• 한방비만학회지
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• 제19권1호
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• pp.31-41
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• 2019

Objectives: The purpose of this study was to investigate the effects of gender, age, body weight, muscle mass, fat mass, body mass index (BMI), metabolism, and compliance with medication on weight loss in obese adults. Methods: We reviewed the medical records of 178 patients who were visited to the Korean Oriental Clinic for 3~6 month and had obesity treatment using Gamitaeumjowee-tang from April 2017 to May 2017. We conducted a paired T-test, correlation coefficient and decision tree to analyze factors influencing obesity treatment. Results: The results of correlation analysis showed that initial weight (kg), initial fat mass (kg), BMI ($kg/m^2$), compliance with medication (%), Original Harris-Benedict Equation, Revised Harris-Benedict Equation and The Mifflin St Jeor Equation was significantly correlated to weight loss (kg) (P<0.001). As a result of constructing the decision tree model, it showed that over 5% weight loss of their initial weight (n=154) was related with initial BMI ($kg/m^2$), compliance with medication (%) and initial muscle mass (kg). In case of over 5 kg weight loss of their initial weight (n=131), it was related with initial BMI ($kg/m^2$), compliance with medication (%) and final BMI ($kg/m^2$). Conclusions: This study suggests that weight loss may be affected by initial factors and that initial factors can be used for obesity treatment.

• Journal of Trauma and Injury
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• 제34권1호
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• pp.13-20
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• 2021

Purpose: Nutritional therapy in the intensive care unit is an essential factor for patient progress. The purpose of this study was to compare resting energy expenditure (REE) calculated by prediction equations (PEs) to the REE measured by indirect calorimetry (IC) in trauma patients. Methods: Patients admitted to the trauma intensive care unit who received mechanical ventilation between January and December 2015 were enrolled. REE was measured by IC (CCM Express, MGC Diagnostics) and calculated by the following PEs: Harris-Benedict, Fleisch, Robertson and Reid, Ireton-Jones, and the maximum value (25 kcal/kg/day) of the European Society for Clinical Nutrition and Metabolism (ESPEN). All patients were ventilated at a fraction of inspired oxygen (FiO2) below 60%. Results: Of the 31 patients included in this study, 24 (77.4%) were men and seven (22.6%) were women. The mean age of the patients was 49.7±13.2 years, their mean weight was 68.1±9.6 kg, and their mean Injury Severity Score was 26.1±11.3. The mean respiratory quotient on IC was 0.93±0.19, and their mean FiO2 was 38.72%±6.97%. The mean REE measured by IC was 2,146±444.36 kcal/day, and the mean REE values calculated by the PEs were 1,509.39±205.34 kcal/day by the Harris and Benedict equation, 1,509.39±154.33 kcal/day by the Fleisch equation, and 1,443.39±159.61 kcal/day by the Robertson and Reid equation. The Ireton-Jones equation yielded a higher value (2,278.90±202.35 kcal/day), which was not significantly different from the value measured using IC (p=0.53). The ESPEN maximum value (1,704.03±449.36 kcal/day) was lower, but this difference was likewise not significant (p=0.127). Conclusions: The REE measured by IC was somewhat higher than that calculated using PEs. Further studies are needed to determine the proper nutritional support for trauma patients.

• 한방재활의학과학회지
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• 제32권2호
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• pp.95-103
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• 2022

Objectives This study was conducted to assess the effect of chuna manual therapy after hip arthroplasty. Methods We searched across 9 electronic databases (PubMed, Cochrane Library, Wangfang data, China National Knowledge Infrastructure [CNKI], Oriental Medicine Advanced Searching Integrated System [OASIS], National Digital Science Library [NDSL], Korean Medical Database [KMBASE], Koreanstudies Information Service System [KISS], Research Information Sharing Service [RISS]) to find randomized controlled clinical trials for chuna manual therapy after hip arthroplasty. Results On inclusion criteria, 11 appropriate studies were included and analyzed. The deep vein thrombosis incidence of the chuna manual therapy group was statistically lower than the conventional treatment group (p=0.0002). Chuna manual therapy significantly improved the Harris hip score compared with conventional treatment (p<0.00001). Also, chuna manual therapy combined with herbal fumigation therapy significantly elevated the hip joint function score of Harris hip score compared with the conventional therapy group (p<0.00001). Conclusions The systematic review showed that chuna manual therapy had significant effects on hip arthroplasty. Nonetheless, considering the high risk of bias and geographic bias, further research with well-designed studies is required to support the effectiveness of chuna manual therapy.

• Structural Engineering and Mechanics
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• 제86권5호
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• pp.673-686
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• 2023

Determining the properties of pile from cone penetration test (CPT) is costly, and need several in-situ tests. At the present study, two novel hybrid learning models, namely PSO-RF and HHO-RF, which are an amalgamation of random forest (RF) with particle swarm optimization (PSO) and Harris hawks optimization (HHO) were developed and applied to predict the pile set-up parameter "A" from CPT for the design aim of the projects. To forecast the "A," CPT data along were collected from different sites in Louisiana, where the selected variables as input were plasticity index (PI), undrained shear strength (S_u), and over consolidation ratio (OCR). Results show that both PSO-RF and HHO-RF models have acceptable performance in predicting the set-up parameter "A," with R² larger than 0.9094, representing the admissible correlation between observed and predicted values. HHO-RF has better proficiency than the PSO-RF model, with R² and RMSE equal to 0.9328 and 0.0292 for the training phase and 0.9729 and 0.024 for testing data, respectively. Moreover, PI and OBJ indices are considered, in which the HHO-RF model has lower results which leads to outperforming this hybrid algorithm with respect to PSO-RF for predicting the pile set-up parameter "A," consequently being specified as the proposed model. Therefore, the results demonstrate the ability of the HHO algorithm in determining the optimal value of RF hyperparameters than PSO.

• Journal of Trauma and Injury
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• 제36권4호
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• pp.337-342
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• 2023

Purpose: This study aimed to compare the resting energy expenditure (REE) measured using indirect calorimetry with that estimated using predictive equations in severe trauma patients to determine the appropriate caloric requirements. Methods: Patients admitted to the surgical intensive care unit between January 2020 and March 2023 were included in this study. Indirect calorimetry was used to measure the patients' REE values. These values were subsequently compared with those estimated using predictive equations: the weight-based equation (rule of thumb, 25 kcal/kg/day), Harris-Benedict, Ireton-Jones, and the Penn State 2003 equations. Results: A total of 27 severe trauma patients were included in this study, and 47 indirect calorimetric measurements were conducted. The weight-based equation (mean difference [MD], -28.96±303.58 kcal) and the Penn State 2003 equation (MD, - 3.56±270.39 kcal) showed the closest results to REE measured by indirect calorimetry. However, the REE values estimated using the Harris-Benedict equation (MD, 156.64±276.54 kcal) and Ireton-Jones equation (MD, 250.87±332.54 kcal) displayed significant differences from those measured using indirect calorimetry. The concordance rate, which the predictive REE differs from the measured REE value within 10%, was up to 36.2%. Conclusions: The REE values estimated using predictive equations exhibited substantial differences from those measured via indirect calorimetry. Therefore, it is necessary to measure the REE value through indirect calorimetry in severe trauma patients.

• 한국항행학회논문지
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• 제25권6호
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• pp.498-509
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• 2021

선행 항공기의 날개 끝단에서 발생하는 후류 요란으로 인해 후행 항공기는 정상적인 운항에 영향을 받을 수 있다. 현재는 항공기 최대이륙중량에 따라 4개의 카테고리로 분류하여, 기준 거리별 항공기 수평 분리를 적용하고 있다. FAA 및 EURO-CONTROL을 중심으로 항공기 후류 요란의 크기와 영향이 기존의 거리 분리치보다 더 작다는 것이 연구되었고, 이것을 바탕으로 분리 기준을 7개의 카테고리로 세분화한 규정(RECAT)이 제시되었다. 본 연구에서는 ICAO Doc. 10122의 초안을 이용하여 국내 공항의 RECAT 도입 필요 여부를 확인하고, 활주로 절대 수용량 계산 방법의 하나인 Harris 모델을 이용하여 인천국제공항의 절대 수용량을 산출하였다. 분석 결과 RECAT 도입에 따라 활주로 절대 수용량의 증가가 가능할 것으로 확인되었으며, 계산된 결과 및 계산에 활용한 방법은 국내 공항의 RECAT 도입 검토에 기본 자료로 활용될 수 있을 것이다.

• 한국컴퓨터정보학회논문지
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• 제29권1호
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• pp.77-84
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• 2024

본 논문에서는 컴퓨터 비전을 사용하여 6가지 측정값(눌린 단자의 길이, 단자 끝의 치수(폭), 눌린부분(와이어 부분, 코어 부분)의 폭)을 계산하여 와이어 하네스의 결함을 정확하고 빠르게 탐지할 것을 제안한다. 두 가지 유형의 데이터에서 Harris 코너 검출을 활용하여 물체의 위치를 탐지하고 측정 영역별 특징과 배경과 물체 사이의 음영 차이를 활용하여 각 샘플의 기울기를 반영하는 측정값을 추출하기 위한 기준점을 생성한다. 이후 유클리드 거리 방법과 보정 계수를 사용하여 예측값을 계산하는 방법을 통해 와이어의 위치 변화에 관계 없이 측정값을 예측할 수 있다. 각 측정 유형별로 99.1%, 98.7%, 92.6%, 92.5%, 99.9%, 99.7% 정확도를 달성하였으며, 모든 측정값에서 평균 97%의 정확도로 우수한 결과를 얻었다. 해당 검사 방법은 기존 검사 방법인 육안 검사의 문제점을 보완하고, 작은 양의 데이터만을 이용하여 우수한 결과를 도출 가능하다. 또한 이미지 처리만 이용하기 때문에 딥러닝 방법보다 더 적은 데이터와 비용으로 적용 가능할 것으로 기대된다.

• Hip & pelvis
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• 제35권2호
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• pp.108-121
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• 2023

Purpose: The primary objective of the current study is to demonstrate the trochanteric wiring technique. A secondary objective is to evaluate the clinico-radiological outcomes of use of the wiring technique during primary arthroplasty for treatment of unstable and failed intertrochanteric fractures. Materials and Methods: A prospective study including follow-up of 127 patients with unstable and failed intertrochanteric fractures who underwent primary hip arthroplasty using novel multi-planar trochanteric wiring was conducted. The average follow-up period was 17.8±4.7 months. Clinical assessment was performed using the Harris hip score (HHS). Radiographic evaluation was performed for assessment of union of the trochanter and any mechanical failure. P<0.05 was considered statistically significant. Results: At the latest follow-up, the mean HHS showed significant improvement from 79.9±1.8 (at three months) to 91.6±5.1 (P<0.05). In addition, no significant difference in the HHS was observed between male and female patients (P=0.29) and between fresh and failed intertrochanteric fractures (P=0.08). Union was achieved in all cases of fractured trochanter, except one. Wire breakage was observed in three patients. There were five cases of limb length discrepancy, three cases of lurch, and three cases of wire-related bursitis. There were no cases of dislocation or infection. Radiographs showed stable prosthesis in situ with no evidence of subsidence. Conclusion: Use of the proposed wiring technique was helpful in restoring the abductor level arm and multi-planar stability, which enabled better rehabilitation and resulted in excellent clinical and radiological outcomes with minimal risk of mechanical failure.

• Steel and Composite Structures
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• 제52권2호
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• pp.145-163
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• 2024

This paper presents six novel hybrid machine learning (ML) models that combine support vector machines (SVM), Decision Tree (DT), Random Forest (RF), Gradient Boosting (GB), extreme gradient boosting (XGB), and categorical gradient boosting (CGB) with the Harris Hawks Optimization (HHO) algorithm. These models, namely HHO-SVM, HHO-DT, HHO-RF, HHO-GB, HHO-XGB, and HHO-CGB, are designed to predict the ultimate strength of both rectangular and circular reinforced concrete (RC) columns. The prediction models are established using a comprehensive database consisting of 325 experimental data for rectangular columns and 172 experimental data for circular columns. The ML model hyperparameters are optimized through a combination of cross-validation technique and the HHO. The performance of the hybrid ML models is evaluated and compared using various metrics, ultimately identifying the HHO-CGB model as the top-performing model for predicting the ultimate shear strength of both rectangular and circular RC columns. The mean R-value and mean a20-index are relatively high, reaching 0.991 and 0.959, respectively, while the mean absolute error and root mean square error are low (10.302 kN and 27.954 kN, respectively). Another comparison is conducted with four existing formulas to further validate the efficiency of the proposed HHO-CGB model. The Shapely Additive Explanations method is applied to analyze the contribution of each variable to the output within the HHO-CGB model, providing insights into the local and global influence of variables. The analysis reveals that the depth of the column, length of the column, and axial loading exert the most significant influence on the ultimate shear strength of RC columns. A user-friendly graphical interface tool is then developed based on the HHO-CGB to facilitate practical and cost-effective usage.

• Hip & pelvis
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• 제34권4호
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• pp.219-226
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• 2022

Purpose: The purpose of this study was to examine the clinical outcomes and efficacy of hip resurfacing arthroplasty (HRA) in patients with osteonecrosis of the femoral head after the failure of porous tantalum rod insertion without rod removal. Materials and Methods: Conversion to hip resurfacing arthroplasty was performed in 10 patients (11 hips) with a mean period of 14.9 months after the primary surgery. The mean follow-up period was 73.7 months. Analysis of pre and postoperative range of motion (ROM), University of California at Los Angeles (UCLA) activity score, modified Harris hip score, and visual analog scale (VAS) pain score was performed. Radiographic analysis of component loosening and osteolysis was performed. Results: The postoperative ROM showed significant improvement (P<0.05), excluding flexion contracture. The modified Harris hip score showed improvement from 65.82 to 96.18, the UCLA score showed improvement from 4.18 to 8.00, and the VAS pain score was reduced from 6.09 to 1.80. All scores showed statistically significant improvement (P<0.05). No component loosening or osteolysis was detected by radiographic analysis. Conclusion: Satisfactory results were obtained from conversion hip resurfacing arthroplasty after failure of porous tantalum rod insertion without rod removal. The findings of this study demonstrate the advantages of HRA, including no risk of trochanteric fracture and no bone loss around the tantalum rod. In addition, the remaining porous tantalum rod provided mechanical support, which reduced the potential risk of femoral neck fracture or loosening. This technique can be regarded as a favorable treatment option.