• Title/Summary/Keyword: Guided selection

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Diagnostic approach to the fever of unknown origin in children - Emphasis on the infectious diseases - (소아에서 원인불명열의 진단적 접근 - 감염성 질환을 위주로 하여-)

  • Choi, Eun Hwa
    • Clinical and Experimental Pediatrics
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    • v.50 no.2
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    • pp.127-131
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    • 2007
  • Fever of unknown origin (FUO) has been a convenient term used to classify patients who warrant a particular systemic approach to diagnostic evaluation and management. The greatest clinical concern in evaluating FUO is identifying patients whose fever has a serious or life-threatening cause when a delay in diagnosis could jeopardize successful intervention. Thorough history and complete physical examination are critical to uncover the etiologic diagnosis. Most cases of FUO in children are caused by atypical presentations of common diseases rather than by typical manifestations of rare disorders. Selection of diagnostic tests and speed of investigation should be guided by a knowledge of the disease severity, patient age, epidemiologic and geographic information, and any positive findings from a detailed history and physical examination. The three most common causes of FUO in children are infectious diseases, connective tissue diseases, and malignancy. In general, the prognosis of FUO in children is better than that of adults. Although the outcome is dependent on the primary disease process, fever abates spontaneously in most cases in whom the cause of fever remains unclear.

Adaptive Resource Allocation for MC-CDMA and OFDMA in Reconfigurable Radio Systems

  • Choi, Yonghoon
    • ETRI Journal
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    • v.36 no.6
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    • pp.953-959
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    • 2014
  • This paper studies the uplink resource allocation for multiple radio access (MRA) in reconfigurable radio systems, where multiple-input and multiple-output (MIMO) multicarrier-code division multiple access (MC-CDMA) and MIMO orthogonal frequency-division multiple access (OFDMA) networks coexist. By assuming multi-radio user equipment with network-guided operation, the optimal resource allocation for MRA is analyzed as a cross-layer optimization framework with and without fairness consideration to maximize the uplink sum-rate capacity. Numerical results reveal that parallel MRA, which uses MC-CDMA and OFDMA networks concurrently, outperforms the performance of each MC-CDMA and OFDMA network by exploiting the multiuser selection diversity.

Flexible inspection system using CAD detabase and vision guided coordinate measuring machine (3차원 측정기를이용한 Flexible Inspection System)

  • 조명우;박용길
    • Journal of the Korean Society for Precision Engineering
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    • v.10 no.4
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    • pp.16-29
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    • 1993
  • The objective of this research is in the development of a flexible 3-dimensional inspection system for the sculptured surface by integrating the Coordinate Measuring Machine (CMM), CAD database, and vision system. To achieve the proposed flexible inspection system, two research categories are discussed in the study: new inspection planning method includes a new measuring point selection method and various new probe path generation methods. The object recognition and localization process for the unknown surface can be easily carried out by introducing a new concept called "Z-Layer". The experimental results indicate that the developed flexible inspection system, with the proposed algorithm, can be inplemented in real situation.situation.

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MOSAICFUSION: MERGING MODALITIES WITH PARTIAL DIFFERENTIAL EQUATION AND DISCRETE COSINE TRANSFORMATION

  • GARGI TRIVEDI;RAJESH SANGHAVI
    • Journal of Applied and Pure Mathematics
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    • v.5 no.5_6
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    • pp.389-406
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    • 2023
  • In the pursuit of enhancing image fusion techniques, this research presents a novel approach for fusing multimodal images, specifically infrared (IR) and visible (VIS) images, utilizing a combination of partial differential equations (PDE) and discrete cosine transformation (DCT). The proposed method seeks to leverage the thermal and structural information provided by IR imaging and the fine-grained details offered by VIS imaging create composite images that are superior in quality and informativeness. Through a meticulous fusion process, which involves PDE-guided fusion, DCT component selection, and weighted combination, the methodology aims to strike a balance that optimally preserves essential features and minimizes artifacts. Rigorous evaluations, both objective and subjective, are conducted to validate the effectiveness of the approach. This research contributes to the ongoing advancement of multimodal image fusion, addressing applications in fields like medical imaging, surveillance, and remote sensing, where the marriage of IR and VIS data is of paramount importance.

A MaxMin Model for the Worst Case Performance Evaluation of GS Coding for DC-free Modulation (DC-억압 변조를 위한 GS 코딩의 최악 성능 평가 MaxMin 모형)

  • Park, Taehyung;Lee, Jaejin
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.38A no.8
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    • pp.644-649
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    • 2013
  • For effective DC-free coding in the optical storage systems, the Guided Scrambling algorithm is widely used. To reduce digital discrepancy of the coded sequence, functions of digital sum value (DSV) are used as criteria to choose the best candidate. Among these criteria, the minimum digital sum value (MDSV), minium squared weight (MSW), and minimum threshold overrun (MTO) are popular methods for effective DC-suppression. In this paper, we formulate integer programming models that are equivalent to MDSV, MSW, and MTO GS coding. Incorporating the MDSV integer programming model in MaxMin setting, we develop an integer programming model that computes the worst case MDSV bound given scrambling polynomial and control bit size. In the simulation, we compared the worst case MDSV bound for different scrambling polynomial and control bit sizes. We find that careful selection of scrambling polynomial and control bit size are important factor to guarantee the worst case MDSV performance.

Effects of a simplified drilling protocol at 50 rpm on heat generation under water-free conditions: an in vitro study

  • Hyeon-Ji Jang;Jin-Un Yoon;Ji-Young Joo;Ju-Youn Lee;Hyun-Joo Kim
    • Journal of Periodontal and Implant Science
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    • v.53 no.1
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    • pp.85-95
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    • 2023
  • Purpose: In recent years, guided implant surgery has been widely used for the convenience of patients and surgeons. Further streamlining the surgical procedure would make implant surgery more convenient. Low-speed water-free conditions are often used in guided implant surgery. Therefore, in this study, we attempted to confirm once again whether drilling was safe at a low speed without water. The main purpose of this study was to evaluate whether a simplified drilling protocol that omits some intermediate steps in the drilling process was safe from the viewpoint of heat generation. Methods: D1 density artificial bone blocks were drilled under 50 rpm, 10 N·cm water-free conditions, and the surface temperature was measured using a digital infrared camera. First, drilling was performed with the sequential drilling method, which is the most widely used technique. Second, for each drill diameter, the temperature change was measured while performing simplified drilling with omission of the previous 1, 2, or 3 steps. Results: In sequential drilling, the heat generated during drilling at all diameters was less than the critical temperature of osteonecrosis (47℃) except for the ⌀2 drill. Statistical significance was observed in all groups when comparing sequential and simplified drilling in the ⌀3.2, ⌀3.8, and ⌀4.3 drills (P<0.001). However, in the simplified drilling procedures, the temperature was below the osteonecrosis threshold temperature (47℃) except for the ⌀4.3 drill with the omission of the previous 3 steps (⌀3.0, ⌀3.2, and ⌀3.8). Conclusions: In general, drilling under low-speed, water-free conditions has shown stable results in terms of heat generation. Simplified drilling showed statistically significantly greater heat generation than sequential drilling. However, most of the diameters and omitted steps seem to be clinically acceptable, so it will be useful if an appropriate selection is made according to the patient's clinical condition.

Impact of nonphysician, technology-guided alert level selection on rates of appropriate trauma triage in the United States: a before and after study

  • Megan E. Harrigan;Pamela A. Boremski;Bryan R. Collier;Allison N. Tegge;Jacob R. Gillen
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.231-241
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    • 2023
  • Purpose: Overtriage and undertriage rates are critical metrics in trauma, influenced by both trauma team activation (TTA) criteria and compliance with these criteria. Analysis of undertriaged patients at a level I trauma center revealed suboptimal compliance with existing criteria. This study assessed triage patterns after implementing compliance-focused process interventions. Methods: A physician-driven, free-text alert system was modified to a nonphysician, hospital dispatcher-guided system. The latter employed dropdown menus to maximize compliance with criteria. The preintervention period included patients who presented between May 12, 2020, and December 31, 2020. The postintervention period incorporated patients who presented from May 12, 2021, through December 31, 2021. We evaluated appropriate triage, overtriage, and undertriage using the Standardized Trauma Assessment Tool. Statistical analyses were conducted with an α level of 0.05. Results: The new system was associated with improved compliance with existing TTA criteria (from 70.3% to 79.3%, P=0.023) and decreased undertriage (from 6.0% to 3.2%, P=0.002) at the expense of increasing overtriage (from 46.6% to 57.4%, P<0.001), ultimately decreasing the appropriate triage rate (from 78.4% to 74.6%, P=0.007). Conclusions: This study assessed a workflow change designed to improve compliance with TTA criteria. Improved compliance decreased undertriage to below the target threshold of 5%, albeit at the expense of increased overtriage. The decrease in appropriate triage despite compliance improvements suggests that the current criteria at this institution are not adequately tailored to optimally balance the minimization of undertriage and overtriage. This finding underscores the importance of improved compliance in evaluating the efficacy of TTA criteria.

Bioactivity-Guided Fraction from Viscera of Abalone, Haliotis discus hannai Suppresses Cellular Basophils Activation and Anaphylaxis in Mice

  • Kap Seong Choi;Tai-Sun Shin;Ginnae Ahn;Shin Hye Kim;Jiyeon Chun;Mina Lee;Dae Heon Kim;Han-Gil Choi;Kyung-Dong Lee;Sun-Yup Shim
    • Journal of Microbiology and Biotechnology
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    • v.34 no.2
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    • pp.379-386
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    • 2024
  • Basophils and mast cells are specialized effector cells in allergic reactions. Haliotis discus hannai (abalone), is valuable seafood. Abalone male viscera, which has a brownish color and has not been previously reported to show anti-allergic activities, was extracted with acetone. Six different acetone/hexane fractions (0, 10, 20, 30, 40, and 100%) were obtained using a silica column via β-hexosaminidase release inhibitory activity-guided selection in phorbol myristate acetate and a calcium ionophore, A23187 (PMACI)-induced human basophils, KU812F cells. The 40% acetone/hexane fraction (A40) exhibited the strongest inhibition of PMACI-induced-β-hexosaminidase release. This fraction dose-dependently inhibited reactive oxygen species (ROS) production and calcium mobilization without cytotoxicity. Western blot analysis revealed that A40 down-regulated PMACI-induced MAPK (ERK 1/2, p-38, and JNK) phosphorylation, and the NF-κB translocation from the cytosol to membrane. Moreover, A40 inhibited PMACI-induced interleukin (IL)-1β, IL-6, and IL-8 production. Anti-allergic activities of A40 were confirmed based on inhibitory effects on IL-4 and tumor necrosis factor alpha (TNF-α) production in compound (com) 48/80-induced rat basophilic leukemia (RBL)-2H3 cells. A40 inhibited β-hexosaminidase release and cytokine production such as IL-4 and TNF-α produced by com 48/80-stimulated RBL-2H3 cells. Furthermore, it's fraction attenuated the IgE/DNP-induced passive cutaneous anaphylaxis (PCA) reaction in the ears of BALB/c mice. Our results suggest that abalone contains the active fraction, A40 is a potent therapeutic and functional material to treat allergic diseases.

Integrity evaluation of rock bolt grouting using ultrasonic transmission technique (초음파 투과법을 이용한 록볼트 그라우팅의 건전도 평가)

  • Han, Shin-In;Lee, Jong-Sub;Lee, Yong-Jun;Nam, Seok-Woo;Lee, In-Mo
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.9 no.1
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    • pp.75-82
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    • 2007
  • As one of the main support systems, rock bolts play a crucial role in the reinforcement of tunnels. Numerical and experimental studies using a transmission method of ultrasonic guided waves are performed to evaluate the integrity of rock bolts encapsulated by grouting paste. Numerical simulations using "DISPERSE" are carried out for the selection of the optimal experimental setup, i.e. non-destructive testing (NDT) system of the rock bolt. Based on results of the numerical simulation, the calculated frequency range for NDT testing is between 20kHz and 70kHz with the first longitudinal L(1) mode. Laboratory transmission tests are performed by attaching the piezo electric sensor at the tip of the rock bolt before embedding. Both of analytical and experimental results show that the amplitude of signals as well as the wave velocity increases with increase in the defect ratio of grouting paste. The defect in grouting paste means that the space around the rock bolt is not fully filled with the grouting paste. Experimental results also show that the increase of the wave velocity is more sensitive to the defect ratio increase than that of the amplitude. This study demonstrates that the transmission technique of ultrasonic guided waves may be a valuable tool in the evaluation of the rock bolt integrity.

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A Deadlock A voidance Method and a Regression-Based Route Selection Scheme for AGV s in Automated Container Terminals (자동화 컨테이너 터미널에서 AGV 교착 방지와 회귀 분석을 이용한 경로 선정 방안)

  • Jun Jin-Pyo;Ryu Kwang-Ryel;Yoon Hang-Mook
    • Journal of Navigation and Port Research
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    • v.29 no.8 s.104
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    • pp.723-733
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    • 2005
  • This paper presents a deadlock avoidance method for AGVs in automated container terminals. For a more efficient use of AGV traveling area, we divided the area into small-sized grids not enough to cover a whole AGV. Our deadlock avoidance method controls AGVs by identifying strongly connected components(SCCs) in a graph derived from the paths of AGVs on the grids. Also in this paper we suggest a route selection scheme which selects a route by predicting and comparing travel times of candidate routes by using a regression formula. Simulation experiments have shown that the proposed method can control AGVs for 48 hours without deadlocks and the count of AGV visits per QC is increased by $2\~10$ an hour.