• Title/Summary/Keyword: recurrent

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A Systematic Review of Psychological Distress as a Risk Factor for Recurrent Cardiac Events in Patients with Coronary Artery Disease (관상동맥질환자의 심질환 재발에 영향을 미치는 심리적 디스트레스에 대한 체계적 문헌고찰)

  • Park, Jin-Hee;Bae, Sun-Hyoung
    • Journal of Korean Academy of Nursing
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    • v.41 no.5
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    • pp.704-714
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    • 2011
  • Purpose: The purpose of this study was to determine whether psychological distress is an independent risk factor for recurrent cardiac events in patients with coronary artery disease (CAD). Methods: A prospective cohort of studies that measured psychological distress and the incidence of recurrent cardiac events in the adult population were included. Three computerized databases were assessed (PubMed, CINAHL, and PSYCINFO). Meta-analysis was conducted using a random-effects model to determine summary estimates of risks of major recurrent cardiac events associated with each psychological distress. Of 506 publications identified, 33 met inclusion criteria, and 24 studies were used to estimate effect size of psychological distress on recurrent cardiac events. Results: Mean number in the research sample was 736 and mean time of follow-up was 4.0 years. Depression, anxiety, anger, and hostility as psychological factors were studied. According to estimation of effect size using random model effect, depression (OR=1.39, 95% CI: 1.22-1.57), anxiety (OR=1.22, 95% CI: 0.96-1.56), and anger/hostility (OR=1.29, 95% CI: 1.07-1.57) CAD patients in significantly increased risk for recurrent cardiac events. Conclusion: Finding suggests that psychological distress in forms of depression, anxiety, anger, and hostility impact unfavorably on recurrent cardiac events in CAD patients.

Review of Clinical Research about Herbal Medicine Treatment on Recurrent Respiratory Tract Infection in Children (소아 반복성 호흡기 감염의 한약 치료에 대한 임상 연구 동향: 중의학 논문을 중심으로)

  • Lee, Ji Hong;Lee, Eun Ju;Lee, Bo Ram;Chang, Gyu Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.30 no.2
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    • pp.82-95
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    • 2016
  • Objectives The purpose of this study is to investigate recent clinical studies on effect of herbal medicine treatment for recurrent respiratory tract infection in children. Methods We searched some clinical studies about recurrent respiratory tract infection in children from the China Academic Journal (CAJ) of China National Knowledge Infrastructure (CNKI) (January 2011 to December 2015). Results 50 papers were selected from 168 studies. The herbal decoction was main herbal medicine treatment for recurrent respiratory tract infection in children. Commonly used herbs were Atractylodis Rhizoma Alba, Glycyrrhizae Radix, Astragali Radix, Saposhnikovia Radix and Pseudostellariae Radix. Yupingfeng keli was the most frequently used herbal compound. Total effective rate was 66.4-100%, experimental group was significantly higher than control group in 45 papers (P<0.05). Immune index (in 22 papers) and curative effect of TCM syndrome (in 7 papers) were significantly higher than those of control group after treatment (p<0.05). Conclusions Herbal medicine has been shown as an effective treatment on recurrent respiratory tract infection in children. These research results can be utilized in other clinical studies and in treatment of recurrent respiratory tract infection for children.

Document Classification using Recurrent Neural Network with Word Sense and Contexts (단어의 의미와 문맥을 고려한 순환신경망 기반의 문서 분류)

  • Joo, Jong-Min;Kim, Nam-Hun;Yang, Hyung-Jeong;Park, Hyuck-Ro
    • KIPS Transactions on Software and Data Engineering
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    • v.7 no.7
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    • pp.259-266
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    • 2018
  • In this paper, we propose a method to classify a document using a Recurrent Neural Network by extracting features considering word sense and contexts. Word2vec method is adopted to include the order and meaning of the words expressing the word in the document as a vector. Doc2vec is applied for considering the context to extract the feature of the document. RNN classifier, which includes the output of the previous node as the input of the next node, is used as the document classification method. RNN classifier presents good performance for document classification because it is suitable for sequence data among neural network classifiers. We applied GRU (Gated Recurrent Unit) model which solves the vanishing gradient problem of RNN. It also reduces computation speed. We used one Hangul document set and two English document sets for the experiments and GRU based document classifier improves performance by about 3.5% compared to CNN based document classifier.

Fault Classification of a Blade Pitch System in a Floating Wind Turbine Based on a Recurrent Neural Network

  • Cho, Seongpil;Park, Jongseo;Choi, Minjoo
    • Journal of Ocean Engineering and Technology
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    • v.35 no.4
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    • pp.287-295
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    • 2021
  • This paper describes a recurrent neural network (RNN) for the fault classification of a blade pitch system of a spar-type floating wind turbine. An artificial neural network (ANN) can effectively recognize multiple faults of a system and build a training model with training data for decision-making. The ANN comprises an encoder and a decoder. The encoder uses a gated recurrent unit, which is a recurrent neural network, for dimensionality reduction of the input data. The decoder uses a multilayer perceptron (MLP) for diagnosis decision-making. To create data, we use a wind turbine simulator that enables fully coupled nonlinear time-domain numerical simulations of offshore wind turbines considering six fault types including biases and fixed outputs in pitch sensors and excessive friction, slit lock, incorrect voltage, and short circuits in actuators. The input data are time-series data collected by two sensors and two control inputs under the condition that of one fault of the six types occurs. A gated recurrent unit (GRU) that is one of the RNNs classifies the suggested faults of the blade pitch system. The performance of fault classification based on the gate recurrent unit is evaluated by a test procedure, and the results indicate that the proposed scheme works effectively. The proposed ANN shows a 1.4% improvement in its performance compared to an MLP-based approach.

Sources separation of passive sonar array signal using recurrent neural network-based deep neural network with 3-D tensor (3-D 텐서와 recurrent neural network기반 심층신경망을 활용한 수동소나 다중 채널 신호분리 기술 개발)

  • Sangheon Lee;Dongku Jung;Jaesok Yu
    • The Journal of the Acoustical Society of Korea
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    • v.42 no.4
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    • pp.357-363
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    • 2023
  • In underwater signal processing, separating individual signals from mixed signals has long been a challenge due to low signal quality. The common method using Short-time Fourier transform for spectrogram analysis has faced criticism for its complex parameter optimization and loss of phase data. We propose a Triple-path Recurrent Neural Network, based on the Dual-path Recurrent Neural Network's success in long time series signal processing, to handle three-dimensional tensors from multi-channel sensor input signals. By dividing input signals into short chunks and creating a 3D tensor, the method accounts for relationships within and between chunks and channels, enabling local and global feature learning. The proposed technique demonstrates improved Root Mean Square Error and Scale Invariant Signal to Noise Ratio compared to the existing method.

Differentiation of Recurrent Rectal Cancer and Postoperative Fibrosis: Preliminary Report by Proton MR Spectroscopy (재발성 직장암과 수술 후 섬유화의 감별 진단: 수소 MRS에 의한 예비보고)

  • Jeon Yong Sun;Cho Soon Gu;Choi Sun Keun;Kim Won Hong;Kim Mi Young;Suh Chang Hae
    • Investigative Magnetic Resonance Imaging
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    • v.8 no.1
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    • pp.24-31
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    • 2004
  • Purpose : To know the differences of proton MR spectroscopic features between recurrent rectal cancer and fibrosis in post-operative period, and to evaluate the possibility to discriminate recurrent rectal cancer from post-operative fibrosis by analysis of proton MR spectra. Materials and Methods : We evaluated the proton MR spectra from 25 soft tissue masses in perirectal area that developed in post-operative period after operation for the resection of rectal cancer. Our series included 11 cases of recurrent rectal cancer and 14 of fibrotic mass. All cases of recurrent rectal cancer and post-operative fibrosis were confirmed by biopsy. We evaluated the spectra with an attention to the differences of pattern of the curves between recurrent rectal cancer and post-operative fibrosis. The ratio of peak area of all peaks at 1.6-4.1ppm to lipid (0.9-1.6ppm) [P (1.6-4.1ppm/P (0.9-1.6ppm)] was calculated in recurrent rectal cancer and post-operative fibrosis groups, and compared the results between these groups. We also evaluated the sensitivity and specificity for discriminating recurrent rectal cancer from post-operative fibrosis by analysis of $^1H-MRS$. Results : Proton MR spectra of post-operative fibrosis showed significantly diminished amount of lipids compared with that of recurrent rectal cancer. The ratio of P (1.6-4.1ppm)/P (0.9-1.6ppm) in post-operative fibrosis was much higher than that of recurrent rectal cancer with statistical significance (p < .05) due to decreased peak area of lipids. Mean (standard deviations of P (1.6-4.1ppm)/P (0.9-1.6ppm) in post-operative fibrosis and recurrent rectal cancer group were $2.71{\pm}1.48\;and\;0.29{\pm}0.11$, respectively. With a cut-off value of 0.6 for discriminating recurrent rectal cancer from post-operative fibrosis, both the sensitivity and specificity were $100\%$ (11/11, and 14/14). Conclusion : Recurrent rectal cancer and post-operative fibrosis can be distinguished from each other by analysis of proton MR spectroscopic features, and $^1H-MRS$ can be a new method for differential diagnosis between recurrent rectal cancer and post-operative fibrosis.

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The Clinical Characteristics of Recurrent Kawasaki Disease (재발한 가와사끼병의 임상적 특징)

  • Jo, Hyuk;Kim, Seong Hyun;Kim, Ki Hwan;Kim, Dong Soo
    • Pediatric Infection and Vaccine
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    • v.15 no.2
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    • pp.188-194
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    • 2008
  • Purpose : The purpose of this study is to investigate the clinical characteristics of recurrent Kawasaki disease (KD). Methods : From January 2004 to December 2007, the medical records of 20 children with recurrent KD in Severance Children's Hospital were retrospectively reviewed. The clinical characteristics, laboratory findings, treatment and complications of these patients were compared between the initial episode and the second episode. Results : At the initial episode of the recurrent KD group, the gender ratio was 1.2:1 (male:female) and the mean age was $37.2{\pm}19.9$ months. The interval between the two episodes in the recurrent KD group was 3.3 months. The febrile period before admission was shorter for the second episode (P=0.034). The skin rash was less developed in the second episode. But there were no differences in the laboratory results and complications between the initial episode and the second episode. Three patients (15%) among those with a second episode failed to respond to the initial intravenous immunoglubulin treatment. On comparison between the initial episodes of the recurrent group and the nonrecurrent group, the erythrocyte sedimentation rate was higher in the first episode of the recurrent KD group. Conclusions : For recurrent KD, it tends to present more atypical features than the KD that occurs for the first time. Physicians should consider these characteristics when making the diagnosis and treating recurrent KD.

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