• Journal of Korean Medical classics
• /
• v.30 no.1
• /
• pp.87-110
• /
• 2017

Objectives : The purpose of this paper is to study the form, contents and special features found in Qianhuang's life, books, his relationship with his disciples and Shanghansuyuanji's edition and its pass-ons. Methods : The best version among Shanghansuyuanji's copies was selected. Based on this, Qianhuang's life, books and his relationship with his disciples were studied, and Shanghansuyuanji's edition and its pass-ons, form and contents were analyzed. Results & Conclusions: Through study, first I see that Qianhuang was born in the early period of Qing Dynasty and died after the publication of Shanghansuyuanji, Suwen's annotation book probably had not been published yet, his mentor were Fangyouzhi and Yujiayan. Second, I see that he organized Shanghanlun sentences from his own perspective of cause of a disease and cure method. Third, I see that he viewed the diseases of six meridians with the perspective of yinyang and explained the concept of three yins and three yangs in relation to yinyang's ups and downs, and his Yuggyeongjasu theory made possible various interpretations of disease mechanism. Fourth, I see that he held critical views towards the Shanghanlun sentences through the Error Discrimination. Fifth, I see that he viewed disease mechaniam in interdependent relationships or from the point of view of the School of Warming and Tonifying through the Meaning of Herbal Formula. Sixth, I see that he sometimes quoted Neijing in proper ways that fit the disease mechanism in Shanghanlun. On the other hand, he quoted Neijing solely for the reason that identical words are used, but some of these were not proper. Additionally, he criticized the aforementioned annotators for improper quoting Neijing. Consequentially, for reasons mentioned above Qianhuang's Shanghansuyuanji has great importance as a Shanghanlun annotation book.

• Progress in Medical Physics
• /
• v.28 no.1
• /
• pp.11-15
• /
• 2017

Relative biological effectiveness (RBE) of particle beam needs to be evaluated at particle beam therapy centers before the clinical application of the particle beam. However, since RBE analysis is implemented manually, it is useful to have a tool that can easily and effectively handle the data of experiments to generate cell survival curve and to analyze RBE simultaneously. In this work, the development of a program for RBE analysis of particle beam therapy was presented. This RBE analysis program was developed to include two parts; fitting the cell survival curves to linear-quadratic model and calculating the RBE values at a certain endpoint using fitting results. This program was also developed to simultaneously compare and analyze the template results that stored experiment data with photon and particle beam irradiations. The results of the cell survival curve obtained by each irradiation can be analyzed by the user on a desired data after reading the template stored in the easy-to-use excel file. The analysis results include the cell survival curves with error range, which are appeared in the screen and the ${\alpha}$ and ${\beta}$ parameters of linear-quadratic model with 95% confidence intervals, RBE values, and $R^2$ values to evaluate goodness-of-fit of survival curves to model, which are stored in a text cvs file. This software can generate cell survival curve, fit to model, and calculate RBE all at once with raw experiment data, so it helps users to save time for data handling and to reduce the possibility of making error on analysis. As a coming plan, we will create a user-friendly graphical user interface to present the results more intuitively.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.21 no.5
• /
• pp.960-966
• /
• 2017

In this paper, we proposed an algorithm that can extract lesion by inputting a medical image. Feature points are extracted using SIFT algorithm to extract genetic training of medical image. To increase the intensity of the feature points, the input image and that raining image are matched using vector similarity and the lesion is extracted. The vector similarity match can quickly lead to lesions. Since the direction vector is generated from the local feature point pair, the direction itself only shows the local feature, but it has the advantage of comparing the similarity between the other vectors existing between the two images and expanding to the global feature. The experimental results show that the lesion matching error rate is 1.02% and the processing speed is improved by about 40% compared to the case of not using the feature point intensity information.

• Journal of Korean Clinical Nursing Research
• /
• v.26 no.3
• /
• pp.296-304
• /
• 2020

Purpose: This study was conducted to demonstrate objective stability of postoperative pain management status managed by nurse-based, anesthesiologist-supervised Acute Pain Service (APS). Methods: A retrospective descriptive review was conducted with 5,748 patients who had used intravenous Patient Controlled Analgesia (PCA) from January to December 2017. Data were analyzed using descriptive statics, Frequency analysis, ANOVA, Cross tabulation with χ2test, and Correlation coefficient. Results: As the APS nurse's education date increased, the period of using PCA was statistically significantly longer, and the period of stopping PCA while using it became shorter (p<.001). Statistically significant, the most painful operations were extremities, spine, upper abdomen, and thorax, while the least painful surgery was lower abdomen (p<.001). Lower abdominal surgery used the highest amount of PCA (p<.001), and extremities and spinal surgery, the lowest amount of PCA and frequently stop using it (p<.001). The most common side effects were nausea and vomiting after surgery, with an incidence of 16.0% within 24 hours and 9.8% within 48 hours. The overall error caused by PCA was 1.5%, with 84.3% being caused by human errors. Conclusion: With the pain management effect of APS nurses, patients used PCA more effectively. There were also fewer side effects and error rates compared to prior studies. Therefore, it is suggested that this system is safe and effective for pain management.

• Progress in Medical Physics
• /
• v.22 no.2
• /
• pp.67-71
• /
• 2011

We evaluated the overall setup accuracy for the On-Board Imager (OBI, Varian Medical Systems Inc., Palo Alto, CA, USA), with attention to the laser, the gantry, and operator performance. We let experienced technicians place the marker block on the couch using a lock bar system, with alignment to the isocenter of the laser, every morning. A pair of radiographic images of the marker block was acquired at $0^{\circ}$ and $270^{\circ}$ angles to the kV arm to correct the position using a 2D/2D matching technique. Once the desired match was achieved, the couch was moved remotely to correct the setup error and the parameters were saved. The average for the vertical and the longitudinal displacements were 0.65 mm and 0.66 mm, and 0.01 mm for the lateral displacement. The average for the vertical and longitudinal displacements were statistically significant at the 0.05 level (p value=0.000 for both), while the p value for the lateral direction was 0.829. These results show that the tendencies to displacement in vertical and longitudinal directions occur through systematic error, while systematic error was not found in the lateral displacement. This daily overall evaluation is practical and easy to find the systematic and random errors in the setup system; however, a daily QA for laser and OBI alignment is still needed to minimize the systematic error in aligning patients.

• Progress in Medical Physics
• /
• v.27 no.4
• /
• pp.250-257
• /
• 2016

The purpose of this study was to compare the patient setup errors of two different immobilization devices (Feet Fix: FF and Leg Fix: LF) for pelvic region radiotherapy in Tomotherapy. Thirty six-patients previously treated with IMRT technique were selected, and divided into two groups based on applied immobilization devices (FF versus LF). We performed a retrospective clinical analysis including the mean, systematic, random variation, 3D-error, and calculated the planning target volume (PTV) margin. In addition, a rotational error (angles, $^{\circ}$) for each patient was analyzed using the automatic image registration. The 3D-errors for the FF and the LF groups were 3.70 mm and 4.26 mm, respectively; the LF group value was 15.1% higher than in the FF group. The treatment margin in the ML, SI, and AP directions were 5.23 mm (6.08 mm), 4.64 mm (6.29 mm), 5.83 mm (8.69 mm) in the FF group (and the LF group), respectively, that the FF group was lower than in the LF group. The percentage in treatment fractions for the FF group (ant the LF group) in greater than 5 mm at ML, SI, and AP direction was 1.7% (3.6%), 3.3% (10.7%), and 5.0% (16.1%), respectively. Two different immobilization devices were affected the patient setup errors due to different fixed location in low extremity. The radiotherapy for the pelvic region by Tomotherapy should be considering variation for the rotational angles including Yaw and Pitch direction that incorrect setup error during the treatment. In addition the choice of an appropriate immobilization device is important because an unalterable rotation angle affects the setup error.

• Journal of Advanced Navigation Technology
• /
• v.6 no.1
• /
• pp.77-83
• /
• 2002

The emergence of Bluetooth as a radio interface scheme has allowed electronic devices to be instantly interconnected as ad-hoc networks. These short range ad-hoc wireless networks are called piconets, operated in the unlicensed 2.45 GHz ISM(Industrial, Scientific, Medical) band where up to eight devices may be used to configure single or overlapping piconets. In this paper, we have simulated the PER(Packet Error Rate), the ratio of received packet and payload BER(Bit Error Rate) of piconet with packet types of Bluetooth ACL/SCO(Asynchronous Connection Less/Synchronous Connection Oriented) link over wireless ad-hoc environment. The Rayleigh fading effects are considered as channel model, and the simulation results are based on the baseband model of Bluetooth specification. From the simulation results, the PER and the throughput of Bluetooth piconet are sensibly affected by the packet type of ACL/SCO link.

• Korean Journal of Digital Imaging in Medicine
• /
• v.13 no.1
• /
• pp.33-38
• /
• 2011

Now a days, there's many change over for PACS among the most of hospital and it standard for DICOM 3.0. These kind of using of DICOM 3.0 improves increasing of medical imaging exchange and service for patient. However, there's some problems of compatibility caused during carry out CD and DVD from hospital. For this reason, this thesis analyzed patients image targeting those storages requested to hospitals in Seoul by using Validation Toolkit which is recommended from KFDA. The analyze type is like this. Make 100 data, total 500, each of MRI CT Plain x-ray Ultrasound PET-CT images and analyzed type of error occurred and loyalty of information. If express percentage of error occurred statistically, we can get a result as follows MRI 5%, Plain x-ray 11%, CT 18%, US 25%, PET-CT 30%. The reson why percentage of error occurred in PET-CT is because of imperfective support and we could notice that we weren't devoted to information. Even though, PET-CT showed highest percentage of error occurred, currently DICOM data improved a lot compare to past. Moreover, it should be devoted to rule of IHE TOOL or DICOM. In conclusion, we can help radiographer to analyze information of image by providing clues for solving primary problem and further more, each of PACS company or equipment company can enhance fidelity for following standard of image information through realizing the actual problem during transfer of image information.

• Proceedings of the KOSOMBE Conference
• /
• v.1992 no.05
• /
• pp.58-63
• /
• 1992

The discrete cosine transform (DCT)-based progressive coding standard proposed by the International Standardization Orgnnization (ISO) Joint Photographic Experts Groups (JPEG) is investigated for medical image compression and the performance of the JPEG is compared to that of the full-frame bit-allocation (FFBA) technique. From the comparison, the JPEG standard appeals superior to the FFBA technique in the following aspects: 1) JPEG achieves higher compression than the FFBA technique with less mean square error. 2) Less Gibb's artifact is observed in the compressed images by the JPEG. 3) Computational time for the JPEG is about one-fourth or the FFBA technique. Other attractive points of the JPEG include: Implementation of the JPEG with VLSIs is commercially available in relative low price and the JPEG compression format can easily be interchangeable with other applications.

• Asia pacific journal of information systems
• /
• v.16 no.2
• /
• pp.69-84
• /
• 2006

Importance of Today's diffusion of integrated hospital information systems is that various and huge amount of data is being accumulated in their database systems. Many researchers have studied utilizing such hospital data. While most researches were conducted mainly for medical diagnosis, there have been insufficient studies to develop medical care cost prediction model, especially using machine learning techniques. In this research, therefore, we built a medical care cost prediction model for cancer patients using CBR (Case-Based Reasoning), one of the machine learning techniques. Its performance was compared with those of Neural Networks and Decision Tree models. As a result of the experiment, the CBR prediction model was shown to be the best in general with respect to error rate and linearity between real values and predicted values. It is believed that the medical care cost prediction model can be utilized for the effective management of limited resources in hospitals.