• Title/Summary/Keyword: Integrated Index

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Preoperative neutrophil-to-lymphocyte ratio is prognostic for early recurrence after curative intrahepatic cholangiocarcinoma resection

  • Woo Jin Choi;Fiorella Murillo Perez;Annabel Gravely;Tommy Ivanics;Marco P. A. W. Claasen;Liza Abraham;Phillipe Abreu;Robin Visser;Steven Gallinger;Bettina E. Hansen;Gonzalo Sapisochin
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.27 no.2
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    • pp.158-165
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    • 2023
  • Backgrounds/Aims: Within two years of surgery, 70% of resected intrahepatic cholangiocarcinoma (iCCA) recur. Better biomarkers are needed to identify those at risk of "early recurrence" (ER). In this study, we defined ER and investigated whether preoperative neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic-inflammatory index were prognostic of both overall relapse and ER after curative hepatectomy for iCCA. Methods: A retrospective cohort of patients who underwent curative-intent hepatectomy for iCCA between 2005 and 2017 were created. The cut-off timepoint for the ER of iCCA was estimated using a piecewise linear regression model. Univariable analyses of recurrence were conducted for the overall, early, and late recurrence periods. For the early and late recurrence periods, multivariable Cox regression with time-varying regression coefficient analysis was used. Results: A total of 113 patients were included in this study. ER was defined as recurrence within 12 months of a curative resection. Among the included patients, 38.1% experienced ER. In the univariable model, a higher preoperative NLR (> 4.3) was significantly associated with an increased risk of recurrence overall and in the first 12 months after curative surgery. In the multivariable model, a higher NLR was associated with a higher recurrence rate overall and in the ER period (≤ 12 months), but not in the late recurrence period. Conclusions: Preoperative NLR was prognostic of both overall recurrence and ER after curative iCCA resection. NLR is easily obtained before and after surgery and should be integrated into ER prediction tools to guide preoperative treatments and intensify postoperative follow-up.

Therapeutic Effects of Acupuncture for Shoulder Impingement Syndrome: A Systematic Review and Meta-Analysis (어깨충돌증후군에 대한 침치료의 효과: 체계적 문헌고찰 및 메타분석)

  • Jeong Hoon Ahn;Gun Hee Bae;Byung-Jun Kim;In-Hwa Park;In Heo;Yun-Yeop Cha
    • Journal of Korean Medicine Rehabilitation
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    • v.34 no.1
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    • pp.83-95
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    • 2024
  • Objectives This review was conducted to evaluate the therapeutic effects of manual acupuncture (MA) for shoulder impingement syndrome (SIS). Methods We searched 12 electronic databases (DBpia, Korean studies Information Service System [KISS], Oriental Medicine Advanced Searching Integrated System [OASIS], Research Information Sharing Service [RISS], China National Knowledge Infrastructure [CNKI], CINAHL, Clinical Key, Cochrane Library, Embase, JAMA, PubMed, Web of Science) to find randomized-controlled clinical trials (RCTs) investigating therapeutic effects of MA for treating SIS. Shoulder Pain and Disability Index scores and numeric pain rating scale or visual analogue scale were analyzed as the main evaluation criteria. Results Among 181 studies, 169 were screened and only 12 RCTs were eligible in our review. Finally, 11 RCTs could be statistically analyzed. MA was more effective than sham treatment and physical therapy in terms of reducing pain (p=0.003, p=0.0007 each). Electroacupuncture (EA) showed more significant effect than physical therapy (PT) for improving shoulder pain (p<0.00001) and shoulder functionality (p<0.00001). Conclusions These results suggest that MA and EA could be superior option for treating SIS than sham treatment or PT. However this review has its limitations due to the small sample size and lack of well-designed RCTs that were included in the study. Further well-designed RCTs are necessary to provide high-level evidence.

Preliminary Study on Black-Ice Detection Using GPS Ground Reflection Signals

  • Young-Joo Kwon;Hyun-Ju Ban;Sumin Ryu;Suna Jo;Han-Sol Ryu;Yerin Kim;Yun-Jeong Choi;Sungwook Hong
    • Journal of the Korean earth science society
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    • v.45 no.4
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    • pp.318-326
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    • 2024
  • Black ice, a thin and nearly invisible ice layer on roads and pavements, poses a significant danger to drivers and pedestrians during winter due to its transparency. We propose an efficient black ice detection system and technique utilizing Global Positioning System (GPS)-reflected signals. This system consists of a GPS antenna and receiver configured to measure the power of GPS L1 band signal strength. The GPS receiver system was designed to measure the signal power of the Right-Handed Circular Polarization (RHCP) and Left-Handed Circular Polarization (LHCP) from direct and reflected signals using two GPS antennas. Field experiments for GPS LHCP and RHCP reflection measurements were conducted at two distinct sites. We present a Normalized Polarized Reflection Index (NPRI) as a methodological approach for determining the presence of black ice on road surfaces. The field experiments at both sites successfully detected black ice on asphalt roads, indicated by NPRI values greater than -0.1 for elevation angles between 45° and 55°. Our findings demonstrate the potential of the proposed GPS-based system as a cost-effective and scalable solution for large-scale black ice detection, significantly enhancing road safety in cold climates. The scientific significance of this study lies in its novel application of GPS reflection signals for environmental monitoring, offering a new approach that can be integrated into existing GPS infrastructure to detect widespread black ice in real-time.

A Case Report on the Use of M&L Psychotherapy for Chronic Pain Patients through a Traditional Korean Psychiatric Therapeutic Approach (한의정신치료적 접근을 통한 만성통증 환자의 M&L 심리치료 활용 1례 보고)

  • Hyun-A Sim;Jin-Hyun Kim;Jae, kyoung Lee;Soo-Duk Kim;Young-Tak Koh
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.3
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    • pp.279-289
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    • 2024
  • Objectives: To report effects of M&L psychotherapy combined with Korean medical treatments on a patient with chronic low back pain. Methods: We treated a patient with chronic low back pain using M&L psychotherapy alongside a combination of Korean medical treatments, which included acupuncture, pharmacopuncture, cupping, and herbal medicine. The patient was diagnosed based on the ICD-11 diagnostic criteria for chronic primary pain. To evaluate the patient's progress, we used the Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), Visual Analogue Scale (VAS), Beck's Depression Inventory (BDI), and Beck's Anxiety Inventory (BAI). Results: After three weeks of inpatient treatment and two months of outpatient treatment, the patient showed significant improvement in both pain and psychological symptoms. The NRS score decreased from 7 to 2. The BDI score decreased from 54 to 11 and the BAI score decreased from 33 to 9. Conclusions: This study demonstrates that M&L psychotherapy combined with Korean medical treatments can significantly reduce chronic low back pain and improve psychological symptoms such as depression and anxiety. The patient's notable improvements in NRS, BDI, and BAI scores suggest that an integrated treatment approach addressing both physical and mental health aspects is effective for managing chronic pain. These findings support potential benefits of holistic and multidisciplinary strategies for treating patients with chronic pain.

Methods for Integration of Documents using Hierarchical Structure based on the Formal Concept Analysis (FCA 기반 계층적 구조를 이용한 문서 통합 기법)

  • Kim, Tae-Hwan;Jeon, Ho-Cheol;Choi, Joong-Min
    • Journal of Intelligence and Information Systems
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    • v.17 no.3
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    • pp.63-77
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    • 2011
  • The World Wide Web is a very large distributed digital information space. From its origins in 1991, the web has grown to encompass diverse information resources as personal home pasges, online digital libraries and virtual museums. Some estimates suggest that the web currently includes over 500 billion pages in the deep web. The ability to search and retrieve information from the web efficiently and effectively is an enabling technology for realizing its full potential. With powerful workstations and parallel processing technology, efficiency is not a bottleneck. In fact, some existing search tools sift through gigabyte.syze precompiled web indexes in a fraction of a second. But retrieval effectiveness is a different matter. Current search tools retrieve too many documents, of which only a small fraction are relevant to the user query. Furthermore, the most relevant documents do not nessarily appear at the top of the query output order. Also, current search tools can not retrieve the documents related with retrieved document from gigantic amount of documents. The most important problem for lots of current searching systems is to increase the quality of search. It means to provide related documents or decrease the number of unrelated documents as low as possible in the results of search. For this problem, CiteSeer proposed the ACI (Autonomous Citation Indexing) of the articles on the World Wide Web. A "citation index" indexes the links between articles that researchers make when they cite other articles. Citation indexes are very useful for a number of purposes, including literature search and analysis of the academic literature. For details of this work, references contained in academic articles are used to give credit to previous work in the literature and provide a link between the "citing" and "cited" articles. A citation index indexes the citations that an article makes, linking the articleswith the cited works. Citation indexes were originally designed mainly for information retrieval. The citation links allow navigating the literature in unique ways. Papers can be located independent of language, and words in thetitle, keywords or document. A citation index allows navigation backward in time (the list of cited articles) and forwardin time (which subsequent articles cite the current article?) But CiteSeer can not indexes the links between articles that researchers doesn't make. Because it indexes the links between articles that only researchers make when they cite other articles. Also, CiteSeer is not easy to scalability. Because CiteSeer can not indexes the links between articles that researchers doesn't make. All these problems make us orient for designing more effective search system. This paper shows a method that extracts subject and predicate per each sentence in documents. A document will be changed into the tabular form that extracted predicate checked value of possible subject and object. We make a hierarchical graph of a document using the table and then integrate graphs of documents. The graph of entire documents calculates the area of document as compared with integrated documents. We mark relation among the documents as compared with the area of documents. Also it proposes a method for structural integration of documents that retrieves documents from the graph. It makes that the user can find information easier. We compared the performance of the proposed approaches with lucene search engine using the formulas for ranking. As a result, the F.measure is about 60% and it is better as about 15%.

A Study on Location Selection for Rainwater Circulation System Elements at a City Level - Focusing on the Application of the Environmental and Ecological Plan of a Development - (도시차원의 빗물순환체계 요소별 입지선정에 관한 연구 - 개발예정지역의 환경생태계획 적용방안을 중심으로 -)

  • Kim, Hyo-Min;Kim, Kwi-Gon
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.3
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    • pp.1-11
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    • 2012
  • This study focused on establishing a natural rainwater circulation system using rainwater meant for relatively large urban development projects such as a new town development. In particular, when the location selection techniques for individual elements of a natural rainwater circulation system are developed for the integrated rainwater management, changes in hydrological environment will be minimized and the natural water circulation would be restored to realize the low impact development (LID). In that case, not only the excess will be reduced but water space and green areas in a city would also increase to improve the urban sustainability. First of all, there were five elements selected for the location selection of a rainwater circulation system intended for the integrated rainwater management: rainwater collection, infiltration, filtration, retention and movement spaces. After generating these items, the location selection items and criteria were defined for each of the five elements. For a technique to apply the generated evaluation items and criteria, a grid cell analysis was conducted based m the suitability index theory, and thematic maps were overlapped through suitability assessment of each element and graded based on the suitability index. The priority areas were identified for each element. The developed technique was applied to a site where Gim-cheon Innovation City development is planned to review its feasibility and limitations. The combined score of the overlapped map for each element was separated into five levels: very low, low, moderate, high and very high. Finally, it was concluded that creating a rainwater circulation system conceptual map m the current land use plan based on the outcome of the application would be useful in building a water circulation system at the de1ailed space planning stage after environmental and ecological planning. Furthermore, we use the results of this study as a means for environment-friendly urban planning for sustainable urban development.

The Evaluation of Crime Prevention Environment for Cultural Heritage using the 3D Visual Exposure Index (3D 시각노출도를 이용한 문화재 범죄예방환경의 평가)

  • Kim, Choong-Sik
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.35 no.1
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    • pp.68-82
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    • 2017
  • Strengthening surveillance, one of the most important factors in the crime prevention environment of cultural heritages, has difficulty in evaluating and diagnosing the site. For this reasons, surveillance enhancement has been assessed by modelling the shape of cultural heritage, topography, and trees digitally. The purpose of this study is to develop the evaluation method of crime prevention environment for cultural heritage by using the 3D visual exposure index (3DVE) which can quantitatively evaluate the surveillance enhancement in three dimensions. For the study, the evaluation factors were divided into natural, organizational, mechanical, and integrated surveillance. To conduct the analysis, the buildings, terrain, walls, and trees of the study site were modeled in three dimensions and the analysis program was developed by using the Unity 3D. Considering the working area of the person, it is possible to analyze the surveillance point by dividing it into the head and the waist position. In order to verify the feasibility of the 3DVE as the analysis program, we assessed the crime prevention environment by digitally modeling the Donam Seowon(Historic Site No. 383) located in Nonsan. As a result of the study, it was possible to figure out the problems of patrol circulation, the blind spot, and the weak point in natural, mechanical, and organizational surveillance of Donam Seowon. The results of the 3DVE were displayed in 3D drawings, so that the position and object could be identified clearly. Surveillance during the daytime is higher in the order of natural, mechanical, and organizational surveillance, while surveillance during the night is higher in the order of organizational, mechanical, and natural surveillance. The more the position of the work area becomes low, the more it is easy to be shielded, so it is necessary to evaluate the waist position. It is possible to find out and display the blind spot by calculating the surveillance range according to the specification, installation location and height of CCTV. Organizational surveillance, which has been found to be complementary to mechanical surveillance, needs to be analyzed at the vulnerable time when crime might happen. Furthermore, it is note that the analysis of integrated surveillance can be effective in examining security light, CCTV, patrol circulation, and other factors. This study was able to diagnose the crime prevention environment by simulating the actual situation. Based on this study, consecutive researches should be conducted to evaluate and compare alternatives to design the crime prevention environment.

Determination of Carbon Dioxide Concentration in CO2 Supplemental Greenhouse for Tomato Cultivation during Winter and Spring Seasons (겨울과 봄철의 CO2 시비 토마토 온실에서 온도에 따른 CO2 농도 구명)

  • Su-Hyun Choi;Young-Hoe Woo;Dong-Cheol Jang;Young-Ae Jeong;Seo-A Yoon;Dae-Hyun Kim;Ho-Seok Seo;Eun-Young Choi
    • Journal of Bio-Environment Control
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    • v.32 no.4
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    • pp.416-422
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    • 2023
  • This study was aimed to determine the changes in CO2 concentration according to the temperatures of daytime and nighttime in the CO2 supplemental greenhouse, and to compare calculated supplementary CO2 concentration during winter and spring cultivation seasons. CO2 concentrations in experimental greenhouses were analyzed by selecting representative days with different average temperatures due to differences in integrated solar radiation at the growth stage of leaf area index (LAI) 2.0 during the winter season of 2022 and 2023 years. The CO2 concentration was 459, 299, 275, and 239 µmol·mol-1, respectively at 1, 2, 3, and 4 p.m. after the CO2 supplementary time (10:00-13:00) under the higher temperature (HT, > 18℃ daytime temp. avg. 31.7, 26.8, 23.8, and 22.4℃, respectively), while it was 500, 368, 366, 364 µmol·mol-1, respectively under the lower temperature (LT, < 18℃ daytime temp. avg. 22.0, 18.9, 15.0, and 13.7℃, respectively), indicating the CO2 reduction was significantly higher in the HT than that of LT. During the nighttime, the concentration of CO2 gradually increased from 6 p.m. (346 µmol·mol-1) to 3 a.m. (454 µmol·mol-1) in the HT with a rate of 11 µmol·mol-1 per hour (240 tomatoes, leaf area 330m2), while the increase was very lesser under the LT. During the spring season, the CO2 concentration measured just before the start of CO2 fertilization (7:30 a.m.) in the CO2 enrichment greenhouse was 3-4 times higher in the HT (>15℃ nighttime temperature avg.) than that of LT (< 15℃ nighttime temperature avg.), and the calculated amount of CO2 fertilization on the day was also lower in HT. All the integrated results indicate that CO2 concentrations during the nighttime varies depending on the temperature, and the increased CO2 is a major source of CO2 for photosynthesis after sunrise, and it is necessary to develop a model formula for CO2 supplement considering the nighttime CO2 concentration.

Exposure and Risk Assessments of Multimedia of Arsenic in the Environment (환경 중 비소의 매체통합 노출평가 및 위해성평가 연구)

  • Sim, Ki-Tae;Kim, Dong-Hoon;Lee, Jaewoo;Lee, Chae-Hong;Park, Soyeon;Seok, Kwang-Seol;Kim, Younghee
    • Journal of Environmental Impact Assessment
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    • v.28 no.2
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    • pp.152-168
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    • 2019
  • The element arsenic, which is abundant in the Earth's crust, is used for various industrial purposes including materials for disease treatment and household goods. Various human activities, such as the disposal of soil waste, metal mining and smelting, and combustion of fossil fuels, have caused the pollution of the environment with arsenic. Recently, guidelines for arsenic in rice have been adopted by the Korean ministry of food and drug safety to prevent health risks based on rice consumption. Because of the exposure to arsenic and its accumulation in the human body through various channels, such as air inhalation, skin contact, ingestion of drinking water, and food consumption, integrated multimedia risk assessment is required to adopt appropriate risk management policies. Therefore, integrated human health risk assessment was carried out in this study using integrated exposure assessment based on multimedia (e.g., air, water, and soil) and multi-route (e.g., oral, inhalation, and dermal) scenarios. The results show that oral uptake via drinking water is the most common pathway of arsenic into the human body, accounting for 57%-96% of the total arsenic exposure. Among various age groups, the highest exposures to arsenic were observed in infants because the body weight of infants is low and the surface areas of infant bodies are large. Based on the results of the exposure assessment, the cancer and non-cancer risks were calculated. The cancer risk for CTE and RME is in the range of 2.3E-05 to 6.7E-05 and thus is negligible because it does not exceed the cancer probability of 1.0E-04 for all age groups. On the other hand, the cancer risk for RME varies from 6.4E-05 to 1.8E-04 and from 1.3E-04 to 1.8E-04 for infants and preschool children, exceeding the excess cancer risk of 1.0E-04. The non-cancer risks range from 5.4E-02 to 1.9E-01 and from 1.5E-01 to 6.8E-01, respectively. They do not exceed the hazard index 1 for all scenarios and all ages.

Estimation of Water Quality Index for Coastal Areas in Korea Using GOCI Satellite Data Based on Machine Learning Approaches (GOCI 위성영상과 기계학습을 이용한 한반도 연안 수질평가지수 추정)

  • Jang, Eunna;Im, Jungho;Ha, Sunghyun;Lee, Sanggyun;Park, Young-Gyu
    • Korean Journal of Remote Sensing
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    • v.32 no.3
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    • pp.221-234
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    • 2016
  • In Korea, most industrial parks and major cities are located in coastal areas, which results in serious environmental problems in both coastal land and ocean. In order to effectively manage such problems especially in coastal ocean, water quality should be monitored. As there are many factors that influence water quality, the Korean Government proposed an integrated Water Quality Index (WQI) based on in situmeasurements of ocean parameters(bottom dissolved oxygen, chlorophyll-a concentration, secchi disk depth, dissolved inorganic nitrogen, and dissolved inorganic phosphorus) by ocean division identified based on their ecological characteristics. Field-measured WQI, however, does not provide spatial continuity over vast areas. Satellite remote sensing can be an alternative for identifying WQI for surface water. In this study, two schemes were examined to estimate coastal WQI around Korea peninsula using in situ measurements data and Geostationary Ocean Color Imager (GOCI) satellite imagery from 2011 to 2013 based on machine learning approaches. Scheme 1 calculates WQI using estimated water quality-related factors using GOCI reflectance data, and scheme 2 estimates WQI using GOCI band reflectance data and basic products(chlorophyll-a, suspended sediment, colored dissolved organic matter). Three machine learning approaches including Random Forest (RF), Support Vector Regression (SVR), and a modified regression tree(Cubist) were used. Results show that estimation of secchi disk depth produced the highest accuracy among the ocean parameters, and RF performed best regardless of water quality-related factors. However, the accuracy of WQI from scheme 1 was lower than that from scheme 2 due to the estimation errors inherent from water quality-related factors and the uncertainty of bottom dissolved oxygen. In overall, scheme 2 appears more appropriate for estimating WQI for surface water in coastal areas and chlorophyll-a concentration was identified the most contributing factor to the estimation of WQI.