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Clinically Correlated Anatomical Basis of Cricothyrotomy and Tracheostomy

  • Gulsen, Salih;Unal, Melih;Dinc, Ahmet Hakan;Altinors, Nur
    • Journal of Korean Neurosurgical Society
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    • v.47 no.3
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    • pp.174-179
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    • 2010
  • Objective : Cricothyrotomy and tracheostomy are performed by physicians in various disciplines. It is important to know the comprehensive anatomy of the laryngotracheal region. Hemorrhage, esophageal injury, recurrent laryngeal nerve injury, pneumothorax, hemothorax, false passage of the tube and tracheal stenosis after decannulation are well known complications of the cricothyrotomy and tracheostomy. Cricothyrotomy and tracheostomy should be performed without complications and as quickly as possible with regards the patients' clinical condition. Methods : A total of 40 cadaver necks were dissected in this study. The trachea and larynx and the relationship between the trachea and larynx and the surrounding structures was investigated. The tracheal cartilages and annular ligaments were counted and the relationship between tracheal cartilages and the thyroid gland and vascular structures was investigated. We performed cricothyrotomy and tracheostomy in eleven cadavers while simulating intensive care unit conditions to determine the duration of those procedures. Results : There were 11 tracheal cartilages and 10 annular ligaments between the cricoid cartilage and sternal notch. The average length of trachea between the cricoid cartilage and the suprasternal notch was 6.9 to 8.2 cm. The cricothyroid muscle and cricothyroid ligament were observed and dissected and no vital anatomic structure detected. The average length and width of the cricothyroid ligament was 8 to 12 mm and 8 to 10 mm, respectively. There was a statistically significant difference between the surgical time required for cricothyrotomy and tracheostomy (p < 0.0001). Conclusion : Tracheostomy and cricothyrotomy have a low complication rate if the person performing the procedure has thorough knowledge of the neck anatomy. The choice of tracheostomy or cricothyrotomy to establish an airway depends on the patients' clinical condition, for instance; cricothyrotomy should be preferred in patients with cervicothoracal injury or dislocation who suffer from respiratory dysfunction. Furthermore; if a patient is under risk of hypoxia or anoxia due to a difficult airway, cricothyrotomy should be preferred rather than tracheostomy.

A Study on the Convergence Characteristics for the Solution of Transfer Matrix Method (전달매트릭스법에 있어서 해의 수험특성에 관한 연구)

  • 김영식
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.26 no.3
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    • pp.282-287
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    • 1990
  • In this paper, it has been analysed that the stability and the effectivity of the solution using traditional transfer matrix method. And applying the false-position method to these, the convergence characteristics of the solution has been also analysed. As a result, the frontal transfer matrix method is superior to traditional transfer matrix method in the stability and the accuracy of the solution in high frequency region but in the economical efficiency and the effectivity of the calculation, traditional transfer matrix method is more desiable. Also, it is clear that $\omega-Det$ curve using the frontal transfer matrix method is discontinuous.

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Antidepressant effect of water extract of Taraxacum platycarpum through BDNF, ERK and CREB pathway (BDNF, ERK 및 CREB 경로를 통한 포공영 추출물의 항우울 효과)

  • Gu, Pil Sung;Lee, Jihye;Choi, Yun Hee;Jung, Ji Wook
    • The Korea Journal of Herbology
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    • v.30 no.3
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    • pp.13-17
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    • 2015
  • Objectives : Taraxacum platycarpum H. Dahlstedt has been reported to have several biological properties such as skin hydration and antiinflammation. The purpose of this study was to examine the antidepressive effects of water extract of T. platycarpum (WTP) on an animal model of depression. Methods : In the present study, normal ICR mice (4 weeks) were used, and orally administered with WTP (25, 50 and 100 mg/kg). Depression-like behavior was monitored the forced swimming test (FST) and tail suspension test (TST) in mice. The locomotor activity was evaluated to eliminate the false-positive activity in the open field test (OFT). Fluoxetine, the selective serotonin reuptake inhibitor, as a positive control was intraperitoneally administered at a dose of 15 mg/kg at 30 min before starting the behavioral test. Moreover, we evaluated the effects of WTP on the expression of brain-derived neurotrophic factor (BDNF) and the extracellular signal-regulated kinase (ERK)/ cyclic AMP response-element binding protein (CREB) signaling pathway in the hippocampus using Western blot. Results : The administration of WTP (50 and 100 mg/kg) significantly (P < 0.05, respectively) reduced the immobility time during FST and TST without accompanying changes in locomotor activity by OFT. Furthermore, WTP at dose of 100 mg/kg increased the BDNF expression and the phosphorylation of ERK and CREB in the hippocampus region. Conclusions : These results suggest that WTP has a useful anti-depressant effect through the regulation of BDNF/ERK/CREB signaling pathway.

Inspection for Inner Wall Surface of Communication Conduits by Laser Projection Image Analysis (레이저 투영 영상 분석에 의한 통신 관로 내벽 검사 기법)

  • Lee Dae-Ho
    • Journal of Korea Multimedia Society
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    • v.9 no.9
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    • pp.1131-1138
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    • 2006
  • This paper proposes a novel method for grading of underground communication conduits by laser projection image analysis. The equipment thrust into conduit consists of a laser diode, a light emitting diode and a camera, the laser diode is utilized for generating projection image onto pipe wall, the light emitting diode for lighting environment and the image of conduit is acquired by the camera. In order to segment profile region, we used a novel color difference model and multiple thresholds method. The shape of profile ring is represented as a minimum diameter and the Fourier descriptor, and then the pipe status is graded by the rule-based method. Both local and global features of the segmented ring shaped, the minimum diameter and the Fourier descriptor, are utilized, therefore injured and distorted pipes can be correctly graded. From the experimental results, the classification is measured with accuracy such that false alarms are less than 2% under the various conditions.

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Determination and Predictability of Precipitation-type in Winter from a Ground-based Microwave Radiometric Profiler Radiometer (라디오미터를 이용한 겨울철 강수형태 결정 및 예측가능성 고찰)

  • Won, Hye Young;Kim, Yeon-Hee;Chang, Dong-Eon
    • Atmosphere
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    • v.20 no.3
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    • pp.229-238
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    • 2010
  • The 1,000~500 hPa thickness and the $0^{\circ}C$ isotherm at 850 hPa have been used as the traditional predictors for wintertime precipitation-type forecasts. New approaches are taking on added significance as preexistence method of determination for wintertime precipitation-type exhibits more or less prevalent false alarms. Moreover thicknesses and thermodynamic profiles from ordinary upper-air observation were not adequate to monitor the atmospheric structure. In this regard, Microwave radiometric profiler microwave radiometer is useful in wintertime precipitation-type forecasts because radiometric measurements provide soundings at high temporal resolution. In this study, the determination and the predictability of wintertime precipitation-type were examined by using the calculated thicknesses, temperature of 850 hPa (T850) from a microwave radiometer, and surface observation at National Center for Intensive Observation of severe weather (NCIO) located at Haenam, Korea. The critical values for traditional predictors (thickness of 1000~500 hPa and T850) were evaluated and adjusted to Haenam region because snow rarely occurred with a 1000-500 hPa thickness > 5,300 m and T850 > $-10^{\circ}C$. Three thicknesses (e.g., 1,000~850, 1000~700, and 850~700 hPa thickness), T850, surface air temperature, and wet-bulb temperature were also evaluated as the additional predictors. A simple nomogram and a flow chart were finally designed to determine the wintertime precipitation-type using the microwave radiometer. The skill scores for the predictability of precipitation-type determination are considerably improved and the predictors showed the temporal variations in 12 hours before precipitation. We can monitor the hit and run snowfall in winter successful by realtime watch of the predictors, especially in commutes of big cities.

Part-based Hand Detection Using HOG (HOG를 이용한 파트 기반 손 검출 알고리즘)

  • Baek, Jeonghyun;Kim, Jisu;Yoon, Changyong;Kim, Dong-Yeon;Kim, Euntai
    • Journal of the Korean Institute of Intelligent Systems
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    • v.23 no.6
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    • pp.551-557
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    • 2013
  • In intelligent robot research, hand gesture recognition has been an important issue. And techniques that recognize simple gestures are commercialized in smart phone, smart TV for swiping screen or volume control. For gesture recognition, robust hand detection is important and necessary but it is challenging because hand shape is complex and hard to be detected in cluttered background, variant illumination. In this paper, we propose efficient hand detection algorithm for detecting pointing hand for recognition of place where user pointed. To minimize false detections, ROIs are generated within the compact search region using skin color detection result. The ROIs are verified by HOG-SVM and pointing direction is computed by both detection results of head-shoulder and hand. In experiment, it is shown that proposed method shows good performance for hand detection.

Performance Analysis of Batch Process Terrain Relative Navigation Using Area based Terrain Roughness Index for Lunar Lander (영역기반 지형 험준도 지수를 이용한 달착륙선의 일괄처리방식 지형상대항법 성능분석)

  • Ku, Pyung-Mo;Park, Young-Bum;Park, Chan-Gook
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.44 no.7
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    • pp.629-639
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    • 2016
  • Batch process TRN(Terrain Relative Navigation) using an altimeter is a technique to correct position by correlating a series of periodically measured terrain height profile and terrain height candidate profile of the DEM(Digital Elevation Map). However, it is generally known that the performance of TRN is degraded when measured terrain height profile and terrain height candidate profiles of the DEM are similar at hill or repetitive terrain. In this paper, area based terrain slope roughness index[11] is applied and area based terrain curvature roughness index which can detect similarity of terrain in ROI(Region Of Interest) is proposed to overcome this problem. Applying terrain roughness indexes to terrain relative navigation system of lunar lander, it is shown that TRN using area based terrain roughness results in improved performance compared to conventional trajectory based method through simulation.

Comparison between Possibilistic c-Means (PCM) and Artificial Neural Network (ANN) Classification Algorithms in Land use/ Land cover Classification

  • Ganbold, Ganchimeg;Chasia, Stanley
    • International Journal of Knowledge Content Development & Technology
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    • v.7 no.1
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    • pp.57-78
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    • 2017
  • There are several statistical classification algorithms available for land use/land cover classification. However, each has a certain bias or compromise. Some methods like the parallel piped approach in supervised classification, cannot classify continuous regions within a feature. On the other hand, while unsupervised classification method takes maximum advantage of spectral variability in an image, the maximally separable clusters in spectral space may not do much for our perception of important classes in a given study area. In this research, the output of an ANN algorithm was compared with the Possibilistic c-Means an improvement of the fuzzy c-Means on both moderate resolutions Landsat8 and a high resolution Formosat 2 images. The Formosat 2 image comes with an 8m spectral resolution on the multispectral data. This multispectral image data was resampled to 10m in order to maintain a uniform ratio of 1:3 against Landsat 8 image. Six classes were chosen for analysis including: Dense forest, eucalyptus, water, grassland, wheat and riverine sand. Using a standard false color composite (FCC), the six features reflected differently in the infrared region with wheat producing the brightest pixel values. Signature collection per class was therefore easily obtained for all classifications. The output of both ANN and FCM, were analyzed separately for accuracy and an error matrix generated to assess the quality and accuracy of the classification algorithms. When you compare the results of the two methods on a per-class-basis, ANN had a crisper output compared to PCM which yielded clusters with pixels especially on the moderate resolution Landsat 8 imagery.

License Plate Location Using SVM (SVM을 이용한 차량 번호판 위치 추출)

  • Hong, Seok-Keun;Chun, Joo-Kwong;An, Myoung-Seok;Shim, Jun-Hwan;Cho, Seok-Je
    • Journal of Navigation and Port Research
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    • v.32 no.10
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    • pp.845-850
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    • 2008
  • In this paper, we propose a license plate locating algorithm by using SVM. Tipically, the features regarding license plate format include height-to-width ratio, color, and spatial frequency. The method is dived into three steps which are image acquisition, detecting license plate candidate regions, verifying the license plate accurately. In the course of detecting license plate candidate regions, color filtering and edge detecting are performed to detect candidate regions, and then verify candidate region using Support Vector Machines(SVM) with DCT coefficients of candidates. It is possible to perform reliable license plate location bemuse we can protect false detection through these verification process. We validate our approach with experimental results.

How to Use EVT Figures for Actor Voice Training II (배우 음성 훈련을 위한 EVT 구조연습 활용방안 II)

  • Lee, Young-Su
    • The Journal of the Korea Contents Association
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    • v.22 no.2
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    • pp.647-664
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    • 2022
  • This study explores the possibility that the figure of the Estill Voice Training model, which is based on speech science, can contribute to the expansion of vocal expertise in the acting art where an actor creates a character. The purpose of this study is to examine the usage plan. The training model through the fluidity and structural functionality of the voice production organ is differentiated from the existing voice training that focuses only on the results of sound due to its ambiguous abstraction. Developing the voluntary coordination ability of the occipital region and vocal tract, such as False Vocal Folds, Cricoid Cartilage, Velum, AES, and Anchoring, has scientific efficiency that makes it easier to produce artistic target sounds, and it is a technical skill that can creatively overcome the functional limitations faced by actors. It can be used as a methodology. The Estill model Figure, which is a principle training for harmony and coordination between the elements of voice production, has a practical value that can be used as an alternative training model for the voice education of actors in Korea, where images and abstractions are the mainstream.