• 제목/요약/키워드: Critical Time

검색결과 4,768건 처리시간 0.03초

Machine Learning-Based Prediction of COVID-19 Severity and Progression to Critical Illness Using CT Imaging and Clinical Data

  • Subhanik Purkayastha;Yanhe Xiao;Zhicheng Jiao;Rujapa Thepumnoeysuk;Kasey Halsey;Jing Wu;Thi My Linh Tran;Ben Hsieh;Ji Whae Choi;Dongcui Wang;Martin Vallieres;Robin Wang;Scott Collins;Xue Feng;Michael Feldman;Paul J. Zhang;Michael Atalay;Ronnie Sebro;Li Yang;Yong Fan;Wei-hua Liao;Harrison X. Bai
    • Korean Journal of Radiology
    • /
    • 제22권7호
    • /
    • pp.1213-1224
    • /
    • 2021
  • Objective: To develop a machine learning (ML) pipeline based on radiomics to predict Coronavirus Disease 2019 (COVID-19) severity and the future deterioration to critical illness using CT and clinical variables. Materials and Methods: Clinical data were collected from 981 patients from a multi-institutional international cohort with real-time polymerase chain reaction-confirmed COVID-19. Radiomics features were extracted from chest CT of the patients. The data of the cohort were randomly divided into training, validation, and test sets using a 7:1:2 ratio. A ML pipeline consisting of a model to predict severity and time-to-event model to predict progression to critical illness were trained on radiomics features and clinical variables. The receiver operating characteristic area under the curve (ROC-AUC), concordance index (C-index), and time-dependent ROC-AUC were calculated to determine model performance, which was compared with consensus CT severity scores obtained by visual interpretation by radiologists. Results: Among 981 patients with confirmed COVID-19, 274 patients developed critical illness. Radiomics features and clinical variables resulted in the best performance for the prediction of disease severity with a highest test ROC-AUC of 0.76 compared with 0.70 (0.76 vs. 0.70, p = 0.023) for visual CT severity score and clinical variables. The progression prediction model achieved a test C-index of 0.868 when it was based on the combination of CT radiomics and clinical variables compared with 0.767 when based on CT radiomics features alone (p < 0.001), 0.847 when based on clinical variables alone (p = 0.110), and 0.860 when based on the combination of visual CT severity scores and clinical variables (p = 0.549). Furthermore, the model based on the combination of CT radiomics and clinical variables achieved time-dependent ROC-AUCs of 0.897, 0.933, and 0.927 for the prediction of progression risks at 3, 5 and 7 days, respectively. Conclusion: CT radiomics features combined with clinical variables were predictive of COVID-19 severity and progression to critical illness with fairly high accuracy.

Critical Velocity of Fluidelastic Vibration in a Nuclear Fuel Bundle

  • Kim, Sang-Nyung;Jung, Sung-Yup
    • Journal of Mechanical Science and Technology
    • /
    • 제14권8호
    • /
    • pp.816-822
    • /
    • 2000
  • In the core of the nuclear power plant of PWR, several cases of fuel failure by unknown causes have been experienced for various fuel types. From the common features of the failure pattern, failure lead time, flow conditions, and flow induced vibration characteristics in nuclear fuel bundles, it is deduced that the fretting wear failure of the fuel rod at the spacer grid position is due to the fluidelastic vibration. In the past, fluidelastic vibration was simulated by quasi -static semi-analytical model, so called the static model, which could not account for the interaction between the rods within a bundle. To overcome this defect and to provide for more flexibilities applicable to the fuel bundle, Tanaka's unsteady model was modified to accomodate the geometrical differences and governing parameter changes during the operations such as the number of rods, pitch to diameter ratio (P/D), spring force, damping coefficient, etc. The critical velocity was calculated by solving the governing equations with the MATLAB code. A comparison between the estimated critical velocity and the test result shows a good agreement. Finally, the level of decrease of the critical velocity due to the reduction in the spring force and reduced damping coefficient due to the radiation exposure is also estimated.

  • PDF

이동하중과 축하중이 작용하는 유연한 기초위에 지지된 무한보의 동특성 (Dynamic characteristics of flexibly supported infinite beam subjected to an axial force and a moving load)

  • 홍동균;김광식
    • 오토저널
    • /
    • 제4권3호
    • /
    • pp.56-68
    • /
    • 1982
  • This paper presents analytic solutions of defection and their resonance diagrams for a uniform beam of infinite length subjected to an constant axial force and moving transverse load simultaneously. Steady solutions are obtained by a time-independent coordinate moving with the load. The supporting foundation includes damping effects. The influences of the axial force, the damping coefficient and the load velocity on the beam response are studied. The limiting cases of no damping and critical damping are also investigate. The profiles of the deflection of the beam are shown graphically for several values of the load speed, the axial force and damping parameters. Form the results, following conclusions have been reached. 1. The critical velocity .THETA.cr decreases as the axial compressive force increases, but increases as the axial tensile force increase. 2. At the critical velocity .THETA.cr the deflection have a tendency to decrease as the axial tensile force increases and to increase gradually as the axial compressive force increases. 3. In case if relatively small dampings, the deflection increases suddenly as the velocity of the moving load approaches the critical velocity, and it reachs its maximum at the critical velocity, and it decreases and become greatly affected by the axial force as the velocity increases further. 4. in case of relatively large dampings, as the velocity increases the deflection decreases gradually and it is affected little by the axial load.

  • PDF

차체구조의 구조기인 내구 설계 (Structure Borne Durability Design of a Vehicle Body Structure)

  • 김효식;임홍재
    • 한국자동차공학회논문집
    • /
    • 제12권3호
    • /
    • pp.109-121
    • /
    • 2004
  • This paper presents an optimal design method for structure-borne durability of a vehicle body structure. Structure-borne durability design requires a new design that can increase fatigue lives of critical areas in a structure and must prohibit transition phenomenon of critical areas that results from modification of the structure at the same time. Therefore, the optimization problem fur structure-borne durability design are consists of an objective function and design constraints of 2 types; type 1-constraint that increases fatigue lives of the critical areas to the required design limits and type 2-constraint that prohibits transition phenomenon of critical areas. The durability design problem is generally dynamic because a designer must consider the dynamic behavior such as fatigue analyses according to the structure modification during the optimal design process. This design scheme, however, requires such high computational cost that the design method cannot be applicable. For the purpose of efficiency of the durability design, we presents a method which carry out the equivalent static design problem instead of the dynamic one. In the proposed method, dynamic design constraints for fatigue life, are replaced to the equivalent static design constraints for stress/strain coefficients. The equivalent static design constraints are computed from static or eigen-value analyses. We carry out an optimal design for structure-borne durability of the newly developed bus and verify the effectiveness of the proposed method by examination of the result.

Teaching English Literature and Critical Thinking, beyond just Language Acquisition

  • Kim, Yeun-Kyong
    • 영어어문교육
    • /
    • 제16권4호
    • /
    • pp.71-90
    • /
    • 2010
  • This study suggests that English literature educators need to be eclectic and flexible in applying theories and methods, not simply adhering to one or two for all situations and occasions. They need to be available to go with the flow and particularly employ whatever is needed at any given moment of class time. There is a current trend emphasizing English literature as merely a language resource rather than the study of English literature as an end in itself. Without much attention given to literary analysis and criticism, students tend to lack creative and critical thinking abilities. Given the current imbalance, it would seem important to address the issue, and create English class programs that maintain a balance between teaching the study of English literature to improve students' critical thinking abilities, and its use as a language resource. To fulfill this goal, thorough preparation is required. Indeed, we can direct our intelligence more effectively when we are well prepared and we are familiar with the basic methods and mechanics of teaching our subject. The greatest achievement of the English literature class I taught was that the students showed unexpectedly remarkable creative and critical appreciation of the novel we studied, in addition to improving their English language skills.

  • PDF

COPD 대상자의 가정간호를 위한 Critical pathway (Critical Pathway of Home Healthcare for COPD clients)

  • 조원정;한미경
    • 지역사회간호학회지
    • /
    • 제12권2호
    • /
    • pp.329-337
    • /
    • 2001
  • Purpose: This study was to develop a critical pathway for COPD clients in home health care. Method: Review of literature. Analysis of 10 cases of home health records of COPD clients without other major chronic illness, and Contents validity test Results 1. Vertical axis(l4 activities) physical and mental assessment, family assessment. environment assessment, rights and duties of client, oxygen use and safety, education of disease process and symptom, medication, nutrition and elimination, tests, activities, respiratory exercise, sleeping pattern. consultations and discharge planning. 2. Horizontal axis was set by the number of visits(average number of visits is 6.4) and vertical axis was set with 14 activities and the contents which should have occurred, according to the time frames of the horizontal axis. 3. According to the contents validity test, among the total of 234 items, 176 items showed over 83% agreement and 58 items showed less than 83% agreement. Those items with less than 83% agreements were either deleted or revised. Conclusion this critical pathway is applicable to the home health care of COPD clients to provide quality home nursing care services at lower cost.

  • PDF

임무지향 컴퓨터를 위한 메시지패싱 고장감내 기법 (A Fault-Tolerant Scheme Based on Message Passing for Mission-Critical Computers)

  • 김태현;배정일;신진범;조길석
    • 한국군사과학기술학회지
    • /
    • 제18권6호
    • /
    • pp.762-770
    • /
    • 2015
  • Fault tolerance is a crucial design for a mission-critical computer such as engagement control computer that has to maintain its operation for long mission time. In recent years, software fault-tolerant design is becoming important in terms of cost-effectiveness and high-efficiency. In this paper, we propose MPCMCC which is a model-based software component to implement fault tolerance in mission-critical computers. MPCMCC is a fault tolerance design that synchronizes shared data between two computers by using the one-way message-passing scheme which is easy to use and more stable than the shared memory scheme. In addition, MPCMCC can be easily reused for future work by employing the model based development methodology. We verified the functions of the software component and analyzed its performance in the simulation environment by using two mission-critical computers. The results show that MPCMCC is a suitable software component for fault tolerance in mission-critical computers.

중환자실 퇴원환자의 집중치료 후 증후군과 삶의 질 (Post-intensive Care Syndrome and Quality of Life in Survivors of Critical Illness)

  • 김수경;강지연
    • 중환자간호학회지
    • /
    • 제9권1호
    • /
    • pp.1-14
    • /
    • 2016
  • Purpose: To investigate the post-intensive care syndrome (PICS) and to analyze the factors affecting the quality of life (QoL) of survivors of critical illness. Methods: Subjects were 114 outpatients who had been discharged from intensive care units of a university hospital in B city, Korea. From July 30 through September 30, 2015, PICS was assessed using the Korean Montreal Cognitive Assessment, Hospital Anxiety-Depression Scale, Korean Instrumental/Activities of Daily Living (K-I/ADL) index, and handwriting transformation, while physical and mental health-related QoL was measured using the SF-12. Results: Of the subjects, 39.5% were screened for mild cognitive disorder and 23.7% experienced handwriting transformation after discharge. Multiple regression analysis revealed that restraint application, current job, time of ${\geq}36$ months after discharge, depression, anxiety, and handwriting transformation accounted for 40.9% of the physical health-related QoL, and depression, anxiety and experience of delirium accounted for 62.4% of the mental health-related QoL. Conclusions: It is necessary to make efforts to reduce restraint application in intensive care units and prevent the occurrence of delirium, with the objective of reducing PICS and improving the QoL of critical illness survivors.

  • PDF

Critical Design Logic and the Emergence of South Korean Urban Design in the 1960s: An Analysis of Oswald Nagler's Influence on the Working Methods of the Housing, Urban and Regional Planning Institute (HURPI)

  • Hong, John;Lee, Hyun Jei
    • Architectural research
    • /
    • 제19권4호
    • /
    • pp.125-134
    • /
    • 2017
  • Rather than the simple adaption of Western design principles to the Korean context, this paper explicates how a unique critical urban design methodology evolved in Korea in the 1960s. Even as the era was a time of major transition and development, most research has offered limited discourse on the topic, imposing a straightforward reading where Japanese colonial influence is supplanted by Western logics. Through the example of the brief but intense activities of the Housing, Urban and Regional Planning Institute (HURPI), this paper offers a more detailed understanding that focuses on the 'how' rather than the 'what' of HURPI's significance. Through first-hand interviews with HURPI director Oswald Nagler and senior member Sung Chull Hong, the research of the institute is revealed as promoting dialectical 'critical design' methodologies that resulted in a sophisticated synthesis of diverse influences from Western, Korean, and Japanese sources. Moreover, the modes of critical design methods are further analyzed in a recently discovered brochure on HURPI's defining research and pilot projects published by the Ministry of Construction.

선형분극법을 이용한 보통프틀랜드시멘트 콘크리트의 임계염화물량 (Determination of Critical Chloride Content of Ordinary Portland Cement Concrete by Linear Polarization Technique)

  • 김홍삼;정해문;안태송
    • 한국세라믹학회지
    • /
    • 제44권9호
    • /
    • pp.524-528
    • /
    • 2007
  • The results of evaluating steel corrosion in concrete containing chloride content of various levels indicated that the more chloride content in concrete leads to the lower potential and higher corrosion current density. However, the open circuit potential of steel varied with time and exposure condition, and the corelation between the open circuit potential and corrosion current density was not obvious. In order to determine the critical threshold content of chloride of steel corrosion in concrete, the concept of average corrosion current density was employed. The range of critical chloride content in portland cement concretes was about $1.56{\sim}1.77%$($Cl^-$, %, wt of cement content) along with water-cement ratio, and higher water-cement ratio resulted in reduction in critical threshold chloride content.