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Usefulness of Clinical Scoring System in the Diagnosis of Group A Streptococcal Pharyngitis (인두염 환아에서 A군 연구균 검출의 임상적 점수제의 유용성)

  • Kim, Eun-Seong;Jung, Ji-Young;Cha, Sung-Ho;Lee, Hee-Joo
    • Pediatric Infection and Vaccine
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    • v.9 no.1
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    • pp.74-78
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    • 2002
  • Purpose : Proper diagnosis of group A streptococcal pharyngitis that may cause chronic diseases in childhood is not easy because its signs and symptoms would be nonspecific. Because results of classical throat culture delays for one to two days, we'd like to determine whether early antibiotics would be introduced with according to the clinical score system. This study was undertaken to evaluate of clinical usefulness of scoring system based on the clinical and laboratory findings. Methods : From Jan. 1998 to Dec. 2000, 10 clinical items based on modified 9 items by Breese in 1977 were checked in patients with pharyngitis who visited on outpatients clinic of pediatrics, Kyunghee University Hospital. We compared the results of throat culture with the points of clinical score system. Results : Out of 45 cases, the positive culture for Group A Streptococcus was 20 and negative culture was 25. When we applied more than 30 points of score, which correspond to 70 percentile of study population, the sensitivity and specificity were 35.0% and 96.0%, respectively. Conclusion : Although sensitivity was relatively low this scoring system, but the high specificity may be useful diagnostic tool in the areas where the rate of isolation of Group A Streptococcus is low.

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대전지역 학교급식 영양사의 위생 및 HACCP 직무관련 수행도 평가

  • 김영옥;이선영
    • Proceedings of the KSCN Conference
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    • 2003.11a
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    • pp.1081-1082
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    • 2003
  • 교육인적자원부에서는 학교급식의 안전성 확보를 위하여 1999년에 특별정책 연구를 실시하여 학교급식 HACCP 일반모델을 개발 보급하고 2001년부터는 규모가 큰 학교에서 조리실이 설치된 모든 급식학교로 점진적으로 적용을 확대하였다. 그럼에도 불구하고 학교급식에서 식중독 사고는 증가 추세에 있으므로 학교급식에서의 HACCP 시스템을 재진단하고 수행도가 낮은 중점관리점의 문제점을 짚어내는 것이 필요하다. 따라서 본 연구에서는 대전지역의 초, 중, 고등학교 영양사 153명을 대상으로 위생관리 직무 수행도와 HACCP의 일부 CCP (중점관리점)수행도, HACCP에 대한 인지도, 급식시설현황 등에 대하여 조사하고 변인간의 관련성을 분석하였다. 조사 대상자는 초등학교 영양사 56.5%, 중학교 영양사 25.5%, 고등학교 영양사 17.6%이었으며 4년제 대학 졸업자가 51.0%로 가장 많았고 연령은 30-34세가 36.6%, 35-40세가 21.6%로 30대가 대부분이었다. 근무경력은 평균 5.8년이었으며 영양사 1인당 담당하는 평균 학생수는 1,163명, 조리종사원 1인당 배식 아동수는 평균 124명이었다. 배식방법은 교실배식이 56.2%, 식당배식 34.6%, 교실과 식당의 혼합형태가 9.2%로 교실배식이 차지하는 비율이 많았고 직영급식이 90.2%로 대부분을 차지하였다. 위생관리 영역의 수행도는 개인위생관리 부문이 가장 높았고 기기설비 위생관리, 저장관리, 교차오염관리, 시간관리, 온도관리 순으로 나타났으며, 특히 온도관리 수행도는 낮은 것으로 나타났다. 식당배식을 실시하는 학교의 온도관리 수행도가 다른 그룹에 비해 높았고 직영급식의 시간관리수행도가 위탁급식 보다 높았다. 영양사의 연령과 근무경력이 증가할수록 모든 위생관리영역에서 수행도가 높아지는 경향을 보였다. CCP별 수행정도 평가에서는 ‘운반 및 배식과정(CCP7)’이 가장 높은 수행도를 나타냈고 그 다음으로는 ‘검수’, ‘식품취급 및 조리과정’, ‘식품접촉 표면 세척 및 소독과정’, ‘식단의 구성’, ‘생채소 및 과일의 소독’, ‘잠재적으로 위험한 식단의 관리’ 순으로 나타났다. ‘운반 및 배식과정의 수행도’는 식당배식이 유의적으로 높은 점수를 보였고 CCP8(식품접촉표면의 세척 및 소독)를 제외한 모든 영역에서 직영급식이 위탁급식에 비해 높은 유의성을 나타내었다. 또한 근무경력과 연령이 많을수록 모든 CCP영역에서 높은 수행도를 보였다. CCP1과 CCP2의 수행도가 낮은 주된 이유로 ‘CCP1과 CCP2의 관리기준이 이해하기 어렵다’이었다. 학교 급식관리 영양사의 HACCP시스템에 대한 지식 및 이해 정도를 조사한 결과 HACCP 인지도 점수의 평균은 총 100점 만점에 전체 평균 점수는 74.9점이었다 CCP별 점수분포는 CCP7의 인지도 점수가 가장 높았고 CCP6, CCP1, CCP5, CCP3, CCP8, CCP2의 순으로 절차 낮아졌다. 정규직의 HACCP인지도 점수가 위탁직 보다 높았으며 근무경력에서도 경력이 3년 미만인 경우가 가장 낮고 8년 이상인 경우가 가장 높은 점수를 보였다. 급식시설면은 보온보냉시설을 갖춘 학교가 온도관리 부문에서 갖추지 않은 학교보다 높은 수행도를 나타냈고, 전처리실과 손 소독기가 있는 학교는 교차오염관리 부문에서 높은 수행도를 보였다.

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A Study on Site Evaluation Process for Thalassotherapy Complex (해양치유단지 조성을 위한 입지평가프로세스에 관한 연구)

  • Lee, Han-Seok;Doe, Guen-Young;Kang, Young-Hun
    • Journal of Navigation and Port Research
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    • v.43 no.3
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    • pp.219-230
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    • 2019
  • The objective of this study is to suggest the evaluation method, the evaluation index and items, and evaluation criteria for rational and systematic evaluation of the thalassotherapy complex site. Evaluation items and indicators are determined based on overseas cases of thalassotherapy complex, the central governments' thalassotherapy business policy, and the local governments business plan. 3 major evaluation items, 8 middle evaluation items, 5 small evaluation items and 26 evaluation indexes are selected as evaluation items. The evaluation criterion for each evaluation index is then determined. As per the evaluation process, first, weights are assigned to the evaluation items by an evaluation committee composed of experts. Secondly, each committee member assigns a weight and a score to each evaluation indicator for evaluation score calculation. This score is then multiplied by the weight of the evaluation item to determine the final score for each evaluation index. The ultimate scores of all the evaluation indexes are then added to the evaluation score of each committee member. Lastly, the arithmetic mean of the evaluation scores of all committee members becomes the final evaluation result of a site.

Comparison of Korean Classification Models' Korean Essay Score Range Prediction Performance (한국어 학습 모델별 한국어 쓰기 답안지 점수 구간 예측 성능 비교)

  • Cho, Heeryon;Im, Hyeonyeol;Yi, Yumi;Cha, Junwoo
    • KIPS Transactions on Software and Data Engineering
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    • v.11 no.3
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    • pp.133-140
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    • 2022
  • We investigate the performance of deep learning-based Korean language models on a task of predicting the score range of Korean essays written by foreign students. We construct a data set containing a total of 304 essays, which include essays discussing the criteria for choosing a job ('job'), conditions of a happy life ('happ'), relationship between money and happiness ('econ'), and definition of success ('succ'). These essays were labeled according to four letter grades (A, B, C, and D), and a total of eleven essay score range prediction experiments were conducted (i.e., five for predicting the score range of 'job' essays, five for predicting the score range of 'happiness' essays, and one for predicting the score range of mixed topic essays). Three deep learning-based Korean language models, KoBERT, KcBERT, and KR-BERT, were fine-tuned using various training data. Moreover, two traditional probabilistic machine learning classifiers, naive Bayes and logistic regression, were also evaluated. Experiment results show that deep learning-based Korean language models performed better than the two traditional classifiers, with KR-BERT performing the best with 55.83% overall average prediction accuracy. A close second was KcBERT (55.77%) followed by KoBERT (54.91%). The performances of naive Bayes and logistic regression classifiers were 52.52% and 50.28% respectively. Due to the scarcity of training data and the imbalance in class distribution, the overall prediction performance was not high for all classifiers. Moreover, the classifiers' vocabulary did not explicitly capture the error features that were helpful in correctly grading the Korean essay. By overcoming these two limitations, we expect the score range prediction performance to improve.

A study on average changes in college students' credits earned and grade point average according to face-to-face and non-face-to-face classes in the COVID-19 situation

  • Jeong-Man, Seo
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.3
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    • pp.167-175
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    • 2023
  • In the context of COVID-19, this study was conducted to study how college students' earned grades and average grade point averages changed according to face-to-face and non-face-to-face classes. For this study, grade data was extracted using an access database. For the study, 152 students during the 3rd semester were compared and analyzed the grade point average, average grade point average, midterm exam, final exam, assignment score, and attendance score of students who participated in non-face-to-face and face-to-face classes. As an analysis method, independent sample t-test statistical processing was performed. It was concluded that the face-to-face class students had better grades and average GPA. As a result, the face-to-face class students showed 4.39 points higher than the non-face-to-face class students, and the average grade value was 0.6642 points higher. As a result of the comparative analysis, it was statistically significant, and the face-to-face class averaged 21.22 and the non-face-to-face class had 16.83 points. In conclusion, it was confirmed that face-to-face students' grades were generally higher than those of non-face-to-face students, and that face-to-face students showed higher participation in class.

Comparison of Science Academic Passion Between Elementary General and Science-Gifted Students (초등 일반 학생과 과학영재 학생의 과학 학업적 열정 비교)

  • Kang, Hunsik
    • Journal of Korean Elementary Science Education
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    • v.40 no.4
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    • pp.421-432
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    • 2021
  • This study compared science academic passion between elementary general and science-gifted students. A science academic passion test was conducted for fifth-sixth graders at an elementary school, and two gifted science education institutes in Seoul, with 95 and 92 students selected for the test. The result analysis revealed that the science-gifted students' science intellectual passion was significantly higher than general students, regardless of grade and gender. Also, the scores of general students were high in the order of "harmonious passion," "importance," "like," "time/energy investment," and "obsessive passion." The differences in scores between all sub-domains were statistically substantial. Moreover, there were no considerable differences in scores of the science-gifted students among the "important," "like," and "harmonious passion." However, the scores in these three domains were higher than that of "time/energy investment" and "obsessive passion." In addition, the "time/energy investment" score was higher than that of "obsessive passion." The differences in science academic passion by grade and gender were not statistically significant regardless of whether or not a student was science gifted. These results suggest that science academic passion characterizes science-gifted students rather than personal characteristics such as grade or gender.

A simulation study for various propensity score weighting methods in clinical problematic situations (임상에서 발생할 수 있는 문제 상황에서의 성향 점수 가중치 방법에 대한 비교 모의실험 연구)

  • Siseong Jeong;Eun Jeong Min
    • The Korean Journal of Applied Statistics
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    • v.36 no.5
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    • pp.381-397
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    • 2023
  • The most representative design used in clinical trials is randomization, which is used to accurately estimate the treatment effect. However, comparison between the treatment group and the control group in an observational study without randomization is biased due to various unadjusted differences, such as characteristics between patients. Propensity score weighting is a widely used method to address these problems and to minimize bias by adjusting those confounding and assess treatment effects. Inverse probability weighting, the most popular method, assigns weights that are proportional to the inverse of the conditional probability of receiving a specific treatment assignment, given observed covariates. However, this method is often suffered by extreme propensity scores, resulting in biased estimates and excessive variance. Several alternative methods including trimming, overlap weights, and matching weights have been proposed to mitigate these issues. In this paper, we conduct a simulation study to compare performance of various propensity score weighting methods under diverse situation, such as limited overlap, misspecified propensity score, and treatment contrary to prediction. From the simulation results overlap weights and matching weights consistently outperform inverse probability weighting and trimming in terms of bias, root mean squared error and coverage probability.

Usefulness of MRI Scoring System for Differential Diagnosis between Xanthogranulomatous Cholecystitis and Wall-Thickening Type Gallbladder Cancer (황색육아종성 담낭염과 벽비후형 담낭암의 감별진단을 위한 자기공명영상 점수체계의 유용성)

  • Soul Han;Young Hwan Lee;Youe Ree Kim;Eun Gyu Soh
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.147-160
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    • 2024
  • Purpose To define an MRI scoring system for differentiating xanthogranulomatous cholecystitis (XGC) from wall-thickening type gallbladder cancer (GBC) and compare the diagnostic performance of the scoring system with the visual assessment of radiologists. Materials and Methods We retrospectively analyzed 23 and 35 patients who underwent abdominal MRI and were pathologically diagnosed with XGC and wall-thickening-type GBC after surgery, respectively. Three radiologists reviewed all MRI findings. We defined a scoring system using these MRI findings for differentiating XGC from wall-thickening type GBC and compared the area under the curve (AUC) of the scoring system with the visual assessment of radiologists. Results Nine MRI findings showed significant differences in differentiating the two diseases: diffuse gallbladder wall thickening (p < 0.001), mucosal uniformity (p = 0.002), intramural T2-high signal intensity (p < 0.001), mucosal retraction (p = 0.016), gallbladder stones (p < 0.001), T1-intermediate to high-signal intensity (p = 0.033), diffusion restriction (p = 0.005), enhancement pattern (p < 0.001), and phase of peak enhancement (p = 0.008). The MRI scoring system showed excellent diagnostic performance with an AUC of 0.972, which was significantly higher than the visual assessment of the reviewers. Conclusion The MRI scoring system showed better diagnostic performance than the visual assessment of radiologists to differentiate XGC from wall-thickening-type GBC.

Impact of Construction Safety Managers and Project Characteristics on Air Conditioning Installation Safety Scores (건설 안전관리자의 특성 및 프로젝트 특성이 에어컨 설치 공사의 안전 점수에 미치는 영향)

  • Uhm, Miyoung;Kim, Jinyoung;Kim, Hongjo
    • Journal of the Korea Institute of Building Construction
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    • v.24 no.3
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    • pp.381-391
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    • 2024
  • This study examined the factors influencing safety scores in air conditioning installation projects, with a specific focus on the characteristics of safety managers and project-specific details. Given the increase in industrial accidents within this sector and the lack of research on smaller-scale operations, this analysis of 7,046 safety data records from Company A aimed to address this gap. The results indicate that the month of project commencement has the most significant impact on safety scores(correlation coefficient of 0.21), followed by the age of the safety manager(correlation coefficient of 0.06). Interestingly, the educational background of the managers did not appear to influence safety outcomes. Furthermore, project cost was found to have a negative correlation with safety scores(-0.1), suggesting that lower-cost projects may be associated with higher risk levels. These findings underscore the importance of developing tailored safety checklists that take into account the specific timing and scale of air conditioning installation projects. Additionally, the results suggest that incorporating both experienced(older) and less experienced(younger) safety managers into safety strategies may be beneficial for achieving optimal safety outcomes. This balanced approach could leverage the strengths of both groups, potentially enhancing overall risk assessment and mitigation efforts.

Suitability Assessment of Bank Revetments Applied to Close-to-Nature River Design (자연형 하천설계에 적용된 호안공법의 적합성 평가)

  • Park, Nam-Hee;Jeong, Jang-Myean;Kim, Chul
    • Proceedings of the Korea Water Resources Association Conference
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    • 2009.05a
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    • pp.479-484
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    • 2009
  • 우리나라에서 많은 하천정비사업이 이루어지고 있으며 하천정비사업을 위해 하천설계가 실시되고 있다. 하천설계시 호안 설계가 중요한 비중을 차지하고 있으나 현재까지 설계된 사업에서 적절한 호안공법이 선정되었는지는 검증이 되지 않고 있다. 따라서 하천설계에 적용된 호안공법의 적합성을 평가할 필요가 있으며, 이에 따라 본 연구에서는 자연형 하천설계에 적용된 호안공법의 적합성을 평가하였다. 평가방법은 편익(B)/비용(C)방법을 사용하였다. 편익평가방법은 기존의 호안을 평가하는데 사용되는 방법을 기본으로하여 약간의 수정을 가하여 사용하였다. 평가항목은 수리적안정성, 환경생태성, 어메너티의 항목으로 되어 있고 각 항목은 몇 개의 소항목으로 구성되어 각 항목별로 평가점수를 부여한다. 다음 하천의 위치에 따라 도시, 농촌, 산지로 분류하여 위치별 가중치를 도입한다. 편익을 하천위치에 따라 3가지 항목평가 점수와 가중치를 곱한 값을 더하여 산정하였다. 비용은 호안시공비와 재료비의 합으로 산정하고 5단계로 등급을 나누었다. 최종적으로 계산된 편익과 비용을 이용하여 호안의 경제성을 평가하였다. 평가에 이용된 하천은 하천분류별로 각각 몇 개씩 선정하였으며 하천보고서를 이용하여 평가하였다. 평가결과는 각 하천별로 점수화할 수 있으며 따라서 호안설계점수를 상대적으로 비교할 수 있다. 호안공법별로 평가한 결과 식생매트를 사용한 호안의 경제성이 가장 좋으며 방틀공법을 사용한 호안의 경제성이 가장 나쁜 것으로 나타났다. 본 연구의 평가방법은 호안을 설계할 때 가장 적절한 호안공법을 선정하는데 도움을 줄 수 있을 것이다.

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