • pp.268-278
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    • 2022
  • Objectives: This study aimed to establish a control group based on the big data from National Health Insurance Service. We also presented presented the number of incidences for each cancer, and analyzed the cancer incidence rate among Korean workers. Methods: The cohort definition was separated by 'baseline cohort', 'dynamic cohort', and 'fixed- industry cohort' according to the definition. Cancer incidence was calculated based on the Korean Standard Classification of Disease code. Incidence rate was calculated among the group of all workers and public officials. Based on the study subjects and each cohort definition, the number of observations, incidences, and the incidence rate according to sex and age groups was calculated. The incidence rate was estimated based on the incidence per 100,000 person-year, and 95% confidence intervals calculated according to the Poisson distribution. Results: The result shows that the number of cancer cases in the all-worker group decreases after the age of 55, but the incidence rate tends to increase, which is attributed to the retirement of workers over 55 years old. Despite the specific characteristics of the workers, the trend and figures of cancer incidence revealed in this study are similar to those reported in previous studies of the overall South Korean population. When comparing the incidence rates of all workers and the control group of public officials, the incidence rate of public officials is generally observed to be higher in the age group under the age of 55. On the other hand, for workers aged 60 or older, the incidence rates were 1,065.4 per 100,000 person-year for all workers and 1,023.7 per 100,000 person-year for civil servants. Conclusions: This study analyzed through health insurance data including all workers in Korea, and analyzed the incidence of cancer of workers by sex and age. In addition, further in-depth researches are needed to determine the incidence of cancer by industry.