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Enhancing Acute Kidney Injury Prediction through Integration of Drug Features in Intensive Care Units

  • Gabriel D. M. Manalu;Mulomba Mukendi Christian;Songhee You;Hyebong Choi
    • International journal of advanced smart convergence
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    • v.12 no.4
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    • pp.434-442
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    • 2023
  • The relationship between acute kidney injury (AKI) prediction and nephrotoxic drugs, or drugs that adversely affect kidney function, is one that has yet to be explored in the critical care setting. One contributing factor to this gap in research is the limited investigation of drug modalities in the intensive care unit (ICU) context, due to the challenges of processing prescription data into the corresponding drug representations and a lack in the comprehensive understanding of these drug representations. This study addresses this gap by proposing a novel approach that leverages patient prescription data as a modality to improve existing models for AKI prediction. We base our research on Electronic Health Record (EHR) data, extracting the relevant patient prescription information and converting it into the selected drug representation for our research, the extended-connectivity fingerprint (ECFP). Furthermore, we adopt a unique multimodal approach, developing machine learning models and 1D Convolutional Neural Networks (CNN) applied to clinical drug representations, establishing a procedure which has not been used by any previous studies predicting AKI. The findings showcase a notable improvement in AKI prediction through the integration of drug embeddings and other patient cohort features. By using drug features represented as ECFP molecular fingerprints along with common cohort features such as demographics and lab test values, we achieved a considerable improvement in model performance for the AKI prediction task over the baseline model which does not include the drug representations as features, indicating that our distinct approach enhances existing baseline techniques and highlights the relevance of drug data in predicting AKI in the ICU setting.

Effects of Mixing Performance and Conditioned Medium on hCTLA4Ig Production in Transgenic Rice Cell Suspension Cultures (형질전환 벼 현탁세포 배양에서 혼합효율과 조정배지가 hCTLA4Ig 생산에 미치는 영향)

  • Choi, Hong-Yeol;Park, Jun-Yong;Nam, Hyung-Jin;Gong, Mi-Kyung;Yoo, Ye-Ri;Kim, Dong-Il
    • KSBB Journal
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    • v.30 no.6
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    • pp.307-312
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    • 2015
  • Transgenic rice cells using RAmy3D promoter can provide high productivity, and the production of recombinant protein is induced by sugar starvation. In this system, productivity was reduced during the scale-up processes. To ensure the influences of shear stress and oxygen transfer rate, working volume and mixing performances were investigated under various agitation speeds and working volumes. In addition, inoculation methods including suspended cells and filtered cells were compared. Working volumes and shaking speeds were 300, 450 mL and 80, 120 rpm, respectively. Hydrodynamic environment of each condition was measured numerically like mixing time and $k_La$. Good mixing performance and high shear stress were measured at high agitation speed and low volume. The highest level of hCTLA4Ig was 30.7 mg/L at 120 rpm, 300 mL. When conditioned medium was used for inoculation, increased cell growth was noticed during the day 0~4 and decreased slower than filtered cells. Compared with filtered cells, the maximum hCTLA4Ig level reached 37.8 mg/L at 120 rpm, 300 mL and lower protease activity level was observed. In conclusion mixing performance is critical factor for productivity and conditioned medium can have a positive effect on damaged cells caused by hydrodynamic shear stress.

Design of Postal Address File for Address Interpretation and Retrieval (주소해석 및 검색을 위한 우편주소파일 설계)

  • Chang, Tai-Woo;Kim, Ho-Yon;Lim, Kil-Taek
    • Journal of Korea Society of Industrial Information Systems
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    • v.12 no.4
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    • pp.74-88
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    • 2007
  • In order to automate the process of mail sorting by delivery sequence, it is necessary to prepare a postal address database and to interpret written addresses on the mail-pieces with the database and OCR technology. The address database is a critical factor of automation and informatization of postal service since it could be used not only in address recognition but also in various mail processing. In this study, we design the schema of postal address database, design the postal address file based on it and explain the method of address interpretation and retrieval using it. We analyze infonnation requirements for transformation of postal address into the standardized format and consider them in the process of design. The postal address file can be used by address matching or retrieval system as well as by Hangul address recognition system for automation of delivery sequence mail-sorting.

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Effect of Prior Muscle Contraction or Passive Stretching on Eccentric-Induced Muscle Damage

  • Choi, Seung-Jun
    • PNF and Movement
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    • v.17 no.3
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    • pp.487-497
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    • 2019
  • Purpose: This tutorial review investigated the effect of prior fatigue and passive stretches on eccentric contraction-induced muscle injuries, as well as the underlying mechanisms of eccentric contraction-related injuries. Methods: Contraction-induced muscle damage is the most common disabling problem in sports and routines. The mechanisms underlying the pathology and prevention of muscle damage lessened by prior fatigue or stretches are critical in assessing musculoskeletal injuries. Even though there are treatments to reduce eccentric contraction-induced muscle injuries, fatigue negatively influences them. Therefore, we reviewed previous studies on eccentric contraction-induced muscle injuries with prior treatments using the MEDLINE and PubMed databases. Results: Prior passive stretching had a preventative and therapeutic effect, but prior lengthening contractions did not. On the other hand, prior isometric contractions involving relatively small forces may not provide a sufficient stimulus to induce protection. As a result, high force isometric contractions may be necessary. The studies supported the positive effects of prior fatigue, concluding that it was a factor in determining the amount of damage caused by eccentric exercise. This was due to a reduction in force and increased temperature. Studies that did not support the positive effects of prior fatigue concluded that a shift in optimal length to a longer length and reduced energy absorption during lengthening are evidence that fatigue is not related to muscle injuries induced by lengthening. Conclusion: The variability of the experiment models, conditions, muscles, and treatment methods make it necessary to interpret the conditions of previous studies carefully and draw conclusions without making direct comparisons. Thus, additional studies should be carefully conducted to investigate the positive effect of fatigue on lengthening.

Thermal Properties and Fracture Toughness of Bisphenol-Based DGEBA/DGEBS Epoxy Blend System (Bisphenol계 DGEBA/DGEBS 에폭시 블렌드 시스템의 열적 특성 및 파괴인성)

  • 박수진;김범용;이재락;신재섭
    • Polymer(Korea)
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    • v.27 no.1
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    • pp.33-39
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    • 2003
  • In this study, the bisphenol-based DGEBA/GEBS blend systems were studied in cure kinetics, thermal stabilities, and fracture toughness of the casting specimen. The content of DGEBA/DCEBS was varied in 100 : 0, 90 : 10, 80 : 20, 70 : 30, and 60 : 40 wt%. The cure activation energies ($E_a$) of the blend systems were determined by Ozawa's equation. The thermal stabilities, including initial decomposed temperature (IDT), temperatures of maximum rate of degradation ($T_{max}$), and integral procedural decomposition temperature (IPDT) of the cured specimen were investigated by thermogravimetric analysis (TGA). For the mechanical interfacial properties of the specimens, the critical stress intensity factor ($K_{IC}$) test was performed and their fractured surfaces were examined by using a scanning electron microscope (SEM). As a result, $E_a$, IPDT, and $K_{IC}$ show maximum values in the 20 wt% DGEBS content compared with the neat DGEBA resins. This was probably due to the fact that the elevated networks were farmed by the introduction of sulfonyl groups of the DCEBS resin.

Factors Affecting an Individual's Intention to Disclose Personal Health Information: From Privacy Calculus Perspective (개인의 건강정보 제공의도에 영향을 미치는 요인: 프라이버시 계산 관점에서)

  • Jeong, Euiseon;Lee, Sang-Chul;Suh, Yung-Ho
    • Journal of Korean Society for Quality Management
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    • v.46 no.4
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    • pp.877-898
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    • 2018
  • Purpose: This study empirically examines the effect of Communication Privacy Management(CPM) factors and Privacy Calculus factors to the intention to disclose Personal Health Information(PHI) in the context of healthcare ecosystem. Also, it investigates the moderating effects of CPM factors in the relationship between privacy calculus variables and the intention to disclose PHI. Methods: We conducted scenario-based repeated-measures quasiexperiment and used total 364 samples for analysis. Confirmatory factor analysis and repeated-measure ANOVA were employed using SPSS 24.0. Results: All CPM factors, such as type of information, requesting purpose, and requesting stakeholder, directly influence to the intention to disclose PHI, whereas only the medium trust out of the Privacy Calculus factors has direct influence on the intention to disclose PHI. With regard to the moderating effects, the requesting stakeholder is the most influential and the information type is the least influential construct. Conclusion: The findings suggest that healthcare system should be designed to provide more definite and personalized benefits to customers to enhance social and individual benefits by getting more participation from customers. Also, it is desirable that the requesting stakeholder of PHI would be non-profit organizations such as hospital, government or public agencies to secure more willingness of PHI from people. Furthermore, it is implied that extensive information gathering and utilization, instead of excluding sensitive information or critical patients' records, is recommended which is substantial to invigorate the healthcare industry.

Characterization and Mechanical Properties of Stainless Steel 316L Fabricated Using Additive Manufacturing Processes (적층식 제조 공정을 활용한 스테인레스 316L 제작기술의 특징과 기계적 속성)

  • Choi, Cheol;Jung, Mihee
    • KEPCO Journal on Electric Power and Energy
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    • v.7 no.1
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    • pp.129-135
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    • 2021
  • Recently, additive manufacturing (AM) technology such as powder bed fusion (PBF) and directed energy deposition (DED) are actively attempted as consumers' needs for parts with complex shapes and expensive materials. In the present work, the effect of processing parameters on the mechanical properties of 316L stainless steel coupons fabricated by PBF and DED AM technology was investigated. Three major mechanical tests, including tension, impact, and fatigue, were performed on coupons extracted from the standard components at angles of 0, 45, 90 degrees for the build layers, and compared with those of investment casting and commercial wrought products. Austenitic 316L stainless steel additively manufactured have been well known to be generally stronger but highly vulnerable to impact and lack in elongation compared to casting and wrought materials. The process-induced pore density has been proved the most critical factor in determining the mechanical properties of AM-built metal parts. Therefore, it was strongly recommended to reduce those lack of fusion defects as much as possible by carefully control the energy density of the laser. For example, under the high energy density conditions, PBF-built parts showed 46% higher tensile strength but more than 75% lower impact strength than the wrought products. However, by optimizing the energy density of the laser of the metal AM system, it has been confirmed that it is possible to manufacture metal parts that can satisfy both strength and ductility, and thus it is expected to be actively applied in the field of electric power section soon.

A Model on the Stability Analysis of Supporting Structure of Climbing-Type Tower Cranes (상승식 타워크레인 지지구조의 안정성 검토 모델)

  • Ho, Jong-Kwan;Kim, Ah-Young;Kim, Sun-Kuk
    • Korean Journal of Construction Engineering and Management
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    • v.9 no.2
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    • pp.190-198
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    • 2008
  • Recently construction equipments have been used in line with building the structures that have become taller, larger and complex. And as the works at the elevated level for apartment and residential-commercial building projects have been on the rise, the number of tower cranes mobilized tends to be increased too. Due to such an increase in using the equipment serves the critical factor for the project management. The climbing-type tower crane, which increases its height following the structure, has been increased and the need for selecting the optimal model has been increasingly Important in securing the stability. The study hereby proposes the model to evaluate the stability of the climbing-type tower crane. The model was designed to assist in selecting the type of crane as well as in developing the design of Collar comprising the 3 types of support member, evaluating the stability and designing the embed. The model proposed is expected to make commitment in selecting the optimal type of equipment and evaluating the support member and embed for enhancing the stability, thereby ultimately enabling to implement the prefect in efficient way.

Effect of pH on soil bacterial diversity

  • Cho, Sun-Ja;Kim, Mi-Hee;Lee, Young-Ok
    • Journal of Ecology and Environment
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    • v.40 no.1
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    • pp.75-83
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    • 2016
  • Background: In order to evaluate the effect of pH, known as a critical factor for shaping the biogeographical microbial patterns in the studies by others, on the bacterial diversity, we selected two sites in a similar geographical location (site 1; north latitude 35.3, longitude 127.8, site 2; north latitude 35.2, longitude 129.2) and compared their soil bacterial diversity between them. The mountain soil at site 1 (Jiri National Park) represented naturally acidic but almost pollution free (pH 5.2) and that at site 2 was neutral but exposed to the pollutants due to the suburban location of a big city (pH 7.7). Methods: Metagenomic DNAs from soil bacteria were extracted and amplified by PCR with 27F/518R primers and pyrosequenced using Roche 454 GS FLX Titanium. Results: Bacterial phyla retrieved from the soil at site 1 were more diverse than those at site 2, and their bacterial compositions were quite different: Almost half of the phyla at site 1 were Proteobacteria (49 %), and the remaining phyla were attributed to 10 other phyla. By contrast, in the soil at site 2, four main phyla (Actinobacteria, Bacteroidetes, Proteobacteria, and Cyanobacteria) composed 94 %; the remainder was attributed to two other phyla. Furthermore, when bacterial composition was examined on the order level, only two Burkholderiales and Rhizobiales were found at both sites. So depending on pH, the bacterial community in soil at site 1 differed from that at site 2, and although the acidic soil of site 1 represented a non-optimal pH for bacterial growth, the bacterial diversity, evenness, and richness at this site were higher than those found in the neutral pH soil at site 2. Conclusions: These results and the indices regarding diversity, richness, and evenness examined in this study indicate that pH alone might not play a main role for bacterial diversity in soil.

Automatic Defect Inspection with Adaptive Binarization and Bresenham's Algorithm for Spectacle Lens Products (적응적 이진화 기법과 Bresenham's algorithm을 이용한 안경 렌즈 제품의 자동 흠집 검출)

  • Kim, Kwang Baek;Song, Dong Heon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.7
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    • pp.1429-1434
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    • 2017
  • In automatic defect detection problem for spectacle lenses, it is important to extract lens area accurately. Many existing detection methods fail to do it due to insufficient minute noise removal. In this paper, we propose an automatic defect detection method using Bresenham algorithm and adaptive binarization strategy. After usual average binarization, we apply Bresenham algorithm that has the power in extracting ellipse shape from image. Then, adaptive binarization strategy is applied to the critical minute noise removal inside the lens area. After noise removal, We can also compute the influence factor of the defect based on the fuzzy logic with two membership functions such as the size of the defect and the distance of the defect from the center of the lens. In experiment, our method successfully extracts defects in 10 out of 12 example images that include CHEMI, MID, HL, HM type lenses.