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검색결과 999건 처리시간 0.032초

Analysis of Factors Related to Length of Stay Time in Patients with Back Pain at Emergency Department

  • Choi, Kwang Yong;So, Byung Hak;Kim, Hyung Min;Cha, Kyung Man;Jeong, Won Jung
    • Journal of Trauma and Injury
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    • 제30권4호
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    • pp.173-178
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    • 2017
  • Purpose: Most patients with acute low back pain visit emergency room (ER). They mostly need beds, and if their length of stay is longer, it can become difficult to accommodate new patients at the ER. We analyzed the treatment process of patients with back pain and tried to find method for shortening of the length of stay at the ER. Methods: We retrospectively analyzed the medical records of patients with back pain who visited at our ER for one year. Patients were divided into two groups according to their length of stay at ER and were compared the charateristcs of between two groups. Results: A total of 274 patients were included in the study. Eigthy-nine patients (32.5%) were in the group with less than 3 hours and 185 patients (67.5%) were in the other group. In the comparison of the two groups according to the medical departments, the number of patients who were in group with more than 3 hours were 25 (14.0%) in the emergency department, 94 (50.5%) in neurosurgery, 66 (35.5%) in orthopedic surgery. Length of stay was significantly increased in orthopedic surgery and neurosurgery (p=0.014). In addition, the length of stay was longer when computed tomography and magnetic resonance imaging examinations were performed (p=0.000). Regardless of the type of analgesic agent, the median time to the analgesic treatment was shorter in the group with less than 3 hours (p=0.034). Conclusions: In patients with back pain who visit the ER, the emergency medicine doctor will early control the pain and do not unnecessary image examination to reduce a length of stay at the ER.

Verification of Mechanical Leaf Gap Error and VMAT Dose Distribution on Varian VitalBeamTM Linear Accelerator

  • Kim, Myeong Soo;Choi, Chang Heon;An, Hyun Joon;Son, Jae Man;Park, So-Yeon
    • 한국의학물리학회지:의학물리
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    • 제29권2호
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    • pp.66-72
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    • 2018
  • The proper position of a multi-leaf collimator (MLC) is essential for the quality of intensity-modulated radiation therapy (IMRT) and volumetric modulated arc radiotherapy (VMAT) dose delivery. Task Group (TG) 142 provides a quality assurance (QA) procedure for MLC position. Our study investigated the QA validation of the mechanical leaf gap measurement and the maintenance procedure. Two $VitalBeam^{TM}$ systems were evaluated to validate the acceptance of an MLC position. The dosimetric leaf gaps (DLGs) were measured for 6 MV, 6 MVFFF, 10 MV, and 15 MV photon beams. A solid water phantom was irradiated using $10{\times}10cm^2$ field size at source-to-surface distance (SSD) of 90 cm and depth of 10 cm. The portal dose image prediction (PDIP) calculation was implemented on a treatment planning system (TPS) called $Eclipse^{TM}$. A total of 20 VMAT plans were used to confirm the accuracy of dose distribution measured by an electronic portal imaging device (EPID) and those predicted by VMAT plans. The measured leaf gaps were 0.30 mm and 0.35 mm for VitalBeam 1 and 2, respectively. The DLG values decreased by an average of 6.9% and 5.9% after mechanical MLC adjustment. Although the passing rates increased slightly, by 1.5% (relative) and 1.2% (absolute) in arc 1, the average passing rates were still within the good dose delivery level (>95%). Our study shows the existence of a mechanical leaf gap error caused by a degenerated MLC motor. This can be recovered by reinitialization of MLC position on the machine control panel. Consequently, the QA procedure should be performed regularly to protect the MLC system.

임베디드 프로세서에 적합한 LSB 기반 지문영상의 효율적인 부분 암호화 방법 (A LSB-based Efficient Selective Encryption of Fingerprint Images for Embedded Processors)

  • 문대성;정용화;반성범;문기영;김주만
    • 한국멀티미디어학회논문지
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    • 제9권10호
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    • pp.1304-1313
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    • 2006
  • 21세기를 맞이하면서 정보통신기술의 발전과 인터넷 이용 확산 등으로 사용자 인증이 중요한 문제로 대두되고 있으며, 보다 강력한 사용자 인증을 위하여 생체인식 기술의 연구가 활발히 진행되고 있다. 그러나 사용자 인증을 위한 생체정보가 타인에게 도용된다면 패스워드나 PIN과 달리 변경이 불가능하므로 심각한 문제를 일으킨다. 본 논문에서는 센서에서 획득된 지문영상을 클라이언트로 안전하게 전송하는 프로토콜을 제안한다. 특히, 계산능력이 부족한 임베디드 프로세스를 내장한 지문센서에서 지문영상을 실시간으로 암호화하기 위하여 지문영상 전체를 암호화하는 대신, 지문영상의 특정 비트 평면만을 암호화하는 부분암호화 알고리즘을 제안한다. 일반적인 부분암호화 방법에서 사용되어지는 최상위 비트 평면으로 부분암호화를 착 경우 간단한 공격으로 지문의 융선정보를 알 수 있기 때문에 지문인식 시스템에 공격이 가능한 문제점이 있다. 본 논문에서는 이러한 문제를 해결하기 위하여, 최상위 비트정보 대신 최하위 비트정보를 이용하는 개선된 선택적 비트 평면 암호화 방법을 사용하였다. 제안된 알고리즘의 성능을 분석하기 위해 16비트 임베디드 프로세서를 가진 지문센서를 개발하고 부분암호화 방법을 구현한 결과, 기밀성 보장 및 실시간 처리가 가능함을 확인하였다.

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오페라 무대의상의 현대적 재해석 - 로코코시대의 장식요소를 중심으로 - (Modernistic reinterpretation of stage costumes in the opera - Focusing on the decorative elements of the Rococo mode -)

  • 김해연;박선경;이은정
    • 복식문화연구
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    • 제25권4호
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    • pp.458-475
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    • 2017
  • Opera is the most comprehensive musical art. In recent years, contemporary opera worlds has seen a variety of attempts to reinterpret operas of the past in a modern light. This has resulted in a dramatic change in the production of musical style and stage art. The purpose of the study was to modernize and streamline opera costumes by extending the scope of existing stage costume design, through the reinterpretation and application of the decorative elements in the Middle Age of Rococo, such as ruffles, frills, shirring, embroidery, buttons, etc., in such a way as to effectively communicate the moods of an opera to a modern audience. The costumes of the Rococo period were reinterpreted in a modern way, with the following results. First, in this work, the male main character was played by a bass to express the image of an older, lazy, rich man. A key element in modernizing the stage costume was selection of the costume color in such a way as to visually represent the voice tones sung by the major characters in the opera. Second, the maid hat and aprons were decorated with frills by applying the curves of Rocaille decoration from the Rococo period symbolize the role of the maids. This represented the distinction between occupation according to class and status at that time, while also expressing the ideals of modern feminine beauty. This makes for more comfortably-worn costumes, and is economical for production expenses. In the future, the stage costume design for classical opera will need to be revised consideration of a modern viewpoint.

Recording natural head position using an accelerometer and reconstruction from computed tomographic images

  • Park, Il Kyung;Lee, Keun Young;Jeong, Yeong Kon;Kim, Rae Hyong;Kwon, Dae Gun;Yeon, Sunghee;Kwon, Kyung-Hwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제43권4호
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    • pp.256-261
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    • 2017
  • Objectives: The concept of natural head position (NHP) was first introduced by Broca in 1862, and was described as a person's stable physiologic position "when a man is standing and his visual axis is horizontal." NHP has been used routinely for clinical examination; however, a patient's head position is random during cone-beam computed tomography (CBCT) acquisition. To solve this problem, we developed an accelerometer to record patients' NHP and reproduce them for CBCT images. In this study, we also tested the accuracy and reproducibility of our accelerometer. Materials and Methods: A total of 15 subjects participated in this study. We invented an accelerometer that measured acceleration on three axes and that could record roll and pitch calculations. Recorded roll and pitch data for each NHP were applied to a reoriented virtual image using three-dimensional (3D) imaging software. The data between the 3D models and the clinical photos were statistically analyzed side by side. Paired t-tests were used to statistically analyze the measurements. Results: The average difference in the angles between the clinical photograph and the 3D model was $0.04^{\circ}$ for roll and $0.29^{\circ}$ for pitch. The paired t-tests for the roll data (P=0.781) and the pitch data (P=0.169) showed no significant difference between the clinical photographs and the 3D model (P>0.05). Conclusion: By overcoming the limitations of previous NHP-recording techniques, our new method can accurately record patient NHP in a time-efficient manner. Our method can also accurately transfer the NHP to a 3D virtual model.

다양한 조명하에서 실시간 눈 검출 및 추적 (Real-Time Eye Detection and Tracking Under Various Light Conditions)

  • 박호식;박동희;남기환;한준희;나상동;배철수
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2003년도 추계종합학술대회
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    • pp.227-232
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    • 2003
  • 본 논문에서는 다양한 조명하에서 실시간으로 눈을 검출하고 추적하는 새로운 방법을 제안하고자 한다. 기존의 능동적 적외선을 이용한 눈 검출 및 추적 방법은 외부의 조명에 매우 민감하게 반응하는 문제점을 가지고 있으므로, 본 논문에서는 적외선 조명을 이용한 밝은 동공 효과와 전형적인 외형을 기반으로 한 사물 인식 기술을 결합하여 외부 조명의 간섭으로 밝은 동공 효과가 나타나지 않는 경우에도 견실하게 눈을 검출하고 추적 할 수 있는 방법을 제안한다. 눈 검출과 추적을 위해 SVM과 평균 이동 추적방법을 사용하였고, 적외선 조명과 카메라를 포함한 영상 획득 장치를 구성하여 제안된 방법이 효율적으로 다양한 조명하에서 눈 검출과 추적을 할 수 있음을 보여 주었다.

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남성 패션에 나타난 갈색의 배색특성에 관한 연구 - 2000년대 이후에 나타난 남성켈렉션을 중심으로 - (The Characteristics of Brown Color Combination in Men's Fashion - Focused on Men's Fashion Collection Since 2000 -)

  • 이정진;조주연;서미아
    • 한국의상디자인학회지
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    • 제11권1호
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    • pp.77-85
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    • 2009
  • In modem society, fashion is used as a means to express oneself. Colors in fashion are regarded as one of the important design elements and play a significant role. Today men's fashion trend represents to adopt diverse silhouettes, colors and various materials. They can choose diverse color for men's fashion. Brown has been popular colors for both man and woman. It usually represents the image of warm, comfort and classic. This research analyzed Brown whose diverse uses had been observed in fashion and the characteristics of Brown the color combinations in men's fashion through men's fashion collection from 2000 to 2008. The characteristics of color combinations with Brown analyzed two color combinations for the top and bottom as follows: First, the hue characteristics of Brown two color combinations were analyzed in men's fashion. Second, the tone characteristics of Brown two color combinations were analyzed in men's fashion. Third, the characteristics of color combinations were analyzed in the Brown top and bottom according to the hues in men's fashion. The Brown color combinations were analyzed according to the 10 hues and achromatic colors. As a result, 10YR was most used in both the top and bottom in F/W and S/S. As for the Brown color combinations of the 12 tones and achromatic colors in the top and bottom, dark grayish was the most used in S/S and F/W regardless of the seasons. The Brown color combinations in men's fashion were analyzed in terms of characteristics. As a result, 10YR and 2.5Y were most used. They were also of the highest frequency in the color combinations of Brown tops and bottoms.

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URBAN ENVIRONMENTAL QUALITY ANALYSIS USING LANDSAT IMAGES OVER SEOUL, KOREA

  • Lee, Kwon-H.;Wong, Man-Sing;Kim, Gwan-C.;Kim, Young-J.;Nichol, Janet
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2007년도 Proceedings of ISRS 2007
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    • pp.556-559
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    • 2007
  • The Urban Environmental Quality (UEQ) indicates a complex and various parameters resulting from both human and natural factors in an urban area. Vegetation, climate, air quality, and the urban infrastructure may interact to produce effects in an urban area. There are relationships among air pollution, vegetation, and degrading environmental the urban heat island (UHI) effect. This study investigates the application of multi-spectral remote sensing data from the Landsat ETM and TM sensors for the mapping of air quality and UHI intensity in Seoul from 2000 to 2006 in fine resolution (30m) using the emissivity-fusion method. The Haze Optimized Transform (HOT) correction approach has been adopted for atmospheric correction on all bands except thermal band. The general UHI values (${\Delta}(T_{urban}-T_{rural})$) are 8.45 (2000), 9.14 (2001), 8.61 (2002), and $8.41^{\circ}C$ (2006), respectively. Although the UHI values are similar during these years, the spatial coverage of "hot" surface temperature (>$24^{\circ}C$) significantly increased from 2000 to 2006 due to the rapid urban development. Furthermore, high correlations between vegetation index and land surface temperature were achieved with a correlation coefficients of 0.85 (2000), 0.81 (2001), 0.84(2002), and 0.89 (2006), respectively. Air quality is shown to be an important factor in the spatial variation of UEQ. Based on the quantifiable fine resolution satellite image parameters, UEQ can promote the understanding of the complex and dynamic factors controlling urban environment.

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목뒤부위에 발생한 방추세포 지방종의 치험례 (Spindle cell lipoma of the posterior neck: A case report)

  • 박선희;임영민;정성노;권호
    • Archives of Plastic Surgery
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    • 제36권2호
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    • pp.233-236
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    • 2009
  • Purpose: Spindle cell lipoma(SCL) is an uncommon subcutaneous soft tissue neoplasm that arises in the shoulder and posterior neck of older male patients. The imaging appearance of SCL is not pathognomonic and can display some features overlapping with liposarcoma. We report a case of SCL on the posterior neck. Method: The patient is a 50 - year - old man with a slowly enlarging subcutaneous mass on the right side of posterior neck. Computed tomographic imaging revealed a 7.0 cm sized, well - circumscribed, heterogenous and fatty mass with enhanced solid components. Whole body Fluorine - 18 Fluorodeoxyglucose Positron emission tomogram(FDG PET-CT) showed little increase of FDG uptake on the right posterior neck and there was no distant metastasis. Results: The mass was surgically removed. The resection margin was free of tumor on frozen biopsy. Histopathologic examination indicated spindle cell lipoma consisting of a mixture of mature adipocytes and uniform spindle cells within a matrix of mucinous material. Conclusion: Although CT image of solidtary mass in posterior neck is similar with the one of liposarcoma, we should consider that it may be a spindle cell lipoma if PET-CT and other systemic studies reveal no distant metastasis. And we should perform fine needle aspiration to differentiate SCL from malignant lesions.

Investigation of Urban Environmental Quality Using an Integration of Satellite, Ground based measurement data over Seoul, Korea

  • Lee, Kwon-Ho;Wong, Man-Sing;Kim, Young-J.
    • 대한원격탐사학회지
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    • 제27권3호
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    • pp.339-351
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    • 2011
  • This study investigates the potentials of satellite, ground measurement data, and geo-spatial information within an urban area for the mapping of the Urban Environmental Quality (UEQ) parameters. The UEQ indicates a complex and various parameters resulting from both human and natural factors, which are greenness, climate, air pollution, the urban infrastructure, and etc. Multi-spectral remote sensing data from the Landsat ETM and TM sensors for the mapping of air pollution by the Haze Optimized Transform (HOT) technique, Urban Heat Island (UHO using the emissivity-fusion method in Seoul from 2000 to 2006 in fine resolution (30m) were analyzed for the estimation of UEQ index. Although the UHI values are similar ($8.4^{\circ}C{\sim}9.1^{\circ}C$) during these years, the spatial coverage of "hot" surface temperature (> $24^{\circ}C$) significantly increased from 2000 to 2006 due to the rapid urban development. Furthermore, high correlations between vegetation index and land surface temperature were achieved with a correlation coefficients of 0.85 (2000), 0.81 (2001), 0.84 (2002), and 0.89 (2006), respectively. It was found that the proposed method was successfully analyzed spatial structure of the UEQ and the scenarios of the best and worst areas within the city were also identified. Based on the quantifiable fine resolution satellite image parameters, UEQ can promote the understanding of the complex and dynamic factors controlling urban environment.