• Title/Summary/Keyword: 표준평균범위

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The ages and stages questionnaire: screening for developmental delay in the setting of a pediatric outpatient clinic (ASQ :소아과외래에서의 발달지연 선별검사)

  • Kim, Eun Young;Sung, In Kyung
    • Clinical and Experimental Pediatrics
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    • v.50 no.11
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    • pp.1061-1066
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    • 2007
  • Purpose : Early identification of developmental disabilities allows intervention at the earliest possible point to improve the developmental potential. The Ages and Stages Questionnaire (ASQ), a parent- completed questionnaire, can be used as a substitute for formal screening tests. The purpose of this study was to evaluate the validity of the Korean version of the ASQ (K-ASQ) as a screening tool for detecting developmental delay of young Korean children in the setting of a busy pediatric outpatient clinic. Methods : Parents completed the K-ASQ in the waiting room of the pediatric outpatient clinic of St. Mary's Hospital, Catholic University Medical College. Out of 150 completed the ASQ, 67 who were born term and had no previous diagnosis of developmental delay, congenital anomalies, or neurological abnormalities were enrolled. The cut-off values of less than 2 standard deviations (SD) below the mean for the ASQ were used to define a "fail", and children who failed in one or more domains tested were classified as "screen-positive". Diagnosis of developmental delay was made when the developmental indices fell below -1 SD of the Bayley Scales of Infant Development-II. Results : (1) The mean age of children was $16.4{\pm}7.4$ months. Ten children (14.9%) were small-for- gestational age infants. The mean birth weight and gestational age were $3.1{\pm}0.6kg$ and $38.8{\pm}1.4$ weeks. Nine children (13.4%) were twins and 33 (49.0%) were male. The mean maternal education in years was $13.6{\pm}2.4$, and 31.3% had full-time jobs. The time for completing the ASQ was $10.2{\pm}3.0$ minutes. (2) Seventeen children (25.4%) were classified as screen-positive, four of them were delayed in development. Among eight children diagnosed with developmental delay, four were screen-positive and the other four were screen-negative by the ASQ. (3) The test characteristics of the ASQ were as follows: sensitivity (50.0%); specificity (78.0%); positive predictive value (23.5%); negative predictive value (92.0%). Conclusion : The high negative predictive value of the K-ASQ supports its use as a screening tool for developmental delay in the setting of a pediatric outpatient clinic.

Reproducibility of Gated Myocardial Perfusion SPECT for the Assessment of Myocardial Function: Comparison with Thallium-201 and Technetium-99m-MIBI (심근 기능 측정에 사용된 게이트 심근 관류 SPECT 방법의 재현성 평가: $^{201}Tl$$^{99m}Tc$-MIBI 게이트 SPECT의 비교)

  • Hyun, In-Young;Seo, Jeong-Kee;Hong, Eui-Soo;Kim, Dae-Hyuk;Kim, Sung-Eun;Kwan, Jun;Park, Keum-Soo;Choe, Won-Sick;Lee, Woo-Hyung
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.5
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    • pp.381-392
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    • 2000
  • Purpose: We compared the reproducibility of $^{201}Tl\;and\;^{99m}Tc$-sestamibi (MIBI) gated SPECT measurement of myocardial function using the Germano algorithm Materials and Methods: Gated SPECT acquisition was repeated in the same position in 30 patients who received $^{201}Tl$ and in 26 who received $^{99m}Tc$-MIBI. The quantification of end-diastolic volume (EDV), end-systolic volume (ESV), and ejection fraction (EF) on $^{201}Tl\;and\;^{99m}Tc$-MIBI gated SPECT was processed independently using Cedars quantitative gated SPECT software. The reproducibility of the assessment of myocardial function on $^{201}Tl$ gated SPECT was compared with that of $^{99m}Tc$-MIBI gated SPECT Results: Correlation between the two measurements for volumes and EF was excellent by the repeated gated SPECT studies of $^{201}Tl$ (r=0.928 to 0.986; p<0.05) and $^{99m}Tc$-MIBI (r=0.979 to 0.997; p<0.05). However, Bland Altman analysis revealed the 95% limits of agreement (2 SD) for volumes and EF were tighter by repeated $^{99m}Tc$-MIBI gated SPECT (EDV: 14.1 ml, ESV: 9.4 ml and EF: 5.5%) than by repeated $^{201}Tl$ gated SPECT (EDV: 24.1 ml, ESV: 18.6 ml and EF: 10.3%). The root mean square (RMS) values of the coefficient of variation (CV) for volumes und EFs were smaller by repeated $^{99m}Tc$-MIBI gated SPECT (EDV: 2.1 ml, ESV 2.7 ml and EF: 2.3%) than by repeated $^{201}Tl$ gated SPECT (EDV: 3.2 ml, ESV: 3.5 ml and EF: 5.2%). Conclusion: $^{99m}Tc$-MIBI provides more reproducible volumes and EF than $^{201}Tl$ on repeated acquisition gated SPECT. $^{99m}Tc$-MIBI gated SPECT is the preferable method for the clinical monitoring of myocardial function.

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Study on Direct Tensile Properties and Reliability Review of Steel Fiber Reinforced UHPC (강섬유 보강 UHPC의 직접인장 특성 및 신뢰성 검토에 관한 연구)

  • Park, Ji Woong;Lee, Gun Cheol;Koh, Kyung Taek;Ryu, Gum Sung
    • Journal of the Korea Institute of Building Construction
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    • v.18 no.2
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    • pp.125-132
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    • 2018
  • In this study, a direct tensile test was planned to identify the tensile performance of UHPC, and the irregularity of cracks, which is a problem of the direct tensile test, was complemented through the introduction of notches at the center of a specimen. In this regard, a number of specimens divided by batch to reduce the deviation of direct tensile test values were fabricated to present reference data with respect to highly reliable direct tensile strength values. In addition, the mechanical properties and reliability of the specimens were examined under the curing conditions of the specified design strength of 120MPa for the steel fiber reinforced concrete with 1.5% fiber volume fraction, which is most suitable for the field application. As a result, the deviation of averages by batch between compressive strength and direct tensile strength did not show a large difference, and all cracks occurred within 20mm in the direct tensile test. At the 95% confidence interval of the direct tensile strength, the range was considerably small in the mean and the standard deviation, and there was no significant difference depending on the curing conditions. The results confirmed that a stable direct tensile test was performed, and highly reliable results were obtained through the fabrication of specimens by batch and test progress.

Quality Control of Radiation Counting Systems and Measurement of Minimum Delectable Activity (방사선 계측기의 품질관리 및 최소검출방사능 측정)

  • 송병철;한성심;김영복;지광용;손세철
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2004.06a
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    • pp.419-424
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    • 2004
  • Various radiation counters have been using to determine radioactivity of radwastes for disposal. A radiation counting system was set up using a radiation detector chosen in this study and its stability was investigated through the periodic determination of background and counting efficiencies in accordance with a quality control program to increase the confidence level. The average background level for the $\gamma$-spectrometer was 1.59 cps and the average counting level for the standard sample was 45248 Ops within $2{\sigma}$ confidence levels. The average alpha background level for the low background ${\alpha}{\beta}$ counting system was 0.31 cpm and the efficiency for alpha counting was 34.38%. The average beta background level for the ${\alpha}{\beta}$ counting system was 1,30 cpm and the efficiency for beta counting was 46.5%, The background level in the region of 3H and 14C for the liquid scintillation counting system was 2.52 and 3.31 cpm and the efficiency for alpha counting was 58.5 and 95.6%, respectively. The minimum detectable activity for the$\gamma$-spectrometer was found to be 3.2 Bq/$m\ell$ and 3.8 Bq/$m\ell$ for the liquid scintillation counter, and 20.5 and 23.0 Bq/$m\ell$, respectively for the $\alpha$ and $\beta$ counting system.

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Precision Validation of Electromagnetic Physics in Geant4 Simulation for Proton Therapy (양성자 치료 전산모사를 위한 Geant4 전자기 물리 모델 정확성 검증)

  • Park, So-Hyun;Rah, Jeong-Eun;Shin, Jung-Wook;Park, Sung-Yong;Yoon, Sei-Chul;Jung, Won-Gyun;Suh, Tae-Suk
    • Progress in Medical Physics
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    • v.20 no.4
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    • pp.225-234
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    • 2009
  • Geant4 (GEometry ANd Tracking) provides various packages specialized in modeling electromagnetic interactions. The validation of Geant4 physics models is a significant issue for the applications of Geant4 based simulation in medical physics. The purpose of this study is to evaluate accuracy of Geant4 electromagnetic physics for proton therapy. The validation was performed both the Continuous slowing down approximation (CSDA) range and the stopping power. In each test, the reliability of the electromagnetic models in a selected group of materials was evaluated such as water, bone, adipose tissue and various atomic elements. Results of Geant4 simulation were compared with the National Institute of Standards and Technology (NIST) reference data. As results of comparison about water, bone and adipose tissue, average percent difference of CSDA range were presented 1.0%, 1.4% and 1.4%, respectively. Average percent difference of stopping power were presented 0.7%, 1.0% and 1.3%, respectively. The data were analyzed through the kolmogorov-smirnov Goodness-of-Fit statistical analysis test. All the results from electromagnetic models showed a good agreement with the reference data, where all the corresponding p-values are higher than the confidence level $\alpha=0.05$ set.

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Level of physical activity and influencing factors of the first and second year nursing students (간호대학 저학년생의 신체활동정도와 영향요인)

  • Lee, Mi-Suk;Gu, Mee-Ock
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.53-67
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    • 2017
  • This study was conducted to investigate the level of physical activity and identify factors influencing physical activity of first and second year nursing students. The participants were 234 female first and second year nursing students at one nursing college located in U city. Data were collected from September 5 to 15 in 2016 and analyzed by descriptive statistics, t-test, ANOVA, $Scheff{\breve{e}}$ test, Pearson's correlation coefficient, and stepwise multiple regression using SPSS/WIN 22.0. The average level of physical activity measured by the Korean version of the Godin-Shephard Liesure-Time Exercise Questionnaire was 9.09(range 0-80). According to the physical activity group classified by leisure score index, there were 25 students(10.7%) in the active group, 31 students (13.2%) in the moderately active group, and 178 students(76.1%) in the insufficiently active group. Factors influencing the level of physical activity were intention to participate in physical activity and habit to physical activity, which together explained 21.2% of the total variance in physical activity. Therefore, this study suggests that it is necessary to develop and apply a physical activity program enhancing intention and habit to physical activity for first and second year nursing students.

A Study of $^{222}Rn\;and\;^{226}Ra$ Analysis in the Groundwater by LSC (액체섬광계수기에 의한 지하수중의 $^{222}Rn$$^{226}Ra$ 분석법 연구)

  • Woo, Hyung-Joo;Yoon, Yoon-Yeol;Cho, Soo-Young;Chun, Sang-Ki
    • Journal of Radiation Protection and Research
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    • v.20 no.4
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    • pp.275-283
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    • 1995
  • PERALS(Photon Electron Rejecting Alpha Liquid Scintillation) spectrometry coupled with solvent extraction method has been set up for the analysis of $^{222}Rn\;and\;^{226}Ra$ in the groundwater. This analytical method offers low background, better energy resolution and lower quenching problem than the other techniques. By the analysis of NIST SRM 4966 $^{226}Ra$ standard, the analytical accuracy and precision were found to be 3% and 1%, respectively, and the relative standard deviation of the recovery of Rn extraction between pH2 and pH10 was 7%. Detection limits of $^{222}Rn$ and $^{226}Ra$ for 10 hours counting were counted to be $0.42 pCi/{\iota}\;and\;0.016 pCi/{\iota}$, respectively. For the test analysis of $^{222}Rn\;and\;^{226}Ra$ in the graundwater, hot spring water samples of 17 regions were analyzed. The concentration of $^{222}Rn$ were in the range of $90{\sim}5200pCi/{\iota}$ and average value was $1470pCi/{\iota}\;^{226}Ra$ concentration showed a peak value of $97.9pCi/{\iota}$ in a Kangwon region, but the average value was $1.14pCi/{\iota}$ except that region.

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Development of Site Index Equations and Assessment of Productive Areas Based on Environmental Factors for Major Coniferous Tree Species (환경요인에 의한 주요 침엽수종의 지위지수 추정식 개발과 적지 평가)

  • Lee, Yong Seok;Sung, Joo Han;Chun, Jung Hwa;Shin, Man Yong
    • Journal of Korean Society of Forest Science
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    • v.101 no.3
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    • pp.395-404
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    • 2012
  • This study was conducted to develop site index equations and to estimate productive areas for major coniferous species in Korea such as Pinus densiflora Sieb. et. Zucc, Pinus densiflora for. erect, Larix leptolepis and Pinus koraiensis using environmental factors. Using the large data set from both a digital forest site map and a climatic map, a total of 43 environmental factors including 15 climatic variables were regressed on site index by tree species to develop site index equations. Six environmental factors by species were selected as independent variables in the final site index equations. The result showed that the coefficients of determination for site index equations by species were ranged from 0.36 to 0.56, which seem to be relatively low but good enough for the estimation of forest stand productivity. The site index equations developed in this study were also verified by three evaluation statistics such as the estimation bias of model, precision of model, and mean square error of measurement. According to the evaluation statistics, it was found that the site index equations by species fitted well to the test data sets with relatively low bias and variation. As a result, it was concluded that the site index equations by species were well capable of estimating site quality. Based on the site index equations, the productive areas by species for all forest areas were estimated by applying GIS technique to the digital forest site map and climate map. In addition, the distribution of productive areas by species was illustrated by using GIS technique.

Valuing Non-market Benefits of Water Quality Improvements in Paldang Reservoir and Han River : A Choice Experiments Study (팔당호 및 한강 수질개선의 비시장가치 측정 - 속성가치선택법을 이용하여 -)

  • Kim, Yong-Joo;Yoo, Young Seong
    • Environmental and Resource Economics Review
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    • v.14 no.2
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    • pp.337-379
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    • 2005
  • This choice experiments study values the non-market benefits of water quality improvements in Paldang Reservoir and Han River, located in Korea. A fractional factorial orthogonal design was used to produce four different choice sets per respondent, before employing choice examples to screen out irrational responses. The panel mixed logit model (with normal distributions for the attributes) fit the data best, indicating that allowing for both heterogeneous preferences across households and correlation between repeated choices may represent actual choice behaviors best of all the estimated models. The significant standard deviations of the random attributes suggest that the taste for each attribute may vary considerably in the population. The annual benefits to the Seoul Metropolitan area for a small (large) enhancement of the clarity of water, a gradual removal of unpleasant waters, and a gradual improvement in biodiversity, were estimated to be some 1.5 trillion (1.7 trillion) Won, 2 trillion Won, and 1.7 trillion Won, respectively, with 1.8~2.6 trillion Won for at least two of them occurring together. The study also discusses potential biases germane to choice experiments studies of this type.

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Migration Measurement of Volatile Organic Compounds (VOCs) from Polystyrene-made Food Containers into Distilled Water (폴리스티렌 식품용기로부터 증류수로 용출되는 휘발성유기화합물의 분석)

  • Kim, Nam-Hoon;Kim, Ae-Kyeong;Cho, Tae-Hee;Park, Kyung-Ai;Kwak, Jae-Eun;Kim, Ji-Young;Kim, Il-Young;Chae, Young-Joo;Kim, Min-Young
    • Journal of Food Hygiene and Safety
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    • v.25 no.3
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    • pp.203-208
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    • 2010
  • In this study, the level of migration of 5 kinds of volatile organic compounds (VOCs) (toluene, styrene, ethylbenzene, isopropylbenzene and n-propylbenzene) into distilled water from polystyrene-made food containers was measured using Purge&Trap combined with GC/FID. The contents of the VOCs which have regulatory limits in Korea food code only for material specification were determined under three exposure conditions which were 30 min at $60^{\circ}C$, 30 min at $95^{\circ}C$ and actual situation of instant noodle intake. The calibration curve of 5 compounds showed good linearity ($^r2$ = 0.9976~0.9995) within the concentration range of 1~50 ng/mL. The limit of detection (LOD) and limit of quantification (LOQ) were validated at range of 0.041~0.092 and 0.135~0.304 ng/mL, respectively. The average migration contents of 5 compounds were below 5 ng/mL except for styrene. The average contents of styrene were highly detected at $95^{\circ}C$ for 30 min exposure (52.71 ng/mL). Under actual condition at instant noodle intake, the average contents of styrene was 17.23 ng/mL. The results demonstrated that the migration rate of VOCs was related to storage temperature and time.