• 제목/요약/키워드: diagnoses

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전류 궤적 영상의 특징과 트리모델을 이용한 태양광 전력 인버터의 고장진단 (Fault Diagnosis of Solar Power Inverter Using Characteristics of Trajectory Image of Current And Tree Model)

  • 황재호
    • 전자공학회논문지CI
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    • 제47권4호
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    • pp.102-108
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    • 2010
  • 태양광 발전 시스템은 태양 전지에 의해 태양 에너지를 직류로 변환하며 이 직류를 인버터에 의해 일반 가정에서 사용되는 교류로 변환한다. 최근 태양광 발전 시스템의 전력량이 증가하는 추세이므로 대전력을 전송하는 3상 시스템에 관한 연구가 중요하다. 본 논문에서는 태양광전지의 계통연계 시스템의 3상 PWM 인버터의 스위치 개방이 발생했을 경우, 이를 간단히 검출하고 식별하는 방법을 제안한다. 제안 방법은 $\alpha\beta$ 평면에서 전류 벡터의 궤적 영상의 패턴을 특징으로 하여 정상상태와 각각의 고장 상태를 결정하여 트리로 분류한다. 트리 구성을 위한 고장패턴은 21개로 하였으며 고장 패턴트리의 결정을 위한 분류 파라메터는 모양, 영역, 분산각, 벡터각으로 하였다. 각 고장에 대하여 제안방법의 성능을 평가한 결과 모든 고장요소를 정확히 분류하여 패턴 트리를 구성하였다.

혼합학습형태의 『활동과휴식』 통합교과목 개발 및 적용 (Development and Evaluation of an 'Activity and Rest' Integrated Course)

  • 오의금;황선영;이재은;송은경;김민정
    • 성인간호학회지
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    • 제19권4호
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    • pp.624-633
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    • 2007
  • Purpose: This study was conducted to develop an integrated undergraduate course including a PBL based on a blended learning strategy, and evaluate learners' responses. Methods: The learning contents of cardiovascular, respiratory, and musculoskeletal medical systems, and nursing diagnoses of 'activity and rest' domain (NANADA's classification II, 2005) were analyzed. Six clinical scenarios with the clients in different life cycles were developed for PBL. Classical lecture and group presentation with on-line self learning were implemented in addition to PBL. The developed course was implemented on 84 junior nursing students in a university for 7 weeks with 5 hours per day, two days per week. Students were asked to complete structured questionnaires including problem solving, critical thinking, and nursing diagnosis differentiation abilities. Results: Learner's evaluation was positive in problem solving skills and in the differentiation ability of nursing diagnoses relevant to an 'activity and rest' functional health pattern. Conclusion: Development and implementation of integrated courses based on a blended learning method need to be continued to enhance students' thinking and self-directed learning abilities. Supporting strategies for individual learners should be added for successful blended learning such as individual on-line feedback and consideration of individual learning outcomes.

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중환자실 간호기록 표준화를 위한 간호초점 분석 (An analysis of nursing focuses for standardization of ICU nursing records)

  • 강영미;유지호;조용애;류성숙;조정구;성영희
    • 중환자간호학회지
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    • 제1권1호
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    • pp.73-83
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    • 2008
  • Purpose: Purpose of this study was to analyze the nursing focuses for standardization of ICU nursing records. Methods: The data were collected from 1,000days'nursing records of 197 ICU patients at a tertiary hospital in Seoul. Nursing focuses were unified at the consulting group meeting and they were cross-mapped with the NANDA nursing diagnoses. Results: The 62 nursing focuses in 7 NANDA categories were extracted from nursing record. Among total nursing focuses 41 correspond to the NANDA nursing diagnoses and 21 were added to ICU nursing focuses. The 10 most frequently used nursing focuses are 'Ineffective airway clearance', 'Impaired gas exchange', 'Ineffective tissue perfusion: cardiopulmonary', 'Ineffective breathing pattern', 'Ineffective tissue perfusion: renal', 'Ineffective infant feeding pattern', 'Risk for impaired skin integrity', 'Hyperthermia', 'Impaired skin integrity', 'Decreased cardiac output', Conclusion: Nursing focuses list of ICU was extracted from the result of this study. These nursing focuses might form a framework for development of research-based assessment guideline and care plans for ICU patients through standardization of nursing records.

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CT/MRI 영상에서의 이미지 추출-분석 시스템 (Extract and Analysis System for CT/MRI Images)

  • 곽호영;허지순
    • 한국컴퓨터정보학회논문지
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    • 제19권1호
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    • pp.131-140
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    • 2014
  • 오늘날 사용하고 있는 의료용 영상의 대부분은 주로 병변을 확인하기 위한 수단으로 이용되고 있는데, 이러한 의료용 영상을 병변 확인뿐만 아니라 학술적 연구나 외과적 수술 처치를 위한 분석 및 참고 자료로 이용할 수 있다면 의학적 학술 연구에 도움을 줄 수 있으며, 외과적 수술 처치 및 치료에서 선행 시뮬레이션을 통하여 처치 오류를 줄일 수 있다. 따라서 본 논문에서는 의료용 이미지 영상에 대해 해당 영상에서 필요한 부분을 벡터 형식의 점(point cloud)들로 추출하고, 이들 벡터 정보를 이용하여 연구나 진료 및 수술에서 필요한 정보로 가공하여 시뮬레이션이 가능하도록 하는 시스템을 설계하고 구현함으로써 학술적 연구나 환자에 대한 진단 처치에 보다 효율적으로 접근할 수 있는 방법을 제공하고자 하였다.

폐의 경흉 세침흡인 세포검사 (Transthoracic Fine Needle Aspiration Cytology of the Lung)

  • 김민석;박인애;박선후;박성신;김활웅;문경철;김영아;이혜승;박기화;서정욱;이현순;함의근
    • 대한세포병리학회지
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    • 제10권1호
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    • pp.13-19
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    • 1999
  • The authors analysed 2,653 cases of transthoracic fine needle aspiration cytology of the lung to evaluate the diagnostic accuracy and its limitation. A comparison was made between the original cytologic and the final histologic diagnoses on 1,149 cases from 1,074 patients. A diagnosis of malignancy was established in 38.3% benign in 48.1%, atypical lesion in 2.3%, and inadequate one in 11.9% of the cases. Statistical data on cytologic diagnoses were as follows; specificity 98.9%: sensitivity of procedure, 76.8%: sensitivity of diagnosis, 95.5%: false positive 5 cases: false negative 18 cases: predictive value for malignancy, 98.8%: predictive value for benign lesion, 79.5%: overall diagnostic efficiency, 87.5%: typing accuracy in malignant tumor, 80%.

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타액선병변의 세침흡인 세포검사 (Fine Needle Aspiration Cytology of Salivary Gland Lesions)

  • 이승숙;박인애;함의근;이상국
    • 대한세포병리학회지
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    • 제4권2호
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    • pp.111-120
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    • 1993
  • Fine needle aspiration cytology has become a frequently used technique for the diagnosis of lesions in the head and neck. Fine needle aspiration cytology of the salivary glands were performed on 66 patients. In 59 patients with satisfactory samples, cytologic diagnoses were as follows; there were 47 benign lesions, including pleomorphic adenoma(20), Warthin's tumor(3), benign cystic lesion(4), Inflammatory lesion(4), lymphoid lesion(3), myoepithelioma(1), unspecified benign neoplasm (5), and unclassified benign lesion(7). There were 6 cases of undetermined malignancy and 6 malignant lesions including mucoepidermoid carcinoma(3), adenoid cystic carcinoma(1), carcinoma ex pleomorphic adenoma(1), and metastatic carcinoma(1) in cytologic diagnosis. In 25 patients, the cytologic diagnosis was correlated with histologic findings. The sensitivity of the benign lesion was 96% and the specificity was 82%. There was no false-positive diagnosis. The sensitivity and the specificity of pleomorphic adenoma were 75% and 95%, respectively. Some of Warthin's tumors were confused with benign cystic lesion due to frequent cystic change of the tumor. The sensitivity and specificity of the malignant lesions were 56% and 88%, respectively. There were three false negative diagnoses. Two mucoepidermoid carcinomas were correctly diagnosed by cytology. Two of three adenoid cystic carcinomas were misdiagnosed as benign tumors.

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Role of P57KIP2 Immunohistochemical Expression in Histological Diagnosis of Hydatidiform Moles

  • Triratanachat, Surang;Nakaporntham, Pattawan;Tantbirojn, Patou;Shuangshoti, Shanop;Lertkhachonsuk, Ruangsak
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.2061-2066
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    • 2016
  • Purpose: To determine the significance of P57KIP2 immunohistochemistry expression in the histopathological diagnosis of hydatidiform mole. Materials and Methods: Hydatidiform mole patients at King Chulalongkorn Memorial Hospital between January 1999 and December 2011 were recruited. Two gynecologic pathologists reviewed histopathologic slides to confirm diagnosis. Formalin-fixed, paraffin-embedded tissue sections were stained using a bstandard immunostaining system with monoclonal antibodies against P57KIP2 protein. Correlations among pathological features, immunohistochemical expression and clinical data were analyzed. Results: One hundred and twenty-seven hydatidiform mole patients were enrolled. After consensus review, 97 cases were diagnosed as complet (CHM) and 30 cases as partial (PHM). Discordance between the first and final H&E diagnoses was found in 19 cases (14.9%, k= 0.578). Significant pathological features to classify the type of hydatidiform mole are central cisterns, trophoblastic proliferation, trophoblastic atypia, two populations of villi, fetal vessels and scalloped borders. After performing immunohistochemistry for P57KIP2, 107 cases were P57KIP2 negative and 20 cases positive. Discordant diagnoses between final H&E diagnosis and P57KIP2 immunohistochemistry was identified in 12 cases (9.4%). Sensitivity of final H&E diagnosis for CHM was 89.7%; specificity was 95.0%. PHM sensitivity and specificity of final H&E diagnosis was 95.0% and 89.7%, respectively. Conclusions: Histopathological diagnosis alone has certain limitations in accurately defining types of hydatidiform mole; P57KIP2 immunohistochemistry is practical and can be a useful adjunct to histopathology to distinguish CHM from non-CHM.

Premature Ejaculation and Erectile Dysfunction in Iranian Prostate Cancer Patients

  • Lin, Chung-Ying;Burri, Andrea;Pakpour, Amir H
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.1961-1966
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    • 2016
  • Background: To investigate the prevalence of premature ejaculation (PE) and erectile dysfunction (ED) in a sample of patients with prostate cancer and to determine the utility of the previously suggested cutoffs of the Premature Ejaculation Diagnostic Tool (PEDT) for the diagnosis of PE and that of International Index of Erectile Function (IIEF-5) for ED. Materials and Methods: A total of 1,202 men with prostate cancer were invited from urology clinics at the universities of Iran, Tehran, Qazvin, Ahvaz, Guilan and Tabriz. Clinical characteristics were collected through medical records. PE and ED diagnoses were made by trained urologists. In addition to the clinical diagnoses, PE and ED were measured through self-report using the PEDT and the IIEF-5. Questionnaire cutoff scores were determined using receiver operating characteristic (ROC) curves and confirmed by predictive ability using logistic regression. Results: The prevalence of PE was 63.7% and that of ED was 66.2%. Prevalences of PE decreased and that of ED increased with advanced TNM stages. According to ROC, the suggested cutoff for the PEDT to diagnose a PE was ${\geq}11$ (sensitivity=0.988, 1-specificity=0.084, and predictive ability=0.914) and ${\leq}17$ for the IIEF-5 (sensitivity=0.966, 1-specificity=0.031, and predictive ability=0.967). Conclusions: Prevalence of sexual problems was high in prostate cancer patients in Iran, therefore oncologists should take into account these potential problems when deciding on treatment modalities.

항공기 소프트웨어의 건전성 관리를 위해서 순서 위배 오류를 자율 수리하는 효율적인 시스템 (An Efficient On-the-fly Repairing System of Order Violation Errors for Health Management of Airborne Software)

  • 김태형;최으뜸;전용기
    • 한국항공우주학회지
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    • 제48권10호
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    • pp.821-829
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    • 2020
  • 항공기 소프트웨어의 건전성 관리시스템은 수행 중에 발생하는 오류를 수리하여 안전성을 제공하고 유지보수 비용을 절감한다. 순서 위배 오류는 개발 단계에서 모두 제거하는 것이 어렵기 때문에 운용 단계에서 자율적으로 수리할 수 있어야 한다. 순서 위배를 자율 수리하기 위한 기존 연구는 각 접근사건의 수행 직전에 접근사건 순서를 비교하여 오류를 진단하기 때문에 접근사건 수에 비례하는 시간 오버헤드를 발생시킨다. 본 논문은 접근사건을 포함하는 함수의 올바른 순서 정보로 오류를 진단하고 해당 함수를 지연시켜 조치하는 기법인 ORS를 제시한다. ORS를 평가하기 위해, 순서 위배 오류를 포함하는 5가지의 합성 프로그램에 기존 연구와 ORS를 적용하여 시간 오버헤드를 측정하였다. 그 결과, 접근 횟수가 약 60번 이상일 때 기존 연구보다 효율적임을 확인하였다.

FBG를 이용한 맥진 시스템 개발 (Development of the pulse analyzing system using FBG)

  • 전영주;이전;유현희;이재훈;이시우;김종열
    • 한국한의학연구원논문집
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    • 제13권3호
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    • pp.105-110
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    • 2007
  • This work reports the pulse diagnosis system using FBG sensors which can display pulse signals detected while oriental medical doctors are conducting pulse diagnoses and simultaneously pressing the sensors by three fingers. Each optical fiber has five FBG sensing units fabricated in 2 mm width and 2 mm inter-sensor spacing. Three optical fibers with the FBG units in the parallel line configuration are then placed on each finger-pressing region and thus overall 9 fibers are used for the pulse measurements on the so-called "chon", "gwan", and "ch대k". A fixture holding the optical fiber arrays is able to adjust the height of the FBG sensing units while placing the fibers on the wrist. The pulse signals detected by the FBG sensors from chon, kwan, and chuk have been analyzed using 4 channel spectrum analyzer connected to the optical fibers. The measured pulse signals exhibit variations due to the nonuniform pressure distributions applied. resulting in the differences in the detected pulse signals between fiber lines. However. this work is the first step towards objective and quantitative analyses of the pulse diagnosis in oriental medicine which has traditionally been performed on subjective basis. Future works will be devoted to improving sensor stability, developing the way applying pressure and algorithms reporting the objective classification of the pulse status from systemic measurements using the sensors instead of relying on the clinicians' diagnoses subjectively performed. A successful pulse diagnosis system emerging in the future is expected to contribute to education as well as promoting pulse diagnosis in oriental medicine to the scientific research area.

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