• 제목/요약/키워드: Standardized Stage

검색결과 216건 처리시간 0.021초

A Review of Anesthesia for Lung Transplantation

  • Kim, Hye-Jin;Shin, Sang-Wook;Park, Seyeon;Kim, Hee Young
    • Journal of Chest Surgery
    • /
    • 제55권4호
    • /
    • pp.293-300
    • /
    • 2022
  • Lung transplantation is the only treatment option for patients with end-stage lung disease. Although more than 4,000 lung transplants are performed every year worldwide, the standardized protocols contain no guidelines for monitoring during lung transplantation. Specific anesthetic concerns are associated with lung transplantation, especially during critical periods, including anesthesia induction, the initiation of positive pressure ventilation, the establishment and maintenance of one-lung ventilation, pulmonary artery clamping, pulmonary artery unclamping, and reperfusion of the transplanted lung. Anesthetic management according to the special risks associated with a patient's existing lung disease and surgical stage is the most important factor. Successful anesthesia in lung transplantation can improve hemodynamic stability, oxygenation, ventilation, and outcomes. Therefore, anesthesiologists must have expertise in transesophageal echocardiography, extracorporeal life support, and cardiopulmonary anesthesia and understand the pathophysiology of end-stage lung disease and the drugs administered. In addition, communication among anesthesiologists, surgeons, and perfusionists during surgery is important to achieve optimal patient results.

냉간 단조용 전방압출금형의 최적구조 설계에 관한 연구 (A Study on Optimal Design Rule for Forward Extrusion Die)

  • 김창훈;김시영;김종호
    • 동력기계공학회지
    • /
    • 제3권1호
    • /
    • pp.45-49
    • /
    • 1999
  • Lots of products are made in various working conditions, depending on the size and the shape of them. Usually, at first, the die for new items had been designed on the basis of experience and know-how, and then modified through trial and error. At a die design stage most of drawings have been drawn manually. Recently some forging companies save design time by repeated utilization of standardized parts with registered data base. In this study the automated die design technique for forward extrusion of axisymmetric products is developed. A standardized die system is proposed from the investigation of ones employed frequently in the metal forming field and the design rules for cold extrusion die. A design example of forward extrusion die is given and discussed.

  • PDF

A Study on Intelligent Skin Image Identification From Social media big data

  • Kim, Hyung-Hoon;Cho, Jeong-Ran
    • 한국컴퓨터정보학회논문지
    • /
    • 제27권9호
    • /
    • pp.191-203
    • /
    • 2022
  • 화장품 및 뷰티산업에서 고객 맞춤형 제품과 서비스를 제공하는 것은 주요 기술 트렌드이고, 피부상태 진단과 관리는 중요한 필수기능이다. 고객의 요구 수준은 더욱더 높아지고 있으며 이에 대한 다양하고 섬세한 고민과 요구 사항이 소셜미디어 커뮤니티에서 활발하게 다루어지고 있다. 소셜미디어 상의 이미지는 매우 다양하고 비정형적이므로 피부상태 진단 및 관리에 필요한 체계적인 피부 이미지 식별을 위한 시스템이 필요하다. 본 논문에서는 소셜미디어 인스타그램에서 수집한 빅데이터로부터 피부 이미지 데이터를 지능적으로 식별하고, 피부상태 진단 및 관리를 위한 정형화된 피부 샘플 데이터를 추출하는 시스템을 개발하였다. 본 논문에서 제안한 시스템은 빅데이터수집분석단계, 피부이미지분석단계, 훈련데이터준비단계, 인공신경망훈련단계, 피부이미지식별단계로 구성된다. 빅데이터수집분석단계에서는 인스타그램으로부터 빅데이터를 수집하고 피부 상태 진단 및 관리를 위한 이미지 정보를 분석결과로 저장한다. 피부이미지분석단계에서는 전통적인 이미지 처리 기법을 사용하여 피부 이미지의 평가 및 분석 결과를 획득한다. 훈련데이터준비단계에서는 피부이미지 분석결과로부터 피부 샘플데이터를 추출하여 훈련데이터를 준비하였다. 그리고 인공신경망훈련단계에서는 이 훈련데이터를 사용하여 지능적으로 피부 이미지 유형을 예측하는 인공신경망 AnnSampleSkin을 단계별 고도화와 훈련을 통해 모델을 완성하였다. 피부이미지식별단계에서는 소셜미디어로부터 수집된 이미지에 대해 피부샘플을 추출하고, 훈련된 인공신경망 AnnSampleSkin의 이미지 유형 예측 결과들을 통합하여 최종 피부 이미지 유형을 지능적으로 식별한다. 본 논문에서 제안된 피부이미지식별 방법은 약 92% 이상의 높은 피부 이미지 식별 정확도를 나타내고 있고, 정형화된 피부 샘플 이미지 빅데이터를 제공할 수 있게 되었다. 추출된 피부샘플 세트는 피부 상태를 진단하고 관리하는데 매우 효율적이고 유용한 정형화된 피부 이미지 데이터로 사용될 것으로 기대된다.

더러브렛 경주마에서 혈청 젖산농도 측정에 의한 표준운동능력검사의 적용 (Application of a standardized exercise test by measuring serum lactate concentration in Thoroughbred racehorses)

  • 문규환;김준규;김병선;엄영호;양일석
    • 대한수의학회지
    • /
    • 제39권6호
    • /
    • pp.1081-1090
    • /
    • 1999
  • To establish the protocol of a standardized exercise test for evaluating exercise intolerance and degree of fitness in Thoroughbred racehorses, we examined serum lactate concentrations related to exercise intensities using the high speed treadmill. Twelve clinically healthy Thoroughbred racehorses with or without previous training or racing history were assigned to two gorups, fit and unfit group, respectively. The protocol used for the standardized exercise test was consisted of two stages : stage of warm-up and that of acceleration. During the warm-up, the horses exercised 5 min at 1.8m/s and 3 min 3.4m/s without inclination. At the acceleration stage, exercise test was performed at 10% slope and the speed was increased from the initial 5m/s to the maximal speed which each tested horse could keep up with. The speed was increased with incremental steps of 1 m/s every minute. During the last 15 sec of each step, blood samples were collected for serum lactate determination. $V_{max}$(maximal treadmill speed which tested horses could keep up with) of the fit group ($10.93{\pm}0.33m/s$, mean${\pm}$SE, n = 6) was higher than that of the unfit group ($9.52{\pm}0.23m/s$, mean${\pm}$SE, n = 6). Serum lactate concentrations increased exponentially according to exercise intensities. $V_{La4}$(speed producing a serum lactate concentration of 4mmol/l) of the fit group, $6.45{\pm}0.26m/s$, was higher than that of the unfit group, $5.45{\pm}0.23m/s$. $La_{peak}$(peak plasma lactate concentration during the exercise test) was lower in the fit group ($20.34{\pm}1.62mmol/l$ at 1 min after maximal intensity exercise) than in the unfit group ($24.78{\pm}1.09mmol/l$ at 2 min after maximal exercise step). $t_{50%}$(time required for the recovery of lactate concentration to be one-half of $La_{peak}$ after maximal exercise) of the unfit group and the fit group were 40.0 and 18.0 min, respectively. Therefore, the protocol of the incremental standardized exercise test utilized in this study seems to be reliable for the assessment of fitness and exercise intolerance for the Thoroughbred racehorses.

  • PDF

유방암 및 부인과 암 생존자의 삶의 질에 대한 생존단계별 비교 연구 (Comparison of Quality of Life on the Stage of Cancer Survivorship for Breast and Gynecological Cancer Survivors)

  • 임정원;한인영
    • 한국사회복지학
    • /
    • 제60권1호
    • /
    • pp.5-27
    • /
    • 2008
  • 본 연구는 유방암 및 부인과 암 생존자를 대상으로 암 생존 단계에 따른 삶의 질의 차이를 다각적인 측면에서 조사함으로써 그들의 삶의 질을 생존 단계별로 이해하는데 그 목적이 있다. 서울에 거주하는 110명의 유방암 및 부인과 암 생존자를 대상으로 세 개의 표준화된 삶의 질 척도를 사용하였고, 연구 분석을 위해 급성, 확장, 영속적 생존단계에 따라 크게 세 집단으로 구분하였다. 연구 결과는 암 생존자의 생존 기간이 길어지면서 신체적 측면에서의 삶의 질이 전반적으로 향상됨을 증명하였다. 하지만, 심리 사회적 기능과 관련된 영역에서는 유의미한 차이를 보여주지 못했다. 본 연구는 향후 암 생존자의 삶의 질을 향상시키기 위해, 생존 단계를 고려한 차별화된 전략 개발 및 다각적 측면에서의 사회사업적 접근을 시사한다.

  • PDF

도시계획단계의 에너지 수요예측 방안에 관한 연구 (A Study on Urban Energy Consumption Estimation on the Urban Planning Stage)

  • 여인애;윤성환
    • 한국태양에너지학회:학술대회논문집
    • /
    • 한국태양에너지학회 2012년도 춘계학술발표대회 논문집
    • /
    • pp.506-510
    • /
    • 2012
  • This study suggested an improved algorithm of urban energy consumption estimation on the urban planning stage which concerns calculation accuracy. The results are as follows. (1) Urban energy consumption was estimated and managed per unit space using E-GIS DB which contains facility information per mesh. (2) Urban energy consumption was reflected by the urban facility classified and standardized by the characteristics of energy use. (3) Calculation accuracy of energy consumption was approached by separately suggested as summer algorithm reflecting urban heat island on summer energy use and winter algorithm reflecting heating system normally used in Korea.

  • PDF

Predicting Crop Production for Agricultural Consultation Service

  • Lee, Soong-Hee;Bae, Jae-Yong
    • Journal of information and communication convergence engineering
    • /
    • 제17권1호
    • /
    • pp.8-13
    • /
    • 2019
  • Smart Farming has been regarded as an important application in information and communications technology (ICT) fields. Selecting crops for cultivation at the pre-production stage is critical for agricultural producers' final profits because over-production and under-production may result in uncountable losses, and it is necessary to predict crop production to prevent these losses. The ITU-T Recommendation for Smart Farming (Y.4450/Y.2238) defines plan/production consultation service at the pre-production stage; this type of service must trace crop production in a predictive way. Several research papers present that machine learning technology can be applied to predict crop production after related data are learned, but these technologies have little to do with standardized ICT services. This paper clarifies the relationship between agricultural consultation services and predicting crop production. A prediction scheme is proposed, and the results confirm the usability and superiority of machine learning for predicting crop production.

The global standard realizing process of the Automobile Assembly Facility

  • Nashimoto, Tomoo
    • 국제학술발표논문집
    • /
    • The 6th International Conference on Construction Engineering and Project Management
    • /
    • pp.24-25
    • /
    • 2015
  • To realize the global standard of the assembly facility, one of key point is an influence of local characteristic. The global standardized information could be a useful input, especially at the beginning stage of the project. The content should be carefully checked against local requirements, in order to develop an Assembly Facility design to meet local regulations & characteristics. The level of input information required in each step is different depend on regions & countries. At an execution stage of the project, the global standard input needs to be updated as customized final input for the construction. There will be many issues to be clarified and coordinated so that the Assembly facilities meet the final requirements for the production technology. As a result, it is important to understand the timing to use the global standard information and the contents what is needed to adapt to the local characteristics. And close collaboration between production technology team and facility team is always required.

  • PDF

Tumor volume/metabolic information can improve the prognostication of anatomy based staging system for nasopharyngeal cancer? Evaluation of the 8th edition of the AJCC/UICC staging system for nasopharyngeal cancer

  • Jeong, Yuri;Lee, Sang-wook
    • Radiation Oncology Journal
    • /
    • 제36권4호
    • /
    • pp.295-303
    • /
    • 2018
  • Purpose: We evaluated prognostic value of the 8th edition of the American Joint Committee on Cancer/International Union for Cancer Control (AJCC/UICC) staging system for nasopharyngeal cancer and investigated whether tumor volume/metabolic information refined prognostication of anatomy based staging system. Materials and Methods: One hundred thirty-three patients with nasopharyngeal cancer who were staged with magnetic resonance imaging (MRI) and treated with intensity-modulated radiotherapy (IMRT) between 2004 and 2013 were reviewed. Multivariate analyses were performed to evaluate prognostic value of the 8th edition of the AJCC/UICC staging system and other factors including gross tumor volume and maximum standardized uptake value of primary tumor (GTV-T and SUV-T). Results: Median follow-up period was 63 months. In multivariate analysis for overall survival (OS), stage group (stage I-II vs. III-IVA) was the only significant prognostic factor. However, 5-year OS rates were not significantly different between stage I and II (100% vs. 96.2%), and between stage III and IVA (80.1% vs. 71.7%). Although SUV-T and GTV-T were not significant prognostic factors in multivariate analysis, those improved prognostication of stage group. The 5-year OS rates were significantly different between stage I-II, III-IV (SUV-T ≤ 16), and III-IV (SUV-T > 16) (97.2% vs. 78% vs. 53.8%), and between stage I, II-IV (GTV-T ≤ 33 mL), and II-IV (GTV-T > 33 mL) (100% vs. 87.3% vs. 66.7%). Conclusion: Current anatomy based staging system has limitations on prognostication for nasopharyngeal cancer despite the most accurate assessment of tumor extent by MRI. Tumor volume/metabolic information seem to improve prognostication of current anatomy based staging system, and further studies are needed to confirm its clinical significance.

18F-2-Deoxy-2-Fluoro-D-Glucose Positron Emission Tomography: Computed Tomography for Preoperative Staging in Gastric Cancer Patients

  • Youn, Seok Hwa;Seo, Kyung Won;Lee, Sang Ho;Shin, Yeon Myung;Yoon, Ki Young
    • Journal of Gastric Cancer
    • /
    • 제12권3호
    • /
    • pp.179-186
    • /
    • 2012
  • Purpose: The use of 18F-2-deoxy-2-fluoro-D-glucose positron emission tomography-computed tomography as a routine preoperative modality is increasing for gastric cancer despite controversy with its usefulness in preoperative staging. In this study we aimed to determine the usefulness of preoperative positron emission tomography-computed tomography scans for staging of gastric cancer. Materials and Methods: We retrospectively analyzed 396 patients' positron emission tomography-computed tomography scans acquired for preoperative staging from January to December 2009. Results: The sensitivity of positron emission tomography-computed tomography for detecting early gastric cancer was 20.7% and it was 74.2% for advanced gastric cancer. The size of the primary tumor was correlated with sensitivity, and there was a positive correlation between T stage and sensitivity. For regional lymph node metastasis, the sensitivity and specificity of the positron emission tomography-computed tomography were 30.7% and 94.7%, respectively. There was no correlation between T stage and maximum standardized uptake value or between tumor markers and maximum standardized uptake value. Fluorodeoxyglucose uptake was detected by positron emission tomography-computed tomography in 24 lesions other than the primary tumors. Among them, nine cases were found to be malignant, including double primary cancers and metastatic cancers. Only two cases were detected purely by positron emission tomography-computed tomography. Conclusions: Positron emission tomography-computed tomography could be useful in detecting metastasis or another primary cancer for preoperative staging in gastric cancer patients, but not for T or N staging. More prospective studies are needed to determine whether positron emission tomography-computed tomography scans should be considered a routine preoperative imaging modality.