• 제목/요약/키워드: RRT

검색결과 96건 처리시간 0.026초

혈액암 환자의 원내 사망률에 미치는 신속대응팀의 효용성 (Effectiveness of Rapid Response Team on In-hospital Mortality in Patients with Hematologic Malignancy)

  • 박소정;홍상범;임채만;고윤석;허진원
    • 한국의료질향상학회지
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    • 제27권2호
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    • pp.18-29
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    • 2021
  • Purpose: Patients with hematologic malignancy (HM) typically have a high mortality rate when their condition deteriorates. The chronic progressive course of the disease makes it difficult to assess the effect of intervention on acute events. We investigated the effectiveness of a rapid response team (RRT) on in-hospital mortality in patients with HM. Methods: We retrospectively analyzed the data of patients with HM who admitted to the medical intensive care unit between 2006 and 2015. Clinical outcomes before and after RRT implementation were evaluated. Results: A total of 228 patients in the pre-RRT period and 781 patients in the post-RRT period were included. The overall in-hospital mortality was 55.4%. Patients in the post-RRT period had improved survival; however, they required more vasopressor therapy, continuous renal replacement therapy, and extracorporeal membrane oxygenation. Multivariate analysis revealed that in-hospital mortality was associated with RRT activation (hazard ratio [HR], 0.634; 95% confidence interval [CI], 0.498-0.807; p < .001), neurological disease (HR, 2.007; 95% CI, 1.439-2.800; p < .001), sequential organ failure assessment score (HR, 1.085; 95% CI, 1.057-1.112; p < .001), need for continuous renal replacement therapy (HR, 1.608; 95% CI, 1.206-1.895; p< .001), mechanical ventilation (HR, 1.512; 95% CI, 1.206-1.895; p< .001), vasopressor (HR, 1.598; 95% CI, 1.105-2.311; p = .013), and extracorporeal membrane oxygenation (HR, 1.728; 95% CI, 1.105-2.311; p = .030). Conclusion: RRT activation may be associated with improved survival in patients with HM.

실리콘에 도핑된 붕소의 정량분석에 대한 공동분석연구 (RRT Study for the Quantitative Analysis of Boron in Silicon)

  • 김경중;김현경;문대원;홍태은;정칠성;김이경;김재남;임철호;김정호
    • 한국진공학회지
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    • 제11권4호
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    • pp.218-224
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    • 2002
  • 반도체 박막의 분석에서 중요한 분석 대상의 하나인 미량 불순물의 정량분석을 위한 표준절차를 확립하고 그에 필요한 인증표준물질의 개발하였으며 이를 이용하여 국내공동분석을 실시하였다. 공동분석에 사용된 붕소가 균질하게 도핑된 박막 인증표준물질과 분석시편은 이온빔 스퍼터증착법에 의해 제작하였으며, 가장 정량적이고 감도가 높은 ICP-MS를 이용한 동위원소희석법으로 인증하였다. 이러한 인증표준물질과 SIMS에 의한 실리콘 내 의 붕소의 정량분석에 대해 이미 확립되어 있는 국제표준절차인 ISO/DIS-14237에 의거하여 국내 공동 분석을 시행하였는데, 이번의 공동분석에서 얻어진 붕소농도의 전체 평균값이 ICP-MS에 의한 인증치에 약 2% 정도의 오차를 보여주고 있어 분석의 정확성이 확인되었다.

The Implementation of RRTs for a Remote-Controlled Mobile Robot

  • Roh, Chi-Won;Lee, Woo-Sub;Kang, Sung-Chul;Lee, Kwang-Won
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2005년도 ICCAS
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    • pp.2237-2242
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    • 2005
  • The original RRT is iteratively expanded by applying control inputs that drive the system slightly toward randomly-selected states, as opposed to requiring point-to-point convergence, as in the probabilistic roadmap approach. It is generally known that the performance of RRTs can be improved depending on the selection of the metrics in choosing the nearest vertex and bias techniques in choosing random states. We designed a path planning algorithm based on the RRT method for a remote-controlled mobile robot. First, we considered a bias technique that is goal-biased Gaussian random distribution along the command directions. Secondly, we selected the metric based on a weighted Euclidean distance of random states and a weighted distance from the goal region. It can save the effort to explore the unnecessary regions and help the mobile robot to find a feasible trajectory as fast as possible. Finally, the constraints of the actuator should be considered to apply the algorithm to physical mobile robots, so we select control inputs distributed with commanded inputs and constrained by the maximum rate of input change instead of random inputs. Simulation results demonstrate that the proposed algorithm is significantly more efficient for planning than a basic RRT planner. It reduces the computational time needed to find a feasible trajectory and can be practically implemented in a remote-controlled mobile robot.

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RRT*를 활용하여 향상된 이종의 개미군집 기반 경로 계획 알고리즘 (Improved Heterogeneous-Ants-Based Path Planner using RRT*)

  • 이준우
    • 로봇학회논문지
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    • 제14권4호
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    • pp.285-292
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    • 2019
  • Path planning is an important problem to solve in robotics and there has been many related studies so far. In the previous research, we proposed the Heterogeneous-Ants-Based Path Planner (HAB-PP) for the global path planning of mobile robots. The conventional path planners using grid map had discrete state transitions that constrain the only movement of an agent to multiples of 45 degrees. The HAB-PP provided the smoother path using the heterogeneous ants unlike the conventional path planners based on Ant Colony Optimization (ACO) algorithm. The planner, however, has the problem that the optimization of the path once found is fast but it takes a lot of time to find the first path to the goal point. Also, the HAB-PP often falls into a local optimum solution. To solve these problems, this paper proposes an improved ant-inspired path planner using the Rapidly-exploring Random Tree-star ($RRT^*$). The key ideas are to use $RRT^*$ as the characteristic of another heterogeneous ant and to share the information for the found path through the pheromone field. The comparative simulations with several scenarios verify the performance of the improved HAB-PP.

실제지형을 고려한 고정익 무인항공기의 최적 경로계획 (Optimal Path Planner Considering Real Terrain for Fixed-Wing UAVs)

  • 이다솔;심현철
    • 제어로봇시스템학회논문지
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    • 제20권12호
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    • pp.1272-1277
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    • 2014
  • This article describes a path planning algorithm for fixed-wing UAVs when a real terrain should be considered. Nowadays, many UAVs are required to perform mission flights near given terrain for surveillance, reconnaissance, and infiltration, as well as flight altitude of many UAVs are relatively lower than typical manned aerial vehicles. Therefore, real terrain should be considered in path planning algorithms of fixed-wing UAVs. In this research, we have extended a spline-$RRT^*$ algorithm to three-dimensional planner. The spline-$RRT^*$ algorithm is a $RRT^*$ based algorithm, and it takes spline method to extend the tree structure over the workspace to generate smooth paths without any post-processing. Direction continuity of the resulting path is guaranteed via this spline technique, and it is essential factor for the paths of fixed-wing UAVs. The proposed algorithm confirm collision check during the tree structure extension, so that generated path is both geometrically and dynamically feasible in addition to direction continuity. To decrease degrees of freedom of a random configuration, we designed a function assigning directions to nodes of the graph. As a result, it increases the execution speed of the algorithm efficiently. In order to investigate the performance of the proposed planning algorithm, several simulations are performed under real terrain environment. Simulation results show that this proposed algorithm can be utilized effectively to path planning applications considering real terrain.

Comparison of clinical diagnostic performance between commercial RRT-LAMP and RT-qPCR assays for SARS-CoV-2 detection

  • Kim, Hye-Ryung;Park, Jonghyun;Han, Hyung-Soo;Kim, Yu-Kyung;Jeon, Hyo-Sung;Park, Seung-Chun;Park, Choi-Kyu
    • 한국동물위생학회지
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    • 제44권3호
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    • pp.163-168
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    • 2021
  • The rapid and reliable detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) plays a key role in isolating infected patients and preventing further viral transmission. In this study, we evaluated the clinical diagnostic performances of a commercial real-time reverse transcription loop-mediated isothermal amplification (RRT-LAMP) assay (Isopollo® COVID-2 assay, M-monitor, Daegu, Korea) using eighty COVID-19 suspected clinical samples and compared these with the results of a commercial real-time reverse transcription polymerase chain reaction (RT-qPCR) assay (AllplexTM 2019-nCoV rRT-QPCR Assay, SeeGene, Seoul, Korea). The results of the RRT-LAMP assay targeting the N or RdRp gene of SARS-CoV-2 showed perfect agreement with the RT-qPCR assay results in terms of detection. Furthermore, the RRT-LAMP assay was completed in just within a 20-min reaction time, which is significantly faster than about the 2 h currently required for the RT-qPCR assay, thus enabling prompt decision making regarding the isolation of infected patients. The RRT-LAMP assay will be a valuable tool for rapid, sensitive, and specific detection of SARS-CoV-2 in human or unexpected animal clinical cases.

확률화 응답기법의 실용화 방안 (A practical plan of randomized response technique)

  • 류제복;이계오;이기성
    • 응용통계연구
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    • 제8권1호
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    • pp.9-26
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    • 1995
  • 응답자들이 응답을 꺼려하는 민감한 사항에 대한 조사에 거짓응답을 하거나 응답을 회피함으로써 응답편의(response bias)가 발생한다. Warner(1965)는 이러한 응답편의를 줄여주기 위하여 확률장치를 사용하는 확률화응답기법을 제안하였다. 그러나 이 기법은 이론적으로 우수함에도 불구하고 실제 사용하려고 할 때에 여러가지 문제점을 갖고 있다. 따라서 본 연구에서는 확률화응답기법의 실용화를 위하여 이 기법들이 적용된 사례들을 비교분석하고 특징과 문제점등을 찾아 이를 보완하여 실용화를 위한 단계적 방안을 제시하였다. 또한 이들을 실제조사에 적용하였다.

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Renal replacement therapy in neonates with an inborn error of metabolism

  • Cho, Heeyeon
    • Clinical and Experimental Pediatrics
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    • 제62권2호
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    • pp.43-47
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    • 2019
  • Hyperammonemia can be caused by several genetic inborn errors of metabolism including urea cycle defects, organic acidemias, fatty acid oxidation defects, and certain disorders of amino acid metabolism. High levels of ammonia are extremely neurotoxic, leading to astrocyte swelling, brain edema, coma, severe disability, and even death. Thus, emergency treatment for hyperammonemia must be initiated before a precise diagnosis is established. In neonates with hyperammonemia caused by an inborn error of metabolism, a few studies have suggested that peritoneal dialysis, intermittent hemodialysis, and continuous renal replacement therapy (RRT) are effective modalities for decreasing the plasma level of ammonia. In this review, we discuss the current literature related to the use of RRT for treating neonates with hyperammonemia caused by an inborn error of metabolism, including optimal prescriptions, prognosis, and outcomes. We also review the literature on new technologies and instrumentation for RRT in neonates.

지반 응답 해석 Round Robin Test의 입력 지진파 및 물성에 관한 고찰 (Investigation into the Input Earthquake Motions and Properties for Round Robin Test on Ground Response Analysis)

  • 선창국;한진태;최정인;김기석;김명모
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2007년 가을학술발표회
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    • pp.266-292
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    • 2007
  • Round Robin Test (RRT) on ground response analyses was conducted for three sites in Korea based on several site investigation data, which include borehole logs with the N values from standard penetration test (SPT) for all three sites and additionally cone tip resistance profiles for two sites. Three input earthquake motions together with the site investigation data were provided for the RRT. A total of 12 teams participating in this RRT presented the results of ground response analyses using equivalent-linear and/or nonlinear method. Each team determined input geotechnical properties by using empirical relationships and literatures based on own judgment, with the exception of the input motions. Herein, the characteristics of input motions were compared in terms of the frequency and period, and the selection of the depth to bedrock, on which the motions is impinged, was discussed considering geologic conditions in Korea. Furthermore, a variety of geotechnical properties such as shear wave velocity profiles and soil nonlinear curves were investigated with the input properties used in this RRT.

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