• Title/Summary/Keyword: standard GA

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Effect of Prenatal Antibiotic Exposure on Neonatal Outcomes of Preterm Infants

  • Kim, Hyunjoo;Choe, Young June;Cho, Hannah;Heo, Ju Sun
    • Pediatric Infection and Vaccine
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    • v.28 no.3
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    • pp.149-159
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    • 2021
  • Purpose: Antibiotic exposure during pregnancy may affect the fetus and newborn in many ways. This study investigated the impact of prenatal antibiotic exposure duration on neonatal outcomes in very preterm (VP) or very low birth weight (VLBW) infants. Methods: From September 2015 to December 2020, preterm infants with gestational age less than 32 weeks or with a BW less than 1,500 g who were admitted to the neonatal intensive care unit, and their mothers were enrolled. Prenatal antibiotic exposure was defined as antibiotics received by mothers before delivery, and the patients were categorized into the non-antibiotic group, short-duration (SD; ≤7 days) group, or long-duration (LD; >7 days) groups. Results: A total of 93 of 145 infants were exposed to prenatal antibiotics, among which 35 (37.6%) were in the SD group and 58 (62.4%) were in the LD group. Infants in the LD group had a significantly higher birth weight-for-gestational-age (BW/GA) Z-score than those in the non-antibiotic group, even after the adjustment for confounding factors (beta, 0.258; standard error, 0.149; P<0.001). Multivariate logistic regression analysis showed that prolonged prenatal antibiotic exposure was independently associated with death (adjusted odds ratio [aOR], 8.926; 95% confidence interval [CI], 1.482-53.775) and composite outcomes of death, necrotizing enterocolitis (NEC), and late-onset sepsis (LOS) (aOR, 2.375; 95% CI, 1.027-5.492). Conclusions: Prolonged prenatal antibiotic exposure could increase the BW/GA Z-score and the risk of death and composite outcomes of death, NEC, and LOS in VP or VLBW infants.

Comparison of Three, Motion-Resistant MR Sequences on Hepatobiliary Phase for Gadoxetic Acid (Gd-EOB-DTPA)-Enhanced MR Imaging of the Liver

  • Kim, Doo Ri;Kim, Bong Soo;Lee, Jeong Sub;Choi, Guk Myung;Kim, Seung Hyoung;Goh, Myeng Ju;Song, Byung-Cheol;Lee, Mu Sook;Lee, Kyung Ryeol;Ko, Su Yeon
    • Investigative Magnetic Resonance Imaging
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    • v.21 no.2
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    • pp.71-81
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    • 2017
  • Purpose: To compare three, motion-resistant, T1-weighted MR sequences on the hepatobiliary phase for gadoxetic acid-enhanced MR imaging of the liver. Materials and Methods: In this retrospective study, 79 patients underwent gadoxetic acid-enhanced, 3T liver MR imaging. Fifty-nine were examined using a standard protocol, and 20 were examined using a motion-resistant protocol. During the hepatocyte-specific phase, three MR sequences were acquired: 1) gradient recalled echo (GRE) with controlled aliasing in parallel imaging results in higher acceleration (CAIPIRINHA); 2) radial GRE with the interleaved angle-bisection scheme (ILAB); and 3) radial GRE with golden-angle scheme (GA). Two readers independently assessed images with motion artifacts, streaking artifacts, liver-edge sharpness, hepatic vessel clarity, lesion conspicuity, and overall image quality, using a 5-point scale. The images were assessed by measurement of liver signal-to-noise ratio (SNR), and tumor-to-liver contrast-to-noise ratio (CNR). The results were compared, using repeated post-hoc, paired t-tests with Bonferroni correction and the Wilcoxon signed rank test with Bonferroni correction. Results: In the qualitative analysis of cooperative patients, the results for CAIPIRINHA had significantly higher ratings for streak artifacts, liver-edge sharpness, hepatic vessel clarity, and overall image quality as compared to, radial GRE, (P < 0.016). In the imaging of uncooperative patients, higher scores were recorded for ILAB and GA with respect to all of the qualitative assessments, except for streak artifact, compared with CAIPIRINHA (P < 0.016). However, no significant differences were found between ILAB and GA. For quantitative analysis in uncooperative patients, the mean liver SNR and lesion-to-liver CNR with radial GRE were significantly higher than those of CAIPIRINHA (P < 0.016). Conclusion: In uncooperative patients, the use of the radial GRE sequence can improve the image quality compared to GRE imaging with CAIPIRINHA, despite the data acquisition methods used. The GRE imaging with CAIPIRINHA is applicable for patients without breath-holding difficulties.

Multi-objective Genetic Algorithm for Variable Selection in Linear Regression Model and Application (선형회귀모델의 변수선택을 위한 다중목적 유전 알고리즘과 응용)

  • Kim, Dong-Il;Park, Cheong-Sool;Baek, Jun-Geol;Kim, Sung-Shick
    • Journal of the Korea Society for Simulation
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    • v.18 no.4
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    • pp.137-148
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    • 2009
  • The purpose of this study is to implement variable selection algorithm which helps construct a reliable linear regression model. If we use all candidate variables to construct a linear regression model, the significance of the model will be decreased and it will cause 'Curse of Dimensionality'. And if the number of data is less than the number of variables (dimension), we cannot construct the regression model. Due to these problems, we consider the variable selection problem as a combinatorial optimization problem, and apply GA (Genetic Algorithm) to the problem. Typical measures of estimating statistical significance are $R^2$, F-value of regression model, t-value of regression coefficients, and standard error of estimates. We design GA to solve multi-objective functions, because statistical significance of model is not to be estimated by a single measure. We perform experiments using simulation data, designed to consider various kinds of situations. As a result, it shows better performance than LARS (Least Angle Regression) which is an algorithm to solve variable selection problems. We modify algorithm to solve portfolio selection problem which construct portfolio by selecting stocks. We conclude that the algorithm is able to solve real problems.

A Study on the Printing Optimization by considering Eco-Friendly Printing and Printing Standards: Prepress (친환경과 표준 인쇄를 고려한 인쇄 최적화에 관한 연구: 프리 프레스)

  • Kim, Jun-Gon;Cho, Ga-Ram;Koo, Chul-Whoi
    • Journal of the Korean Graphic Arts Communication Society
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    • v.30 no.3
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    • pp.1-11
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    • 2012
  • According as the latest printing technology is converted from analogue to digital, life cycle of a printing technology is shortened and the existent printing companies were faced always in a new technology. Specially, way of foreign countries export opened because globalization of printing market is accelerated. But, printing buyers of advanced nation require standard printing process control. fect at product process step. Emphasized in IPA technical conference for past several years tendency about graphic art color proofing and technical analysis and comparison going through Color Proofing RoundUP. These researchers have developed a color management technology. A specially developed printing technology and reference characterization data brought certain high quality elevation in a graphic art proofing technology. When excessive GCR method application supervise printing, width of color conversion necks by requiring a lot of color conversions than proofing. But, these point is lacking relatively than a lot of effects that GCR gives. Therefore, correct interests of GCR algorithm and verification step to forecast beforehand result about actuality application are positively necessary. Therefore, this research forced into input file which is applied with different levels from input to print for printing optimization that consider standard printing with eco-friendly by method to solve these problem. And experimented using manuscript who GCR level is applied as is different in each field, and analyzed the result. Also, it is verification method by step to last printing from input file that solve been the various quality who generate in actuality field through these analysis result. ICC color management confirmed printing optimization process applying GCR algorithm improved to base.

A Study on Anti-Islanding Evaluation of Grid-Connected Power Conditioning System for Fuel Cell System in Parallel Operation (병렬 연결된 계통연계형 연료전지 전력변환장치의 단독운전방지 평가 연구)

  • Choi, Young-Joo;Oh, Gun-Woo;Kim, Min-Woo;Lee, Seung-Kuk;Park, Ga-Woo
    • Journal of the Korean Institute of Gas
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    • v.22 no.5
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    • pp.124-132
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    • 2018
  • The supply of renewable energy has become more vigorous due to Paris Agreement. In Korea, supply policies of renewable energy is being promoted with priority given to public buildings, so, the supply of fuel cell system that are relatively easy to install in buildings is expected to expand, so it is important that study on anti-islanding evaluation of grid-connected power conditioning system(PCS) for fuel cell. In this study, we consider that KGS AB934 PC53 in domestic certification standard of PCS for fuel cell correspond with abroad standard and analyze anti-islanding evaluation that important safety performance when connected grid. Additionally, we constructed a prototype for anti-islanding evaluation of PCS for fuel cell connected in parallel and carried out the demonstration evaluation, so, we have conducted ways that ensure safety performance in accordance with the circumstances where several fuel cell systems are installed.

A Study on the Optimal Selection Method of Screen Mesh for Domestic Halftone Screen Printing (국내 하프톤 스크린 인쇄를 위한 최적의 스크린 망사 선택 방법에 관한 연구)

  • Choi, In-Sik;Cho, Ga-Ram;Koo, Chul-Whoi
    • Journal of the Korean Graphic Arts Communication Society
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    • v.31 no.1
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    • pp.1-14
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    • 2013
  • Screen printing is a printing method with flexible plate surface characteristics. In addition, since the appearance of electronics industry the screen printing has been demanding high quality and definition. However, Screen printing is a method for taking ink through mesh opening because screen mesh tends to restrict quality of screen printing. In particular, the biggest problem compared with other printing type is halftone reproduction characteristics. Halftone reproduction characteristics for screen printing depend on screen mesh and opening. Dot losses or dot gains are observed through various types of screen mesh because thread of screen mesh interfere with the movement of the ink. Excessive dot losses or gains can affect the tonal range. Furthermore, this problem can result in other problem such as bad contrast and gray balance. Therefore, it is an important factor to use proper screen mesh for halftone screen printing. However, domestic screen printing industry relies on worker's experience in field rather than depending on objective data although standardized specifications and optimal printing conditions are required for screen printing. For this reason, it is important to stipulate standard condition for domestic screen printing industry. Therefore, it was examined to find tonal range by mesh opening in halftone prints process of screen printing used domestic paper and ink in this study. In addition, TVI(Tone Value Increase) characteristic was observed by comparing to the manuscripts and prints of the dot area ratio. Furthermore, contrast value and gray balance were confirmed for each condition of the printout. Conditions for the proper selection of screen mesh screen for the quality of the prints were also examined, compared with the international standard of screen printing, ISO 12647-5.

Analysis of Electrical/optical Characteristics Using Asymmetric MQW Structures for Deep-UV LEDs (비대칭 MQW 구조를 이용한 Deep-UV LED의 전기적/광학적 특성)

  • Son, Sung-Hun;Kim, Su-Jin;Kim, Tae-Geun
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.49 no.5
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    • pp.10-15
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    • 2012
  • In this work, we proposed the asymmetric MQW structure with gradually increased or decreased well thickness from n-layers to p-layers in order to improve the performance of DUV-LEDs. We report the simulation results of electrical/optical characteristics by using the SimuLED program. From the simulation results, we found that B structure with thickness of the wells gradually increased from the n-side to the p-side has the same forward voltage(Vf) as standard structure, but the light output power (Pout) was improved by a factor of 1.17 at 20mA compared with those of the standard structure.

Comparison and Consideration on Foreign Guidances for Establishing Risk Assessment Method of Total Petroleum Hydrocarbons in Korea (국내 석유계총탄화수소 위해성평가 방법 마련을 위한 국외 지침 비교 및 고찰)

  • Yun, Sung-Mi;Noh, Hoe-Jung;Kim, Ji-In;Yoon, Jeong-Ki;Lim, Ga-Hee;Lee, Hong-gil;Jo, Hun-Je;Kim, In-Ja;Hwang, Ji-Ae;Kim, Hyun-Koo
    • Journal of Soil and Groundwater Environment
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    • v.23 no.6
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    • pp.54-72
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    • 2018
  • This study reviewed standard operation procedures for fractionation and analytical methods of total petroleum hydrocarbons (TPH) in north america and european countries to aid proper establishment of risk assessment protocols associated with TPH exposure in Korea. In current, the TPH fraction methods established by Massachusetts Department of Environmental Protection (MassDEP) and Total Petroleum Hydrocarbon Criteria Working Group (TPHCWG) are most frequently employed worldwide. Both methods were developed on the basis of direct exposure of TPH from soil, although the method by TPHCWG also took into account the mobility of TPH. Volatile and extractable fractions of petroleum hydrocarbons were analyzed either separately or together. TPH fractionation methods were evaluated based on conservative toxicity values considering the uncertainty of risk assessment in light of current standard protocol for analyzing soil contaminants in Korea, and it was concluded that the method developed by MassDEP is more appropriate.

Establishment of Hygrothermal Aging Mechanism via Thermal Analysis and Extraction of Reaction Kinetics of Ti Metal-based Pyrotechnic Materials (티타늄 금속 기반의 파이로테크닉 물질에 대한 열분석 및 반응특성 추출을 통한 열·수분 노화 메커니즘 구축)

  • Oh, Juyoung;Yoh, Jai-ick
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.49 no.9
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    • pp.759-769
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    • 2021
  • For aerospace propulsion systems, Titanium Hydride Potassium Perchlorate (THPP) is a material commonly used as a pyrotechnic initiator that generates gas when energy is supplied or as a supplement charge for NASA standard initiator (NSI). However, when the energetic materials are stored for a long time, it faces the problem of 'aging'. In this study, changes in thermodynamic properties of THPP aged under various humidity environments were identified through thermal analysis and surface analysis. First, a considerable amount of cracks on the surface of the oxidant was found in the aged THPPs. Particularly, when the humidity level increased, the number and length of the cracks rapidly increased. Also, the deterioration of Viton was found only in the thermally aged sample whereas the oxidation of the fuel was more pronounced in the hygrothermally aged samples. The extracted kinetic parameters of THPP on the reaction progress vary greatly by the humidity level, indicating that moisture significantly changes the performance and combustion reaction of THPP, which may eventually result in a reduced lifespan.

Breakthroughs in the Systemic Treatment of HER2-Positive Advanced/Metastatic Gastric Cancer: From Singlet Chemotherapy to Triple Combination

  • Sun Young Rha;Hyun Cheol Chung
    • Journal of Gastric Cancer
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    • v.23 no.1
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    • pp.224-249
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    • 2023
  • Gastric cancer is heterogeneous in morphology, biology, genomics, and treatment response. Alterations in human epidermal growth factor receptor 2 (HER2) overexpression, microsatellite instability (MSI) status, programmed death-ligand 1 (PD-L1) levels, and fibroblast growth factor receptor 2 (FGFR2) can be used as biomarkers. Since the combination of fluoropyrimidine/platinum plus trastuzumab that was investigated in the ToGA trial was approved as a standard of care in HER2-positive patients in 2010, no other agents showed efficacy in the first- (HELOISE, LOGiC, JACOB trials) and second- (TyTAN, GATSBY, T-ACT trials) line treatments. Despite the success in treating breast cancer, various anti-HER2 agents, including a monoclonal antibody (pertuzumab), an antibody-drug conjugate (ADC; trastuzumab emtansine [T-DM1]), and a small molecule (lapatinib) failed to translate into clinical benefits until the KEYNOTE-811 (first-line) and DESTINY-Gastri01 (≥second-line) trials were conducted. The incorporation of HER2-directed treatment with immune checkpoint inhibitors in the form of a monoclonal antibody or ADC is now approved as a standard treatment. Despite the promising results of new agents (engineered monoclonal antibodies, bi-specific antibodies, fusion proteins, and small molecules) in the early phase of development, the management of HER2-positive gastric cancer requires further optimization to achieve precision medicine with a chemotherapeutic backbone. Treatment resistance is a complex process that can be overcome using a combination of chemotherapy, targeted agents, and immune checkpoint inhibitors, including novel agents. HER2 status must be reassessed in patients undergoing anti-HER2 treatment with disease progression after the first-line treatment. As a general guideline, patients who need systemic treatment should receive chemotherapy plus targeted agents, anti-angiogenic agents, immune checkpoint inhibitors, or their combinations.