• Title/Summary/Keyword: 표준평균범위

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Mitral Reconstruction Using Prosthetic Ring in Mitral Valvular Heart Disease (승모판막질환에 있어서 인공판륜을 이용한 승모판막재건술의 임상적 고찰)

  • 나명훈;황경환
    • Journal of Chest Surgery
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    • v.30 no.6
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    • pp.598-606
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    • 1997
  • Among 136 patients having undergone mitral valve surgery from September of 1994 through August of 1995 in Sejong Heart Institute, forty four patients(18 males, 26 females) underwent mitral valve reconstruction using prosthetic rings and their clinical results were evaluated. Patients'ages ranged from 5 to 63 years(mean age 38.2 years). Mitral valvular diseases were due to rheumatic origin in 30 patients(68%), degenerative in 13(30%), and congenital in one patient(2%). Mitral regurgitation(MR) was in 33 patients(76%), mitral stenosis 2(5%), and mitral stenoinsufaciency 9 patients(19%). The patients were divided into Carpentier's functional groups : type I, 5 patients(11%) : type I, 24 patients(55%) ; type III, 4 patients (9%) i and mixed(II + III), 11 patients(25%). Average number of anatomic lesions of mitral valve per patient was 3.7. The techniques included prosthetic ring amluloplasty(44 patients, 32 Carpentier ring and 12 Duran ring), leaflet mobilization(24, 55%), chordae shortening(23, 52%), chordae transposition(23, 52%), commissurotomy(16, 35%), leaflet resection(9, 20%), papillary muscle splitting(8, 18%), and chordae reimplantation(1, 2%). Average 3.4 surgical procedures were applied on mitral valve per patient. There were two hospital mortality and one reoperation due to development of MR(grade III) after 2 weeks. During the mean follow up of 12 months, patients improved in terms of functional class of the New York Heart Association, which was mean 3.0 preoperatively and 1.3 postoperatively. Doppler echocardiographic studies showed adequate valve area(2.07$\pm$0.11 cm2 mean $\pm$standard error), improved ventricular contractiliy in 41 patients(93%), ab ence of MR in 23(53%), trace MR in 18(42%), and garde II MR in 2 patients(5%).

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Analysis of Tree Growth Characteristics by First and Second Thinning in Korean White Pine Plantations (잣나무 인공림의 1차 및 2차 간벌에 따른 입목생장 특성 분석)

  • Lee, Daesung;Jung, Sunghoon;Choi, Jungkee
    • Journal of Korean Society of Forest Science
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    • v.111 no.1
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    • pp.150-164
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    • 2022
  • This study was conducted to provide basic information for the development of silvicultural guidelines and manuals. This was achieved through analysis of tree and stand characteristics according to the first and second thinning in Korean white pine plantations. Data were collected from permanent plots installed at Korean white pine plantations according to thinning intensity, and residual tree and stand variables, including diameter at breast height (DBH), volume, and mortality at age 19-43, were analyzed using data repeatedly collected in 4-5 measurements by experiments. According to one-way variance of analysis, tree DBH and volume were significantly different according to thinning intensity (p<0.05). DBH distribution was skewed to the left side over time as thinning intensity was heavier. Thus, tree DBH values were larger in heavy thinning plots with increased age. The periodic annual increment (PAI) of DBH was higher with heavier thinning intensity and fewer years after thinning. The PAI range by thinning intensity was 0.48-0.95 cm/year at age 19-24. In addition, the PAI increased in heavy thinning plots after the second thinning; The PAI range by thinning intensity was 0.29-0.67 cm/year after the second thinning at age 37-42. The PAI of tree volume differed according to thinning intensity, and the PAI value did not decrease obviously, in contrast to the pattern of the DBH PAI. Stand volume was generally higher in high-density stands, and the PAI of stand volume was high in unthinned and light thinning plots. Mortality was highest in unthinned plots, and the differences in mortality according to thinning intensity increased over time. Consequently, the growth of DBH and tree volume was lower as stand density increased, but this growth was facilitated with appropriate first and second thinning operations.

A Study on Supplement of Harbour and Fishery Design Criteria through the Statistical Characteristics Analysis of Cruise Ship's Specification (크루즈선 주요 제원분석을 통한 항만 및 어항설계기준 개선 연구)

  • Cho, Ik-Soon;Cho, Jang-Won
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.6
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    • pp.652-660
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    • 2017
  • Recently, the number of tourists using cruise ships in Korea is increasing. and an big cruise ship with an gross tonnage of 160,000 tons or more has entered the domestic ports. Therefore, the government has been making a lot of efforts to confirm the cruise infrastructure for revitalization of the domestic cruise industry. However, there are no standards for cruise ship specifications and water facilities in the domestic port and fishery design standards. Currently, construction of dedicated cruise facilities is under way in major domestic ports. However, due to lack of specifications and domestic standards for cruise ships, it is difficult to design and license special facilities. Therefore, in this study, PIANC rule and domestic harbor and designing standard of fishing port were compared and analyzed in order to present the standard specification of cruise ships. And analyzed the representative linearity of cruises currently being operated. As a result of the ship characteristics analysis, There was a difference in coastal passenger ship in specifications and ship maneuverability. Therefore, in order to design facilities dedicated to cruising, the specifications of the target ship must be included in the domestic design standard. In addition, in order to calculate the scope of the target ship, I applied the coverage rate of 75% to the average specification value of the cruise ship and presented the standards of the cruise ship and the standard of the water area facilities.

Evaluating the Primary Care Quality of a Public Health Center in a Rural Area (농촌 지역 보건소 일차의료의 질 평가)

  • Byeon, Young-Kwan;Choi, Yong-Jun
    • Journal of agricultural medicine and community health
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    • v.42 no.1
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    • pp.24-35
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    • 2017
  • Objectives: This study aimed to evaluate the primary care quality of a public health center in a rural area using the Korean Primary Care Assessment Tool (KPCAT). It also examined some methodological issues in applying the KPCAT and interpreting its results. Methods: Seventy-nine patients who had visited their doctor more than four times responded to the KPCAT questionnaire. Descriptive statistics and a radar chart were used in analyzing data. Sign test was used to test the KPCAT score difference by don't know option scoring methods. Results: Median and interquartile range of the public health center's KPCAT scores were forty-five and sixteen points, respectively. Only the median of the first contact domain reached the expected value of seventy-five points. The proportions of those who scored under the expected value were under fifty percent in two of four comprehensiveness items, all of three coordinating function items, two of five personalized items and all of four family/community orientation items. There were some methodological issues including, how to score don't know option and make sure response scale consistency. Conclusions: There was much room to improve the primary care quality of the rural public health center. Especially, improvement is needed in the domain of coordinating function and family/community orientation. We also hope that methodological improvement of the KPCAT contributes to more valid and reliable primary care assessment.

Current Status of Children on Peritoneal Dialysis in Korea : A Cross-Sectional Multicenter Study (소아복막투석의 현황: 다기관 공동연구 결과보고)

  • Youn, Ji-Seok;Lee, Joo-Hoon;Park, Young-Seo;Yim, Hyung-Eun;Paik, Kyung-Hoon;Yoo, Kee-Hwan;Ha, Il-Soo;Cheong, Hae-Il;Choi, Yong
    • Childhood Kidney Diseases
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    • v.13 no.2
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    • pp.176-188
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    • 2009
  • Purpose : Peritoneal dialysis (PD) is the major form of dialysis in use for infants and children with end-stage renal disease (ESRD). The aim of this study was to gain insight into the current status of children on PD in Korea. Methods : In May 2008, questionnaires were sent to the pediatric nephrologists via e-mail. Four centers replied and those data were reviewed. Results : A total of 103 patients were included in this study. Male to female ratio was 1.6:1. Mean age was $11.5{\pm}4.9$ years (0-19 years). Primary renal diseases diagnosed were as follows: primary glomerular disease (34%), chronic pyelonephritis-reflux nephropathy (14.6%), systemic disease (9.7%), renal hypoplasia/dysplasia (8.7%), heredofamilial disease (6.8%), vascular disease (3.9%), drug-induced nephropathy (1.0%), and unknown (12.6%). PD modalities were as follows: CAPD (42.7%), CCPD (27.2%), NIPD (11.7%), and Hybrid (18.4%). Weekly total Kt/V was $2.1{\pm}0.7$ (0.3-4.1). Results of peritoneal equilibrium test were as follows: low 36.8%, low average 31.6%, high average 19.7%, and high 11.8%. Z-score for weight was $-1.00{\pm}1.20$ (-4.54~+2.50). Z-score for height was $-1.55{\pm}1.65$ (-9.42~+1.87). Growth hormone was administered in 24.3% of patients. Anti-hypertensive drugs were administered in 64.0% of patients. Laboratory findings were as follows: hemoglobin $10.5{\pm}1.4$ g/dL, calcium $9.7{\pm}0.7$ mg/dL, phosphorus $5.4{\pm}1.4$ mg/dL, and parathyroid hormone $324.2{\pm}342.8$ pg/mL. Conclusion : Primary glomerular disease was the most common cause of ESRD. CAPD was the most prevalent PD modality. Low and low average peritoneal transport type were common. Growth disturbance were noted in many patients. Some patients had hypertension even with anti- hypertensive drugs. Calcium-phosphorus levels were maintained adequately, but many patients had secondary hyperparathyroidism.

A Study on the Nutritional Status in Hospitalized Patients with Pulmonary Tuberculosis (폐결핵 환자의 입원기간동안 영양상태 변화 연구)

  • You, Hyun-Jai;Kim, Yang-Ha
    • Journal of Nutrition and Health
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    • v.42 no.7
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    • pp.615-621
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    • 2009
  • This study was conducted to evaluate the change of nutritional status and to analyze related factors in hospitalized tuberculosis (TB) patients during their hospitalization. The subjects were 398 men patients (mean age: 47.3 ${\pm}$ 14.4 y) who had hospitalized more than 3 months at TB hospital located in Seoul. The anthropometric and blood biochemical indices were measured, and dietary intakes were assessed. At the time of admission the body weight of subjects was about 76% of the average body weight of Korean men with same age, Body mass index (BMI) of subjects was 18.5 kg/$m^2$, and 53.8% of subjects were under weight status. Average level of blood hemoglobin and hematocrit of subjects was lower than the normal value. After 3 months of hospitalization period, the body weight and body mass index were significantly increased compared to admission by 3.9 kg (7.41%) and 1.4 kg/$m^2$ (7.61%)(p < 0.001), respectively. Blood levels of hemoglobin, hematocrit, albumin, and total protein were also significantly increased after 3 months of hospitalization period compared to admission (p < 0.001). The increment in the body weight and blood indices was significantly higher in below 29 years group than over 60 years group (p < 0.05). The increment in the body weight and body mass index was significantly higher in the under-body weight group compared to the normal-body weight group (p < 0.05). In conclusion the body weight and body mass index of subjects were significantly increased after 3 months of hospitalization period, and the age and body weight of subjects at admission were supposed to influence the degree of change in the nutritional status.

Image Quality Assessment Model of Natural Scene Based on Normal Distribution Analysis (일반 장면의 정규분포 분석을 기반으로 한 화질 측정 모형)

  • Park, Hyung-Ju;Har, Dong-Hwan
    • Science of Emotion and Sensibility
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    • v.16 no.3
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    • pp.373-386
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    • 2013
  • In this research, we specify the image consumers' preferred image quality ranges based on objective image quality evaluation factors and follow a method which measures preference of the natural image scenes. In other words, according to No-Reference, we select dynamic range, color, and contrast as factors of image quality measurements. For collecting sample images, we choose the preferred 200 landscapes which have over 30 recommendations by image consumers on the internet photo gallery. According to the scores of three objective factors of image quality measurements, the final expected score which means the image quality preference is measured and its total score is 100 points. In the main test, the actual image sample shows dynamic range 10 stop, LAB mean value L:54.7, A:2.96, B:-15.84, and RSC contrast 376.9. Total 200 image samples' normal distribution z value represents in dynamic range 0.21, LAB mean value L:0.15, A:0.38, B:0.13, and RSC contrast 0.08. In the standard normal distribution table, we can convert the z value as a percentage; dynamic range is 8.32%, LAB mean value is L:5.96%, A:14.8%, B:5.17%, and RSC contrast is 3.19%. And then, we convert the percentage values into the scores of 100; dynamic range is 91.68, LAB mean value is 91.36, and RSC contrast is 96.81. Therefore, we can conclude that the sample image's total mean score is 94.99 based on three objective image quality factors. Throughout our proposed image quality assessment model, we can measure the preference value of natural scenes. Also, we can specify the preferred image quality representation ranges and measure the expected image quality preference.

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Development of Line Density Index for the Quantification of Oceanic Thermal Fronts (해양의 수온전선 정량화를 위한 선밀도 지수 개발)

  • Cho, Hyun-Woo;Kim, Kye-Hyun
    • Journal of the Korean Association of Geographic Information Studies
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    • v.9 no.2
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    • pp.227-238
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    • 2006
  • Line density index(LDI) was developed to quantify a densely isothermal line rate as standard index in the ocean environment. Theoretical background on the LDI development process restricting index range 0 to 100 was described. And validation test was done for the LDI application condition that total line length is not greater than 1/10 of unit area. NOAA SST(Sea Surface Temperature) data were used for the experimental application of LDI in the South Sea of Korea. Using GIS, $0.1^{\circ}C$ isothermal lines were linearized as vector data form SST raster data, and unit area were built as polygon data. For the LDI calculation, spatial overlapping(line in polygon) was implemented. To analyze the effect of unit area size for the LDI distribution, two cases of unit area size were designed and descriptive statistics was calculated including performing normality test. The results showed no change of LDI's essential characteristics such as mean and normality except for the range of value, variance and standard deviation. Accordingly, it was found that complex structure of thermal front and even smaller scale of front width than unit area size could influence on the LDI distribution. Also, correlation analysis performed between LDI and difference of temperature(${\Delta}T^{\circ}C$), and horizontal thermal gradient(${\Delta}T^{\circ}C/km$) on the front was obtained from linear regression model. This obtained value was compared with the results from previous researches. Newly developed LDI can be used to compare the thermal front regions changing spatio-temporally in the ocean environment using absolute index value. It is considered to be significant to analyze the relationship between thermal front and marine environment or front and marine organisms in a quantitative approach described in this study.

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The Spatial Inequalities in Education, Seoul (교육의 공간 불평등 연구)

  • Jung, Jae-Hun;Kim, Kyung-Min
    • Journal of the Economic Geographical Society of Korea
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    • v.17 no.2
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    • pp.385-401
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    • 2014
  • This research analyses spatial and temporal characteristics of the academic performances of high school students by using all 2,065,166 SAT scores for 3 years. The spatial inequalities in Seoul are analysed by DBMS and GIS. Based on three-year raw data of Korean SAT scores, the spatial and temporal characteristics of academic performances are scrutinized: 868,029 SAT scores cases of 2000 academic year on Novemver 17, 1999, 609,258 cases in 2005 academic year on November 17, 2004 and 587,890 cases in 2009 on November 13. The result shows that there are significant spatial disparities of the level of academic performance in Seoul by Gu level, also indicating that the disparities are getting wider over the course of time. The widening disparities by Gu level means that educational spatial inequality is intensified in spite of the increasing overall trend of academic performance of Seoul. It is also notable that disparities between regions are distinctive, while those in regions are not significant and sustained constant as time flows.

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A Study on Estimation of Traffic Flow Using Image-based Vehicle Identification Technology (영상기반 차량인식 기법을 이용한 교통류 추정에 관한 연구)

  • Kim, Minjeong;Jeong, Daehan;Kim, Hoe Kyoung
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.18 no.6
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    • pp.110-123
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    • 2019
  • Traffic data is the most basic element necessary for transportation planning and traffic system operation. Recently, a method of estimating traffic flow characteristics using distance to a leading vehicle measured by an ADAS camera has been attempted. This study investigated the feasibility of the ADAS vehicle reflecting the distance error of image-based vehicle identification technology as a means to estimate the traffic flow through the normalized root mean square error (NRMSE) based on the number of lanes, traffic demand, penetration rate of probe vehicle, and time-space estimation area by employing the microscopic simulation model, VISSIM. As a result, the estimate of low density traffic flow (i.e., LOS A, LOS B) is unreliable due to the limitation of the maximum identification distance of ADAS camera. Although the reliability of the estimates can be improved if multiple lanes, high traffic demands, and high penetration rates are implemented, artificially raising the penetration rates is unrealistic. Their reliability can be improved by extending the time dimension of the estimation area as well, but the most influential one is the driving behavior of the ADAS vehicle. In conclusion, although it is not possible to accurately estimate the traffic flow with the ADAS camera, its applicability will be expanded by improving its performance and functions.