• Title/Summary/Keyword: exact methods

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Characteristics of Toxicity Occurring in Outpatients at Korean Medical Clinics in Korean (한방의료기관이용환자의 부작용 및 독성발생의 특성 - 2011년 한방의료이용실태조사(보건복지부)를 중심으로 -)

  • Lee, Ki-Bum;Park, Yeongchul;Lee, Sundong
    • The Journal of Korean Medicine
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    • v.37 no.1
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    • pp.135-150
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    • 2016
  • Research Methods: This research analyzed the data on those aged 20 and older from the Report on Korean Medicine Usage Research, which was conducted in 2011. The definitions of toxicity were defined by the presence of toxicity listed in the survey. The questions used in analysis were sex, age, household income, health insurance, medical fees, satisfaction rates on treatments, as well as the types of diseases and the presence of toxicity from treatments. The analysis was done through frequency analysis using SAS 9.2 and Fisher's Exact Test. Results: Toxicity occurred in 2.1% patients out of the 3518 studied. The types of toxicity were skin problems, such as hives and pruritus (34.7%), gastrointestinal problems (20.8%), neurological diseases (4.2%), liver(1.4%), kidney toxicity(1.4%), and others (22.2%). There were no differences in toxicity by sex, age, household income and the types of health insurances. However, toxicity were positively correlated with the increase in standard of education (p=0.0124). In addition, as treatment costs increased (p<0.0001) and satisfaction rates decreased, toxicity increased (p<0.0001). Toxicity increased in patients with low back pain (p=0.0429), hwabyung (p=0.0392), lumbar sprain (p=0.0004), correction body type (p=0.0118), growth (p=0.0045), and from motor accidents (p=0.0448). In logistic regression analysis, Toxicity were positively correlated with medical fees, and cancer treatment and negatively correlated with satisfaction rate on treatments. Conclusion: The toxicity that occurred in outpatients who used Korean medical clinics mostly happened in skin, digestive organs, nerves, livers, and kidneys toxicity. The occurrences differed by the Educational lengths, expensive costs of treatments, low satisfaction rates of the treatments, and cancer.

Analysis of causes of injuries among children in Daegu, Korea

  • Ha, Geol;Jeon, Man-Joong;SaKong, Joon
    • Clinical and Experimental Pediatrics
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    • v.53 no.11
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    • pp.942-950
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    • 2010
  • Purpose: The purpose of this study was to determine the mechanisms and exact causes of injuries to children by analyzing the medical records of children who visited emergency medical centers. Methods: We reviewed the medical records of 7,114 pediatric patients (aged below 15 years) who visited the emergency care center (ECC) of a Yeungnam university hospital in Daegu between January 2007 and December 2009. Results: Among the pediatric patients who visited the ECC, 1,526 (27.2%) were admitted for injuries (boys, 979 [64.2%] and girls, 547 [35.8%]); the boy-to-girl ratio in this study population was 1.8:1. The proportion of boys was higher than that of girls over all age ranges, except for children aged less than 1 year. The highest incidence of injury due to slipping (20.5%) was noted in the 1-year-old group, and nearly half the total number of cases (49.3%) involved children who were under 4 years of age. Of the sites of injury, 999 involved the head and face (73.7%) and 134 involved the hand and wrist (9.9%). Seventy-one injuries (5.7%) occurred on the bed, 70 (5.6%) at the door, and 67 (5.3%) on the stairs. Of the approximately 250 types of injuries classified by cause, 17 accounted for 50.4% of all the injuries. Conclusion: The cause of injury could be attributed to approximately 20 causes in more than half the cases of pediatric injuries. A classification of the types of injuries and the development of appropriate preventive strategies can help avoid such injuries.

Fast Detection Algorithm for Voltage Sags and Swells Based on Delta Square Operation for a Single-Phase Inverter System

  • Lee, Woo-Cheol;Sung, Kook-Nam;Lee, Taeck-Kie
    • Journal of Electrical Engineering and Technology
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    • v.11 no.1
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    • pp.157-166
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    • 2016
  • In this paper, a new sag and peak voltage detector is proposed for a single-phase inverter using delta square operation. The conventional sag detector is from a single-phase digital phase-locked loop (DPLL) that is based on d-q transformations using an all-pass filter (APF). The d-q transformation is typically used in the three-phase coordinate system. The APF generates a virtual q-axis voltage component with a 90° phase delay, but this virtual phase cannot reflect a sudden change in the grid voltage at the instant the voltage sag occurs. As a result, the peak value is drastically distorted, and it settles down slowly. A modified APF generates the virtual q-axis voltage component from the difference between the current and the previous values of the d-axis voltage component in the stationary reference frame. However, the modified APF cannot detect the voltage sag and peak value when the sag occurs around the zero crossing points such as 0° and 180°, because the difference voltage is not sufficient to detect the voltage sag. The proposed algorithm detects the sag voltage through all regions including the zero crossing voltage. Moreover, the exact voltage drop can be acquired by calculating the q-axis component that is proportional to the d-axis component. To verify the feasibility of the proposed system, the conventional and proposed methods are compared using simulations and experimental results.

An intelligent Speed Control System for Marine Diesel Engine (선박용 디젤기관의 지능적인 속도제어시스템)

  • 오세준
    • Journal of Advanced Marine Engineering and Technology
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    • v.22 no.3
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    • pp.320-327
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    • 1998
  • The purpose of this study is to design the intelligent speed control system for marine diesel engine by combining the Model Matching Method and the Nominal Model Tracking Method. Recently for the speed control of a diesel engine some methods using the advanced control techniques such as LQ control Fuzzy control or H$\infty$ control etc. have been reported. However most of speed controllers of a marine diesel engine developed are still using the PID control algorithm But the performance of a marine diesel engine depends highly on the parameter setting of the PID controllers. The authors proposed already a new method to tune efficiently the PID parameters by the Model Mathcing Method typically taking a marine diesel engine as a non-oscillatory second-order system. It was confirmed that the previously proposed method is superior to Ziegler & Nichols's method through simulations under the assumption that the parameters of a diesel engine are exactly known. But actually it is very difficult to find out the exact model of the diesel engine. Therefore when the model and the actual diesel engine are unmatched as an alternative to enhance the speed control characteristics this paper proposes a Model Refernce Adaptive Speed Control system of a diesel engine in which PID control system for the model of a diesel engine is adopted as the nominal model and a Fuzzy controller is adopted as the adaptive controller, And in the nominal model parameters of a diesel engine are adjusted using the Model Matching Method. it is confirmed that the proposed method gives better performance than the case of using only Model Matching Method through the analysis of the characteristics of indicial responses.

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Comparison of Hilbert and Hilbert-Huang Transform for The Early Fault Detection by using Acoustic Emission Signal (AE 신호를 이용한 조기 결함 검출을 위한 Hilbert 변환과 Hilbert-Huang 변환의 비교)

  • Gu, Dong-Sik;Lee, Jong-Myeong;Lee, Jung-Hoon;Ha, Jung-Min;Choi, Byeong-Keun
    • Journal of Advanced Marine Engineering and Technology
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    • v.36 no.2
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    • pp.258-266
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    • 2012
  • Recently, Acoustic Emission (AE) technique is widely applied to develop the early fault detection system, and the problem about a signal processing method for AE signal is mainly focused on. In the signal processing method, envelope analysis is a useful method to evaluate the rolling element bearing problems and Wavelet transform is a powerful method to detect faults occurred on gearboxes. However, exact method for AE signal is not developed yet. Therefore, in this paper, two methods, which is Hilbert transforms (HT) and Hilbert-Huang transforms (HHT), will be compared for development a signal processing method for early fault detection system by using AE. AE signals were measured through a fatigue test. HHT has better advantages than HT because HHT can show the time-frequency domain result. But, HHT needs long time to process a signal, which has a lot of data, and has a disadvantage in de-noising filter.

A Study on the Correlation Analysis of the Present Status of Turbo Pumps Installed in Ships

  • Lee, Sang-Il;Kim, You-Taek
    • Journal of Advanced Marine Engineering and Technology
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    • v.32 no.7
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    • pp.1051-1060
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    • 2008
  • Now days, various types of ships are operated to transport both cargo and passengers all around the world. Most of the important auxiliary machinery installed in those ships is fluid machinery such as pumps, compressors, and fans. A large percentage of fluid machinery is pumps which are classified as turbo and positive displacement pumps. This paper analyzes only turbo pumps out of the two types. This thesis has two aims: (a) to analyze the present status of pumps installed in merchant and training ships and (b) to find the correlation among sea going pump kW, port pump kW, GE kW, ME MCR, number of pumps, ME kgf, pump kgf. Based on the ship's type, my paper seeks to find special characteristics as a result of analyzing head, flow rate, and kW. Moreover this paper analyzes and compares number of pumps, rpm of pumps, pump kW/ME MCR and pump kW/GE kW under the conditions of seagoing and berthing according to the ship's type. In conclusion, (1) For the exact comparison, information on the head, kW, flow rate, number of pumps by ship's type, the pump installation status of the Merchant Ships and Training Ships were tabulated and compared in this paper. (2) In order to qualify one ship as the delegate ship, several methods were used. The result of the examination indicates that the chosen ships could be justified as a suitable representation of ships of their own type. (3) The correlation of several values(total pump kW, port pump kW, GE kW, seagoing pump kW, pump weight, ME weight, ME MCR, number of pumps and ME kW) could be obtained.

Investigation of Blood Betatrophin Levels in Obese Children with Non-Alcoholic Fatty Liver Disease

  • Battal, Fatih;Turkon, Hakan;Aylanc, Nilufer;Aylanc, Hakan;Yildirim, Sule;Kaymaz, Nazan;Uysal, Sema
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.2
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    • pp.111-117
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    • 2018
  • Purpose: The prevalence of obesity has significantly increased among children and adolescents worldwide and is becoming an important health care problem in parallel with the increased prevalence of obesity pediatric non-alcoholic fatty liver disease. Betatrophin is a newly define hormone that is commonly secreted by liver and plays role in glucose tolerance. This study aimed to investigate the relationship between serum betatrophin levels and non-alcoholic fatty liver disease in obese children. Methods: The study included 40 obese children with a body mass index (BMI) above 95th centile, and 35 non-obese subjects with a BMI 3-85th centile, whose age and gender were similar to those of the patient group. For the evaluation of metabolic parameters fasting serum glucose, insulin, alanine aminotransferase, aspartate aminotransferase, lipid profile and serum betatrophin levels were measured. Total cholesterol: high-density lipoprotein cholesterol and low-density lipoprotein cholesterol: high-density lipoprotein cholesterol ratios were calculated as "atherogenic indices." Results: Serum betatrophin levels of the obese subjects were similar to that of non-obese subjects (p=0.90). Betatrophin levels were not correlated with the metabolic parameters. Conclusion: In the present study, levels of betatrophin are not different between obese and insulin resistant children and non-obese subjects, and they are not correlated with atherogenic indices. To elucidate the exact role of betatrophin in obesity, further studies are required to identify the betatrophin receptor and/or other possible cofactors.

Different Criteria for the Definition of Insulin Resistance and Its Relation with Dyslipidemia in Overweight and Obese Children and Adolescents

  • Nogueira-de-Almeida, Carlos Alberto;de Mello, Elza Daniel
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.1
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    • pp.59-67
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    • 2018
  • Purpose: to compare cut off points corrected for age and gender (COOP) with fixed cut off points (FCOP) for fasting plasma insulin and Homeostatic model assessment-insulin resistance (HOMA-IR) for the diagnosis of IR in obese children and adolescents and their correlation with dyslipidemia. Methods: A multicenter, cross-sectional study including 383 subjects aged 7 to 18 years, evaluating fasting blood glucose, plasma insulin, and lipid profile. Subjects with high insulin levels and/or HOMA-IR were considered as having IR, based on two defining criteria: FCOP or CCOP. The frequency of metabolic abnormalities, the presence of IR, and the presence of dyslipidemia in relation to FCOP or CCOP were analyzed using Fisher and Mann-Whitney exact tests. Results: Using HOMA-IR, IR was diagnosed in 155 (40.5%) and 215 (56.1%) patients and, using fasting insulin, 150 (39.2%) and 221 (57.7%), respectively applying FCOP and CCOP. The use of CCOP resulted in lower insulin and HOMA-IR values than FCOP. Dyslipidemia was not related to FCOP or CCOP. Blood glucose remained within normal limits in all patients with IR. There was no difference in the frequency of IR identified by plasma insulin or HOMA-IR, both for FCOP and CCOP. Conclusion: The CCOP of plasma insulin or of HOMA-IR detected more cases of IR as compared to the FCOP, but were not associated with the frequency of dyslipidemia. As blood glucose has almost no fluctuation in this age group, even in the presence of IR, fasting plasma insulin detected the same cases of IR that would be detected by HOMA-IR.

Case Report: A Case of Conversion Disorder Treated by Ganyanghwapung(肝陽化風) Comprehensive Diagnosis (전환장애를 간양화풍(肝陽化風)으로 변증(辨證)한 치험 1례(例))

  • Kim, Jin-Won;Jeong, Byeong-Ju;Woo, Sung-Ho;Kim, Byung-Chul;Son, Ji-Hyung;Lim, Ho-Jae;Hwang, Gyu-Dong;Seo, Ho-Seok;Kim, Yong-Ho;Han, Seung-Hea
    • The Journal of Internal Korean Medicine
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    • v.26 no.2
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    • pp.489-497
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    • 2005
  • Conversion disorder lacks temperamental grounds and is a type of somatoform disorder that includes alteration or loss of physical functions implicated in physical deficit suggestive psychological conflict. There is high incidence of return of conversion disorder and difficulty in producing exact approaches of cure and apparent effects of remedy with symptomatic treatment alone because of its complex clinical symptoms. The approach of Oriental Medicine in treatment of conversion disorder is to apprehend relative symptoms from the syndrome combined with several annexational symptoms centering around sequential symptoms. Thereupon, author made a Ganyanghwapung comprehensive diagnosis was conducted using Oriental Medicine measures by differential diagnostic methods in psychosomatic patients whose cases are diagnosed as conversion disorder. Then, Cheonmagudeungeum Gagambang was prescribed for them and it brought on satisfactory effects from the first or second treatment. There have been many cases reporting the application of Oriental Medicine treatment to conversion disorder to date and outcomes have also been favorable. Results of this study likewise suggest that this Oriental Medicine treatment for conversion disorder is effective.

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Therapeutic Effects of Gaejigayonggolmoryo-tang on Dextran Sodium Sulfate-induced Ulcerative Colitis in Mice (궤양성 대장염 유발 생쥐에 투여한 계지가용골모려탕의 치료효과)

  • Kang, Amy;Lim, Seong-woo
    • The Journal of Internal Korean Medicine
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    • v.38 no.6
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    • pp.1021-1034
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    • 2017
  • Objectives: The aim of this study was to investigate the effects of Gaejigayonggolmoryo-tang (GYT) on ulcerative colitis induced by dextran sodium sulfate (DSS) in mice. Methods: Colitis was induced by free drinking of 5% DSS in six-week-old male ICR mice. The experimental groups were the sample group, the control group, and the normal group. The sample group was treated with GYT for three days after being was given 5% DSS for five days. The control group was given water, instead of GYT, for three days after the five days of 5% DSS. The normal group was untreated (not given 5% DSS), for comparison purposes. Results: Cellular experiments showed that GYT inhibits the expression of the inflammatory enzymes COX-2 and iNOS, and the production of NO. Based on the primary cellular experiments, the effects of GYT on ulcerative colitis induced by DSS of mouse tissues were investigated. GYT reduced tissue damage and apoptosis by inhibiting the expression of the inflammatory enzymes $NF-{\kappa}B$ p65, COX-2, and iNOS. In the cellular experiment, GYT was more effective in inhibiting the expression of COX-2 than in inhibiting the expression of iNOS. GYT was evidently effective in tissues in inhibiting the expression of COX-2. Conclusions: Based on the results here, GYT may have therapeutic effects on ulcerative colitis induced by DSS. GYT is worthy of research and development as a COX-2 inhibitor and a potential drug for inflammatory bowel diseases from natural products. Further investigations for exact mechanisms will be needed.