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      • 지진응답평가를 위한 비선형 약산법의 오차해석

        박진화,강병두,노필성,김재웅 동아대학교 환경문제연구소 2003 硏究報告 Vol.25 No.2

        Recently, a variety of methods are proposed to solve the problems shown in a existing performance-based design of structure. The most accurate one among analysis methods for the performance evaluation of structure is nonlinear time history analysis. However, the approximate analysis methods in aspect of practicality and simplicity are needed. Even though there are linear capacity spectrum method and nonlinear capacity spectrum method through nonlinear static analysis as the representative approximate methods, a repetitive calculation process is consumed and the result is also likely to be inaccurate. Therefore, this research presents nonlinear direct spectrum method which directly enables nonlinear maximum response to derive, after obtaining the yielding strength and the frequency of structure from pushover curves, without going through a series of calculation processes. Also, it is proposed to compare and examine the accuracy and practicality through an example structure.

      • KCI등재

        Immune Checkpoint Inhibitor with or without Radiotherapy in Melanoma Patients with Brain Metastases: A Systematic Review and Meta-Analysis

        Kim Pyeong Hwa,Suh Chong Hyun,Kim Ho Sung,Kim Kyung Won,Kim Dong Yeong,Lee Eudocia Q.,Aizer Ayal A.,Guenette Jeffrey P.,Huang Raymond Y. 대한영상의학회 2021 Korean Journal of Radiology Vol.22 No.4

        Objective: Immune checkpoint inhibitor (ICI) therapy has shown activity against melanoma brain metastases. Recently, promising results have also been reported for ICI combination therapy and ICI combined with radiotherapy. We aimed to evaluate radiologic response and adverse event rates of these therapeutic options by a systematic review and meta-analysis. Materials and Methods: A systematic literature search of Ovid-MEDLINE and EMBASE was performed up to October 12, 2019 and included studies evaluating the intracranial objective response rates (ORRs) and/or disease control rates (DCRs) of ICI with or without radiotherapy for treating melanoma brain metastases. We also evaluated safety-associated outcomes. Results: Eleven studies with 14 cohorts (3 with ICI combination therapy; 5 with ICI combined with radiotherapy; 6 with ICI monotherapy) were included. ICI combination therapy {pooled ORR, 53% (95% confidence interval [CI], 44–61%); DCR, 57% (95% CI, 49–66%)} and ICI combined with radiotherapy (pooled ORR, 42% [95% CI, 31–54%]; DCR, 85% [95% CI, 63–95%]) showed higher local efficacy compared to ICI monotherapy (pooled ORR, 15% [95% CI, 11–20%]; DCR, 26% [95% CI, 21– 32%]). The grade 3 or 4 adverse event rate was significantly higher with ICI combination therapy (60%; 95% CI, 52–67%) compared to ICI monotherapy (11%; 95% CI, 8–17%) and ICI combined with radiotherapy (4%; 95% CI, 1–19%). Grade 3 or 4 central nervous system (CNS)-related adverse event rates were not different (9% in ICI combination therapy; 8% in ICI combined with radiotherapy; 5% in ICI monotherapy). Conclusion: ICI combination therapy or ICI combined with radiotherapy showed better local efficacy than ICI monotherapy for treating melanoma brain metastasis. The grade 3 or 4 adverse event rate was highest with ICI combination therapy, and the CNS-related grade 3 or 4 event rate was similar. Prospective trials will be necessary to compare the efficacy of ICI combination therapy and ICI combined with radiotherapy.

      • KCI등재

        Neuroimaging Findings in Patients with COVID-19: A Systematic Review and Meta-Analysis

        Kim Pyeong Hwa,Kim Minjae,Suh Chong Hyun,Chung Sae Rom,Park Ji Eun,Kim Soo Chin,Choi Young Jun,Lee Jeong Hyun,Kim Ho Sung,Baek Jung Hwan,Choi Choong Gon,Kim Sang Joon 대한영상의학회 2021 Korean Journal of Radiology Vol.22 No.11

        Objective: Central nervous system involvement in coronavirus disease 2019 (COVID-19) has been increasingly reported. We performed a systematic review and meta-analysis to evaluate the incidence of radiologically demonstrated neurologic complications and detailed neuroimaging findings associated with COVID-19. Materials and Methods: A systematic literature search of MEDLINE/PubMed and EMBASE databases was performed up to September 17, 2020, and studies evaluating neuroimaging findings of COVID-19 using brain CT or MRI were included. Several cohort-based outcomes, including the proportion of patients with abnormal neuroimaging findings related to COVID-19 were evaluated. The proportion of patients showing specific neuroimaging findings was also assessed. Subgroup analyses were also conducted focusing on critically ill COVID-19 patients and results from studies that used MRI as the only imaging modality. Results: A total of 1394 COVID-19 patients who underwent neuroimaging from 17 studies were included; among them, 3.4% of the patients demonstrated COVID-19-related neuroimaging findings. Olfactory bulb abnormalities were the most commonly observed (23.1%). The predominant cerebral neuroimaging finding was white matter abnormality (17.6%), followed by acute/subacute ischemic infarction (16.0%), and encephalopathy (13.0%). Significantly more critically ill patients had COVID-19-related neuroimaging findings than other patients (9.1% vs. 1.6%; p = 0.029). The type of imaging modality used did not significantly affect the proportion of COVID-19-related neuroimaging findings. Conclusion: Abnormal neuroimaging findings were occasionally observed in COVID-19 patients. Olfactory bulb abnormalities were the most commonly observed finding. Critically ill patients showed abnormal neuroimaging findings more frequently than the other patient groups. White matter abnormalities, ischemic infarctions, and encephalopathies were the common cerebral neuroimaging findings.

      • APWM Resonant Converter with SST for EMI Filter Size Reduction

        Hwa-Pyeong Park,Sangyeong Jeong,Mina Kim,Jingook Kim,Jee-Hoon Jung 전력전자학회 2019 ICPE(ISPE)논문집 Vol.2019 No.5

        A spread spectrum technique has been introduced to alleviate electromagnetic interference problem in switch mode power converters. In the previous works, the SST has been employed to low power and small size power converters, such as buck, boost, and flyback topologies, because those converters have insensitive voltage gains according to switching frequency variations. However, the resonant converters are hard to apply the spread spectrum technique, because the resonant converter has a sensitive input-output voltage gain according to the variation of switching frequency. In this paper, a half-bridge resonant converter using the asymmetric pulse width modulation and the spread spectrum technique is developed for 100 W offline power supply applications. The design methodology of its resonant tank is designed to obtain tight output voltage regulation performance. The input EMI filter is analyzed to reduce the filter size with and without the spread spectrum technique. The output voltage regulation performance and the filter size reduction are experimentally verified using a 100 W prototype converter.

      • SCIESCOPUSKCI등재

        Sex Differences in Autism-Like Behavioral Phenotypes and Postsynaptic Receptors Expression in the Prefrontal Cortex of TERT Transgenic Mice

        Kim, Ki Chan,Cho, Kyu Suk,Yang, Sung Min,Gonzales, Edson Luck,Valencia, Schley,Eun, Pyeong Hwa,Choi, Chang Soon,Mabunga, Darine Froy,Kim, Ji-Woon,Noh, Judy Kyoungju,Kim, Hee Jin,Jeon, Se Jin,Han, Seol The Korean Society of Applied Pharmacology 2017 Biomolecules & Therapeutics(구 응용약물학회지) Vol.25 No.4

        Autism spectrum disorder (ASD) remains unexplained and untreated despite the high attention of research in recent years. Aside from its various characteristics is the baffling male preponderance over the female population. Using a validated animal model of ASD which is the telomerase reverse transcriptase overexpressing mice (TERT-tg), we conducted ASD-related behavioral assessments and protein expression experiments to mark the difference between male and females of this animal model. After statistically analyzing the results, we found significant effects of TERT overexpression in sociability, social novelty preference, anxiety, nest building, and electroseizure threshold in the males but not their female littermates. Along these differences are the male-specific increased expressions of postsynaptic proteins which are the NMDA and AMPA receptors in the prefrontal cortex. The vGluT1 presynaptic proteins, but not GAD, were upregulated in both sexes of TERT-tg mice, although it is more significantly pronounced in the male group. Here, we confirmed that the behavioral effect of TERT overexpression in mice was male-specific, suggesting that the aberration of this gene and its downstream pathways preferentially affect the functional development of the male brain, consistent with the male preponderance in ASD.

      • KCI등재

        Emerging Trends in the Treatment of Advanced Hepatocellular Carcinoma: A Radiological Perspective

        Kim Gun Ha,Kim Jin Hyoung,Kim Pyeong Hwa,Chu Hee Ho,Gwon Dong Il,Ko Heung-Kyu 대한영상의학회 2021 Korean Journal of Radiology Vol.22 No.11

        This is a narrative review of various treatment modalities for advanced hepatocellular carcinoma (HCC), with a focus on recent updates in radiological treatments, as well as novel treatment concepts related to immune checkpoint inhibitors and combination therapies with locoregional treatments. Interventional radiologists have made efforts toward developing alternative and/or combination treatments for first-line systemic treatment of patients with advanced HCC. Locoregional treatments with or without systemic therapy may be considered in the selected patients. Various treatment modalities for advanced HCC are emerging, and several randomized controlled trials, including those of combination treatments with immunotherapy, are ongoing.

      • KCI등재

        Bone Age Assessment Using Artificial Intelligence in Korean Pediatric Population: A Comparison of Deep-Learning Models Trained With Healthy Chronological and Greulich-Pyle Ages as Labels

        Kim Pyeong Hwa,Yoon Hee Mang,Kim Jeong Rye,Hwang Jae-Yeon,Choi Jin-Ho,Hwang Jisun,Lee Jaewon,Sung Jinkyeong,Jung Kyu-Hwan,Bae Byeonguk,Jung Ah Young,Cho Young Ah,Shim Woo Hyun,Bak Boram,Lee Jin Seong 대한영상의학회 2023 Korean Journal of Radiology Vol.24 No.11

        Objective: To develop a deep-learning-based bone age prediction model optimized for Korean children and adolescents and evaluate its feasibility by comparing it with a Greulich-Pyle-based deep-learning model. Materials and Methods: A convolutional neural network was trained to predict age according to the bone development shown on a hand radiograph (bone age) using 21036 hand radiographs of Korean children and adolescents without known bone development-affecting diseases/conditions obtained between 1998 and 2019 (median age [interquartile range {IQR}], 9 [7–12] years; male:female, 11794:9242) and their chronological ages as labels (Korean model). We constructed 2 separate external datasets consisting of Korean children and adolescents with healthy bone development (Institution 1: n = 343; median age [IQR], 10 [4–15] years; male: female, 183:160; Institution 2: n = 321; median age [IQR], 9 [5–14] years; male: female, 164:157) to test the model performance. The mean absolute error (MAE), root mean square error (RMSE), and proportions of bone age predictions within 6, 12, 18, and 24 months of the reference age (chronological age) were compared between the Korean model and a commercial model (VUNO Med-BoneAge version 1.1; VUNO) trained with Greulich-Pyle-based age as the label (GP-based model). Results: Compared with the GP-based model, the Korean model showed a lower RMSE (11.2 vs. 13.8 months; P = 0.004) and MAE (8.2 vs. 10.5 months; P = 0.002), a higher proportion of bone age predictions within 18 months of chronological age (88.3% vs. 82.2%; P = 0.031) for Institution 1, and a lower MAE (9.5 vs. 11.0 months; P = 0.022) and higher proportion of bone age predictions within 6 months (44.5% vs. 36.4%; P = 0.044) for Institution 2. Conclusion: The Korean model trained using the chronological ages of Korean children and adolescents without known bone development-affecting diseases/conditions as labels performed better in bone age assessment than the GP-based model in the Korean pediatric population. Further validation is required to confirm its accuracy.

      • KCI등재

        Accuracy of attenuation imaging in the assessment of pediatric hepatic steatosis: correlation with the controlled attenuation parameter

        Kim Pyeong Hwa,Young Ah Cho,윤희망,Boram Bak,Jin Seong Lee,Ah Young Jung,Oh Seak Hee,Kim Kyung Mo 대한초음파의학회 2022 ULTRASONOGRAPHY Vol.41 No.4

        Purpose: This study evaluated the accuracy of attenuation imaging (ATI) for the assessment of hepatic steatosis in pediatric patients, in comparison with the FibroScan vibration-controlled transient elastography controlled attenuation parameter (CAP). Methods: Consecutive pediatric patients referred for evaluation of obesity who underwent both ATI and FibroScan between February 2020 and September 2021 were included. The correlation between attenuation coefficient (AC) and CAP values was assessed using the Spearman test. The AC cutoff value for discriminating hepatic steatosis corresponding to a CAP value of 241 dB/m was calculated. Multivariable linear regression analysis was performed to estimate the strength of the association between AC and CAP. The diagnostic accuracy of AC cutoffs was estimated using the imperfect gold-standard methodology based on a two-level Bayesian latent class model. Results: Seventy patients (median age, 12.5 years; interquartile range, 11.0 to 14.0 years; male:female, 58:12) were included. AC and CAP showed a moderate-to-good correlation (ρ =0.646, P<0.001). Multivariable regression analysis affirmed the significant association between AC and CAP (P<0.001). The correlation was not evident in patients with a body mass index ≥30 kg/m2 (ρ=-0.202, P=0.551). Linear regression revealed that an AC cutoff of 0.66 dB/cm/MHz corresponded to a CAP of 241 dB/m (sensitivity, 0.93; 95% confidence interval [CI], 0.85 to 0.98 and specificity, 0.87; 95% CI, 0.56 to 1.00). Conclusion: ATI showed an acceptable correlation with CAP values in a pediatric population, especially in patients with a body mass index <30 kg/m2. An AC cutoff of 0.66 dB/cm/MHz, corresponding to a CAP of 241 dB/m, can accurately diagnose hepatic steatosis.

      • SCOPUSKCI등재

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