• 제목/요약/키워드: National monitoring

검색결과 7,930건 처리시간 0.037초

Current Status of Intracranial Pressure Monitoring in Patients with Severe Traumatic Brain Injury in Korea : A Post Hoc Analysis of Korea Neurotrauma Databank Project with a Nationwide Survey

  • Youngheon Lee;Jung Hwan Lee;Hyuk Jin Choi;Byung Chul Kim;Seunghan Yu;Mahnjeong Ha;The KNTDB Investigators
    • Journal of Korean Neurosurgical Society
    • /
    • 제66권5호
    • /
    • pp.543-551
    • /
    • 2023
  • Objective : This study aimed to investigate the current status of intracranial pressure (ICP) monitoring in patients with severe traumatic brain injury (sTBI) in Korea and the association between ICP monitoring and prognosis. In addition, a survey was administered to Korean neurosurgeons to investigate the perception of ICP monitoring in patients with sTBI. Methods : This study used data from the second Korea Neurotrauma Databank. Among the enrolled patients with sTBI, the following available clinical data were analyzed in 912 patients : Glasgow coma scale score on admission, ICP monitoring, mortality, and extended Glasgow outcome scale score at 6 months. In addition, we administered a survey, entitled "current status and perception of ICP monitoring in Korean patients with sTBI" to 399 neurosurgeons who were interested in traumatic brain injury. Results : Among the 912 patients, 79 patients (8.7%) underwent ICP monitoring. The mortality and favorable outcome were compared between the groups with and without ICP monitoring, and no statistically significant results were found. Regarding the survey, there were 61 respondents. Among them, 70.4% of neurosurgeons responded negatively to performing ICP monitoring after craniectomy/craniotomy, while 96.7% of neurosurgeons responded negatively to performing ICP monitoring when craniectomy/craniotomy was not conducted. The reasons why ICP monitoring was not performed were investigated, and most respondents answered that there were no actual guidelines or experiences with post-operative ICP monitoring for craniectomy/craniotomy. However, in cases wherein craniectomy/craniotomy was not performed, most respondents answered that ICP monitoring was not helpful, as other signs were comparatively more important. Conclusion : The proportion of performing ICP monitoring in patients with sTBI was low in Korea. The outcome and mortality were compared between the patient groups with and without ICP monitoring, and no statistically significant differences were noted in prognosis between these groups. Further, the survey showed that ICP monitoring in patients with sTBI was somewhat negatively recognized in Korea.

황해의 해양환경 모니터링 시스템 (The Marine Environmental Monitoring System in the Yellow Sea)

  • 허승;박종수;안경호;이윤;최옥인;임동현;황운기;이승민;김평중;방현우
    • 해양환경안전학회지
    • /
    • 제16권3호
    • /
    • pp.307-312
    • /
    • 2010
  • 황해의 해양환경, 어업자원 및 증양식에 대한 연구 및 개발을 담당하고 있는 국립수산과학원 서해수산연구소에서 해양생태계 보전의 일환으로 황해의 해양환경에 대한 다양한 모니터링을 실시하고 있다. 현재 서해수산연구소가 황해에서 수행 중인 모니터링은 연안정지관측, 서해해양조사, 서해어장환경모니터링, 국가해양환경측정망, 유해적조모니터링, 한중황해환경모니터링조사 및 해파리모니터링 등이 있다. 이러한 모니터링 결과들은 중요 어족의 어장형성 해역에 대한 기초자료를 제공하여 연근해 어업생산성을 제고하고, 기후변동에 따른 향후 수산자원 변동 예측을 위한 기초자료로 활용되고, 한반도 주변해역의 체계적인 해양과학자료를 제공하여 수산업, 해양환경보전, 해양레저 등 한반도 주변해역의 부가가치 창출에 기여하고 있으며, 연안어장의 지속적 생산을 유지하기 위한 어장환경 관리 및 보전정책 수립을 위한 국가 기본 자료로 활용하고 있다.

Successful Motor Evoked Potential Monitoring in Cervical Myelopathy : Related Factors and the Effect of Increased Stimulation Intensity

  • Shim, Hyok Ki;Lee, Jae Meen;Kim, Dong Hwan;Nam, Kyoung Hyup;Choi, Byung Kwan;Han, In Ho
    • Journal of Korean Neurosurgical Society
    • /
    • 제64권1호
    • /
    • pp.78-87
    • /
    • 2021
  • Objective : Intraoperative neurophysiological monitoring (IONM) has been widely used during spine surgery to reduce or prevent neurologic deficits, however, its application to the surgical management for cervical myelopathy remains controversial. This study aimed to assess the success rate of IONM in patients with cervical myelopathy and to investigate the factors associated with successful baseline monitoring and the effect of increasing the stimulation intensity by focusing on motor evoked potentials (MEPs). Methods : The data of 88 patients who underwent surgery for cervical myelopathy with IONM between January 2016 and June 2018 were retrospectively reviewed. The success rate of baseline MEP monitoring at the initial stimulation of 400 V was investigated. In unmonitorable cases, the stimulation intensity was increased to 999 V, and the success rate final MEP monitoring was reinvestigated. In addition, factors related to the success rate of baseline MEP monitoring were investigated using independent t-test, Wilcoxon rank-sum test, chi-squared test, and Fisher's exact probability test for statistical analysis. The factors included age, sex, body mass index, diabetes mellitus, smoking history, symptom duration, Torg-Pavlov ratio, space available for the cord (SAC), cord compression ratio (CCR), intramedullary increased signal intensity (SI) on magnetic resonance imaging, SI length, SI ratio, the Medical Research Council (MRC) grade, the preoperative modified Nurick grade and Japanese Orthopedic Association (JOA) score. Results : The overall success rate for reliable MEP response was 52.3% after increasing the stimulation intensity. No complications were observed to be associated with increased intensity. The factors related to the success rate of final MEP monitoring were found to be SAC (p<0.001), CCR (p<0.001), MRC grade (p<0.001), preoperative modified Nurick grade (p<0.001), and JOA score (p<0.001). The cut-off score for successful MEP monitoring was 5.67 mm for SAC, 47.33% for the CCR, 3 points for MRC grade, 2 points for the modified Nurick grade, and 12 points for the JOA score. Conclusion : Increasing the stimulation intensity could significantly improve the success rate of baseline MEP monitoring for unmonitorable cases at the initial stimulation in cervical myelopathy. In particular, the SAC, CCR, MRC grade, preoperative Nurick grade and JOA score may be considered as the more important related factors associated with the success rate of MEP monitoring. Therefore, the degree of preoperative neurological functional deficits and the presence of spinal cord compression on imaging could be used as new detailed criteria for the application of IONM in patients with cervical myelopathy.

System identification of a building structure using wireless MEMS and PZT sensors

  • Kim, Hongjin;Kim, Whajung;Kim, Boung-Yong;Hwang, Jae-Seung
    • Structural Engineering and Mechanics
    • /
    • 제30권2호
    • /
    • pp.191-209
    • /
    • 2008
  • A structural monitoring system based on cheap and wireless monitoring system is investigated in this paper. Due to low-cost and low power consumption, micro-electro-mechanical system (MEMS) is suitable for wireless monitoring and the use of MEMS and wireless communication can reduce system cost and simplify the installation for structural health monitoring. For system identification using wireless MEMS, a finite element (FE) model updating method through correlation with the initial analytical model of the structure to the measured one is used. The system identification using wireless MEMS is evaluated experimentally using a three storey frame model. Identification results are compared to ones using data measured from traditional accelerometers and results indicate that the system identification using wireless MEMS estimates system parameters with reasonable accuracy. Another smart sensor considered in this paper for structural health monitoring is Lead Zirconate Titanate (PZT) which is a type of piezoelectric material. PZT patches have been applied for the health monitoring of structures owing to their simultaneous sensing/actuating capability. In this paper, the system identification for building structures by using PZT patches functioning as sensor only is presented. The FE model updating method is applied with the experimental data obtained using PZT patches, and the results are compared to ones obtained using wireless MEMS system. Results indicate that sensing by PZT patches yields reliable system identification results even though limited information is available.

전압 모니터링에 기반한 순간전압강하 확률적 추계 방법 (Stochastic Estimation of Voltage Sags Based on Voltage Monitoring)

  • 손정대;박창현
    • 전기학회논문지
    • /
    • 제67권10호
    • /
    • pp.1271-1277
    • /
    • 2018
  • This paper deals with a voltage sag assessment based on a voltage monitoring program. The voltage sag performance at a specific site can be evaluated by analyzing voltage monitoring data recorded for a long time period. Although an assessment based on voltage monitoring is an effective way to understand voltage sag performance at a measurement site, the statistical confidence of voltage sag frequency estimation heavily depends on the length of monitoring period and the number of recorded events. Short monitoring period and insufficient recorded data can not provide a reliable assessment result. This paper proposes a compensation assessment method by combining a computer simulation approach for in case that monitoring period and data are not enough for a valid assessment.

웹 기반 실시간 모니터링 시스템의 구조 (Architecture of Web-Based Real-Time Monitoring Systems)

  • 박홍성;정명순;김봉순
    • 제어로봇시스템학회논문지
    • /
    • 제7권7호
    • /
    • pp.632-639
    • /
    • 2001
  • This paper proposes an improved architecture of web-based monitoring systems for monitor of processes in plants from the soft real-time point of view. The suggested model is designed to be able to guarantee the temporal and spatial consistency and transmit the monitoring data periodically via the intranet and the Internet. The model generates one thread for monitoring management, one DB thread, one common memory, and corresponding monitoring threads to clients. The monitoring thread is executed during the smaller time than the execution time of the process used in the conventional methods such as CGI and servlet method. The Java API for the server API, VRML, EAI(External Authoring Interface) and Java Applets for efficient dimensional WEB monitoring are used. The proposed model is implemented and tested for a FMS plant, Some examples show that the proposed model is useful one.

  • PDF

산지경관 파편화 모니터링을 위한 기초연구 (A Basic Study for Forest Landscape Fragmentation Monitoring)

  • 안승만
    • 한국산림과학회지
    • /
    • 제108권3호
    • /
    • pp.454-467
    • /
    • 2019
  • 이 연구는 산지를 이용한 산지경관 파편화 모니터링을 제안하고 실효성을 검토하여 다음의 결과를 도출하였다. 첫째, 산지경관이 최근 9년간 빠르게 파편화되고 있어서 국가적 모니터링과 관리가 시급하다. 둘째, 산지경관(GIS) 기반의 평면적 파편화 조사만으로는 중요한 생태적 변화를 확인할 수 없으므로 다양한 조사체계와의 연계가 필요하다. 셋째, 산지경관 파편화 모니터링을 환경영향평가 재해영향평가 등과 연계하여 사전예방원칙을 제도화해야 한다.

LSM을 이용한 연삭 숫돌 마모 모니터링 (Monitoring of Grinding Wheel Wear Using Laser Scanning Micrometer)

  • 주광훈;김현수;홍성욱;박천홍
    • 한국정밀공학회지
    • /
    • 제17권12호
    • /
    • pp.82-87
    • /
    • 2000
  • This paper deals with monitoring of grinding wheel wear in grinding process. A monitoring system is developed in which a laser scanning micrometer is used to measure the circumferential shape as well as the axial shape of grinding wheel. The monitoring system is applied to grinding machines. The experiment results show that the monitoring system is useful not only for monitoring the amount of wear in grinding wheel but also for measuring the apparent diameter of the grinding wheel.

  • PDF

PCA-based filtering of temperature effect on impedance monitoring in prestressed tendon anchorage

  • Huynh, Thanh-Canh;Dang, Ngoc-Loi;Kim, Jeong-Tae
    • Smart Structures and Systems
    • /
    • 제22권1호
    • /
    • pp.57-70
    • /
    • 2018
  • For the long-term structural health monitoring of civil structures, the effect of ambient temperature variation has been regarded as one of the critical issues. In this study, a principal component analysis (PCA)-based algorithm is proposed to filter out temperature effects on electromechanical impedance (EMI) monitoring of prestressed tendon anchorages. Firstly, the EMI monitoring via a piezoelectric interface device is described for prestress-loss detection in the tendon anchorage system. Secondly, the PCA-based temperature filtering algorithm tailored to the EMI monitoring of the prestressed tendon anchorage is outlined. The proposed algorithm utilizes the damage-sensitive features obtained from sub-ranges of the EMI data to establish the PCA-based filter model. Finally, the feasibility of the PCA-based algorithm is experimentally evaluated by distinguishing temperature changes from prestress-loss events in a prestressed concrete girder. The accuracy of the prestress-loss detection results is discussed with respect to the EMI features before and after the temperature filtering.