• Title/Summary/Keyword: 임상 결과 예측

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A Study on the Applications of the ACM(Area Capacity Method) for the Carbon-Fiber Composit Cylinder according to the Flaw Depth (복합재 용기의 손상에 따른 ACM기법 적용 연구)

  • Jang, Kap Man;Yim, Sang Sik;Kim, Young Gyu;Kim, Jeong Hwan
    • Journal of the Korean Institute of Gas
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    • v.23 no.5
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    • pp.1-7
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    • 2019
  • Although the rupture pressure is evaluated from remaining strength when a flaw is defected to cylinder surface, but the rupture pressure can be not easy to estimate for the composite cylinders. In this study, the area capacity method is developed for the type-3 cylinders that is based on the result applied area capacity method of type-1 cylinders. And the reliability is validated by bursting test with artificial flaw at the cylinder surface. The predicted data of area capacity method and experimental results have very similar tendency. This method and results will be a very important records in field of rupture pressure estimations.

Clinicopathologic Risk Factors of Hepatic Recurrence after Curative Resection for Gastric Cancer (위암의 근치적 절제술 후 간재발의 임상병리학적 위험인자)

  • Hwang, Jeong-Hwan;Kim, Chan-Young;Kim, Jong-Hun;Hwang, Yong;Yang, Doo-Hyun
    • Journal of Gastric Cancer
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    • v.5 no.4 s.20
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    • pp.266-272
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    • 2005
  • Purpose: Recurrence occurs in various forms and in different organs after a curative resection of gastric cancer. The most common location for hematogenous recurrence is the liver. The aim of this study was to evaluate the clinicopathological risk factors associated with hepatic recurrence after surgical treatment of gastric cancer. Materials and Methods: We reviewed the medical records of 838 patients who had taken radical surgery for primary gastric cancers at Chonbuk National University Hospital between January 1992 and December 1999. According to the medical records, we retrospectively investigated the association between the clinicopathologic variables and hepatic recurence. Results: Recurrence of gastric cancer was documented in 201 out of the 838 patients (23.98%). Hepatic recurrences were found in 59 out of 201 patients (29.35%). Multiple logistic regression analysis identified the following as independent risk factors of hepatic recurrence: Lauren's Intestinal type (OR, 6.60; 95% Cl, 1.53 to 28.9; p=0.011) and proximal resection of margin below 6 cm (OR, 3.76; 95% Cl, 1.03 to 13.67; P=0.045). Conclusion: Various studies on clinocopathologic risk factors of liver recurrence with molecular biologic research should make possible the prediction of recurrence and help high-risk patients to find appropriate management.

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Evaluation of Runoff from Forest Watershed with Different Vegetation Using GeoWEPP Model (GeoWEPP 모델을 이용한 임상별 유출특성 평가)

  • Choi, Jae-Wan;Shin, Min-Hwan;Shin, Ki-Sik;Lee, Jae-Woon;Cheon, Se-Uk
    • Proceedings of the Korea Water Resources Association Conference
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    • 2010.05a
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    • pp.1258-1262
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    • 2010
  • 현재 비점오염원의 정량화를 위하여 정부에서는 지목별 모니터링을 통하여 원단위를 산정하고 있으며, 이를 이용해 수질개선을 위한 수질오염총량관리제를 더욱 효과적으로 운영 평가하기 위한 노력을 하고 있다. 특히, 전 국토의 70% 이상을 차지하고 있는 산림에서 발생되는 유출수에 대한 특성을 파악하는 것이 중요하다. 보통 산림 유출 특성은 모니터링을 수행하여 파악하는 것이 가장 정확한 방법이지만, 지형 작물 시간 강우 패턴 등의 다양한 조건에서 모니터링을 수행하는 것이 어렵다. 또한 지점선정 장비구입 인건비 등 많은 비용이 요구되어 모델링을 통해 시 공간적으로 유출 특성을 평가하고자 하는 연구들이 활발히 진행 중이다. 본 연구는 GIS에서 WEPP 모형의 구동이 가능하게 된 GeoWEPP 모형을 이용하여 활엽수림 침엽수림 혼효림에서 강우시 발생하는 유출량을 모의하여 실측 유출량과의 비교 평가를 통해서 GeoWEPP 모형의 정확성을 평가하는데 있다. 모델 평가를 위해 $R^2$와 Nash-Sutcliffe model Efficiency (NSE)를 사용하였다. 활엽수림 지점은 2009년 총 10개의 강우 발생으로부터 유출량이 산정되었는데, $R^2$와 NSE는 각각 0.98와 0.87로 나타났다. 침엽수림 지점은 14개의 강우 발생시 산정된 유출을 이용하여 모델을 평가하였는데, $R^2$와 NSE가 각각 0.91와 0.90으로 나타났다. 혼효림 지점은 총 10개의 강우 발생시 산정된 유출을 이용하여 모델을 평가한 결과 $R^2$와 NSE가 각각 0.98와 0.94로 나타나 GeoWEPP 모델이 임상별 유출량을 잘 반영하는 것으로 나타났다. 본 연구 결과에서 보이는 바와 같이 GeoWEPP 모형이 임상별 유출특성을 매우 정확하게 예측할 수 있다고 판단된다.

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Cervical Vascular Diseases Rarely Observed by Duplex Sonography: 3 Cases (이중초음파에서 드물게 관찰되는 목 부위의 혈관질환: 3례)

  • Han, Minho;Seo, Kangsik;Choi, Junghye
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.1
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    • pp.131-136
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    • 2021
  • Duplex sonography is used widely in various medical fields because of its repeatability and low cost. In particular, the carotid duplex sonography is a useful non-invasive test for diagnosing cerebrovascular disease and predicting the prognosis. In clinical practice, it is very important to reduce the test time and improve accuracy. The patient's clinical information must be known in advance to perform carotid duplex sonography quickly and accurately. Despite this, there are often difficulties finding new cervical vascular diseases that are not mentioned in the clinical information. Therefore, knowing a variety of cases can lead to fast and accurate results. In this context, this paper reports three cases of cervical vascular disease discovered unexpectedly during carotid duplex sonography: CASE 1, internal carotid artery occlusion and cerebral arteries branched from the external carotid artery; CASE 2, internal jugular vein thrombosis; CASE 3, microembolism observed in the vertebral artery.

Prescribing Superfluous Gastroprotective Agents: an Indicator of Polypharmacy (불필요한 소화기관용 약제의 처방: 다제처방의 요인)

  • Cho, Eun;Kim, Su-Kyeong
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.2
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    • pp.156-160
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    • 2011
  • 서론: 본 연구는 불필요한 소화기관용 약제의 처방이 한국에서의 처방전 당 약물 개수를 증가시키는 것과의 연관성을 검토하고자 수행되었다. 연구방법: 연구를 위한 자료로 건강보험심사평가원의 처방전 데이터와 환자의 기타 모든 의료보험 청구데이터를 이용하였고, 두 데이터셋을 연결하여 처방전들을 소화기관용 약제의 필요성에 따라 소화기관질환 그룹, 관절염질환 그룹,소화기관용 약제 처방이 불필요할 것으로 그 외 질환 그룹으로 구분, 분리하였다. 결과: 처방전 당 약물의 평균 개수의 분포는 세 그룹에서 비슷한 양상을 보였는데, 관절염질환 그룹과 그 외 질환 그룹의 거의 절반 이상은 한 개의 소화기관용 약제를 포함하였다. 세 그룹 모두 처방전 당 약물 개수와 처방전 당소화기관용 약제의 개수가 1차 선형관계를 보였다. 그 외 질환 그룹에서는 처방전 당 전체 약물이 평균 6개를 넘는 경우, 적어도 한 개의 소화기관용 약제가 포함되었다. 본 연구는 불필요한 소화기관용 약제를 처방하는 것은 다제처방의 매우 유의한 예측인자임을 보였다. 결론: 향후, 약제 처방전의 질을 향상시키기 위해서는 각각의 약물을, 특히 소화기관용 약제를, 처방 시 약제의 불가피한 필요성에 대해 판단할 수 있어야 할 것이다.

Dilution Reference Ranges by Predictive Value of Serum Level β-hCG in Early Pregnancy Viability (임신 초기 임신양상에 따른 혈청 β-hCG의 결과 예측에 의한 희석배수 참고치 설정)

  • Kim, Yoon Sik;Shin, Jang Yong;Seo, Yeong Mi;Yoo, Shin Soo
    • Korean Journal of Clinical Laboratory Science
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    • v.36 no.2
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    • pp.210-214
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    • 2004
  • This study was carried out to predict the value of serum ${\beta}$ subunit of humans chorionic gonadotropin(${\beta}$- hCG) in early pregnancy viability. This was performed among 85 women in vitro fertilization and embryo transfer(IVF-ET). The serum ${\beta}$-hCG levels were established for 30 normal singleton pregnancies, 10 twin and triplet pregnancies, 10 preclinical abortions, 10 clinical abortions, 20 biochemical abortions and 5 ectopic pregnancies. In comparison to normal singleton pregnancies, multiple pregnancies showed higher ${\beta}$-hCG. But clinical abortions, preclinical abortions and ectopic pregnancies showed lower ${\beta}$-hCG levels than singleton pregnancies. In conclusion, if we predict the value of serum ${\beta}$-hCG of variable early pregnancies and analyze it, we could predict the dilution protocol. Also, it can be useful in other ways.

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Complementarity between SDQ-SR and MMPI-A in Assessing Adolescents with Internalizing Disorder : A Preliminary Study (내재화장애 청소년의 평가에서 자기보고용 강점난점척도와 MMPI-A의 상호보완성 : 예비연구)

  • Shin, Kyo Jung;Ahn, Joung Sook;Lim, Jee Young;Lee, Jin Hee
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.1
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    • pp.9-18
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    • 2018
  • Objectives : The aims of this study were to investigate the psychopathology in adolescents with internalizing disorder using the self-report version of Strengths and Difficulties Questionnaire (SDQ-SR) and the Minnesota Multiphasic Personality Inventory for adolescents (MMPI-A), and to explore the complementarity between these two inventories for diagnostic assessment. Methods : Ninety-one patients aged 13-17 were divided into two groups by clinical diagnosis, 44 with internalizing disorder and 47 comparison group with other disorders. The data of SDQ-SR and MMPI-A completed by them were analyzed for the ability to predict internalizing disorder. Results : The logistic regression analysis revealed that diagnostic predictability increased by 2.27 times with every 1 point of SDQ-SR emotional symptom score increment. Comparison of ROC curves for internalizing disorders showed that the SE and SP of SDQ-SR emotional symptom with score over 4 was 88.94 and 78.72, respectively. For A-anx of MMPI-A with score over 56, SE and SP was 77.27 and 74.47, respectively. However, combination of these scales could not enhance the predictability of diagnostic classification more than that of SDQ-SR emotional symptom alone. Conclusions : Emotional symptom scale of SDQ-SR and A-anx, A-aln, A and INTR of MMPI-A should be important subscales for diagnosing the internalizing disorder of adolescents, however, which needs to be examined further with a larger sample size including normal control group.

Clinical Availability of Rapid Strep Test in Children with Group A Streptococcal Pharyngotonsilitis (A군 연쇄구균 상기도 감염에 있어 신속검사의 유용성)

  • Kim, Yeon Ho;Bae, Young Min;Cha, Sung Ho;Ma, Sang Hyuk
    • Pediatric Infection and Vaccine
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    • v.8 no.1
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    • pp.90-93
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    • 2001
  • Purpose : The accurate diagnosis and proper treatment of group A streptococal infection should be emphasized concerning about possible development of late sequelae, such as acute rheumatic fever and acute glomerulonephritis. Inadequate & improperance of antobiotics have resulted in increased number of antibiotic-resistant bacteria. We would like to know the clinical usefulness of rapid strep test compared with conventional throat culture in out-patients with acute pharyngotonsilitis. Methods : From Sep. 2000. to Jan. 2001, rapid strep test(LINK 2 Strep A, USA) & throat culture were taken from 87 patients with clinically suspect pharyngotonsilitis from Masan Fatima hospital & kyunghee university hospital. Results : Of 87 cases with pharyngitis, 39 cases proved to have group A streptococci by throat culture. The positive predictive value of rapid test was 92.3%(36 of 39 cases) and sensitivity test was 81.8%(36 of 44 cases). The specificity of rapid test was 93.0%(40 of 43 cases) and negative predictive value was 83.3%(40 of 48 cases). Conclusion : The positive predictive value & specificity of rapid strep test is high. And so, this test will give the pediatricians practical guidance of antibiotic use in patients with pharyngitis. But more efforts should be made to prevent antibiotics abuse and correct diagnosis of pharyngitis.

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A Study on Family Involvement in Therapeutic Process of the Mentally Ill (정신장애인 가족의 치료참여에 관한 연구)

  • Seo, Mi-Kyung
    • Korean Journal of Social Welfare
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    • v.51
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    • pp.119-140
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    • 2002
  • The main premise of this study is that family involvement which is based on professional-family collaborative partnership is very important for successful treatment and rehabilitation of the mentally ill. Accordingly, this study aims to find out factors which are related to family involvement in therapeutic process. This study conducted the survey with 275 service providers(i.e. mental health professionals) and with 124 service consumers(i.e. family members) in order to discover in what extent do related factors affect on the family involvement. The major findings of the study are; 1) From the service providers standpoint, using multiple regression, job characteristics, perception of family culpability, frequency of contact with family, functioning of their organization affect significantly on the family involvement by 33.0% of explanatory power. Using a step-wise multiple regression, the most powerful influenced factors on family involvement are frequency of contact with family, type of agency, type of profession, and their career. 2) From the service consumers standpoint, using multiple regression, socioeconomic level, attitudes of professionals, optimistic perception of prognosis, functioning of their family, diagnosis affect significantly on the family involvement by 40.9% of explanatory power. Using a step-wise multiple regression, the most powerful influenced factors on family involvement are economic level, attitudes of professionals, optimistic perception of prognosis, educational level. In conclusion, family accessibility to the therapeutic system must be allowed and further, politically encouraged by the related legislation. Also this study recommends clinician to use an empowerment model for the families with the mentally ill.

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Changes in Potential Distribution of Pinus rigida Caused by Climate Changes in Korea (기후변화에 따른 리기다소나무림의 잠재 생육적지 분포 변화 예측)

  • Kim, Yong-Kyung;Lee, Woo-Kyun;Kim, Young-Hwan;Oh, Suhyun;Heo, Jun-Hyeok
    • Journal of Korean Society of Forest Science
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    • v.101 no.3
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    • pp.509-516
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    • 2012
  • In this research, it was intended to examine the vulnerability of Pinus rigida to climate changes, a major planting species in Korea. For this purpose, the distribution of Pinus rigida and its changes caused by climate changes were estimated based on the 'A1B' climate change scenario suggested by IPCC. Current distribution of Pinus rigida was analyzed by using the $4^{th}$Forest Type Map and its potential distribution in the recent year (2000), the near future (2050) and the further future (2100) were estimated by analyzing the optimized ranges of three climate indices - warmth index(WI), minimum temperature index of the coldest month (MTCI) and precipitation effectiveness index(PEI). The results showed that the estimated potential distribution of Pinus rigida declines to 56% in the near future(2050) and 15% in the further future (2100). This significant decline was found in most provinces in Korea. However, in Kangwon province where the average elevation is higher than other provinces, the area of potential distribution of Pinus rigida increases in the near future and the further future. Also the result indicated that the potential distribution of Pinus rigida migrates to higher elevation. The potential distributions estimated in this research have relatively high accuracy with consideration of classification accuracy (44.75%) and prediction probability (62.56%).