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Development of Standardized Predictive Models for Traditional Korean Medical Diagnostic Pattern Identification in Stroke Subjects: A Hospital-based Multi-center Trial

  • Jung, Woo-Sang;Cho, Seung-Yeon;Park, Seong-Uk;Moon, Sang-Kwan;Park, Jung-Mi;Ko, Chang-Nam;Cho, Ki-Ho;Kwon, Seungwon
    • The Journal of Korean Medicine
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    • v.40 no.4
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    • pp.49-60
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    • 2019
  • Objectives: To develop a standardized diagnostic pattern identification equation for stroke patients, our group conducted a study to derive the predictive logistic equations. However, the sample size was relatively small. In the current study, we aimed to derive new predictive logistic equations for each diagnostic pattern using an expanded number of subjects. Methods: This study was a hospital-based multi-center trial recruited stroke patients within 30 days of symptom onset. Patients' general information, and the variables related to diagnostic pattern identification were measured. The diagnostic pattern of each patient was identified independently by two Korean Medicine Doctors. To derive a predictive model for pattern identification, binary logistic regression analysis was applied. Results: Among the 1,251 patients, 385 patients (30.8%) had the Fire Heat Pattern, 460 patients (36.8%) the Phlegm Dampness Pattern, 212 patients (16.9%) the Qi Deficiency Pattern, and 194 patients (15.5%) the Yin Deficiency Pattern. After the regression analysis, the predictive logistic equations for each pattern were determined. Conclusion: The predictive equations for Fire Heat, Phlegm Dampness, Qi Deficiency, and Yin Deficiency would be useful to determine individual stroke patients' pattern identification in the clinical setting. However, further studies using objective measurements are necessary to validate these data.

Code Optimization Using Pattern Table (패턴 테이블을 이용한 코드 최적화)

  • Yun Sung-Lim;Oh Se-Man
    • Journal of Korea Multimedia Society
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    • v.8 no.11
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    • pp.1556-1564
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    • 2005
  • Various optimization techniques are deployed in the compilation process of a source program for improving the program's execution speed and reducing the size of the source code. Of the optimization pattern matching techniques, the string pattern matching technique involves finding an optimal pattern that corresponds to the intermediate code. However, it is deemed inefficient due to excessive time required for optimized pattern search. The tree matching pattern technique can result in many redundant comparisons for pattern determination, and there is also the disadvantage of high cost involved in constructing a code tree. The objective of this paper is to propose a table-driven code optimizer using the DFA(Deterministic Finite Automata) optimization table to overcome the shortcomings of existing optimization techniques. Unlike other techniques, this is an efficient method of implementing an optimizer that is constructed with the deterministic automata, which determines the final pattern, refuting the pattern selection cost and expediting the pattern search process.

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Construction of Design Pattern Retrieval System using Pattern Information (패턴 정보를 이용한 설계패턴 검색 시스템 구축)

  • 김귀정;송영재
    • The KIPS Transactions:PartD
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    • v.8D no.1
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    • pp.88-98
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    • 2001
  • in this paper, we imlemented design pattern retrieval system for efficient managemant and reusability of design patterns. Pattern is conssisted of property information and meta information id used for similarity measurement on classification and retrieval of patterns.Meta information od used for UML modeling of patterns. We classified design patterns with the empirical scope in addition to Gamma's basic classification. also we used E-SARM for retrieval represented UML diagram with pattern meta information, and simulated the environment so as to obtain best result on applying to retrieval of design pattern. This system is able ro resister new patterns through pattern viewer and manages these patterns with property informaiton and meta information. Thus this system supports efficient management of patterns, UML modeling, priority pattern retrieval, higher reusability and reduces pattern selection cost.

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A Study on the Basic Bodice Pattern for the Fatty Body -The subject of middle-aged women- (비만체형을 위한 기본 Bodice 원형연구 -중년기 부인을 중심으로-)

  • 한애미
    • Journal of the Korean Home Economics Association
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    • v.25 no.3
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    • pp.15-26
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    • 1987
  • The purpose of this study was to develop the pattern drafting method which would be suitable to their physical characteristics for the fatty body of 40∼55 aged Korean women who are more than 1.5 Rohrer's Index and 90㎝ bust girth. The study was composed as follows; 1. Body measurement and statistical analysis: One hundred and thirty women were measured on 29 items. Thirty-four items including 29 measured items and 5 calcutated items were analyzed statistically. 1) Mean, standard deviation, variance, maximum, minimum, range were computed. 2) Correlation coefficients between each items were computed. 2. Development of new bodice pattern drafting method: Measurement items necessary to draft new bodice pattern were bust girth, center back waist length, shoulder width, back width, chest and neck base girth. The new pattern was examined through three wearing tests for completion. 3. Evaluation of the new pattern drafting method: The new pattern was objectively evaluated by the sensory test. The sensory evaluation was applied to evaluate the new pattern for the fatty body women by comparint it with the conventional patterns. The results of sensory tests of the new pattern are as follows: 1) The composite reliability coefficient is 0.7698, and the reliability of sensory test shows high. 2) According to a statistical analysis of the result of the 23 items on the questionaire, all the items showed significant differences(α 0.01) between the two, with the new pattern having higher scores. The new pattern is better conventional pattern as the average mark of the former is 3.901 but that of latter is 2.926. The new pattern drafting method proved to be superior to the conventional one especially in the fitness at the center front neck point, shoulder point, side line, armscye depth, position of bust point, chest width line, under arm dart and the shoulder line.

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A Study on the Change of Waist Pattern by Upper Limb Motion -By the Method of Tight Fitting Technique- (상지동작에 따른 길의 변화에 관한 연구 -입체재단법을 중심으로-)

  • 이은정;박정순
    • Journal of the Korean Society of Clothing and Textiles
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    • v.20 no.1
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    • pp.113-127
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    • 1996
  • In this study, the pattern was copied by the method of Tight Fitting Techinque, which resulted from the changed body by the upper limb motion-front-vertical motion(or vertical motion in front), side-vertical motion, and horizontal motion. And, this study analyzed the change of the pattern and the observed items dimension changed to the pattern. The results are as follows: 1. In the observation of the degree of the pattern change according to the motion of upper limb, the result provides that the motion change in the range of $135^{\circ}$ to $180^{\circ}$ is the largest in front-vertical motion, $45^{circ}~90^{\circ}$ in side-vertical motion, and $0^{circ}~45^{\circ}$ in horizontal motion respectively. 2. The probability test result of the items of the motion is more related with the horizontal width item rather than the vertical length item in the front and back pattern where the back pattern has more effect than the front pattern. And the upper limb-surrounding items are more related than any otheer item. 3. The change of the pattern according to the motion shows the decrese of the neck width and the shoulder legth, the rising of the point of shoulder (or shoulder point) and armpit point, the decrease of the pattern width and the increase of the pattern length. As the angle of the motion grows vertically motion. The change of the shoulder length in the horizontal motion is smaller than that vertical. But as the angle of the motion grows horizontally, it has a tendency of decreas in th width of the front patten and the length of the pattern, whereas the width of the back pattern is noticeably increases.

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Study on Mechanistic Pattern Identification of Disease for NaeGyungPyen of DongEuiBoGam ("동의보감(東醫寶鑑)" 내경편(內景編)에 나타난 질병(疾病)의 병기론적(病機論的) 변증(辨證)화 연구 - 정신기혈(精神氣血)을 중심으로 -)

  • Kim, Yeong-Mok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.2
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    • pp.177-186
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    • 2010
  • This study is about researching DongEuiBoGam by analysing with pattern identification of modern Traditional Korean medical patholgy as more logical, systematic and standardized theory. Disease pattern mechanisms of essence, spirit, qi and blood in NaeGyungPyeb of DongEuiBoGam are these. In Essence, this explain mechanism of disease patterns those are seminal emission, dream emission, spermatorrhea, white ooze. These disease pattern's mechanisms are kidney yang deficiency, kidney yin deficiency, heart yang deficiency, heart yin deficiency, heart qi deficiency, spleen qi deficiency and so on. On viewpoints of viscera and bowels they are related with heart, kidney, spleen. And most of them are deficiency from deficiency-excess Pattern Identification. Classifying disease pattern of qi is about upward, downward movement and more concentrated deficiency than excess pattern. Fright palpitations can be classified heart deficiency with timidity, heart blood and qi deficiency, heart qi deficiency, heart blood deficiency, heart qi movement stagnation, water qi intimidating the heart, phlegm-fire harassing the heart, phlegm clouding the pericardium, and so on. Palpitations can be classified heart blood deficiency, heart yin deficiency, heart deficiency with timidity, heart spleen blood deficiency, spleen qi deficiency, phlegm-fire harassing the heart, intense heart fire, and so on. Forgetfulness can be classified heart spleen blood deficiency, heart spleen qi deficiency, kidney essence deficiency, heart qi deficiency, non-interaction between the heart and kidney, etc. for deficiency pattern, phlegm clouding the pericardium for excess pattern. In Blood just say inside bleeding pattern's category, there are nose bleeding, flopping syncope, qi counterflow, blood vomiting, hemoptysis, spitting of blood, bloody stool, hematuria, and so on. Like these, this study identify pattern of disease in DongEuiBoGam by mechanism of disease theory.

Clinical Practice Guideline for Taeeumin Disease of Sasang Constitutional Medicine: Esophagus Cold-based Exterior Cold (Wiwansuhan-pyohan) disease (태음인체질병증 임상진료지침: 표병)

  • Choi, Ae-Ryun;Shin, Mi-Ran;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.1
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    • pp.42-56
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    • 2015
  • Objectives This research was proposed to present Clinical Practice Guideline(CPG) for Taeeumin Disease of Sasang Constitutional Medicine(SCM): Esophagus Cold-based Exterior Cold (Wiwansuhan-pyohan) disease. This CPG was developed by the national-wide experts committee consisting of SCM professors. Methods First, collection and organization of literature related to SCM such as Donguisusebowon, Text book of SCM, Clinical Guidebook of SCM and Fundamental research to standardize diagnosis of Sasang Constitutional Medicine was performed. Secondly, journals related to clinical trial or Human complementary medicine of SCM were searched. Finally, 7 articles were selected and included in CPG for Esophagus Cold-based Exterior Cold (Wiwansuhan-pyohan) disease. Results & Conclusions The CPG of Esophagus Cold-based Exterior Cold (Wiwansuhan-pyohan) disease in Taeeumin Disease include classification, definition and standard symptoms of each pattern. Esophagus Cold-based Exterior Cold (Wiwansuhan-pyohan) disease consists of two aspects : Esophagus-Cold (Wiwanhan) and Esophagus-Cold Lung-Dry (Wiwanhan-paejo) symptomatology. Esophagus-Cold (Wiwanhan) symptomatology is classified into mild and moderate pattern by severity. Mild pattern of Esophagus-Cold (Wiwanhan) symptomatology is classified into Supraspinal Exterior (Baechu-pyo) initial and Wheezing-Dyspnea (Hyocheon) pattern. Moderate pattern of Esophagus-Cold (Wiwanhan) symptomatology is classified into Cold-reversal (Hanguel) and Cold-reversal (Hanguel) advanced pattern. And Esophagus-Cold Lung-Dry (Wiwanhan-paejo) symptomatology is classified into severe and critical pattern by severity. Severe pattern of Esophagus-Cold Lung-Dry (Wiwanhan-paejo) is classified into Dry-Cold (Johan) pattern and Dry-Cold (Johan) advanced pattern. Critical pattern of Esophagus-Cold Lung-Dry (Wiwanhan-paejo) symptomatology consists of Dry-Cold (Johan) intense pattern (Eumhyeol-mogal handa pattern).

A Study on the Rule for Creation of the Pattern Language of Christopher Alexander (크리스토퍼 알렉산더의 패턴언어 생성규칙에 관한 연구)

  • Jung, Sung-Wook;Kim, Moon-Duck
    • Korean Institute of Interior Design Journal
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    • v.26 no.1
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    • pp.75-82
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    • 2017
  • This study reviews the process of creating the patterns through the Christopher Alexander's books to discover the fundamental rules for creation of the pattern language. The essential ideas of 11 rules describing the characteristics of the pattern language are organized by keyword depending on the characteristics of each rule. Then, this study analyzes which keyword was applied importantly and how it had been developed chronologically in the Alexander's books. As a result, 5 keywords - reflection of cultural difference, reflection of human desires, solving the repeated problem, function suitable for principal purpose, and network structure - are applied to his early books in which the pattern language was theoretically developed, the pattern of traditional society was discovered and the network structure was developed. Another 5 keywords - user participation method, new problem solving, structure preserving transformation, post-mechanization method, and central invariant structure - are applied to the books in his mid-term after completion of the pattern theory which discover new pattern for contemporary society and apply the pattern language to time and space. In his later books which organize the theory of pattern language and suggest the direction for using the pattern language, 5 keywords - wholeness, post-mechanization method, user participation method, new problem solving, and structure preserving transformation - are applied. Users may use the pattern language more precisely if he/she considers the keywords of the early period in searching the patterns of existing environment, the keywords of the intermediate period in searching the patterns of new environment or in regard to time and space, and the keywords of the later period in considering direction of the application of the pattern language.

Correlations of Cold and Heat Pattern between Menstrual Symptoms and Whole Body Symptoms (월경통(月經痛) 증후(證候)와 전신(全身) 증후(證候)의 한열(寒熱) 상호 관련성 연구)

  • Hwang, Jae-Ho;Yun, Young-Jin
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.4
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    • pp.27-37
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    • 2012
  • Purpose: Dysmenorrhea is mostly depending on the causative factor, which usually falls under the categories of Cold and Heat pattern in traditional Oriental medical theories and diagnosis. Thus, we investigated menstruation symptom and sign related to dysmenorrhea and verified the validity of Cold and Heat pattern identification. Methods: We investigated menstruation symptom and sign related to dysmenorrhea in total 14 gynecology-medical books including ${\ll}$Exemplar Of Korean Medicine (Dongui Bogam)${\gg}$ and whole body symptom and sign identifying Cold and Heat pattern at the same time. A survey based on this investigation was carried out targeting women of childbearing age. Results: According to 14 gynecology-medical books, polymenorrhea is relevant to Heat pattern, oligomenorrhea to Cold pattern and darkness of menstrual blood is relevant to Heat pattern. Among the total of 343 womens, 196 subjects suffered from dysmenorrhea. The number of dysmenorrhea with polymenorrhea(Heat pattern) was 6 person, with oligomenorrhea(Cold pattern) was 27 person. And the number of dysmenorrhea with darkness of menstrual blood(Heat pattern) was 39 person. As the result of checking correlations of menstrual symptom scores and whole body symptom scores, there was no significance of Cold and Heat pattern between menstrual symptoms and whole body symptoms. Conclusions: The results suggest that the period of menstrual cycle and the color of menstrual blood provides some informations of Cold and Heat pattern identification. But considering with other whole body symptom and sign is needed for more precise result.

Study of Manufacturing Jewelry Master Pattern by Using the DuraForm Rapid Prototyping Mold and the Low Melting Alloy (쾌속조형 듀라폼몰도와 저융점합금을 이용한 주얼리용 마스터패턴 제작에 관한 연구)

  • Joo, Young-Cheol;Song, Oh-Sung
    • Journal of Korea Foundry Society
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    • v.22 no.5
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    • pp.265-270
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    • 2002
  • A novel jewelry master pattern manufacturing process which reduce manufacturing steps by employing a Duraform rapid prototyping mold and a low melting alloy has been suggested. The novel process follows the steps of 'jewelry 3D CAD design ${\rightarrow}$ Durafrom RP mold ${\rightarrow}$ low melting alloy master pattern' while the previous process follows more complicated steps of 'jewelry idea sketch ${\rightarrow}$ detailed drawing ${\rightarrow}$ wax carving ${\rightarrow}$ flask ${\rightarrow}$ silver master pattern.' An upper and a lower part of molds have been manufactured of Duraform powder, of which melting point is $190^{\circ}C$. A maser pattern was manufactured by pouring a low melting alloy of Pb-Sn-Bi-Cd, so called Woods Metal, of which melting point is $70^{\circ}C$, into the mold. The master pattern is a shape of a disk of 20mm diameter that contains various design factors. The variations of dimensions, surface roughness, surface pore ratio were measured by an optical microscope, a surface roughness profilometer, and a Rockwell hardness tester. The pattern made of were maeasured by an optical microscope, a surface roughness profilometer, and a Rockwell hardness tester. The pattern made of low melting alloy has sufficient surface hardness, and surface pore ratio to be used as the jewelry master pattern.