• Title/Summary/Keyword: Triggering factors

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Is there any specificity in gender, triggering factors and HRV according to the left and right lesions of hemifacial spasm? : A retrospective chart review (반측성 안면경련의 좌우병소에 따라 성별, 유발요인, HRV 특이성이 있는가 : 후향적 차트 리뷰)

  • Yoon Ji Lee;Kim Yong-Suk
    • The Journal of Korean Medicine
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    • v.44 no.1
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    • pp.16-27
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    • 2023
  • Objectives: This study is designed to investigate the difference of gender, triggering factors and Heart rate variability(HRV) between left and right hemifacial spasm patients. Methods: Among hemifacial spasm patients who visited the Acupuncture and Moxibustion medicine clinic of Kyung Hee University Korean Medicine Hospital from January 1, 2017, to April 18, 2022, we reviewed the clinical records of subjects with right hemifacial spasm(n=55) and left hemifacial spasm(n=76). We investigated the difference of gender, triggering factors and HRV between left and right hemifacial spasm patients groups by student's t-test, chi-square test and fisher's exact test using SPSS for windows(version 28.0.0.0.). Results: There was no difference in gender, triggering factors and HRV between left and right hemifacial spasm groups. Conclusion: According to this study, there were few specificity of lesions of left and right in hemifacial spasms.

Factors influencing serum progesterone level on triggering day in stimulated in vitro fertilization cycles

  • Park, Ju Hee;Jee, Byung Chul;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
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    • v.42 no.2
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    • pp.67-71
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    • 2015
  • Objective: Elevated serum progesterone (P) levels on triggering day have been known to affect the pregnancy rate of in vitro fertilization (IVF). This study aimed to identify the possible factors influencing serum P levels on triggering day in stimulated IVF cycles. Methods: Three hundred and thirty consecutive fresh IVF cycles were included in the study. All cycles were first attempts and were performed in a single infertility center. The indications for IVF were male factor infertility (n=114), ovulatory infertility (n=84), endometriosis (n=61), tubal infertility (n=59), unexplained infertility (n=41), and uterine factor infertility (n=39). A luteal long protocol of a gonadotropin-releasing hormone (GnRH) agonist (n=184) or a GnRH antagonist protocol (n=146) was used for pituitary suppression. Ovarian sensitivity was defined as the serum estradiol level on triggering day per 500 IU of administered gonadotropins (OS[a]) or the retrieved oocyte number per 500 IU of administered gonadotropins (OS[b]). Results: Univariate analysis revealed that the serum P level on triggering day was associated with the serum estradiol level on triggering day (r=0.379, p<0.001), the number of follicles ${\geq}14mm$ (r=0.247, p<0.001), the number of retrieved oocytes (r=0.384, p<0.001), and ovarian sensitivity (OS[a]: r=0.245, p<0.001; OS[b]: r=0.170, p=0.002). The woman's age, body mass index, antral follicle count, and basal serum follicle stimulating hormone and estradiol levels were not associated with serum P level on triggering day. The serum P level on triggering day did not show significant variation depending on the type or cause of infertility, pituitary suppression protocol, or the type of gonadotropins used. Conclusion: The serum P level on triggering day was closely related to the response to ovarian stimulation.

Overview on Standards for Liquefaction Triggering Evaluation using the Simplified Method (간편법을 이용한 액상화 평가 기준에 대한 고찰)

  • Kim, Yeon-Jun;Ko, Kil-Wan;Manandhar, Satish;Kim, Byungmin;Kim, Dong-Soo
    • Journal of the Earthquake Engineering Society of Korea
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    • v.24 no.5
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    • pp.197-209
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    • 2020
  • Evidence of liquefaction during the 2017 Pohang earthquake has highlighted the urgent need to evaluate the current seismic design standard for liquefaction in Korea, particularly the liquefaction triggering standard. With the simplified method, which is the most popular method for evaluating liquefaction triggering, the factor of safety for liquefaction triggering is calculated via the cyclic stress ratio (CSR) and the cyclic resistance ratio (CRR). The parameters in the CSR and CRR have undergone changes over time based on new research findings and lessons learned from liquefaction case-histories. Hence, the current design standard for liquefaction triggering evaluation in Korea should also reflect these changes to achieve seismic safety during future earthquakes. In this study, liquefaction susceptibility criteria were discussed initially and this was followed by a review of the current liquefaction triggering codes/guidelines in other countries and Korea. Next, the parameters associated with the CSR such as the maximum ground acceleration, stress reduction factor, magnitude scaling factor, and overburden correction factor were discussed in detail. Then, the evaluation of the CRR using the SPT N-value and CPT qc-value was elaborated along with overburden and clean-sand correction factors. Based on this review of liquefaction triggering evaluation standards, recommendations are made for improving the current seismic design standard related to liquefaction triggering in Korea.

A Comparison of Data Extraction Techniques and an Implementation of Data Extraction Technique using Index DB -S Bank Case- (원천 시스템 환경을 고려한 데이터 추출 방식의 비교 및 Index DB를 이용한 추출 방식의 구현 -ㅅ 은행 사례를 중심으로-)

  • 김기운
    • Korean Management Science Review
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    • v.20 no.2
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    • pp.1-16
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    • 2003
  • Previous research on data extraction and integration for data warehousing has concentrated mainly on the relational DBMS or partly on the object-oriented DBMS. Mostly, it describes issues related with the change data (deltas) capture and the incremental update by using the triggering technique of active database systems. But, little attention has been paid to data extraction approaches from other types of source systems like hierarchical DBMS, etc. and from source systems without triggering capability. This paper argues, from the practical point of view, that we need to consider not only the types of information sources and capabilities of ETT tools but also other factors of source systems such as operational characteristics (i.e., whether they support DBMS log, user log or no log, timestamp), and DBMS characteristics (i.e., whether they have the triggering capability or not, etc), in order to find out appropriate data extraction techniques that could be applied to different source systems. Having applied several different data extraction techniques (e.g., DBMS log, user log, triggering, timestamp-based extraction, file comparison) to S bank's source systems (e.g., IMS, DB2, ORACLE, and SAM file), we discovered that data extraction techniques available in a commercial ETT tool do not completely support data extraction from the DBMS log of IMS system. For such IMS systems, a new date extraction technique is proposed which first creates Index database and then updates the data warehouse using the Index database. We illustrates this technique using an example application.

A Probabilistic Model for Landslide Prediction (산사태 발생예측을 위한 확률모델)

  • Chae, Byung-Gon;Kim, Won-Young;Cho, Yong-Chan;Song, Young-Suk
    • Proceedings of the Korean Geotechical Society Conference
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    • 2005.03a
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    • pp.185-190
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    • 2005
  • In this study, a probabilistic prediction model for debris flow occurrence was developed using a logistic regression analysis. The model can be applicable to metamorphic rocks and granite area. In order to develop the prediction model, detailed field survey and laboratory soil tests were conducted both in the northern and the southern Gyeonggi province and in Sangju, Gyeongbuk province, Korea. The six landslide triggering factors were selected by a logistic regression analysis as well as several basic statistical analyses. The six factors consist of two topographic factors and four geological and geotechnical factors. The model assigns a weight value to each selected factor. The verification results reveal that the model has 86.5% of prediction accuracy. Therefore, it is possible to predict landslide occurrence in a probabilistic and quantitative manner.

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Influence of Triggering Events on the Occurrence of Spontaneous Intracranial Hemorrhage : Comparison of Non-Lesional Spontaneous Intraparenchymal Hemorrhage and Aneurysmal Subarachnoid Hemorrhage

  • Na, Jung Hyun;Kim, Jae Hoon;Kang, Hee In;Bae, In-Suk;Kim, Deok Ryeong;Moon, Byung Gwan
    • Journal of Korean Neurosurgical Society
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    • v.63 no.5
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    • pp.607-613
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    • 2020
  • Objective : Spontaneous intracranial hemorrhage is a life-threatening disease, and non-lesional spontaneous intraparenchymal hemorrhage (nIPH) and aneurysmal subarachnoid hemorrhage (aSAH) are the leading causes of spontaneous intracranial hemorrhage. Only a few studies have assessed the association between prior physical activity or triggering events and the occurrence of nIPH or aSAH. The purpose of this study is to investigate the role of specific physical activities and triggering events in the occurrence of nIPH and aSAH. Methods : We retrospectively reviewed 824 consecutive patients with spontaneous intracranial hemorrhage between January 2010 and December 2018. Among the 824 patients, 132 patients were excluded due to insufficient clinical data and other etiologies of spontaneous intracranial hemorrhage. The medical records of 692 patients were reviewed, and the following parameters were assessed : age, sex, history of hypertension, smoking, history of stroke, use of antiplatelet or anticoagulation agents, season and time of onset, physical activities performed according to the metabolic equivalents, and triggering event at onset. Events that suddenly raised the blood pressure such as sudden postural changes, defecation or urination, sexual intercourse, unexpected emotional stress, sauna bath, and medical examination were defined as triggering events. These clinical data were compared between the nIPH and aSAH groups. Results : Both nIPH and aSAH most commonly occurred during non-strenuous physical activity, and there was no significant difference between the two groups (p=0.524). Thirty-two patients (6.6%) in the nIPH group and 39 patients (8.1%) in the aSAH group experienced triggering events at onset, and there was a significant difference between the two groups (p=0.034). The most common triggering events were defecation or urination in both groups. Conclusion : Specific physical activity dose no affect the incidence of nIPH and aSAH. The relationship between the occurrence of intracranial hemorrhage and triggering events is higher in aSAH than nIPH.

Comparison of Imposed Work of Breathing Between Pressure-Triggered and Flow-Triggered Ventilation During Mechanical Ventilation (기계환기시 압력유발법과 유량유발법 차이에 의한 부가적 호흡일의 비교)

  • Choi, Jeong-Eun;Lim, Chae-Man;Koh, Youn-Suck;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.3
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    • pp.592-600
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    • 1997
  • Background : The level of imposed work of breathing (WOB) is important for patient-ventilator synchrony and during weaning from mechanical ventilation. Triggering methods and the sensitivity of demand system are important determining factors of the imposed WOB. Flow triggering method is available on several modern ventilator and is believed to impose less work to a patient-triggered breath than pressure triggering method. We intended to compare the level of imposed WOB on two different methods of triggering and also at different levels of sensitivities on each triggering method (0.7 L/min vs 2.0 L/min on flow triggering ; $-1\;cmH_2O$ vs $-2cm\;H_2O$ on pressure triggering). Methods : The subjects were 12 patients ($64.8{\pm}4.2\;yrs$) on mechanical ventilation and were stable in respiratory pattern on CPAP $3\;cmH_2O$. Four different triggering sensitivities were applied at random order. For determination of imposed WOB, tracheal end pressure was measured through the monitoring lumen of Hi-Lo Jet tracheal tube (Mallincrodt, New York, USA) using pneumotachograph/pressure transducer (CP-100 pulmonary monitor, Bicore, Irvine, CA, USA). Other data of respiratory mechanics were also obtained by CP-100 pulmonary monitor. Results : The imposed WOB was decreased by 37.5% during 0.7 L/min on flow triggering compared to $-2\;cmH_2O$ on pressure triggering and also decreased by 14% during $-1\;cmH_2O$ compared to $-2\;cmH_2O$ on pressure triggering (p < 0.05 in each). The PTP(Pressure Time Product) was also decreased significantly during 0.7 L/min on flow triggering and $-1\;cmH_2O$ on pressure triggering compared to $-2\;cmH_2O$ on pressure triggering (p < 0.05 in each). The proportions of imposed WOB in total WOB were ranged from 37% to 85% and no significant changes among different methods and sensitivities. The physiologic WOB showed no significant changes among different triggering methods and sensitivities. Conclusion : To reduce the imposed WOB, flow triggering with sensitivity of 0.7 L/min would be better method than pressure triggering with sensitivity of $-2\;cm\;H_2O$.

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Analysis on Rainfall and Geographical Characteristics of Landslides in Gyeongnam Province (경남지역 산사태 발생지의 강우 및 지형특성분석)

  • Kim, Ki Heung;Jung, Hea Reyn;Park, Jae Hyeon;Ma, Ho Seop
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.14 no.2
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    • pp.33-45
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    • 2011
  • The purpose of this study to analyze landslide-triggering factors using the 38 landslide cases occurred by typhoon, Rusa in 2002, Maemi in 2003 and Ewiniar in 2006 and geospatial characteristics in Hamyang and Geochang County. where two day's heavy rainfall was concentrated on. The rainfalls factors to trigger landslides were accumulative rainfall (>230mm) and rainfall intensity(>30-75mm). The highest landslide frequency was concentrated on the areas of 400-900m in height and on the slopes of $25-40^{\circ}$ in degree. The frequency of landslide was high exceedingly above 80% of a slope attitude, while the frequency is very low below 70%. Granite was more susceptible as much as 9 times than metamorphic rocks. In areas mixed soil with gravels and rock blocks, the frequency of landslide was 73%.

Landslide Triggering Rainfall Threshold Based on Landslide Type (사면파괴 유형별 강우 한계선 설정)

  • Lee, Ji-Sung;Kim, Yun-Tae;Song, Young-Karb;Jang, Dae-Heung
    • Journal of the Korean Geotechnical Society
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    • v.30 no.12
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    • pp.5-14
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    • 2014
  • Most of slope failures have taken place between June and September in Korea, which cause a considerable damage to society. Rainfall intensity and duration are very significant triggering factors for landslide. In this paper, landslide-triggering rainfall threshold consisting of rainfall intensity-duration (I-D) was proposed. For this study, total 255 landslides were collected in landslide inventory during 1999 to 2012 from NDMI (National Disaster Management Institute), various reports, newspapers and field survey. And most of the required rainfall data were collected from KMA (Korea Meteorological Administration). The collected landslides were classified into three categories: debris flow, shallow landslide and unconfirmed. A rainfall threshold was proposed based on landslide type using statistical method such as quantile-regression method. Its validation was carried out based on 2013 landslide database. The proposed rainfall threshold was also compared with previous rainfall thresholds. The proposed landslide-triggering rainfall thresholds could be used in landslide early warning system in Korea.

Clinical Features of Trigeminal Neuralgia (삼차신경통 환자의 임상적 특성 분석)

  • Han, Kyung Ream;Kim, Yeui Seok;Kim, Chan
    • The Korean Journal of Pain
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    • v.20 no.2
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    • pp.174-180
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    • 2007
  • Background: The diagnosis of trigeminal neuralgia (TN) is based on only clinical criteria. The purpose of this study was to estimate the clinical manifestations of TN patients treated at our pain clinic. Methods: A total of 341 patients with TN from Jan. 2004 to Dec. 2006 was evaluated the intensity, site, and onset of pain, facial sensation, duration of pain attack, pain free interval, triggering factors, and effects of the previous treatments with TN specific questionnaire and interview at the first visit of our pain clinic. Results: About 80% of the patients were over 50 years of age and 256 (75%) patients were women. Average durations from first attack of their pain and from current pain attack were 7 years and 16 weeks, respectively. The two most frequently involved trigeminal nerve branches were maxillary (40%) and mandibular (39%) branches. Three quarters of the total patients experienced only paroxysmal pain that lasted less than one minute. About 90% of patients had pain free period at least one time. Most common triggering factors were chewing (88%), brushing teeth (82%), washing face (79%), and talking (70%). Only 16 patients (5%) had no previous treatment and the others had more than one treatment, such as medication (68%) and interventional procedures (35%). The most common reasons for early discontinuation of carbamazepine were dizziness, ataxia, and vomiting. Conclusions: TN has specific clinical features of pain, which should be considered at diagnosis.