• 제목/요약/키워드: Scarcity

검색결과 542건 처리시간 0.026초

Role of Endoscopic Ultrasound-Guided Fine-Needle Aspiration in the Evaluation of Abdominal Lymphadenopathy of Unknown Etiology

  • Nonthalee Pausawasdi;Kotchakon Maipang;Tassanee Sriprayoon;Phunchai Charatcharoenwitthaya
    • Clinical Endoscopy
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    • 제55권2호
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    • pp.279-286
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    • 2022
  • Background/Aims: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a standard procedure for obtaining tissue from lesions near the gastrointestinal lumen. However, there is a scarcity of information on the diagnostic performance of EUS-FNA for abdominal lymphadenopathy of unknown causes. To assess the accuracy of EUS-FNA in diagnosing abdominal lymphadenopathy of unknown etiology. Methods: The EUS records of patients with undiagnosed abdominal lymphadenopathy between 2010 and 2015 were reviewed. Results: A total of 42 patients were included in this study. Adequate specimens were obtained from 40 patients (95%). The final diagnoses were metastatic cancer (n=16), lymphoma (n=9), tuberculosis (n=8), inflammatory changes (n=6), and amyloidosis (n=1). For diagnosing malignancy, EUS-FNA had a sensitivity of 84.6%, specificity of 95.7%, positive predictive value of 91.7%, negative predictive value of 91.7%, and area under the receiver operating characteristic curve (AUROC) of 0.901. For the diagnosis of lymphoma, EUS-FNA was 100% accurate when combined with cytologic evaluation and immunohistochemical staining. The diagnostic sensitivity decreased to 75%, whereas the specificity remained 100%, for tuberculosis. The overall AUROC was 0.850. No procedure-related complications occurred. Conclusions: EUS-FNA showed high diagnostic performance for abdominal lymphadenopathy of unknown causes, especially malignancy, lymphoma, and tuberculosis. Therefore, it is a crucial diagnostic tool for this patient population.

An improved fuzzy c-means method based on multivariate skew-normal distribution for brain MR image segmentation

  • Guiyuan Zhu;Shengyang Liao;Tianming Zhan;Yunjie Chen
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제18권8호
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    • pp.2082-2102
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    • 2024
  • Accurate segmentation of magnetic resonance (MR) images is crucial for providing doctors with effective quantitative information for diagnosis. However, the presence of weak boundaries, intensity inhomogeneity, and noise in the images poses challenges for segmentation models to achieve optimal results. While deep learning models can offer relatively accurate results, the scarcity of labeled medical imaging data increases the risk of overfitting. To tackle this issue, this paper proposes a novel fuzzy c-means (FCM) model that integrates a deep learning approach. To address the limited accuracy of traditional FCM models, which employ Euclidean distance as a distance measure, we introduce a measurement function based on the skewed normal distribution. This function enables us to capture more precise information about the distribution of the image. Additionally, we construct a regularization term based on the Kullback-Leibler (KL) divergence of high-confidence deep learning results. This regularization term helps enhance the final segmentation accuracy of the model. Moreover, we incorporate orthogonal basis functions to estimate the bias field and integrate it into the improved FCM method. This integration allows our method to simultaneously segment the image and estimate the bias field. The experimental results on both simulated and real brain MR images demonstrate the robustness of our method, highlighting its superiority over other advanced segmentation algorithms.

지역문화축제 활성화를 위한 전략적 기획 방안의 모색 (Strategic Planning for Initiating Local Cultural Festivals)

  • 안성혜
    • 한국콘텐츠학회논문지
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    • 제8권12호
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    • pp.168-175
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    • 2008
  • 지방자치시대가 개막된 이래 지방정부들은 바람직한 지역경제발전의 수단으로서, 한정된 자원으로 최대의 효과를 노리기 위해 내 고장 마케팅과 지역축제 활성화에 많은 노력을 기울이고 있다. 지역문화축제는 무형의 관광자원으로서 지역 활성화와 지역이미지 개선의 효율적인 수단이 되며, 문화관련 상품의 개발과 문화이벤트 등을 통해 지역소득증대에 기여하는 무한한 잠재력이 있기 때문이다. 그러나 현재의 지역문화 축제는 독창성의 부재와 콘텐츠의 빈약 등 질적인 측면에서의 경쟁력 부재로 인해 그 잠재력을 세계화하지 못하고 있다. 본 논문은 지역문화에 기반한 독창성있는 축제 콘텐츠를 기획하기 위한 전략적 방안으로서 문화기호학의 의미생성모델과 스토리텔링을 통한 비주얼 리터러시를 제안하고자 하며, 이는 에듀테인먼트로서 축제의 의미와 그 기능을 확장해 보고자 하는 것이다.

3차원을 이용한 중년 비만 여성용 스커트 설계 방법론 연구 (Development of Skirt Pattern for the Middle Aged Women of Obese using the 3-Dimension Technology)

  • 손부현;김소영
    • 복식문화연구
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    • 제16권5호
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    • pp.852-862
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    • 2008
  • The purpose of this paper is to find how to do the width of skirt and the girth of the waist in the adequate pattern making for the obese women's skirt. Appearance test of the five experimental skirts was evaluated by the four experts in clothing construction. At the same time, 3D clothing air volume was observed for the five types of experimental skirt with different size specifications. The results from the appearance test were as follows; when the width of skirt pattern is set for(the shell girth/2), it was suggested w/4+1(front), w/4(back) for girth of the waist. On one hand, in case of (the shell girth of front)/2+(the shell girth of back)/2, it was suggested(the waist girth of front)/2 and(waist girth of back)/2 for obese women's skirt with the best appearance. As results, it was found that the width of skirt pattern for the obese women should be the greatest shell girth instead of hip girth. In the case of the hip girth, the amount of ease on hip was suggested 6cm. It was found that pattern with the wrinkle of ease was full of the gaps between body and skirt in 3D clothing air volume. In spreading out to 2D flat pattern from 3D scan data, when the width of skirt pattern was set for(the shell girth of front)/2+(the shell girth of back)/2, it was suggested(the waist girth of front/2)+(the waist girth of back/2) than the shell girth/2 in girth of the waist for the best appearance. And the conversion of 3D scan data into 2D flat pattern in curve shape of crosswise had to spread out of the plane in straight line. The obese women's clothing should be manufactured with systematical consideration of the diversity and scarcity of the obese women's body shape.

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주의력결핍 과잉행동장애 한국형 치료 권고안(IV) - 비약물 치료 - (The Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder(IV) - Non-Pharmacologic Treatment -)

  • 김붕년;유한익;강화연;김지훈;신동원;안동현;양수진;유희정;천근아;홍현주
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제18권1호
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    • pp.26-30
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    • 2007
  • This practice parameter for non-pharmacological treatment for attention-deficit hyperactivity disorder (ADHD) review the domestic and international literature on the psychosocial treatment of children and adolescents with ADHD. This parameter include the parental training & education, cognitive behavior therapy(group or individual), social skill training, family therapy, play therapy (individual psychotherapy) and non-traditional therapy (art therapy, herbal therapy et al). Among them, there is some proven evidence only in parental training & education and cognitive behavior therapy. So, this parameter describes some details only in the field of parental training & education and cognitive behavior therapy. The efficacy or effectiveness, especially, cost-effectiveness of specific psychosocial treatment method for ADHD cannot be fairly assessed due to the scarcity of controlled clinical data. Based on the clinical expert consensus and limited evidence, we cautiously suggest the practice recommendations about the non-pharmacological psychosocial treatment fur children and adolescents with ADHD.

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에너지산업연관분석을 이용한 산업별 에너지 사용 pattern 분석 (Analysis of Sectoral Energy Use Pattern with Energy Input-Output Approach)

  • 정환삼;동야달;심상렬
    • 에너지공학
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    • 제17권3호
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    • pp.145-152
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    • 2008
  • 에너지가격의 인상과 고갈의 시대에 들면서, 사회적으로 에너지 정책에 대한 정부의 개입요구가 더욱 높아지고 있다. 에너지 정책 시행은 양면의 상반된 효과를 유발할 수 있다. 우선 긍정적인 면에서 에너지 수입의 감소를 통해 불필요한 외화유출을 방지할 수 있어 재원의 적절한 배분을 가능케 하고, 비싼 에너지 사용의 절약을 통해 가격 경쟁력을 제고할 수 있을 것이다. 이에 반해 무분별한 에너지 절약 정책의 경우, 투입재를 에너지에서 설비로 비합리적으로 대체하여 정책실적만 기록할 뿐이고 오히려 경제에서는 생산성을 저해하는 예기치 못한 부정적인 효과를 초래할 수도 있다. 에너지 정책에서 정책효과를 높이기 위해서는 경제를 구성하는 각 산업 부문별로 에너지 사용 형태를 분석하고 그 결과를 이해하는 노력이 선행되어야 한다. 이 점에서 본 연구는 거시적 접근법의 대표적 방법인 에너지 산업연관분석을 이용해 한국의 산업 부문별 에너지 소비행태를 분석하였다. 이를 통해 에너지 사용 집약도와 에너지원별 소비행태의 변화에 대한 계량적 분석을 수행하였다.

Conditional mean spectrum for Bucharest

  • Vacareanu, Radu;Iancovici, Mihail;Pavel, Florin
    • Earthquakes and Structures
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    • 제7권2호
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    • pp.141-157
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    • 2014
  • The Conditional Mean Spectrum represents a powerful link between the seismic hazard information and the selection of strong ground motion records at a particular site. The scope of the paper is to apply for the city of Bucharest for the first time the method to obtain the Conditional Mean Spectrum (CMS) presented by Baker (2011) and to select, on the basis of the CMS, a suite of strong ground motions for performing elastic and inelastic dynamic analyses of buildings and structures with fundamental periods of vibration in the vicinity of 1.0 s. The major seismic hazard for Bucharest and for most of Southern and Eastern Romania is dominated by the Vrancea subcrustal seismic source. The ground motion prediction equation developed for subduction-type earthquakes and soil conditions by Youngs et al. (1997) is used for the computation of the Uniform Hazard Spectrum (UHS) and the CMS. The disaggregation of seismic hazard is then performed in order to determine the mean causal values of magnitude and source-to-site distance for a particular spectral ordinate (for a spectral period T = 1.0 s in this study). The spectral period of 1.0 s is considered to be representative for the new stock of residential and office reinforced concrete (RC) buildings in Bucharest. The differences between the Uniform Hazard Spectrum (UHS) and the Conditional Mean Spectrum (CMS) are discussed taking into account the scarcity of ground motions recorded in the region of Bucharest and the frequency content characteristics of the recorded data. Moreover, a record selection based on the criteria proposed by Baker and Cornell (2006) and Baker (2011) is performed using a dataset consisting of strong ground motions recorded during seven Vrancea seismic events.

무선 수동형 센서 망을 위한 경합형 MAC 방식의 최적 설계 (Optimal Design of Contending-type MAC Scheme for Wireless Passive Sensor Networks)

  • 최천원;서희원
    • 전자공학회논문지
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    • 제53권6호
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    • pp.29-36
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    • 2016
  • 별도의 RF 소스가 센서 노드에게 에너지를 공급하는 무선 수동형 센서 망은 배터리 없이 영원히 동작할 수 있는 망이다. 그러나 영원한 수명에 대한 기대와 달리 무선 수동형 센서 망은 아직 에너지의 희소성, 에너지 수신과 데이타 전송의 동시불가성, 자원 활용의 비효율성 등 많은 문제를 안고 있다. 본 논문에서는 패킷 상실에는 관대하지만 패킷의 적시 전달을 요구하는 서비스를 제공하는 무선 수동형 센서 망을 다룬다. 이러한 망에서 여러 센서 노드들이 하나의 싱크 노드에게 패킷들을 전달하도록 현실적 제약을 인식하여 framed and slotted ALOHA에 기초한 경합형 MAC 방식을 고려한다. 이어서 지리적으로 흩어져있는 센서 노드들이 전송한 패킷들이 경로 손실을 겪어 결국 capture 현상이 빚어질 때 MAC 방식이 얻을 수 있는 망전체 throughput을 조사한다. 특히 두 센서 노드만이 망에 있을 때 망 전체 throughput의 정확한 공식을 closed form으로 도출한다. 마지막으로 설계 parameter들을 조절하여 최대의 망 전체 throughput을 취하도록 경합형 MAC 방식을 최적화한다.

해양자원의 합리적 개발.이용에 관한 경제학적 연구(II) (An Economic Approach to the Rational Development and Use of Marine Resources (II))

  • 유동운
    • 수산경영론집
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    • 제14권1호
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    • pp.19-43
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    • 1983
  • Mankind has made traditional use of various ocean resources in such several forms as fish, plants food, means of transportation, and military purpose, followed by the recent exploitation of offshore subsoil or sea-bed minerals, energies, and utilization of ocean space. These available ocean resources come from the marine natural environment which has a distinct feature in view of the relationship between human wants and their capacity to meet them. Though these socially basic resources however bring forth the so-called scarcity or differential rent, their communal nature of ownership dissipates free gifts of nature endowed to society as a whole. Thus to maximize these rents and social welfare thereof, rents should be secured and preserved through a well-defined arrangements of property-ownership as well as appropriate comparison of competing uses of marine resources, taking full cognizance of their irreversible adverse effects of a specific choice on the alternatives. Here I showed the sources of rent yielded from the multiple uses of navigation, fishery, mariculture, minerals, and recreation site, and also summarized the presently widely-known analytic tool to measure these rents with emphasis on due care of the telescopic faulty of the appraiser in charge, viewed from the communal point, Finally, as communal property is in strict sense owned by the public at large, notwithstanding the restricted communal ownership at government or local governments control, effectiveness of competition I expect should be kept while transferring claims of these resources from the legal owner to private enterprise as well as while extracting their rent by her. In particular, various national or social objectives look forward to tile maximization of social efficiency. Discretionary system in noncompetitive method thus, is exceptionally suggested because of probable suspicion from the public whether these resources are transferred as a give away or not in discretion. And these realized rent payments, I propose, should be wisely taken advantage of in advancement of scientific research in marine nature to bring an incremental rent therefrom successively.

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k-Modes 분할 알고리즘에 의한 군집의 상관정보 기반 빅데이터 분석 (A Big Data Analysis by Between-Cluster Information using k-Modes Clustering Algorithm)

  • 박인규
    • 디지털융복합연구
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    • 제13권11호
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    • pp.157-164
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    • 2015
  • 본 논문은 융복합을 위한 범주형 데이터의 부공간에 의한 군집화에 대해서 다룬다. 범주형 데이터는 수치형 데이터에만 국한되지 않기 때문에 기존의 범주형 데이터들의 평가척도들은 순서화(ordering)의 부재와 데이터의 고차원성과 희소성으로 인하여 한계를 가지기 마련이다. 따라서 각각의 군집에 존재하는 범주형 속성들의 상호 유사도을 보다 근접하게 측정할 수 있는 조건부 엔트로피 척도를 제안한다. 또한 군집의 최적화를 위하여 군집내의 발산을 최소화하고, 군집간의 독립성을 향상시킬 수 있는 새로운 목적함수를 제안한다. 제안된 알고리즘의 성능을 4개의 알고리즘과 비교검증하기 위하여 5가지의 데이터에 대하여 실험을 수행하였다. 비교검증을 위한 평가척도는 정확도, f-척도와 적응된 Rand 색인이다. 실험을 통하여 제안된 방법이 평가척도에 의한 결과에서 기존의 방법들보다 좋은 성능을 보였다.