• Journal of Trauma and Injury
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• 제21권2호
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• pp.71-77
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• 2008

Purpose: The Glasgow Coma Scale (GCS), though it is widely used for triage, has been criticized as being unnecessarily complex. Recently, a 3-point Simplified Motor Score (SMS, defined as obeys commands=2; localizes pain=1; withdrawals to pain or worse=0) was developed from the motor component of the GCS and was found to have a similar test performance for triage after traumatic brain injury when compared with the GCS as the criterion standard. The purpose of this study was to validate the SMS. Methods: We analyzed the patients who visited Kyungpook National University Hospital emergency center after traumatic brain injury from 2006 January to 2006 June. The test performance of the GCS, its motor component, and SMS relative to three clinically relevant traumatic brain injury outcomes (abnormal brain CT scans, Abbreviated Injury Scale $(AIS){\geq}4$, and mortality) were evaluated with areas under the receiver operating characteristic curves (AUCs). Results: Of 504 patients included in the analysis, 25.6% had an abnormal brain CT scans, 13.1% had $AIS{\geq}4$, and 5.0% died. The AUCs for the GCS, its motor component, and SMS with respect to the abnormal CT scans were 0.776, 0.715, and 0.716, and respectively, those for $AIS{\geq}4$ and mortality, were 0.969, 0.973, and 0.968, and 0.931, 0.909, and 0.909, respectively. Conclusion: The 3-point SMS demonstrated similar test performance when compared with the 15-point GCS score and its motor component for triage after traumatic brain injury in our populations.

• Korean Journal of Radiology
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• 제23권8호
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• pp.811-820
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• 2022

Objective: To develop a model incorporating radiomic features and clinical factors to accurately predict acute ischemic stroke (AIS) outcomes. Materials and Methods: Data from 522 AIS patients (382 male [73.2%]; mean age ± standard deviation, 58.9 ± 11.5 years) were randomly divided into the training (n = 311) and validation cohorts (n = 211). According to the modified Rankin Scale (mRS) at 6 months after hospital discharge, prognosis was dichotomized into good (mRS ≤ 2) and poor (mRS > 2); 1310 radiomics features were extracted from diffusion-weighted imaging and apparent diffusion coefficient maps. The minimum redundancy maximum relevance algorithm and the least absolute shrinkage and selection operator logistic regression method were implemented to select the features and establish a radiomics model. Univariable and multivariable logistic regression analyses were performed to identify the clinical factors and construct a clinical model. Ultimately, a multivariable logistic regression analysis incorporating independent clinical factors and radiomics score was implemented to establish the final combined prediction model using a backward step-down selection procedure, and a clinical-radiomics nomogram was developed. The models were evaluated using calibration, receiver operating characteristic (ROC), and decision curve analyses. Results: Age, sex, stroke history, diabetes, baseline mRS, baseline National Institutes of Health Stroke Scale score, and radiomics score were independent predictors of AIS outcomes. The area under the ROC curve of the clinical-radiomics model was 0.868 (95% confidence interval, 0.825-0.910) in the training cohort and 0.890 (0.844-0.936) in the validation cohort, which was significantly larger than that of the clinical or radiomics models. The clinical radiomics nomogram was well calibrated (p > 0.05). The decision curve analysis indicated its clinical usefulness. Conclusion: The clinical-radiomics model outperformed individual clinical or radiomics models and achieved satisfactory performance in predicting AIS outcomes.

• 한국항해항만학회지
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• 제33권9호
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• pp.609-614
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• 2009

The traffic of tug/barges which are carrying construction materials, large plants for harbor development, or offshore structures has recently increased in the coast of Korea. The west and south coast of Korea are always congested due to a lot of islands and traffic concentration. Specially tug/barges have higher probability of marine accidents due to their bad maneuverability than others. Considering the operational circumstance and maneuverability, this study was to develop a wide-area monitoring and control system for tug/barges in the coastal area of Korea. The system was made in the form of three program modules i.e. navigation analysis program module, monitoring and control program module, database module. And seven functions were programmed to monitor and control the tug/barges efficiently. These are ship information search, tug/barge information and track management, designated area and safe navigation zone management, fairway management, accident data management, warning of danger, safety information management.

• Korean Journal of Radiology
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• 제23권1호
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• pp.112-123
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• 2022

Objective: To investigate the relationship between ¹⁸F-FDG PET/CT semi-quantitative parameters and the International Association for the Study of Lung Cancer, American Thoracic Society/European Respiratory Society (IASLC/ATS/ERS) histopathologic classification, including histological subtypes, proliferation activity, and somatic mutations. Materials and Methods: This retrospective study included 419 patients (150 males, 269 females; median age, 59.0 years; age range, 23.0-84.0 years) who had undergone surgical removal of stage IA-IIIA lung adenocarcinoma and had preoperative PET/CT data of lung tumors. The maximum standardized uptake values (SUVmax), background-subtracted volume (BSV), and background-subtracted lesion activity (BSL) derived from PET/CT were measured. The IASLC/ATS/ERS subtypes, Ki67 score, and epidermal growth factor/anaplastic lymphoma kinase (EGFR/ALK) mutation status were evaluated. The PET/CT semi-quantitative parameters were compared between the tumor subtypes using the Mann-Whitney U test or the Kruskal-Wallis test. The optimum cutoff values of the PET/CT semi-quantitative parameters for distinguishing the IASLC/ATS/ERS subtypes were calculated using receiver operating characteristic curve analysis. The correlation between the PET/CT semi-quantitative parameters and pathological parameters was analyzed using Spearman's correlation. Statistical significance was set at p < 0.05. Results: SUVmax, BSV, and BSL values were significantly higher in invasive adenocarcinoma (IA) than in minimally IA (MIA), and the values were higher in MIA than in adenocarcinoma in situ (AIS) (all p < 0.05). Remarkably, an SUVmax of 0.90 and a BSL of 3.62 were shown to be the optimal cutoff values for differentiating MIA from AIS, manifesting as pure ground-glass nodules with 100% sensitivity and specificity. Metabolic-volumetric parameters (BSV and BSL) were better potential independent factors than metabolic parameters (SUVmax) in differentiating growth patterns. SUVmax and BSL, rather than BSV, were strongly or moderately correlated with Ki67 in most subtypes, except for the micropapillary and solid predominant groups. PET/CT parameters were not correlated with EGFR/ALK mutation status. Conclusion: As noninvasive surrogates, preoperative PET/CT semi-quantitative parameters could imply IASLC/ATS/ERS subtypes and Ki67 index and thus may contribute to improved management of precise surgery and postoperative adjuvant therapy.

• Asian Pacific Journal of Cancer Prevention
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• 제16권5호
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• pp.1925-1928
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• 2015

Background: To investigate whether CT findings can predict the invasiveness of persistent cancerous pure ground glass opacity (pGGO) by correlating the CT imaging features of persistent pGGO with pathological changes. Materials and Methods: Ninety five patients with persistent pGGOs were included. Three radiologists evaluated the morphologic features of these pGGOs at high resolution CT (HRCT). Binary logistic regression was used to assess the association between CT findings and histopathological classification (pre-invasive and invasive groups). Receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic performance of diameters. Results: A total of 105 pGGOs were identified. Between pre-invasive (atypical adenomatous hyperplasia, AAH, and adenocarcinoma in situ, AIS) and invasive group (minimally invasive adenocarcinoma, MIA and invasive lung adenocarcinomas, ILA), there were significant differences in diameter, spiculation and vessel dilatation (p<0.05). No difference was found in air-bronchogram, bubble-lucency, lobulated-margin, pleural indentation or vascular convergence (p>0.05). The optimal threshold value of the diameters to predict the invasiveness of pGGO was 12.50mm. Conclusions: HRCT features can predict the invasiveness of persistent pGGO. The pGGO with a diameter more than 12.50mm, presences of spiculation and vessel dilatation are important factors to differentiate invasive adenocarcinoma from pre-invasive cancerous lesions.

• 수산해양기술연구
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• 제45권3호
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• pp.165-176
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• 2009

The process of berthing/deberthing operations for entering/leaving vessels in Busan northern harbor was analyzed and evaluated by using an integrated VTS(vessel traffic service) system installed in the ship training center of Pukyong National University, Busan, Korea. The integrated VTS system used in this study was consisted of ARPA radar, ECDIS(electronic chart display and information system), backup(recording) system, CCTV(closed-circuit television) camera system, gyro-compass, differential GPS receiver, anemometer, AIS(automatic identification system), VHF(very high frequency) communication system, etc. The network of these systems was designed to communicate with each other automatically and to exchange the critical information about the course, speed, position and intended routes of other traffic vessels in the navigational channel and Busan northern harbor. To evaluate quantitatively the overall dynamic situation such as maneuvering motions for target vessel and its tugboats while in transit to and from the berth structure inside a harbor, all traffic information in Busan northern harbor was automatically acquired, displayed, evaluated and recorded. The results obtained in this study suggest that the real-time tracking information of traffic vessels acquired by using an integrated VTS system can be used as a useful reference data in evaluating and analyzing exactly the dynamic situation such as the collision between ship and berth structure, in the process of berthing/deberthing operations for entering/leaving vessels in the confined waters and harbor.

• 해양환경안전학회지
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• 제20권3호
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• pp.277-284
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• 2014

This paper describes the application method of bumper area defined in the ship domain theory and it is to identify risky sectors in VTS(Vessel Traffic Services) area. The final goal of this work is to develop early warning system providing the location information with high traffic risks in Mokpo VTS area and to prevent the human errors of VTS Officer(VTSO). The current goal of this paper is to find evaluation and detection method of risky sectors. The ratio between overlapped bumper area of each vessels and the summing area of a designated sector, Ratio to Evaluate Risk(RER) ${\gamma}$ is used as one of evaluation and detection parameter. The usability of overlapped bumper area is testified through three kinds of scenarios for various traffic situations. The marine traffic data used in the experiments is collected by AIS(Automatic Identification System) receiver and then compiled in the SQL(Structured Query Language) Server. Through the analysis of passing vessel's tracks within the boundary of Mokpo VTS area, the total of 11 sectors are identified as evaluation unit sector. As experiment results from risk evaluation for the 11 sectors, it is clearly known that the proposed method with RER ${\gamma}$ can provide the location information of high risky sectors which are need to keep traffic tracks of vessel movements and to maintain traffic monitoring by VTSO.

• 한국항해항만학회지
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• 제42권4호
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• pp.245-252
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• 2018

국내 연안의 소형어선에서 선외추락 등의 사고 시 대처 방법은 VHF-DSC 무선설비의 경보신호 버튼 조작에 의한 조난 경보 송신과 선박패스 장치(V-Pass)의 경보버튼 작동 또는 비콘 분리에 의한 경보신호 송신 방법이 병행 운용되고 있다. 그러나, 1~2인 승무 소형어선에서 선외추락 시 승조원이 이들 설비를 직접 조작하여 경보신호를 송신할 방법이 없으나, 외국에서는 VHF-DSC 및 AIS, Bluetooth 등의 기술을 사용한 선외추락 경보장치(MOB)를 이용하여 경보신호를 모선과 타선에 직접 송신하여 대처하고 있다. 외국에서 운용 중인 MOB 장치의 성능 및 기술 분석을 위해 근 장거리 전파환경을 측정한 결과, MOB 장치가 수면 표면에 있을 경우 최대 1해리 이내에서 경보 신호의 수신이 가능함을 확인하였다. 국내 여건에 맞는 MOB 장치는 VHF 통신거리 내의 무선국으로 경보신호를 보내야 하나, 허위의 경보신호를 줄이기 위해서는 선박에 탑재된 VHF-DSC 무선설비와 원격으로 연동되어 운용하는 형태가 가장 적합한 것으로 판단된다. MOB 장치와 VHF-DSC 장치를 연결하기 위한 여러 가지 기술을 검토한 결과, 장치의 소형화 등의 장점이 있는 Bluetooth 방식이 적합하다. MOB 장치에서 비상신호 송신 시, 전용 수신기에서 수신하여 VHF-DSC 무선설비의 외부입력단자를 통해 비상신호를 인지시켜 자체 경보 알람 발생으로 모선에서 인지할 수 있으며, 모선에서 대처하지 못한다면 VHF-DSC 무선설비에 의한 조난경보 신호를 모든 무선국으로 송신하는 방식을 이용하면 국내 연안의 소형어선 등에서 선외추락으로 인한 비상상황에 대처할 수 있을 것으로 판단된다.