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Disagreement of ICD-10 Codes Between a Local Hospital Information System and a Cancer Registry

  • Sriplung, Hutcha;Kantipundee, Tirada;Tassanapitak, Cheamjit
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.259-263
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    • 2015
  • Background: In the field of cancer, the ICD-10 coding convention is based on the site of a neoplasm in the body and usually ignores the morphology, thus the same code may be assigned to tumors of different morphologic types in an organ. Nowadays, all general (provincial) and center hospitals in Thailand are equipped with the hospital information system (HIS) database. Objective: This study aimed to find the characteristics and magnitude of agreement represented by the positive predictive value (PPV) of provisional cancer diagnoses in the HIS database in Pattani Hospital in Thailand in comparison with the final cancer diagnosis of the ICD-10 codes generated from a well established cancer registry in Songklanagarind Hospital, the medical school hospital of Prince of Songkla University. Materials and Methods: Data on cancer patients residing in Pattani province who visited Pattani Hospital from January 2007 to May 2011 were obtained from the HIS database. The ICD-10 codes of the HIS computer database of Pattani Hospital were compared against the ICD-10 codes of the same person recorded in the hospital-based cancer registry of Songklanagarind Hospital. The degree of agreement or positive predictive value (PPV) was calculated for each sex and for both sexes combined. Results: A total of 313 cases (15.9%) could be matched in the two databases. Some 222 cases, 109 males and 113 females, fulfilled the criteria of referral from Pattani to Songklanagarind Hospitals. Of 109 male cancer cases, 76 had the same ICD-10 codes in both hospitals, thus, the PPV was 69.7% (95%CI: 60.2-78.2%). Agreement in 76 out of 113 females gave a PPV of 67.3% (95%CI: 57.8-75.8%). The two percentages were found non-significant with Fisher's exact p-value of 0.773. The PPV for combined cases of both sexes was 68.5% (95%CI: 61.9-74.5%). Conclusions: Changes in final diagnosis in the referral system are common, thus the summary statistics of a hospital without full investigation facilities must be used with care, as the statistics are biased towards simple diseases able to be investigated by available facilities. A systematic feedback of patient information from a tertiary to a referring hospital should be considered to increase the accuracy of statistics and to improve the comprehensive care of cancer patients.

An Experimental Study for the Prevention of CT Contrast Media Extravasation with Extravasation Detection Accessory System in Femoral Vein of Rabbit (가토 정맥에서 CT 조영제의 혈관외유출 예방을 위한 EDA 시스템의 실험적 연구)

  • Kweon, Dae-Cheol;Jeong, Seok-Hee;Yang, Sung-Hwan;Cho, Mun-Son;Jang, Keun-Jo;Kim, Sun-Geun;Yoo, Beong-Gyu;Lee, Jong-Seok
    • Progress in Medical Physics
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    • v.17 no.4
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    • pp.238-245
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    • 2006
  • To assess the ability of an extravasation defection accessory (EDA) to detect the clinically important extravascular Injection of iodinated contrast material that was delivered with an automated mechanical power injector. The purpose of this study was to assess the ability of this device during clinically important episodes of extravasation. The EDA system was composed of a strain gage, an amplifier and a computer-based system. In the rabbit experimental cases, there were seven true-positive cases (range of the extravasation volumes: $14{\sim}23 ml$). The algorithm results showed seven true-positive cases (range of the extravasation volumes: $7{\sim}16ml$), nineteen true-negative cases, two false-positive cases and no false-negative cases. The EDA system had a sensitivity of 100% and a specificity of 90% for the detection of clinically important extravasation. The EDA system had good sensitivity for the detection of clinically important extravasation and the EDA system has the clinical potential for the early detection of extravasation of the contrast medium that is administered with power injectors.

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Evaluation of Weighted Correlator for Multipath Mitigation in GPS Receiver (GPS수신기의 다중경로 오차 제거를 위한 가중 상관기의 성능평가)

  • Shin, Mi-Young;Jang, Han-Jin;Suh, Sang-Hyun;Park, Chan-Sik;Hwang, Dong-Hwan;Lee, Sang-Jeong
    • Journal of Navigation and Port Research
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    • v.31 no.5 s.121
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    • pp.409-414
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    • 2007
  • The effect of multipath is especially serious in urban area and sea surface where buildings and water reflect GPS signal. Multipath brings about the performance degradation on many GPS application because the presence of multipath causes the diminution of pseudorange measurement accuracy in turn position accuracy. In this paper, a multipath mitigation named weighted correlation method is implemented on software GPS receiver, in which the asymmetric correlation function is compensated by modifying the late correlation value. Asymmetry compensation is obtained as weighted sum of two correlators which have different early-late chip spaces. This structure is adopted to lessen the computation load lower keeping up performance similar to that. The performance of implemented multipath mitigation technique is evaluated using GPS signal and multipath signal generated by GPS signal generator and software GPS receiver. The test results show that the weighted correlation method gives hefter performance than the standard correlator and the narrow correlator.

The Color Characteristics of Masculinity Presented in Modern Women's Suit - Focus on the Paris, London, New York and Milan Collections from 2004 F/W to 2006 F/W - (현대 여성 수트에 있어서 남성성(masculinity)을 나타내는 색채 특성 - 2004~2006년 F/W의 파리, 런던, 뉴욕, 밀라노 컬렉션을 중심으로 -)

  • Kwon, Ji-Hyun;Kim , Young-In
    • Journal of the Korean Society of Costume
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    • v.58 no.2
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    • pp.62-77
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    • 2008
  • This study aims to analyze color characteristics centered by women's suit styles that represent masculinity remarkably. Through this, it figures out color's type and continuance availability as a representing tool to express masculinity to provide useful color information which can be applied effectively to various color planning. For this research, related images were collected among women's pants suits appeared in $2004{\sim}2006's$ Paris, London, New York and Milan collection F/W that are most similar to modern man's suit. Among them, the study analyzes 319 pictures where the features of masculinity were represented effectively. The referred color values were earned by converting $L^*a^*b^*$ values measured through the color extracting tool of Computer program (Adobe Photoshop CS) and color tone characteristic were analyzed by classifying 12 color PCCS and 5 achromatic colors. The result of the study are as follows: First, based on standard of color hue and tone, in terms of color hue, PB, YR, Y were frequently shown up but G, BG series were not found much after analyzing overall women's pants suit color characteristics shown in $2004{\sim}2006$ Paris, London, New York and Milan collection. Second, the color analysis about 3years of $2004{\sim}2006$ tells that achromatic colors have been most widely used in every year. In terms of color hue, PB, YR, Y series were appeared most popular and G, BG classes weren't appeared frequently. In addition, once looking at yearly color tone distribution trend, like overall color tone distribution result, Bk, w, dkg, g, p were highly used as sequential and b, v, dp, sf, ItGy series show low distribution level. And such a distribution level of low and high in frequency has been showed continuously as a similar style. Accordingly, through the study, as a tool to express masculinity in women's suit, achromatic colors like black and white series and PB, YR, Y series color were investigated as most popular uses. And as color tones, Bk, w, dkg, g, p were used frequently.

Splitting of Surface Plasmon Resonance Peaks Under TE- and TM-polarized Illumination

  • Yoon, Su-Jin;Hwang, Jeongwoo;Lee, Myeong-Ju;Kang, Sang-Woo;Kim, Jong-Su;Ku, Zahyun;Urbas, Augustine;Lee, Sang Jun
    • Proceedings of the Korean Vacuum Society Conference
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    • 2014.02a
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    • pp.296-296
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    • 2014
  • We investigate experimentally and theoretically the splitting of surface plasmon (SP) resonance peaks under TE- and TM-polarized illumination. The SP structure at infrared wavelength is fabricated with a 2-dimensional square periodic array of circular holes penetrating through Au (gold) film. In brief, the processing steps to fabricate the SP structure are as follows. (i) A standard optical lithography was performed to produce to a periodic array of photoresist (PR) circular cylinders. (ii) After the PR pattern, e-beam evaporation was used to deposit a 50-nm thick layer of Au. (iii) A lift-off processing with acetone to remove the PR layer, leading to final structure (pitch, $p=2.2{\mu}m$; aperture size, $d=1.1{\mu}m$) as shown in Fig. 1(a). The transmission is measured using a Nicolet Fourier-transform infrared spectroscopy (FTIR) at the incident angle from $0^{\circ}$ to $36^{\circ}$ with a step of $4^{\circ}$ both in TE and TM polarization. Measured first and second order SP resonances at interface between Au and GaAs exhibit the splitting into two branches under TM-polarized light as shown in Fig. 1(b). However, as the incidence angle under TE polarization is increased, the $1^{st}$ order SP resonance peak blue-shifts slightly while the splitting of $2^{nd}$ order SP resonance peak tends to be larger (not shown here). For the purpose of understanding our experimental results qualitatively, SP resonance peak wavelengths can be calculated from momentum matching condition (black circle depicted in Fig. 2(b)), $k_{sp}=k_{\parallel}{\pm}iG_x{\pm}jG_y$, where $k_{sp}$ is the SP wavevector, $k_{\parallel}$ is the in-plane component of incident light wavevector, i and j are SP coupling order, and G is the grating momentum wavevector. Moreover, for better understanding we performed 3D full field electromagnetic simulations of SP structure using a finite integration technique (CST Microwave Studio). Fig. 1(b) shows an excellent agreement between the experimental, calculated and CST-simulated splitting of SP resonance peaks with various incidence angles under TM-polarized illumination (TE results are not shown here). The simulated z-component electric field (Ez) distribution at incident angle, $4^{\circ}$ and $16^{\circ}$ under TM polarization and at the corresponding SP resonance wavelength is shown in Fig. 1(c). The analysis and comparison of theoretical results with experiment indicates a good agreement of the splitting behavior of the surface plasmon resonance modes at oblique incidence both in TE and TM polarization.

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Cluster Coordinator Node Based Inter-Cell Interference Management Methods in Heterogeneous Networks (이기종 네트워크에서 클러스터 코디네이터 노드 기반의 셀간 간섭 관리 방법)

  • Yang, Mochan;Wu, Shanai;Shin, Oh-Soon;Shin, Yoan
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.38A no.3
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    • pp.277-288
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    • 2013
  • 3GPP LTE-Advanced (Third Generation Partnership Project Long Term Evolution-Advanced) as a next generation mobile communication standard introduced small base stations such as femto cells or pico cells, and D2D (Device-to-Device) communications between mobiles in the proximity in order to satisfy the needs of rapidly growing wireless data traffic. A diverse range of topics has been studied to solve various interference situations which may occur within a single cell. In particular, an introduction of a small base station along with D2D communication raises important issues of how to increase the channel capacity and frequency efficiency in HetNets (Heterogeneous Networks). To this end, we propose in this paper methods to manage the interference between the macro cell and other small cells in the HetNet to improve the frequency efficiency. The proposed CCN (Cluster Coordinator Node)-assisted ICI (Inter-Cell Interference) avoidance methods exploit the CCN to control the interference in HetNet comprising of an MeNB (Macro enhanced Node-B) and a large number of small cells. A CCN which is located at the center of a number of small cells serves to avoid the interference between macro cell and small cells. We propose methods of resource allocation to avoid ICI for user equipments within the CCN coverage, and evaluate their performance through system-level computer simulations.

Optical Multi-Normal Vector Based Iridescence BRDF Compression Method (광학적 다중 법선 벡터 기반 훈색(暈色)현상 BRDF 압축 기법)

  • Ryu, Sae-Woon;Lee, Sang-Hwa;Park, Jong-Il
    • Journal of KIISE:Computer Systems and Theory
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    • v.37 no.3
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    • pp.184-193
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    • 2010
  • This paper proposes a biological iridescence BRDF(Bidirectional Reflectance Distribution Function) compression and rendering method. In the graphics technology, iridescence sometimes is named structure colors. The main features of these symptoms are shown transform of color and brightness by varying viewpoint. Graphics technology to render this is the BRDF technology. The BRDF methods enable realistic representation of varying view direction, but it requires a lot of computing power because of large data. In this paper, we obtain reflection map from iridescence BRDF, analyze color of reflection map and propose representation method by several colorfully concentric circle. The one concentric circle represents beam width of reflection ray by one normal vector. In this paper, we synthesize rough concentric by using several virtually optical normal vectors. And we obtain spectrum information from concentric circles passing through the center point. The proposed method enables IBR(image based rendering) technique which results is realistic illuminance and spectrum distribution by one texture from reduced BRDF data within spectrum.

Patterns and Interrelationships for Meeting Guidelines of Physical Activity, Sedentary, and Dietary Behavior in Korean Adolescents (한국 청소년의 신체활동, 좌식행동, 식이행동에 대한 가이드라인 실천 패턴 및 상호관련성)

  • Kim, Jae-Woo;Kong, Sung-A;Lee, On;Kim, Yeon-Soo;Yun, E-Hwa;Kim, Shin-Ah;Choi, Bo-Youl
    • The Korean Journal of Community Living Science
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    • v.20 no.3
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    • pp.413-421
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    • 2009
  • The purpose of this study was to analyze the patterns and the interrelationships for meeting guidelines of three health behaviors including physical activity(PA), sedentary behavior(SB), and dietary behavior(DB) for Korean adolescents using 2007 KYRBS(Korea Youth Risk Behavior Survey) data. A cross-sectional design was used to assess 73392 middle-high school students. PA(moderate physical activity${\geqq}$5times/week, or vigorous ${\geqq}$3times/week), SB(watching TV, computer, DVD, video, etc. < 3 hr/day), and DB(servings of fruits ${\geqq}$1 times/day, or vegetables ${\geqq}$ 3 times/day) were categorized into two levels (meeting guidelines or not). Chi-squared tests were conducted to compare the prevalence of students not meeting these three health behaviors between boys and girls, and logistic linear regression was used to determine the interrelationships of three health behaviors. Students meeting guidelines for PA, SB, and DB were 31.0%(boys 42.6%, girls 18.0%), 74.7%(boys 75.4%, girls 74.0%), and 38.5%(boys 38.6%, girls 38.4%), respectively. In addition, there were significant differences between both genders for PA and SB (PA; $x^2(1)$=35175.11, p<.0001, SB; $x^2(1)$=19.44, p<.0001). Only 10.9% of students met all three guidelines and 12.4% did not meet all three. Pattern that simultaneously did not meet PA and DB were high in both boys(27.1%) and girls(37.2%). Students who did not meet DB were at greater risk of not meeting PA(Boys; OR 1.49, 95% CI 1.43 to 1.55, Girls; OR 1.42, 95% CI 1.34 to 1.50), and not meeting SB(Boys; OR 1.41, 95% CI 1.34 to 1.48, Girls; OR 1.36, 95% CI 1.29 to 1.43) compared with students who met DB. The findings of this study supported further evidence for the need of a multiple behavior approach considering gender and interrelationships among three behaviors.

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Improving Compatibility Method of New Vworld 3D Data Using the Serialization Technique (데이터 직렬화 기법을 활용한 차세대 브이월드 3차원 데이터의 호환성 개선 방안)

  • KANG, Ji-Hun;KIM, Hyeon-Deok;KIM, Jeong-Taek
    • Journal of the Korean Association of Geographic Information Studies
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    • v.21 no.1
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    • pp.96-105
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    • 2018
  • The V-world, Spatial information open platform map service, provides various national spatial data. Recently, with the development of IT technology, demand for 3D geospatial data that can be merged with new industries such as Internet of Things(IoT) and autonomous vehicles is increasing. Because 3D geospatial data is large and complex, many computer resources are used to provide map services. Most of the 3D map services, such as Vworld, are constructed binary data in consideration of performance. However, this type of data is incompatible because it is difficult to use in other services if there is no precise understanding of the specification. In this paper, we propose a data serialization method to improve the compatibility of new Vworld 3D format which is constructed in binary form. The performance of binary data and serialized binary data is tested and compared. As a result, it is expected that the data using the serialization technique will be similar to the binary data and contribute to improve compatibility.

A Study on Evaluation of LED Lighting Environments for Energy Saving and Work Effectiveness (에너지 저감과 업무 효율성을 위한 LED 조명환경 평가에 대한 연구)

  • Kim, Hyung-Sun;Lim, Jae-Hyun;Lee, Kee-Sun;Kim, Kil-Hee;Jung, Hee-Chang;Kim, Jin Ho
    • Science of Emotion and Sensibility
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    • v.18 no.2
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    • pp.45-54
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    • 2015
  • This study carried out an experiment to identify subject's work effectiveness and energy saving effect using LED light. Towards this end, this study configured nine various lighting environments in order to control PWM (Pulse Width Modulation) and illuminance (lux), which are the characteristics of LED light. The PWM ratio of LED light was set as R:G:B=1:1:1, R:G:B=4:1:5, and R:G:B=8:7:7, respectively, and illuminance (lux) was set as 400 lx, 700 lx, and 1000 lx, respectively. In addition, the indoor environment was set temperature $20-24^{\circ}C$, humidity 50%-60%, and the amount of clothing 1. This study analyzed work effectiveness and energy consumption in nine lighting environments, each. Error correction was performed for work effectiveness analysis, and cumulative power consumption was measured in each lighting environment for energy consumption analysis. According to experiment results through the lighting environments suggested in this study, accuracy and spent time effectiveness were good in 700lux and higher than 400lux. For spent time, the best effectiveness was revealed in the suggested PWM ratio, R:G:B=8:7:7. The lowest power consumption on each illuminance (lux) was revealed in the order of R:G:B=8:7:7, RGB=1:1:1, and R:G:B=4:1:5. Therefore, pulse-width modulation effect is proposed in this paper was found to affect the efficiency and energy saving.