15 research outputs found

    ์ž„์ƒ์—ฐ๊ตฌ๋ฅผ ์œ„ํ•œ ์‹ ๊ฒฝ์ˆ˜์ดˆ๋ฌผ์˜์ƒ

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    ํ•™์œ„๋…ผ๋ฌธ (๋ฐ•์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ๊ณต๊ณผ๋Œ€ํ•™ ์ „๊ธฐยท์ •๋ณด๊ณตํ•™๋ถ€, 2019. 2. ์ด์ข…ํ˜ธ.์‹ ๊ฒฝ์ˆ˜์ดˆ๋Š” ๋ชธ ์•ˆ์˜ ์ „๊ธฐ์  ์‹ ํ˜ธ๋ฅผ ์ „๋‹ฌํ•˜๋Š”๋ฐ ์žˆ์–ด ์ค‘์š”ํ•œ ์—ญํ• ์„ ํ•œ๋‹ค. ์‹ ๊ฒฝํ‡ดํ–‰์„ฑ์งˆํ™˜์€ ์‹ ๊ฒฝ์ˆ˜์ดˆ ์†์ƒ๊ณผ ์—ฐ๊ด€์„ฑ์ด ์žˆ์œผ๋ฉฐ ์ด๋Š” ์ „๊ธฐ์  ์‹ ํ˜ธ ์ „๋‹ฌ์˜ ์†์‹ค์„ ์œ ๋ฐœํ•œ๋‹ค. ๋ณ‘์›์—์„œ ์‚ฌ์šฉํ•˜๋Š” ์ž๊ธฐ ๊ณต๋ช… ์˜์ƒ๋ฒ•์ธ T1, T2 ๊ฐ•์กฐ์˜์ƒ๋“ค์€ ์‹ ๊ฒฝ์ˆ˜์ดˆ์˜ ์–‘์„ ์ •๋Ÿ‰ํ™” ํ•  ์ˆ˜ ์—†๊ณ  ์‹ ๊ฒฝํ‡ดํ–‰์„ฑ์งˆํ™˜ ํ™˜์ž์˜ ์‹ ๊ฒฝ์ˆ˜์ดˆ์˜ ์†์ƒ๋œ ์ •๋„๋ฅผ ํ™•์ธ ํ•  ์ˆ˜ ์—†๋‹ค. ๋ณธ ์—ฐ๊ตฌ์—์„œ๋Š” ์‹ ๊ฒฝ์ˆ˜์ดˆ์˜ ์†์ƒ๋œ ์ •๋„๋ฅผ ์˜ˆ์ธกํ•˜๊ธฐ ์œ„ํ•ด ์ƒˆ๋กญ๊ฒŒ ๊ฐœ๋ฐœ ๋œ ์‹ ๊ฒฝ์ˆ˜์ดˆ๋ฌผ์˜์ƒ์„ ์‹ ๊ฒฝํ‡ดํ–‰์„ฑ์งˆํ™˜์— ์ ์šฉํ•˜์˜€๋‹ค. ์ด๋ฅผ ์œ„ํ•ด ์‹ ๊ฒฝ๋‹ค๋ฐœ์˜ ๋ฌผ๊ตํ™˜ ๋ฐ ๋จธ๋ฆฌ๋กœ ์œ ์ž…๋˜๋Š” ํ˜ˆ๋ฅ˜๋กœ ์ธํ•œ ์‹ ๊ฒฝ์ˆ˜์ดˆ๋ฌผ์˜์ƒ๋ฒ•์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ์— ๋Œ€ํ•˜์—ฌ ํƒ๊ตฌํ•˜์˜€๋‹ค. ๋˜ํ•œ, ์‹ ๊ฒฝ์ˆ˜์ดˆ๋ฌผ์˜์ƒ๋ฒ•์„ ์ด์šฉํ•œ ์ž„์ƒ์  ์—ฐ๊ตฌ๋ฅผ ์œ„ํ•˜์—ฌ ๋ถ„์„ ํŒŒ์ดํ”„๋ผ์ธ์„ ๊ฐœ๋ฐœํ•˜์˜€๋‹ค. ์ฒซ์งธ๋กœ ์‹ ๊ฒฝ๋‹ค๋ฐœ์˜ ์ƒ๋ฌผ, ๋ฌผ๋ฆฌ์ ํ•™์  ํŠน์„ฑ์„ ์‹œ๋ฎฌ๋ ˆ์ด์…˜ํ™”ํ•œ Monte-Carlo ์‹œ๋ฎฌ๋ ˆ์ด์…˜ ๋ชจ๋ธ์„ ๊ฐœ๋ฐœํ•˜์˜€๋‹ค. ์‹œ๋ฎฌ๋ ˆ์ด์…˜์—์„œ ๊ณ„์‚ฐ๋œ ์‹ ๊ฒฝ์ˆ˜์ดˆ๋ฌผ์˜ ๊ฑฐ์ฃผ ์‹œ๊ฐ„์„ ์ด์šฉํ•˜์—ฌ ์‹ ๊ฒฝ์ˆ˜์ดˆ๋ฌผ์˜์ƒ๋ฒ•์ด ์‹ ๊ฒฝ์ˆ˜์ดˆ๋ฌผ์„ ์ธก์ •ํ•˜๊ณ  ์žˆ๋Š” ๊ฒƒ์„ ๊ฒ€์ฆํ•˜์˜€๋‹ค. ๋‘˜์งธ๋กœ ๋ณธ ์—ฐ๊ตฌ์—์„œ๋Š” ๋จธ๋ฆฌ๋กœ ์œ ์ž…๋˜๋Š” ํ˜ˆ๋ฅ˜๋กœ ์ธํ•œ artifact์„ ์ œ๊ฑฐํ•˜๊ธฐ ์œ„ํ•ด ํ˜ˆ๋ฅ˜ ์‹œ๋ฎฌ๋ ˆ์ด์…˜ ๋ชจ๋ธ์„ ๊ฐœ๋ฐœํ•˜์˜€๋‹ค. ํ˜ˆ๋ฅ˜ ์‹œ๋ฎฌ๋ ˆ์ด์…˜ ๋ชจ๋ธ์„ ํ†ตํ•˜์—ฌ ์œ ์ž…๋˜๋Š” ํ˜ˆ๋ฅ˜๋กœ ์ธํ•œ artifact์„ ์ตœ์†Œํ™” ํ•˜๋Š” ํ˜ˆ๋ฅ˜ํฌํ™”ํŽ„์Šค์˜ ์ตœ์  ์‹œ๊ฐ„์„ ์ œ์•ˆํ•˜์˜€๋‹ค. ์ตœ์ข…์ ์œผ๋กœ, ์‹ ๊ฒฝ์ˆ˜์ดˆ๋ฌผ ์˜์ƒ์˜ ์ž„์ƒ์—ฐ๊ตฌ ์ ์šฉ์„ ์œ„ํ•˜์—ฌ ๋ถ„์„ ํŒŒ์ดํ”„ ๋ผ์ธ์„ ๊ฐœ๋ฐœ ๋ฐ ์š”์•ฝํ•˜์˜€๋‹ค. ์ด๋ฅผ ์ด์šฉํ•˜์—ฌ ์‹ ๊ฒฝํ‡ดํ–‰์„ฑ์งˆํ™˜์ธ ๋‹ค๋ฐœ์„ฑ๊ฒฝํ™”์ฆ, ์‹œ์‹ ๊ฒฝ์ฒ™์ˆ˜์—ผ, ์™ธ์ƒ์„ฑ ๋‡Œ์†์ƒ ํ™˜์ž์˜ ์ •์ƒ์œผ๋กœ ๋ณด์ด๋Š” ์˜์—ญ์—์„œ ์‹ ๊ฒฝ์ˆ˜์ดˆ๋ฌผ๋ณ€ํ™”๋ฅผ ๊ด€์ฐฐํ•˜์˜€๋‹ค. ๋ณธ ์—ฐ๊ตฌ์˜ ๊ฒฐ๊ณผ๋Š” ์ถ”ํ›„ ์ˆ˜์ดˆ๊ด€๋ จ ๋‡Œ ์งˆํ™˜์˜ ์ง„๋‹จ, ์น˜๋ฃŒ์˜ ํšจ์šฉ์„ฑ ๋ฐ ์˜ˆํ›„ ํ‰๊ฐ€๋ฟ ์•„๋‹ˆ๋ผ ํ•™์Šต์— ์˜ํ•œ ๋‡Œ ๊ฐ€์†Œ์„ฑ ์—ฐ๊ตฌ ๋ฐ ์žฌํ™œ ์น˜๋ฃŒ ํšจ๊ณผ ํ‰๊ฐ€์— ์ด์šฉ๋  ์ˆ˜ ์žˆ์„ ๊ฒƒ์ด๋ผ ์‚ฌ๋ฃŒ๋œ๋‹ค.Myelin plays an important role in transmitting electrical signals in the body. Neurodegenerative diseases are associated with myelin damage and induce a loss of the electrical signals. The conventional T1 and T2 weighted imaging, used in clinics, cannot quantify the amount of myelin and confirm the degree of myelin damage in patients with neurodegenerative diseases. This thesis applied newly developed myelin water imaging, named ViSTa, to the neurodegenerative diseases to estimate changes in myelin. To utilize ViSTa myelin water imaging in clinical studies, I explored the effects of water exchange and inflow in ViSTa myelin water imaging. Then, I developed new data analysis pipelines to apply ViSTa myelin water imaging for the clinical studies. First, the Monte-Carlo simulation model that has the biological and physical properties of white matter fiber was developed for myelin water residence time. The simulation model validated the origin of ViSTa as myelin water. Second, the thesis developed a flow simulation model to compensate artifacts from inflow blood in ViSTa myelin water imaging. The flow simulation model suggested the optimal timing of flow saturation pulse(s) to suppress the inflow of blood. Finally, I summarized new data analysis pipelines for clinical applications. Using the analysis pipelines, ViSTa myelin water imaging revealed reduced apparent myelin water fraction in normal-appearing white matter for three prominent brain diseases and injury (neurodegenerative diseases): multiple sclerosis, neuromyelitis optica spectrum disorders, and traumatic brain injury. The developments in this thesis can be utilized not only in the diagnosis, treatment, and prognosis of various diseases but also in neuroplasticity and rehabilitation studies to explore the answer for the questions related to myelin issues.Chapter 1. Introduction 1 1.1 Myelin 1 1.2 Myelin Water 1 1.3 ViSTa Myelin Water Imaging 4 1.4 Purpose of Study 7 Chapter 2. Water Exchange Model 8 2.1 Introduction 8 2.2 Methods 8 2.3 Results 14 2.4 Discussion 16 Chapter 3. Blood Flow Simulation Model 17 3.1 Introduction 17 3.2 Methods 18 3.3 Results 25 3.4 Discussion 30 Chapter 4. Clinical Applications 32 4.1 Multiple Sclerosis 32 4.1.1 Introduction 32 4.1.2 Methods 33 4.1.3 Results 42 4.1.4 Discussion 52 4.2 Neuromyelitis Optica Spectrum Disorder 56 4.2.1 Introduction 56 4.2.2 Methods 57 4.2.3 Results 60 4.2.4 Discussion 65 4.3 Traumatic Brain Injury 68 4.3.1 Introduction 68 4.3.2 Methods 69 4.3.3 Results 75 4.3.4 Discussion 80 Chapter 5. Conclusion 84 Reference 85 Abstract 100Docto

    ์กฐ์„ ์†Œ ์†Œ์กฐ๋ฆฝ ์ฃผํŒ ๋ฐฐ์น˜ ์‹œ๋ฎฌ๋ ˆ์ด์…˜ ๊ธฐ๋ฐ˜ ๊ณต๊ฐ„ ๊ณ„ํš ์‹œ์Šคํ…œ ๊ฐœ๋ฐœ

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ) -- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ๊ณต๊ณผ๋Œ€ํ•™ ์กฐ์„ ํ•ด์–‘๊ณตํ•™๊ณผ, 2021. 2. ์šฐ์ข…ํ›ˆ.In the shipbuilding subassembly process, space is one of the main resource constraints limiting production capacity. To efficiently manage the space resource, how subassembly parts will occupy the workshop floor need to be analyzed before production. In this study, a methodology of controlling the subassembly space resource is proposed. In this methodology, first the impact of space on the production capacity for a given time period is analyzed. This analysis is performed through a framework of discrete event simulation modelling the subassembly process using subassembly part scheduling algorithm and spatial arrangement planning algorithm. The production schedules feasibility in terms of space resource utilization is examined through the simulation model. Second, a detailed subassembly part arrangement layout is generated using a genetic algorithm based spatial arrangement algorithm. The algorithm is used to efficiently utilize the work area and accurately predict the amount of area required for a subassembly production lot. After the methodology is presented, a case study of the simulation model is analyzed, and the performance of the genetic algorithm based spatial arrangement algorithm is evaluated.์กฐ์„ ์†Œ์˜ ์†Œ์กฐ๋ฆฝ ๊ณต์ •์—์„œ ๊ณต๊ฐ„ ์ž์›์€ ์ƒ์‚ฐ ๋Šฅ๋ ฅ์„ ๊ฒฐ์ •ํ•˜๋Š” ์ฃผ์š” ์ž์›์ด๋‹ค. ๊ณต๊ฐ„ ์ž์›์„ ํšจ์œจ์ ์œผ๋กœ ๊ด€๋ฆฌํ•˜๊ธฐ ์œ„ํ•ด์„œ๋Š” ์ƒ์‚ฐ ๊ณ„ํš ๊ฒ€ํ†  ๋‹จ๊ณ„์—์„œ ์†Œ์กฐ๋ฆฝํ’ˆ ๋ฐฐ์น˜ ์œ„์น˜ ๋ฐ ๊ณต๊ฐ„ ํ™œ์šฉ์— ๋Œ€ํ•œ ๋ถ„์„์ด ํ•„์š”ํ•˜๋‹ค. ๋ณธ ์—ฐ๊ตฌ์—์„œ๋Š” ์ด์‚ฐ์‚ฌ๊ฑด ์‹œ๋ฎฌ๋ ˆ์ด์…˜ ๋ชจ๋ธ๋ง ๋ฐ ๊ณต๊ฐ„ ๋ฐฐ์น˜ ์•Œ๊ณ ๋ฆฌ์ฆ˜์— ๊ธฐ๋ฐ˜ํ•œ ์†Œ์กฐ๋ฆฝ ๊ณต๊ฐ„ ์ž์› ํ™œ์šฉ ๊ณ„ํš์„ ๋ถ„์„ํ•˜๋Š” ๋ฐฉ๋ฒ•๋ก ์„ ์ œ์•ˆํ•œ๋‹ค. ์‹œ๋ฎฌ๋ ˆ์ด์…˜ ๋ชจ๋ธ๊ณผ ๋ชจ๋ธ ๋‚ด ํƒ‘์žฌ๋˜์–ด ์žˆ๋Š” ์†Œ์กฐ๋ฆฝ ๊ณ„ํš ๋ฐ ๊ณต๊ฐ„ ๋ฐฐ์น˜ ๋ชจ๋“ˆ์„ ํ™œ์šฉํ•˜์—ฌ ์ƒ์‚ฐ ๊ณ„ํš ๊ธฐ๊ฐ„๋™์•ˆ์˜ ์ƒ์‚ฐ์„ฑ ๋ฐ ๊ณ„ํš์ค€์ˆ˜์œจ์— ๊ณต๊ฐ„ ์ž์›์ด ๋ฏธ์น˜๋Š” ์˜ํ–ฅ์„ ๋ถ„์„ํ•  ์ˆ˜ ์žˆ๋‹ค. ์ด๋ฅผ ํ†ตํ•ด ์ƒ์‚ฐ ๊ณ„ํš์˜ ํƒ€๋‹น์„ฑ์„ ๊ฒ€์ฆํ•˜๊ณ  ๊ฐœ์„  ๋ฐฉ์•ˆ ๋„์ถœ์— ๋„์›€์ด ๋  ์ˆ˜ ์žˆ๋‹ค. ๋‹ค์Œ์œผ๋กœ ์œ ์ „์•Œ๊ณ ๋ฆฌ์ฆ˜์— ๊ธฐ๋ฐ˜ํ•œ ์†Œ์กฐ๋ฆฝ ์ฃผํŒ ๋ฐฐ์น˜ ๋ ˆ์ด์•„์›ƒ ์ƒ์„ฑ ์•Œ๊ณ ๋ฆฌ์ฆ˜ ๋ฐ ๋ฐฉ๋ฒ•๋ก ์„ ์ œ์•ˆํ•œ๋‹ค. ์†Œ์กฐ๋ฆฝ ์ฃผํŒ ๋ฐฐ์น˜ ๋ ˆ์ด์•„์›ƒ ์ƒ์„ฑ ์•Œ๊ณ ๋ฆฌ์ฆ˜์„ ํ†ตํ•ด ์†Œ์กฐ๋ฆฝ ์ž‘์—…์žฅ ๊ณต๊ฐ„ ํ™œ์šฉ๋ฅ ์„ ๋†’์ผ ์ˆ˜ ์žˆ์œผ๋ฉฐ ์ž‘์—…์— ํ•„์š”ํ•œ ๊ณต๊ฐ„์„ ์ •ํ™•ํ•˜๊ฒŒ ์˜ˆ์ธกํ•  ์ˆ˜ ์žˆ๋‹ค. ๋งˆ์ง€๋ง‰์œผ๋กœ ์†Œ์กฐ๋ฆฝ ์ƒ์‚ฐ ์‚ฌ๋ก€๋ฅผ ์‹œ๋ฎฌ๋ ˆ์ด์…˜ ๋ชจ๋ธ๋กœ ๋ถ„์„ํ•˜๊ณ  ์†Œ์กฐ๋ฆฝ ์ฃผํŒ ๋ฐฐ์น˜ ๋ ˆ์ด์•„์›ƒ ์ƒ์„ฑ ์•Œ๊ณ ๋ฆฌ์ฆ˜์˜ ์„ฑ๋Šฅ์„ ํ‰๊ฐ€ํ•˜์˜€๋‹ค.1. Introduction 1 1.1 Study background 1 1.2 Past research 4 1.3 Research scope and methodology 6 2. Defining the subassembly process 8 2.1 Defining the part object 8 2.2 Defining the workshop 11 2.3 Defining the scheduling methodology 13 3. Developing the simulation model 15 3.1 Representing the product object 15 3.2 Subassembly part scheduling algorithm 18 3.3 Spatial arrangement planning algorithm 22 3.3.1 Factors in evaluating algorithm result 29 3.4 Simulation case study and analysis 30 3.5 System based on simulation model 35 4. Detailed spatial arrangement 38 4.1 Motivation and relation to simulation model 38 4.2 Algorithm structure and details 41 4.3 Detailed arrangement layout system 47 4.4 Algorithm evaluation and analysis 48 5. Conclusion 51Maste

    ๋žœ๋ค ํฌ๋ฆฌ์ŠคํŠธ๋ฅผ ์ด์šฉํ•œ ๋น„์ œ์–ด ๊ธ‰์„ฑ ์ถœํ˜ˆ์„ฑ ์‡ผํฌ์˜ ํฐ์ฅ์—์„œ์˜ ์ƒ์กด ์˜ˆ์ธก

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    Hemorrhagic shock is a primary cause of deaths resulting from injury in the world. Although many studies have tried to diagnose accurately hemorrhagic shock in the early stage, such attempts were not successful due to compensatory mechanisms of humans. The objective of this study was to construct a survival prediction model of rats in acute hemorrhagic shock using a random forest (RF) model. Heart rate (HR), mean arterial pressure (MAP), respiration rate (RR), lactate concentration (LC), and peripheral perfusion (PP) measured in rats were used as input variables for the RF model and its performance was compared with that of a logistic regression (LR) model. Before constructing the models, we performed 5-fold cross validation for RF variable selection, and forward stepwise variable selection for the LR model to examine which variables were important for the models. For the LR model, sensitivity, specificity, accuracy, and area under the receiver operating characteristic curve (ROC-AUC) were 0.83, 0.95, 0.88, and 0.96, respectively. For the RF models, sensitivity, specificity, accuracy, and AUC were 0.97, 0.95, 0.96, and 0.99, respectively. In conclusion, the RF model was superior to the LR model for survival prediction in the rat model.ope

    ์ –์‚ฐ ๋†๋„์™€ ๊ด€๋ฅ˜ ๋น„๋ฅผ ์ด์šฉํ•œ ํฐ์ฅ์—์„œ์˜ ์ถœํ˜ˆ์„ฑ ์‡ผํฌ์˜ ์‚ฌ๋ง ์˜ˆ์ธก ์ง€ํ‘œ ๊ฐœ๋ฐœ

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    Purpose: We proposed a new index for predicting death resulting from hemorrhagic shock, which was calculated by dividing measured lactate concentration by perfusion. Methods: Using 24 Sprague-Dawley (S-D) rats, we induced uncontrolled hemorrhage and then measured blood lactate concentration and perfusion in addition to vital signs such as heart rate, blood pressure, respiration rate and temperature. Perfusion and lactate concentration were measured by laser Doppler flowmetry and a lactate concentration meter, respectively. We collected the data for 15 min, which consisted of 3 intervals after homeostasis, and thus obtained a new index. Results: The proposed index revealed an earlier death prediction than lactate concentration alone with the same timing as perfusion. The new index showed generally better sensitivity, specificity and accuracy than lactate concentration and perfusion. Using a receiver operating characteristic curve method, the mortality prediction with the proposed index resulted in a sensitivity of 98.0%, specificity of 90.0%, and accuracy of 93.7%. The mortality prediction with the proposed index resulted in a sensitivity of 98.0%, specificity of 90.0% and accuracy of 93.7%. Conclusion: This index could provide physicians, in emergency situations, with early and accurate mortality predictions for cases of human hemorrhagic shock.ope

    Development of an Optical Probe for Measuring Blood Flow in Dental Pulp

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    To diagnose dental pulp vitality, electric pulp tester has been widely used, which is a method to test condition of nerve. However, especially in the case of patients with trauma, nerve desensitization could temporarily occur even though nerve might be recovered by blood flow within the pulp later, which implies that blood flow in dental pulp is also an important factor for diagnosing vitality. This paper described the development of a probe that relatively measured blood flow in dental pulp using photoplethysmography (PPG). The probe emits four different wavelength light sources including three visible and an infrared light. We tested which light source detect sensitively the blood flow in dental pulp. As a result, green light had the largest peak to peak voltage and the power spectrum among different wavelengths.ope

    Cardio-pulmonary effects of RF fields emitted from WCDMA mobile phones

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    With rapid increasing usage of smart phones, social concerns have arisen about the possible effects of electromagnetic fields emitted from wideband code division multiple access(WCDMA) mobile phones on human health. The number of people with self-reported electromagnetic hypersensitivity(EHS) who complain of various subjective symptoms such as headache, insomnia etc. has also recently increased. However, it is unclear whether EHS results from physiological or other origins. In this double-blinded study, we investigated physiological changes such as heart rate, respiration rate, and heart rate variability with real and sham exposures for 15 EHS and 17 non-EHS persons using a module inside a dummy phone. Experiment was conducted using a WCDMA module with average power of 24 dBm at 1950 MHz with the specific absorption rate of 1.57 W/kg using a headphone for 32 min. As a conclusion, WCDMA RF exposure did not have any effects on the physiological variables in either group.ope

    ์ €์‚ฐ์†Œ์žฌ์‚ฐ์†Œํ™” ๊ณผ์ •์—์„œ์˜ ์‚ฌ๋žŒ ๋ฆผํ”„๊ตฌ์—์„œ ์œ ๋„๋˜๋Š” ์„ธํฌ๋…์„ฑ

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    ํ•™์œ„๋…ผ๋ฌธ(์„์‚ฌ) --์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› :๋ณด๊ฑดํ•™๊ณผ(๋ณด๊ฑดํ•™์ „๊ณต),2007.Maste

    ํ•œ๊ตญ์‚ฐ ๊ฒ€์ •์•Œ๋ฒŒ๊ณผ์˜ ๋ถ„๋ฅ˜ :๋ฒŒ๋ชฉ :๋‚ฉ์ž‘๋จน์ข€๋ฒŒ์ƒ๊ณผ

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    Thesis (doctoral)--์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› :๋†์ƒ๋ฌผํ•™๊ณผ ๊ณค์ถฉํ•™์ „๊ณต,1999.Docto

    ๋‹ค์–‘ํ•œ ๊ธฐ๊ณ„ ํ•™์Šต๋ฒ•์„ ์ด์šฉํ•œ ๊ธ‰์„ฑ ์ถœํ˜ˆ์„ฑ ์‡ผํฌ์˜ ํฐ์ฅ์—์„œ์˜ ์‚ฌ๋ง ์˜ˆ์ธก ๋ชจ๋ธ

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    Dept. of Medical Science/์„์‚ฌCasualty triage at initial contact on scene by first responders is crucial to save hemorrhagic patents'' lives in civilian trauma or on the battlefield. However, there are few studies to demonstrate important physiological variables related to mortality and the most suitable machine learning techniques for casualty triage among various techniques. This study was conducted to suggest a mortality predicting model for casualty triage on scene using various machine learning techniques through a rat model in acute hemorrhage. Furthermore, this study determined important physiological variables for mortality prediction to effectively minimize impression time for first responders.Thirty-six anesthetized rats were randomized into three groups according to volume of controlled blood loss. Uncontrolled hemorrhage was induced simultaneously by combination of controlled blood loss and tail amputation in all rats. This study measured heart rate (HR), systolic and diastolic blood pressures (SBP and DBP), mean arterial pressure (MAP), pulse pressure (PPR), respiration rate (RR), temperature (TEMP), lactate concentration (LC), peripheral perfusion (PP), shock index (SI, SI=HR/SBP), and the new hemorrhage-induced severity index (NI, NI=LC/PP) as candidates for input variable of each machine learning techniques. All variables were analyzed for changes between pre- and post-hemorrhage to investigate the effects of hemorrhage on mortality.The training data set was used to construct models based on popular machine learning techniques including logistic regression (LR), artificial neural networks (ANN), random forest (RF), and support vector machines (SVM). To select important variables for mortality prediction in a rat model, variables selection was performed with algorithm of consistency subset evaluation using 10-fold cross validation. The testing data set was used to assess the performance of the optimized models consisting of the selected variables for predicting mortality using sensitivity, specificity, accuracy and area under curve (AUC) of the receiver operating characteristic (ROC).For the LR model, sensitivity, specificity, accuracy, and AUC were 0.678, 1.000, 0.833, and 0.833, respectively. For the ANN model, sensitivity, specificity, accuracy, and AUC were 0.833, 1.000, 0.917, and 0.917, respectively. For the RF model, sensitivity, specificity, accuracy, and AUC were 0.833, 1.000, 0.917, and 0.903, respectively. For the SVM model, sensitivity, specificity, accuracy, and AUC were 1.000, 0.833, 0.917, and 0.972, respectively. The SVM model showed better AUC than that of the LR, ANN, and RF models for mortality prediction. The important variables selected by SVM were LC and NI.In conclusion, the SVM model with selected variables, LC and NI, was superior to the LR, ANN, and RF models in predicting mortality resulting from acute hemorrhagic shock in a rat model. These machine learning techniques may be very helpful to first responders to accurately make causality triage decisions and rapidly perform proper treatments for hemorrhagic patients in civilian trauma or on the battlefield in the future.ope

    ์ƒ์ฅ ์ฒด์„ธํฌ์—์„œ์˜ Nek2 ๋‹จ๋ฐฑ์งˆ์˜ ์„ธํฌ์ฃผ๊ธฐ๋‹จ๊ณ„ ํŠน์ด์„ฑ๊ณผ ์„ธํฌ ๋‚ด ๋ถ„ํฌ์— ๊ด€ํ•œ ์—ฐ๊ตฌ

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    Thesis (master`s)--์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› :์ƒ๋ช…๊ณผํ•™๋ถ€,2001.Maste
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