• Title/Summary/Keyword: Change rate of index

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Surgical Treatments and Clinical Outcomes for Idiopathic Osteoarthritis of the Tarsometatarsal Joints (족근 중족 관절의 특발성 골관절염에 대한 수술적 치료 및 임상적 결과에 대한 분석)

  • Jung, Hong-Geun;Byun, Woo-Sup;Myerson, Mark S.;Schon, Lew C.
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.1
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    • pp.31-38
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    • 2004
  • Purpose: The purpose of the study was to identify the subtypes of idiopathic osteoarthritis of the tarsometatarsal joints based on accompanying hindfoot, midfoot, or foot deformities and their corresponding surgical options and also to evaluate the overall clinical results. Materials and Methods: The study included 59 patients (67 feet) with idiopathic tarsometatarsal joint osteoarthritis. Tarsometatarsal fusion was performed for tarsometatarsal joint and accompanied secondary change was divided into subtypes and various bony reconstruction was carried out. The patients were evaluated with the AOFAS midfoot score and FFI. The average patient age was 60.2 years with 40.6 months follow-up. Fifty-four feet (80.6%) had been treated with realignment fusion. Twenty-six feet had first and second tarsometatarsal joint fusion, and 20 feet had first tarsometatarsal fusion only. Six subtypes were identified based on associated foot deformities: 1) in-situ without deformities (18%), 2) pes planovalgus (45%), 3) rockerbottom (15%), 4) cavus foot (1%), 5) hallux valgus (12%), and 6) hallux valgus with pes planovalgus or rockerbottom (9%). Plantar-medial closing-wedge resection was used in 10 feet to correct rockerbottom. For pes planovalgus, a medial sliding calcaneal osteotomy was done. Lateral column lengthening with medial sliding calcaneal osteotomy was done for severe pes planovalgus, and triple arthrodesis was done for rigid pes planovalgus. Hallux valgus was corrected with the Lapidus procedure (85.7%). Results: AOFAS midfoot scores improved from preoperative 34.1 points to postoperative 83.9 points (p<0.05). The Foot Function Index postoperatively also showed significant improvement (p<0.05), with a high satisfaction rate (86.6%). There were 29 complications, most commonly sesamoid pain. Conclusion: Idiopathic tarsometatarsal OA feet can be classified into six categories. Pes planovalgus feet should be treated with medial sliding calcaneal osteotomy, lateral column lengthening, or triple arthrodesis in addition to tarsometatarsal joint realignment fusion. Rockerbottom and hallux valgus deformities should also be addressed.

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A Study on the Order of Priority for the Technoloy·policy of GHG Reduction in Power Plant using AHP (발전부문 AHP기법을 이용한 온실가스감축 기술·정책 우선순위 연구)

  • Lee, Won-Goo;Kim, Hyung-Taek;Park, Yong-Gu
    • Journal of Energy Engineering
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    • v.24 no.4
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    • pp.130-139
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    • 2015
  • Korea country was set up over 30% greenhouse gas reduction target in comparision with BAU(Business as usal) at the national level, depending on climate change, which have been promoted as several technical and policy planning in order to reduce national greenhouse gas reduction. In this study, we derived the policies and technologies of power plant sector that is a high rate of reduction and public interest, we established a model for a common evaluation indicators and each of the evaluation factors between policy and technology priorities based on appropriate subject experts using analytic hierarchy process(AHP). Further we suggest insight to electricity company to establish the investment strategies of the technology and the associated policy by applying a weight evaluation index presenting a comprehensive priority.

A Study on Sectoral Burden Sharing for Greenhouse Gas Emissions Mitigation (온실가스 감축을 위한 부문별 책임할당방안 연구)

  • Lee, Sang-Youp;Choi, Kyong-Sik
    • Journal of Environmental Policy
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    • v.8 no.4
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    • pp.171-198
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    • 2009
  • The issue of burden sharing between sectors has become a pertinent national issue with respect tothe establishment of national greenhouse gas (GHG) reduction targets, and the means to achieve these targets. This study explores methods for equitable sectoral allocation to reduce GHGs based on an allocation index taking into account relevant attributes in line with national GHG emissions trends and structures. This paper considered potential for GHG reduction, rate of increase of emissions, and ability to pay as suitable criteria for analysis of each sector. As a result of the analysis, it was found that equitable allocation methods have significantly different burden sharing compared to allocation that considers only potential for GHG reduction. Accordingly, further empirical study on various simulations based on national economic impact will be essential for better policy solutions. This study will contribute to applying national allocation plans in a logical, consistent and transparent manner.

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Analysis of Environmental Factors and Change of Vascular Plant Species along an Elevational Gradients in Baekdansa, Mt. Taebaeksan National Park (태백산국립공원 백단사코스의 고도별 관속식물상 변화와 환경요인 분석)

  • An, Ji-Hong;Park, Hwan-Joon;Lee, Sae-rom;Seo, In-Soon;Nam, Gi-Heum;Kim, Jung-Hyun
    • Korean Journal of Environment and Ecology
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    • v.33 no.4
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    • pp.378-401
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    • 2019
  • This study generated a list of plants in eight sections from the Baekdansa ticket office (874m) to Cheonjedan (1,560m) divided in the interval of 100m above sea level to examine the species diversity patterns and distribution changes of the vascular plants at different altitudes in Taebaeksan National Park. Four site surveys found a total of 385 taxa: 89 families, 240 genera, 345 species, 5 subspecies, 34 varieties, and 1 form. A result of analyzing the change of species diversity along elevational gradients showed that it decreased with increasing elevation and then increased from a certain section. A result of analyzing habitat affinity types showed that the proportion of forest species increased with increasing elevation. On the other hand, the ruderal species appeared at a high rate in the artificial interference section. A result of comparing the proportion of woody and herb plants showed that the woody plants gradually increased with elevation and rapidly decreased in the artificial interference section. On the other hand, the herb plants showed the opposite trend. A result of analyzing the change of distribution of species according to altitude with the DCA technique showed that the vascular plants were divided into three groups according to the elevation in order on the I axis with the boundaries at 900m and 1,300m above sea level. The arrangement of each stand from right to left along the altitude on the I axis with a significant correlation with warmth index (WI) confirmed that the temperature change along the altitude could affect the distribution of vascular plants, composition, and diversity. Therefore, the continuous monitoring is necessary to confirm ecological and environmental characteristics of vegetation, distribution ranges, changes of habitat. We expect that the results of this study will be used as the basic data for establishing the measurement measures related to the preservation of biodiversity and climate change.

Compilation of 104 Experimental Theses on the Antitumor and Immuno-activating therapies of Oriental Medicine (한의학의 항종양 면역치료에 관한 연구 -1990년 이후 발표된 실험논문을 중심으로-)

  • Kang Yeon Yee;Kim Tai Im;Park Jong Ho;Kim Sung Hoon;Park Jong Dai;Kim Dong Hee
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.1
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    • pp.1-24
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    • 2003
  • This study was done to compile 104 experimental theses which are related to the antitumor and immuno-activating therapies between February 1990 through February 2002. Master's and doctoral theses were dassified by schools, degrees, materials, effects, experimental methods of antitumor and immunoactivity, and results. The following results were obtained from this study : 1. Classifying the theses by the school, 34.6% were presented by Daejeon University, 29.8% by Kyung-hee University and 11.5% by Won-kwang University. Of all theses, 51.0% were aimed for the doctoral degree and 43.3% were for the master's degree. All of three universities have their own cancer centers. 2. Classifying the theses by herb materials, complex prescription accounted for 60.3%, single herb accounted for 24.8% and herbal acupuncture accounted for 14.2%. Considering the key principles of the traditional medicine, complex prescription was much more thoroughly studied than single herb prescription. The results showed that the complex prescription had both antitumor activity and immuno-activating activity, which might reflects on multi-activation mechanisms by complex components. 3. Classifying the theses by the efficacy of herbs examined, in single herb, invigorating spleen and supplementing was 35.5%, expelling toxin and cooling was 29.0%, activating blood flow and removing blood stasis was 12.9%. In herbal acupuncture, invigorating spleen and supplementing was 52.9%, expelling toxin and cooling was 29.4%. In complex prescription, pathogen-free status was 41.9%, strengthening healthy qi to eliminate pathogen was 35.5%, strengthening healthy qi was 22.6%. It is presumed that the antitumor and immunoactivating therapy based on syndrome differentiation is the best way to develop oriental oncology. 4. Classifying the theses by antitumor experiments, cytotoxic effect was 48.1 %, survival time was 48.1 % and change of tumor size was 42.3%. Survival rate was not necessarily correlated with cytotoxicity. These data reflect the characteristic, wholistic nature of the oriental medicine which is based on BRM (biological response modifier). 5. Classifying the theses by immunoactivating experiments, hemolysin titer was 51.0%, hemagglutinin titer was 46.2% and NK cell's activity was 44.2%. In the future studies, an effort to elucidate specific molecular and cellular mechanisms of cytokine production in the body would be crucial. 6. Classifying the theses according to the data in terms of antitumor activity, 50% was evaluated good, 24.0% was excellent, and 15.5% have no effect. In an evaluation of immuno-activating activity, 35.9% was excellent and 18.0% showed a little effect. The index point, as described here, may helps to use experimental data for clinical trials. Changes in index points by varying dosage implicate the importance of oriental medical theory for prescription. 7. In 167 materials, IIP (immunoactivating index point, mean : 3.12±0.07) was significantly higher than AIP(antitumor index point, mean : 2.83±0.07). These data demonstrate that the effect of herb medicine on tumor activity depends more on immunoactivating activity than antitumor activity. This further implies that the development of herbal antitumor drugs must be preceded by the mechanistic understanding of immunoactivating effect. 8. After medline-searching tumor and herb-related articles from NCBI web site, we conclude that most of the studies are primarily focused on biomolecular mechanisms and/or pathways. Henceforth, we need to define the biomolecular mechanisms and/or pathways affected by herbs or complicated prescriptions. 9. Therefore, the most important point of oriental medical oncology is to conned between experimental results and clinical trials. For the public application of herbal therapy to cancer, it is critical to present the data to mass media. 10. To develop the relationship of experimental results and clinical trials, university's cancer clinic must have a long-range plan related to the university laboratories and, at the same time, a regular consortium for this relationship is imperative. 11. After all these efforts, a new type herbal medicine for cancer therapy which is to take care of the long-term administering and safety problem must be developed. Then, it would be expected that anti-tumor herbal acupuncture can improve clinical symptoms and quality of life (QOL) for cancer patients. 12. Finally, oriental medical cancer center must be constructed in NCC (National Cancer Center) or government agency for the development of oriental medical oncology which has international competitive power.

Evaluation of Comfort Performance for Modernized Hanok: Targeting Hanok Residence at the Jamjeong-Haetsal Village in Hwasun, Jeonnam Province (신한옥의 쾌적성능 평가: 전남 화순 잠정햇살마을 한옥단지를 대상으로)

  • Choe, Seung-Ju;Lee, Mihyang;Kim, Jae-Hyang;Han, Seung-Hoon
    • Land and Housing Review
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    • v.12 no.2
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    • pp.99-108
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    • 2021
  • With increasing interest in living in hanoks, there's a growing need for more quantitative data on the thermal comfort performance of modern hanoks. With that in mind, this research project studied a modern hanok located in Jamjeong-Haetsal Village in Hwasun, Jeollanam Province as a case study to evaluate the Predicted Mean Vote (PMV) of modernized hanoks. Based on environmental data collected at the hanok and computer simulation both Life-Cycle PMV (L.C.PMV) and Normal PMV (N.PMV) were calculated for the hanok. Study results showed that during the summer and winter seasons the PMV and heat index at major heat and major cold weather points significantly deviated from the comfort zone. The rate of change in PMV was also greater in the winter than in the summer. The study found that the modern hanok lacks proper thermal insulation for maintaining thermal comfort.

A New Cross Section Design Concept for Better Efficiency in Two-Lane Highways (2차로도로 효율성 제고를 위한 횡단면 설계 방안)

  • Shim Kywan-Bho;Choi Jai-Sung
    • International Journal of Highway Engineering
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    • v.8 no.2 s.28
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    • pp.75-85
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    • 2006
  • Currently, cross-section design can not reflect highway function and traffic volume, various construction. This research paper provides analysis of traffic accident type, improvement of traffic operation and safety, assessment for new cross-section standards of two-lane highway. Research show higher accident rate on 6$\sim$8.9m road than 9$\sim$12.9m road width in two-lane highway. Typical improvement is widening on lane and shoulder width. Simulation show large increase on 6$\sim$7m road delay-time in 1,200vph. In contrast 10$\sim$11.5m road shows slight change on delay-time. This research paper provides various cross-section construction by traffic volume in minor arterial and distributor two-lane highway. The new cross-section design provides adopting highway volume, various construction and flexibility.

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Benthic Macroinvertebrate Community Changes after Impoundment of Yeongju dam in Korea (영주댐 담수 이후 저서성 대형무척추동물 군집변화)

  • An, Chae-Hui;Han, Jung-Soo;Choi, Jun-Kil;Lee, Hwang-Goo
    • Korean Journal of Environment and Ecology
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    • v.33 no.5
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    • pp.515-524
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    • 2019
  • The purpose of this study is to investigate the effects of artificial disturbance by analyzing and comparing the survey data of the Yeongju dam located in Yeongju-si, Gyeongbuk before and after impoundment. We surveyed four sites between the downstream of sediment control to the downstream of Yeongju Dam four times between April and October 2018. The macroinvertebrate data before the survey were gathered from the literature. The total number of benthic macroinvertebrates we observed was $35,037ind./m^2$, including 77 species, 48 families, 14 orders, 7 classes, and 3 phyla. The result of the community analysis showed that the dominant index increased from 0.44(${\pm}0.11$) before impoundment to 0.62(${\pm}0.16$) after impoundment. The diversity index increased from 2.26(${\pm}0.30$) to 1.75(${\pm}0.45$), the evenness index from 0.75(${\pm}0.10$) to 0.66(${\pm}0.14$), and the richness index from 3.11(${\pm}0.98$) to 2.25(${\pm}0.81$). The most dominant species changed from Hydropsychidae spp. to Chironomidae sp. The result of the Principal Components Analysis (PCA) based on Axis 1 showed that the sites of 2014 and Hydropsychidae spp. had a negative value, while the sites of 2018 and Chironomidae sp. had a positive value. In all study sites, the dominance increased while the diversity decreased. The community change was the largest in St. 2. The results of the functional group analysis showed that the scrapers increased while gathering-collectors increased among the functional feeding group and that the clingers decreased while borrows increased among the habitat oriented group. The Benthic Macroinvertebrate Streambed Index (BMSI) decreased from an average of 57.1(${\pm}8.0$, C class) to an average of 30.0(${\pm}12.1$, C class). St. 3 and St. 4, in particular, showed a high reduction rate.

Particulate Matter and CO2 Improvement Effects by Vegetation-based Bio-filters and the Indoor Comfort Index Analysis (식생기반 바이오필터의 미세먼지, 이산화탄소 개선효과와 실내쾌적지수 분석)

  • Kim, Tae-Han;Choi, Boo-Hun;Choi, Na-Hyun;Jang, Eun-Suk
    • Korean Journal of Environmental Agriculture
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    • v.37 no.4
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    • pp.268-276
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    • 2018
  • BACKGROUND: In the month of January 2018, fine dust alerts and warnings were issued 36 times for $PM_{10}$ and 81 times for PM2.5. Air quality is becoming a serious issue nation-wide. Although interest in air-purifying plants is growing due to the controversy over the risk of chemical substances of regular air-purifying solutions, industrial spread of the plants has been limited due to their efficiency in air-conditioning perspective. METHODS AND RESULTS: This study aims to propose a vegetation-based bio-filter system that can assure total indoor air volume for the efficient application of air-purifying plants. In order to evaluate the quantitative performance of the system, time-series analysis was conducted on air-conditioning performance, indoor air quality, and comfort index improvement effects in a lecture room-style laboratory with 16 persons present in the room. The system provided 4.24 ACH ventilation rate and reduced indoor temperature by $1.6^{\circ}C$ and black bulb temperature by $1.0^{\circ}C$. Relative humidity increased by 24.4% and deteriorated comfort index. However, this seemed to be offset by turbulent flow created from the operation of air blowers. While $PM_{10}$ was reduced by 39.5% to $22.11{\mu}g/m^3$, $CO_2$ increased up to 1,329ppm. It is interpreted that released $CO_2$ could not be processed because light compensation point was not reached. As for the indoor comfort index, PMV was reduced by 83.6 % and PPD was reduced by 47.0% on average, indicating that indoor space in a comfort range could be created by operating vegetation-based bio-filters. CONCLUSION: The study confirmed that the vegetation-based bio-filter system is effective in lowering indoor temperature and $PM_{10}$ and has positive effects on creating comfortable indoor space in terms of PMV and PPD.

Dental Hygienist-Led Dental Hygiene Process of Care for Self-Support Program Participants in Gangneung (강릉시 자활근로사업 참여자 대상 치위생 과정 사례보고)

  • Yoo, Sang-Hee;Kwak, Seon-Hui;Lee, Sue-Hyang;Song, Ga-In;Bae, Soo-Myoung;Shin, Sun-Jung;Shin, Bo-Mi
    • Journal of dental hygiene science
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    • v.18 no.6
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    • pp.327-339
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    • 2018
  • This study aimed to provide basic data for establishing the clinical basis for dental hygienist-led dental hygiene process of care by identifying multiple risk factors for self-support program participants in Gangneung city; we also compared oral health status and behavioral changes through customized oral health care. Four dental hygienists who were evaluated for degree of conformity provided dental hygiene process of care to eight self-support program participants who were selected as having an oral health risk among people in the self-support center. The clinical indicators measured during dental hygiene assessment and evaluation and behavioral changes due to dental hygiene intervention were compared and analyzed. With respect to clinical indicators, at the time of probe, the retention rate of patients with gingival bleeding decreased from 61.4% to 14.7% after intervention (p=0.004). Furthermore, the retention rate of patients with a periodontal pocket >4 mm decreased from 15.6% to 5.8% (p=0.001). The average modified O'Leary index of the patients improved from 23 to 40 (p=0.002). Previously, all eight subjects used the vertical or horizontal method of brushing; after dental hygiene care interventions regarding method and frequency of toothbrushing, use of oral care products, and individual interventions, they started using the rolling or Bass method of toothbrushing. Four of eight subjects reported using interdental toothbrushes after intervention. As a result of applying the change model to the transtheoretical behavior change of the subject, the result of strengthening the health behavior was confirmed. For promotion of oral health by the prevention-centered incremental oral health care system, dental hygienist-led dental hygiene management and maintenance is essential. It is thought that continuous research, such as for feasibility evaluation, cost benefit analysis, and preparation of legal systems, is needed to establish and activate dental hygiene management.