• 말소리와 음성과학
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• 제9권4호
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• pp.99-106
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• 2017

Clinical data about vocal nodules have seldom been reported, even though vocal nodules are commonly diagnosed in outpatient speech and voice clinic. This study aims to investigate clinical characteristics of the patients who are diagnosed with vocal nodules. This study analyzed the data for 10 years from the 319 patients diagnosed with vocal nodules (45 males and 274 females with the mean age of 39.4 ranging from 2 to 83) in terms of gender, age, occupation, voice change initiation pattern, change with time, throat clearing, smoking history, type of voice abuse, acoustic analysis, maximum phonation time, GRBAS, and VHI. Thirteen patients (4.08%) had unilateral vocal nodule and 306 patients (95.9%) had bilateral vocal nodule, the majority of which had a pattern of asymmetry (73.9%). The glottal closure pattern was hourglass in 72.1% of patients, posterior chink in 17.9% of patients, and irregular in 7.9% of patients. The most common occupational category was professional voice users (43.4%). The voice abuse pattern included excessive talking in 96 patients (76.8%), loud voice in 78 (62.4%) patients, and excessive singing in 17 patients (21.6%). The patients showed worse scores in G, B, and S than in R and A for the GRBAS evaluation. The most recommended treatment for vocal nodules was voice therapy. The current clinical data will be helpful for treatment planning for the patients of vocal nodule.

• Asian Pacific Journal of Cancer Prevention
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• 제14권9호
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• pp.5409-5413
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• 2013

Background: To assess the accuracy of ultrasound in differentiating endometrioma from ovarian cancer and to describe pattern recognition for atypical endometriomas mimicking ovarian cancers. Materials and Methods: Patients scheduled for elective surgery for adnexal masses were sonographically evaluated for endometrioma within 24 hours of surgery. All examinations were performed by the same experienced sonographer, who had no any information of the patients, to differentiate between endometriomas and non-endometriomas using a simple rule (classic ground-glass appearance) and subjective impression (pattern recognition). The final diagnosis as a gold standard relied on either pathological or post-operative findings. Results: Of 638 patients available for analysis, 146 were proven to be endometriomas. Of them, the simple rule and subjective impression could sonographically detect endometriomas with sensitivities of 64.4% (94/146) and 89.7% (131/146), respectively. Of 52 endometriomas with false negative tests by the simple rule, 13 were predicted as benign masses and 39 were mistaken for malignancy. Solid masses and papillary projections were the most common forms mimicking ovarian cancer, consisting of 38.5% of the missed diagnoses. However, with pattern recognition (subjective impression), 32 from 39 cases mimicking ovarian cancer were correctly predicted for endometriomas. All endometriomas subjectively predicted for ovarian malignancy were associated with high vascularization in the solid masses. Conclusions: Pattern recognition of endometriomas by subjective assessment had a higher sensitivity than the simple rule in characterization of endometriomas. Most endometriomas mimicking ovarian malignancy could be correctly predicted by subjective impression based on familiarity of pattern recognition.

• 대한한의학회지
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• 제34권4호
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• pp.46-55
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• 2013

Objectives: Classifying the pattern of jaundice during diagnosis will significantly improve the outcome of common KM interventions. This study aimed at determining an objective index for accurately diagnosing heat and dampness KM patterns in patients with jaundice. Methods: We systematically reviewed laboratory findings from case reports published in the scientific literature of Korean medicine. Cases were classified as following either the heat or dampness pattern. Biochemical indices were compared using a Bayesian factor (BF) analysis and standard t-tests. Results: The laboratory findings of 32 patients were evaluated. The heat pattern was observed in 17 patients and the dampness pattern in 15. No significant differences were observed between the 2 groups in terms of white blood cell count (BF=1.659); hemoglobin concentration (BF=2.627); platelet count (BF=1.019); or levels of direct bilirubin (BF=1.453), aspartate aminotransferase (BF=1.226), alanine aminotransferase (BF=1.340), alkaline phosphatase (BF=2.344), or gamma-glutamyl transpeptidase (BF=2.782). However, total bilirubin levels were significantly higher in the dampness pattern group (BF=0.854, P-value=0.070). Conclusions: Patients with high total bilirubin levels may predominantly follow the dampness pattern, while those with low levels may predominantly follow the heat pattern. These results are expected to be useful for the development of timely and efficient KM treatments as well as new integrative therapeutic approaches for jaundice. However, further studies are essential to fully validate the utility of total bilirubin as a biomarker for differentiating between heat and dampness patterns.

• 한국의상디자인학회지
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• 제21권1호
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• pp.163-180
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• 2019

A pattern is a symbolic mark of the psychological expression and ornamental desire of the human interior. In particular, plant patterns, from ancient times to modern times, express beauty across both the east and the west. The Joseon dynasty had a strong national will, and it was a time when the symbolism of Korea was established. Plant patterns were decorative and symbolic, filled with meaning in both the textile and craft sectors. This study looked at the frequency and figurative characteristics of the types of plant patterns in textiles, ceramics, woodworking, and metal craftsmanship of the Joseon dynasty. In addition, pattern designs were developed by extracting unit patterns to maintain the original shape, and by adding, magnifying, reducing, and superimposing flat steps and employing the four-fold sequence. The data collected was 826 examples in textiles and crafts, and 34 species of plants were analyzed as follows. In general, the flower patterns preferred soft flowers, flowers, apricot, and peony patterns, and fruit patterns emerged as decorative designs for pottery and woodwork from the 17th century, featuring pomegranates, grapes, fluorines, peaches, and walnut floss. Textiles and woodwork were arranged with many circular designs, while pottery and metal crafts were filled in many ways. Expressive types appeared to be the same as stylistic types for textiles and ceramics, and the construction types were the same in pottery and metal crafts. As such, it was found that even in the different areas of the sculpture, the same aesthetic values were reflected in the common figurative features today. Therefore, in this study, we developed a unique and competitive pattern design that accommodates the modern times and the Joseon dynasty. This development is expected to contribute not only to the development of cultural and tourism products in the future, but also to the tourism industry induced by the Korean wave.

• Journal of Preventive Medicine and Public Health
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• 제17권1호
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• pp.75-83
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• 1984

A retrospective study has been made of 170,026 cases of motor vehicle accidents which had been reported to the National Police Headquarters of Republic of Korea, 1983. Also a study has been made of 264 cases of road traffic casualties who were treated at the Eul-ji General Hospital from Jan. 1, 1983 to Dec. 31, 1983. This study was conducted to find out the nature and pattern of the traffic accidents from the clinical and epidemiological view points. In additions, the modes of injury from the road accidents were persued which might help to reduce the traffic accident rate. The results of the study were summarized as follows; 1. In this study, the highest incidence was in the age group between $21{\sim}30$ years (21.29%). And the age group of highest death rate was under 10 years (7.28%). 2. In the comparison of sexual differences, male was dominated in accidents number and death rate. (Casualty rate; 61.66%). 3. In the comparison of each hour differences, the accident was mostly occured during afternoon from 16:00 to 18:00(12.23%). 4. The most common day of week was Sunday (14.74%). 5. The most common season of year was Autumn (27.92%). 6. In the comparison of occupational differences, the high incidences were showed in labor men (31.06%) and business men (12.12%). 7. In the comparison of accidental vehicles, the most common vehicle were cars and the next were trucks and buses. 8. The most common mechanism of accidents was collision (57.41%). 9. In the comparison of clinical differences, orthopaedic and neurosurgical injuries were most common types of the hospitalized casualties. 10. In the comparison of anatomical fracture sites, the most common site was tibia (15.81%) and the next site was femur (12.56%).

• 생명과학회지
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• 제24권10호
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• pp.1118-1124
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• 2014

국내에서 발생하는 돼지호흡기복합증후군(Porcine respiratory disease complex, PRDC)의 발생 상황 및 원인체의 검출 방법의 비교와 PRDC에서 cytokine의 발현변화 여부를 확인하기 위해서 481건의 시료에 대해 PRDC 발생상황을 조사하였다. 총 481건 중 단독감염은 113건(23.5%), 2종 이상의 원인체에 의한 발병이 348(72.3%)건으로 나타났다. PRDC 발생상황을 주령별로 분석한 결과, 총 348건에서 3주령에서 10주령미만의 돼지에서 258건(74.1%)으로 가장 많이 나타났다. PRDC의 주 원인체로 알려진 PRRSV, PCV2, SIV에 대한 감별진단을 위해 면역조직화학염색법(IHC)과 PCR에 의한 검출을 원인체 검출을 비교한 결과, 결과 PCR 방법이 IHC보다 원인균인 PRRSV, PCV-2의 검출에 효과적인 것으로 나타났으며 이러한 결과를 근거로 PRDC를 유발하는 원인체에 대해서는 임상적으로는 PCV-2는 감염되더라도 병리소견을 발현하지 않는 예가 있어 임상증상을 나타내는 PRDC의 주요 원인체는 PRRSV로 확인되었다. PRDC로 진단된 시료 중 2종 및 3종의 혼합감염군을 대상으로 폐와 림프절에서 cytokine의 발현의 변화를 조사한 결과에서는, IL-6을 제외한 조사된 모든 cytokine들이 2종 및 3종 복합 감염군에서 대조군에 비해 감소되었다.

• Journal of Yeungnam Medical Science
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• 제5권1호
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• pp.33-42
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• 1988

최근 5년간의 소아의 복부종괴 23예를 발생빈도, 부위 및 방사선학적 소견을 중심으로 비교분석하여 다음과 같은 결론을 얻었다. 1. 전체 23예중 신경아세포종이 6예로 가장 많았고 그 다음이 Wilms 종양 5예, 담도낭종, 난소종양, 수신종 등의 순위였다. 2. 발생연령별로 분석해 본 결과 6세 이하가 78%(14예)를 차지했고 특히 후복강 종양은 6세 이하에 집중되어 있었다. 3. 부위별로는 후복강 종양이 60%(14예)로 가장 많았다. 4. 방사선학적 소견을 분석하여 본 결과 1) 단순 복부촬영상 신경아세포종의 50%에서 특징적인 석회와 음영을 볼 수 있었고 후복강 종양의 대부분에서 비특이적인 석회화 음영을 볼 수 있었다. 2) 초음파 소견상 저에코, 고에코 또는 혼합에코 등의 종괴 내부성상을 알 수 있었으나 종괴의 정확한 해부학적 위치를 파악할 수 없는 경우가 많았다. 3) 경정맥 신우 조영촬영상 신우신배의 비정상적인 소견과 신장의 전위 소견으로부터 신장내 종양과 신장의 다른 부위의 종양을 구분할 수 있었다. 4) 전산화 단층촬영상 종괴 내부의 성상뿐만 아니라 종괴의 해부학적인 위치, 주위 구조와의 관계, 임파절이나 다른 부위로의 전이유무를 알 수 있었다.

• 농촌의학ㆍ지역보건
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• 제18권2호
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• pp.105-119
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• 1993

The purpose of this study was to evaluate the program for the control of acute respiratory infections(ARI) in children in a Korean rural area(Yonchon county). Evaluating the program, we focused on the pattern of prescription and appropriateness of antibiotics prescribed by the health personnel who had participated in the ARI Control Program. It was implemented at the primary health care setting in rural area, such as district hospital, health subcenters, and health posts. During six-months programme monitoring period, medical records were reviewed and collected data were analysed by the pediatrician, research coordinator of this study. The baseline data were collected from medical records of the same period(six months) of one year before the implementation of the ARI programme. The study results were as follow : 1. Common cold was the most prevalent disease(78.7%. 594 cases) among the all ARI cases (755 cases). The less frequent cases were bronchitis(11.9%), acute pharyngitis(5.2%), and pneumonia(1.8%). 2. Significant reduction in the use of antibiotics was observed after the programme implementation. Ninety three(15.7%) of 594 common cold cases were received antibiotics compared with 282(35.2%) of 802 in the baseline period. In the cases of bronchitis and acute pharyngitis, the reduction rates were 15.1% and 23.2% respectively compared to the baseline period. 3. Mean duration of antibiotics prescription was 1.81-1.75 days, similar to the baseline data. 4. The appropriateness rate of antibiotics prescriptions were 84.3%(common cold), 35.6% (bronchitis) and 28.2%(acute pharyngitis). In the case of pneumonia, the antibiotics prescription was compatible to the criteria developed. 5. Pediatrician prescribed antibiotics more appropriately for all cases than general practitioners in health sub-center, and nurse practitioners in health posts. 6. Antibiotics therapy was shown to be of no effect in the treatment of the all ARI cases. At the 5 and 10 days check-up of common cold cases after visits, proportion of improved patients were 58.3% in the antibiotics-used group and 51.4% in the control group. In the other cases of ARI, the patterns of response were similar to common cold. None of the differences in outcome between the antibiotics-used and control group was statistically significant. This ARI programme may have substantial a substantial impact on antibiotics use at the public health institutions(district hospital, health subcenters, health posts) which are of major domain for primary health care in Korean rural areas.

• 한국어류학회지
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• 제30권4호
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• pp.238-241
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• 2018

본 연구는 고품질 비단잉어 생산을 위해 비단잉어와 홍잉어 교배종의 성장과 적색색소의 빈도분석을 통해 비단잉어 색도를 분석하였다. 색소 및 성장도 분석을 위해 부화 후 170일령 비단잉어를 각 교배 집단별로[비단잉어${\times}$비단잉어(KK), 비단잉어${\times}$홍잉어(KR)와 홍잉어${\times}$비단잉어(RK)] 100개체씩 분석하였다. 성장도 분석 결과 비단잉어${\times}$홍잉어(KR) 교배집단에서 전장과 전중의 성장이 가장 높았다. 교배 그룹 모두 흰색, 적색-흰색, 적색의 3가지 색소 패턴을 보였다. 적색색소 분포는 KK 집단이 64%, KR 집단이 56%, RK 집단이 36%였다. 적색 색소 범위의 빈도분석 결과 적색색소 30~50%를 차지하는 비율이 KK 집단이 10%, RK 집단이 12% 그리고 KR 집단이 14%로 가장 높았다. 비단잉어 적색색소 빈도 분석에 관한 연구는 비단잉어 선별을 위한 분석 도구로서 활용이 가능할 것으로 판단된다.

• 한국정보과학회논문지:소프트웨어및응용
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• 제36권8호
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• pp.633-641
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• 2009

본 논문에서는 아날로그 데이터 처리가 가능하고, 온라인 학습, 학습 중 새로운 클래스 추가등의 특징을 가진 패턴 인식기를 제안하였다. 제안한 패턴 인식기는 계층적 구조를 가지고 있으며, 각 레벨별로 서로 다른 메트릭을 적용하여 분류 성능을 향상 시켰다. 제안한 패턴 인식기는 신경망 기반의 패턴 인식 알고리즘인 Gaussian ARTMAP 모델을 기반으로 하고 있다. Gaussian ARTMAP 모델을 계층적으로 구성하고, 계층마다 서로 다른 특징을 학습하도록 하기 위하여 Principal Component Emphasis (P.C.E) 방법을 제안하였으며, 이를 이용하여 새로운 메트릭을 생성하는 방법을 제안하였다. P.C.E는 학습된 입력 데이터들의 분산을 이용하여 클래스 내의 공통 속성을 나타내는 분산이 작은 차원을 제거하고 패턴 간의 서로 다른 속성을 나타내는 분산이 큰 차원만 유지하는 방법이다. 제안한 알고리즘의 학습 과정에서 교사 신호와 다르게 분류된 패턴이 발생하면 잘못 분류 된 클래스와 입력된 패턴을 분리하기 위하여 P.C.E를 수행하고 하위 노드에서 학습하게 된다. 실험 결과 제안한 모델은 기존에 제안된 패턴 인식 모델들 보다 높은 분류 성능을 가지고 있음을 확인하였다.