• Title/Summary/Keyword: Ming General

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Surgical and Electrical Anatomy of the Inter-Nodal and Intra-Atrial Conduction System in the Heart

  • Seo, Jeong-Wook;Kim, Jung-Sun;Cha, Myung-Jin;Yoon, Ja Kyoung;Kim, Min-Ju;Tsao, Hsuan-Ming;Lee, Chang-Ha;Oh, Seil
    • Journal of Chest Surgery
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    • v.55 no.5
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    • pp.364-377
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    • 2022
  • An anatomical understanding of the atrial myocardium is crucial for surgeons and interventionists who treat atrial arrhythmias. We reviewed the anatomy of the inter-nodal and intra-atrial conduction systems. The anterior inter-nodal route (#1) arises from the sinus node and runs through the ventral wall of the atrial chambers. The major branch of route #1 approaches the atrioventricular node from the anterior aspect. Other branches of route #1 are Bachmann's bundle and a vestibular branch around the tricuspid valve. The middle inter-nodal route (#2) begins with a broad span of fibers at the sinus venarum and extends to the superior limbus of the oval fossa. The major branch of route #2 joins with the branch of route #1 at the anterior part of the atrioventricular node. The posterior inter-nodal route (#3) is at the terminal crest and gives rise to many branches at the pectinate muscles of the right atrium and then approaches the posterior atrioventricular node after joining with the vestibular branch of route #1. The branches of the left part of Bachmann's bundle and the branches of the second inter-nodal route form a thin myocardial network at the posterior wall of the left atrium. These anatomical structures could be categorized into major routes and side branches. There are 9 or more anatomical circles in the atrial chambers that could be structural sites for macro re-entry. The implications of normal and abnormal structures of the myocardium for the pathogenesis and treatment of atrial arrhythmias are discussed.

Palliative Care for Adult Patients Undergoing Hemodialysis in Asia: Challenges and Opportunities

  • Wei-Min Chu;Hung-Bin Tsai;Yu-Chi Chen;Kuan-Yu Hung;Shao-Yi Cheng;Cheng-Pei Lin
    • Journal of Hospice and Palliative Care
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    • v.27 no.1
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    • pp.1-10
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    • 2024
  • This article underscores the importance of integrating comprehensive palliative care for noncancer patients who are undergoing hemodialysis, with an emphasis on the aging populations in Asian nations such as Taiwan, Japan, the Republic of Korea, and China. As the global demographic landscape shifts towards an aging society and healthcare continues to advance, a marked increase has been observed in patients undergoing hemodialysis who require palliative care. This necessitates an immediate paradigm shift to incorporate this care, addressing the intricate physical, psychosocial, and spiritual challenges faced by these individuals and their families. Numerous challenges impede the provision of effective palliative care, including difficulties in prognosis, delayed referrals, cultural misconceptions, lack of clinician confidence, and insufficient collaboration among healthcare professionals. The article proposes potential solutions, such as targeted training for clinicians, the use of telemedicine to facilitate shared decision-making, and the introduction of time-limited trials for dialysis to overcome these obstacles. The integration of palliative care into routine renal treatment and the promotion of transparent communication among healthcare professionals represent key strategies to enhance the quality of life and end-of-life care for people on hemodialysis. By embracing innovative strategies and fostering collaboration, healthcare providers can deliver more patient-centered, holistic care that meets the complex needs of seriously ill patients within an aging population undergoing hemodialysis.

모단문양(牡丹紋樣)에 대한 고찰(考察) - 중국(中國).한국(韓國).일본(日本)을 중심(中心)으로 -

  • Lee, Sun-Ja
    • Journal of the Korean Society of Costume
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    • v.9
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    • pp.89-106
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    • 1985
  • The peony patterns represent one of decorative designs with their fortunate and auspicious implications. The pattern emerged first from T'ang Dynasty, flourished during the periods of Sung and $Y\ddot{u}an$ in China, and then was introduced to Korea and Japan. For the purpose of systematizing the development of the pattern, this thesis is about the process of formation and various changes in peony patterns. It examines in general the literatures and the craft works, such as textiles, lacquer wares, chinas and porcelains, and metals. The characteristics of peony patterns are dealt respectively in this study about T'ang, Sung, $Y\ddot{u}an$, Ming and Ch'ing Dynasties of China, Shila, Korea, Chosun, of Korea, and Nara, Haian, Kamakura, Muromachi, MomoYama, Aedo of Japan.

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ON TESTING FOR HOMOGENEITY OF THE COVARIANCE N\MATRICES

  • Zhang, Xiao-Ning;Jing, Ping;Ji, Xiao-Ming
    • Journal of applied mathematics & informatics
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    • v.8 no.2
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    • pp.361-370
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    • 2001
  • Testing equality of covariance matrix of k populations has long been an interesting issue in statistical inference. To overcome the sparseness of data points in a high-dimensional space and deal with the general cases, we suggest several projection pursuit type statistics. Some results on the limiting distributions of the statistics are obtained. some properties of Bootstrap approximation are investigated. Furthermore, for computational reasons an approximation which is based on Number theoretic method for the statistics is adopted. Several simulation experiments are performed.

COINCIDENCE THEOREMS FOR NONCOMPACT ℜℭ-MAPS IN ABSTRACT CONVEX SPACES WITH APPLICATIONS

  • Yang, Ming-Ge;Huang, Nan-Jing
    • Bulletin of the Korean Mathematical Society
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    • v.49 no.6
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    • pp.1147-1161
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    • 2012
  • In this paper, a coincidence theorem for a compact ${\Re}\mathfrak{C}$-map is proved in an abstract convex space. Several more general coincidence theorems for noncompact ${\Re}\mathfrak{C}$-maps are derived in abstract convex spaces. Some examples are given to illustrate our coincidence theorems. As applications, an alternative theorem concerning the existence of maximal elements, an alternative theorem concerning equilibrium problems and a minimax inequality for three functions are proved in abstract convex spaces.

PRECONDITIONING FOR THE p-VERSION BOUNDARY ELEMENT METHOD IN THREE DIMENSIONS WITH TRIANGULAR ELEMENTS

  • Cao, Wei-Ming;Guo, Benqi
    • Journal of the Korean Mathematical Society
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    • v.41 no.2
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    • pp.345-368
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    • 2004
  • A preconditioning algorithm is developed in this paper for the iterative solution of the linear system of equations resulting from the p-version boundary element approximation of the three dimensional integral equation with hypersingular operators. The preconditioner is derived by first making the nodal and side basis functions locally orthogonal to the element internal bases, and then by decoupling the nodal and side bases from the internal bases. Its implementation consists of solving a global problem on the wire-basket and a series of local problems defined on a single element. Moreover, the condition number of the preconditioned system is shown to be of order $O((1+ln/p)^{7})$. This technique can be applied to discretization with triangular elements and with general basis functions.

Clinical characteristics in Taiwanese women with polycystic ovary syndrome

  • Hsu, Ming-I
    • Clinical and Experimental Reproductive Medicine
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    • v.42 no.3
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    • pp.86-93
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    • 2015
  • Polycystic ovary syndrome (PCOS) is one of the most common hormonal endocrine disorders in women of reproductive age. It consists of a heterogeneous collection of signs and symptoms that together form a disorder spectrum. The diagnosis of PCOS is principally based on clinical and physical findings. The extent of metabolic abnormalities in women with PCOS varies with phenotype, body weight, age, and ethnicity. For general population, the prevalence of hyperandrogenism and oligomenorrhea decreases with age, while complications such as insulin resistance and other metabolic disturbances increase with age. Obese women with PCOS have a higher risk of developing oligomenorrhea, amenorrhea, hyperandrogenemia, insulin resistance, and lower luteinizing hormone (LH) to follicle stimulation hormone (FSH) ratios than non-obese women with PCOS. The LH to FSH ratio is a valuable diagnostic tool in evaluating Taiwanese women with PCOS, especially in the diagnosis of oligomenorrhea. Overweight/obesity is the major determinant of cardiovascular and metabolic disturbances in women of reproductive age.

Design of Vector Register Architecture in DSP Processor for Efficient Multimedia Processing

  • Wu, Chou-Pin;Wu, Jen-Ming
    • JSTS:Journal of Semiconductor Technology and Science
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    • v.7 no.4
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    • pp.229-234
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    • 2007
  • In this paper, we present an efficient instruction set architecture using vector register file hardware to accelerate operation of general matrix-vector operations in DSP microprocessor. The technique enables in-situ row-access as well as column access to the register files. It can reduce the number of memory access significantly. The technique is especially useful for block-based video signal processing kernels such as FFT/IFFT, DCT/IDCT, and two-dimensional filtering. We have applied the new instruction set architecture to in-loop deblocking filter processing in H.264 decoder. Performance comparisons show that the required load/store operations for the in-loop deblocking filter can be reduced about 42%. The architecture would improve the processing speed, and code density in DSP microprocessor especially for video signal processing substantially.

A Study on Gi(氣) from the Viewpoint of Mind-Spirit Activities and Original Gi Functioning ("신기존망론(神氣存亡論)"과 "원기존망론(元氣存亡論)"을 중심으로 한 기(氣)에 대한 연구)

  • Kim, Joong-Han
    • Journal of Korean Medical classics
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    • v.23 no.1
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    • pp.217-233
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    • 2010
  • "Singijonmangron(神氣存亡論; theory of mind-spirit activities)" is a medical discourse of Janggyeongak(張景岳) in the Ming[明] dynasty, and "Wongijonmangron(元氣存亡論; theory of original gi functioning)" is a work by Seoryeongtae(徐靈胎) in the Qing[淸] dynasty. One emphasized the importance of mind-spirit activities and the other said seriously about original gi functioning. We did a study on these two medical theories, and began with identifying the meaning of 'Gi' among the ancient chinese philosophy and medicine such as "Hwangjenaegyeong(黃帝內經)". After that, we showed the general 'Gi' and its variations in the meaning of 'Gi' according to name and function in "Hwangjenaegyeong(黃帝內經)"and other classics of prominent historic scholars of medicine, finally trying to find out the essentials of mind-spirit[神氣] by Janggyeongak(張景岳) and original gi[元氣] by Seoryeongtae(徐靈胎).

Limitation of the Five Viscera Correlation Theory and the Five Phase Theory (오장상관학설여오행학설국한성(五脏相关学说与五行学说局限性))

  • Cui, Ming-Hua;Cui, Zheng-Zhi
    • Journal of Korean Medical classics
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    • v.23 no.1
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    • pp.15-19
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    • 2010
  • Five phase theory has significant effect on Traditional Chinese Medicine, which puts its emphasis on correlation and integrity. However, the five phase theory itself has a limitation that it cannot reflect the general correlation and special features of affairs. Traditional Chinese Medicine pertains the five organs to five elements, absorbing the essence of the five phase theory, and transcending the limitation of the five phase theory in practice. Therefore, Traditional Chinese Medicine and other traditional medicine theories can be called as "five viscera correlation theory". On the course of modernization of traditional medicine, the effects among the five viscera can be concluded to 3 correlations of promotion, coordination and inhibition, to illustrate the integrity and correlation theory of traditional medicine from different approaches.