• Title/Summary/Keyword: median prediction

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Prognostic Value of Coronary CT Angiography for Predicting Poor Cardiac Outcome in Stroke Patients without Known Cardiac Disease or Chest Pain: The Assessment of Coronary Artery Disease in Stroke Patients Study

  • Sung Hyun Yoon;Eunhee Kim;Yongho Jeon;Sang Yoon Yi;Hee-Joon Bae;Ik-Kyung Jang;Joo Myung Lee;Seung Min Yoo;Charles S. White;Eun Ju Chun
    • Korean Journal of Radiology
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    • v.21 no.9
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    • pp.1055-1064
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    • 2020
  • Objective: To assess the incremental prognostic value of coronary computed tomography angiography (CCTA) in comparison to a clinical risk model (Framingham risk score, FRS) and coronary artery calcium score (CACS) for future cardiac events in ischemic stroke patients without chest pain. Materials and Methods: This retrospective study included 1418 patients with acute stroke who had no previous cardiac disease and underwent CCTA, including CACS. Stenosis degree and plaque types (high-risk, non-calcified, mixed, or calcified plaques) were assessed as CCTA variables. High-risk plaque was defined when at least two of the following characteristics were observed: low-density plaque, positive remodeling, spotty calcification, or napkin-ring sign. We compared the incremental prognostic value of CCTA for major adverse cardiovascular events (MACE) over CACS and FRS. Results: The prevalence of any plaque and obstructive coronary artery disease (CAD) (stenosis ≥ 50%) were 70.7% and 30.2%, respectively. During the median follow-up period of 48 months, 108 patients (7.6%) experienced MACE. Increasing FRS, CACS, and stenosis degree were positively associated with MACE (all p < 0.05). Patients with high-risk plaque type showed the highest incidence of MACE, followed by non-calcified, mixed, and calcified plaque, respectively (log-rank p < 0.001). Among the prediction models for MACE, adding stenosis degree to FRS showed better discrimination and risk reclassification compared to FRS or the FRS + CACS model (all p < 0.05). Furthermore, incorporating plaque type in the prediction model significantly improved reclassification (integrated discrimination improvement, 0.08; p = 0.023) and showed the highest discrimination index (C-statistics, 0.85). However, the addition of CACS on CCTA with FRS did not add to the prediction ability for MACE (p > 0.05). Conclusion: Assessment of stenosis degree and plaque type using CCTA provided additional prognostic value over CACS and FRS to risk stratify stroke patients without prior history of CAD better.

Carbohydrate Antigen 19-9 Levels Associated with Pathological Responses to Preoperative Chemoradiotherapy in Rectal Cancer

  • Yeo, Seung-Gu;Kim, Dae Yong;Kim, Tae Hyun;Kim, Sun Young;Baek, Ji Yeon;Chang, Hee Jin;Park, Ji Won;Oh, Jae Hwan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5383-5387
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    • 2014
  • Purpose: To investigate whether pretreatment serum carbohydrate antigen 19-9 (CA 19-9) levels are associated with pathological responses to preoperative chemoradiotherapy (CRT) in patients with rectal cancer. Materials and Methods: In total, 260 patients with locally advanced rectal cancer (cT3-4NanyM0) who underwent preoperative CRT and radical surgery were analyzed retrospectively. CRT consisted of 50.4 Gy pelvic radiotherapy and concurrent chemotherapy. Radical surgery was performed at a median of 7 weeks after CRT completion. Pathological CRT response criteria included downstaging (ypStage 0-I) and ypT0-1. A discrimination threshold of CA 19-9 level was determined using a receiver operating characteristics analysis. Results: The median CA 19-9 level was 8.0 (1.0-648.0) U/mL. Downstaging occurred in 94 (36.2%) patients and ypT0-1 in 50 (19.2%). The calculated optimal threshold CA 19-9 level was 10.2 U/mL for downstaging and 9.0 U/mL for ypT0-1. On multivariate analysis, CA 19-9 (${\leq}9.0U/mL$) was significantly associated with downstaging (odds ratio, 2.089; 95% confidence interval, 1.189-3.669; P=0.010) or ypT0-1 (OR, 2.207; 95%CI, 1.079-4.512; P=0.030), independent of clinical stage or carcinoembryonic antigen. Conclusions: This study firstly showed a significant association of pretreatment serum CA 19-9 levels with pathological CRT responses of rectal cancer. The CA 19-9 level is suggested to be valuable in predicting CRT responses of rectal cancer cases before treatment.

Analysis of Bus Accidents Influential Factors on Bus Exclusive Lane in Seoul (Bus Median Lane and Bus Curb Lane Defined) (서울시 버스전용차로구간의 버스사고 영향요인 분석 연구 (중앙전용차로 및 가로변전용차로 구분))

  • Lim, Jun-Beom;Hong, Ji-Yeon;Chang, Il-Jun;Park, Jun-Tae
    • International Journal of Highway Engineering
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    • v.14 no.2
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    • pp.145-155
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    • 2012
  • At present, Seoul City is putting the bus exclusive lane system into practice according to mass transit revitalization policy. Starting with the installation of roadside bus exclusive lane in the past, at present, even the road sections for central- lane bus exclusive lane system are on the increase. The purpose of this research is to analyze the factors giving impacts on bus accident on central bus exclusive lane and roadside bus exclusive lane. In case of the central bus exclusive lane, the 6 variables, such as the number of bus routes, number of access & entrance to central lanes patterns, whether the stop line of central lanes retreats or not, separated distance between the stop line of central lanes and crosswalks, traffic volume, and number of bus routes stopping at bus stops on reversible lanes, were found to have a significant influence on bus accidents. In case of roadside bus exclusive lane sections, the four variables such as the number of right-turn bus routes, whether to be chronic illegal parking & stopping, time for the walk signal, and forms of land use, etc. were found to have a significant influence on bus accident.

Low Complexity Video Encoding Using Turbo Decoding Error Concealments for Sensor Network Application (센서네트워크상의 응용을 위한 터보 복호화 오류정정 기법을 이용한 경량화 비디오 부호화 방법)

  • Ko, Bong-Hyuck;Shim, Hyuk-Jae;Jeon, Byeung-Woo
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.45 no.1
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    • pp.11-21
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    • 2008
  • In conventional video coding, the complexity of encoder is much higher than that of decoder. However, as more needs arises for extremely simple encoder in environments having constrained energy such as sensor network, much investigation has been carried out for eliminating motion prediction/compensation claiming most complexity and energy in encoder. The Wyner-Ziv coding, one of the representative schemes for the problem, reconstructs video at decoder by correcting noise on side information using channel coding technique such as turbo code. Since the encoder generates only parity bits without performing any type of processes extracting correlation information between frames, it has an extremely simple structure. However, turbo decoding errors occur in noisy side information. When there are high-motion or occlusion between frames, more turbo decoding errors appear in reconstructed frame and look like Salt & Pepper noise. This severely deteriorates subjective video quality even though such noise rarely occurs. In this paper, we propose a computationally extremely light encoder based on symbol-level Wyner-Ziv coding technique and a new corresponding decoder which, based on a decision whether a pixel has error or not, applies median filter selectively in order to minimize loss of texture detail from filtering. The proposed method claims extremely low encoder complexity and shows improvements both in subjective quality and PSNR. Our experiments have verified average PSNR gain of up to 0.8dB.

Development of Traffic Accident Prediction Models by Traffic and Road Characteristics in Urban Areas (도로 및 교통특성에 따른 계획 단계의 도시부 도로 교통사고 예측모형개발)

  • 이수범;김정현;김태희
    • Journal of Korean Society of Transportation
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    • v.21 no.4
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    • pp.133-144
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    • 2003
  • The current procedure of estimating accident reduction benefit shows fixed accident rates for each level of roads without considering the various characteristics of roadway geometries, and traffics. In this study, in order to solve the problems mentioned in the above, models were developed considering the characteristics of roadway alignments and traffic characteristics. The developed models can be used to estimate the accident rates on new or improved roads, In this study, only urban highways were included as a beginning stage. First of all. factors influencing accident rates were selected. Those factors such as traffic volumes. number of signalized intersections, the number of connecting roads, number of pedestrian traffic signals, existence of median barrier, and the number of road lane are also selected based upon the obtainability at the planning stage of roads. The relationship between the selected factors and accident rates shows strong correlation statistically. In this study, roads were classified into 4 groups based on number of lanes, level of roads and the existence of median barriers. The regression analysis had been performed for each group with actual data associated with traffic, roads. and accidents. The developed regression models were verified with another data set. In this study, in order to develop the proposed models, only data on a limited area were used. In order to represent whole area of the country with the developed models. the models should be re-analyzed with vast data.

Association between Initial Chest CT or Clinical Features and Clinical Course in Patients with Coronavirus Disease 2019 Pneumonia

  • Zhe Liu;Chao Jin;Carol C. Wu;Ting Liang;Huifang Zhao;Yan Wang;Zekun Wang;Fen Li;Jie Zhou;Shubo Cai;Lingxia Zeng;Jian Yang
    • Korean Journal of Radiology
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    • v.21 no.6
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    • pp.736-745
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    • 2020
  • Objective: To identify the initial chest computed tomography (CT) findings and clinical characteristics associated with the course of coronavirus disease 2019 (COVID-19) pneumonia. Materials and Methods: Baseline CT scans and clinical and laboratory data of 72 patients admitted with COVID-19 pneumonia (39 men, 46.2 ± 15.9 years) were retrospectively analyzed. Baseline CT findings including lobar distribution, presence of ground glass opacities, consolidation, linear opacities, and lung severity score were evaluated. The outcome event was recovery with hospital discharge. The time from symptom onset to discharge or the end of follow-up (for those remained hospitalized) was recorded. Data were censored in events such as death or discharge without recovery. Multivariable Cox proportional hazard regression was used to explore the association between initial CT, clinical or laboratory findings, and discharge with recovery, whereby hazard ratio (HR) values < 1 indicated a lower rate of discharge at four weeks and longer time until discharge. Results: Thirty-two patients recovered and were discharged during the study period with a median length of admission of 16 days (range, 9 to 25 days), while the rest remained hospitalized at the end of this study (median, 17.5 days; range, 4 to 27 days). None died during the study period. After controlling for age, onset time, lesion characteristics, number of lung lobes affected, and bilateral involvement, the lung severity score on baseline CT (> 4 vs. ≤ 4 [reference]: adjusted HR = 0.41 [95% confidence interval, CI = 0.18-0.92], p = 0.031) and initial lymphocyte count (reduced vs. normal or elevated [reference]: adjusted HR = 0.14 [95% CI = 0.03-0.60], p = 0.008) were two significant independent factors that influenced recovery and discharge. Conclusion: Lung severity score > 4 and reduced lymphocyte count at initial evaluation were independently associated with a significantly lower rate of recovery and discharge and extended hospitalization in patients admitted for COVID-19 pneumonia.

Non-destructive quality prediction of truss tomatoes using hyperspectral reflectance imagery (초분광 영상을 이용한 송이토마토의 비파괴 품질 예측)

  • Kim, Dae-Yong;Cho, Byoung-Kwan;Kim, Young-Sik
    • Korean Journal of Agricultural Science
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    • v.39 no.3
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    • pp.413-420
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    • 2012
  • Spectroscopic measurement method based on visible and near-infrared wavelengths was prominent technology for rapid and non-destructive evaluation of internal quality of fruits. Reflectance measurement was performed to evaluate firmness, soluble solid content, and acid content of truss tomatoes by hyperspectral reflectance imaging system. The Vis/NIR reflectance spectra was acquired from truss tomatoes sorted by 6 ripening stages. The multivariable analysis based on partial least square (PLS) was used to develop regression models with several preporcessing methods, such as smoothing, normalization, multiplicative scatter correction (MSC), and standard normal variate (SNV). The best model was selected in terms of coefficient of determination of calibration ($R_c^2$) and full cross validation ($R_{cv}^2$), and root mean standard error of calibration (RMSEC) and full cross validation (RMSECV). The results of selected models were 0.8976 ($R_p^2$), 6.0207 kgf (RMSEP) with gaussian filter of smoothing, 0.8379 ($R_p^2$), $0.2674^{\circ}Bx$ (RMSEP) with the mean of normalization, and 0.7779 ($R_p^2$), 0.1033% (RMSEP) with median filter of smoothing for firmness, soluble solid content (SSC), and acid content, respectively. Results show that Vis / NIR hyperspectral reflectance imaging technique has good potential for the measurement of internal quality of truss tomato.

Analysis on Electromyogram(EMG) Signals by Body Parts for G-induced Loss of Consciousness(G-LOC) Prediction (G-induced Loss of Consciousness(G-LOC) 예측을 위한 신체 부위별 Electromyogram(EMG) 신호 분석)

  • Kim, Sungho;Kim, Dongsoo;Cho, Taehwan;Lee, Yongkyun;Choi, Booyong
    • Journal of the Korea Institute of Military Science and Technology
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    • v.20 no.1
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    • pp.119-128
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    • 2017
  • G-induced Loss of Consciousness(G-LOC) can be predicted by measuring Electromyogram(EMG) signals. Existing studies have mainly focused on specific body parts and lacked of consideration with quantitative EMG indices. The purpose of this study is to analyze the indices of EMG signals by human body parts for monitoring G-LOC condition. The data of seven EMG features such as Root Mean Square(RMS), Integrated Absolute Value(IAV), and Mean Absolute Value(MAV) for reflecting muscle contraction and Slope Sign Changes(SSC), Waveform Length (WL), Zero Crossing(ZC), and Median Frequency(MF) for representing muscle contraction and fatigue was retrieved from high G-training on a human centrifuge simulator. A total of 19 trainees out of 47 trainees of the Korean Air Force fell into G-LOC condition during the training in attaching EMG sensor to three body parts(neck, abdomen, calf). IAV, MAV, WL, and ZC under condition after G-LOC were decreased by 17 %, 17 %, 18 %, and 4 % comparing to those under condition before G-LOC respectively. Also, RMS, IAV, MAV, and WL in neck part under condition after G-LOC were higher than those under condition before G-LOC; while, those in abdomen and calf part lower. This study suggest that measurement of IAV and WL by attaching EMG sensor to calf part may be optimal for predicting G-LOC.

Prediction MOdels for Channel Bed Evolution Due to Short Term Floods (단기간의 홍수에 의한 하상변동의 예측모형)

  • Pyo, Yeong-Pyeong;Sin, Cheol-Sik;Bae, Yeol-Ho
    • Journal of Korea Water Resources Association
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    • v.30 no.6
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    • pp.597-610
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    • 1997
  • One-dimensional numerical models using finite difference methods for unsteady sediment transport on alluvial river channel are developed. The Preissmann implicit scheme and the Lax-Wendroff two-step explicit scheme with the Method of Characteristics for water motion and a forward time centered space explicit scheme for sediment motion are developed to simulate the sediment transport rate and the variation of channel bed level. The program correctness of each model is successfully verified using volume conservation tests. The sensitivity studies show that higher peak stage level, steeper channel slope and longer flooding duration produce more channel bed erosion. and median grain size, $D_{50}=0.4mm$ give maximum volume loss in this study. Finally, the numerical models are found to produce reasonable results from the various sensitivity tests which reveal that the numerical models have properly responded to the changes of each model parameter.

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Analysis of the Likelihood of Successful Defibrillation as a Change of Cardiopulmonary Resuscitation Transition using Support Vector Machine (서포트 벡터 머신을 이용한 심폐소생술 변이의 변화에 따른 제세동 성공률 분석)

  • Jang, Seung-Jin;Hwang, Sung-Oh;Lee, Hyun-Sook;Yoon, Young-Ro
    • Journal of Biomedical Engineering Research
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    • v.28 no.4
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    • pp.556-568
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    • 2007
  • Unsatisfied results of return of spontaneous circulation (ROSC) estimates were caused by the fact that the predictability of the predictors was insufficient. This unmet estimate of the predictors may be affected by transitional events due to behaviors which occur during cardiopulmonary resuscitation (CPR). We thus hypothesized that the discrepancy of ROSC estimates found in statistical characteristics due to transitional CPR events, may affect the performance of the predictors, and that the performance of the classifier dichotomizing between ROSC and No-ROSC might be different during CPR. In a canine model (n=18) of prolonged ventricular fibrillation (VF), standard CPR was provided with administration of two doses of epinephrine 0 min or 3 min later of the onset of CPR. For the analysis of the likelihood of a successful defibrillation during CPR, Support Vector Classification was adopted to evaluate statistical peculiarity combining time and frequency based predictors: median frequency, frequency band-limited power spectrum, mean segment amplitude, and zero crossing rates. The worst predictable period showed below about 1 min after the onset of CPR, and the best predictable period could be observed from about 1.5 min later of the administering epinephrine through 2.0-2.2 min. As hypothesized, the discrepancy of statistical characteristics of the predictors was reflected in the differences of the classification performance during CPR. These results represent a major improvement in defibrillation prediction can be achieved by a specific timing of the analysis, as a change in CPR transition.