• Title/Summary/Keyword: Risk monitor

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Benefit of volumetric-modulated arc therapy over three-dimensional conformal radiotherapy for stage I-II extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue in the stomach: a dosimetric comparison

  • Chung, Joo-Hyun;Na, Kyoungsu;Kim, Il Han
    • Radiation Oncology Journal
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    • v.36 no.4
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    • pp.332-340
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    • 2018
  • Purpose: To retrospectively analyze dosimetric parameters of volumetric-modulated arc therapy (VMAT) and three-dimensional conformal radiotherapy (3D-CRT) delivered to extranodal marginal zone B-cell lymphomas of mucosa-associated lymphoid tissue in the stomach (gastric MALT lymphoma) to find out advantages of VMAT and conditions for definite benefits of VMAT. Materials and Methods: Fifty patients with stage I-II gastric MALT lymphoma received VMAT (n = 14) or 3D-CRT (n = 36) between December 2005 and April 2018. Twenty-seven patients were categorized according to whether the planning target volume (PTV) overlaps kidney(s). Dosimetric parameters were analyzed by dose-volume histogram. Results: Radiation dose to the liver was definitely lower with VMAT in terms of mean dose (p = 0.026) and V15 (p = 0.008). The V15 of the left kidney was lower with VMAT (p = 0.065). For those with PTV overlapping kidney(s), the left kidney V15 was significantly lower with VMAT. Furthermore, the closer the distance between the PTV and kidneys, the less the left kidney V15 with VMAT (p = 0.037). Delineation of kidney(s) by integrating all respiratory phases had no additional benefit. Conclusions: VMAT significantly increased monitor units, reduced treatment time and radiation dose to the liver and kidneys. The benefit of VMAT was definite in reducing the left kidney V15, especially in geometrically challenging conditions of overlap or close separation between PTV and kidney(s).

Are There Standardized Cutoff Values for Neutrophil-Lymphocyte Ratios in Bacteremia or Sepsis?

  • Gurol, Gonul;Ciftci, Ihsan Hakki;Terzi, Huseyin Agah;Atasoy, Ali Riza;Ozbek, Ahmet;Koroglu, Mehmet
    • Journal of Microbiology and Biotechnology
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    • v.25 no.4
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    • pp.521-525
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    • 2015
  • Bacteremia and sepsis are common causes of morbidity and mortality worldwide, with incorrect or delayed diagnoses being associated with increased mortality. New tests or markers that allow a more rapid and less costly detection of bacteremia and sepsis have been investigated. The aim of this study was to clarify the cutoff value of the neutrophillymphocyte ratio (NLR) according to procalcitonin (PCT) level in the decision-making processes for bacteremia and sepsis. In addition, other white blood cell subgroup parameters, which are assessed in all hospitals, for bacteremia and sepsis were explored. This retrospective study included 1,468 patients with suspected bacteremia and sepsis. Patients were grouped according to the following PCT criteria: levels <0.05 ng/ml (healthy group), 0.05-0.5 ng/ml (local infection group), 0.5-2 ng/ml (systemic infection group), 2-10 ng/ml (sepsis group), and >10 ng/ml (sepsis shock group). One important finding of this study, which will serve as a baseline to measure future progress, is the presence of many gaps in the information on pathogens that constitute a major health risk. In addition, clinical decisions are generally not coordinated, compromising the ability to assess and monitor a situation. This report represents the first study to determine the limits of the use of NLR in the diagnosis of infection or sepsis using a cutoff value of <5 when sufficient exclusion criteria are used.

Development of Smart App to Support the Paramedics Activities (구급 활동을 지원하는 스마트 앱 개발)

  • Eum, Sang-Hee;Kim, Gwang-Nyeon;Kim, Gi-Ryon;Nam, Jae-Hyun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.22 no.1
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    • pp.49-53
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    • 2018
  • In the recent years, an attempts have been made to convergence medical technology and IT technology to overcome the limitations of temporal, spatial in the medical technology applications. Emergency care is primarily intended to provide primary care and stabilization to the patient, thereby saving the patient's life and minimizing the risk until hospital care. In this study, we developed an application S/W to support emergency services for emergency medical services. Paramedics can easily keep a log of emergency activities and monitor the patient's condition in real time with this application S/W on smart devices. In particular, medical signals and information emergency status of emergency patients can be measured or photographs of affected areas can be taken. In addition, this report can be delivered to remote medical doctors for rapid emergency measures and immediate hospital response.

A Study on Big Data Anti-Money Laundering Systems Design through A Bank's Case Analysis (A 은행 사례 분석을 통한 빅데이터 기반 자금세탁방지 시스템 설계)

  • Kim, Sang-Wan;Hahm, Yu-Kun
    • The Journal of Bigdata
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    • v.1 no.1
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    • pp.85-94
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    • 2016
  • Traditional Anti-Money Laundering (AML) software applications monitor bank customer transactions on a daily basis using customer historical information and account profile data to provide a "whole picture" to bank management. With the advent of Big Data, these applications could be benefited from size, variety, and speed of unstructured data, which have not been used in AML applications before. This study analyses the weaknesses of a bank's current AML systems and proposes an AML systems taking advantage of Big Data. For example, early warning of AML risk can be improved by exposing identities and uncovering hidden relationships through predictive and entity analytics on real-time and outside data such as SNS data.

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Prospective Study on Factors Related to Development in Premature Infants at Six-Months (미숙아로 출생한 영아의 6개월 발달 관련 요인에 대한 전향적 연구)

  • Bang, Kyung-Sook;Kang, Hyun-Ju;Lee, Buhyun;Kwon, Mi-Kyung
    • Child Health Nursing Research
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    • v.22 no.3
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    • pp.199-206
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    • 2016
  • Purpose: This study was conducted to monitor the development of Korean premature infant at six-month age and to explore factors related to developmental status of the premature infants. Methods: Participants were 58 premature infants whose corrected age was six-months old and their mothers. The developmental states of infants were followed-up with the Korean Prescreening Developmental Questionnaire (KPDQ-II). Clinical characteristics of the infants were identified from the medical records. Other characteristics including Edinburgh Postnatal Depression Scale, husband's support, social support, and mother-infant attachment were assessed using self-report questionnaires from the mothers. Results: Forty three percent of the infants were in the group of questionable status of development on the KPDQ-II. There were significant differences between the premature infants with normal developmental status and those with questionable developmental status depending on gender ($x^2$=5.03, p=.034), gestational age (t=2.59, p=.012), hospital stay (p=.013), revised Neurobiologic Risk Score (p=.005) and mother-infant attachment score (t=2.12, p=.040). Conclusion: Mother-infant attachment, as well as physiological state of premature infants, is an important variable in early development. Therefore, early monitoring for the development has to be done for physiologically vulnerable premature groups. Also, providing proper nursing support to improve maternal attachment needs to be considered.

Application of Police Video Equipment for Fighting Crime and Legal Trends (범죄 대응을 위한 경찰 영상장비의 활용과 법 동향)

  • Lee, Hoon;Lee, Won-Sang
    • Informatization Policy
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    • v.25 no.2
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    • pp.3-19
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    • 2018
  • With the introduction of video cameras into law enforcement, a great deal of police organizations have adopted the technology in their routine crime prevention activities. The up-to-date systems of ambient surveillance energized by CCTV, police wearable cameras, drones, and thermal imaging devices enable the police to thoroughly monitor public spaces as well as to rigorously arrest on-scene criminals. These efforts to improve the level of surveillance are often met with public resistance raising concerns over citizens' rights to privacy. Recent studies on the use of police video equipment have constantly raised the issues related to the lack of applicable legal provisions, risk of personal information and privacy infringement as well as security vulnerabilities. In this regard, the present study attempted to review the public surveillance methods currently used by law enforcement agencies worldwide within the context of public safety and individual rights to privacy. Furthermore, the present study also discussed the legal boundaries of police use of video equipment to address public concerns over privacy issues.

A Study on Early Warning Model in the Dry Bulk Shipping Industry by Signal Approach (신호접근법을 이용한 건화물시장 해운조기경보모형에 관한 연구)

  • Yun, Jeong-No;KIm, Ga-Hyun;Ryoo, Dong-Keun
    • Journal of Navigation and Port Research
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    • v.42 no.1
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    • pp.57-66
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    • 2018
  • Maritime industry is affected by outside factors significantly due to its derivative demand characteristics. However, the supply side can not react to these changes immediately and due to this uniqueness, maritime industry repeats the boom-bust cycle. Therefore the government itself needs to operate early warning system in order to monitor the market and notice the upcoming risks by setting up a system to prepare for the situations. In this research, signal approach is used to establish early warning system. Overall leading index is composed of crisis index that is based on BDI(Baltic Dry Index) and various leading indexes such as finance, economy, shipping and the others. As a result of computing overall leading index which is early warning system in maritime through signal approach, the index showed a high correlation coefficient with actual maritime risk index by difference of 4 months. Also, the result was highly accurate with overall leading index's QPS(Quadratic Probability Score) at 0.37.

The IOA-Based Intelligent Information Protection System for Response of Advanced Persistent Threats (IOA 기반의 지능형지속위협 대응 위한 지능형 정보보호시스템)

  • Ryu, Chang-su
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.11
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    • pp.2067-2072
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    • 2016
  • Recently, due to the development of attack techniques that can circumvent existing information protection systems, continuous threats in a form unrecognized by the user have threatened information assets. Therefore, it is necessary to support the prompt responses to anticipated attempts of APT attacks, bypass access attacks, and encryption packet attacks, which the existing systems have difficulty defending against through a single response, and to continuously monitor information protection systems with a defense strategy based on Indicators of Attack (IOA). In this paper, I suggest a centralized intelligent information protection system to support the intelligent response to a violation by discerning important assets through prevention control in a performance impact assessment about information properties in order to block the attack routes of APT; establishing information control policies through weakness/risk analyses in order to remove the risks in advance; establishing detection control by restricting interior/exterior bypass networks to server access and monitoring encrypted communications; and lastly, performing related corrective control through backup/restoration.

Design of Worker's Safety Management System by Monitoring Work Location and Sensing Danger Zones (위험구역 접근 센싱 및 작업위치 모니터링을 이용한 작업자 안전관리 시스템 설계)

  • Min, So-Yeon;Lee, Kwang-Hyoung;Park, Jeong-Hyo;Lee, Keun-Wang
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.7
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    • pp.3236-3244
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    • 2011
  • Negligent accidents are often caused by risk factors of working environment at most construction sites and construction schedules are delayed as the workers' work location and construction progress are not figured out accurately, and this leads to a lot of loss. In this paper, with the object of solving the problems at construction sites, RFID portable device, active tag and wireless RFID reader to provide the status of workers which is based on location are designed in order to send information about the location of workers and work progress in real time to a personal RFID device. Also an application system to monitor workers' approaching to prevent accidents from vehicles and danger zones and to manage the real time location of workers is designed.

A comparison of delayed versus immediate reconstruction following lower-extremity sarcoma resection

  • Zhou, Sarah;Azzi, Alain J;Safran, Tyler;Zadeh, Teanoosh
    • Archives of Plastic Surgery
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    • v.47 no.1
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    • pp.49-53
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    • 2020
  • Background Identifying patients who may be at high risk for wound complications postsarcoma resection and reconstruction is essential for improving functional outcomes and quality of life. Currently, the effect of timing on sarcoma reconstruction has been poorly investigated. The purpose of this study was to compare outcomes of delayed and immediate reconstruction in the setting of sarcoma resection requiring flap reconstruction in the lower extremity. Methods A retrospective review of the senior author's sarcoma reconstruction patients from January 2005 to July 2017 was completed. All patients undergoing flap reconstruction of the lower extremity were included. Complications in the early postoperative period were compared between delayed and immediate reconstructive procedures. Results A total of 32 patients (7 delayed, 25 immediate) were included in this study. There was a significantly increased rate of overall complications (100% vs. 28.0%, P=0.001) and rate of hematomas (28.6% vs. 0.0%, P=0.042) in the delayed reconstruction group. Other complications including dehiscence, seroma, infection, venous thrombosis, and total/partial flap loss were also increased in the delayed reconstruction group, but this was not considered to be significant. Conclusions This study suggests that delayed reconstruction following sarcoma resection of the lower extremity had a higher incidence of overall complications and hematoma formation. We emphasize the importance of early plastic and reconstructive surgeon referral and the necessity to closely monitor delayed reconstruction patients for complications.