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The Usefulness of Dyspnea Rating in Evaluation for Pulmonary Impairment/Disability in Patients with Chronic Pulmonary Disease (만성폐질환자의 폐기능손상 및 장애 평가에 있어서 호흡곤란정도의 유용성)

  • Park, Jae-Min;Lee, Jun-Gu;Kim, Young-Sam;Chang, Yoon-Soo;Ahn, Kang-Hyun;Cho, Hyun-Myung;Kim, Se-Kyu;Chang, Joon;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.2
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    • pp.204-214
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    • 1999
  • Background: Resting pulmonary function tests(PFTs) are routinely used in the evaluation of pulmonary impairment/disability. But the significance of the cardiopulmonary exercise test(CPX) in the evaluation of pulmonary impairment is controvertible. Many experts believe that dyspnea, though a necessary part of the assessment, is not a reliable predictor of impairment. Nevertheless, oxygen requirements of an organism at rest are different from at activity or exercising, and a clear relationship between resting PFTs and exercise tolerance has not been established in patients with chronic pulmonary disease. As well, the relationship between resting PFTs and dyspnea is complex. To investigate the relationship of dyspnea, resting PFTs, and CPX, we evaluated the patients of stabilized chronic pulmonary disease with clinical dyspnea rating(baseline dyspnea index, BDI), resting PFTs, and CPX. Method: The 50 patients were divided into two groups: non-severe and severe group on basis of results of resting PFTs(by criteria of ATS), CPX(by criteria of ATS or Ortega), and dyspnea rating(by focal score of BDI). Groups were compared with respect to pulmonary function, indices of CPX, and dyspnea rating. Results: 1. According to the criteria of pulmonary impairment with resting PFTs, $VO_2$max, and focal score of BDI were significantly low in the severe group(p<0.01). According to the criteria of $VO_2$max(ml/kg/min) and $VO_2$max(%), the parameters of resting PFTs, except $FEV_1$ were not significantly different between non-severe and severe(p>0.05). According to focal score($FEV_1$(%), FVC(%), MW(%), $FEV_1/FVC$, and $VO_2$max were significantly lower in the severe group(p<0.01). However, in the more severe dyspneic group(focal score<5), only $VO_2$max(ml/kg/min) and $VO_2$max(%) were low(p<0.01). $FEV_1$(%) was correlated with $VO_2$max(%)(r=0.52;p<0.01), but not predictive of exercise performance. The focal score had the correlation with max WR(%) (r=0.55;p<0.01). Sensitivity and specificity analysis were utilized to compare the different criteria used to evaluate the severity of pulmonary impairment, revealed that the classification would be different according to the criteria used. And focal score for dyspnea showed similar sensitivity and specificity. Conclusion : According to these result, resting PFTs were not superior to rating of dyspnea in prediction of exercise performance in patients with chronic pulmonary diseases and less correlative with focal score for dyspnea than $VO_2$max and max WR. Therefore, if not contraindicated, CPX would be considered to evaluate the severity of pulmonary impairment in patients with chronic pulmonary diseases, including with severe resting PFTs. Current criteria used to evaluate the severity of impairment were insufficient in considering the degree of dyspnea, so new criteria, including the severity of dyspnea, may be necessary.

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Design and Manufacture of U-shaped Antenna for WLAN/WiMAX Applications (WLAN/WiMAX 시스템에 적용 가능한 U-형 안테나 설계 및 제작)

  • Im, Dae-Soo;Choi, Young-Kyu;Yoon, Joong-Han
    • The Journal of the Korea institute of electronic communication sciences
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    • v.9 no.7
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    • pp.827-834
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    • 2014
  • In this paper, a triple-band U-shaped monopole antenna with T-shaped stub for WLAN(Wireless Local Area Networks)/WiMAX(World interoperability for Microwave Access) applications. The proposed antenna is based on a planar monopole design, and composed of U-shaped of radiating patch, T-shaped strip in U-shaped, for triple-band operation. To obtain the optimized parameters, we used the simulator, Ansoft's High Frequency Structure Simulator(HFSS) and found the parameters that greatly effect antenna characteristics. Using the obtained parameters, the antenna is fabricated. The numerical and experiment results demonstrated that the proposed antenna satisfied the -10 dB impedance bandwidth requirement while simultaneously covering the WLAN and WiMAX bands. And characteristics of gain and radiation patterns are determined for WLAN/WiMAX application.

An Enhanced Max-Min Neural Network using a Fuzzy Control Method (퍼지 제어 기법을 이용한 개선된 Max-Min 신경망)

  • Kim, Kwang-Baek;Woo, Young-Woon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.8
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    • pp.1195-1200
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    • 2013
  • In this paper, we proposed an enhanced Max-Min neural network by auto-tuning of learning rate using fuzzy control method. For the reduction of training time required in the competition stage, the method was proposed that arbitrates dynamically the learning rate by applying the numbers of the accuracy and the inaccuracy to the input of the fuzzy control system. The experiments using real concrete crack images showed that the enhanced Max-Min neural network was effective in the recognition of direction of the extracted cracks.

Respiratory Gas Exchange and Ventilatory Functions at Maximal Exercise (최대운동시의 호흡성 가스교환 및 환기기능)

  • Cho, Yong-Keun;Jung, Tae-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.6
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    • pp.900-912
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    • 1995
  • Background: Although graded exercise stress tests are widely used for the evaluation of cardiorespiratory performance, normal standards on respiratory gas exchange and ventilatory functions at maximal exercise in Koreans have not been well established. The purpose of this study is to provide reference values on these by sex and age, along with derivation of some of their prediction equations. Method: Symptom-limited maximal exercise test was carried out by Bruce protocol in 1,000 healthy adults consisting of 603 males and 397 females, aged 20~66 years. Among them VC, $FEV_1$ and MVV were also determined in 885 cases. All the subjects were members of a health center, excluding athletes. During the exercise, subjects were allowed to hold on to front hand rail of the treadmill for safety purpose. Results: The $VO_2\;max/m^2$, $VCO_2\;max/m^2$ and $V_E\;max/m^2$ were greater in males than in females and decreased with age. The RR max in men and women was similar but decreased slightly with age. The $V_T$ max was markedly greater in men but showed no significant changes with age in either gender. The mean of $V_T$ max/VC, $V_E$ max/MVV and BR revealed that there were considerable ventilatory reserves at maximal exercise even in older females. The regression equations of the cardinal parameters obtained using exercise time(ET, min), age(A, yr), height(Ht, cm), weight(W, kg), sex(S, 0=male; 1=female), VC(L), $FEV_1$(L) and $V_E$ max(L) as variables are as follows: $VO_2\;max/m^2$(L/min)=1.449+0.073 ET-0.007A+0.010W-0.006Ht-0.209S, $VCO_2\;max/m^2$(L/min)=1.672+0.063ET-0.008A+0.010W-0.005Ht-0.319S, VE max/$m^2$(L/min)=58.161+1.503ET-0.315A-9.871S or VE max/$m^2$(L/min)=47.873+6.548 $FEV_1$-5.715 S, and VT max(L)=1.497+0.223VC-0.493S. Conclusion: Respiratory gas exchange and ventilatory variables at maximal exercise were studied in 1,000 non-athletes by Bruce protocol. During exercise, the subjects were allowed to hold on to hand rail of the treadmill for safety purpose. We feel that our results would provide ideal target values for patients and healthy individuals to be achieved, since our study subjects were members of a health center whose physical fitness levels were presumably higher than ordinary population.

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Non-Exercise VO2max Estimation for Healthy Young Adults (젊은 정상성인의 비운동 VO2max 추정식)

  • Lee, Jung-Ah;Cho, Sang-Hyun;Yi, Chung-Hwi;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.12 no.3
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    • pp.74-83
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    • 2005
  • The purpose of this study was to produce the regression equation from non-exercise $VO_{2max}$ of healthy young adults and to develop a maximal oxygen consumption ($VO_{2max}$) regression model. This model was based on heart rate non-exercise predictor variables (rest heart rate, maximal heart rate/rest heart rate), as an extra addition to the general regression which can reflect an individual's inherent or acquired cardiorespiratory fitness. The subjects were 101 healthy young adults aged 19 to 35 years. Exercise testing was measured by using a Balke protocol for treadmill and indirect calorimetry. The prediction equation was analyzed by using stepwise multiple regression procedures. The mean of $VO_{2max}$ was $39.02{\pm}6.72\;m{\ell}/kg/min$ (mean${\pm}$SD). The greatest variable correlated to $VO_{2max}$ was %fat. The predictor variable used in the non-exercise $VO_{2max}$ included %fat, gender, habitual physical activity and $HR_{max}/HR_{rest}$. The non-exercise $VO_{2max}$ estimation was as follows: $VO_{2max}$($m{\ell}/kg/min$)=55.58-.41(%fat)+.59(physical activity rating)-2.69($HR_{max}/HR_{rest}$)-5.36 (male=0, female=1); (R=.85, SEE=3.64, R2=.72: including heart rate variable); $VO_{2max}$($m{\ell}/kg/min$)=48.47-.41(%fat)+.45(physical activity rating)-5.12 (male=0, female=1); (R=.84, SEE=3.74, R2=.70: with the exception of heart rate variable). As an added heart rate variable, there was only a 2% coefficient of determination improved. Therefore, these results demonstrated that heart rate variable correlation with a non-exercise regression model was very low. In conclusion, for healthy young korean adults, those variables that can affect non-exercise $VO_{2max}$ estimation turned out to be only % fat, gender, and physical activity. We suggest that further research of predictor variables for non-exercise $VO_{2max}$ is necessary for different patient groups who cannot perform maximal exercise or submaximal exercise.

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Handover Scheme between WiFi and Mobile WiMax (WiFi와 mobile WiMax간 핸드오버 방안)

  • Park, Seung-Kyun
    • The Journal of the Korea Contents Association
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    • v.11 no.1
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    • pp.34-41
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    • 2011
  • At present wireless internet access service is available through the 3G network, mobile WiMAX and WiFi anytime and anywhere. In this environment where there are various networks, users should be able to select specific networks depending on different situations. And it is necessary to provide mobility support between homogeneous and between heterogenous networks. Given this situation, the many proposals have been presented to link 3G, which has the largest service area among various networks, with mobile WiMAX(IEEE 802.16e), or with WiFi(IEEE 802.11). But, recently, with the increasing volume of wireless internet use and wireless internet data, due to the advents of net-book, e-book and smart phone, the service area of WiFi and mobile WiMAX has rapidly expanded. Especially, the availability of real-time application such as internet phone has led to the relative shrinking of the proportion of 3G mobile communication network giving conventional voice service, and enlargement of those of wireless internet access networks like WiFi and mobile WiMAX. This paper suggests a handover scheme based on PMIPv6, whitch support mobility between WiFi and mobile WiMAX, and minimizes handover delay. In this scheme, the mobile node has a dual stack structure composed of two interfaces-WiFi and mobile WiMAX. Since WiFi dose not support mobility, it is suggested that the mobile node have the capacity to deal with handover signaling between gateway in case of handover between homogeneous networks. This handover scheme, suggested comparing with current handovers between homogeneous networks, has proved, in its analytic evaluation, to be able to reduce handover, transmission, and signaling overhead.

Morphological, Cytological and Molecular Evidence for Intersubgeneric F1 Hybrid between Glycine max x G. tomentella (콩 Glycine max와 G. tomentella의 종간교잡으로부터 얻은 Fl식물체 검증을 위한 형태적 · 세포학적 · 분자유전학적 연구)

  • Choi, In-Soo;Kim, Yong-Chul
    • Journal of Life Science
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    • v.18 no.4
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    • pp.454-460
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    • 2008
  • This study was carried out to demonstrate morphological, cytological and molecular evidence for intersubgeneric $F_1$ hybrid between Glycine tomentella and G. max cv. ‘Baemkong’. Morphological features of $F_1$ plant for pistil and stamen, flower color and growth habit showed intermediate type between G. tomentella and G. max cv. ‘Baemkong’. Chromosome number of $F_1$ plant was 2n=39, which explained the evidence of $F_1$ hybrid between G. tomentella (2n=38) and G. max cv. ‘Baemkong’ (2n=40). Polyacrylamide isoelectric focusing pattern for esterase and peroxidase also showed that the $F_1$ plant was true $F_1$ hybrid between G. tomentella and G. max cv. ‘Baemkong’. From RAPD analysis, we identified that 62 primers showing bands in $F_1$ hybrid had both bands from G. tomentella and G. max cv. ‘Baemkong’, which suggested that this was true $F_1$ hybrid. Based on our results from morphological, cytological and molecular analyses, we suggest that the $F_1$ plant was true intersubgeneric hybrid between G. tomentella and G. max cv. ‘Baemkong’. Our results still remain us further study to recover fertility of $F_1$ hybrids. The occurrence of maternal and/or paternal inheritance in $F_1$ hybrid from intersubgeneric cross between G. tomentella and G. max cv. ‘Baemkong’ need to be explained.

Recognition of Concrete Surface Cracks Using Enhanced Max-Min Neural Networks (개선된 Max-Min 신경망을 이용한 콘크리트 균열 인식)

  • Kim, Kwang-Baek;Park, Hyun-Jung
    • Journal of the Korea Society of Computer and Information
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    • v.12 no.2 s.46
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    • pp.77-82
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    • 2007
  • In this paper, we proposed the image processing techniques for extracting the cracks in a concrete surface crack image and the enhanced Max-Min neural network for recognizing the directions of the extracted cracks. The image processing techniques used are the closing operation or morphological techniques, the Sobel masking for extracting for edges of the cracks, and the iterated binarization for acquiring the binarized image from the crack image. The cracks are extracted from the concrete surface image after applying two times of noise reduction to the binarized image. We proposed the method for automatically recognizing the directions of the cracks with the enhanced Max-Min neural network. Also, we propose an enhanced Max-Min neural network by auto-tuning of learning rate using delta-bar-delta algorithm. The experiments using real concrete crack images showed that the cracks in the concrete crack images were effectively extracted and the enhanced Max-Min neural network was effective in the recognition of direction of the extracted cracks.

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Understanding and trends of esthetic treatment in prosthodontics : IPS e.max (심미보철 치료의 경향과 이해 : part 1. IPS e.max)

  • Kang, Jung-In;Heo, Yu-Ri;Lee, Myeong-Seon;Son, Mee-Kyoung
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.4
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    • pp.447-452
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    • 2014
  • With the increase of esthetic demands, most patients want to have restorations which are not only functional but also esthetic. For the esthetic restoration, many ceramic systems have been introduced and applied in dentistry. Among those ceramic restorations, IPS e.max system composed of lithium disilicate glass ceramic is one of the most commonly used systems because it has strength and esthetic characteristics. IPS e.max system is divided into IPS e.max Press and IPS e.max CAD according to the manufacturing methods. IPS e.max Press is fabricated through heat-pressed technique with ceramic ingot, which is very simple. The restorations which are made using IPS e.max system can apply to 3 units restoration for the anterior teeth and premolar, and single posterior tooth restoration. Cementation is one of the most important clinic procedure for the longevity of the restorations. All ceramics are bonded by resin cements, it is classified into three groups including adhesive, self-adhesive, and conventional. Variolink N, which is an adhesive resin cement and manufactured by same company with IPS e.max, is recommended for the bonding of IPS e.max restoration. Conventional and self-adhesive resin cement is also available. The aim of this review article is to provide the understanding of material properties, production procedure and clinical application of IPS e.max system.

A Study on the Analysis of UWB Interference to WiMAX and Mitigation Method of Transmit Power Control (초광대역 시스템에 의한 WiMAX로의 간섭 및 송신 전력 제어 간섭 저감 방법 해석 연구)

  • Yoon, Young-Keun;Ju, Sang-Ho;Choi, Ik-Guen
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.18 no.9
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    • pp.1077-1082
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    • 2007
  • This paper presents the analysis of the potential ultra-wideband(UWB) interference to WiMAX at 3.5 GHz bands and the mitigation method using transmit power control(TPC) of UWB system. UWB interference effect is evaluated with WiMax's outage probability over UWB density when multiple UWB systems and single WiMAX receiver distribute in unit area of 1$km^2$, When UWB distribution density is 20$devices/km^2$ and the dynamic range of TPC is 30 dB, UWB interference effect with TPC is decreased by 42 % rather than that without mitigation scheme. Finally, we describe that the proposed TPC is an effective method to mitigate UWB interference to WiMAX.