• Title/Summary/Keyword: 진단 데이터베이스

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A Study on the Identifying OECMs in Korea for Achieving the Kunming-Montreal Global Biodiversity Framework - Focusing on the Concept and Experts' Perception - (쿤밍-몬트리올 글로벌 생물다양성 보전목표 성취를 위한 우리나라 OECM 발굴방향 연구 - 개념 고찰 및 전문가 인식을 중심으로 -)

  • Hag-Young Heo;Sun-Joo Park
    • Korean Journal of Environment and Ecology
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    • v.37 no.4
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    • pp.302-314
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    • 2023
  • This study aims to explore the direction for Korea's effective response to Target 3 (30by30), which can be said to be the core of the Kunming-Montreal Global Biodiversity Framework (K-M GBF) of the Convention on Biological Diversity (CBD), to find the direction of systematic OECM (Other Effective area-based Conservation Measures) discovery at the national level through a survey of global conceptual review and expert perception of OECM. This study examined ① the use of Korean terms related to OECM, ② derivation of determining criteria reflecting global standards, ③ deriving types of potential OECM candidates in Korea, and ④ considerations for OECM identification and reporting to explore the direction for identifying systematic, national-level OECM that complies with global standards and reflects the Korean context. First, there was consensus for using Korean terminology that reflects the concept of OECM rather than simple translations, and it was determined that "nature coexistence area" was the most preferred term (12 people) and had the same context as CBD 2050 Vision of "a world of living in harmony with nature." This study suggests utilizing four criteria (1. No protected areas, 2. Geographic boundaries, 3. Governance/management, and 4. Biodiversity value) that reflect OECM's core characteristics in the first-stage selection process, carrying out the consensus-building process (stage 2) with the relevant agencies, and adding two criteria (3-1 Effectiveness and sustainability of governance and management and 4-1 Long-term conservation) and performing the in-depth diagnosis in stage 3 (full assessment for reporting). The 28 types examined in this study were generally compatible with OECMs (4.45-6.21/7 points, mean 5.24). In particular, the "Conservation Properties (6.21 points)" and "Conservation Agreements (6.07 points)", which are controlled by National Nature Trust, are shown to be the most in line with the OECM concept. They were followed by "Buffer zone of World Natural Heritage (5.77 points)", "Temple Forest (5.73 points)", "Green-belt (Restricted development zones, 5.63 points)", "DMZ (5.60 points)", and "Buffer zone of biosphere reserve (5.50 point)" to have high potential. In the case of "Uninhabited Islands under Absolute Conservation", the response that they conformed to the protected areas (5.83/7 points) was higher than the OECM compatibility (5.52/7 points), it is determined that in the future, it would be preferable to promote the listing of absolute unprotected islands in the Korea Database on Protected Areas (KDPA) along with their surrounding waters (1 km). Based on the results of a global OECM standard review and expert perception survey, 10 items were suggested as considerations when identifying OECM in the Korean context. In the future, continuous research is needed to identify the potential OECMs through site-level assessment regarding these considerations and establish an effective in-situ conservation system at the national level by linking existing protected area systems and identified OECMs.

Relationships between Topological Structures of Traffic Flows on the Subway Networks and Land Use Patterns in the Metropolitan Seoul (수도권 지하철망 상 통행흐름의 위상학적 구조와 토지이용의 관계)

  • Lee, Keum-Sook;Hong, Ji-Yeon;Min, Hee-Hwa;Park, Jong-Soo
    • Journal of the Economic Geographical Society of Korea
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    • v.10 no.4
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    • pp.427-443
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    • 2007
  • The purpose of this study is to investigate spacio-temporal structures of traffic flows on the subway network in the Metropolitan Seoul, and the relationships between topological structures of traffic flows and land use patterns. In particular we analyze in the topological structures of traffic flows on the subway network in time dimension as well as in spatial dimension. For the purpose, this study utilizes data mining techniques to the one day T-card transaction data of the last four years, which has developed for exploring the characteristics of traffic flows from large scale trip-transaction databases. The topological structures of traffic flows on the subway network has changed considerably during the last four years. The volumes of traffic flows, the travel time and stops per trip have increased until 2006 and decreased again in 2007. The results are visualized by utilizing GIS and analyzed, and thus the spatial patterns of traffic flows are analyzed. The spatial distribution patterns of trip origins and destinations show substantial differences among time zones during a day. We analyze the relationships between traffic flows at subway stops and the geographical variables reflecting land use around them. We obtain 6 log-linear functions from stepwise multiple regression analysis. We test multicollinearity among the variables and autocollelation for the residuals.

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Fully automatic Segmentation of Knee Cartilage on 3D MR images based on Knowledge of Shape and Intensity per Patch (3차원 자기공명영상에서 패치 단위 형상 및 밝기 정보에 기반한 연골 자동 영역화 기법)

  • Park, Sang-Hyun;Lee, Soo-Chan;Shim, Hack-Joon;Yun, Il-Dong;Lee, Sang-Uk
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.47 no.6
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    • pp.75-81
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    • 2010
  • The segmentation of cartilage is crucial for the diagnose and treatment of osteoarthritis (OA), and has mostly been done manually by an expert, requiring a considerable amount of time and effort due to the thin shape and vague boundaries of the cartilage in MR (magnetic resonance) images. In this paper, we propose a fully automatic method to segment cartilage in a knee joint on MR images. The proposed method is based on a small number of manually segmented images as the training set and comprised of an initial per patch segmentation process and a global refinement process on the cumulative per patch results. Each patch for per patch segmentation is positioned by classifying the bone-cartilage interface on the pre-segmented bone surface. Next, the shape and intensity priors are constructed for each patch based on information extracted from reference patches in the training set. The ratio of influence between the shape and intensity priors is adaptively determined per patch. Each patch is segmented by graph cuts, where energy is defined based on constructed priors. Finally, global refinement is conducted on the global cartilage using the results of per patch segmentation as the shape prior. Experimental evaluation shows that the proposed framework provide accurate and clinically useful segmentation results.

Development of System for Increasing Confidence on the Measurement of Discharge (PDA 활용 유량측정 신뢰도 향상 시스템 개발)

  • Jung Seung Kwon;Kim Nam Il;Kim Jae Bog;Park Jae Young
    • Proceedings of the Korea Water Resources Association Conference
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    • 2005.05b
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    • pp.209-214
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    • 2005
  • 수위, 우량, 유량, 유사량 등 수문자료중에서 유량자료는 가장 많은 쓰임새를 갖고 있음에도 불구하고 신뢰도가 낮은 이유로 인해 많은 문제점을 안고 있는 것이 현실이다. 이렇게 유량측정자료의 신뢰도가 낮은 이유는 크게 5가지로 들 수 있는데 1)측정 수행자의 잦은 교체 등에 따른 조사역량 부족, 2)수행자별 유량측정 및 분석방법 상이, 3)장비의 유속검정 등 관리미흡 및 성능 저하, 4)유량측정 상당시간 경과후 유량측정성과 정리로 오류 수정 곤란, 5)유량측정성과의 체계적인 관리 미흡 등이다. 이러한 문제점을 개선하고 현장에서의 유량측정 신뢰도를 향상시키기 위하여 (주)웹솔루스에서는 한국수자원공사의 용역을 통해 현장의 유량 측정 결과를 PDA를 이용하여 기록하고 이를 실시간으로 중앙의 서버로 전송하여 과거 자료의 분석을 통해 측정자료의 신뢰도를 검증함으로써 신뢰성 있는 유량측정자료를 측정하도록 지원하는 유량측정 신뢰도 향상 시스템을 개발하였고, 한국수자원공사와 공동으로 두개의 특허출원을 하였다(특허출원: 10-2002-0049188, 10-2005-11550). 현재 이 시스템은 2002년 8월 착수를 시작으로 9개월이 지난 2003년 3월에 시험판의 개발을 완료하고, 용담댐 유역의 주천교 등 5개 지점에 시험 적용하면서 많은 개선과 보완을 거쳐 2005년 현재에는 한국수자원공사에서 운영하고 있는 13개의 댐과 1개의 국가하천에 대하여 총 59개의 관측지점에서 활용되고 있으며, 현재(2005. 2월 기준)까지 1,660여건 이상의 전자야장이 데이터베이스에 구축되었으며, 유량측정성과 DB는 웹시스템(http://river.kowaco.or.kr)을 통해 운영되고 있다. 본 시스템 도입을 통해 유량측정성과가 체계적으로 관리되고 있으며, 향후 시스템에 대한 지속적인 유지관리가 이루어진다면 오랜기간에 걸쳐 축적된 많은 양의 유량자료는 수자원관리에 큰 역할을 수행할 수 있을것으로 판단된다. 개발계획 및 유역의 특성 등을 조사하고, 시험유역의 선정기준을 수립하여 연구의 목적과 부합되는 지구를 시험유역으로 선정하였으며 선정된 시험유역에 대하여 수문$\cdot$수질 조사 계획을 수립하고, 계측시설을 설치하여 시험운영을 실시하고, 향후 시험유역의 수문계측 및 관리방안을 수립하고자 한다.1종이었다. 이 중 한국 고유종은 11종이었고, 외래 어종은 검정우럭과 2종이 조사되었으며, Zacco platypus(피라미), Zacco temmincki(갈겨니), Acheilongnathus koreanus(칼납자루), Odontobutis platycephala(동사리), Coreoleuciscus splendidus(쉬리) 순으로 분포하고 있었고, Acheilognathus signifer(묵납자루)는 댐 건설 전에는 많이 분포하였으나 현장조사에서 서식을 확인 할 수 언어 개체수의 큰 감소내지 멸종된 것으로 추정되었다.에서 동시에 시행하였다. 수술 후 1년 내 시행한 심초음파에서 모든 환아에서 단지 경등도 이하의 승모판 폐쇄 부전 소견을 보였다. 수술 후 조기 사망은 없었으며, 합병증으로는 유미흉이 한 명에서 있었다. 술 후 10개월째 허혈성 확장성 심근증이 호전되지 않아 Dor 술식을 시행한 후 사망한 예를 제외한 나머지 6명은 특이 증상 없이 정상 생활 중이다 결론: 좌관상동맥 페동맥이상 기시증은 드물기는 하나, 영유아기에 심근경색 및 허혈성 심근증 또는 선천성 승모판 폐쇄 부전등을 초래하는 심각한 선천성 심질환이다. 그러나 진단 즉시 직접 좌관상동맥-대동맥 이식술로 수술적 교정을 해줌으로써 좋은 성적을 기대할 수 있음을 보여주었다.특히 교사들이 중요하게 인식하는 해방적 행동에 대한 목표를 강조하여 적용할 필요가 있음을 시사하고 있다.교하여 유의한 차이가 관찰되지 않았다. 또한 HSP 환자군에서도 $IL1RN^{*}2$ allele 빈도와 carria

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Mechanical Deterioration Characteristics of ACSR due to a Flame (화염으로 인한 ACSR의 기계적 열화 특성)

  • 박창기;이광식;강지원;김영달
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.17 no.6
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    • pp.160-168
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    • 2003
  • In Korea, a large portion of aerial power-transmission cables is installed in the mountains. In the case of a fire in the mountains, steel wires coated with zinc and aluminum wires of those power cables exposed to the fire or near around will be deteriorated by the blaze and the high temperature. Deterioration proceeds by interactions of a variety of factors like quality, manufacturing process, the condition of installation and exposure environment of a wire, and so on. Generally, the characteristic of a conductor affect by a forest fire can not be analyzed without the effect through simulating a forest fire. However, there are little research accomplishments of that kind of simulation about it, and there's been no analysis of a sample exposed to an actual forest fire. This thesis shows the experimental results that apply to a new wire by an artificial flame-maker because it's difficult to directly analyze the characteristic of deterioration by a forest fire. Those results include the intensity of extension and wrench for a conductor. In addition, there's been an experiment and analysis about the mechanical characteristics of the wire of ACSR 480[$\textrm{mm}^2$] which was removed from Pohang area by a forest fire. Then, the database will be made to predict the state of deteriorated wires by a forest fire using those two data, and data necessary to diagnose the life state of an ACSR wire affected by a forest fire will be given.

A Water Quality Modeling Study of Chunggye Stream during Combined Sewer OverFlow Period (합류식 하수관거 월류수 유입 기간 동안에 나타나는 청계천 수질 변화 모델 연구)

  • Yi, Hye-Suk;Park, Seok-Soon
    • Journal of Korean Society of Environmental Engineers
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    • v.27 no.12
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    • pp.1340-1346
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    • 2005
  • A water quality modeling study was performed for Chunggye stream during combined sewer overflow(CSO) period, utilizing the diagnostic system for water management in small watershed, CREEK-1(Cyber River for Environment and Economy in Korea). This system integrated geogaphic information system, data base, landscape ecological model(FRAGSTATS), watershed model(SWMM), water quality model (WASP5), and computer graphic. In this study, the watershed model and water quality model were extensively utilized so as to simulate water qualities and flow in Chunggye stream during wet periods. The Chunggye stream watershed was divided into 18 sub-basins in the watershed model and the stream reach into 11 segments in the water quality model. The watershed model was validated against field measurements of BOD, TN, TP, and flow at the downstream location, where the model results showed a reasonable agreement with the field measurements at all parameters. From this study, it was shown that the stream water quality would change along with elapsed time from rainfall start as well as rainfall intensity. The model results indicated that the water quality would significantly upgrade due to the first flush and high sewage ratio of CSO at the beginning of rainfall event, but become degraded along with the runoff increase due to dilution effect.

Does Process Quality of Inpatient Care Serve as a Guide to Reduce Potentially Preventable Readmission (PPR)? (의료서비스의 과정적 질과 잠재적으로 예방 가능한 재입원율과의 관계)

  • Choi, Jae-Young
    • Korea Journal of Hospital Management
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    • v.23 no.1
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    • pp.87-106
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    • 2018
  • Objective: The objective of this study is to examine the association between process quality of inpatient care and risk-adjusted, thirty-day potentially preventable hospital readmission (PPR) rates. Data Sources/Study Setting: This was an observational cross-sectional study of nonfederal acute-care hospitals located in two states California and Florida, discharging Medicare patients with a principal discharge diagnosis of heart failure, acute myocardial infarction, or pneumonia January through December 31, 2007. Data were obtained from the Healthcare Cost and Utilization Project State Inpatient Database of the Agency for Healthcare Research and Quality, Centers for Medicare and Medicaid Services Hospital Compare database, and the American Hospital Association Annual Survey of Hospitals. Study Design: The dependent variable of this study is condition-specific, risk-adjusted, thirty-day potentially preventable hospital readmission (PPR). 3M's PPR software was utilized to determine whether a readmission was potentially preventable. The independent variable of this study is hospital performance for process quality of inpatient care, measured by hospital adherence to recommended processes of care. We used multivariate hierarchical logistic models, clustered by hospitals, to examine the relationship between condition-specific, risk-adjusted, thirty-day PPR rates and process quality of inpatient care, after taking clinical and socio-demographic characteristics of patients and structural and operational characteristics of hospitals into account. Findings: Better performance on the process quality metrics was associated with better patient outcome (i.e., low thirty-day PPR rates) in pneumonia, but not generally in two cardiovascular conditions (i.e., heart failure and acute myocardial infarction). Practical Implication: Adherence to the process quality metrics currently in use by CMS is associated with risk-adjusted, thirty-day PPR rates for patients with pneumonia, but not with cardiovascular conditions. More evidence-based process quality metrics closely linked to 30-day PPR rates, particularly for cardiovascular conditions, need to be developed to serve as a guideline to reduce potentially preventable readmissions.

A Novel PHKA1 Mutation in a Patient with Glycogen Storage Disease Type IXD (당원 축적병 9D (GSD9D) 환자의 신규 PHKA1 돌연변이)

  • Kim, Hye Jin;Nam, Soo Hyun;Kim, Sang Beom;Chung, Ki Wha;Choi, Byung-Ok
    • Journal of Life Science
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    • v.30 no.8
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    • pp.672-679
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    • 2020
  • Distal myopathy is a clinically and genetically heterogeneous group of degenerative diseases of the distal muscle. Glycogen storage disease type IXD (GSD9D) is a metabolic distal myopathy characterized by muscle deficiency of phosphorylase kinase, a key regulatory enzyme in glycogen metabolism. Affected individuals may develop muscle weakness, degeneration, and cramps, as well as abnormal muscle pain and stiffness after exercise. It has been reported that mutations in the PHKA1 gene which encodes the alpha subunit of muscle phosphorylase kinase cause GSD9D. In this study, we examined a Korean GSD9D family with a c.3314T>C (p.I1105T) mutation in the PHKA1 gene. This mutation has not been previously reported in any mutation database nor was it found in 500 healthy controls. The mutation region is well conserved in various other species, and in silico analysis predicts that it is likely to be pathogenic. To date, only seven mutations in the PHKA1 gene have been documented, and this is the first report of Korean GSD9D patients. This study also describes and compares the clinical symptoms and pathological conditions of previously reported cases and these Korean patients. We believe that our findings will be useful for the molecular diagnosis of GSD9D.

The Design and Implementation of the Real-time Data Stream Server for Continuity of Care Record (실시간 헬스케어 시스템을 위한 데이터 스트림 서버의 설계 및 구현)

  • Wu, Zejun;Li, Yan;Bae, Hae-Young
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.12
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    • pp.71-81
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    • 2011
  • The EMR management services can monitoring the patients' record with any doctors in any hospital by using the internet and smartphones online. To handle the real time, multidimensional, continuous data, database management systems (DBMS) must cope with high insert rates for updates, however the traditional DBMS suffers from processing these kinds of data due to its serious design bottlenecks. So the researchers put forward to Data Stream Management System (DSMS). In this paper we describe the real-time Data Stream Server for Continuity of Care Record (CCR) that including continuos query processor. This system is compiled with DSMS and DBMS in EMR system for processing and monitoring the coming CCR data stream, and also storing the processed result with high-efficiency. The system enables users not only to query stored CCR information from DBMS, but also to execute continue query on real-time CCR Data Stream, and health information can be transferred between different healthcare providers that would reduce medical error. At last, we develop a IPhone mobile application to test the proposed real-time data stream server.

Short-term Mortality Prediction of Recurrence Patients with ST-segment Elevation Myocardial Infarction (ST 분절 급상승 심근경색 환자들의 단기 재발 사망 예측)

  • Lim, Kwang-Hyeon;Ryu, Kwang-Sun;Park, Soo-Ho;Shon, Ho-Sun;Ryu, Keun-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.10
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    • pp.145-154
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    • 2012
  • Recently, the cardiovascular disease has increased by causes such as westernization dietary life, smoking, and obesity. In particular, the acute myocardial infarction (AMI) occupies 50% death rate in cardiovascular disease. Following this trend, the AMI has been carried out a research for discovery of risk factors based on national data. However, there is a lack of diagnosis minor suitable for Korean. The objective of this paper is to develop a classifier for short-term relapse mortality prediction of cardiovascular disease patient based on prognosis data which is supported by KAMIR(Korea Acute Myocardial Infarction). Through this study, we came to a conclusion that ANN is the most suitable method for predicting the short-term relapse mortality of patients who have ST-segment elevation myocardial infarction. Also, data set obtained by logistic regression analysis performed highly efficient performance than existing data set. So, it is expect to contribute to prognosis estimation through proper classification of high-risk patients.