• Title/Summary/Keyword: Parameters Sensitivity

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Discrimination of Kawasaki disease with concomitant adenoviral detection differentiating from isolated adenoviral infection

  • Kim, Jong Han;Kang, Hye Ree;Kim, Su Yeong;Ban, Ji-Eun
    • Clinical and Experimental Pediatrics
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    • v.61 no.2
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    • pp.43-48
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    • 2018
  • Purpose: Human adenovirus infection mimics Kawasaki disease (KD) but can be detected in KD patients. The aim of this study was to determine the clinical differences between KD with adenovirus infection and only adenoviral infection and to identify biomarkers for prediction of adenovirus-positive KD from isolated adenoviral infection. Methods: A total of 147 patients with isolated adenovirus were identified by quantitative polymerase chain reaction. In addition, 11 patients having KD with adenovirus, who were treated with intravenous immunoglobulin therapy during the acute phase of KD were also evaluated. Results: Compared with the adenoviral infection group, the KD with adenovirus group was significantly associated with frequent lip and tongue changes, skin rash and changes in the extremities. In the laboratory parameters, higher C-reactive protein (CRP) level and presence of hypoalbuminemia and sterile pyuria were significantly associated with the KD group. In the multivariate analysis, lip and tongue changes (odds ratio [OR], 1.416; 95% confidence interval [CI], 1.151-1.741; P=0.001), high CRP level (OR, 1.039; 95% CI 1.743-1.454; P= 0.021) and sterile pyuria (OR 1.052; 95% CI 0.861-1.286; P=0.041) were the significant predictive factors of KD. In addition, the cutoff CRP level related to KD with adenoviral detection was 56 mg/L, with a sensitivity of 81.8% and a specificity of 75.9%. Conclusion: Lip and tongue changes, higher serum CRP level and sterile pyuria were significantly correlated with adenovirus-positive KD.

Dynamic behavior analysis of tunnel structure under gas explosion load (가스폭발하중에 의한 터널 구조물의 동적거동해석)

  • Kim, Young-Min
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.13 no.5
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    • pp.413-430
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    • 2011
  • Consideration on the explosion resistant design of infrastructure has increased in the recent years. The explosion load is caused by gas explosion or bomb blast. In this study an analytical model is developed, whereby the tunnel structure is divided in several elements that are schematized as single degree of freedom mass-spring-dashpot systems on gas explosion. Using this simple model a sensitivity analysis has been carried out on tunnel structure design parameters such as explosive peak pressure, duration of the load, thickness of structure, burial depth. Finite element method was used to investigate the dynamic response and plastic zone of a tunnel under gas explosion. And it was found from the comparison of the analysis results that there are slight differences in the response of the intermediate wall between the single degree of freedom mass-spring-dashpot model and FEM.

GERD-unrelated Non-cardiac Chest Pain may be Associated with Depression and Anxiety (위식도역류질환과 관련 없는 비심인성 흉통 환자의 우울 및 불안)

  • Park, Joo-Eon;Ryu, Han-Wook;Rhee, Poong-Lyul;Yu, Bum-Hee
    • Anxiety and mood
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    • v.2 no.1
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    • pp.28-32
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    • 2006
  • Objectives : Non-cardiac chest pain (NCCP) can be divided into gastroesophageal reflux disease (GERD) related NCCP and non-GERD related NCCP. Our study was designed to examine the differences in clinical characteristics and psychological mood states between the two clinical syndromes. Methods : After some cardiologic evaluations such as treadmill exercise, coronary angiography, and echocardiography, 27 patients with NCCP were enrolled in this study. They were divided into patients with GERD related NCCP (12 patients) and those with non-GERD related NCCP (15 patients) using the upper gastrointestinal endoscopy and the ambulatory 24 hour esophageal pH monitoring. Clinical characteristics such as typical reflux symptoms and psychological mood states were measured. Patients who showed scores more than 10 on the Beck Depression Inventory (BDI) or Beck Anxiety Inventory (BAI) were defined as depressed or anxious group. Anxiety sensitivity Index (ASI) was also measured in all patients. All parameters were compared between patients with GERD related NCCP and those with non-GERD related NCCP. Results : The two groups showed a difference in typical reflux symptoms. Patients with non-GERD related NCCP had higher scores on the BDI, BAI and ASI than those with GERD related NCCP. Among all NCCP patients, 14 patients (51.9%) were suggested to have possible depression or anxiety disorders. Conclusion : The non-GERD related NCCP was shown to be associated with psychological mood states such as anxiety and depression. Thus, we suggest that routine measurement of psychological mood states should be necessary in the evaluation and treatment of NCCP.

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Use of n Mathematical Model to Assess the Effects of Dissolved Organic Phosphorus on Species Competition Among the Dinoflagellates Alexandrium tamarense and Gymnodinium catenatum and the Diatom Skeletonema costatum (수치모델을 이용한 와편모조류 Alexandrium tamarense, Gymnodinium catenatum 및 규조류 Skeletonema costatum의 종간 경쟁에 미치는 용존태 유기인의 영향)

  • Oh, Seok-Jin;Yang, Han-Soeb;Yamamoto, Tamiji
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.40 no.1
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    • pp.39-49
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    • 2007
  • Species competition among the toxic dinoflagellates Alexandrium tamarense and Gymnodinium catenatum and the diatom Skeletonema costatum was simulated using a mathematical model. Prior to the model simulation competition experiments using the three species were conducted to obtain data for validation by the simulation model. S. costatum dominated at a density of ${\sim}10^{4}\;cells/mL$ compared to the other species in the medium with dissolved inorganic phosphorus (DIP). The growth of S. costatum was also stimulated by the addition of dissolved organic phosphorus (DOP), such as uridine-5-monophosphate (UMP) or glycerophosphate (Glycero-P), although this species is unable to take up DOP. This implies that the growth of S. costatum may be supported by DIP, which is hydrolyzed by alkaline phosphatase produced from A. tamarense and G. catenatum. The species competition model was run assuming the environmental conditions of northern Hiroshima Bay, Japan, during spring and summer. G. catenatum increased in cell density and neared the level of S. costatum at the end of the calculation. In the sensitivity analyses by means of doubling and halving parameters, depleted DIP had little effect on the cell density of G. catenatum. However the growth of A. tamarense and S. costatum was significantly affected by changes in the parameter values. These results indicate that if DIP depletion is ongoing, species that have a large phosphate pool in their cells, such as G. catenatum, will predominate in the community.

Evaluation on the Usefulness of X-ray Computer-Aided Detection (CAD) System for Pulmonary Tuberculosis (PTB) using SegNet (X-ray 영상에서 SegNet을 이용한 폐결핵 자동검출 시스템의 유용성 평가)

  • Lee, J.H.;Ahn, H.S.;Choi, D.H.;Tae, Ki Sik
    • Journal of Biomedical Engineering Research
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    • v.38 no.1
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    • pp.25-31
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    • 2017
  • Testing TB in chest X-ray images is a typical method to diagnose presence and magnitude of PTB lesion. However, the method has limitation due to inter-reader variability. Therefore, it is essential to overcome this drawback with automatic interpretation. In this study, we propose a novel method for detection of PTB using SegNet, which is a deep learning architecture for semantic pixel wise image labelling. SegNet is composed of a stack of encoders followed by a corresponding decoder stack which feeds into a soft-max classification layer. We modified parameters of SegNet to change the number of classes from 12 to 2 (TB or none-TB) and applied the architecture to automatically interpret chest radiographs. 552 chest X-ray images, provided by The Korean Institute of Tuberculosis, used for training and test and we constructed a receiver operating characteristic (ROC) curve. As a consequence, the area under the curve (AUC) was 90.4% (95% CI:[85.1, 95.7]) with a classification accuracy of 84.3%. A sensitivity was 85.7% and specificity was 82.8% on 431 training images (TB 172, none-TB 259) and 121 test images (TB 63, none-TB 58). This results show that detecting PTB using SegNet is comparable to other PTB detection methods.

Development of fragility curves for RC bridges subjected to reverse and strike-slip seismic sources

  • Mosleh, Araliya;Razzaghi, Mehran S.;Jara, Jose;Varum, Humberto
    • Earthquakes and Structures
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    • v.11 no.3
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    • pp.517-538
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    • 2016
  • This paper presents a probabilistic fragility analysis for two groups of bridges: simply supported and integral bridges. Comparisons are based on the seismic fragility of the bridges subjected to accelerograms of two seismic sources. Three-dimensional finite-element models of the bridges were created for each set of bridge samples, considering the nonlinear behaviour of critical bridge components. When the seismic hazard in the site is controlled by a few seismic sources, it is important to quantify separately the contribution of each fault to the structure vulnerability. In this study, seismic records come from earthquakes that originated in strike-slip and reverse faulting mechanisms. The influence of the earthquake mechanism on the seismic vulnerability of the bridges was analysed by considering the displacement ductility of the piers. An in-depth parametric study was conducted to evaluate the sensitivity of the bridges' seismic responses to variations of structural parameters. The analysis showed that uncertainties related to the presence of lap splices in columns and superstructure type in terms of integral or simply supported spans should be considered in the fragility analysis of the bridge system. Finally, the fragility curves determine the conditional probabilities that a specific structural demand will reach or exceed the structural capacity by considering peak ground acceleration (PGA) and acceleration spectrum intensity (ASI). The results also show that the simply supported bridges perform consistently better from a seismic perspective than integral bridges and focal mechanism of the earthquakes plays an important role in the seismic fragility analysis of highway bridges.

Influence analysis of continuous pile walls on the behavior of a soil tunnel at the shallow depth through a parametric study (민감도 분석을 통한 주열식벽체가 저토피 토사터널 거동에 미치는 영향 분석)

  • You, Kwang-Ho;Yoon, Woo-Jin
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.16 no.1
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    • pp.75-89
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    • 2014
  • In recent years, utilization of underground space has been increasing in various parts of the world. In particular, open-cut method is usually applied to the shallow depth excavation. However some problems such as extreme traffic congestion and unstability of adjacent structures etc. might occur. In order to cope with these problems, the M-CAM (Modified Cellular Arch Method) method was proposed to excavate soil tunnels at shallow depth with secured enough stability and minimized construction period. In this study, sensitivity analysis was performed to predict the influence of the size of CPW(Continuous Pile Wall) and ground conditions on the behavior of the tunnel. First of all, embedded depth and diameter (or thickness) of CPW, coefficient of lateral earth pressure, and ground conditions were selected as parameters that could affect tunnel stability. Meanwhile, FLAC 2D based on finite difference method was used for numerical analysis. As a result of this study, it was checked out that embedded depth among sizes of CPW had a greatest influence on the stability of a tunnel.

Clinical predictors of chest radiographic abnormalities in young children hospitalized with bronchiolitis: a single center study

  • Kim, Ga Ram;Na, Min Sun;Baek, Kyung Suk;Lee, Seung Jin;Lee, Kyung Suk;Jung, Young Ho;Jee, Hye Mi;Kwon, Tae Hee;Han, Man Yong;Sheen, Youn Ho
    • Clinical and Experimental Pediatrics
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    • v.59 no.12
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    • pp.471-476
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    • 2016
  • Purpose: Chest radiography is often performed on patients hospitalized with typical clinical manifestations of bronchiolitis. We aimed to determine the proportion of subjects with pathologic chest radiographic findings and the clinical predictors associated with pathologic chest radiographic findings in young children admitted with the typical presentation of bronchiolitis. Methods: We obtained the following data at admission: sex, age, neonatal history, past history of hospitalization for respiratory illnesses, heart rate, respiratory rate, the presence of fever, total duration of fever, oxygen saturation, laboratory parameters (i.e., complete blood cell count, high-sensitivity C-reactive protein [hs-CRP], etc.), and chest radiography. Results: The study comprised 279 young children. Of these, 26 had a chest radiograph revealing opacity (n=24) or atelectasis (n=2). Multivariate logistic regression analysis showed that after adjustment for confounding factors, the clinical predictors associated with pathologic chest radiographic findings in young children admitted with bronchiolitis were elevated hs-CRP level (>0.3 mg/dL) and past history of hospitalization for respiratory illnesses (all P<0.05). Conclusion: The current study suggests that chest radiographs in young children with typical clinical manifestations of bronchiolitis have limited value. Nonetheless, young children with clinical factors such as high hs-CRP levels at admission or past history of hospitalization for respiratory illnesses may be more likely to have pathologic chest radiographic findings.

Design of a Jammer Localization System using AOA method (AOA 기법을 이용한 재머 위치추적시스템 설계)

  • Lim, Deok-Won;Choi, Yun-Sub;Lee, Sang-Jeong;Hoe, Moon-Boem;Nam, Gi-Wook
    • Journal of Advanced Navigation Technology
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    • v.15 no.6
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    • pp.1241-1249
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    • 2011
  • There are TOA, TDOA and AOA method to estimate the position of the electromagnetic wave transmitter by using the multiple receivers at the fixed position. Among these methods, AOA method is suitable for the jammer localization system. Because TOA method can be adopted for the clocks of the transmitter and the receiver are synchronized each other, and TDOA method can be only adopted for a broad-band jamming signal. This paper, therefore, analyzes the characteristics of the AOA measurements and the sensitivity of the positioning performance according to the system design parameters. Based on the analyzed results, the jammer localization system to meet the desired performance is designed, and it has been checked that the positioning error for the jammer located at a distance of 10km is lower than 38m through the simulation results.

Ultrahigh-Resolution Spectral Domain Optical Coherence Tomography Based on a Linear-Wavenumber Spectrometer

  • Lee, Sang-Won;Kang, Heesung;Park, Joo Hyun;Lee, Tae Geol;Lee, Eun Seong;Lee, Jae Yong
    • Journal of the Optical Society of Korea
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    • v.19 no.1
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    • pp.55-62
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    • 2015
  • In this study we demonstrate ultrahigh-resolution spectral domain optical coherence tomography (UHR SD-OCT) with a linear-wavenumber (k) spectrometer, to accelerate signal processing and to display two-dimensional (2-D) images in real time. First, we performed a numerical simulation to find the optimal parameters for the linear-k spectrometer to achieve ultrahigh axial resolution, such as the number of grooves in a grating, the material for a dispersive prism, and the rotational angle between the grating and the dispersive prism. We found that a grating with 1200 grooves and an F2 equilateral prism at a rotational angle of $26.07^{\circ}$, in combination with a lens of focal length 85.1 mm, are suitable for UHR SD-OCT with the imaging depth range (limited by spectrometer resolution) set at 2.0 mm. As guided by the simulation results, we constructed the linear-k spectrometer needed to implement a UHR SD-OCT. The actual imaging depth range was measured to be approximately 2.1 mm, and axial resolution of $3.8{\mu}m$ in air was achieved, corresponding to $2.8{\mu}m$ in tissue (n = 1.35). The sensitivity was -91 dB with -10 dB roll-off at 1.5 mm depth. We demonstrated a 128.2 fps acquisition rate for OCT images with 800 lines/frame, by taking advantage of NVIDIA's compute unified device architecture (CUDA) technology, which allowed for real-time signal processing compatible with the speed of the spectrometer's data acquisition.