• Title/Summary/Keyword: PTA

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Review of National Diagnostic Reference Levels for Interventional Procedures

  • Lee, Min Young;Kwon, Jae;Ryu, Gang Woo;Kim, Ki Hoon;Nam, Hyung Woo;Kim, Kwang Pyo
    • Progress in Medical Physics
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    • v.30 no.4
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    • pp.75-88
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    • 2019
  • Diagnostic reference level (DRL) is employed to optimize the radiation doses of patients. The objective of this study is to review the DRLs for interventional procedures in Korea and abroad. Literature review was performed to investigate radiation dose index and measurement methodology commonly used in DRL determination. Dose area product (DAP) and fluoroscopy time within each major procedure category were systematically abstracted and analyzed. A wide variation was found in the radiation dose. The DAP values and fluoroscopy times ranged 0.01-3,081 Gy·㎠ and 2-16,878 seconds for all the interventional procedures, 8.5-1,679 Gy·㎠ and 32-5,775 seconds for the transcatheter arterial chemoembolization (TACE), and 0.1-686 Gy·㎠ and 16-6,636 seconds for the transfemoral cerebral angiography (TFCA), respectively. The DRL values of the DAP and fluoroscopy time were 238 Gy·㎠ and 1,224 seconds for the TACE and 189 Gy·㎠ and 686 seconds for the TFCA, respectively. Generally, the DRLs of Korea were lower than those of other developed countries, except for the percutaneous transluminal angioplasty with stent in arteries of the lower extremity (LE PTA and stent), aneurysm coil embolization, and Hickman insertion procedures. The wide variation in the radiation doses of the different procedures suggests that more attention must be paid to reduce unnecessary radiation exposure from medical imaging. Furthermore, periodic nationwide survey of medical radiation exposures is necessary to optimize the patient dose for radiation protection, which will ultimately contribute to patient dose reduction and radiological safety.

Fast Construction of Three Dimensional Steiner Minimum Tree Using PTAS (PTAS를 이용한 3차원 스타이너 최소트리의 신속한 구성)

  • Kim, In-Bum
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.7
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    • pp.87-95
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    • 2012
  • In this paper, PTAS three-dimensional Steiner minimum tree connecting numerous input nodes rapidly in 3D space is proposed. Steiner minimum tree problem belongs to NP problem domain, and when properly devised heuristic introduces, it is generally superior to other algorithms as minimum spanning tree affiliated with P problem domain. But when the number of input nodes is very large, the problem requires excessive execution time. In this paper, a method using PTAS is proposed to solve the difficulty. In experiments for 70,000 input nodes in 3D space, the tree produced by the proposed 8 space partitioned PTAS method reduced 86.88% execution time, compared with the tree by naive 3D steiner minimum tree method, though increased 0.81% tree length. This affirms the proposed method can work well for applications that many nodes of three dimensions are need to connect swifty, enduring slight increase of tree length.

A Research for the Noise Development of the FF 8th Speed Automatic Transmission (전륜 8속 자동변속기 소음 개발에 대한 연구)

  • Lee, Hyun Ku;Hong, Sa Man;Kim, Moo Suk;Hur, Jin Wook;Yoo, Dong Kyu
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.26 no.5
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    • pp.559-566
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    • 2016
  • This study shows a development procedure and results of noise reduction for a new developed FF 8th speed automatic transmission. Based on planetary gear operating frequency analysis using PTA(planetary transmission analysis) program developed in 2012, It is expected that gear noise of the rear planetary gear set could be recognized easily in the concept design stage. Therefore, pRMC (planetary run many cases) analysis program that is developed in 2012 was applied to minimize the planetary gear noise level and noise distributions versus torque. To minimize noises coming from oil pump and final gears of a new transmission, several changes were applied, such as changing the clearance of double angular ball bearing, the oil pump rotor tooth number from 9 to 11 and the oil pump type from parachoid to megafloid and so on. Besides, stiffness values of the transmission case and the mount bracket were measured and reinforced properly. Finally, The total noise of the new FF 8th speed automatic transmission was developed successfully. Furthermore, E.O.L. testers also have been adapted to control the noise quality of automatic transmission assembly in the manufacturing factory. This paper could provide practical solutions to the automatic transmission NVH problems.

A Polynomial Time Approximation Scheme for Enormous Euclidean Minimum Spanning Tree Problem (대형 유클리드 최소신장트리 문제해결을 위한 다항시간 근사 법)

  • Kim, In-Bum
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.48 no.5
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    • pp.64-73
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    • 2011
  • The problem of Euclidean minimum spanning tree (EMST) is to connect given nodes in a plane with minimum cost. There are many algorithms for the polynomial time problem as EMST. However, for numerous nodes, the algorithms consume an enormous amount of time to find an optimal solution. In this paper, an approximation scheme using a polynomial time approximation scheme (PTAS) algorithm with dividing and parallel processing for the problem is suggested. This scheme enables to construct a large, approximate EMST within a short duration. Although initially devised for the non-polynomial problem, we employ naive PTAS to construct a vast EMST with dynamic programming. In an experiment, the approximate EMST constructed by the proposed scheme with 15,000 input terminal nodes and 16 partition cells shows 89% and 99% saving in execution time for the serial processing and parallel processing methods, respectively. Therefore, our scheme can be applied to obtain an approximate EMST quickly for numerous input terminal nodes.

Efficient Construction of Large Scale Steiner Tree using Polynomial-Time Approximation Scheme (PTAS를 이용한 대형 스타이너 트리의 효과적인 구성)

  • Kim, In-Bum
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.47 no.5
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    • pp.25-34
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    • 2010
  • By introducing additional nodes called Steiner points, the problem of Steiner Minimum Tree whose length can be shorter than Minimum Spanning Tree and which connects all input terminal nodes belongs to Non-Polynomial Complete domain. Though diverse heuristic methods can be applied to the problem, most of them may meet serious pains in computing and waiting for a solution of the problem with numerous input nodes. For numerous input nodes, an efficient PTAS approximation method producing candidate unit steiner trees with portals in most bottom layer, merging them hierarchically to construct their parent steiner trees in upper layer and building swiftly final approximation Steiner tree in most top layer is suggested in this paper. The experiment with 16,000 input nodes and designed 16 unit areas in most bottom layer shows 85.4% execution time improvement in serial processing and 98.9% in parallel processing comparing with pure Steiner heuristic method, though 0.24% overhead of tree length. Therefore, the suggested PTAS Steiner tree method can have a wide range applications to build a large scale approximation Steiner tree quickly.

Approximation ratio 2 for the Minimum Number of Steiner Points (최소 개수의 스타이너 포인트를 위한 근사 비율 2)

  • 김준모;김인범
    • Journal of KIISE:Computer Systems and Theory
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    • v.30 no.7_8
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    • pp.387-396
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    • 2003
  • This paper provides an approximation algorithm for STP-MSP(Steiner Tree Problem with minimum number of Steiner Points).Because it seems to be impossible to have a PTAS(Polynomial Time Approximation Schemes), which gives the near optimal solutions, for the problem, the algorithm of this paper is an alternative that has the approximation ratio 2 with $n^{O(1)}$ run time. The importance of this paper is the potential to solve other related unsolved problems. The idea of this paper is to distribute the error allowance over the problem instance so that we may reduce the run time to polynomial bound out of infinitely many cases. There are earlier works[1,2] that show the approximations that have practical run times with the ratio of bigger than 2, but this paper shows the existence of a poly time approximation algorithm with the ratio 2.

Experimental Analysis of Prestressed Approach Slab Behavior (프리스트레스가 도입된 접속슬래브의 실험적 거동 분석)

  • Park, Hee-Beom;Eum, In-Sub;Kim, Seong-Min
    • International Journal of Highway Engineering
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    • v.12 no.4
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    • pp.157-164
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    • 2010
  • This research was conducted to analyze the behavior of Single-PTAS (Single Post-Tensioned Approach Slab) under tensioning and environmental loads by performing field tests when the demonstration Single-PTAS was being constructed. The temperature measurement sensors were installed at different depths, and the displacements in the approach slab under environmental loads and tensioning were measured using displacement transducers. As an experimental result, an abrupt change in the longitudinal displacement due to tensioning was not observed. The daily temperature change in the approach slab was negligible where the depth is over about 35cm. The temperature gradient in the approach slab adjacent to bridge was smaller than that adjacent to pavement. The patterns and magnitudes of vertical displacements were directly related to the temperature gradient at the measuring location. The behavior of Single-PTAS was very similar to that of concrete pavement. Therefore, a new design methodology for approach slabs is needed to include the pavement concept and to overcome drawback of current design procedures based on the simple beam concept.

Effect of cooling rate on the hot ductility of boron bearing steel during continuous casting (Study for prevention of corner crack on continuous casting slab) (보론 첨가강에서 연주 냉각속도가 고온연성에 미치는 영향 연구 (주편 코너 크랙 발생 방지 방안 확보 연구))

  • Cho, Kyungchul;Koo, Yangmo;Park, Joongkil
    • Korean Journal of Metals and Materials
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    • v.46 no.6
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    • pp.329-337
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    • 2008
  • During the continuous casting of boron-bearing steel, the corner cracks on the slab are formed by deformation with low strain rate and rapid cooling at the unbending temperature within the range of 800- $1000^{\circ}C$. Especially, the rapid cooling in the corner of slab during the continuous casting leads to as corner cracking. Therefore, in this study, the hot tensile tests applied to the different cooling rates were taken into account in order to study the effect of cooling rate on the hot ductility of boron-bearing steel. The results revealed that increasing cooling rate deteriorate the hot ductility of boron- bearing steel. Rapid decreasing of the hot ductility is caused by formation of a film-like ferrite and precipitate at the austenite grain boundaries. The morphology of the precipitates in the boron-bearing steel was monitored by PTA (Particle Tracking Autoradiography) and TEM, we observed MnS and BN compound and their morphology was quite different depending on the cooling rates. When the cooling rate is increased, rodshape MnS and BN precipitates can be formed along the austenite grain boundaries. It can cause that weakening the boundary region and decreasing the hot ductility of boron-bearing steel.

A Clinical Effect of Ofloxacin, Prothionamide, Cycloserine Streptomycin(Kanamycin or Tuberactinomycin) in Retreatment of Pulmonary Tuberculosis (폐결핵 재치료에서 Ofloxacin, Prothionamide, Cycloserine, Streptomycin(Kanamycin or Tuberactinomycin) 4제요법의 임상 효과)

  • Song, Ju-Young;Yoo, Min-Kyu;Hong, Jae-Rack;Jeong, Jae-Man;Kim, Young-Jun;Kim, Moon-Shik
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.3
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    • pp.295-301
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    • 1995
  • Background: The serious problems in retreatment of pulmonary tuberculosis are a significant proportion of drug resistance. Preferably retreatment should contain the drugs which has never used before, so drug retreatment is limited in selection. A new antibacterial substance, ofloxacin(OFX) is the activity against mycobacterium tuberculosis and it has been used in the treatment of pulmonary tuberculosis. The present report concerns the result of retreatment of pulmonary tuberculosis patients containing OFX treated at National Kongju Tuberculosis Hospital. Method: A retrospective study was made through the regular follow up of 92 smear positive cases, who were treated by four drugs regimen between Mar 1991 and June 1994 at National Kongju Tuberculosis Hospital. Four drugs were, namely prothionamide, cycloserine, ofloxacin and streptomycin(kanamycin or tuberactinomycin). The duration of follow up was over one year. Results: 1) Out of 92 cases with positive sputum AFB smear, 67(73%) achieved the negative conversion. 2) Considering the negative sputum conversion in all the groups, the vast majority(85%) of sputum conversion occurred within the first 4 months. 3) The roentgenological improvement occurred in 49 percent on the whole and when the extent of disease was minimal, moderately, far advanced pulmonary tuberculosis, sputum AFB smear negative response to retreatment was 100%, 93%, 68%, respectively. 4) When the duration of patient's illness was less than 1 year, 1 to 3 years, 3 to 5 years and more than 5 years, sputum AFB smear negative response to retreatment was 87%, 76%, 65% and 55%, respectively. 5) Adverse reaction to prothionamide, with complaints of gastrointestinal troubles was common and hepatic dysfunction without jaundice was observed in 7 percent, convulsion in 1 percent, that to cycloserine occurred renal dysfunction & psycosis & convulsion, 2%, 1%, 1%, respectively. Tinnitus with KM occurred in 1% and dirrhea with OFX in 4%. Conclusion: The duration of patient's illness was shorter, sputum AFB smear negative response rate was better. Radiologic responses were not remarkable, but extent of disease by national tuberculosis association was smaller, the result of retreatment was better. Adverse reaction of the secondary antituberculosis agent was mainly observed gastrointestinal troubles, as regard to tolerance to the secondary drugs the role of the physician is of very important value and toxic effects can be overcome by the strong confidence.

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Anthropometric Measurement, Dietary Behaviors, Health-related Behaviors and Nutrient Intake According to Lifestyles of College Students (대학생의 라이프스타일 유형에 따른 신체계측, 식행동, 건강관련 생활습관 및 영양소 섭취상태에 관한 연구)

  • Cheong, Sun-Hee;Na, Young-Joo;Lee, Eun-Hee;Chang, Kyung-Ja
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.36 no.12
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    • pp.1560-1570
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    • 2007
  • The purpose of this study was to investigate the differences according to lifestyle in anthropometric measurement, dietary attitude, health-related behaviors and nutrient intake among the college students. The subjects were 994 nation-wide college students (male: 385, female: 609) and divided into 7 clusters (PEAO: passive economy/appearance-oriented type, NCPR: non-consumption/pursuit of relationship type, PTA: pursuit of traditional actuality type, PAT: pursuit of active health type, UO: utility-oriented type, POF: pursuit of open fashion type, PFR: pursuit of family relations type). A cross-sectional survey was conducted using a self administered questionnaire, and the data were collected via Internet or by mail. The nutrient intake data collected from food record were analyzed by the Computer Aided Nutritional Analysis Program. Data were analyzed by a SPSS 12.0 program. Average age of male and female college students were 23.7 years and 21.6 years, respectively. Most of the college students had poor eating habits. In particular, about 60% of the PEAO group has irregularity in meal time. The students in PAH and POF groups showed significantly higher consumption frequency of fruits, meat products and foods cooked with oil compared to the other groups. As for exercise, drinking and smoking, there were significant differences between PAH and the other groups. Asked for the reason for body weight control, 16.2% of NCPR group answered "for health", but 24.8% of PEAO group and 26.3% of POF group answered "for appearance". Calorie, vitamin A, vitamin $B_2$, calcium and iron intakes of all the groups were lower than the Korean DRIs. Female students in PTA group showed significantly lower vitamin $B_1$ and niacin intakes compared to the PFR group. Therefore, these results provide nation-wide information on health-related behaviors and nutrient intake according to lifestyles among Korean college students.