• Title/Summary/Keyword: (backward) control

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Incidence and Risk Factors of Acute Postoperative Delirium in Geriatric Neurosurgical Patients

  • Oh, Yoon-Sik;Kim, Dong-Won;Chun, Hyoung-Joon;Yi, Hyeong-Joong
    • Journal of Korean Neurosurgical Society
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    • v.43 no.3
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    • pp.143-148
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    • 2008
  • Objective: Postoperative delirium (POD) is characterized by an acute change in cognitive function and can result in longer hospital stays, higher morbidity rates, and more frequent discharges to long-term care facilities. In this study, we investigated the incidence and risk factors of POD in 224 patients older than 70 years of age, who had undergone a neurosurgical operation in the last two years. Methods: Data related to preoperative factors (male gender, >70 years, previous dementia or delirium, alcohol abuse, serum levels of sodium, potassium and glucose, and co-morbidities), perioperative factors (type of surgery and anesthesia, and duration of surgery) and postoperative data (length of stay in recovery room, severity of pain and use of opioid analgesics) were retrospectively collected and statistically analyzed. Results: POD appeared in 48 patients (21.4%) by postoperative day 3. When we excluded 26 patients with previous dementia or delirium, 17 spontaneously recovered by postoperative day 14, while 5 patients recovered by postoperative 2 months with medication, among 22 patients with newly developed POD. The univariate risk factors for POD included previously dementic or delirious patients, abnormal preoperative serum glucose level, pre-existent diabetes, the use of local anesthesia for the operation, longer operation time (>3.2 hr) or recovery room stay (>90 mini, and severe pain (VAS>6.8) requiring opioid treatment (p<0.05). Backward regression analysis revealed that previously dementic patients with diabetes, the operation being performed under local anesthesia, and severe postoperative pain treated with opioids were independent risk factors for POD. Conclusion: Our study shows that control of blood glucose levels and management of pain during local anesthesia and in the immediate postoperative period can reduce unexpected POD and help preventing unexpected medicolegal problems and economic burdens.

Design and Implementation of the ECBM for Inference Engine (추론엔진을 위한 ECBM의 설계 구현)

  • Shin, Jeong-Hoon;Oh, Myeon-Ryoon;Oh, Kwang-Jin;Rhee, Yang-Weon;Ryu, Keun-Ho;Kim, Young-Hoon
    • The Transactions of the Korea Information Processing Society
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    • v.4 no.12
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    • pp.3010-3022
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    • 1997
  • Expert system is one of AI area which was came out at the end of 19705s. It simulates the human's way of thinking to give solutions of Problem in many applications. Most expert system consists of many components such as inference engine, knowledge base, and so on. Especially the performance of expert system depends on the control of enfficiency of inference engine. Inference engine has to get features; tirst, if possible to minimize restrictions when the knowledge base is constructed second, it has to serve various kinds of inferencing methods. In this paper, we design and implement the inference engine which is able to support the general functions to knowledge domain and inferencing method. For the purpose, forward chaining, backward chaining, and direct chaining was employed as an inferencing method in order to be able to be used by user request selectively. Also we not on1y selected production system which makes one ease staradization and modulation to obtain knowledges in target domain, but also constructed knowledge base by means of Extended Clause Bit Metrics (ECBM). Finally, the performance evaluation of inference engine between Rete pattern matching and ECBM has been done.

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Kinematic and Structural Analysis of a 6-DOF Manipulator for Narrow-space Work (협소 공간 작업을 위한 6축 다관절 로봇의 기구학 및 구조해석)

  • Chung, Seong Youb;Choi, Du-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.666-672
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    • 2017
  • Our research team is developing a 6-DOF manipulator for narrow workspaces in press forming processes, such as placing PEM nuts on the bottom of a chassis. In this paper, kinematic analysis was performed for the position control of the manipulator, along with structural analyses for position accuracy with different payloads. First, the Denavit-Hatenberg (DH) parameters are defined, and then the forward and backward kinematic equations are presented using the DH parameters. The kinematic model was verified by visual simulation using Coppelia Robotics' virtual robot experimentation platform (V-REP). Position accuracy analysis was performed through structural analyses of deflection due to self-weight and deflection under full payload (5 kgf) in fully opened and fully folded states. The maximum generated stress was 22.05 MPa in the link connecting axes 2 and 3, which was confirmed to be structurally safe when considering the materials of the parts.

Realizing Mixed-Polarity MCT gates using NCV-|v1 > Library (NCV-|v1 >라이브러리를 이용한 Mixed-Polarity MCT 게이트 실현)

  • Park, Dong-Young;Jeong, Yeon-Man
    • The Journal of the Korea institute of electronic communication sciences
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    • v.11 no.1
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    • pp.29-36
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    • 2016
  • Recently a new class of quantum gate called $NCV-{\mid}v_1$ > library with low cost realizable potentialities is being watched with keen interest. The $NCV-{\mid}v_1$ > MCT gate is composed of AND cascaded-$CV-{\mid}v_1$ > gates to control the target qudit and its adjoint gates to erase junk ones. This paper presents a new symmetrical duality library named $NCV^{\dag}-{\mid}v_1$ > library corresponding to $NCV-{\mid}v_1$ > library. The new $NCV^{\dag}-{\mid}v_1$ > library can be operated on OR logic under certain conditions. By using both the $NCV-{\mid}v_1$ > and $NCV^{\dag}-{\mid}v_1$ > libraries it is possible to realize MPMCT gates, SOP and POS type synthesis of quantum logic circuits with extremely low cost, and expect dual gate property caused by different operational attributes with respect to forward and backward operations.

Stability of bimaxillary surgery involving intraoral vertical ramus osteotomy with or without presurgical miniscrew-assisted rapid palatal expansion in adult patients with skeletal Class III malocclusion

  • Ahn, Yoon-Soo;Choi, Sung-Hwan;Lee, Kee-Joon;Jung, Young-Soo;Baik, Hyoung-Seon;Yu, Hyung-Seog
    • The korean journal of orthodontics
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    • v.50 no.5
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    • pp.304-313
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    • 2020
  • Objective: The aim of this study was to evaluate the stability of bimaxillary surgery involving bilateral intraoral vertical ramus osteotomy performed with or without presurgical miniscrew-assisted rapid palatal expansion (MARPE) in adult patients with skeletal Class III malocclusion. Methods: A total of 40 adult patients with skeletal Class III malocclusion were retrospectively divided into two groups (n = 20 each) according to the use of MARPE for the correction of transverse maxillomandibular discrepancy during presurgical orthodontic treatment. Serial lateral cephalograms and dental casts were analyzed until 6 months after surgery. Results: Before presurgical orthodontic treatment, there was no significant differences in terms of sex and age between groups. However, the difference of approximately 3.1 mm in the maxillomandibular intermolar width was statistically significant (p < 0.001). Two days after surgery, the mandible had moved backward and upward without any significant intergroup difference. Six months after surgery, the maxillary intercanine (2.7 ± 2.1 mm), interpremolar (3.6 ± 2.4 mm), and intermolar (2.0 ± 1.3 mm) arch widths were significantly increased (p < 0.001) relative to the values before presurgical orthodontic treatment in the MARPE group; these widths were maintained or decreased in the control group. However, there was no significant difference in surgical changes and the postsurgical stability between the two groups. No significant correlations existed between the amount of maxillary expansion and postsurgical mandibular movement. Conclusions: MARPE is useful for stable and nonsurgical expansion of the maxilla in adult patients with skeletal Class III malocclusion who are scheduled for bimaxillary surgery.

The Gaiting Behaviour of the Grass Crab, Hemigrapsus penicillatus on the Nettings (망지에 대한 풀게(Heyhigrapsus penirillatus)의 보행운동)

  • KIM Yong-Hae;KO Kwan-Soh
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.20 no.3
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    • pp.177-184
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    • 1987
  • The quantitative mechanics on the sideways walking of the crabs may provide a basic solution for entanglements of the walking legs in gillnets. The gaiting behaviour of the crabs on the flat board and the nettings 10, 16 and 23 mm in mesh size were experimented concerning about stepping positions and times in the laboratory using video set on July, 1984, It was found that the irregular movements of walking crabs in stepping positions and patterns were appeared on the nettings due to the absence of mechanical contact in spite of neural control of compensating, while on the flat surface evolved systematic leg movements. The mean stride length and walking velocity, which were increased with the carapace width on the flat board, as well as the step period and forward by backward stroke time were greater than those values on the netting, not associated with the carapace or the mesh size. Also, the step period and the Phase difference on the nettings revealed larger fluctuation than on the flat board. The joint angles of the walking legs, on the nettings in meropodite-carporodite and thorax-meropodite, which joint was varied especially up to below horizon because of the falling legs through the netting twine, were virtually wider than those on the flat substrate.

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Hierarchical Network Synchronization of STAR Network based on TDMA (STAR 망 TDMA시스템의 계층적 망동기 방식)

  • Yoon, Juhyun
    • Journal of the Korea Society of Computer and Information
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    • v.19 no.1
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    • pp.77-84
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    • 2014
  • In this paper, we propose the hierarchical network synchronization scheme that is backward compatible for the existing commercial system, efficient for total system performance, and whose hardware modification is minimized. This system performance is, the relationship among bandwidth efficiency, complexity and MODEM performance, and superiority of network system applicability. The proposed structure can remedy the high hardware complexity and the lower accuracy of network sychronization that the existing satellite communication terminal system in the star network based on TDM/MF-TDMA of DVB-S2/RCS standards has. Besides, It has high efficiency in view of cost and system performance if the system designed for satellite broadcast requires system upgrade. In the body section, its hardware complexity and system performance of the proposed algorithm is analysed theoretically and treated with the related parameters(symbol rate, spreading factor, etc.) and the BER performance of control channel through the computer simulation for its verification that it can be applied for communications system.

A Study on Deterministic Utilization of Facilities for Allocation in the Semiconductor Manufacturing (반도체 설비의 효율성 제고를 위한 설비 할당 스케줄링 규칙에 관한 연구)

  • Kim, Jeong Woo
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.39 no.1
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    • pp.153-161
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    • 2016
  • Semiconductor manufacturing has suffered from the complex process behavior of the technology oriented control in the production line. While the technological processes are in charge of the quality and the yield of the product, the operational management is also critical for the productivity of the manufacturing line. The fabrication line in the semiconductor manufacturing is considered as the most complex part because of various kinds of the equipment, re-entrant process routing and various product devices. The efficiency and the productivity of the fabrication line may give a significant impact on the subsequent processes such as the probe line, the assembly line and final test line. In the management of the re-entrant process such as semiconductor fabrication, it is important to keep balanced fabrication line. The Performance measures in the fabrication line are throughput, cycle time, inventory, shortage, etc. In the fabrication, throughput and cycle time are the conflicting performance measures. It is very difficult to achieve two conflicting goal simultaneously in the manufacturing line. The capacity of equipment is important factor in the production planning and scheduling. The production planning consideration of capacity can make the scheduling more realistic. In this paper, an input and scheduling rule are to achieve the balanced operation in semiconductor fabrication line through equipment capacity and workload are proposed and evaluated. New backward projection and scheduling rule consideration of facility capacity are suggested. Scheduling wafers on the appropriate facilities are controlled by available capacity, which are determined by the workload in terms of the meet the production target.

Correlation between skeletal and dental changes after mandibular setback surgery-first orthodontic treatment: Cone-beam computed tomography-generated half-cephalograms

  • Rhee, Chang-Hoon;Choi, Youn-Kyung;Kim, Yong-Il;Kim, Seong-Sik;Park, Soo-Byung;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.45 no.2
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    • pp.59-65
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    • 2015
  • Objective: To investigate skeletal and dental changes after application of a mandibular setback surgery-first orthodontic treatment approach in cases of skeletal Class III malocclusion. Methods: A retrospective study of 34 patients (23 men, 11 women; mean age, $26.2{\pm}6.6years$) with skeletal Class III deformities, who underwent surgery-first orthodontic treatment, was conducted. Skeletal landmarks in the maxilla and mandible at three time points, pre-treatment (T0), immediate-postoperative (T1), and post-treatment (T2), were analyzed using cone-beam computed tomography (CBCT)-generated half-cephalograms. Results: The significant T0 to T1 mandibular changes occurred $-9.24{\pm}3.97mm$ horizontally. From T1 to T2, the mandible tended to move forward $1.22{\pm}2.02mm$, while the condylar position (Cd to Po-perpendicular plane) shifted backward, and the coronoid process (Cp to FH plane) moved vertically. Between T1 and T2, the vertical dimension changed significantly (p < 0.05). Changes in the vertical dimension were significantly correlated to T1 to T2 changes in the Cd to Po-perpendicular plane (r = -0.671, p = 0.034), and in the Cp to FH plane (r = 0.733, p = 0.016), as well as to T0 to T1 changes in the Cp to Po-perpendicular plane (r = 0.758, p = 0.011). Conclusions: Greater alterations in the vertical dimension caused larger post-treatment (T2) stage skeletal changes. Studying the mandibular position in relation to the post-surgical vertical dimension emphasized the integral importance of vertical dimension control and proximal segment management to the success of surgery-first orthodontic treatment.

A Key Distribution Protocol for Secure Multicasting in Large Dynamic Groups (대규모 동적 그룹에서 안전한 멀티캐스트를 위한 키 분배 프로토콜)

  • Kim, Tae-Yeon;Kim, Young-Kyoon
    • The KIPS Transactions:PartC
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    • v.9C no.4
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    • pp.597-604
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    • 2002
  • Changing group key is necessary for the remaining members when a new member joins or a member leaves the group in multicast communications. It is required to guarantee perfect forward and backward confidentiality. Unfortunately, in large groups with frequent membership changes, key changes become the primary bottleneck for scalable group. In this paper, we propose a novel approach for providing efficient group key distribution in large and dynamic groups. Unlike existing secure multicast protocols, our protocol is scalable to large groups because both the frequency and computational overhead of re-keying is determined by the size of a subgroup instead of the size of the whole group, and offers mechanism to prevent the subgroup managers with group access control from having any access to the multicast data that are transfered by sender. It also provides security service for preserving privacy in wireless computing environments.