Since epileptic seizure is unpredictable and paroxysmal, an automatic system for seizure detecting could be of great significance and assistance to patients and medical staff. In this paper, a novel method is proposed for multichannel patient-specific seizure detection applying the earth mover's distance (EMD) in scalp EEG. Firstly, the wavelet decomposition is executed to the original EEGs with five scales, the scale 3, 4 and 5 are selected and transformed into histograms and afterwards the distances between histograms in pairs are computed applying the earth mover's distance as effective features. Then, the EMD features are sent to the classifier based on the Bayesian linear discriminant analysis (BLDA) for classification, and an efficient postprocessing procedure is applied to improve the detection system precision, finally. To evaluate the performance of the proposed method, the CHB-MIT scalp EEG database with 958 h EEG recordings from 23 epileptic patients is used and a relatively satisfactory detection rate is achieved with the average sensitivity of 95.65% and false detection rate of 0.68/h. The good performance of this algorithm indicates the potential application for seizure monitoring in clinical practice.
Journal of the Korean Institute of Educational Facilities
/
v.15
no.5
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pp.21-32
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2008
The major issues that higher education has recently faced are the shortage of students of school age, the changing environment of higher education and the evolving technology. These challenges have urged the university facilities and space to be managing more efficient and more effective. This study assures that the strong strategy is to operate more like business while retaining unique higher education values and a sound facilities management system and appropriate budget help to ensure that university facilities are good for student and teacher's demand. With such faith, this study explores the facilities/space maintaining status and the facility management system of national universities and collages. It finds that there are some problems to adapt new managing methodologies in national universities and that there are also some gaps and perceived constraints to effective space management. This study proposes the alternatives for the facilities managing system that involves the improvement of manpower structure, the expansion of budget scale and the establishment of appropriate facility management system. Finally it provides the practical tools for the effective space and facilities management such as space charging, space standards, central timetabling, space utilisation survey and facilities performance indication.
Park, Hyun;Hwang, Gyo-Jun;Jin, Sung-Chul;Bang, Jae-Seung;Oh, Chang-Wan;Kwon, O-Ki
Journal of Korean Neurosurgical Society
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v.51
no.2
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pp.75-80
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2012
Objective : To optimize the recanalization of acute cerebral stroke that were not effectively resolved by conventional intraarterial thrombolysis (IAT), we designed a double device technique to allow for rapid and effective reopening. In this article, we describe the feasibility and efficacy of this technique. Methods : From January 2008 to September 2009, twenty patients with acute cerebral arterial occlusion (middle cerebral artery : n=12; internal carotid artery terminus : n=5; basilar artery : n=3) were treated by the double device technique. This technique was applied when conventional thrombolytic methods using drug, microwires, microcatheters and balloons did not result in recanalization. In the double device technique, two devices are simultaneously placed at the lesion (for example, one microcatheter and one balloon or two microcatheters). Chemicomechanical or mechanicomechanical thrombolysis was performed simultaneously using various combinations of two devices. Recanalization rates, procedural time, complications, and clinical outcomes were analyzed. Results : The initial median National Institute of Health Stroke Scale (NIHSS) was 16 (range 5-26). The double device technique was applied after conventional IAT methods failed. Recanalization was achieved in 18 patients (90%). Among them, 55% (11 cases) were complete (thrombolysis in cerebral infarction 2B, 3). The median thrombolytic procedural time including the conventional technique was $135{\pm}83.7$ minutes (range 75-427). Major symptomatic hemorrhages (neurological deterioration ${\geq}4$ points in NIHSS) developed in two patients (10%). Good long term outcomes (modified Rankin Scale ${\leq}2$ at 90 days) occurred in 25% (n=5) of the cases. Mortality within 90 days developed in two cases (10%). Conclusion : The double device technique is a feasible and effective technical option for large vessel occlusion refractory to conventional thrombolysis.
Baek, Ki Hyun;Lim, Mi Soo;Park, Mi Ho;Seo, Hee Ae;Hyeon, Dong A;Lim, Hyoung-won
The Journal of Korean Physical Therapy
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v.32
no.2
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pp.114-120
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2020
Purpose: This study examined the research trends using G-power centered on major Korean registered sites and presents the research trends of studies with a high level of evidence. Method: This study selected three research journals listed in the Korea Research Foundation among physical therapy journals in the field of physiotherapy. The selected papers were classified according to the following: 1) study type, 2) study level, and 3) quality of the study. Result: Sixty-nine articles were selected and classified according to the study type. The musculoskeletal system, central nervous system, and others comprised 73.91% (n=51), 17.39% (n=12), and 8.7% (n=6), respectively. The results were classified into 62 experimental studies, four observational analytic studies, and three descriptive studies. The experimental studies included 22 randomized controlled trials (level 2) and 40 non-randomized trials (level 3). Sixteen randomized controlled trials were classified for a qualitative evaluation, and 12 papers with a score of six or more (good) were found. Conclusion: Many high-level studies were found in G-power, and the quality of the study was also good. Therefore, the effective number of samples obtained using G-power is one of the ways to enable high-quality research.
Park, Jung-Soo;Park, Seung-Soo;Koh, Eun-Jeong;Eun, Jong-Pil;Choi, Ha-Young
Journal of Korean Neurosurgical Society
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v.47
no.4
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pp.258-264
/
2010
Objective : The objectives of this study were to analyze the outcome and hemorrhagic risk of intravenous (IV) argatroban in patients with acute ischemic stroke presenting beyond six hours of ischemic symptom onset. Methods : Eighty patients with acute ischemic stroke who were admitted to the hospital beyond six hours from ischemic symptom onset were retrospectively analyzed. We could not perform IV thrombolysis or intra-arterial thrombolysis because of limited time window. So, IV argatroban was performed to prevent recurrent thrombosis and progression of infarcted area. The outcome was assessed by the National Institute of Health Stroke Scale (NIHSS) score and related hemorrhagic risk was analyzed. Also, each outcome was analyzed according to the initial stroke severity, subtype, and location. Results : The median NIHSS was 8.0 at admission, 4.1 upon discharge, and 3.3 after three months. A good outcome was achieved in 81% of patients upon discharge and 88% after three months. Symptomatic hemorrhage occurred in only two patients (3%). IV argatroban was effective regardless of initial stroke severity, subtype, and location. Conclusion : IV argatroban may be an effective and safe treatment modality for acute ischemic stroke presenting beyond six hours of ischemic symptom onset.
Objectives: The purpose of this study was to evaluate food hygiene and safety knowledge, attitudes, and practices (KAP) among the elementary school children, and furthermore, to explain the interrelations among these three variables. A second purpose was to compare gender differences of KAP. Methods: A self-administered, structured questionnaire was designed and completed by 376 elementary school children. A five-point Likert scale with twenty questions was used to gather information. Data was analyzed by frequency analysis, Pearson's correlation and analysis of variance or Student's t-test. Results: Children generally had good knowledge of food hygiene and safety, and knowledge of children was superior to the attitudes and also to their practices (p < 0.05). The attitude score was mediated between knowledge and practice scores. Significant differences (p < 0.05) were found between boys and girls in an item of knowledge, three items of attitudes, and six items of practices. A significant positive correlations were observed between knowledge and practices (${\gamma}$ = 0.70, p < 0.001), and between attitudes and practices (${\gamma}$ = 0.45, p < 0.001), as well as between attitudes and practices (${\gamma}$ = 0.51, p < 0.001), revealing that increased knowledge and even attitudes toward food hygiene safety could result in positive change in practices or behaviors. Conclusions: The results of this study indicate that despite good knowledge and attitudes of children, their practices toward food hygiene and safety are not acceptable. Gender differences in practices were highlighted. In order to create effective educational interventions on the food hygiene and safety of children, a better understanding of their awareness and the required related information is necessary.
Purpose: To analyze the result of Modified Brostr$\ddot{O}$m procedure for Chronic ankle lateral instability without associated injury. Materials and Methods: Forty-one patients(Forty-one feet) diagnosed and operated with chronic ankle lateral instability without associated injury were evaluated retrospectively from June 1995 to December 1999. Twenty-three patients were athletes. For the evaluation of clinical outcome, a subjective grading scale of modified Hamilton was used, and pain relief, relief of instability symptom and anterior drawer test were evaluated. Results: Among forty-one operations, there were six excellent, thirty-five good results as a whole. All cases showed over the grade good. The average time to ordinary life in the non-atheletes was 2.5 months and average time to sport activity in the athletes was 4 months postoperatively. Conclusion: The modified Brostr$\ddot{O}$m procedure seems to be effective method for chronic ankle lateral instability without associated injury.
This paper presents a new cost-effective hybrid GFRP-Concrete deck system that the GFRP panel serves as both tensile reinforcement and stay-in-place form. In order to understand the fatigue behavior of such hybrid deck, fatigue test on a full-scale specimen under sagging moment was conducted, and a series of static tests were also carried out after certain repeated loading cycles. The fatigue test results indicated that such hybrid deck has a good fatigue performance even after 3.1 million repeated loading cycles. A three-dimensional finite element model of the hybrid deck was established based on experimental work. The results from finite element analyses are in good agreement with those from the tests. In addition, flexural fatigue analysis considering the reduction in flexural stiffness and modulus under cyclic loading was carried out. The predicted flexural strength agreed well with the analytical strength from finite element simulation, and the calculated fatigue failure cycle was consistent with the result based on related S-N curve and finite element analyses. However, the flexural fatigue analytical results tended to be conservative compared to the tested results in safety side. The presented overall investigation may provide reference for the design and construction of such hybrid deck system.
Journal of the Society of Naval Architects of Korea
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v.41
no.5
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pp.21-27
/
2004
A waterjet propulsion system has many advantages compared with a conventional screw propeller especially for amphibious military vehicles because of a good maneuverability at low speed, good operating ability at shallow water, high thrust at low speed to aid maneuverability and exit from water, etc. Especially, compact design is important for the tracked-vehicle because of buoyancy in water and available space inside the tracked vehicle. The experiment is parametrically performed for various impeller diameters for more compact design. The experimental results are analyzed according to the ITTC 1996 standard analysis method as well as the conventional propulsive factor analysis method. The full-scale effective and delivered power of the tracked-vehicle are evaluated according to the variation of impeller diameter. This paper emphasized the effect of impeller diameter on the performance of waterjet system.
Purpose: In this study, we tried to develop the technique of osteotomy for hallux valgus. The new modified technique of osteotomy was accomplished with even more greater stability, accurate correction of the deformity and more effective than 'chevron' osteotomy in terms of correction of the deformity. Materials and Methods: Between March 1998 and December 2001, 55 cases of new modified osteotomy for hallux valgus were performed for 39 patients, 16 of whom underwent operation of both feet. Operations were made for 34 women and 5 men whose average age was 46 years old (range, $20{\sim}71$ years). Average follow up period was three years (range, $2{\sim}5$ years), and during the follow up, the patients underwent physical examination and assessment with use of the American Orthpaedic Foot and Ankle Society's hallux-metatarso-phalangealinterphalangeal scale and standard foot radiographic measurements. Results: 37 patients (53 cases) out of 39 patients (55 cases) had no pain, good cosmesis, and all of the patients were satisfied with the results of the operation. Two had occasional mild discomfort. The average score according to the hallux-metatarso-phallangeal-interphalangeal scale was 93.2 points (range, $78{\sim}100$ points). The average preoperative intermetatarsal angle was $14.4^{\circ}$, which was decreased to $7.9^{\circ}$ after the osteotomy with an average correction of $6.5^{\circ}$ and The average preoperative hallux valgus angle was $34.1^{\circ}$, which was decreased to $11.1^{\circ}$ after the osteotomy with an average correction of $23^{\circ}$. This new modified technique would prevent the angulation or shortening at the osteotomy site and it was also even more stable at osteotomy site, and could do even more effective and accurate correction of the deformity than conventional Chevron osteotomy. Conclusion: New modified chevron osteotomy for the treatment of symptomatic hallux valgus was done in 55 cases, and the results were satisfactory in all cases. This method was more stable at the osteotomy site than conventional Chevron osteotomy and was also possible to do more accurate and more effective correction of the deformity. It was also easy to control the distal fragment of first metatarsal bone.
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