• 제목/요약/키워드: total utility

검색결과 545건 처리시간 0.028초

The Utility of Contrast Enhanced Ultrasound and Elastography in the Early Detection of Fibro-Stenotic Ileal Strictures in Children with Crohn's Disease

  • Sarah D. Sidhu ;Shelly Joseph;Emily Dunn;Carmen Cuffari
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제26권4호
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    • pp.193-200
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    • 2023
  • Purpose: Crohn's disease (CD) is a chronic, idiopathic bowel disorder that can progress to partial or complete bowel obstruction. At present, there are no reliable diagnostic tests that can readily distinguish between acute inflammatory, purely fibrotic and mixed inflammatory and fibrotic. Our aim is to study the utility of contrast enhanced ultrasound (CEUS) in combination with shear wave elastography (SWE) to differentiate fibrotic from inflammatory strictures in children with obstructive CD of the terminal ileum. Methods: Twenty-five (19 male) children between 2016-2021 with CD of the terminal ileum were recruited into the study. Among these patients, 22 had CEUS kinetic measurements of tissue perfusion, including wash-in slope (dB/sec), peak intensity (dB), time to peak intensity (sec), area under the curve (AUC) (dB sec), and SWE. In total, 11 patients required surgery due to bowel obstruction. Histopathologic analysis was performed by a pathologist who was blinded to the CEUS and SWE test results. Results: Patients that underwent surgical resection had significantly higher mean area under the curve on CEUS compared to patients responsive to medical therapy (p=0.03). The AUC also correlated with the degree of hypertrophy and the percent fibrosis of the muscularis propria, as determined by histopathologic grading (p<0.01). There was no difference in the mean elastography measurements between these two patient groups. Conclusion: CEUS is a useful radiological technique that can help identify pediatric patients with medically refractory obstructive fibrotic strictures of the terminal ileum that should be considered for early surgical resection.

Clinical Utility of the Minnesota Multiphasic Personality Inventory-Adolescent Restructured Form in the Assessment of Internalizing and Externalizing Disorders in Adolescents: A Preliminary Approach

  • Hye Ji Yun;Eun Hee Park;Hyun Ju Hong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제34권4호
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    • pp.268-274
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    • 2023
  • Objectives: This study investigated whether the Minnesota Multiphasic Personality Inventory-Adolescent Restructured Form (MMPI-ARF) can differentiate between two groups of adolescents, one diagnosed with internalizing disorders and another with externalizing disorders, and examined the clinical utility of the MMPI-A-RF by examining which subscales can significantly discriminate between these two groups. Methods: A total of 105 adolescents aged 13-18 years completed the MMPI-A-RF (53 internalizing disorder and 52 externalizing disorder groups). Independent t-test, chi-square test (χ2), and discriminant analysis were used to examine whether MMPI-A-RF can distinguish between the two groups. Results: Sixteen MMPI-A-RF scales best predicted differences between the groups with internalizing and externalizing disorders. Fourteen scales (Higher-Order Scale [Emotional/Internalizing Dysfunction], Restructured Clinical [RC] Scale [RC demoralization, Somatic Complaints (RC1), and Low Positive Emotions (RC2)], Personality Psychopathology Five Scale [Introversion/Low Positive Emotionality-Revised, Negative Emotionality/Neuroticism-Revised], Somatic/Cognitive Scale [Malaise, Head Pain Complaints, and Gastrointestinal Complaints], Internalizing Scale [Stress/Worry, Self-Doubt], Externalizing Scale [Negative School Attitudes], Interpersonal Scale [Social Avoidance, Shyness]) were associated with the internalizing disorder group, whereas two scales (Externalizing Scale [Conduct Problems, Negative Peer Influence]) were associated with the externalizing disorder group. Conclusion: The MMPI-A-RF can be an efficient assessment tool for a quick diagnosis as it can classify individuals with internalizing and externalizing disorders in clinical settings that lack a variety of assessment tools for children and adolescents.

사건 발생 확률 변화를 고려한 에이전트-타깃 감지 문제 (Agent-target Detection Problem Considering Change in Probability of Event Occurrence)

  • 김광
    • 한국산업정보학회논문지
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    • 제29권4호
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    • pp.67-76
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    • 2024
  • 본 연구에서는 다중 에이전트를 이용한 타깃 감지 문제를 다루는데, 특히 이동식 에이전트를 활용한 감지 문제는 경로 계획에 대한 전략이 추가로 필요하다. 문제의 목표는 특정 기간 내 감지 프로세스를 통해 총 효용을 극대화할 수 있는 각 에이전트의 경로를 찾는 것인데, 시간에 따라 타깃의 사건 발생 확률이 변하도록 하는 포아송 프로세스(Poisson process) 기반의 확률적 프로세스(stochastic process)를 고려하여 현실적인 효용 값을 반영한다. 본 감지 문제의 목적함수는 비선형(non-linearity)이고, NP-난해(NP-hard) 문제로 표현된다. 효율적인 계산 시간 내에 효과적인 해를 찾기 위해, 본 연구에서는 하위모듈성(submodularity)의 특성을 갖는 목적함수임을 증명하고, 이를 활용해 비교적 낮은 계산 시간으로 합리적인 전략을 얻기 위한 휴리스틱 알고리즘을 제안한다. 제안한 알고리즘은 해의 성능과 적절한 계산 시간 내에 해를 도출할 수 있다는 측면에서 우수한 알고리즘임을 이론 및 실험적으로 제시한다.

주제공원 서비스질의 측정 척도 개발에 관한 연구 (Development of a Multi-Item Scale for Measuring Theme Park Service Quality)

  • 엄서호
    • 한국조경학회지
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    • 제22권2호
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    • pp.25-38
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    • 1994
  • Service quality is defined as the perceived difference between performed service and expected service. In this paper, theme park service quality is conceptualized in relation to consumer's total satisfaction on theme park visitation. A 20-item scale was constructed to measure Theme Park Service Quality. The following four steps were employed in developing the service quality measure: 1)identification of service quality dimensions, 2)development of scales from a set of items describing the dimensions, 3)empirical verification of the scale's construct validity which refers to dimensionality, convergent validity, and nomological validity, and 4)confirmation of the utility. The scale was found to be an empirically valid and reliable evaluation tool for service quality enhancement. In addition, the scale would be an useful criterion for market segmentation and positioning.

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전력시장체제하에서의 전력품질제어 메커니즘에 대한 모델링 (A Model for Power Quality Control Mechanism for Electric Power Market)

  • 이근준
    • 대한전기학회논문지:전력기술부문A
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    • 제52권7호
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    • pp.381-386
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    • 2003
  • To provide a specified power quality under electric market system is becoming an important issue for customers and utility company. However, there is no realistic infra-structure to design a power system for the specified power quality. Present electric market is operating under the economic point of view. The low power price could be attractive, but the effect of low price could result the lower power quality for the long time and threat power system security. This paper presents a model which conceptualize the dynamic power quality control mechanism to minimize total cost of a society which is affected electric power quality. This model aims to produce a basic infra-structure to balance cost and quality under the electric market system.

DSA에 대한 기술적 고찰 (The Technologic Consideration of Using for DSA)

  • 조영기
    • 대한방사선기술학회지:방사선기술과학
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    • 제17권2호
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    • pp.13-20
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    • 1994
  • The paper is on the record of radiography the patients with SIEMENS ANGIOSTAR/POLYTRON S PLUS angiosystem with DSA system in the Chonbuk National University Hospital from October 1993 to June 1994. The results are as follow : 1. Among the total No, 836 case of utilization, angiography are 316(37.8 %), interventional radiography are 256(34.2 %), and dacryocystography and sialography are 168(20/1 %). Therefore non-angiogrlphy procedure are incerasing. 2. The aomunt of contrast material used are half as much as conventional angiovascular system. 3. The amount of film consumed are $10{\sim}15%$ of that of conventional angio vascular system and reduction of procedure time are $40{\sim}50%$. 4. Admitting that dignostic utility is in the utilization by examination region, there should be technological study which deal with fine vessel and motion artifact problem.

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Nomogram for Predicting Survival for Oral Squamous Cell Carcinoma

  • Kim, Ki-Yeol;Li, Sheng-Jin;Cha, In-Ho
    • Genomics & Informatics
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    • 제8권4호
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    • pp.212-218
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    • 2010
  • An accurate system for predicting the survival of patients with oral squamous cell carcinoma (OSCC) will be useful for selecting appropriate therapies. A nomogram for predicting survival was constructed from 96 patients with primary OSCC who underwent surgical resection between January 1994 and June 2003 at the Yonsei Dental Hospital in Seoul, Korea. We performed univariate and multivariate Cox regression to identify survival prognostic factors. For the early stage patients group, the nomogram was able to predict the 5 and 10 year survival from OSCC with a concordance index of 0.72. The total point assigned by the nomogram was a significant factor for predicting survival. This nomogram was able to accurately predict the survival after treatment of an individual patient with OSCC and may have practical utility for deciding adjuvant treatment.

신세대 주부의 의생활 양식 유형에 따른 아동복 상표 포지셔닝에 관한 연구 (A Study on Children's Wear Brand Positioning according to the Fashion Life Style of Missy Woman)

  • 구양숙;이승민;박현희
    • 한국의류산업학회지
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    • 제2권4호
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    • pp.308-316
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    • 2000
  • The purposes of this study were to identify the brand positioning of children's wear according to fashion life style and to construct brand positioning maps by using multidimensional scaling (MDS). A total of 222 responses were collected from married women aged 25 to 35 through questionnaire. Cluster analysis on fashion life style factors identified three groups: Fashion Indifference group (34%), Fashion & Individuality Oriented group (27%) and Rationality Oriented group (37%). ANOVA revealed significant differences among the three groups on the six fashion life style factors. MDS analysis showed that three segmented groups evaluated nine children's wear brand for seven attributes(color, design, price, utility, quality, brand name, fashion).

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Software Piracy in Vietnam: Analysis of Key Factors

  • Tuan, Vo-Quoc;Yoo, Chul-Woo;Kim, Mi-Suk;Choe, Young-Chan
    • 한국경영정보학회:학술대회논문집
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    • 한국경영정보학회 2007년도 추계학술대회
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    • pp.487-492
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    • 2007
  • This research focuses on the development and empirical validation of a model of software piracy behavior on the basis of deterrence theory, expected utility theory and the theory of reasoned action. The total of sample numbered 86 and PLS (Partial Least Square) was utilized for analysis. The test of this study revealed that punishment severity was the greatest significant factor to influence to software piracy and subjective norms was also significantly related to it. However punishment certainty and software cost do not significantly affect to software piracy.

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농촌계획지원용 지역자원평가시스템 구축(IV) - 사례지역 적용연구 - (Resources Evaluation System for Rural Planning Purposes(IV) - Application Study to the Case Areas -)

  • 최수명;한경수;황한철
    • 한국농공학회:학술대회논문집
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    • 한국농공학회 1998년도 학술발표회 발표논문집
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    • pp.198-203
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    • 1998
  • This study, a sub-one of comprehensive research works titled under “Rural Resources Evaluation System”, tried to verify utility/applicability of the developed model system through the case study works on 3 sample villages, Backya, Uyan and Suyu, representing the lowland, upland and seashore villages respectively. From the various surveying and collecting works including the official/statistical data collection, map analysis, insitu investigation, field survey and written material review, the original data set were obtained and manipulated into final input data for resources grading. After then, by the automatized calculation procedure of “Rural Resources Evaluation System”, score results for resources evaluation were finally produced with the total maximum score being 1,000. Through comparing works among score results of 3 case villages and between score results and areal characteristics of each case village, the applicability of the system developed in this study was well confirmed.

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