• 제목/요약/키워드: Event Combinations

검색결과 42건 처리시간 0.035초

Deep sternal wound infections: Evidence for prevention, treatment, and reconstructive surgery

  • Schiraldi, Luigi;Jabbour, Gaby;Centofanti, Paolo;Giordano, Salvatore;Abdelnour, Etienne;Gonzalez, Michel;Raffoul, Wassim;di Summa, Pietro Giovanni
    • Archives of Plastic Surgery
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    • 제46권4호
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    • pp.291-302
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    • 2019
  • Median sternotomy is the most popular approach in cardiac surgery. Post-sternotomy wound complications are rare, but the occurrence of a deep sternal wound infection (DSWI) is a catastrophic event associated with higher morbidity and mortality, longer hospital stays, and increased costs. A literature review was performed by searching PubMed from January 1996 to August 2017 according to the guidelines in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The following keywords were used in various combinations: DSWI, post-sternotomy complication, and sternal reconstruction. Thirty-nine papers were included in our qualitative analysis, in which each aspect of the DSWI-related care process was analyzed and compared to the actual standard of care. Plastic surgeons are often involved too late in such clinical scenarios, when previous empirical treatments have failed and a definitive reconstruction is needed. The aim of this comprehensive review was to create an up-to-date operative flowchart to prevent and properly treat sternal wound infection complications after median sternotomy.

Coupling numerical modeling and machine-learning for back analysis of cantilever retaining wall failure

  • Amichai Mitelman;Gili Lifshitz Sherzer
    • Computers and Concrete
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    • 제31권4호
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    • pp.307-314
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    • 2023
  • In this paper we back-analyze a failure event of a 9 m high concrete cantilever wall subjected to earth loading. Granular soil was deposited into the space between the wall and a nearby rock slope. The wall segments were not designed to carry lateral earth loading and collapsed due to excessive bending. As many geotechnical programs rely on the Mohr-Coulomb (MC) criterion for elastoplastic analysis, it is useful to apply this failure criterion to the concrete material. Accordingly, the back-analysis is aimed to search for the suitable MC parameters of the concrete. For this study, we propose a methodology for accelerating the back-analysis task by automating the numerical modeling procedure and applying a machine-learning (ML) analysis on FE model results. Through this analysis it is found that the residual cohesion and friction angle have a highly significant impact on model results. Compared to traditional back-analysis studies where good agreement between model and reality are deemed successful based on a limited number of models, the current ML analysis demonstrate that a range of possible combinations of parameters can yield similar results. The proposed methodology can be modified for similar calibration and back-analysis tasks.

태권도 선수와 일반인의 등척성 무릎신전 토크-각도 관계 특성 비교 분석 (Comparison of Isometric Knee Extension Torque-Angle Relationship between Taekwondo Athletes and Normal Adults)

  • 조계훈;오정훈;이해동
    • 한국운동역학회지
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    • 제25권3호
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    • pp.275-281
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    • 2015
  • Objective : In order for Taekwondo athletes to perform destructive kicking performance, they are expected to have Taekwondo-specific muscle properties such as high muscle strength and power. The purpose of this study was to investigate the joint angle-dependent force-producing property of Taekwondo athletes' knee extensor muscles, which is one of the primary muscle groups involved in kicking performance. Method : Ten Taekwondo male athletes (age: $19.9{\pm}0.7yrs$, height: $180.6{\pm}6.2cm$, body mass: $75.9{\pm}8.9kg$, career: $9.2{\pm}2.9yrs$.) and 10 healthy male non-athletes (age: $26.3{\pm}2.6yrs$, height: $174.2{\pm}4.8cm$, body mass: $72.8{\pm}7.7kg$) participated in this study. Subjects performed maximum isometric knee extension at knee joint angles of $40^{\circ}$, $60^{\circ}$, $80^{\circ}$, and $100^{\circ}$ (the full knee extension was set to $0^{\circ}$) with the hip joint angles of $0^{\circ}$ and $80^{\circ}$ (the full extension was set to $0^{\circ}$). During the contractions, knee extension torque using an isokinetic dynamometer simultaneously with muscle activities of the rectus femoris (RF), and the vastus lateralis (VL) and vastus medialis (VM) using surface electromyography were recorded. Based on the torque values at systematically different knee-hip joint angles, the joint torque-angle relationships were established and then the optimal joint angle for the knee extensor was estimated. Results : The results of this study showed that the isometric knee extension torque values were greater for the Taekwondo athletes compared with the non-athlete group at all hip-knee joint angle combinations (p<.05). When the hip joint was set at $80^{\circ}$, the peak isometric torque was greater for the Taekwondo athletes compared with the non-athlete group ($313.61{\pm}36.79Nm$ and $221.43{\pm}35.92Nm$, respectively; p<.05) but the estimated optimum knee joint angles were similar ($62.33{\pm}5.71^{\circ}$ and $62.30{\pm}4.67^{\circ}$ for the Taekwondo athletes and non-athlete group, respectively). When the hip joint was set at $0^{\circ}$, the peak isometric torque was greater for the Taekwondo athletes compared with the non-athlete group ($296.29{\pm}45.13Nm$ and $199.58{\pm}25.23Nm$, respectively; p<.05) and the estimated optimum knee joint angle was larger for the Taekwondo athletes compared with the non-athlete group ($78.47{\pm}5.14^{\circ}$ and $67.54{\pm}5.77^{\circ}$, respectively; p<.05). Conclusion : The results of this study suggests that, compared with non-athletes, Taekwondo athletes have stronger knee extensor strength at all hip-knee joint angle combinations as well as longer optimum muscle length, which might be optimized for the event-specific required performance through prolonged training period.

시각 자극의 집중에 따른 뇌유발전위의 공간-주파수 상관 분석 (Spatio-Spectral Coherence Analysis of ERP signals for Attentional Visual Stimulus)

  • 이벽진;유선국
    • 전자공학회논문지
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    • 제50권10호
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    • pp.217-228
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    • 2013
  • 본 논문에서는 인간의 시각집중에 따른 뇌기능을 코히어런스와 바이코히어런스 방법을 이용하여 해석하였다. 집중에 관련된 시각자극 실험을 통하여 유발된 뇌유발전위 데이터와 합성한 모의실험 데이터를 통하여, 바이코히어런스는 고정된 두피에서 서로 다른 주파수 대역간의 위상 동조를 보이는데, 코히어런스는 고정된 주파수 대역에서 서로 다른 두피 위치간의 위상동조를 나타내는데 유효하다는 것을 확인 하였다. 두 방법 모두 자극시점과 첨가된 백색잡음의 크기에 영향을 받았다. 집중관련 자극수행에 대하여 바이코히어런스는 ${\Theta}$, ${\delta}$, ${\alpha}$ 대역간의 위상동조를, 코히어런스는 뇌의 전두엽과 두정엽 간의 위상동조를 보였으며, 비집중 자극 수행에 대해서는 위상동조 현상이 두드러지지 않게 관측됨으로써, 인간의 집중과 관련하여 뇌의 기능적인 공간-주파수 간의 차이를 확인할 수 있었다.

Development of a Sequence Characteristic Amplified Region Marker linked to the L4 Locus Conferring Broad Spectrum Resistance to Tobamoviruses in Pepper Plants

  • Kim, Hyun Jung;Han, Jung-Heon;Yoo, Jae Hyoung;Cho, Hwa Jin;Kim, Byung-Dong
    • Molecules and Cells
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    • 제25권2호
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    • pp.205-210
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    • 2008
  • To develop molecular markers linked to the $L^4$ locus conferring resistance to tobamovirus pathotypes in pepper plants, we performed AFLP with 512 primer combinations for susceptible (S pool) and resistant (R pool) DNA bulks against pathotype 1.2 of pepper mild mottle virus. Each bulk was made by pooling the DNA of five homozygous individuals from a T10 population, which was a near-isogenic $BC_4F_2$ generation for the $L^4$ locus. A total of 19 primer pairs produced scorable bands in the R pool. Further screening with these primer pairs was done on DNA bulks from T102, a $BC_{10}F_2$ derived from T10 by back crossing. Three AFLP markers were finally selected and designated L4-a, L4-b and L4-c. L4-a and L4-c each underwent one recombination event, whereas no recombination for L4-b was seen in 20 individuals of each DNA bulk. Linkage analysis of these markers in 112 $F_2$ T102 individuals showed that they were each within 2.5 cM of the $L^4$ locus. L4-b was successfully converted into a simple 340-bp SCAR marker, designated L4SC340, which mapped 1.8 cM from the $L^4$ locus in T102 and 0.9 cM in another $BC_{10}F_2$ population, T101. We believe that this newly characterized marker will improve selection of tobamovirus resistance in pepper plants by reducing breeding cost and time.

Intracellular Mechanisms of Growth Hormone Action on Apoptosis in Cultured Porcine Ovarian Granulosa Cells

  • Sirotkin, A.V.;Makarevich, A.V.;Pivko, J.;Genieser, H.G.
    • Asian-Australasian Journal of Animal Sciences
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    • 제15권7호
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    • pp.1045-1050
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    • 2002
  • The aims of this study were to detect spontaneously occurring apoptosis in cultured porcine ovarian cells, to examine the role of growth hormone (GH), tyrosine kinase (TK), protein kinase G (PKG) and cyclin-dependent kinase (CDK) in the control of this process, and to determine whether the effect of GH on apoptosis is mediated by TK-, PKG- and cdc2-dependent intracellular mechanisms. We studied the action of pGH (10 ng/ml), blockers of TK (genistein, lavendustin, both 100 ng/ml), PKG (Rp-Br-PET-cGMPS, 50 nM; KT5823, 100 ng/ml) and CDK (olomoucine, $1{\mu}g/ml$), as well as combinations of GH with these blockers, on the onset of apoptosis in cultured granulosa cells isolated from antral (3-6 mm) porcine follicles. The functional characteristics of an early apoptotic event, DNA fragmentation, were determined using terminal deoxynucleotidyltransferase (TdT)-mediated dUTP nick end labelling (TUNEL), whilst morphological signs of advanced apoptosis such as pyknosis, chromatin marginalization, shrinkage and fragmentation of nucleus, were detected using routine light microscopy. After culture, some ovarian granulosa cells exhibited DNA fragmentation, which in some cases was associated with morphological apoptosis-related changes (pyknosis, shrinkage and fragmentation of the nucleus). GH significantly reduced the proportion of TUNEL-positive cells. Neither TK nor CDK blockers when given alone, significantly affected the percentage of TUNEL-positive cells although both PKG blockers significantly increased this index. Furthermore, TK and PKG blockers given together with GH, prevented or reversed the inhibitory effect of GH on apoptosis, whilst the CDK blocker olomoucine promoted it. These observations demonstrate apoptosis in porcine ovaries and suggest the involvement of GH, TK, PKG and CDK in the control of this process. They also suggest that the effect of GH on ovarian apoptosis is mediated or regulated by multiple signalling pathways including TK-, PKG- and CDK-dependent intracellular mechanisms.

A Deep Learning Model for Disaster Alerts Classification

  • Park, Soonwook;Jun, Hyeyoon;Kim, Yoonsoo;Lee, Soowon
    • 한국컴퓨터정보학회논문지
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    • 제26권12호
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    • pp.1-9
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    • 2021
  • 재난문자는 재난 발생 시 국가에서 해당 지역에 있는 시민들에게 보내는 문자 메시지다. 재난문자의 발송 건수는 점점 증가하여, 불필요한 재난문자가 많이 수신됨에 따라 재난문자를 차단하는 사람들이 증가하고 있다. 이와 같은 문제를 해결하기 위하여, 본 연구에서는 재난문자를 재난 유형별로 자동으로 분류하고 수신자에 따라 필요한 재난의 재난문자만 수신하게 하는 딥러닝 모델을 제안한다. 제안 모델은 재난문자를 KoBERT를 통해 임베딩하고, LSTM을 통해 재난 유형별로 분류한다. [명사], [명사 + 형용사 + 동사], [모든 품사]의 3가지 품사 조합과 제안 모델, 키워드 분류, Word2Vec + 1D-CNN 및 KoBERT + FFNN의 4종류 분류 모델을 활용하여 재난문자를 분류한 결과, 제안 모델이 0.988954의 정확도로 가장 높은 성능을 달성하였다.

자하거 약침의 신경정신과 임상 응용에 관한 체계적 문헌 고찰 (A Systematic Review of Placenta Pharmacopuncture for Neuropsychiatric Diseases in Practice)

  • 신혜규;이재혁;강형원
    • 동의신경정신과학회지
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    • 제33권2호
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    • pp.157-180
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    • 2022
  • Objectives: To perform a systematic review of placenta pharmacopuncture for treating neuropsychiatric diseases, focusing on its efficacy and the safety so that evidence on its clinical use could be obtained, thus contributing to further studies. Methods: Through Korean, English, and Chinese databases (OASIS, Korean TK, KISS, RISS, ScienceON, Pubmed, Cochrane, EMBASE, CINAHL, AMED, CNKI, and Wanfang), combinations of keywords (placenta, pharmacopuncture, etc.) were used to select clinical studies published until January 2021 about placenta pharmacopuncture for neuropsychiatric diseases. Interventions included combined treatments. Study design included cases studies, series, and clinical trials. Cohort studies, literature reviews, in vitro and animal experiments were excluded. The primary outcomes involved measurements of symptoms, Visual Analogue Scale, or questionnaires. Data extracted from databases were imported to Endnote X7 to remove duplicates. The quality of the literature was assessed based on CAse REports Guidelines and Cochrane's Risk of Bias (ROB). Results: Twenty-one studies were selected, including ten case reports, three case series, two one-armed clinical trials, one non-randomized clinical trial, and five randomized clinical trials. There were six studies on sleep disorders, five studies on stroke sequela, two on mood disorders, two on enuresis, two on Guillain-Barré syndrome, two on multiple sclerosis, one on neurocognitive disorder, and one on vertigo. The most frequent combined treatment was acupuncture in both the experimental group (n=10) and the control group (n=3). Acupoints were ST36, SP6, BL23, CV4, GB20, GV20, N-HN54, and so on. All studies reported improvement of symptoms. The quality of case studies was relatively high. Assessment of ROBs resulted in low risks. Conclusions: Placenta pharmacopuncture is effective for neuropsychiatric diseases such as sleep disorders, mood disorders, enuresis, and neurocognitive disorders. Regarding insomnia, several studies have reported significant improvements with placenta pharmacopuncture. There was no adverse event associated with placenta pharmacopuncture.

The effect of typhoon translation speed and landfall angle on the maximum surge height along the coastline

  • Qian, Xiaojuan;Son, Sangyoung
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2021년도 학술발표회
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    • pp.153-153
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    • 2021
  • Storm Storm event is one of major issues in South Korea due to devastating damage at its landfall. A series of statistical study on the historical typhoon records consistently insist that the typhoon translation speed (TS) is on slowdown trend annually, and thus provides an urgent topic in assessing the extreme storm surge under future climate change. Even though TS has been regarded as a principal contributor in storm surge dynamics, only a few studies have considered its impact on the storm surge. The landfall angle (LA), another key physical factor of storm surge also needs to be further investigated along with TS. This study aims to elucidate the interaction mechanism among TS, LA, coastal geometry, and storm surge synthetically by performing a series of simulations on the idealized geometries using Delft3D FM. In the simulation, various typhoons are set up according to different combinations of TS and LA, while their trajectories are assumed to be straight with the constant wind speed and the central pressure. Then, typhoons are subjected to make landfall over a set of idealized geometries that have different depth profiles and layouts (i.e., open coasts or bays). The simulation results show that: (i) For the open coasts, the maximum surge height (MSH) increases with increasing TS. (ii) For the constant bed level, a typhoon normal to the coastline resulted in peak MSH due to the lowest effect of the coastal wave. (iii) For the continental shelf with different widths, the slow-moving typhoon will generate the peak MSH around a small LA as the shelf width becomes narrow. (iv) For the bay, MSH enlarges with the ratio of L/E (the length of main-bay axis /gate size) dropping, while the greatest MSH is at L/E=1. These findings suggest that a fast-moving typhoon perpendicular to the coastline over a broad continental shelf will likely generate the extreme storm surge hazard in the future, as well as the slow-moving typhoon will make an acute landfall over a narrow continental shelf.

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메타데이터 상호운용성을 위한 기록관리 메타데이터 표준 분석 5W1H와 태스크 모델의 관점에서 (Analysis of Metadata Standards of Record Management for Metadata Interoperability From the viewpoint of the Task model and 5W1H)

  • 백재은;스기모토 시게오
    • 기록학연구
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    • 제32호
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    • pp.127-176
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    • 2012
  • 메타데이터 표준규격(이하 메타데이터 표준으로 기재)은 디지털 자원(Digital resource)의 장기보존 및 디지털 아카이브를 위해 필요한 기본 요소 중 하나로, 이는 현대 정보사회에서 중요한 요소로 잘 알려져 있다. 자원(Resource)의 기록관리와 아카이브, 장기보존을 위한 메타데이터 표준은 다양하며, AGRkMS, EAD, ISAD(G), OAIS, PREMIS5) 등이 이용되고 있다. 우리는 아카이브 시스템의 메타데이터 표준을 디자인하기 위해 목적에 따른 메타데이터 표준을 선택하고 맞춤화(Customization)하지 않으면 안 된다. 한편으로, 다른 시스템의 메타데이터 스키마와의 상호운용성(Interoperability)에 대한 고찰도 실시하지 않으면 안 된다. 이전 연구에서, 우리는 기록 생애 주기(Records lifecycle)라는 관점으로부터 메타데이터 표준의 특성에 대해 분석을 실시하였다. 이로 인해, 각 메타데이터 표준 요소가 해당하는 기록 생애 주기의 처음 단계를 확인할 수 있었고, 아카이브 혹은 보존을 위해서는 하나의 메타데이터 표준만으로 기록 생애 주기 전체를 포괄할 수 없다는 것을 보여 주었다. 우리는 이 분석을 통해서 기록 생애 주기의 단계와 메타데이터 표준간의 관계, 기록 생애 주기 전체에서의 메타데이터 특성은 볼 수 있었으나, 보다 상세한 분석을 실시하는 것은 앞으로의 과제로 남겨두었다. 지금까지의 연구에 근거하여, 본 논문은 기록 생애 주기의 관점에서 디지털 아카이브와 보존, 기록관리를 위한 메타데이터 표준의 특징 분석을 위해, 기록 생애 주기 안에서 실행되는 업무의 관점으로부터 메타데이터 스키마를 재 파악하고 분석하였다. 지금까지 메타데이터 스키마는 기술대상이 되는 자원을 중심으로 정의되었기 때문에 기록 생애 주기 전체와 생애 주기 안의 각 단계에서 이용되는 메타데이터 표준간의 매핑을 위한 적절한 방법이 없었다. 이에 본 논문에서는 각기 다른 메타데이터 표준의 기술 요소를, 기록 생애 주기에 포함시키는 업무와 연결시키는 것으로 메타데이터 표준간의 매핑 방법을 제안한다. 본 연구에서는 메타데이터 표준 분석을 위한 프레임워크(Framework)로, 기록 생애 주기를 이용하여 작성한 자원의 업무중심 모델, 즉 태스크 모델(Task Model)을 제안한다. 태스크 모델을 이용함에 있어서 업무를 실행하는 '이벤트(Event)'의 관점을 보다 명확하게 할 수 있다. 한편, 업무를 중심으로 기술 요소간의 매핑을 보다 효율적으로 실시하기 위해서는 요소를 카테고리 화하여 매핑의 대상 범위를 좁히는 것이 중요하다. 이를 위해 우리는 범용성을 가진 5W1H모델(Who, What, Why, When, Where, How)을 이용하여, 기술 요소를 카테고리 화 하는 것을 제안한다. 그리고 태스크 모델과 5W1H 모델을 이용하여 메타데이터 표준 요소에 특징을 부여하고, 요소 간의 매핑을 실시하여 표준 간 관계를 확인하였다. 태스크 모델은 기록 생애 주기 전체에 업무의 관점을 반영한 것으로, 이 모델을 이용함으로써 기록 생애 주기와 그 안의 각 업무에 대한 메타데이터 표준의 사용, 그리고 특징 분석을 위해 실시되는 기술 요소간의 매핑이 가능할 수 있었다. 또한, 5W1H 카테고리를 이용하여 업무와 자원에 관련되는 기술 요소간의 관계를 살펴보는 것으로, 관계가 명확해지는 것과 함께 조사대상을 좁히는 것이 가능하게 되었다. 이 프레임워크의 제안과 이용으로 우리는 특징 분석을 위해 실시되는 매핑 혹은 분류가 단순한 일반적인 매핑이 아닌 의미적인 분류를 할 수 있었다. 본 연구에서는 이 모델들을 이용하여, 메타데이터 표준간의 크로스워크를 정의하였다. 그리고 태스크 모델의 각 단계의 문맥 내에서 메타데이터 기술 요소의 특성을 매핑 예로 확인하고, 이를 바탕으로 하여 프레임워크에 대해 고찰하였다.