• Title/Summary/Keyword: Time adjustment

Search Result 1,059, Processing Time 0.031 seconds

Presentation Delay in Breast Cancer Patients, Identifying the Barriers in North Pakistan

  • Khan, Muhammad Aleem;Shafique, Sehrish;Khan, Muhammad Taha;Shahzad, Muhammad Faheem;Iqbal, Sundas
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권1호
    • /
    • pp.377-380
    • /
    • 2015
  • Background: There is strong evidence that delayed diagnosis of breast cancer is associated with poor survival. Our objectives were to determine the frequency of breast cancer patients with delayed presentation, the reasons of delay and its association with different socio-demographic variables in our North Pakistan setting. Materials and Methods: We interviewed 315 histologically confirmed breast cancer patients. Delay was defined as more than 3 months from appearance of symptoms to consultation with a doctor. Questions were asked from each patient which could reflect their understanding about the disease and which could be the likely reasons for their delayed presentation. Results: 39.0 % (n=123) of patients presented late and out of those, 40.7% wasted time using alternative medicines; 25.2 % did not having enough resources; 17.1 % presented late due to painless lump; 10.6% felt shyness and 6.5% presented late due to other reasons. Higher age, negative family history, < 8 school years of education and low to middle socio-economic status were significantly associated with delayed presentation (p< 0.05). Education and socioeconomic status were two independent variables related to the delayed presentation after adjustment for others (OR of 2.26, 2.29 and 95%CI was 1.25-4.10, 1.06-4.94 respectively). Conclusions: Significant numbers of women with breast cancer in North Pakistan experience presentation delay due to their misconceptions about the disease. Coordinated efforts with public health departments are needed to educate the focused groups and removing the barriers identified in the study. Long term impact will be reduced overall burden of the disease in the region.

출토복식을 통해서 본 조선시대 남자 편복포의 시대구분 (The Periodization of Men's Coat(Peonbokpo) of the Joseon Dynasty Based On Excavated Costumes)

  • 홍나영
    • 복식
    • /
    • 제58권5호
    • /
    • pp.118-133
    • /
    • 2008
  • The basic costumes of the joseon dynasty such as pants and jackets were not particularly distinctive over the period in comparison to po. The coat that was worn over pants and jacket, however, had different forms in the course of the joseon dynasty. In this paper, I will analyze the changing style of pyeonbokpo, the daily costumes of Joseon man, which were excavated in recent years. Changes in the collar style were the most distinctive of joseon pyeonbokpo such as cheolik, dapho, aekjueum, jikryeong, daechangyeui, jungchimak, and juyeui. Although pyeonbokpo had double collars in the early joseon dynasty, they disappeared in the seventeenth century: a straight line also replaced by a curve for the collar perimeter. Front-adjusting of pyeonbokpo was very deep in the early joseon dynasty; front-adjusting became simple in the late joseon dynasty, resulting in the central positioning of a ribbon. The rectangular form of a gusset(mu) was stitched to the bodice through various pleats. Gusset patterns changed greatly into various forms in the seventeenth and eighteenth centuries, along with the ladder gusset form. The long vest(dapho) was half-sleeved and had a deep front adjustment in the early joseon dynasty; however, it did not have collars and sleeves since the eighteenth century. The waist line of cheolik had the ratio of 1.2 to 1 for the bodice to skirt. But the length of skirts grew gradually into the ratios of 1 to 1, 1 to 2, and 1 to 3.8 while the waist line moved upwards to the chest line. Sleeves of all po had a straight form but they gradually developed the tendency to widen towards the wrists. Later, sleeves changed again, having a wide rectangular form starting from the armpits. Cheolik was widely worn in the early joseon dynasty; however, it was worn less in later years. Instead, clothes that had slits such as dopo, daechangeui, and jungchimak were greatly available. These characteristics of the change in men's costumes enable us to measure the time period of excavated findings despite the lack of records for Joseon graves.

퍼지 RBF 네트워크의 학습 성능 개선 (Learning Performance Improvement of Fuzzy RBF Network)

  • 김광백
    • 한국멀티미디어학회논문지
    • /
    • 제9권3호
    • /
    • pp.369-376
    • /
    • 2006
  • 본 논문에서는 퍼지 RBF네트워크의 학습 성능을 개선하기 위하여 Delta-bar-Delta 알고리즘을 적용하여 학습률을 동적으로 조정하는 개선된 퍼지 RBF 네트워크를 제안한다. 제안된 학습 알고리즘은 일반화된 델타 학습 방법에 퍼지 C-Means 알고리즘을 결합한 방법으로, 중간층의 노드를 자가 생성하고 중간층과 출력층의 학습에는 일반화된 델타 학습 방법에 Delta-bar-Delta 알고리즘을 적용하여 학습률을 동적으로 조정하여 학습 성능을 개선한다. 제안된 RBF 네트워크의 학습 성능을 평가하기 위하여 컨테이너 영상에서 추출한 40개의 식별자를 학습 데이터로 적용한 결과, 기존의 ART2 기반 RBF 네트워크와 기존의 퍼지 RBF 네트워크 보다 학습 시간이 적게 소요되고, 학습의 수렴성이 개선된 것을 확인하였다.

  • PDF

Neutrophil to Lymphocyte Ratio - Not an Independent Prognostic Factor in Patients with the Myelodysplastic Syndrome

  • Akinci, Sema;Silay, Kamile;Ulas, Arife;Guney, Tekin;Hacibekiroglu, Tuba;Basturk, Abdulkadir;Akinci, Muhammed Bulent;Alkan, Afra;Dilek, Imdat
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제15권24호
    • /
    • pp.10883-10885
    • /
    • 2015
  • Purpose: Neutrophil-to-lymphocyte ratio (NLR) was evaluated as a potential prognostic factor in patients with myelodysplastic syndrome (MDS). Materials and Methods: Between December 2009 and April 2014, 14 female (35%) and 26 male (65%) MDS patients who were followed up in our hematology clinic were included in the study for NLR during diagnosis. Division was into two groups according to the NLR, and the correlation with mortality was evaluated. The prognostic significance of NLR regarding treatment outcome was also evaluated with adjustment for known confounding risk factors. Results: The mortality rate of the patient group was 55%, and median survival was 18 months. There was no significant correlation between mortality and NLR at a median value of 1.8 (p=0.75). Thrombocytopenia was observed to increase mortality (p=0.027), and there was a significant correlation between mortality and pancytopenia (p=0.017). Conclusions: This first study of NLR and mortality did not show any significant correlation. In centres with limited access to genetic evaluation for the presence of pancytopenia and/or thrombocytopenia at the time of diagnosis, a platelet level less than $50{\times}10^9/l$ may be poor prognostic markers in MDS patients.

웹을 기반으로 한 과학 보고서 수행 평가 시스템 개발 및 적용 (Development and Application of Science Report Performance Evaluation System Based on the Web)

  • 김진하;고병오
    • 정보교육학회논문지
    • /
    • 제12권1호
    • /
    • pp.41-48
    • /
    • 2008
  • 현재 과학과 수행평가는 교사평가가 주를 이루고 있기 때문에 평가 결과의 피드백이 신속하게 이루어지지 못하고, 시 공간적 제약으로 인하여 동료평가가 거의 이루어지지 않는다. 또한 과학과 수행평가에서 주로 시행되는 보고서 수행평가의 경우 체계적인 형식 없이 실험관찰에 기록된 내용으로 평가되는 경우가 많다. 이러한 수행평가 방법은 수행 기준의 공유를 통한 성취의욕 향상, 평가결과의 즉각적인 피드백을 통한 자기조정이라는 수행평가의 기대에 부응하지 못할 수밖에 없다. 따라서 본 연구에서는 웹을 기반으로 동료학습자 간의 자료공유와 토의를 통해서 실험 및 조사 보고서를 완성하고 이를 동료평가, 교사평가에 활용하며 그 결과를 통해 학습자의 요구 수준을 파악하고 학습자에게 적절한 피드백을 제공하는 수행평가 시스템을 개발하였다.

  • PDF

모바일 TFT-LCD 구동 집적회로를 위한 화질 레지스터 최적화시스템 개발 (Development of Image Quality Register Optimization System for Mobile TFT-LCD Driver IC)

  • 류지열;노석호
    • 한국정보통신학회:학술대회논문집
    • /
    • 한국해양정보통신학회 2008년도 추계종합학술대회 B
    • /
    • pp.592-595
    • /
    • 2008
  • 본 논문은 모바일 TFT-LCD 구동 집 회로와 임베디드 소프트웨어를 이용한 자동 화질 레지스터 최적화시스템을 제안한다. 이러한 시스템은 LCD모듈의 중요한 화질 평가 요소인 평균 감마 오차, 감마 조정 시간, 플리커 잡음 및 명암비 등을 최적화하기 위해 모바일 LCD구동 집적회로 내의 감마조정 레지스터들과 전압 설정 레지스터 들을 자동적으로 제어한다. 개발된 알고리즘과 임베디드 소프트웨어는 거의 모든 유형의 LCD모듈에 적용 가능하다. 개발된 화질 최적화 시스템은 측정 대상이 되는 모듈 (MUT, LCD 모듈), 제어 프로그램, 휘도 측정용 멀티미디어 디스플레이 측정기 및 인터페이스용 제어 보드로 구성되어 있다. 제어 보드는 DSP와 FPGA로 구성 되 어 있고, RGB 및 CPU 인터페이스를 지원한다.

  • PDF

주의력결핍 과잉행동장애 치료의 역사적 재조명 : 약물치료적 접근 (Revisiting History of Treatment of Attention Deficit Hyperactivity Disorder : Pharmacologic Approach)

  • 반건호;홍민하;이연정;한주희;오수현
    • 생물정신의학
    • /
    • 제21권2호
    • /
    • pp.37-48
    • /
    • 2014
  • Besides from medical data, the patients who were previously called as attention disorder, mental instability, moral imbeciles, or moral defectives, can also be identified by exploring literatures and historical figures. In the past, as we can notice from the titles, they were recognized as a 'moral defect group'. And rather than treating them, separation from the society was the main solution. After the endemic encephalitis from 1917 to late 1920s, however, many survivors suffered from behavioral problems similar to those of the previous 'moral defect group' and studies on the relationship between brain damage and behavior problems were started henceforth. After being known as the 'minimal brain dysfunction', it was developed into the current attention-deficit/hyperactivity disorder. While the disease concept changed and developed over time, after numerous trials and errors, treatment medication starting from central nervous system stimulants such as amphetamine and methylphenidate is used for treatment in children and adult patients with ADHD, and most recently non-stimulants such as atomoxetine has become the one of the first line treatment options. Although we went through a thorough verification process of the safety and efficacy of the medication by contemplating the historical development process, we believe that adjustment is needed for remaining concerns on medication abuse and slight differences in disease paradigm and therapeutic philosophy depending on cultures.

구간별 QoE 프레임을 이용한 QoE 네트워크 설계 및 구현 (Design and Implementation of A Section-Specific QoE Frame for Efficient QoE Measurement)

  • 조승철;한리;손사민;김현숙;유정;한선영
    • 한국정보과학회논문지:정보통신
    • /
    • 제41권4호
    • /
    • pp.151-166
    • /
    • 2014
  • 기존의 QoE(Quality of Experience) 측정 방식은 서비스 제공 서버에서부터 사용자가 서비스를 받는 단말기 까지 전체 구간을 묶어 측정 하였다. 이는 단순히 QoE 품질의 좋고 나쁨만을 판단할 수 있었으며 QoE 품질이 나빠질 경우 해결 방안을 제시 할 수 없었다. 또한 QoE 지표가 무수히 많기 때문에 어떻게 사용해야 하는 국제적 규정이 없다. 본 논문은 QoE 지표를 네트워크와 사용자 관점에서 분석하여 서비스를 제공하는 서버부터 라우터 까지, 라우터에서 서비스 받는 단말기 까지, 서비스 라우터에서 사용자 라우터 까지 3부분으로 나누고 각각의 영역에 맞는 QoE 지표 프레임을 제시한다. 이를 통하여 KOREN-CERNET 환경에서 QoE 네트워크를 설계 및 구현하고 QoE 네트워크의 안정성, 사용자 불만해결 시간 단축, 네트워크 변화에 따른 컨텐츠 적응 효과를 입증하였다.

A SURVEY ON THE UTILIZATION OF AGRICULTURAL MACHINERY

  • Lee, Y.B.;Shin, S.Y.;Oh, I.S.;Kim, H.J.;Kim, B.G.
    • 한국농업기계학회:학술대회논문집
    • /
    • 한국농업기계학회 2000년도 THE THIRD INTERNATIONAL CONFERENCE ON AGRICULTURAL MACHINERY ENGINEERING. V.II
    • /
    • pp.446-459
    • /
    • 2000
  • This study was carried out in order to find out an effective machinery utilization strategy by conducting a survey on utilization and maintenance of agricultural machinery. The survey showed that the no. of utilization hours for power tiller in a year was 190.2hrs, 208.6hrs for tractor, 59.1hrs for rice transplanter, 74.0 hrs for combine, 44.6 cultivator and 254.4hrs for 4.4hrs for grain dryer. The period covered the time the machine was until it became unserviceable. The results are as follows: 10.0yrs for power tiller, 7.5yrs for tractor, 7.4yrs for rice transplanter and 5.4yrs for combine. This indicate that the actual period of use for power tiller and rice transplanter was longer than the expected period of duration years so there is a need for adjustment. The factors considered by the farmers for purchasing agricultural machine were: farm size(32%), machine operation (26.0%), performance(l4.0%) and post or after sales service(12.6%), according to the survey. It showed that repair cost rate in a year was classified into major agricultural machine; 4.8% for combine; 3.9% for tractor; 3.5% for rice transplanter; 2.0% for power tiller; 1.6% for grain dryer; and 1.2% for cultivator. The reasons for poor maintenance were insufficient after sales service(25%) and difficulty in buying parts(75%) because of the unavailability of parts in local shops(55%), imported models(30%) and outmoded model(15%).

  • PDF

Vitamin D serum levels in children with allergic and vasomotor rhinitis

  • Lee, Seung Jin;Kang, Bong Hwa;Choi, Bong Seok
    • Clinical and Experimental Pediatrics
    • /
    • 제58권9호
    • /
    • pp.325-329
    • /
    • 2015
  • Purpose: In addition to regulating calcium and phosphorus homeostasis and bone metabolism, vitamin D is known as an immune modulator. Recently, there has been increased worldwide interest in the association between low levels of vitamin D and allergic diseases. The purpose of this study was to assess the relationship between serum vitamin D levels and allergic/vasomotor rhinitis (AR/VR) in children. Methods: This study included 164 patients. The sample included 59 patients with AR, 42 patients with VR, and 63 controls. Their ages ranged from 0 to 16 years. We examined the levels of 25-hydroxyvitamin D, Immunoglobulin E, specific IgE, and eosinophil cationic protein; peripheral blood eosinophil count; and the results of a skin prick test. Results: Serum 25-hydroxyvitamin D levels were $19.0{\pm}8.5ng/mL$ in the AR group, $25.5{\pm}10.9ng/mL$ in the VR group, and $26.9{\pm}10.7ng/mL$ in the control group. After adjustment for body mass index and season at the time of blood sampling, vitamin D levels in the AR group were lower than those of the VR group (P=0.003) and control group (P<0.001). Vitamin D levels were inversely correlated with Immunoglobulin E levels (r=-0.317, P<0.001). AR patients with food allergy or atopic dermatitis did not have lower levels of 25-hydroxyvitamin D than AR patients without these diseases. Conclusion: This study demonstrates a possible relationship between vitamin D levels and allergic rhinitis in Korean children.