• Title/Summary/Keyword: disturbance factor

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Practical stepwise approach to rhythm disturbances in congenital heart diseases

  • Huh, June
    • Clinical and Experimental Pediatrics
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    • v.53 no.6
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    • pp.680-687
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    • 2010
  • Patients with congenital heart diseases (CHD) are confronted with early- and late-onset complications, such as conduction disorders, arrhythmias, myocardial dysfunction, altered coronary flow, and ischemia, throughout their lifetime despite successful hemodynamic and/or anatomical correction. Rhythm disturbance is a well-known and increasingly frequent cause of morbidity and mortality in patients with CHD. Predisposing factors to rhythm disturbances include underlying cardiac defects, hemodynamic changes as part of the natural history, surgical repair and related scarring, and residual hemodynamic abnormalities. Acquired factors such as aging, hypertension, diabetes, obesity, and others may also contribute to arrhythmogenesis in CHD. The first step in evaluating arrhythmias in CHD is to understand the complex anatomy and to find predisposing factors and hemodynamic abnormalities. A practical stepwise approach can lead to diagnosis and prompt appropriate interventions. Electrophysiological assessment and management should be done with integrated care of the underlying heart defects and hemodynamic abnormalities. Catheter ablation and arrhythmia surgery have been increasingly applied, showing increasing success rates with technological advancement despite complicated arrhythmia circuits in complex anatomy and the difficulty of access. Correction of residual hemodynamic abnormalities may be critical in the treatment of arrhythmia in patients with CHD.

Effect of Naesowhajung-tang on Electrogastrography in children with functional dyspepsia (기능성 소화불량증 환아(患兒)의 위전도에 대한 내소화중탕(內消和中湯)의 효과(效果))

  • Kim, Jong-Yoon;Lee, Jin-Yong;Yoon, Sang-Hyub
    • The Journal of Pediatrics of Korean Medicine
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    • v.16 no.2
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    • pp.199-213
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    • 2002
  • We have surveyed the epidemiology of functional dyspepsia in 7 cases of Children and investigated the therapeutic effect on Functional Dyspepsia following 4 weeks medication of Naesowhajung-tang using Electrogastrogram. The Results were as followings: 1. Sex ratio are 6 males, 1 female; their mean ages, $9.0{\pm}1.41(7-11years)$; length, $137.2{\pm}13.86cm$; body weight, $35.3{\pm}l1.34kg$. 2. Most of subjects have a normal growth state. But one case have severe growth disturbance. Familial tendency for this disease is noted in 85.8%. 3. Abdominal pain was seen in 100% of subjects. The indicated symptom was lowed in order of abdominal pain(100%), nausea vomiting(71.43%), general fatigue(65.34%), vertigo headache(57.14%), belching(55.38%), etc. 4. The EGG finding after treatment was improved in 53%, aggrevated in 43. In cases, postprandial improvement was more remarkable than fasting improvement. Common cold and antibiotics seems to have functioned as an aggrevating factor on gastric motility. From the above results, Naesowhajung-tang seems to have been used in the treatment of functional dyspepsia for children.

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Infusion Pump용 Drop Sensor 개발에 관한 연구

  • Lee, Jong-Sil;Gwon, Jang-U;Lee, Eung-Hyeok;Park, Jeong-Seon;Gu, Ja-Il;Hong, Seung-Hong
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.11
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    • pp.18-21
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    • 1995
  • When we inject drugstuffs to a patient for a long time, it is important to control proper injection amount and flow rate. Since inproper injection amount and a flow rate would cause bad a recovery a patient, the relience of sensors which detect injection amount is an important factor for whole injection systems' performance. In this research, we've compared the suitability of three sensors for injection pump monitoring system. The three types of sensors, piezo film sensor, photo transistor made up with three transmitting photodiodes and receving photodiode, and photo array, were selected for comparing. Using suggested data processing technique and photo amy sensors, we could minimize the effect of interference, disturbance, illumanation change, and sensitivity change caused by sensor's position. According to the experiments, the photo amy showed the higher reliance than any other the three types of sensors. The developed systems could be the foundation of beginning home production of infusion pump system and available for the base model of whole monitoring and control systems.

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Use of GIS to Develop a Multivariate Habitat Model for the Leopard Cat (Prionailurus bengalensis) in Mountainous Region of Korea

  • Rho, Paik-Ho
    • Journal of Ecology and Environment
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    • v.32 no.4
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    • pp.229-236
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    • 2009
  • A habitat model was developed to delineate potential habitat of the leopard cat (Prionailurus bengalensis) in a mountainous region of Kangwon Province, Korea. Between 1997 and 2005, 224 leopard cat presence sites were recorded in the province in the Nationwide Survey on Natural Environments. Fifty percent of the sites were used to develop a habitat model, and the remaining sites were used to test the model. Fourteen environmental variables related to topographic features, water resources, vegetation and human disturbance were quantified for 112 of the leopard cat presence sites and an equal number of randomly selected sites. Statistical analyses (e.g., t-tests, and Pearson correlation analysis) showed that elevation, ridges, plains, % water cover, distance to water source, vegetated area, deciduous forest, coniferous forest, and distance to paved road differed significantly (P < 0.01) between presence and random sites. Stepwise logistic regression was used to develop a habitat model. Landform type (e.g., ridges vs. plains) is the major topographic factor affecting leopard cat presence. The species also appears to prefer deciduous forests and areas far from paved roads. The habitat map derived from the model correctly classified 93.75% of data from an independent sample of leopard cat presence sites, and the map at a regional scale showed that the cat's habitats are highly fragmented. Protection and restoration of connectivity of critical habitats should be implemented to preserve the leopard cat in mountainous regions of Korea.

A CLINICAL AND RADIOLOGICAL STUDY ON THE MANDIBULAR CONDYLE FRACTURE IN THE CHILDREN (소아의 하악 과두 골절에 대한 고찰)

  • Oh, Sang-Hwa;Kim, Woo-Hyung;Son, Yong-Jun;Kho, Young-Gui;Lee, Hee-Chul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.4
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    • pp.429-437
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    • 1995
  • Of all facial fractures in children, condylar fractures have the greatest propensity to produce a growth disturbance. This risk appears to be greatest when the injury is during the first 3 years of during adolescence. Yet, the ability of a child to undergo compensatory growth that decrease the effects of the injury is also the greatest. Fracture dislocation of the condyle in the preadolescent often results in excellent remodeling and function. Because of this factor and the higher risRs of avascular necrosis and ankylosis open reduction of a condylar fracture in a child is not widely recommended. This retrospective study analyzed mandibular condyle fractures in the children who admitted in dept. of Oral and Maxillofacial Surgery, Pusan paik hospital from 1984 to 1993 clinically and radiologically.

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Improvement in the Position and Speed Control of a Dc-Servo Motor Using Back Propagation Method (역전달 학습법(BP)을 이용한 직류 서보 전동기의 위치및 속도 제어 특성개선)

  • Kim, Cheol-Am;Lee, Eun-Chul;Kim, Soo-Hyun;Kim, Nak-Kyo;Nam, Moon-Hyun
    • Proceedings of the KIEE Conference
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    • 1992.07a
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    • pp.242-244
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    • 1992
  • Conventionally in the industrial control, PlD controller has been used because of its robustness, and nonlinear characteristic of a system under control. Although the PlD controller produce suitable parameter of the each system and also variable of PlD controller should be changed according to environment, disturbance, load. In this paper, the convergence and learning accuracy of the back-propagation(BP) method in neural network are investigated by analyzing the reason for decelerating the convergence of BP method. and examining the rapid deceleration of the convergence when the learning is executed on the part of sigmoid activation function with the very small first derivative. The modified logistic activation function it proposed by defining the convergence factor based on the analysis and applied to the position and speed control of a DC-servo motor. This paper revealed for experimental, a neural network and a PD controller combined off-line system using developed the position and speed characteristics of a DC-servo motor.

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DILACERATION CAUSED BY PERIAPICAL LESIONS OF THE DECIDUOUS INCISOR : CASE REPORT (상악 유전치의 치근단 병소로 인한 만곡 영구전치)

  • Jee, Hyuk-Joon;Choi, Byung-Jai;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.1
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    • pp.12-15
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    • 2001
  • Dilaceration is a tooth abnormaly occuring in the histo-morphodifferention stage resulting from disturbance between the uncalcified and already calcified portion that affects both the crown and root. The involved tooth is usually the maxillary central incisor and it also shows high prevalence of impaction. The cause of dilaceration can be either from the trauma of the primary tooth, ectopic development of the tooth germ or from cysts. And it is also found in some cases of Otodental syndrome, Hurler syndrome, Cleidocranial dysostosis. The purpose of this study is to show that periapical lesions caused by dental caries can be another factor in causing dilaceration.

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Noise Levels in Intensive Care Units and Patient's Perception (중환자실 소음도와 소음에 대한 환자의 인지)

  • Kim, Min Young;Park, Ui-Jun
    • Journal of Korean Critical Care Nursing
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    • v.8 no.1
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    • pp.41-49
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    • 2015
  • Purpose: The purpose of this study was to measure the noise levels in intensive care units (ICUs) and to analyze the causes of the noise and patient perceptions of the noise. Methods: Noise levels were recorded in adult ICUs for 24 h over a week from the patients' bedside with a sound level meter. Noise sources were categorized into three groups: medical equipment, health care providers, and the environment. Noises from the environment were recorded in an empty ICUs side room. Perceptions of the noise of 125 patients admitted to the ICUs were recorded using a questionnaire. Results: The mean level of noise in the ICUs was 58.5 dBA (range: 34.2-80.2 dBA). The causes of noise higher than 70 dBA were nebulizers and infusion/syringe pumps among medical equipment, and drawer slamming, phone ringing, and stripping packages of medical fluids among environmental noises. According to the questionnaire, 64.0% of the patients responded that the ICUs were noisy and that they suffered from sleep disturbance because of the noise. Conclusion: Noise is considerably high in ICUs and is an annoying factor for the patients. Most noise sources are adjustable, and we should try to reduce noise whenever possible to make the ICUs environment more pleasant.

Down syndrome with asymptomatic neuroglial cyst: A case report and review of the literature

  • Yang, Seung Do;Lee, Seung Ju;Lee, Dong Hwan;Hong, Yong Hee
    • Journal of Genetic Medicine
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    • v.14 no.2
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    • pp.67-70
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    • 2017
  • Down syndrome (DS, trisomy 21) is associated with neuroanatomical abnormalities, including choroid plexus cysts and various types of brain tumors. Trisomy 21 is associated with oncogenic factor, especially in brain tumor. The brain of DS patients had a smaller volume of gray and white matter and an unbalanced cerebellum volume, indicating a smaller volume overall than normal. We report a case of a DS male patient who had an incidentally discovered neuroglial cyst in left cerebellar vermis. He visited our hospital with gait disturbance and fatigue. But, the neurologic exam was normal. To the best of our knowledge, this is the first reported case of a neuroglial cyst in a trisomy 21 patient. As the developmental mechanisms of a cyst and the choroid plexus are related, more research is needed.

Extended Integral Control with the PI Controller (확장적분 제어개념을 도입한 PI 제어기에 관한 연구)

  • Ryu, Heon-Su;Jeong, Gi-Yeong;Song, Gyeong-Bin;Mun, Yeong-Hyeon
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.49 no.7
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    • pp.345-349
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    • 2000
  • This paper presents an extended integral control with the PI controller by introducing the delay and decaying factors. The extended integral control scheme is developed by substituting the proportional convolution integral control for the PI(Proportional Integral) control. So far, the integral part of PI controller produces a signal that is proportional to the time integral of the input signal to the controller. The steady-state operation points are affected forever by errors in the past due to the input signal containing the information of the error in the past. These phenomena may cause some disturbances for other control purposes related to the given PI control. Introduction of forgetting factors to the error in the past can resolve the disturbance problems. Various forgetting factors are developed using the delay elements, the decaying factors, and the combination of the delay and decaying factors. The proposed various extended integral control schemes can be applicable to the corresponding PI control designs in which the error in the past may badly affect the current steady-state operation points and may cause some disturbances for other control purposes.

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