• 제목/요약/키워드: Frequency Index

검색결과 2,451건 처리시간 0.034초

역행성 견관절 전치환술에서 트라넥삼산의 출혈 및 수혈 감소 효과 (Tranexamic Acid Reduces Postoperative Blood Loss in Reverse Total Shoulder Arthroplasty)

  • 박기영;김인보;김은열;이광석
    • 대한정형외과학회지
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    • 제56권5호
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    • pp.391-397
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    • 2021
  • 목적: 트라넥삼산(tranexamic acid, TXA)은 하지 수술에서 출혈과 수혈 빈도를 줄이는 것으로 알려졌다. 본 연구에서는 역행성 견관절 전치환술 시에 출혈 및 수혈 요구에 대한 TXA의 효과를 평가하고자 하였다. 대상 및 방법: 2009년 9월부터 2020년 7월까지 역행성 견관절 전치환술을 시행한 환자를 평가하였다. 수술 중 정맥로와 관절강 내 도포를 시행한 군은 TXA 사용군, 시행하지 않은 군은 TXA 미사용군으로 분류하였다. 술 후 출혈량을 나타내는 배액관 배액량과 수혈 여부, 술 후 혈색소와 적혈구 용적률 수치를 분석하였다. 결과: TXA 사용군과 TXA 미사용군 간 연령(72.0±7.0 vs. 71.5±5.8, p=0.656) 및 남, 녀 성별 비율(28:65 vs. 23:61, p=0.689)은 유의한 차이가 없었다. 또한 고혈압, 당뇨병, 두 질환 모두를 가진 환자의 유병률(36:3:13 vs. 32:3:8, p=0.806)은 양 군 간 유의한 차이가 없었다. 수혈 기준에 따라 수혈을 시행한 수혈 환자 수(0 vs. 9, p=0.001)는 TXA 사용군에서 없었으며 TXA 미사용군에서 유의하게 더 많았다. 수술 1일째(98.8±61.2 ml vs. 162.7±98.8 ml, p<0.001) 및 제거 당시 배액관 배액량(73.8±48.4 ml vs. 91.5±54.5 ml, p=0.024)은 둘 다 TXA 사용군에서 유의하게 더 적었다. 수술 전 측정한 혈색소 수치(13.2±1.4 vs. 13.3±1.5, p=0.374)와 적혈구 용적률 수치(39.5±3.9 vs. 39.6±4.7, p=0.946)에서 양 군 간 유의한 차이가 없었다. 수술 1일째(11.7±1.2 g/dl vs. 11.2±1.4 g/dl, p=0.048), 3일째(10.9±1.2 g/dl vs. 10.2±1.2 g/dl, p<0.001), 6일째 혈색소(11.2±1.3 g/dl vs. 10.7±1.3 g/dl, p=0.020)는 TXA 사용군에서 유의하게 높았다. 수술 1일째(35.0%±3.6% vs. 32.5%±3.8%, p=0.001), 3일째(32.3% ±5.0% vs. 29.8%±3.6%, p<0.001), 6일째 적혈구 용적률 수치(33.5%±3.8% vs. 31.5%±3.7%, p<0.001)에서도 TXA 사용군에서 유의하게 높았다. 결론: 역행성 견관절 전치환술 시행 시 정맥로와 관절강 내 국소도포를 이용한 TXA의 사용은 수술 후 수혈의 필요성과 출혈량을 줄일 수 있다.

개인별 목표 설정과 스마트폰 기반 영양상담을 통한 20-30대 성인의 영양지수 및 식이 자아효능감 향상 (Improving the nutrition quotient and dietary self-efficacy through personalized goal setting and smartphone-based nutrition counseling among adults in their 20s and 30s)

  • 김다현;박다원;한영희;현태선
    • Journal of Nutrition and Health
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    • 제56권4호
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    • pp.419-438
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    • 2023
  • 본 연구에서는 20-30대 성인을 대상으로 개인별 식습관 목표를 설정하고 인스턴트 메신저를 활용한 스마트폰 기반의 영양상담이 대상자의 영양지수, 식이 자아효능감, 영양소 섭취상태를 향상시킬 수 있는지를 평가하고자 하였다. 총 30명을 대상으로 모바일 메신저의 1:1 채팅방을 통해 주 1회 1시간 내외로 8주간 비대면 영양상담을 진행하였다. 상담 첫째 주에는 사전 온라인 설문조사와 식사섭취조사를 실시하였고, 두 번째 주에는 사전 조사 결과를 바탕으로 2가지의 식습관 목표를 설정하였고, 목표 달성 여부를 매일 기록할 수 있는 체크리스트를 제공하였다. 3주차부터는 상담영양사가 체크리스트를 바탕으로 피드백 메시지와 식생활 지침에 대한 정보를 카드뉴스 형식으로 제공하였다. 7주차 상담 후에는 사후 온라인 설문조사와 식사섭취조사를 실시하였고, 8주차에는 그 동안의 변화된 식습관을 살펴보고 상담 과정 평가에 대한 온라인 설문조사를 실시하였다. 영양상담 전후의 결과를 분석한 결과, 영양상담 후 대상자의 영양지수와 주위 환경 자극 조절 효능감 점수가 영양상담 전보다 유의하게 높았다. 영양지수 문항별로는 과일, 우유 및 유제품, 견과류, 채소류, 패스트푸드, 라면, 달고 기름진 빵류, 가당음료류의 섭취 빈도 점수가 영양상담 후 유의하게 높았다. 단백질, 비타민 A, 티아민, 리보플라빈, 엽산, 칼슘, 철의 섭취량과 비타민 A, 리보플라빈, 엽산, 칼슘, 철의 INQ도 영양상담 전보다 후에 높았다. 또한 참가자들은 영양상담 프로그램과 제공되는 영양정보에 대해 높은 만족도를 보였다. 이와 같이 개인별 목표 설정과 스마트폰 기반 영양상담은 20-30대 성인의 영양지수, 주위 환경 자극 조절 효능감, 그리고 영양소의 양적, 질적 향상에 효과적인 것으로 나타났으며, BMI에 따라 분류한 저체중·정상체중군과 과체중·비만군 모두 유사한 결과를 얻었다. 본 연구 결과 개인별 목표 설정, 자기 모니터링, 목표 달성에 대한 피드백과 격려가 행동 변화에 긍정적인 효과를 주는 것으로 보이며, 스마트폰을 편하게 사용하는 젊은 성인에게는 대면 상담이 아닌 스마트폰 채팅 기반 영양상담도 효과적인 방법이라고 사료된다.

텍스트 마이닝과 CONCOR을 활용한 배리어 프리 학술연구 동향 분석 (Trend Analysis of Barrier-free Academic Research using Text Mining and CONCOR)

  • 이정기;윤기혁
    • 사물인터넷융복합논문지
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    • 제9권2호
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    • pp.19-31
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    • 2023
  • 세계적으로 장애물 없는 생활 환경, 즉 배리어 프리의 중요성이 부각되고 있다. 이에 본 연구는 텍스트 마이닝 기법을 활용하여 배리어 프리 연구 동향을 파악해 봄으로써 배리어 프리 환경 조성을 위한 연구의 방향성, 정책의 방향성 제시에 도움을 주고자 했다. 분석 자료는 배리어 프리 관련 연구가 시작된 1996년부터 2022년 현재까지 국내 전문학술지에 개재된 227편의 논문이다. 연구자는 학술 논문의 제목과 주제어, 초록을 텍스트로 전환한 후 논문의 패턴과 데이터의 의미를 분석했다. 연구결과를 요약하면 다음과 같다. 첫째, 2009년 이후 배리어 프리 연구가 증가하기 시작했고, 연평균 17.1편의 논문이 게재됐다. 이는 2008년 7월 15일에 장애물 없는 생활환경(Barrier Free) 인증제도 시행지침 시행과 관련성을 가진다. 둘째, 배리어 프리 텍스트 마이닝 결과 i) 상위 주요 키워드 단어 빈도분석 결과 배리어 프리, 장애인, 디자인, 유니버설 디자인, 접근, 노인, 인증, 개선, 평가, 공간, 시설, 환경 등이 중요 키워드로 나타났다. ii) TD-IDF 분석결과는 유니버설 디자인, 디자인, 인증, 주택, 접근, 노인, 설치, 장애인, 공원, 평가, 건축물, 공간 등이 주요 키워드로 나타났다. iii) N-Ggam 분석결과 배리어프리+인증, 배리어프리+디자인, 배리어프리+배리어프리, 노인+장애인, 장애인+노약자, 장애인+편의시설, 장애인+노인, 사회+노약자, 편의시설+설치, 인증+평가지표, 물리+환경, 삶+질 등이 주요 연관어로 나타났다. 셋째, CONCOR 분석결과 군집 1은 배리어 프리의 현안과 과제, 군집 2는 유니버설 디자인과 공간 활용, 군집 3은 장애인 활용 가능성 제고, 군집 4는 배리어 프리 인증과 평가로 나타났다. 본 연구는 이상의 분석결과에 기반하여 배리어 프리 연구의 활성화와 바람직한 배리어 프리 환경 구축을 위한 정책적 함의를 제시 하였다.

경기서부지역 로컬푸드 잔류농약 실태조사 (Monitoring of Residual Pesticides in Local Foods Distributed in the Western Gyeonggi Province)

  • 손미희;김재관;이유진;김지은;백은진;김병태;이성남;박명기;박용배
    • 한국식품위생안전성학회지
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    • 제38권6호
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    • pp.489-495
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    • 2023
  • 경기 서부지역 로컬푸드 직매장에서 유통되고 있는 농산물 341건을 수거하여 잔류 농약 검사를 실시한 결과 30.8%인 105건에서 잔류농약이 검출되었다. 6건이 잔류허용기준을 초과하여 부적합률은 1.8%로 나타났으며 최근 3년간 평균 부적합률인 1.4%보다 다소 높게 나타났다. 조사대상 농산물 중 과일류와 채소류에서만 잔류농약이 검출된 것으로 나타났으며, 과일류는 34건 중 24건이 검출되어 70.6%, 채소류는 277건중 81건이 검출되어 29.2%의 검출률을 나타내었다. 검출된 농약은 acetamiprid 등 59종으로 총 208회 검출되었으며 검출범위는 0.01-2.38 mg/kg 이었다. 잔류농약이 검출된 105건의 농산물중 62건(59%)에서는 1종의 농약만 검출되었고 43건(41%)에서는 2종 이상의 농약성분이 검출되었다. 특히 복숭아에서는 14종의 농약이 동시에 검출되었으며 농약성분 중 dinotefuran이 21회로 가장 많이 검출되었다. 검출된 농약의 독성을 살펴본 결과 인축독성은 III급(보통독성)이 44회(21.2%), IV급(저독성)이 164회(78.8%) 검출되었고, 어독성은 I급 68회(32.7%), II급 14회(6.7%), III급 126회(60.6%) 검출된 것으로 나타났다. 5회 이상 검출된 다빈도 농약성분에 대한 노출량을 조사한 결과 위해지수는 2.8% 이하로 나타나 식이 섭취량에 따른 잔류농약의 위해도는 미미한 것으로 판단된다.

Sensory Information Processing

  • Yoshimoto, Chiyoshi
    • 대한의용생체공학회:의공학회지
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    • 제6권2호
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    • pp.1-8
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    • 1985
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70$\pm$1.32mmHg/min)compared to CF dialyzers(4.32$\pm$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500, 550, 570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500, 550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100, 300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3, 000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.SpO2 with Plethysmograph.

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High Resolution HC$_3$N Observations toward the Central Region of Sagittarius B2

  • H.S-Ching;Oh, M.ishi;M.Morimoto
    • 한국우주과학회:학술대회논문집(한국우주과학회보)
    • /
    • 한국우주과학회 1993년도 한국우주과학회보 제2권2호
    • /
    • pp.17-17
    • /
    • 1993
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70${\pm}$1.32mmHg/min)compared to CF dialyzers(4.32${\pm}$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500,550,570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500,550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100,300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.

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건강증진센터 고객의 비알콜성 지방간 유무에 따른 식습관 및 영양섭취, 식사의 질에 관한 연구 (A study on dietary habits, nutrient intakes and dietary quality in adults of a health screening and promotion center according to non-alcoholic fatty liver disease)

  • 장지호;이혜승;강은희
    • Journal of Nutrition and Health
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    • 제47권5호
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    • pp.330-341
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    • 2014
  • 본 연구에서는 NAFLD 유무에 따른 식습관, 식품 및 영양소 섭취량, 식사의 질을 분석하여 영양상담을 위한 기초 자료로 활용하고 질병예방에 도움을 주고자 하였다. 연구 결과를 요약하면 다음과 같다. 1) NAFLD군이 정상군에 비해 남성은 40~50대 비율이 높았고, 여성은 50~60대 비율이 높았다. NAFLD군이 정상군에 비해 키, 체중, BMI, 허리둘레, 수축기혈압, 이완기혈압이 유의적으로 높았다. 2) 식습관은 남녀 연구 대상 전체를 분석한 결과, 식사속도가 '빠르다'는 응답이 NAFLD군이 정상군에 비해 유의적으로 높았다. 과식빈도, 외식빈도가 NAFLD군이 정상군에 비해 유의적으로 잦았다. 아침식사를 거르는 빈도가 NAFLD군이 정상군에 비해 유의적으로 높았다. 또한, 카페인 섭취가 '하루 3잔이상'인 경우가 NAFLD군이 유의적으로 높았다. 3) 식품군별 섭취량은 남성의 경우, NAFLD군에서 곡류, 고기류, 생선류, 단당류, 단음식 (빵 과자), 커피 및 차류, 유지류의 섭취량이 유의적으로 많았고, 이에 반해 전분류와 채소류, 우유 및 유제품의 섭취량은 유의적으로 적었다. 여성의 경우, NAFLD군에서 곡류, 생선류, 콩류, 김치류의 섭취량이 유의적으로 많았고, 알류, 해조류, 우유 및 유제품류, 단음식 (빵 과자), 커피 및 차류의 섭취량이 유의적으로 적었다. 연구 대상 전체 NAFLD군에서는 정상군에 비해 곡류, 고기류, 생선류, 해조류, 김치류, 단당류, 커피 및 차류, 유지류의 섭취량이 유의적으로 많았고, 반면 전분류, 과일류, 우유 및 유제품류의 섭취량은 유의적으로 낮았다. 4) 총 에너지 섭취량은 남성, 여성, 연구 대상 전체에서 NAFLD군이 정상군에 비해 유의적으로 높았다. 영양소섭취량은 남성의 경우 NAFLD군은 정상군에 비해 탄수화물, 단백질, 지방, 티아민, 비타민 E, 니아신, 인, 나트륨, 아연, 콜레스테롤 섭취량이 유의적으로 높았다. 여성의 경우 NAFLD군은 정상군에 비해 탄수화물, 단백질, 비타민 $B_6$, 니아신, 인, 철분, 나트륨, 칼륨, 아연, 식이섬유소 섭취량이 유의적으로 높았다. 5) 1,000 kcal당 영양소 섭취량 분석 결과, 남성의 경우 NAFLD군은 정상군에 비해 지방의 섭취량이 유의적으로 높았고, 탄수화물, 비타민 A, 티아민, 리보플라빈, 비타민 $B_6$, 비타민 C, 엽산, 칼슘, 인, 철분, 칼륨, 식이섬유소의 섭취량은 유의적으로 낮았다. 여성의 경우 NAFLD군은 정상군에 비해 탄수화물의 섭취량이 유의적으로 높았고, 지방, 리보플라빈, 콜레스테롤 섭취량은 유의적으로 낮았다. 6) 식사의 질 평가에서는 다섯 가지 주요식품군이 모두 포함된 식사 (KDDS = 5)를 하는 경우가 여성, 연구 전체 대상에서 정상군이 NAFLD군에 비해 유의적으로 높았다. 리보플라빈, 칼슘, 식이섬유소의 NAR은 정상군에 비해 NAFLD군이 유의적으로 낮았다. 이상의 결과를 종합해보면, NAFLD군에서 빠른 식사속도, 과식, 잦은 외식 등 불량한 식습관을 보였다. 또한, NAFLD군에서 전분류, 우유 및 유제품, 과일류의 섭취가 유의적으로 낮았고 총 에너지 섭취량은 NAFLD군이 정상군에 비해 유의적으로 높았다. 과다한 에너지 섭취, 불균형적인 영양소 섭취, 불규칙적인 식습관 등은 NAFLD에 좋지 않은 영향을 주므로, 영양상담을 통해 식습관을 올바르게 개선하고, 골고루 균형있게 적당한 양을 섭취하는 것이 중요할 것이다. 또한 앞으로 국내 NAFLD 환자를 대상으로 한 식이섭취요인에 관한 연구가 보다 체계적이고 지속적으로 이루어져야 할 것이다. 또한 최근에는 비만하지 않은 여성에서도 NAFLD가 보고되고 있다. 앞으로 국내 비만하지 않은 NAFLD 여성과 비만한 NAFLD 여성의 식습관 및 영양 섭취 상태에 대한 연구도 이루어져야 할 것이다.

산지사면(山地斜面)의 붕괴위험도(崩壞危險度) 예측(豫測)모델의 개발(開發) 및 실용화(實用化) 방안(方案) (Studies on Development of Prediction Model of Landslide Hazard and Its Utilization)

  • 마호섭
    • 한국산림과학회지
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    • 제83권2호
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    • pp.175-190
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    • 1994
  • 산지사면붕괴(山地斜面崩壞)에 의(依)한 피해(被害)를 예방(豫防) 또는 극소화(極小化)하기 위(爲)하여 산사태(山沙汰)가 자주 발생(發生)하는 지역(地域)을 중심(中心)으로 각(各) 조사(調査) 단위사면(單位斜面)에 대(對)하여 산지사면붕괴(山地斜面崩壞)에 영향(影響)하리라고 예상(豫想)되는 12개(個) 환경요인(環境要因)을 현지조사(現地調査)하고 붕괴(崩壞)와 환경인자(環境因子)와의 관계(關係)를 수량화(數量化) 이론(理論)에 의(依)한 방법(方法)으로 분석(分析)하여 산사태발생(山沙汰發生)의 위험도(危險度)를 평가(評價)할 수 있는 예측(豫測)모델을 도출(導出)하였으며, 또한 이를 기초(基礎)로 하여 위험도(危險度)를 각(各) 급별(級別)로 구분(區分)하고 예지(豫知)모델을 검토(檢討)하였던 바 그 결과(結果)을 요약(要約)하면 다음과 같다. 산지붕괴발생면적(山地崩壞發生面積)에 영향(影響)을 주는 인자(因子)는 강우(降雨), 령급(齡級), 표고(標高), 토성(土性), 경사(傾斜), 사면위치(斜面位置), 임상(林相), 곡차수(谷次數), 종단사면형(縱斷斜面形), 모암(母岩), 토심(土深), 방위(方位)의 순(順)이었으며, 편상관계수(偏相關係數)에 의(依)한 인자(因子)는 령급(令級), 강우(降雨), 토성(土性), 모암(母岩), 경사(傾斜), 사면위치(斜面位置), 표고(標高), 종단사면형(縱斷斜面形), 곡차수(谷次數), 임상(林相), 토심(土深), 방위(方位)의 순(順)으로 나타났다. 또한 산지붕괴발생빈도(山地崩壞發生頻度)에 의(依)한 인자(因子)의 순위(順位)는 령급(令級), 표고(標高), 토성(土性), 경사도(傾斜度), 식생(植生), 강우(降雨), 종단사면(縱斷斜面), 곡차수(谷次數), 모암(母岩), 토심(土深)이었으며 사면위치(斜面位置) 및 방위(方位)는 기여도(寄與度)가 낮게 나타났다. 산지사면붕괴위험(山地斜面崩壞危險) 예지(豫知)를 위(爲)하여 붕괴발생면적(崩壞發生面積)에 의(依)한 예측(豫測)모델에서 위험도(危險度) 예측점수표(豫測點數表)를 작성(作成)할 수 있었으며, 점수합계(點數合計)가 9.1636이면 붕괴발생위험(崩壞發生危險)이 높은 것으로 평가(評價)되었으며 산지(山地) 사면붕괴(斜面崩壞)가 발생(發生)한 사면(斜面)과 발생(發生)하지 않은 사면(斜面)에 의(依)한 예측(豫測)모델에서 우사면(雨斜面)에 대(對)한 사면판별(斜面判別) 구분치(區分値)는 -0.02였고, 그 적중율(適中率)은 73%로 높았다. 또한 판별구분치(判別區分値)를 기준(基準)으로 한 산지사면붕괴발생(山地斜面崩壞發生) 위험도별(危險度別) 점수(點數)는 A급(級)은 0.3132 이상(以上)이었고, B급(級)은 0.3132~-0.1051, C급(級)은 -0.1050~-0.4195, D급(級)은 -0.4195 이하(以下)였다. 그리고 산지사면붕괴발생(山地斜面崩壞發生)의 예지(豫知)는 판별구분치(判別區分値)를 기준(基準)으로 위험도(危險度)을 A, B, C, D의 4등급(等級)으로 구분(區分)할 수 있었으며, 총(總) 300개(個) 사면(斜面) 중(中) A급사면(級斜面) 68개(個), B급사면(級斜面) 115개(個), C급사면(級斜面) 65개, D급사면(級斜面) 52개(個)였다. 위험도(危險度) A, B급(級)에서의 산사태발생(山沙汰發生)은 150개(個) 붕괴지(崩壞地) 중 125개(個)로서 약(約) 83.3%의 높은 적중율(適中率)을 보여 예측(豫測)모델로서 응용(應用) 가능성(可能性)이 높게 나타났다. 따라서 이러한 예지방법(豫知方法)에 의(依)하여 선정(選定)한 위험(危險)한 지역(地域)에 대(對)하여 산지재해위험도(山地災害危險度) 지도(地圖)를 작성(作成)하여 토지이용(土地利用) 계획(計劃) 및 재해위험지(災害危險地) 선정기준(選定基準)의 행정지표(行政指標)로서 활용(活用)할 수 있을 것이다. 또한 산지재해(山地災害)에 대(對)한 종합(綜合) 대책(對策)에 유용(有用)하게 활용(活用)함으로써 막대(莫大)한 재산(財産) 피해(被害)와 인명(人命) 손실(損失)을 사전(事前)에 방지(防止)할 수 있을 것이다.

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기업 간 특허인용 관계 결정요인에 관한 연구 : MR-QAP분석 (A Study on the Determinants of Patent Citation Relationships among Companies : MR-QAP Analysis)

  • 박준형;곽기영;한희준;김윤정
    • 지능정보연구
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    • 제19권4호
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    • pp.21-37
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    • 2013
  • 최근 지식기반 사회의 진입과 더불어 지식재산에 대한 관심이 증가하고 있다. 특히 하이테크산업을 이끌고 있는 ICT기업들은 지식재산의 체계적 관리를 위하여 끊임없이 노력하고 있다. 기업의 지적 자본을 대표하는 특허정보가 지속적으로 축적됨에 따라 정량적인 분석이 가능해졌다. 특허정보를 통하여 특허수준부터 기업수준, 산업수준, 국가수준에 이르기 까지 다양한 수준에서의 분석이 가능하다. 특허정보는 기술 현황을 파악하거나 성과에 미치는 영향을 분석하는데 활용되고 있다. 네트워크를 통한 분석은 지식 영향의 흐름을 나타내며, 이를 통하여 기술의 변화를 확인할 수 있을 뿐만 아니라 앞으로의 연구 방향을 예측할 수 있다. 네트워크를 활용한 분석 분야에서는 기업이 차지하는 네트워크상에서의 위치가 기업성과에 미치는 영향을 다각도에서 분석하는 연구가 진행되고 있다. 특허 인용 정보를 활용한 분석은 크게 두 가지로, 인용 횟수를 활용하는 인용지표 분석과 인용관계를 바탕으로 한 네트워크 분석으로 나뉜다. 본 연구는 기업간 규모의 차이가 기업 간 특허 인용 관계에 미치는 영향을 분석하고자 하였다. S&P 500에 등록된 IT 및 통신서비스를 제공하는 74개 기업을 선정하였으며 기업 간 특허 인용 관계를 구하기 위하여 2009년, 2010년의 특허 인용 정보를 수집하여 기업 간 특허 인용 관계를 나타냈다. 또한 기업규모를 대표하는 지표로 기업 총 자산에 대한 정보를 수집하였다. 기업규모에 따라 외부 지식에 대한 의존도가 달라지는 선행연구를 통하여 기업규모가 기업간 특허 인용 관계에 미치는 영향을 알아보고자 하였다. 이에 기업 간 총 자산의 차이에 절대값을 취한 값을 기업 간 거리로 정의하였으며, 기업 간 규모의 단순 차이를 기업 간 계층으로 정의하여 새로운 소시오매트릭스를 생성하였다. 2010년도 기업간 특허 인용 관계를 나타낸 소시오매트릭스를 종속변수로 하였으며, 2009년도 기업 간 특허 인용 네트워크, 기업 간 거리 및 계층을 독립변수로 하여 QAP분석 및 MR-QAP분석을 실시하였다. QAP분석 결과 기업 간 거리와 계층은 특허 인용 관계에 유의한 영향을 미치는 것으로 나타났다. MR-QAP분석에는 2009년도 기업 간 특허 인용 관계와 기업 간 거리만 유의함을 확인할 수 있었다. 특히 2009년도 기업 간 특허 인용 관계가 2010년도 기업 간 특허 인용 관계에 가장 큰 영향력을 행사하는 것을 볼 수 있어 기업 간 특허 인용관계는 연속성이 존재하는 것으로 볼 수 있었다.

반복성 구토 또는 역류증 환아에서 24시간식도 산도 측정의 의의 (The Significance of 24-Hour Esophageal pH Monitoring in Children with Recurrent Vomiting or Regurgitation)

  • 이소현;이창한;정기섭
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제2권2호
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    • pp.139-146
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    • 1999
  • 목 적: 소아에서 흔히 볼 수 있는 반복적 구토 또는 게우기는 대부분 생리적 위식도 역류에 기인하지만 치료가 필요한 병적인 역류와 감별이 필요하다. 병적 역류의 진단에 이용되는 24시간 식도산도 측정의 임상적 의의와 더불어 역류지표들을 평가해 보고자 본 연구를 시행하였다. 대상 및 방법: 반복적 구토 또는 게우기를 주소로 내원한 환아들 중 glass electrode 및 GastrograpH (MIC, Switzerland)를 이용하여 24시간 식도 산도측정을 시행한 87례를 대상으로 병적 역류의 연령별 빈도를 알아보고, 생리적 및 병적 역류군의 역류 지표들의 평가와 더불어 두 군내에서의 하루중 시간대 별 역류 지수의 차이를 알아보고자 하였다. 결 과: 총 87명 중 병적 역류 환아는 32명(36.8%) 였으며, 연령별로는 6개월 미만에서 32.5%, 6개월~1세 사이 13.3%, 1~2세 사이 61.5%, 2~3세 사이 14.3%, 3세 이상에서는 66.7%에서 병적역류를 보였다. 생리적 역류군에서 총 역류지수는 1세미만에서 $3.7{\pm}2.9%$, 1세 이상에서 $1.8{\pm}1.5%$로 1세 전후에서 유의한 차이(p=0.02)를 보였으며, 하루 시간대별 1세 전후의 역류지수는 아침시간대에서만 1세 이하군이 의의 있게(p=0.04) 높았다. 역류횟수는 각각 $118{\pm}150$, $108{\pm}104$회로 1세 전후에서 유의한 차이는 없었다. 5분 이상 지속된 역류횟수는 1세 전후에서 각각 $1.7{\pm}1.9$, $0.8{\pm}1.0$회로 1세이하에서 유의하게(p=0.03) 많았으며, 가장 긴 1회 역류시간은 1세 전후에서 각각 $604{\pm}551$초, $275{\pm}296$초로 1세 이하에서 유의하게(p=0.007) 길었다. 병적 역류군에서 총역류지수는 1세 미만에서 $17.7{\pm}11.6%$, 1세 이상에서$7.7{\pm}2.9%$였고 역류횟수는 1세 전후에서 각각 $365{\pm}224$, $294{\pm}202$회였으며, 5분 이상 지속된 역류횟수는 $8.9{\pm}4.6$, $3.2{\pm}1.8$회였다. 가장 긴 1회 역류시간은 1세 전후에서 각각 $1955{\pm}2190$초, $1093{\pm}706$초였다. 생리적 및 병적 역류군 각각에서 하루 시간대 사이의 역류 지수를 비교한 결과 유의한 차이는 없었다. 결 론: 반복적 구토 또는 게우기를 주소로 내원한 환아에서 glass electrode 및 GastrograpH를 이용한 24시간 식도 산도 측정 검사상 1세 미만에서는 역류 지수 10%, 1세 이상에서는 5%를 기준으로 했을 때 병적 역류는 36.8%에서 관찰되었다. 생리적 및 병적 역류군의 시간대별 역류 지수 사이에는 유의한 차이가 없었다. 본 연구에서 병적 역류군의 역류발생빈도가 연령에 따라 차이가 크며, 특히 1~2세 사이의 환아에서 그 비율이 현저히 높았고, 또한 1세 전후의 역류지수도 현저한 차이를 보이므로, 향후 보다 많은 영유아들을 대상으로 조사 분석하여 1~2세 사이의 병적 역류의 기준 역류 지수를 5~10% 사이에서 더 세분하는 것이 필요할 것으로 생각된다.

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