• 제목/요약/키워드: Communication method

검색결과 15,316건 처리시간 0.048초

발살바동류 및 파열의 수술 후 장기 성적 (Long-term Result after Repair of Sinus Valsalva Aneurysm Rupture)

  • 임상현;장병철;주현철;강면식;홍유선
    • Journal of Chest Surgery
    • /
    • 제38권10호
    • /
    • pp.693-698
    • /
    • 2005
  • 배경: 발살바동류(Sinus Valsalva Aneurysm, SVA)는 드문 질환으로, 심실중격결손증과 대동맥판막 궤쇄부전 등이 흔하게 동반되는 것으로 알려져 있다 이에 대한 치료로는 여러 가지 접근 방법을 통한 수술 기법이 시도되고 있지만 국내에서의 수술 치료 후 장기적인 결과는 보고된 바가 없다. 저자들은 지난 30년간 발살바동류 및 발살바동 파열로 수술 받은 환자들의 임상 기록을 고찰하여, 발살바동류 및 발살바동 파열의 수술 후 장기 성적을 살펴보았다. 대상 및 방법: 1974년 3월부터 2002년 2월까지 연세대학교 심장혈관병원에서 SVA 및 파열로 수술을 시행한 81명을 대상으로 후향적인 조사를 시행하였는데, 환자들의 평균 나이는 $29.2\pm1l.5$세였고 남자가 49명이었다. SVA에 동반된 심장 기형으로는 VSD가 50예, 동맥관 개존증과 Bechet's병이 각각 2예, 활로 4증후군, 우심실유출로 협착 그리고 대동맥륜 확장이 각각 1예에서 있었다. 77명$(95\%)$의 환자들에서 SVA의 파열이 있었으며, 14명의 환자들에서 아급성 세균성 심내막염이 동반되어 있었다. 대동맥판막 폐쇄부전은 grade I: 8명, II: 10명, III: 9명, IV: 4명에서 발견되었다. 발살바동류는 우관상동 부위에서 66예$(81\%)$로 가장 많이 발견되었으며, 발살바동류의 파열은 우심실과의 교통이 가장 많았다(53/77). 수술은 첨포를 사용한 경우가 37예, 직접 봉합을 한 경우가 38예, 기타의 방법이 1예 있었다. 결과: 수술 사망이 1명 있었다(수술 사망률=$1.2\%$). 환자들의 추적관찰은 2명을 제외한 78명에서 가능하였는데(추적률=$97.5\%$), 평균 추적기간은 $123.3\pm80.9 (3\~330)$개월이었다. 추적 기간 중에 3명의 환자가 사망하였으며(사망률=$3.8\%$), 1명의 환자는 심부전으로, 1명의 환자는 부정맥으로 사망하였으며, 1명의 환자는 원인을 알 수 없이 사망하였다. SVA수술 후 2명의 환자에서 추적 기간 중에 완전 방실차단이 발생하였으며, SVA수술과 관련하여 재발한 경우는 없었다. Kaplan-Meier 방법에 의한 생존율은 15년과 27년에 각각 $92.5\pm3.5\%$로 매우 양호한 결과를 나타내었다. 결론: 발상바동류 및 파열의 수술 결과는 매우 양호하였으며, 장기간의 생존율도 만족할 만하였다.

PLS 경로모형을 이용한 IT 조직의 BSC 성공요인간의 인과관계 분석 (A PLS Path Modeling Approach on the Cause-and-Effect Relationships among BSC Critical Success Factors for IT Organizations)

  • 이정훈;신택수;임종호
    • Asia pacific journal of information systems
    • /
    • 제17권4호
    • /
    • pp.207-228
    • /
    • 2007
  • Measuring Information Technology(IT) organizations' activities have been limited to mainly measure financial indicators for a long time. However, according to the multifarious functions of Information System, a number of researches have been done for the new trends on measurement methodologies that come with financial measurement as well as new measurement methods. Especially, the researches on IT Balanced Scorecard(BSC), concept from BSC measuring IT activities have been done as well in recent years. BSC provides more advantages than only integration of non-financial measures in a performance measurement system. The core of BSC rests on the cause-and-effect relationships between measures to allow prediction of value chain performance measures to allow prediction of value chain performance measures, communication, and realization of the corporate strategy and incentive controlled actions. More recently, BSC proponents have focused on the need to tie measures together into a causal chain of performance, and to test the validity of these hypothesized effects to guide the development of strategy. Kaplan and Norton[2001] argue that one of the primary benefits of the balanced scorecard is its use in gauging the success of strategy. Norreklit[2000] insist that the cause-and-effect chain is central to the balanced scorecard. The cause-and-effect chain is also central to the IT BSC. However, prior researches on relationship between information system and enterprise strategies as well as connection between various IT performance measurement indicators are not so much studied. Ittner et al.[2003] report that 77% of all surveyed companies with an implemented BSC place no or only little interest on soundly modeled cause-and-effect relationships despite of the importance of cause-and-effect chains as an integral part of BSC. This shortcoming can be explained with one theoretical and one practical reason[Blumenberg and Hinz, 2006]. From a theoretical point of view, causalities within the BSC method and their application are only vaguely described by Kaplan and Norton. From a practical consideration, modeling corporate causalities is a complex task due to tedious data acquisition and following reliability maintenance. However, cause-and effect relationships are an essential part of BSCs because they differentiate performance measurement systems like BSCs from simple key performance indicator(KPI) lists. KPI lists present an ad-hoc collection of measures to managers but do not allow for a comprehensive view on corporate performance. Instead, performance measurement system like BSCs tries to model the relationships of the underlying value chain in cause-and-effect relationships. Therefore, to overcome the deficiencies of causal modeling in IT BSC, sound and robust causal modeling approaches are required in theory as well as in practice for offering a solution. The propose of this study is to suggest critical success factors(CSFs) and KPIs for measuring performance for IT organizations and empirically validate the casual relationships between those CSFs. For this purpose, we define four perspectives of BSC for IT organizations according to Van Grembergen's study[2000] as follows. The Future Orientation perspective represents the human and technology resources needed by IT to deliver its services. The Operational Excellence perspective represents the IT processes employed to develop and deliver the applications. The User Orientation perspective represents the user evaluation of IT. The Business Contribution perspective captures the business value of the IT investments. Each of these perspectives has to be translated into corresponding metrics and measures that assess the current situations. This study suggests 12 CSFs for IT BSC based on the previous IT BSC's studies and COBIT 4.1. These CSFs consist of 51 KPIs. We defines the cause-and-effect relationships among BSC CSFs for IT Organizations as follows. The Future Orientation perspective will have positive effects on the Operational Excellence perspective. Then the Operational Excellence perspective will have positive effects on the User Orientation perspective. Finally, the User Orientation perspective will have positive effects on the Business Contribution perspective. This research tests the validity of these hypothesized casual effects and the sub-hypothesized causal relationships. For the purpose, we used the Partial Least Squares approach to Structural Equation Modeling(or PLS Path Modeling) for analyzing multiple IT BSC CSFs. The PLS path modeling has special abilities that make it more appropriate than other techniques, such as multiple regression and LISREL, when analyzing small sample sizes. Recently the use of PLS path modeling has been gaining interests and use among IS researchers in recent years because of its ability to model latent constructs under conditions of nonormality and with small to medium sample sizes(Chin et al., 2003). The empirical results of our study using PLS path modeling show that the casual effects in IT BSC significantly exist partially in our hypotheses.

세분류 토지피복지도 분류체계 개선방안 연구 - 환경부 토지피복지도를 중심으로 - (A Study on the Improvement of Sub-divided Land Cover Map Classification System - Based on the Land Cover Map by Ministry of Environment -)

  • 오관영;이명진;노우영
    • 대한원격탐사학회지
    • /
    • 제32권2호
    • /
    • pp.105-118
    • /
    • 2016
  • 본 연구는 현재 환경부에서 제공하는 토지피복지도 중 세분류 토지피복지도의 분류체계를 개선하기 위한 것이다. 이를 위하여 첫째, 해외 토지피복지도 분류 항목을 중점 검토하였다. 둘째, 기존 세분류 분류체계를 적용하여 구축된 항목 당 면적비율을 분석하였다. 셋째, 실제 세분류 토지피복지도를 사용하는 사용자(전문가 및 일반인)을 대상으로 분류체계 개선에 대하여 설문조사를 수행하였다. 넷째, 최종적으로 기존 41개 분류체계를 33개 항목으로 개선하는 분류체계를 설정하였다. 다섯째, 설정된 토지피복 분류항목을 시범 적용하였으며, 기존 분류체계와 개선안에 따른 토지피복 분류 결과를 비교하였다. 연구대상지는 시가화 지역, 농경지등 다양한 지표특성을 지니고, 지형지물이 비교적 골고루 분포되어 있는 고양시 일산 지역을 대상으로 하였다. 연구에 사용된 기본 영상은 국토지리정보원에서 촬영하고 있는 0.25 m 급 정사항공영상이며, 관련 참조자료는 수치지형도, 정밀 임상도, 지적도, 행정구역도 등을 사용하였다. 개선된 분류체계를 시범지역에 적용한 결과 문화체육 휴양시설이 $1.84km^2$으로 분류되었으며, 이는 기존 분류체계 면적대비 약 2배 이상 증가한 것이다. 기타 교통통신시설 및 교육행정시설 등은 분류되지 않았다. 본 연구결과는 향후 세분류 토지피복지지도 구축과 갱신의 효율성과 실질적인 사용자 수요를 반영하였다는데 의의가 있다.

GOCI AOD를 이용한 서울 지역 지상 PM2.5 농도의 경험적 추정 및 일 변동성 분석 (Empirical Estimation and Diurnal Patterns of Surface PM2.5 Concentration in Seoul Using GOCI AOD)

  • 김상민;윤종민;문경정;김덕래;구자호;최명제;김광년;이윤곤
    • 대한원격탐사학회지
    • /
    • 제34권3호
    • /
    • pp.451-463
    • /
    • 2018
  • 본 연구는 서울지역에서 2015년 1월부터 12월까지 정지궤도 천리안 위성(Communication Ocean and Meteorological Satellite, COMS) 해양 탑재체(Geostationary Ocean Color Imager, GOCI)의 에어로졸광학두께(Aerosol Optical Depth, AOD)로부터 지상 초미세먼지(Particulate Matter; $PM_{2.5}$) 농도를 추정하기 위한 계절별 경험/통계모델을 개발했다. 행성경계층고도(Planetary Boundary Layer Height, PBLH) 그리고 에어로졸 수직 비율(Vertical Ratio of Aerosol, VRA)을 사용한 두 가지 수직보정방법과 흡습성장계수(Hygroscopic growth factor, f(RH))로부터의 습도보정방법이 각각의 경험적 모델에 적용된 결과 AOD에 대한 수직 보정과 $PM_{2.5}$에 대한 지표 습도보정이 모델 성능 향상에 중요한 역할을 했다. AOD-$PM_{2.5}$ 사이에 관련이 있다고 알려진 기상인자들(온도, 풍속, 시정)을 추가적으로 사용하여 다중 선형 회귀모델을 구성한 결과 경험모델에 비해 $R^2$값이 최대 0.25 증가했다. 본 연구에선 AOD-$PM_{2.5}$ 모델의 계절별, 월별, 시간별 특성을 분석하고 계절별로 구분하여 모델을 구성한 결과 고농도 사례에서 과소평가 되던 경향이 개선됨을 알 수 있고 관측된 $PM_{2.5}$와 추정된 $PM_{2.5}$의 월 및 시간변동성은 서로 경향성이 일치했다. 따라서 정지궤도 위성 AOD를 이용하여 지상 $PM_{2.5}$ 농도를 추정한 본 연구의 결과는 향후 발사 예정인 GK-2A와 GK-2B에 적용 가능할 것으로 기대된다.

우리 나라 농촌지역(農村地域)에 부합하는 1차(次) 보건의료전달체계(保健醫療傳達體系) 정착구현(定着具現)에 관한 연구(硏究) -마을 보건임원(保健任員) 개발(開發)- (A Study on Implementation of Primary Health Care Delivery System meet to Rural Area in Korea -Village Health Voluntary Worker Development-)

  • 구연철;위자형;황선정;최삼섭
    • Journal of Preventive Medicine and Public Health
    • /
    • 제12권1호
    • /
    • pp.13-23
    • /
    • 1979
  • A study was carried out from October 1977 to September 1978 in order to develope health care delively system which will meet to rural area in Korea. For the study objective a model of health care delivery system of Myun (township) area was developed which is adopted the net-work of village health voluntary worker who will play the role of bridge for communication related with health and illness between families or village people and health subcenter, and :he model health care delivery system net-work was set in the area of Soodong Myun, Yangju Gun. which is the rural health demonstration area of Ewha Womans University since 1972. The activities and attitude of 22 village health voluntary workers were observed and analized. during the study period. The results are as follows; 1. For the field activities of village health voluntary workers. a guide line which is described with specific behavioral objectives was developed and used for not only training of the workers but also evaluation of their field activities. 2. During the study period, the number of 971 village people were served primary health care service by village health voluntary worker and the service was classified largely into symptomatic medications (92%) and preventive measures (8%). 3. Comparative percentage of the number of 894 symptomatic cases cared by village health voluntary workers to 5,695 cases of patient treated by Soodong Health Subcenter during the same period was 15.7%. 4. Annual utility rate of village health voluntary worker by Myun total people was 16.1% but utility rate by Rie was varied from 38.2% to 2.8% which shown there were considerable differences in each Rie. In order to settle the village health care service, the obstructive factors of utility should be detected and their counter measure must be taken. 5. As the health need of village people increases, it is expected that the supplement of drug excluding present sit basic drugs is inevitable, but considering the ability of village health voluntary worker, the selection of additional drugs and education, plan should be carefully studied. 6. It is desirable that a financial resource for supplementary purchase of first aid kit, drugs and materials whould be alloted from village public fund like Saemaeul Women's Club fund, which has already practiced in a few villages in the study area. 7. As pointed out by village health voluntary workers, in order to improve the village health, village leaders should be in the center of it and the cooperation of whole village people is a core of healthful village development, and it is reasonable that the health subcenter backs up these voluntary health activities by village people in techniques. 8. It seems effective that a supplementary education for village health voluntary worker be accomplished by a planned education through regular meetings like worker's monthly meeting and irregular post guide when Myun Health Workers can handle the problems found during the round trip of villages. 9. It is desirable that village health voluntary workers, who are recommended by a civil voluntary organization like Saemael Woman's Club, are charged by natural villagc unit, are given a function of village health care service and used through basic education at health subcenter. 10. It is advisable that the village health voluntary worker's service is compensated not by a form of money, but by other way such as an exemption of medical fee of worker herself or her families in health subcenter can be one method. 11. Daily health activities of each village health voluntary worker should be reported to health subcenter by biweekly or monthly in order to get not only for basic data of the program but also for evaluation the program. It is recomandable that the report form should be simple and clear enough for village health voluntary worker to fill it effectively. 12. Village health care service should be developed into a Saemaeul Movement in which village people actively participate. For this, the appointed function of village health voluntary worker should be absorbed into those of living Environment Betterment Section or Family Planning Section of Saemaeul Women's Club or it is desirable that establish a new section, Village Health Promoting Section and make it involve the appointed functions of those sections mentioned above.

  • PDF

CIGSe2 박막태양전지용 Mo 하부전극의 물리·전기적 특성 연구 (A Study of Mo Back Electrode for CIGSe2 Thin Film Solar Cell)

  • 최승훈;박중진;윤정오;홍영호;김인수
    • 한국진공학회지
    • /
    • 제21권3호
    • /
    • pp.142-150
    • /
    • 2012
  • CIGS 박막 태양전지 기판소재인 소다라임유리 표면에 플라즈마 전처리 후 DC 마그네트론 스퍼터링 방법으로 Mo 박막을 제조하였다. 증착압력과 증착시간 변화에 따른 Mo 박막의 물리적, 전기적 특성을 분석하였고, 셀렌화 처리 조건에 따른 $MoSe_2$ 생성 여부와 경향성을 연구하였으며, Mo 박막 두께에 따른 AZO/i-ZnO/CdS/CIGS/Mo/SLG 구조의 태양전지를 제조하여 그 특성을 분석 및 평가하였다. 증착압력이 4.9 mTorr에서 1.3 mTorr로 감소할수록 치밀하고 결정입자 사이의 공극이 적고, 증착속도가 감소하고 전기저항도가 낮은 Mo 박막이 증착되었다. 증착온도가 상온에서 $200^{\circ}C$로 증가할수록 Mo 박막은 치밀한 구조를 가지고 결정성은 향상되어 면저항이 낮게 나타났다. 셀렌화 시간이 길어질수록 Mo 박막 층은 줄어들고, $MoSe_2$ 층 생성두께가 커지는 것을 알 수 있었고, 열처리로 인해 결정화 되면서 전체 박막의 두께가 줄어들었으며, $MoSe_2$ 층의 배양성은 c축이 Mo 표면과 수직 방향으로 성장된 것을 알 수 있었다. Mo 박막의 두께가 1.2 ${\mu}m$와 0.6 ${\mu}m$인 AZO/i-ZnO/CdS/CIGS/Mo/SLG 구조로 이루어진 CIGS 박막 태양전지를 제조하였다. Mo 박막의 두께가 1.2 ${\mu}m$일 때 보다 0.6 ${\mu}m$일 때 CIGS 박막 태양전지의 변환 효율은 9.46%로 비교적 우수한 특성을 나타났다. CIGS 박막 태양전지에서 하부전극인 Mo 박막 특성은 유리기판 및 광흡수 층과의 계면 형성 따라 큰 영향을 미친다는 것을 알 수 있었고, 유리기판의 플라즈마 처리와 Mo 박막의 두께조절로 Na 효과 및 $MoSe_2$층 형성 제어함으로써 CIGS 박막 태양전지의 특성 개선에 효과를 가질 수 있었다.

Herpes Simplex Virus thymidine Kinase/Ganciclovir 유전자 치료에서 새로운 간격결합분자 Connexin 37에 의한 방관자 효과의 증가 (Novel Gap Junction Molecules, Connexin 37, Enhances the Bystander Effect in HSVtk/GCV Gene Therapy)

  • 김선영;이호근;이정창;황동진;황평한;이대열;조수철
    • Clinical and Experimental Pediatrics
    • /
    • 제46권6호
    • /
    • pp.541-547
    • /
    • 2003
  • 목 적 : HSVtk 유전자를 암세포에 도입하여 GCV에 대해 선택적으로 감수성을 증가시키는 HSVtk/GCV 유전자 치료에서 방관자 효과는 모든 암세포에 유전자를 도입하지 않고도 치료효과를 얻을 수 있으므로 방관자 효과를 증강시킬 수만 있다면 HSVtk/GCV 유전자 치료의 효과를 극대화시킬 수 있다. HSVtk의 방관자 효과에 관한 기전으로는 간격결합분자들이 주요 역할을 하리라고 알려져 있다. 간격결합분자들은 세포간의 통신을 담당하는 connexin family이며, 주로 Cx43에 관해서는 많이 알려져 왔다. Cx37을 암의 유전자 치료에 이용 가능한 유전자로서의 가능성을 타진하기 위하여 HSVtk/GCV 유전자 치료에 Cx37 유전자를 직접 세포에 발현을 시켜 방관자 효과를 증가시킬 수 있는 새로운 방법의 가능성을 검토하였다. 방 법 : 효과의 검증을 위한 세포주로는 NIH3T3를 사용하였다. HSVtk가 형질도입된 NIH3T3 세포에 GCV의 농도별로 세포사를 관찰하였다. 또한 Cx37의 발현 여부에 따른 세포사멸의 효과를 검토하기 위하여 Cx37 발현 세포주와 비발현 세포주를 서로 다른 비율로 혼합 배양후 나타나는 세포사를 관찰하였다. 최종적으로 Cx37이 세포사멸을 직접적으로 매개하고 있음을 규명하기 위하여 Cx37 발현 표적세포를 크로미움으로 표지화한 후 Cx37 발현 세포주와 비발현 작동세포와 혼합 배양 시 사멸되는 세포로부터 유리되는 크로미움의 양을 측정하였다. 결 과: HSVtk 발현 세포는 GCV 농도에 비례하여 세포가 사멸되었으며 HSVtk/Cx37 동시 발현 세포는 HSVtk만 발현된 세포에 비해 2배 이상의 사멸 효과가 나타났다. 아울러 Cx37에 의해 유도되는 방관자 효과는 표적세포와 작동세포 모두에 Cx37이 발현되는 경우는 세포의 혼합배양 비율에 상관없이 80%에 이르는 세포가 사멸되었다. 특히 작동세포에 Cx37이 없더라도 표적세포에 Cx37이 발현하면 세포사멸은 Cx37이 매개되지 않는 경우에 비교하여 2배 이상의 증가를 보였다. 이러한 결과는 크로미움 유리 실험에서도 동일한 결과가 유도되어 Cx37은 세포사멸을 직접적으로 매개하고 있음이 나타났다. 결 론 : 이상의 결과로부터 HSVtk/GCV 유전자 치료에서 방관자효과를 나타내는 분자의 하나로 Cx37의 기능을 확인하였으며, Cx37은 방관자 효과를 증가시켜 유전자치료의 낮은 유전자 전이율을 극복하고 암의 자살 유전자 치료의 효과를 극대화할 수 있는 분자로 예측된다.

댓글 분석을 통한 19대 한국 대선 후보 이슈 파악 및 득표율 예측 (Issue tracking and voting rate prediction for 19th Korean president election candidates)

  • 서대호;김지호;김창기
    • 지능정보연구
    • /
    • 제24권3호
    • /
    • pp.199-219
    • /
    • 2018
  • 인터넷의 일상화와 각종 스마트 기기의 보급으로 이용자들로 하여금 실시간 의사소통이 가능하게 하여 기존의 커뮤니케이션 양식이 새롭게 변화되었다. 인터넷을 통한 정보주체의 변화로 인해 데이터는 더욱 방대해져서 빅데이터라 불리는 정보의 초대형화를 야기하였다. 이러한 빅데이터는 사회적 실제를 이해하기 위한 새로운 기회로 여겨지고 있다. 특히 텍스트 마이닝은 비정형 텍스트 데이터를 이용해 패턴을 탐구하여 의미있는 정보를 찾아낸다. 텍스트 데이터는 신문, 도서, 웹, SNS 등 다양한 곳에 존재하기 때문에 데이터의 양이 매우 다양하고 방대하여 사회적 실제를 이해하기 위한 데이터로 적합하다. 본 연구는 한국 최대 인터넷 포털사이트 뉴스의 댓글을 수집하여 2017년 19대 한국 대선을 대상으로 연구를 수행하였다. 대선 선거일 직전 여론조사 공표 금지기간이 포함된 2017년 4월 29일부터 2017년 5월 7일까지 226,447건의 댓글을 수집하여 빈도분석, 연관감성어 분석, 토픽 감성 분석, 후보자 득표율 예측을 수행하였다. 이를 통해 각 후보자들에 대한 이슈를 분석 및 해석하고 득표율을 예측하였다. 분석 결과 뉴스 댓글이 대선 후보들에 대한 이슈를 추적하고 득표율을 예측하기에 효과적인 도구임을 보여주었다. 대선 후보자들은 사회적 여론을 객관적으로 판단하여 선거유세 전략에 반영할 수 있고 유권자들은 각 후보자들에 대한 이슈를 파악하여 투표시 참조할 수 있다. 또한 후보자들이 빅데이터 분석을 참조하여 선거캠페인을 벌인다면 국민들은 자신들이 원하는 바가 후보자들에게 피력, 반영된다는 것을 인지하고 웹상에서 더욱 적극적인 활동을 할 것이다. 이는 국민의 정치 참여 행위로써 사회적 의의가 있다.

THE CURRENT STATUS OF BIOMEDICAL ENGINEERING IN THE USA

  • Webster, John G.
    • 대한의용생체공학회:학술대회논문집
    • /
    • 대한의용생체공학회 1992년도 춘계학술대회
    • /
    • pp.27-47
    • /
    • 1992
  • Engineers have developed new instruments that aid in diagnosis and therapy Ultrasonic imaging has provided a nondamaging method of imaging internal organs. A complex transducer emits ultrasonic waves at many angles and reconstructs a map of internal anatomy and also velocities of blood in vessels. Fast computed tomography permits reconstruction of the 3-dimensional anatomy and perfusion of the heart at 20-Hz rates. Positron emission tomography uses certain isotopes that produce positrons that react with electrons to simultaneously emit two gamma rays in opposite directions. It locates the region of origin by using a ring of discrete scintillation detectors, each in electronic coincidence with an opposing detector. In magnetic resonance imaging, the patient is placed in a very strong magnetic field. The precessing of the hydrogen atoms is perturbed by an interrogating field to yield two-dimensional images of soft tissue having exceptional clarity. As an alternative to radiology image processing, film archiving, and retrieval, picture archiving and communication systems (PACS) are being implemented. Images from computed radiography, magnetic resonance imaging (MRI), nuclear medicine, and ultrasound are digitized, transmitted, and stored in computers for retrieval at distributed work stations. In electrical impedance tomography, electrodes are placed around the thorax. 50-kHz current is injected between two electrodes and voltages are measured on all other electrodes. A computer processes the data to yield an image of the resistivity of a 2-dimensional slice of the thorax. During fetal monitoring, a corkscrew electrode is screwed into the fetal scalp to measure the fetal electrocardiogram. Correlations with uterine contractions yield information on the status of the fetus during delivery To measure cardiac output by thermodilution, cold saline is injected into the right atrium. A thermistor in the right pulmonary artery yields temperature measurements, from which we can calculate cardiac output. In impedance cardiography, we measure the changes in electrical impedance as the heart ejects blood into the arteries. Motion artifacts are large, so signal averaging is useful during monitoring. An intraarterial blood gas monitoring system permits monitoring in real time. Light is sent down optical fibers inserted into the radial artery, where it is absorbed by dyes, which reemit the light at a different wavelength. The emitted light travels up optical fibers where an external instrument determines O2, CO2, and pH. Therapeutic devices include the electrosurgical unit. A high-frequency electric arc is drawn between the knife and the tissue. The arc cuts and the heat coagulates, thus preventing blood loss. Hyperthermia has demonstrated antitumor effects in patients in whom all conventional modes of therapy have failed. Methods of raising tumor temperature include focused ultrasound, radio-frequency power through needles, or microwaves. When the heart stops pumping, we use the defibrillator to restore normal pumping. A brief, high-current pulse through the heart synchronizes all cardiac fibers to restore normal rhythm. When the cardiac rhythm is too slow, we implant the cardiac pacemaker. An electrode within the heart stimulates the cardiac muscle to contract at the normal rate. When the cardiac valves are narrowed or leak, we implant an artificial valve. Silicone rubber and Teflon are used for biocompatibility. Artificial hearts powered by pneumatic hoses have been implanted in humans. However, the quality of life gradually degrades, and death ensues. When kidney stones develop, lithotripsy is used. A spark creates a pressure wave, which is focused on the stone and fragments it. The pieces pass out normally. When kidneys fail, the blood is cleansed during hemodialysis. Urea passes through a porous membrane to a dialysate bath to lower its concentration in the blood. The blind are able to read by scanning the Optacon with their fingertips. A camera scans letters and converts them to an array of vibrating pins. The deaf are able to hear using a cochlear implant. A microphone detects sound and divides it into frequency bands. 22 electrodes within the cochlea stimulate the acoustic the acoustic nerve to provide sound patterns. For those who have lost muscle function in the limbs, researchers are implanting electrodes to stimulate the muscle. Sensors in the legs and arms feed back signals to a computer that coordinates the stimulators to provide limb motion. For those with high spinal cord injury, a puff and sip switch can control a computer and permit the disabled person operate the computer and communicate with the outside world.

  • PDF

디지털미디어 환경(環境)에서 디자인 특성(特性)에 관한 연구(硏究) - 실내제품(室內製品) 디자인을 중심으로 - (A Destructive Method in the Connection of the Algorithm and Design in the Digital media - Centered on the Rapid Prototyping Systems of Product Design -)

  • 김석화
    • 조형예술학연구
    • /
    • 제5권
    • /
    • pp.87-129
    • /
    • 2003
  • The purpose of this thesis is to propose a new concept of design of the 21st century, on the basis of the study on the general signification of the structures and the signs of industrial product design, by examining the difference between modern and post-modern design, which is expected to lead the users to different design practice and interpretation of it. The starting point of this study is the different styles and patterns of 'Gestalt' in the post-modern design of the late 20th century from modern design - the factor of determination in industrial product design. That is to say, unlike functional and rational styles of modern product design, the late 20th century is based upon the pluralism characterized by complexity, synthetic and decorativeness. So far, most of the previous studies on design seem to have excluded visual aspects and usability, focused only on effective communication of design phenomena. These partial studies on design, blinded by phenomenal aspects, have resulted in failure to discover a principle of fundamental system. However, design varies according to the times; and the transformation of design is reflected in Design Pragnanz to constitute a new text of design. Therefore, it can be argued that Design Pragnanz serves as an essential factor under influence of the significance of text. In this thesis, therefore, I delve into analysis of the 20th century product design, in the light of Gestalt theory and Design Pragnanz, which have been functioning as the principle of the past design. For this study, I attempted to discover the fundamental elements in modern and post-modern designs, and to examine the formal structure of product design, the users' aesthetic preference and its semantics, from the integrative viewpoint. Also, with reference to history and theory of design my emphasis is more on fundamental visual phenomena than on structural analysis or process of visualization in product design, in order to examine the formal properties of modern and post-modern designs. Firstly, In Chapter 1, 'Issues and Background of the Study', I investigated the Gestalt theory and Design Pragnanz, on the premise of formal distinction between modern and post-modern designs. These theories are founded upon the discussion on visual perception of Gestalt in Germany in 1910's, in pursuit of the principle of perception centered around visual perception of human beings. In Chapter 2, I dealt with functionalism of modern design, as an advance preparation for the further study on the product design of the late 20th century. First of all, in Chapter 2-1, I examined the tendency of modern design focused on functionalism, which can be exemplified by the famous statement 'Form follows function'. Excluding all unessential elements in design - for example, decoration, this tendency has attained the position of the international style based on the spirit of Bauhause - universality and regularity - in search of geometric order, standardization and rationalization. In Chapter 2-2, I investigated the anthropological viewpoint that modern design started representing culture in a symbolic way including overall aspects of the society - politics, economics and ethics, and its criticism on functionalist design that aesthetic value is missing in exchange of excessive simplicity in style. Moreover, I examined the pluralist phenomena in post-modern design such as kitsch, eclecticism, reactionism, hi-tech and digital design, breaking away from functionalist purism of modern design. In Chapter 3, I analyzed Gestalt Pragnanz in design in a practical way, against the background of design trends. To begin with, I selected mass product design among those for the 20th century products as a target of analysis, highlighting representative styles in each category of the products. For this analysis, I adopted the theory of J. M Lehnhardt, who gradated in percentage the aesthetic and semantic levels of Pragnantz in design expression, and that of J. K. Grutter, who expressed it in a formula of M = O : C. I also employed eight units of dichotomies, according to the G. D. Birkhoff's aesthetic criteria, for the purpose of scientific classification of the degree of order and complexity in design; and I analyzed phenomenal aspects of design form represented in each unit. For Chapter 4, I executed a questionnaire about semiological phenomena of Design Pragnanz with 28 units of antonymous adjectives, based upon the research in the previous chapter. Then, I analyzed the process of signification of Design Pragnanz, founded on this research. Furthermore, the interpretation of the analysis served as an explanation to preference, through systematic analysis of Gestalt and Design Pragnanz in product design of the late 20th century. In Chapter 5, I determined the position of Design Pragnanz by integrating the analyses of Gestalt and Pragnanz in modern and post-modern designs In this process, 1 revealed the difference of each Design Pragnanz in formal respect, in order to suggest a vision of the future as a result, which will provide systemic and structural stimulation to current design.

  • PDF