• Tuberculosis and Respiratory Diseases
• /
• v.50 no.6
• /
• pp.740-746
• /
• 2001

Background : A 35-year-old woman was admitted to the emergency room with sudden dyspnea that developed one day prior. The initial Chest X-ray showed multiple bullous changes at the right middle and lower lung field and long standing fibrotic tuberculous changes at the right upper lung field. The left lung field was totally collapsed by an fibrotic old tuberculous lesion. In spite of supportive medical care with oxygen therapy after admission, the radiographic lesions were no significant change but the respiratory distress had worsened. The patient suffered respiratory failure and received mechanical ventilatory support. The HRCT showed a localized tension pneumothorax mimicking multiple giant bullae at the right lower lung field. Immediately after a closed thoracostomy with a 32 French chest tube and air drainage, her vital signs and dyspnea were gradually improved. The patient was successfully weaned from mechanical ventilation after 5 days of mechanical ventilatory support. The patient had received talc pleurodesis through a chest tube to prevent the recurrence of the life-threatening localized pneumothorax. The patient was discharged without recurrence of the pneumothorax.

• Tuberculosis and Respiratory Diseases
• /
• v.59 no.1
• /
• pp.47-52
• /
• 2005

Background : Chlamydia pneumoniae is a clinically important pathogen, the diagnosis of such infection being based mainly on serology. Microimmunofluorescence (MIF) is the current standard diagnostic method, but is subjective and time-consuming, so the authors tested the serology of chronic cough patients using an EILSA method for the Chlamydial antibody, which is a more objective method, and compared the results with those of the standard method. Method : Thirty-five patients, who visited Kangwon National University Hospital between August 2003 and July 2004, were evaluated. A MIF and ELISA tests were used to determine C. pneumoniae antibody titers. Nasopharyngeal aspirates were examined by polymerase chain reaction (PCR). The Spearman rank correlation test was used for data analysis. Results : Sensitivities of ELISA for IgG, IgA and IgM, as judged by MIF, were 84.0, 84.0 and 40.0% and the specificities were 60.0, 60.0 and 96.7%, respectively. Three patients were Chlamydia PCR positive. Conclusion : ELISA can be a useful tool for studying the seroprevalence of Chlamydia pneumoniae. However, further studies will be required prior to its clinical use.

• Journal of the Korea Convergence Society
• /
• v.11 no.11
• /
• pp.293-300
• /
• 2020

With constant relaxation of regulations by the government in the 4th industrial innovation era, it has brought huge changes to the education environment as it has created solutions to hindrance factors against introduction of the cloud. Universities are getting more interested in the introduction of the cloud Computing but they still remain at the level of recognition diffusion and creating ambience. The study has analyzed empirical factors of the effect of introduction of the successful case "K Cyber University's Construction of Cloud-Based Remote Education System" through the previous studies on trait factors affecting the introduction of the cloud computing and the analysis of factors in terms of expandability, agility, compatibility, economic feasibility, security, stability and institutional support. Factors drawn through this are meaningful for empirical studies on presenting strategies and the directivity to introduce the cloud computing successfully. This study can be used as the background for further studies which will require various factors prior to introducing the cloud computing.

• Journal of The Korean Dental Society of Anesthesiology
• /
• v.9 no.1
• /
• pp.9-16
• /
• 2009

Background: This study aimed to evaluate the cooperative levels of dental patients requiring general anesthesia during dental treatments. Anesthetic induction methods for patients were also recorded and analyzed using descriptive statistics. Methods: Total 566 patients who visited Seoul National University Dental Hospital Clinic for Persons with Disabilities were reviewed on pre-anesthetic review and anesthesia records. The cooperative levels of patients were graded by 4 levels and induction methods used for the patients during general anesthesia application were analyzed. Results: More than half of patients(55.8%) were willing to receive the anesthetic induction(cooperative level 1), 18.6% were minimally cooperative(level 2), 20.8% needed physical restraint prior to induction(level 3), and 4.8% was poorly cooperative and induction procedure was performed under an unconscious condition after ketamine intramuscular injection(level 4). There was no gender difference in cooperative levels(P=0.11). Patients over 30 years revealed better cooperation levels compared to other age groups(P<0.05). For patients of level 1, 53.5% were anesthetized in a way of intravenous induction, while 77.1% out of patients of level 3 were anesthetically induced through inhalation method. Conclusion: Many dental patients with special needs were not cooperative to receive anesthetic induction. Additional behavioral support may be applied to poorly cooperative patients for the safe and successful clinical outcome.

• Journal of the Ergonomics Society of Korea
• /
• v.33 no.5
• /
• pp.323-335
• /
• 2014

Objective: The aim of this study is to identify the relationship between personality and psychological responses induced by emotional stimuli (happiness, sadness, anger, boring and stress) for children. Background: Many researches are interested in assertion that there is close correlation between personality and emotion. The relationship between personality and emotion needs to be studied in view of the extended integration, not in view of respective property, because personality is deeply ingrained, and the relatively enduring patterns of thought, feeling and behavior and emotion can take advantage of individual differences in sensitivities to situational cues and predispositions to emotional state. In particular, studies on the personality and emotion for children are necessary in that childhood is an important period for formation of their personality and emotion expression and regulation. Method: Prior to the experiment, we made parents of 94 children rate personalities of their children, based on Korean Personality Inventory for Children (K-PIC). Results of 64 children without missing answers to all questions were analyzed. 64 children were exposed to five emotional stimuli and were asked to report the classification and intensity of their experienced emotion. Results: Children were classified into two groups of the lower 25% and higher 25% scores in twenty sub-scales of K-PIC, and psychological responses to five emotional stimuli between two groups were compared. Accuracy of emotion experienced by emotional stimuli showed a significant difference between the two groups, the lower and higher scores in Hyperactivity and Adjustment. Also, there was a significant difference in the intensity of experienced emotions between the two groups in Intellectual Screening and Psychosis. Conclusion: Our result has shown that hyperactivity, adjustment, intellectual screening and psychosis influence the accuracy and intensity of emotional responses. Application: This study can offer a guideline to overcome methodological limitation of emotion studies for children and help researcher basically understand and recognize human emotion in HCI.

• Tuberculosis and Respiratory Diseases
• /
• v.73 no.6
• /
• pp.312-319
• /
• 2012

Background: Muscle wasting in sepsis is associated with increased proteolysis. Interleukin-15 (IL-15) has been characterized as an anabolic factor for skeletal muscles. Our study aims to investigate the role of IL-15 in sepsis-induced muscle atrophy and proteolysis. Methods: Mice were rendered septic either by cecal ligation and puncture or by intraperitoneal injection of lipopolysaccharide (LPS, 10 mg/kg i.p.). Expression of IL-15 mRNA and protein was determined by reverse transcriptase polymerase chain reaction and Western blot analysis in the control and septic limb muscles. C2C12 skeletal muscle cells were stimulated in vitro with either LPS or dexamethasone in the presence and absence of IL-15 and sampled at different time intervals (24, 48, or 72 hours). IL-15 ($10{\mu}g/kg$) was intraperitoneally administered 6 hours before sepsis induction and limb muscles were sampled after 24 hours of sepsis. Cathepsin L activity was determined to measure muscle proteolysis. Atrogin-1 and muscle-specific ring finger protein 1 (MuRF1) expressions in limb muscle protein lysates was analyzed. Results: IL-15 mRNA expression was significantly lower in the limb muscles of septic mice compared to that of controls. Cathepsin L activity in C2C12 cells was significantly lower in presence of IL-15, when compared to that observed with individual treatments of LPS or dexamethasone or tumor necrosis factor ${\alpha}$. Further, the limb muscles of mice pre-treated with IL-15 prior to sepsis induction showed a lower expression of atrogin-1 and MuRF1 than those not pre-treated. Conclusion: IL-15 may play a role in protection against sepsis-induced muscle wasting; thereby, serving as a potential therapeutic target for sepsis-induced skeletal muscle wasting and proteolysis.

• Journal of Broadcast Engineering
• /
• v.20 no.5
• /
• pp.718-727
• /
• 2015

In this paper, we present a novel segmentation method that can extract new foreground objects from a current frame in real-time. It is performed by detecting differences between the current frame and reference frame taken from a fixed camera. We minimize computing complexity for real-time video processing. First DCT (Discrete Cosine Transform) is utilized to generate rough binary segmentation maps where foreground and background regions are separated. DCT shows better result of texture analysis than previous methods where texture analysis is performed in spatial domain. It is because texture analysis in frequency domain is easier than that in special domain and intensity and texture in DCT are taken into account at the same time. We maximize run-time efficiency of DCT by considering color information to analyze object region prior to DCT process. Last we use Guided filter for natural matting of the generated binary segmentation map. In general, Guided filter can enhance quality of intermediate result by incorporating guidance information. However, it shows some limitations in homogeneous area. Therefore, we present an additional method which can overcome them.

• Archives of Plastic Surgery
• /
• v.41 no.1
• /
• pp.40-44
• /
• 2014

Background Chloral hydrate (CH) is the primary agent most commonly used for pediatric sedation prior to diagnostic, therapeutic procedures. In the management of pediatric facial laceration, the initial dose of CH has to balance the need for adequate sedation against the need to minimize sedative complications. Methods A retrospective review of medical records of 834 children who visited our emergency room for facial lacerations from August 2010 to September 2012 was conducted. They were divided into six groups on the basis of the initial dose of CH administered. Further, each group was compared with the standard group (70 to ${\leq}80mg/kg$) with respect to sedation success, augmentation dose, failed sedation, time to procedure, and time of stay. Results With respect to the complication rate, only group 1 (range, 40 to ${\leq}50mg/kg$) showed a significantly lower complication rate. In the case of all the other variables considered, there were no significant differences among any of the groups. Conclusions An initial CH dose of $48{\pm}2mg/kg$ does not negatively affect the success rate of sedation or the need for additional sedative during the primary closure of facial lacerations in pediatric patients. Further, lower doses reduce the incidences of adverse effects and do not delay procedure readiness. Therefore, $48{\pm}2mg/kg$ of CH can be considered the optimal initial dose for pediatric sedation.

• Journal of the Institute of Electronics and Information Engineers
• /
• v.50 no.10
• /
• pp.162-170
• /
• 2013

In recent years, the interests and needs of the Pedestrian Protection System (PPS), which is mounted on the vehicle for the purpose of traffic safety improvement is increasing. In this paper, we propose a pedestrian candidate window extraction and unit cell histogram based HOG descriptor calculation methods. At pedestrian detection candidate windows extraction stage, the bright ratio of pedestrian and its circumference region, vertical edge projection, edge factor, and PCA reconstruction image are used. Dalal's HOG requires pixel based histogram calculation by Gaussian weights and trilinear interpolation on overlapping blocks, But our method performs Gaussian down-weight and computes histogram on a per-cell basis, and then the histogram is combined with the adjacent cell, so our method can be calculated faster than Dalal's method. Our PCA reconstruction error based pedestrian detection candidate window extraction method efficiently classifies background based on the difference between pedestrian's head and shoulder area. The proposed method improves detection speed compared to the conventional HOG just using image without any prior information from camera calibration or depth map obtained from stereo cameras.

• Safety and Health at Work
• /
• v.8 no.2
• /
• pp.162-168
• /
• 2017

Background: Pelvic ring fractures (PRFs) may influence the daily activities and quality of life of the injured. The aim of this retrospective study was to explore the functional outcomes and factors related to return to work (RTW) after PRF. Methods: During the years 2003-2012, 282 injured individuals aged 20-55 years on the date of the accident, were hospitalized and treated for PRFs in a large tertiary hospital in Athens, Greece. One hundred and three patients were traced and contacted; 77 who were on paid employment prior to the accident gave their informed consent to participate in the survey, which was conducted in early 2015 through telephone interviews. The questionnaire included variables related to injury, treatment and activities, and the Majeed pelvic score. Univariate and multiple regression analyses were used for statistical assessment. Results: Almost half of the injured (46.7%) fully RTW, and earning losses were reported to be 35% after PRF. The univariate analysis confirmed that RTW was significantly related to accident site (labor or not), the magnitude of the accident's force, concomitant injuries, duration of hospitalization, time to RTW, engagement to the same sport, Majeed score, and complications such as limp and pain as well as urologic and sexual complaints (p < 0.05 for all). On multiple logistic regression analysis, the accident sustained out of work (odds ratio: 6.472, 95% confidence interval: 1.626-25.769) and Majeed score (odds ratio: 3.749, 95% confidence interval: 2.092-6.720) were identified as independent predictive factors of full RTW. Conclusion: PRFs have severe socioeconomic consequences. Possible predictors of RTW should be taken into account for health management and policies.