• Title/Summary/Keyword: Loss of chance

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The Bridge Deck Restrainer of Rubber-Chain Type (블록형 고무피복체인식 낙교방지장치)

  • 최석정;강재윤;오태헌;유문식;윤석용
    • Proceedings of the Korea Concrete Institute Conference
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    • 2000.10a
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    • pp.777-784
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    • 2000
  • During past earthquakes several bridges have failed due to a loss of support at their bearings, seats, and/or expansion joints. Most efforts to prevent this have been directed toward tying bridges together at their bearings and expansion joints. Longitudinal restrainers are installed to limit the relative displacement at joints and thus decrease the chance of a loss of support as these locations. Transverse restrainers are necessary in many cases to keep the superstructure from sliding off in the transverse direction. Vertical restrainers are used at bearings to prevent uplifting deck, but usually not economically justified unless additional bearing retrofit is being performed. To obtain this three function of restrainer, a universal restrainer is developed. The load capacities were evaluated in static and dynamic experimental test. The test results show that the measured capacity or strength of the bridge deck restrainer is similar to that of design value.

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Fault Restoration Algorithm for Subway Power System (지하철 전력계통에서의 사고복구 시스템 알고리즘 개발)

  • Kim, J.U.;Ryu, H.S.;Lee, J.G.;Moon, Y.H.
    • Proceedings of the KIEE Conference
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    • 2001.11b
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    • pp.308-310
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    • 2001
  • This paper is to introduce a more effective and flexible restoration algorithm composed to the fault preventing and restoring system now in use. This was possible by considering the changes that can occur by the proper or the improper run of the Feeder, which the power system restoration method now using didn't consider. The new algorithm uses the method minimizing the loss with respect to the load changes occuring when the power system is restored, rather than just simply following the SOP that is only composed of a single Feeder On/off combination. This can present the more effective power system running method for the safer subway running and passenger transport, by giving the system operator the chance to choose between the SOP and the minimum loss method.

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Initial Diagnosis of Functional Gastrointestinal Disorders in Children Increases a Chance for Resolution of Symptoms

  • Trivic, Ivana;Hojsak, Iva
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.4
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    • pp.264-270
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    • 2018
  • Purpose: The aim of this study was to describe functional gastrointestinal disorders (FGID) presented in a tertiary medical center, characteristics of patients and results of the diagnostic work-up together with an outcome during the follow up. Methods: This was a retrospective, single center, observational study including all patients who were diagnosed with FGID based on Rome III criteria from January to December 2015 in tertiary medical center. Results: Overall 294 children were included (mean age, 8.9 years [range, 1-18 years]; 165 females). Majority had functional constipation (35.4%), followed by functional abdominal pain (30.6%), irritable bowel syndrome (17.0%), functional dyspepsia (12.6%), functional nausea (3.4%) and abdominal migraine (1.0%). Regression model found that only significant factor associated with improvement of symptoms is the establishment of the functional diagnosis at the first visit (hazard ratio, 2.163; 95% confidence inverval, 1.029-4.544). There was no association between improvement of symptoms and presence of alarm signs/symptoms (weight loss, nocturnal symptoms and severe vomiting) at diagnosis. Furthermore, in pain symptoms (functional abdominal pain, irritable bowel syndrome, dyspepsia) no treatment positively correlated with pain improvement. Conclusion: Regardless of the initial diagnosis of FGID, positive diagnosis at the first visit increases a chance for resolution of symptoms.

High Representation based GAN defense for Adversarial Attack

  • Sutanto, Richard Evan;Lee, Suk Ho
    • International journal of advanced smart convergence
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    • v.8 no.1
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    • pp.141-146
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    • 2019
  • These days, there are many applications using neural networks as parts of their system. On the other hand, adversarial examples have become an important issue concerining the security of neural networks. A classifier in neural networks can be fooled and make it miss-classified by adversarial examples. There are many research to encounter adversarial examples by using denoising methods. Some of them using GAN (Generative Adversarial Network) in order to remove adversarial noise from input images. By producing an image from generator network that is close enough to the original clean image, the adversarial examples effects can be reduced. However, there is a chance when adversarial noise can survive the approximation process because it is not like a normal noise. In this chance, we propose a research that utilizes high-level representation in the classifier by combining GAN network with a trained U-Net network. This approach focuses on minimizing the loss function on high representation terms, in order to minimize the difference between the high representation level of the clean data and the approximated output of the noisy data in the training dataset. Furthermore, the generated output is checked whether it shows minimum error compared to true label or not. U-Net network is trained with true label to make sure the generated output gives minimum error in the end. At last, the remaining adversarial noise that still exist after low-level approximation can be removed with the U-Net, because of the minimization on high representation terms.

RADIOGRAPHIC EVALUATION OF BONE CHANCE AROUND OSSEOINTEGRATED IMPLANTS IN PARTIALLY EDENTULOUS JAWS WITH FIXED TISSUE-INTEGRATED PROSTHESES (부분무치악 환자에서 기능하중노출이 골유착성 임플란트 주위의 치조골 소실에 미치는 영향에 관한 방사선학적 연구)

  • Yang, Soon-Bong;Han, Dong-Hoo;Yang, Ja-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.34 no.1
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    • pp.70-84
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    • 1996
  • This paper reports marginal bone loss around osseointegrated implants after loading in partially edentulous patients in dental hospital, Yonsei University. Two types of implants($Br{\aa}nemark^{TM},\;IMZ^{TM}$) were used. Through the digital measurement on periapical radiograph around 37 implants in human subjects, marginal bone loss was observed for 24 months after delivery of prostheses. The results were as follows; 1. According to experimental periods marginal bone loss in total implants was 1.775 mm at 12 months, 1.921 mm at 24 months after delivery of prostheses(p<0.05). 2. Marginal bone loss in the $Br{\aa}nemark$ implants was 1.831 mm at 12 months, 1.833 mm at 24 months after delivery of prostheses(p<0.05). 3. Marginal bone loss in the IMZ implants was 1.578 mm at 12 months, 2.907 mm at 23 months after delivery of prostheses(p<0.05). 4. During the first year after loading, the IMZ implants showed less marginal bone loss than the $Br{\aa}nemark$ implants but, during the next the $Br{\aa}nemark$ implants showed less than the IMZ implants(p>0.05). These results indicate that marginal bone loss around osseointegrated implants occurs within the first 12 months after delivery of prostheses and stabilizes thereafter, so it is necessary to be careful of using dental implants for the first year after delivery of prostheses.

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Primary angle-closure glaucoma, a rare but severe complication after blepharoplasty: Case report and review of the literature

  • Maria Kappen, Isabelle Francisca Petronella;Nguyen, Duy Thuan;Vos, Albert;van Tits, Hermanus Wilhelmus Hendricus Joseph
    • Archives of Plastic Surgery
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    • v.45 no.4
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    • pp.384-387
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    • 2018
  • Blepharoplasty is one of the most commonly performed aesthetic procedures. Surgical complications are rare, but can have severe consequences, such as permanent vision loss. In this report, we describe a patient who developed primary angle-closure glaucoma (ACG) with associated vision loss after a oculoplastic procedure using local anesthesia. So far, six similar cases have been described in the literature. It is believed that acute ACG is triggered by the surgical procedure in patients with predisposing risk factors such as a cataract. Surgical triggering factors include the use of buffered lidocaine/xylocaine with adrenaline/epinephrine, stress, and coverage of the eyes postoperatively. Due to postoperative analgesic use, the clinical presentation can be mild and atypical, leading to a significant diagnostic delay. Acute ACG should therefore be excluded in each patient with postoperative complaints by assessing pupillary reactions. If a fixed mid-wide pupil is observed in an ophthalmologic examination, an immediate ophthalmology referral is warranted. Surgeons should be aware of this rare complication in order to offer treatment at an early stage and to minimize the chance of irreversible vision loss.

Limited Indirect Acknowledgement for TCP Performance Enhancement over Wireless Networks (무선 망에서의 TCP 성능 향상을 위한 제한적인 Indirect-ACK)

  • 김윤주;이미정;안재영
    • Journal of KIISE:Information Networking
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    • v.30 no.2
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    • pp.233-243
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    • 2003
  • With the original Transmission Control Protocol(TCP) design, which is particularly targeted at the wired networks, a packet loss is assumed to be caused by the network congestion. In the wireless environment where the chances to lose packets due to transmission bit errors are not negligible, though, this assumption may result in unnecessary TCP performance degradation. In this paper, we propose three schemes that improve the ability to conceal the packet losses in the wireless network while limiting the degree of violating TCP end-to-end semantics to a temporary incidents. If there happens a packet loss at the wireless link and there is a chance that the loss is noticed by the sending TCP, the proposed schemes send an indirect acknowledgement. Each of the proposed schemes uses different criteria to decide whether there is a chance that the packet loss occurred in the wireless part is noticed by the sender. In order to limit the buffer overhead in the base, the indirect acknowledgements are issued only when the length of buffer is less than a certain threshold. We use simulation to compare the overhead and the performance of the proposed schemes, and to show that the proposed schemes improve the TCP performance compared to Snoop with a limited amount of buffer at the base station.

Legal Interest in Damages Regarding Loss of Treatment Chance (치료기회상실로 인한 손해배상에 있어서 피침해법익)

  • Eom, Bokhyun
    • The Korean Society of Law and Medicine
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    • v.20 no.3
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    • pp.83-139
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    • 2019
  • Recognition of liability for damages due to medical malpractice has been developed largely on the basis of two paths. First is the case where there is an error in a physician's medical practice and this infringes upon the legal interests of life and body, and the compensation for monetary and non-monetary damages incurred from such infringement on life and body becomes an issue. Second is the case where there is a breach of a physician's duty of explanation that results in a infringement on the patient's right of autonomous decision, and the compensation for non-monetary damages incurred from such infringement becomes an issue. However, even if there is a medical error, since it is difficult to prove the causation between the medical error of a physician and the infringement upon legal interests, the physician's responsibility for damage compensation is denied in some cases. Consider, for example, a case where a patient is already in the final stage of cancer and has a very low possibility of a complete recovery even if proper treatment is received from the physician. Here, it is not appropriate to refuse recognition of any damage compensation based on the reason that the possibility of the patient dying is very high even in the absence of a medical error. This is so because, at minimum, non-monetary damage such as psychological suffering is incurred due to the physician's medical error. In such a case, our courts recognize on an exceptional basis consolation money compensation for losing the chance to receive proper treatment. However, since the theoretical system has not been established in minutiae, what comes under the benefit and protection of the law is not clearly explicated. The recent discourse on compensating for damages incurred by patients, even when the causation between the physician's medical error and infringement upon the legal interests of life and body is denied, by establishing a new legal interest is based on the "legal principle of loss of opportunity for treatment." On what should be the substance of the new legal interest, treatment possibility argument, expectation infringement argument, considerable degree of survival possibility infringement argument and loss of opportunity for treatment argument are being put forth. It is reasonable to see the substance of this protected legal interest as "the benefit of receiving treatment appropriate to the medical standard" according to the loss of opportunity for treatment argument. The above benefit to the patient is a value inherent to human dignity that should not be infringed upon or obstructed by anyone, and at the same time, it is a basic desire regarding life and a benefit worthy of protection by law. In this regard, "the benefit of receiving treatment appropriate to the medical standard" can be made concrete as one of the general personal rights related to psychological legal interest.

Multiloculated Hydrocephalus : Open Craniotomy or Endoscopy?

  • Lee, Yun Ho;Kwon, Young Sub;Yang, Kook Hee
    • Journal of Korean Neurosurgical Society
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    • v.60 no.3
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    • pp.301-305
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    • 2017
  • Multiloculated hydrocephalus (MLH) is a condition in which patients have multiple, separate abnormal cerebrospinal fluid collections with no communication between them. Despite technical advancements in pediatric neurosurgery, neurological outcomes are poor in these patients and the approach to this pathology remains problematic especially given individual anatomic complexity and cerebrospinal fluid (CSF) hydrodynamics. A uniform surgical strategy has not yet been developed. Current treatment options for MLH are microsurgical fenestration of separate compartments by open craniotomy or endoscopy, shunt surgery in which multiple catheters are placed in the compartments, and combinations of these modalities. Craniotomy for fenestration allows better visualization of the compartments and membranes, and it can offer easy fenestration or excision of membranes and wide communication of cystic compartments. Hemostasis is more easily achieved. However, because of profound loss of CSF during surgery, open craniotomy is associated with an increased chance of subdural hygroma and/or hematoma collection and shunt malfunction. Endoscopy has advantages such as minimal invasiveness, avoidance of brain retraction, less blood loss, faster operation time, and shorter hospital stay. Disadvantages are also similar to those of open craniotomy. Intraoperative bleeding can usually be easily managed by irrigation or coagulation. However, handling of significant intraoperative bleeding is not as easy. Currently, endoscopic fenestration tends to be performed more often as initial treatment and open craniotomy may be useful in patients requiring repeated endoscopic procedures.

Optimal Design for the Rotor Overlap of a Supersonic Impulse Turbine to Improve the Performance (초음속 충동형 터빈 성능개선을 위한 동익 오버랩 최적설계)

  • Cho, Jong-Jae;Seo, Jong-Chul;Kim, Kui-Soon
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2011.11a
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    • pp.325-330
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    • 2011
  • A rotor overlap technique was adapted to improve the performance of a axial turbine. The technique secured sufficient flow passage by additional height at the rotor tip and hub. especially in a supersonic turbine, the technique reduced the chance of chocking in the rotor passage, and made to be satisfied the design pressure ratio. However, the technique also made additional losses, like a pumping loss, expansion loss, etc. Therefore, a optimization technique was appled to maximize the improvement of the turbine performance. An approximate optimization method was used for the investigation to secure the computational efficiency. The design variables was shape factors of a rotor overlap. Results indicated that a significant improvement in turbine performance can be achieved through the optimization of the rotor overlap.

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