• Title/Summary/Keyword: 연령관련 원시화

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Effects of Wearing Corrective Glasses for Presbyopia on Age-related Hyperopic Shifts and Reading Addition (노안보정용 안경 착용이 연령관련 원시화와 근용가입도 변화에 미치는 영향)

  • Lee, Koon-Ja;Kim, Jin-Han;Mun, Mi-Young;Leem, Hyun-Sung
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.3
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    • pp.65-73
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    • 2009
  • Purpose: This study was conducted to investigate the changes in distance refractive power and reading addition that occur after wearing corrective glasses for prebyopia. Methods: The subjects aged 42 to 75 years who had no ophthalmologic diseases and did not undergo cataract or retina surgery, had a corrected visual acuity of 20/20 and did not have a previous history of wearing corrective glasses for presbyopia. These subjects were divided into 3 groups: the control, reading spectacles and multifocals wearing group and they were measured for distance refractive power and reading addition at their visit. The maximum follow-up period was 73 months. Results: As for distance refractive power, the power tends to shift to hyperopia depending on age (r=0.486, p<.001) and 50.0% of the subjects increased plus power during this study period. Plus power Increments per year in distance refractive power in the reading spectacle wearing group were significantly different with control and multifocals wearing group (p<.05). On the other hand, the multifocals wearing group's increments were not different with control. Increments in reading addition were also increased in the reading spectacles group than in the control and multifocals wearing groups (p<.05). Conclusions: The age related hyperopic shift could be occurred in the elderly people, routine refraction is mandatory. And reading spectacles could induce an age related hyperopic shift and the additional need for reading addition that the prescription of multifocals may reduce changes in distance refractive power and reading addition.

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전북 남원 일대의 야외지질 학습자료 개발

  • Jo, Gyu-Seong;Jeong, Deok-Ho;Park, Gyeong-Jin;Jang, Hyeon-Geun
    • 한국지구과학회:학술대회논문집
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    • 2010.04a
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    • pp.66-66
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    • 2010
  • 야외지질학습은 교실에서 경험할 수 없는 물질과 현상을 관찰하고 직접 경험할 수 있는 기회를 제공받을 수 있어서 매우 중요하다(Orion 1989). 또한 체험활동으로서 교실에서 학습한 내용의 구체적인 예를 제공하여 교육과정을 촉진시키는데 중요한 요소로 인식되고 있다. 일반적으로 야외 활동은 교실 활동보다 학생들의 경험과 훨씬 더 밀접히 관련되어 있기 때문에 보다 의미가 있을 수 있다. 야외실습 중에서 얻은 경험은 학생들이 그가 관찰한 것에 대해 읽도록 동기화시키고, 교과서와 자연조건에서의 실제적 경험 사이의 차이를 연결해 주는 다리를 제공해 줄 수 있다(홍정수, 장남기, 1997). 야외학습을 위한 적절한 장소는 먼저 학습주제나 목표와 부합되는 곳이어야 하며, 지리적으로 가깝고 안전한 곳이어야 한다(김찬종, 2008). 그렇기 때문에 각 지역별로 학습주제와 부합된 지역을 선정하여 야외지질 학습자료를 개발하는 것은 무엇보다 중요하다. 따라서, 본 연구에서는 전북 남원 일대를 중심으로 한 야외지질 학습자료를 개발하는데 그 목적이 있다. 전북 남원지역은 한반도의 중요지괴에 해당하는 영남육괴 지리산지구에 해당하며 편마암 복합체를 기저로 이를 관입하는 수 차례의 화성활동과 지구조운동으로 복잡한 지질양상을 보인다. 또한 지리산 지역은 평안분지와 경상분지의 일부가 보존되어 있고 지질시대를 달리하는 각종 화성암류가 골고루 분포하여 각 지질시대별로 화성활동과 지구조 운동이 활발했음을 시사해준다. 본 연구에서는 남원 지역의 지질학적 특징을 관찰하기 용이한 지역을 대상으로 총 5곳을 선정하였다. 남원 시내에 소재한 춘향대교 아래 지역은 중생대 쥐라기에 관입한 저반상의 남원화강암과 페그마타이트가 다수 분포하는 곳이다. 이 지역에서는 무수히 많은 관입암체를 찾을 수 있는데 다수의 지진과 지각변동이 있었음을 알 수 있다. 두 번째 장소는 다양한 바위들을 관찰할 수 있는 구룡계곡 일대이다. 이 장소는 오랜기간 동안 물의 흐름에 의해 풍화와 침식을 받은 다양한 크기의 바위를 관찰하고 구별함으로써 풍화에 따른 원마도의 관계, 바위들의 배치 형태를 통해 고지형 및 고수류의 방향을 유추해 볼 수 있다. 남원에서 장수 방향에 위치한 만행산 주변에는 흑운모편마암에 우세한데, 이 지역에서는 흑운모편마암에 나타나는 변성구조로 볼 때 높은 열과 압력을 받은 광역변성작용을 받는 것으로 판단된다. 또한 관입암체 내에 다양한 맥들이 관입을 해와 이를 통해 관입암체들의 상대연령을 판단해보는 학습자료로 활용될 수 있다. 네 번째 장소는 남원시 인월면 인풍리 소재의 인월 피바위 지역이다. 이 지역에서는 압쇄상 화강암이 주로 관찰되는데 이는 기원암인 반상화강암이 동력변성작용을 받아 생성된 것이다. 다섯 번째 지역은 지리산 내의 뱀사골로 지리산 인근에 분포하는 대표적인 편마암인 반상변정질 편마암을 관찰할 수 있다. 변정이란 변성작용을 받는 동안 형성되는 것으로 변성작용을 받는 동안 생긴 것도 있으나 경우에 따라 생성당시 원래 모암속에 포함되어 있는 반정들도 있다.

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Development of Advanced TB Case Classification Model Using NHI Claims Data (국민건강보험 청구자료 기반의 결핵환자 분류 고도화 모형 개발)

  • Park, Il-Su;Kim, Yoo-Mi;Choi, Youn-Hee;Kim, Sung-Soo;Kim, Eun-Ju;Won, Si-Yeon;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.11 no.9
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    • pp.289-299
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    • 2013
  • The aim of this study was to enhance the NHI claims data-based tuberculosis classification rule of KCDC(Korea centers for disease control & prevention) for an effective TB surveillance system. 8,118 cases, 10% samples of 81,199 TB cases from NHI claims data during 2009, were subject to the Medical Record Survey about whether they are real TB patients. The final study population was 7,132 cases whose medical records were surveyed. The decision tree model was evaluated as the most superior TB patients detection model. This model required the main independent variables of age, the number of anti-tuberculosis drugs, types of medical institution, tuberculosis tests, prescription days, types of TB. This model had sensitivity of 90.6%, PPV of 96.1%, and correct classification rate of 93.8%, which was better than KCDC's TB detection model with two or more NHI claims for TB and TB drugs(sensitivity of 82.6%, PPV of 95%, and correct classification rate of 80%).

Chronic HBV Infection in Children: The histopathologic classification and its correlation with clinical findings (소아의 만성 B형 간염: 새로운 병리조직학적 분류와 임상 소견의 상관 분석)

  • Lee, Seon-Young;Ko, Jae-Sung;Kim, Chong-Jai;Jang, Ja-June;Seo, Jeong-Kee
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.1 no.1
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    • pp.56-78
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    • 1998
  • Objective: Chronic hepatitis B infection (CHB) occurs in 6% to 10% of population in Korea. In ethinic communities where prevalence of chronic infection is high such as Korea, transmission of hepatitis B infection is either vertical (ie, by perinatal infection) or by close family contact (usually from mothers or siblings) during the first 5 years of life. The development of chronic hepatitis B infection is increasingly more common the earlier a person is exposed to the virus, particularly in fetal and neonatal life. And it progress to cirrhosis and hepatocellular carcinoma, especially in severe liver damage and perinatal infection. Histopathology of CHB is important when evaluating the final outcomes. A numerical scoring system which is a semiquantitatively assessed objective reproducible classification of chronic viral hepatitis, is a valuable tool for statistical analysis when predicting the outcome and evaluating antiviral and other therapies. In this study, a numerical scoring system (Ludwig system) was applied and compared with the conventional histological classification of De Groute. And the comparative analysis of cinical findings, family history, serology, and liver function test by histopathological findings in chronic hepatitis B of children was done. Methods: Ninety nine patients [mean age=9 years (range=17 months to 16 years)] with clinical, biochemical, serological and histological patterns of chronic HBV infection included in this study. Five of these children had hepatocelluar carcinoma. They were 83 male and 16 female children. They all underwent liver biopsies and histologic evaluation was performed by one pathologist. The biopsy specimens were classified, according to the standard criteria of De Groute as follows: normal, chronic lobular hepatitis (CLH), chronic persistent hepatitis (CPH), mild to severe chronic active hepatitis (CAH), or active cirrhosis, inactive cirrhosis, hepatocellular carcinoma (HCC). And the biopsy specimens were also assessed and scored semiquantitatively by the numerical scoring Ludwig system. Serum HBsAg, anti-HBs, HBeAg, anti-HBe, anti-HBc (IgG, IgM), and HDV were measured by radioimunoassays. Results: Male predominated in a proportion of 5.2:1 for all patients. Of 99 patients, 2 cases had normal, 2 cases had CLH, 22 cases had CPH, 40 cases had mild CAH, 19 cases had moderate CAH, 1 case had severe CAH, 7 cases had active cirrhosis, 1 case had inactive cirrhosis, and 5 cases had HCC. The mean age, sex distribution, symptoms, signs, and family history did not differ statistically among the different histologic groups. The numerical scoring system was correlated well with the conventional histological classification. The histological activity evaluated by both the conventional classification and the scoring system was more severe as the levels of serum aminotransferases were higher. In contrast, the levels of serum aminotransferases were not useful for predicting the degree of histologic activity because of its wide range overlapping. When the histological activity was more severe and especially the cirrhosis more progressing, the prothrombin time was more prolonged. The histological severity was inversely related with the duration of seroconversion of HBeAg. Conclusions: The histological activity could not be accurately predicted by clinical and biochemical findings, but by the proper histological classification of the numerical scoring system for the biopsy specimen. The numerical scoring system was correlated well with the conventional histological classification, and it seems to be a valuable tool for the statistical analysis when predicting the outcome and evaluating effects of antiviral and other therapies in chronic hepatitis B in children.

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Hwaunsi(和韻詩) on the Poems of Tu Fu(杜甫) and Su Shi(蘇軾) Written by Simjae(深齋) Cho Geung-seop(曺兢燮) in the Turning Point of Modern Era (근대 전환기 심재 조긍섭의 두(杜)·소시(蘇詩) 화운시)

  • Kim, Bo-kyeong
    • (The)Study of the Eastern Classic
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    • no.56
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    • pp.35-73
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    • 2014
  • This paper examined the poem world of Simjae(深齋) Cho Geung-seop(曺兢燮: 1873-1933) in the turning point of the modern era, focused on his Hwaunsi (和韻詩: Poems written by using the rhymes of other poets' poems). In his poems, there are lots of Hwaunsi on the poems of Tu Fu(杜甫) and Su Shi(蘇軾), especially. This makes him regarded as a medieval poet, engaged in Chinese poem creation in the most traditional method in the turbulent period. Looking at the Hawunsi(和韻詩) alone, Simjae's creative life became the starting point of turnaround at around 40 years old. Before the age of 40, the poets in the Tang Dynasty and Song Dynasty and Ming Dynasty and Qing Dynasty and Korean figures like Lee Hwang(李滉), as well as Tu Fu and Su Shi were the subjects of his Hwanunsi. After the age of 40, some examples of writing poems using the rhymes of other poets' poems, especially Korean figures related to regions, are often found, reducing Hwaunsi on Tu Fu and Su Shi. Simjae called Tu Fu the integration of poets, talking about the integrity of poetic talent and his being highly proficient in mood and view. As reflecting such an awareness, the themes and moods and views are demonstrated diversely in Simjae's Hwaunsi. Although, he did not reveal his thinking about the poems of Su Shi, he seemed to love Su Shi's poems to some degree. The closeness to the original poems, the poems of Tu Fu are relatively higher than those of Su Shi. Roughly speaking, Simjae tried to find his own individuality, intending to follow Tu Fu, but, he seemed to attempt to reveal his intention using Su Shi's poems, rather than trying to imitate. To carefully examine, Simjae wrote Hwaunsi, but he did not just imitate, but revealed the aesthetics of comparison and difference. In many cases, he made new meanings by implanting his intentions in the poems, while sharing the opportunity of creation, rather than bringing the theme and mood and view as they are. The Hwaunsi on Su Shi's poems reveal the closeness to the original poems relatively less. This can be the trace of an effort to make his own theme and individuality, not being dominated by the Hwaun(和韻: using the rhymes of other poets' poems) entirely, as he used the creative method having many restrictions. However, it is noted that the Hwaunsi on Tu Fu's poems was not written much, after the age of 40. Is this the reason why he realized literary reality that he could not cope with anymore with only his effort within the Hwaunsi? For example, he wrote four poems by borrowing Su Shi's Okjungsi(獄中詩: poem written in jail) rhymes and also wrote Gujung Japje(拘中雜題), in 1919, while he was detained. In these poems, his complex contemplation and emotion, not restricted by any poet's rhymes, are revealed diversely. Simjae's Hwaunsi testifies the reality, in which Chinese poetry's habitus existed and the impressive existence mode at the turning point of the modern era. Although, the creation of Hwaunsi reflects his disposition of liking the old things, it is judged that his psychology, resisting modern characters' change, affected to some degree in the hidden side. In this regard, Simaje's Hwaunsi encounters limitation on its own, however, it has significance in that some hidden facts were revealed in the modern Chinese poetry history, which was captured with attention under the name of novelty, eccentricity and modernity.