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A case of tacrolimus-induced encephalopathy after kidney transplantation

  • Kim, Myoung-Uk;Kim, Sae-Yoon;Son, Su-Min;Park, Yong-Hoon
    • Clinical and Experimental Pediatrics
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    • 제54권1호
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    • pp.40-44
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    • 2011
  • We present a case of tacrolimus-induced encephalopathy after successful kidney transplantation. An 11-year-old girl presented with sudden onset of neurologic symptoms, hypertension, and psychiatric symptoms, with normal kidney function, after kidney transplantation. The symptoms improved after cessation of tacrolimus. Magnetic resonance imaging (MRI) showed acute infarction of the middle cerebral artery (MCA) territory in the right frontal lobe. Three days later, she had normal mental function and maintained normal blood pressure with left hemiparesis. Follow-up MRI was performed on D19, showing new infarct lesions at both cerebral hemispheres. Ten days later, MRI showed further improvement, but brain single photon emission computed tomography (SPECT) showed mild reduction of uptake in both the anterior cingulate gyrus and the left thalamus. One month after onset of symptoms, angiography showed complete resolution of stenosis. However, presenting as a mild fine motor disability of both hands and mild dysarthria, what had been atrophy at both centrum semiovale at 4 months now showed progression to encephalomalacia. There are two points of interest in this case. First, encephalopathy occurred after administration of tacrolimus and improved after discontinuation of the drug. Second, the development of right-side hemiplegia could not be explained by conventional MRI; but through diffusion tensor imaging (DTI) and diffusion tensor tractography (DTT) of white matter tract, visualization was possible.

분리층의 상대 변위를 이용한 고분자 미끄럼 촉각 센서 개발 (Development of Polymer Slip Tactile Sensor Using Relative Displacement of Separation Layer)

  • 김성준;최재영;문형필;최혁렬;구자춘
    • 로봇학회논문지
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    • 제11권2호
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    • pp.100-107
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    • 2016
  • To realize a robot hand interacting like a human hand, there are many tactile sensors sensing normal force, shear force, torque, shape, roughness and temperature. This sensing signal is essential to manipulate object accurately with robot hand. In particular, slip sensors make manipulation more accurate and breakless to object. Up to now several slip sensors were developed and applied to robot hand. Many of them used complicate algorithm and signal processing with vibration data. In this paper, we developed novel principle slip sensor using separation layer. These two layers are moved from each other when slip occur. Developed sensor can sense slip signal by measuring this relative displacement between two layers. Also our principle makes slip signal decoupled from normal force and shear force without other sensors. The sensor was fabricated using the NBR(acrylo-nitrile butadiene rubber) and the Ecoflex as substrate and a paper as dielectric. To verify our sensor, slip experiment and normal force decoupling test were conducted.

SLR을 이용한 GPS-36 위성의 정밀 궤도 결정 (PRECISE OR81T DETERMINATION OF GPS-36 SATELLITE USING SATELLITE LASER RANGING)

  • 임형철;박관동;박필호;박종욱;조정호
    • Journal of Astronomy and Space Sciences
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    • 제19권4호
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    • pp.385-394
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    • 2002
  • SLR(Satellite Laser Ranging)은 위성과 관측소간 거리를 가장 정밀하게 측정할 수 있는 시스템이다. 1964년 발사된 Beacon-B 위성의 궤도결정을 위해 SLR 기술이 처음 사용되었는데 거리측정 정밀도가 m 수준이었다. 현재 single shot 정밀도는 cm, NP(Normal Point)는 mm수준으로 발전하였다. 이 연구에서는 SLR을 이용한 궤도결정 알고리즘을 개발하여 GPS(Global Positioning System)-36위성의 정밀 궤도를 결정하였다. 알고리즘의 정밀도를 검증하기 위해 산출한 정밀 궤도를 IGS(International GPS Service)에서 제공하는 정밀 궤도력과 비교하였는데 74cm의 RMS(Root Mean Square)를 얻었다. 또한, SLR 시스템의 관측잔차 RMS는 55mm 미만으로 알려져 있지만 이 연구에서는 44mm 결과를 얻을 수 있었다.

Data Mining for Uncertain Data Based on Difference Degree of Concept Lattice

  • Qian Wang;Shi Dong;Hamad Naeem
    • Journal of Information Processing Systems
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    • 제20권3호
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    • pp.317-327
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    • 2024
  • Along with the rapid development of the database technology, as well as the widespread application of the database management systems are more and more large. Now the data mining technology has already been applied in scientific research, financial investment, market marketing, insurance and medical health and so on, and obtains widespread application. We discuss data mining technology and analyze the questions of it. Therefore, the research in a new data mining method has important significance. Some literatures did not consider the differences between attributes, leading to redundancy when constructing concept lattices. The paper proposes a new method of uncertain data mining based on the concept lattice of connotation difference degree (c_diff). The method defines the two rules. The construction of a concept lattice can be accelerated by excluding attributes with poor discriminative power from the process. There is also a new technique of calculating c_diff, which does not scan the full database on each layer, therefore reducing the number of database scans. The experimental outcomes present that the proposed method can save considerable time and improve the accuracy of the data mining compared with U-Apriori algorithm.

서오릉의 산림군락구조 분석 (Forest Community Structure Analysis of Seooreung Area)

  • 이선;이미정;김효정;권오원;송호경
    • 한국환경복원기술학회지
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    • 제7권2호
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    • pp.62-67
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    • 2004
  • Forest community structure analysis in the Seooreung area, Goyang-si was carried out to supply basic data for reasonable management and conservation. The forest vegetation of the Seooreung area was classified into Alnus japonica community, Quercus mongolica - Carpinus laxiflora community, Quercus serrata community, and Pinus densiflora community. The dominant species in the area were in the order of Quercus mongolica, Quercus serrata, Robinia pseudoacacia, Quercus variabilis, Quercus aliena, Styrax japonica, Pinus rigida, and Alnus hirsuta. According to the DBH analysis result, Pinus densiflora was dominance species in Tomb area. Pinus rigida had a density of normal distribution style in the entire forests, therefore, their dominance are expected to continue for now. However, Quercus serrata is expected to extend their influence in the future in competition with Pinus rigida. Quercus mongolica had a density of normal distribution style in the Quercus mongolica - Carpinus laxiflora community, therefore, their dominance are expected to continue for now. Carpinus laxiflora is expected to extend their influence in the future in competition with Quercus mongolica. The relationship between the distribution of dominant species of forest vegetation and soil condition in Seooreung area was investigated by analyzing soil nutrition and moisture gradient. Alnus hirsuta community was distributed in the mesic and medium nutrition area and Quercus mongolica - Carpinus laxiflora community in the serix and relative good nutrition area. Pinus densiflora community was distributed in the serix and poor nutrition area and Quercus serrata community in the subserix and medium nutrition area.

피부진균증의 한의학적 고찰 (Study on Cutaneous Mycoses in Oriental Medicine)

  • 차은이;강정수
    • 동의생리병리학회지
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    • 제20권4호
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    • pp.799-806
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    • 2006
  • Fungi cause a number of plant and animal diseases. Because fungi are more chemically and genetically similar to animals than other organisms, this makes fungal diseases very difficult to treat. Human fungal infections are uncommon in normally healthy persons, being confined to conditions such as candidiasis (thrush) and dermatophyte skin infections such as athlete's foot. However, in the immunocompromised host, a variety of normally mild or nonpathogenic fungi can cause potentially fatal infections. Furthermore, the relative ease with which people can now visit 'exotic' countries provides the means for unusual fungal infections to be imported into this country. Fungal infections or mycoses are classified depending on the degree of tissue involvement and mode of entry into the host. These are Cutaneous, Subcutaneous, Systemic, and Opportunistic. As listed above, in superficial mycoses infection is localised to the skin, the hair, and the nails. An example is 'ringworm' or 'tinea', an infection of the skin by a dermatophyte. Ringworm refers to the characteristic central clearing that often occurs in dermatophyte infections of the skin. Dermatophyte members of the genera Trycophyton, Microsporum and Epidermophyton are responsible for the disease. Tinea can infect various sites of the body, including the scalp (tinea capitis), the beard (tinea barbae) the foot (tinea pedis: 'athlete's foot') and the groin (tinea cruris). All occur in the United Kingdom although tinea infections, other than pedis, are now rare. Candids albicans is a yeast causing candidiasis or 'thrush' in humans. As a superficial mycoses, candidiasis typically infects the mouth or vagina. C. albicans is part of the normal flora of the vagina and gastrointestinal tract and is termed a 'commensal' However, during times of ill health or impaired immunity the balance can alter and the organism multiplies to cause disease. Antibiotic treatment can also alter the normal bacterial flora allowing C. albicans to flourish. If we study mycoses of the orient medicine, we can improve the medical skills about mycoses.

Alu Hypomethylation in Smoke-Exposed Epithelia and Oral Squamous Carcinoma

  • Puttipanyalears, Charoenchai;Subbalekha, Keskanya;Mutirangura, Apiwat;Kitkumthorn, Nakarin
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권9호
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    • pp.5495-5501
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    • 2013
  • Background: Alu elements are one of the most common repetitive sequences that now constitute more than 10% of the human genome and potential targets for epigenetic alterations. Correspondingly, methylation of these elements can result in a genome-wide event that may have an impact in cancer. However, studies investigating the genome-wide status of Alu methylation in cancer remain limited. Objectives: Oral squamous cell carcinoma (OSCC) presents with high incidence in South-East Asia and thus the aim of this study was to evaluate the Alu methylation status in OSCCs and explore with the possibility of using this information for diagnostic screening. We evaluated Alu methylation status in a) normal oral mucosa compared to OSCC; b) peripheral blood mononuclear cells (PBMCs) of normal controls comparing to oral cancer patients; c) among oral epithelium of normal controls, smokers and oral cancer patients. Materials and Methods: Alu methylation was detected by combined bisulfite restriction analysis (COBRA) at 2 CpG sites. The amplified products were classified into three patterns; hypermethylation ($^mC^mC$), partial methylation ($^uC^mC+^mC^uC$), and hypomethylation ($^uC^uC$). Results: The results demonstrate that the $%^mC^mC$ value is suitable for differentiating normal and cancer in oral tissues (p=0.0002), but is not significantly observe in PBMCs. In addition, a stepwise decrease in this value was observed in the oral epithelium from normal, light smoker, heavy smoker, low stage and high stage OSCC (p=0.0003). Furthermore, receiver operating characteristic (ROC) curve analyses demonstrated the potential of combined $%^mC$ or $%^mC^mC$ values as markers for oral cancer detection with sensitivity and specificity of 86.7% and 56.7%, respectively. Conclusions: Alu hypomethylation is likely to be associated with multistep oral carcinogenesis, and might be developed as a screening tool for oral cancer detection.

베어링 고장 예후검출을 위한 음향 방출(AE)센서 개발 (Development of Acoustic Emission(AE) Sensor for Prognosis Detection of Bearing Fault)

  • 이치범;김경우;박영일
    • 한국소음진동공학회논문집
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    • 제24권6호
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    • pp.429-436
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    • 2014
  • Most mechanical systems are now operating consistently and getting faster due to the development of automation systems. Peoples' dependence on machines have increased as when problems occur within the mechanical system, personal injury and production loss may come as a result, as most of the mechanical system's malfunctions are caused by the failure of the rotational bearing. What we need now is a maintenance system that can warn us when it detects abnormal conditions before significant damage occurs to the bearing. In this study, we have developed an acoustic emissions sensor that can figure if the bearing works under the normal condition. With this acoustic emissions sensor, we can inspect the bearing for defects by using the Heterodyne technique, which converts the ultrasound signal into audio, as a signal conditioning process.

Design and Implementation of Distributed Charge Signal Processing Software for Smart Slow and Quick Electric Vehicle Charge

  • Chang, Tae Uk;Ryu, Young Su;Song, Seul Ki;Kwon, Ki Won;Paik, Jong Ho
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제13권3호
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    • pp.1674-1688
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    • 2019
  • As environmental pollution and fossil fuel energy problems from fuel vehicle have occurred, the interest of electric vehicle(EV) has increased. EV industry and energy industry have grown dynamically in these days. It is expected that the next generation of primary transportation will be EV, and it is necessary to prepare EV infra and efficient energy management such as EV communication protocol, EV charge station, and smart grid. Those EV and energy industry fields are now on growth. Also, the study and development of them are now in progress. In this paper, distributed charge signal processing software for smart slow and quick EV charge is proposed and designed for dealing with EV charge demand. The software consists of smart slow and quick EV charge schedule engine and EV charge power distribution core. The software is designed to support two charge station types. One is normal EV charge station and the other is bus garage EV charge station. Both two types collect the data from EV charge stations, and then analyze the collected data. The software suggests optimized EV charge schedule and deliveries EV charge power distribution information to power switchboard system, and the designed software is implemented on embedded system. It is expected that the software provides efficient EV charge schedule.

다변량 판별분석과 로지스틱 회귀모형을 이용한 민간병원의 도산예측 함수와 영향요인 (Discriminant Prediction Function and Its Affecting Factors of Private Hospital Closure by Using Multivariate Discriminant Analysis and Logistic Regression Models)

  • 정용모;이용철
    • 보건행정학회지
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    • 제20권3호
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    • pp.123-137
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    • 2010
  • The main purpose of this article is for deriving functions related to the prediction of the closure of the hospitals, and finding out how the discriminant functions affect the closure of the hospitals. Empirical data were collected from 3 years financial statements of 41 private hospitals closed down from 2000 till 2006 and 62 private hospitals in business till now. As a result, the functions related to the prediction of the closure of the private hospital are 4 indices: Return on Assets, Operating Margin, Normal Profit Total Assets, Interest expenses to Total borrowings and bonds payable. From these discriminant functions predicting the closure, I found that the profitability indices - Return on Assets, Operating Margin, Normal Profit Total Assets - are the significant affecting factors. The discriminant functions predicting the closure of the group of the hospitals, 3 years before the closure were Normal Profit to Gross Revenues, Total borrowings and bonds payable to total assets, Total Assets Turnover, Total borrowings and bonds payable to Revenues, Interest expenses to Total borrowings and bonds payable and among them Normal Profit to Gross Revenues, Total borrowings and bonds payable to total assets, Total Assets Turnover, Total borrowings and bonds payable to Revenues are the significant affecting factors. However 2 years before the closure, the discriminant functions predicting the closure of the hospital were Interest expenses to Total borrowings and bonds payable and it was the significant affecting factor. And, one year before the closure, the discriminant functions predicting the closure were Total Assets Turnover, Fixed Assets Turnover, Growth Rate of Total Assets, Growth Rate of Revenues, Interest expenses to Revenues, Interest expenses to Total borrowings and bonds payable. Among them, Total Assets Turnover, Growth Rate of Revenues, Interest expenses to Revenues were the significant affecting factors.