• Title/Summary/Keyword: P-Median

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Study on the Anatomical Pericardium Meridian Muscle in Human (수궐음 심포경근의 해부학적 고찰)

  • Park, Kyoung-Sik
    • Korean Journal of Acupuncture
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    • v.22 no.1
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    • pp.67-74
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    • 2005
  • Objectives : This study was carried to identify the component of the Pericardium Meridian Muscle in human. Methods : The regional muscle group was divided into outer, middle, and inner layer. The inner part of body surface were opened widely to demonstrate muscles, nerve, blood vessels and to expose the inner structure of the Pericardium Meridian Muscle in the order of layers. Results We obtained the results as follows; He Perfcardium Meridian Muscle composed of the muscles, nerves and blood vessels. In human anatomy, it is present the difference between terms (that is, nerves or blood vessels which control the muscle of the Pericardium Meridian Muscle and those which pass near by the Pericardium Meridian Muscle). The inner composition of the Pericardium Meridian Muscle in human is as follows ; 1) Muscle P-1 : pectoralis major and minor muscles, intercostalis muscle(m.) P-2 : space between biceps brachialis m. heads. P-3 : tendon of biceps brachialis and brachialis m. P-4 : space between flexor carpi radialis m. and palmaris longus m. tendon(tend.), flexor digitorum superficialis m., flexor digitorum profundus m. P-5 : space between flexor carpi radialis m. tend. and palmaris longus m. tend., flexor digitorum superficialis m., flexor digitorum profundus m. tend. P-6 : space between flexor carpi radialis m. tend. and palmaris longus m. tend., flexor digitorum profundus m. tend., pronator quadratus m. H-7 : palmar carpal ligament, flexor retinaculum, radiad of flexor digitorum superficialis m. tend., ulnad of flexor pollicis longus tend. radiad of flexor digitorum profundus m. tend. H-8 : palmar carpal ligament, space between flexor digitorum superficialis m. tends., adductor follicis n., palmar interosseous m. H-9 : radiad of extensor tend. insertion. 2) Blood vessel P-1 : lateral cutaneous branch of 4th. intercostal artery, pectoral br. of Ihoracoacrornial art., 4th. intercostal artery(art) P-3 : intermediate basilic vein(v.), brachial art. P4 : intermediate antebrachial v., anterior interosseous art. P-5 : intermediate antebrarhial v., anterior interosseous art. P-6 : intermediate antebrachial v., anterior interosseous art. P-7 : intermediate antebrachial v., palmar carpal br. of radial art., anterior interosseous art. P-8 : superficial palmar arterial arch, palmar metacarpal art. P-9 : dorsal br. of palmar digital art. 3) Nerve P-1 : lateral cutaneous branch of 4th. intercostal nerve, medial pectoral nerve, 4th. intercostal nerve(n.) P-2 : lateral antebrachial cutaneous n. P-3 : medial antebrachial cutaneous n., median n. musrulocutaneous n. P-4 : medial antebrachial cutaneous n., anterior interosseous n. median n. P-5 : median n., anterior interosseous n. P-6 : median n., anterior interosseous n. P-7 : palmar br. of median n., median n., anterior interosseous n. P-8 : palmar br. of median n., palmar digital br. of median n., br. of median n., deep br. of ulnar n. P-9 : dorsal br. of palmar digital branch of median n. Conclusions : This study shows some differences from already established study on meridian Muscle.

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Two phase p-median approach to nondegenerate GT cell formation (GT 생산시스템에서 비퇴화 셀 형성을 위한 2 단계 p-median 접근법)

  • 원유경
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2001.10a
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    • pp.21-24
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    • 2001
  • This study is concerned with the development of efficient p-median approach to nondegenerate cell formation(CF) in group technology(GT) manufacturing. Unlike most of existing CF methodologies allowing degenerate cells or families that contains no parts or machines, this study attempts to find cell configuration where each machine cell contains at least two or more machines processing at least two or more parts so as to fully utilize the similarity in designing and processing parts. Nondegenerate CF seeks to minimize both the exceptional elements outside the diagonal block and the voids within the diagonal block. To find nondegenerate cells, a two-phase p-median methodology is proposed. In phase 1, the classical p-median model is implemented to find initial cells. In phase 2, bottleneck machines and parts are reassigned until no further degenerate cells and families are found. Test results on moderately medium-sized CF problems show the substantial efficiency of the proposed approach.

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Group Technology Cell Formation Using Production Data-based P-median Model

  • Won Yu Gyeong
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2003.05a
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    • pp.375-380
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    • 2003
  • This study is concerned with the machine part grouping m cellular manufacturing. To group machines into the set of machine cells and parts into the set of part families, new p-median model considering the production data such as the operation sequences and production volumes for parts is proposed. Unlike existing p-median models relying on the classical binary part-machine incidence matrix which does not reflect the real production factors which seriously impact on machine-part grouping, the proposed p-median model reflects the production factors by adopting the new similarity coefficient based on the production data-based part-machine incidence matrix of which each non-binary entry indicates actual intra-cell or inter-cell flows to or from machines by parts. Computation test compares the proposed p median model favorably.

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Carpal Tunnel Syndrome in Stroke Patients According to the Degree of Spasticity in Median Nerve Cross-Sectional Area and Nerve Conduction Velocity and Comparison of Upper Extremity Function (수근관증후군 뇌졸중 환자에서 경직정도에 따른 정중신경 단면적과 신경전도속도 및 상지기능의 비교)

  • Kim, Tae-Gon;Jung, Dae-In;Kim, Kyung-Yoon
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.288-296
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    • 2013
  • The purpose of this study were carpal tunnel syndrome in stroke patients according to the degree of spasticity in the median nerve cross-sectional area, nerve conduction velocity, and to evaluate differences in upper extremity function. The subjects of this study was in adult patients with stroke 42 patients from 21 patients CTS group and 21 patients Non-CTS group were selected. Measurement of median nerve-cross sectional area, nerve conduction velocity, GST, FMAS, CTS-FSS was measured. The study results were each group between the unaffected side and the affected side CTS and Non-CTS group in each grade between groups unaffected side(p<.001), and affected side(p<.001) median nerve-cross sectional area, median motor and sensory nerve onset latency, there was a statistically significant difference. CTS and Non-CTS group between groups in each grade GST(p<.05), FMAS(p<.05), CTS-FSS(p<.001), there was a statistically significant difference. In this study, the carpal tunnel pathokinesiology ever presented by the contents of upper extremity functional training in stroke patients is one of the information that you need to consider when presented.

Oil Tank Location Problem Solving with Mixed Integer Programming & GIS (혼합정수계획법 및 GIS를 활용한 유류저장탱크의 입지선정)

  • 최기주;김숙희;신강원
    • Journal of Korean Society of Transportation
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    • v.19 no.5
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    • pp.99-108
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    • 2001
  • A framework of using and integrating GIS and OR tools for determining the best site selection has been provided. In this research, we demonstrated that both the P-Median heuristic method and MIP method can be successfully applied to the optimum site selection problem of oil tank location selection. Furthermore, the results identified by both approaches are identical. To accomplish this, both GIS road and maritime networks have been constructed and combined to calculated the minimum distance matrix, which is required by both approaches. After the application to the Korean peninsula, the facility locations chosen are Kunsan, Yosu, Busan, and Okgye for each district. As has been shown, the power of GIS and both algorithm have been demonstrated throughout the research and further similar research can also be conducted using the power of GIS and Operations Research tools.

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Five-Year Survival and Median Survival Time of Nasopharyngeal Carcinoma in Hospital Universiti Sains Malaysia

  • Siti-Azrin, Ab Hamid;Norsa'adah, Bachok;Naing, Nyi Nyi
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.15
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    • pp.6455-6459
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    • 2014
  • Background: Nasopharyngeal carcinoma (NPC) is the fourth most common cancer in Malaysia. The objective of this study was to determine the five-year survival rate and median survival time of NPC patients in Hospital Universiti Sains Malaysia (USM). Methods: One hundred and thirty four NPC cases confirmed by histopathology in Hospital USM between $1^{st}$ January 1998 and $31^{st}$ December 2007 that fulfilled the inclusion and exclusion criteria were retrospectively reviewed. Survival time of NPC patients were estimated by Kaplan-Meier survival analysis. Log-rank tests were performed to compare survival of cases among presenting symptoms, WHO type, TNM classification and treatment modalities. Results: The overall five-year survival rate of NPC patients was 38.0% (95% confidence interval (CI): 29.1, 46.9). The overall median survival time of NPC patients was 31.30 months (95%CI: 23.76, 38.84). The significant factors that altered the survival rate and time were age (p=0.041), cranial nerve involvement (p=0.012), stage (p=0.002), metastases (p=0.008) and treatment (p<0.001). Conclusion: The median survival of NPC patients is significantly longer for age ${\leq}50$ years, no cranial nerve involvement, and early stage and is dependent on treatment modalities.

Factors Affecting Pneumonia Occurring to Patients with Multiple Rib Fractures

  • Byun, Joung Hun;Kim, Han Young
    • Journal of Chest Surgery
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    • v.46 no.2
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    • pp.130-134
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    • 2013
  • Background: Rib fractures are the most common type of thoracic trauma and cause other complications. We explored the risk factors for pneumonia in patients with multiple rib fractures. Materials and Methods: Four hundred and eighteen patients who visited our hospital with multiple rib fractures between January 2002 and December 2008 were retrospectively reviewed. Chest X-rays and chest computed tomography were used to identify injury severity. Patients with only a single rib fracture or who were transferred to another hospital within 2 days were excluded. Results: There were 327 male patients (78%), and the median age was 53 years. The etiologies of the patients' trauma included traffic accidents in 164 cases (39%), falls in 78 cases (19%), slipping and falling in 90 (22%), pedestrian accidents in 30 (7%), industrial accidents in 41 (10%), and assault in 15 (4%). The median number of rib fractures was 4.8. Pulmonary complications including flail chest (2.3%), lung contusion (22%), hemothorax (62%), pneumothorax (31%), and hemopneumothorax (20%) occurred. Chest tubes were inserted into the thoracic cavity in 216 cases (52%), and the median duration of chest tube insertion was 10.26 days. The Injury Severity Score (ISS) and rib score had a median of 15.27 and 6.9, respectively. Pneumonia occurred in 18 cases (4.3%). Of the total cases, 33% of the cases were managed in the intensive care unit (ICU), and the median duration of stay in the ICU was 7.74 days. Antibiotics were administered in 399 patients (95%) for a median of 10.53 days. Antibiotics were used for more than 6 days in 284 patients (68%). The factors affecting pneumonia in patients with multiple rib fractures in multivariate analysis included age (p=0.004), ISS (p<0.001), and rib score (p=0.038). The use of antibiotics was not associated with the occurrence of pneumonia (p=0.28). In-hospital mortality was 5.3% (n=22). Conclusion: The factors affecting risk of pneumonia in patients with multiple rib fractures included age (p=0.004), ISS (p<0.001), and rib score (p=0.038). Elderly patients with multiple traumas have a high risk of pneumonia and should be treated accordingly.

P-wave Detection Using Wavelet Transform (Wavelet Transform을 이용한 P파 검출에 관한 연구)

  • 윤영로;장원석
    • Journal of Biomedical Engineering Research
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    • v.17 no.4
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    • pp.507-514
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    • 1996
  • The automated ECG diagnostic systems in hospital have a low P-wave detection capacity in case of some diseases like conduction block. The purpose of this study is to improve the P-wave detection ca- pacity using wavelet transform. The first procedure is to remove baseline drift by subtracting the median filtered signal from the original signal. The second procedure is to cancel ECG's QRS-T complex from median filtered signal to get P-wave candidate. Before we subtracted the templete from QRS-T complex, we estimated the best matching between templete and QRS-T complex to minimize the error. Then, wavelet transform was applied to confirm P-wave. In particular, haiti wavelet was used to magnify P-wave that consisted of low frequency components and to reject high frequency noise of QRS-T complex cancelled signal. Finally, p-wave was discriminated and confirmed by threshold value. By using this method, We can got the around 95.1% P-wave detection. It was compared with contextual information.

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Optimum Location Choice for Bike Parking Lots Using Heuristic P-Median Algorithm (휴리스틱 P-Median 알고리즘을 이용한 자전거주차장 최적입지선정)

  • Park, Bora;Lee, Kyu Jin;Choi, Keechoo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.5
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    • pp.1989-1998
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    • 2013
  • As the importance of 'bike revitalization' has been emphasized in our society, many cities around the world put enormous efforts to create a bike-oriented transportation system. None the less, the results were not much productive and effective. In this study, to decide the location and number of the bike-parking facilities, the heuristic P-median algorithm has been applied with and without budget constraints. A test network with 30 candidate locations (centroids) were employed. The results show that the optimum number of bike parking lots with and without the budget limits are 9 and 20, respectively. Since the optimum locations determined in this study were congruous with the actual bike parking lots with high utilization rates, it is expected that the proposed methods can be applied for determining the optimum locations of the bike parking facilities elsewhere. Some limitations and future research agenda have also been discussed.

Comparison of the Therapeutic Efficacy and Technical Outcomes between Conventional Fixed Electrodes and Adjustable Electrodes in the Radiofrequency Ablation of Benign Thyroid Nodules

  • Jae Ho Shin;Minkook Seo;Min Kyoung Lee;So Lyung Jung
    • Korean Journal of Radiology
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    • v.25 no.2
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    • pp.199-209
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    • 2024
  • Objective: This study aimed to compare therapeutic efficacy and technical outcomes between adjustable electrode (AE) and conventional fixed electrode (FE) for radiofrequency ablation (RFA) of benign thyroid nodules. Materials and Methods: Between 2013 and 2021, RFA was performed on histologically proven benign thyroid nodules. For the AE method, AE length ≥ 1 cm with higher power and < 1 cm with lower power were utilized for ablating feeding vessels and nodules, especially those near anatomical structures, respectively. The therapeutic efficacy (volume reduction rate [VRR], complication rate, and regrowth rate) and technical outcomes (total energy delivery, ablated volume/energy, RFA time, and ablated volume/time) of FE and AE were compared. Continuous parameters were compared using a two-sample t-test or Mann-Whitney U test, and categorical parameters were compared using a chi-squared test or Fisher's exact test. Results: A total of 182 nodules (FE: 92 vs. AE: 90) in 173 patients (mean age ± standard deviation, 47.0 ± 14.7 years; female, 90.8% [157/173]; median follow-up, 726 days [interquartile range, 441-1075 days]) were analyzed. The therapeutic efficacy was comparable, whereas technical outcomes were more favorable for AE. Both electrodes demonstrated comparable overall median VRR (FE: 92.4% vs. AE: 84.9%, P = 0.240) without immediate major complications. Overall regrowth rates were comparable between the two groups (FE: 2.2% [2/90] vs. AE: 1.1% [1/90], P > 0.99). AE demonstrated a shorter median RFA time (FE: 811 vs. AE: 627 seconds, P = 0.009). Both delivered comparable median energy (FE: 42.8 vs. AE: 29.2 kJ, P = 0.069), but AE demonstrated higher median ablated volume/energy and median ablated volume/time (FE: 0.2 vs. AE: 0.3 cc/kJ, P < 0.001; and FE: 0.7 vs. AE: 1.0 cc/min, P < 0.001, respectively). Conclusion: Therapeutic efficacy between FE and AE was comparable. AE demonstrated better technical outcomes than FE in terms of RFA time, ablated volume/energy, and ablated volume/time.