• 제목/요약/키워드: Cause classification

검색결과 701건 처리시간 0.024초

R 피크 검출 정확도를 개선한 홀터 심전도 모니터의 개발 (Development of Holter ECG Monitor with Improved ECG R-peak Detection Accuracy)

  • 최정현;강민호;박준호;권기구;배태욱;박준모
    • 융합신호처리학회논문지
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    • 제23권2호
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    • pp.62-69
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    • 2022
  • 의료현장에서는 최근 디지털 헬스케어의 중요성이 대두되면서, 다양한 형태의 생체신호 측정 관련 연구가 활발히 진행되고 있다. 생체신호 중 가장 중요한 신호로 심전도를 들 수 있으며, 특히 부정맥 환자에 있어 심전도 신호의 연속 모니터링은 매우 중요하다. 부정맥은 동결절(sinus node), 동빈맥(sinus tachycardia), 심방조기수축(atrial premature beat, APB), 심실세동 (ventricular fibrillation) 등으로 그 발병원에 따른 형태가 다양하며, 발병 이후의 예후가 좋지 않으므로 일상 중 연속 모니터링은 부정맥의 조기 진단과 치료방향 설정에서 매우 중요하다. 부정맥 환자의 심전도 신호는 매우 불안정하며, 부정맥을 자동 검출하기 위한 주요 특징점으로 작용하는 정확한 R-peak 포인트의 검출이 어렵다. 본 연구에서는 연속 측정하는 홀터 심전도 모니터링 기기와 분석용 소프트웨어를 개발하였으며, 부정맥 데이터베이스를 통해 심전도 신호의 R-peak 효용성을 확인하였다. 향후 연구에서는 다양한 발병원인으로 인한 부정맥의 형태적 구분 및 예측을 위한 알고리즘과 임상 데이터에 근거한 유효성 검증에 관한 추가 연구가 필요하다.

Current technologies, regulation, and future perspective of animal product analogs - A review

  • Seung Yun Lee;Da Young Lee;Jae Won Jeong;Jae Hyeon Kim;Seung Hyeon Yun;Ermie Jr. Mariano;Juhyun Lee;Sungkwon Park;Cheorun Jo;Sun Jin Hur
    • Animal Bioscience
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    • 제36권10호
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    • pp.1465-1487
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    • 2023
  • The purpose of this study was to investigate the recent development of meat analog, industrialization, and the related legal changes worldwide. Summarizing the current status of the industrialization of meat analog, studies on plant-based meat, mycoprotein, and edible insects were mainly conducted to investigate their sensory properties (texture, taste, flavor, and color resembling meat), nutritional and safety evaluations, acquisition method of meat alternatives, and commercialization. Cultured meat is mainly studied for developing muscle satellite cell acquisition and support techniques or materials for the formation of structures. However, these technologies have not reached the level for active industrialization. Even though there are differences in the food categories and labeling between countries, it is common to cause confusion or to relay false information to consumers; therefore, it is important to provide accurate information. In this study, there were some differences in the food classification and food definition (labeling) contents for each country and state depending on the product shape or form, raw materials, and ingredients. Therefore, this study can provide information about the current research available on meat alternatives, improve regulation, and clarify laws related to the meat analog industry, which can potentially grow alongside the livestock industry.

사상체질병증(四象體質病證) 관리(管理)가 중풍(中風) 초기(初期) 환자(患者)에 미치는 효과(效果)에 대한 임상적(臨床的) 연구(硏究) - 태음인(太陰人) 환자(患者)를 대상으로- (The Clinical Study on the Effect of Sasang Constitutional Medical Therapy for Taeumin Patients in acute stroke.)

  • 이범준;이준희;김상복;박계수;정용재;이희주;고병희;송일병
    • 사상체질의학회지
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    • 제13권3호
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    • pp.23-30
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    • 2001
  • Objective : Stroke is the most frequent cause of death in Korea. Because it remains severe disablities disturbing normal life, it is important to carry out intervention preventing from progression of condition in patients with acute ischemic stroke within therapeutic time window. Thus early western intervention is necessary and beneficial for patients with acute stroke. However its therapeutic efficacy is not known in combination with Sasang Constitutional medical therapy. In this study, we investigated the clinical effect of East(Sasang Constitutional Medicine)-West integrated therapy. Methods : Among 54 patients with acute onset of stroke no later than seven days, 34 patients received East(Sasang Constitutional Medicine)-West integrated therapy and 20 pateints received West medical therapy. We estimated the subjects's status with Sasang Constitutional Symptomatic Scale (SCSS) prior to therapy and at 1 week, 2 weeks, 3 weeks after the starting each therapy. Results : There is no significant difference in SCSS between two group from admission to 1 week. But significant difference was observed after 2 weaks. Conclusion : The results of these investment suggest that East(Sasang Constitutional medicine)-West integrated therapy is more effective in Sasang Constitutional Pathology.

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중국의 상장기업에서 소유구조가 기업의 성과에 미치는 영향 (The Impacts of Ownership Structure on Performance of Listed Firms in China)

  • 강영삼
    • 국제지역연구
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    • 제13권1호
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    • pp.241-263
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    • 2009
  • 이 논문은 1994년부터 2002년까지의 중국 상장기업의 데이터를 이용, 기업의 소유구조가 기업성과에 미치는 영향을 분석한 것이다. 특히 이 논문은 중국의 상장기업에 관한 새로운 주식 분류체계를 이용하여 기업 지배주주의 유형, 지배주주의 지분, 소주주들의 지분이 기업성과에 미치는 영향을 분석하고, 관련 가설을 검증하였다. 이 연구를 통해 얻은 결론은 다음과 같다. 주주로서 국가의 존재가 이윤보다는 고용을 유지하는 등 정책적 목표를 우선적으로 추구하거나 혹은 당과 정부의 개입을 초래함으로써 정치비용을 발생시켜 기업성과에 부정적인 영향을 끼칠 것이라는 주장은 적어도 정부지배 기업에게는 적용될 수 있음을 확인하였다. 아울러, 지배주주의 지분이 클수록 지배주주가 경영자에 대한 감시를 강화할 유인이 커지거나 혹은 지배주주가 소주주를 착취(expropriate)할 유인이 줄어 드는 것으로 인해 기업성과에 양의 영향을 미치게 된다는 주장은 민간기업 및 부분적으로는 시장화 국유기업에는 적용될 수 있는 것으로 나타났다. 마지막으로 소주주들은 경영자 감시에 적극적으로 나섬으로써 기업성과에 양의 영향을 미친다는 주장은 시장화 국유기업과 부분적으로는 민간 기업에는 적용될 수 있는 것으로 나타났다.

『의림촬요(醫林撮要)』의 침구법에 대한 연구 (A Study of the Acupuncture of Uirimchalyo)

  • 정유옹;국수호;한창연;강연석;조명래;차웅석
    • 한국의사학회지
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    • 제35권1호
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    • pp.37-44
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    • 2022
  • Uirimchalyo (醫林撮要) was published in advance of the Donguibogam (東醫寶鑑) in the middle of the Joseon Dynasty. This book was a pioneering form of the Donguibogam. This paper examines the acupuncture and moxibustion methods used within Uirimchalyo. Because this book was produced for the general public as well as professional Korean medicine doctors, it did not present complex symptom classification and complicated acupuncture prescriptions. Instead, it summarized acupoints in a simple way and could be used as a standardized treatment guideline. In addition, in the acu-moxa methods of the Uirimchalyo, moxibustion was used more than acupuncture. This implies that the author's intention was to treat the disease gently, and furthermore, that the book inherits the acu-moxa method of Hyangyakjipseongbang (鄕藥集成方). There are many suggestions of experienced prescriptions, which can be seen as focusing on experience-based medicine. In addition, the characteristic of not using many acupuncture points served as the cause of the emergence of Saam acupuncture techniques.

An Attention-based Temporal Network for Parkinson's Disease Severity Rating using Gait Signals

  • Huimin Wu;Yongcan Liu;Haozhe Yang;Zhongxiang Xie;Xianchao Chen;Mingzhi Wen;Aite Zhao
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제17권10호
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    • pp.2627-2642
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    • 2023
  • Parkinson's disease (PD) is a typical, chronic neurodegenerative disease involving the concentration of dopamine, which can disrupt motor activity and cause different degrees of gait disturbance relevant to PD severity in patients. As current clinical PD diagnosis is a complex, time-consuming, and challenging task that relays on physicians' subjective evaluation of visual observations, gait disturbance has been extensively explored to make automatic detection of PD diagnosis and severity rating and provides auxiliary information for physicians' decisions using gait data from various acquisition devices. Among them, wearable sensors have the advantage of flexibility since they do not limit the wearers' activity sphere in this application scenario. In this paper, an attention-based temporal network (ATN) is designed for the time series structure of gait data (vertical ground reaction force signals) from foot sensor systems, to learn the discriminative differences related to PD severity levels hidden in sequential data. The structure of the proposed method is illuminated by Transformer Network for its success in excavating temporal information, containing three modules: a preprocessing module to map intra-moment features, a feature extractor computing complicated gait characteristic of the whole signal sequence in the temporal dimension, and a classifier for the final decision-making about PD severity assessment. The experiment is conducted on the public dataset PDgait of VGRF signals to verify the proposed model's validity and show promising classification performance compared with several existing methods.

Characterizations of four freshwater amoebae including opportunistic pathogens newly recorded in the Republic of Korea

  • Hyeon Been Lee;Jong Soo Park
    • Journal of Ecology and Environment
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    • 제47권3호
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    • pp.118-133
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    • 2023
  • Background: Free-living amoebae (FLA) are widely distributed in freshwater, seawater, soil, and extreme environments, and play a critical role as feeders on diverse preys in the ecosystem. Also, some FLA can become opportunistic pathogens in animals including humans. The taxa Amoebozoa and Heterolobosea are important amoeboid groups associated with human pathogens. However, the identification and habitat of amoebae belonging to Amoebozoa and Heterolobosea remain poorly reported in the Republic of Korea. This study highlights the first record for identification and source of four amoebae including putative pathogens in the Republic of Korea. Results: In the present study, four previously reported FLA were isolated from freshwaters in Sangju Gonggeomji Reservoir (strain GO001), one of the largest reservoirs during the Joseon Dynasty period, and along the Nakdong River, the largest river in the Republic of Korea (strains NR5-2, NR12-1, and NR14-1) for the first time. Microscopic observations and 18S rDNA phylogenetic trees revealed the four isolated strains to be Acanthamoeba polyphaga (strains NR5-2 and NR12-1), Tetramitus waccamawensis (strain GO001), and Naegleria australiensis (strain NR14-1). Strains NR5-2 and NR12-1 might be the same species and belonged to the morphological Group 2 and the T4 genotype of Acanthamoeba. Strain GO001 formed a clade with T. waccamawensis in 18S rDNA phylogeny, and showed morphological characteristics similar to previously recorded strains, although the species' flagellate form was not observed. Strain NR14-1 had the typical morphology of Naegleria and formed a strongly supported clade with previously recorded strains of N. australiensis in phylogenetic analysis of 18S rDNA sequences. Conclusions: On the bases of morphological and molecular analyses, four strains of FLA were newly observed and classified in the Republic of Korea. Three strains belonging to the two species (A. polyphaga and N. australiensis) isolated from the Nakdong River have the potential to act as opportunistic pathogens that can cause fatal diseases (i.e. granulomatous amoebic encephalitis, Acanthamoeba Keratitis, and meningoencephalitis) in animals including humans. The Nakdong River in the Republic of Korea may provide a habitat for potentially pathogenic amoebae, but additional research is required to confirm the true pathogenicity of these FLA now known in the Republic of Korea.

상복부 초음파 영상에서 간경변증 환자군과 대조군의 담석증 유병률 연구 (Investigation of the Prevalence of Cholelithiasis in Liver Cirrhosis Cases and Controls on Upper Abdominal Ultrasound Images)

  • 조청현;김용권;유세종;배석환
    • 대한방사선기술학회지:방사선기술과학
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    • 제46권6호
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    • pp.553-560
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    • 2023
  • This study aimed to understand the correlations of prevalence and relevant variables of cholelithiasis with a group of cirrhosis patients and a control group targeting the subjects who received the abdomen ultrasonography from K university hospital in Daejeon Metropolitan City from January 1st 2019 to December 31st. And the results are as follows. First, the group of cirrhosis patients showed relatively higher prevalence of cholelithiasis than the control group as ordinary people, which showed statistically significant differences. Second, in the control group, there were statistically significant differences in the occurrence of cholelithiasis with respect to age. Conversely, in the cirrhosis patient, there was no statistically significant association observed with age; nonetheless, age itself exhibited statistical significance. Third, according to sex, the prevalence was not statistically significant in both group of cirrhosis patients and control group. Fourth, in each degree and cause of subdivided cirrhosis, the correlation was only shown in each degree. In the results of this study, the cirrhosis patients showed high correlation with the incidence of cholelithiasis, and the control group showed the high correlation with the incidence of cholelithiasis according to age.

한의 논문들의 고찰을 통한 구강건조증과 구강작열감증후군의 비교 연구 (A Comparative Study of Xerostomia and Burning Mouth Syndrome through Review of Korean Medicine Articles)

  • 권강;허은나;정미래;이마음;서형식
    • 한방안이비인후피부과학회지
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    • 제37권1호
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    • pp.69-85
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    • 2024
  • Objectives : By analyzing articles on xerostomia and burning mouth syndrome, two representative diseases that cause various symptoms in oral cavity. Methods : We analyzed articles by dividing them into review articles, original articles, case reports. The subjects were 11 articles on xerostomia and 13 articles on burning mouth syndrome published in Korean medical journals. Results : 1. The subjects were 11 articles on xerostomia and 13 articles on burning mouth syndrome published in Korean medical journals. 2. The first article was published in 2007 and the most published articles were three each in 2013, 2018 and 2022. 3. Classification by type of article was as follows: 2 review articles(8.3%), 16 original articles(66.7%) and 6 case reports(25.0%). 4. The journal with the most published articles was journal of internal Korean medicine and the topics were xerostomia(72.7%), burning mouth syndrome(76.9%). 5. For both diseases, the number of female patients was higher than that of male patients. 6. The main symptom of xerostomia is dryness in the mouth and the main symptom of burning mouth syndrome is pain in the oral cavity. 7. Questionnaires, diagnosis based on dialectics and diagnostic devices were used to diagnose xerostomia and burning mouth syndrome. Conclusion : Diagnosis of xerostomia and burning mouth syndrome require overall consideration the entire hum an body along with the oral cavity. Since there are many different diagnostic methods, appropriate methods must be carefully selected and used.

Bipolar Hemiarthroplasty in Unstable Intertrochanteric Fractures with an Effective Wiring Technique

  • Jae-Hwi Nho;Gi-Won Seo;Tae Wook Kang;Byung-Woong Jang;Jong-Seok Park;You-Sung Suh
    • Hip & pelvis
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    • 제35권2호
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    • pp.99-107
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    • 2023
  • Purpose: Bipolar hemiarthroplasty has recently been acknowledged as an effective option for treatment of unstable intertrochanteric fracture. Trochanteric fragment nonunion can cause postoperative weakness of the abductor muscle and dislocation; therefore, reduction and fixation of the fragment is essential. The purpose of this study was to perform an evaluation and analysis of the outcomes of bipolar hemiarthroplasty using a useful wiring technique for management of unstable intertrochanteric fractures. Materials and Methods: A total of 217 patients who underwent bipolar hemiarthroplasty using a cementless stem and a wiring technique for management of unstable intertrochanteric femoral fractures (AO/OTA classification 31-A2) at our hospital from January 2017 to December 2020 were included in this study. Evaluation of clinical outcomes was performed using the Harris hip score (HHS) and the ambulatory capacity reported by patients was classified according to Koval stage at six months postoperatively. Evaluation of radiologic outcomes for subsidence, breakage of wiring, and loosening was also performed using plain radiographs at six months postoperatively. Results: Among 217 patients, five patients died during the follow-up period as a result of problems unrelated to the operation. The mean HHS was 75±12 and the mean Koval category before the injury was 2.5±1.8. A broken wire was detected around the greater trochanter and lesser trochanter in 25 patients (11.5%). The mean distance of stem subsidence was 2.2±1.7 mm. Conclusion: Our wiring fixation technique can be regarded as an effective additional surgical option for fixation of trochanteric fracture fragments during performance of bipolar hemiarthroplasty.