• Title/Summary/Keyword: Distribution record

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Quality Assurance of Patients for Intensity Modulated Radiation Therapy (세기조절방사선치료(IMRT) 환자의 QA)

  • Yoon Sang Min;Yi Byong Yong;Choi Eun Kyung;Kim Jong Hoon;Ahn Seung Do;Lee Sang-Wook
    • Radiation Oncology Journal
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    • v.20 no.1
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    • pp.81-90
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    • 2002
  • Purpose : To establish and verify the proper and the practical IMRT (Intensity--modulated radiation therapy) patient QA (Quality Assurance). Materials and Methods : An IMRT QA which consists of 3 steps and 16 items were designed and examined the validity of the program by applying to 9 patients, 12 IMRT cases of various sites. The three step OA program consists of RTP related QA, treatment information flow QA, and a treatment delivery QA procedure. The evaluation of organ constraints, the validity of the point dose, and the dose distribution are major issues in the RTP related QA procedure. The leaf sequence file generation, the evaluation of the MLC control file, the comparison of the dry run film, and the IMRT field simulate image were included in the treatment information flow procedure QA. The patient setup QA, the verification of the IMRT treatment fields to the patients, and the examination of the data in the Record & Verify system make up the treatment delivery QA procedure. Results : The point dose measurement results of 10 cases showed good agreement with the RTP calculation within $3\%$. One case showed more than a $3\%$ difference and the other case showed more than $5\%$, which was out side the tolerance level. We could not find any differences of more than 2 mm between the RTP leaf sequence and the dry run film. Film dosimetry and the dose distribution from the phantom plan showed the same tendency, but quantitative analysis was not possible because of the film dosimetry nature. No error had been found from the MLC control file and one mis-registration case was found before treatment. Conclusion : This study shows the usefulness and the necessity of the IMRT patient QA program. The whole procedure of this program should be peformed, especially by institutions that have just started to accumulate experience. But, the program is too complex and time consuming. Therefore, we propose practical and essential QA items for institutions in which the IMRT is performed as a routine procedure.

Research about chief complaint and principal diagnosis of patients who visited the university hospital emergency room (응급의료센터를 내원한 환자의 주증상과 주진단 분포에 관한 연구)

  • Lee, Kyung Sook
    • Journal of Digital Convergence
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    • v.10 no.10
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    • pp.347-352
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    • 2012
  • As medical treatment is developing with technology, the men's average life expectancy is extended. Therefore, primary medical care becomes emphasized in order to reduce the medical expenses in the long term by satisfying individual's life being healthy. The date for this thesis was collected from January 2011 to June 2011. 889 patients who visited the university hospital emergency room and hospitalized in internal medicine, were picked as the research subjects and they were targeted to be recorded the distribution of chief complaint and principal diagnosis of the patients. Also, this record was used to apply to the standard Classification of Diseases(as known as ICD) and the method of detailed classification of the primary medical care(as known as ICPC) to compare each other. In order to analysis, frequency analysis was used to see vital statistics and the cross tabulations were used to see the distribution of chief complaint according to ICD and ICPC. Results of the research were Abdominal pain(17.7%), Dyspnea(13.5%), Fever (12.5%), and Haematemesis (9.8%), and those symptoms represented the 54.5% of overall chief complaints that is treated in primary care. Therefore, it is acceptable to use the classification of the primary medical care at doc-in-a-box. Also, in case of diagnosis of abdominal pain, it is classified to R10 in ICD and 116 patients(18.7%) belonged to it, but according to ICPC, it is subdivided to Epigastric(11.5%) and General(5.8%). ICPC classification, which is focused to primary medical care is more detailed than ICD classification. Because the data that is collected for this thesis is from only one hospital, it is hard to represent to all the cases, but ICPC in emergency medical care, it has more classification available and it can subdivide the patients effectively, so it is meaningful.

Diversity and Ecological Importance of Foliicolous Lichens in Korea

  • Oh, Soon-Ok
    • 한국균학회소식:학술대회논문집
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    • 2014.05a
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    • pp.49-49
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    • 2014
  • South Korea is covered primarily by temperate vegetation; therefore, foliicolous lichens may not be expected to play an important role in its lichen flora. Indeed, more than 100 years after the first lichen record from South Korea reported by Hue, the paper "Pyrenocarpous lichens in Korea" published by Moon and Aptroot, reported on the presence of two foliicolous lichens, Strigula nemathora Mont, and S. smaragdula Fr., for the first time in South Korea. No detailed reports on foliicolous lichens have since been published in South Korea. In Japan, the neighboring country, approximately 83 foliicolous lichen species are distributed at the southernmost part under temperate to subtropical climatic conditions. However, a large number of foliicolous lichens, with many recent records, have been reported in neighboring countries like China and Taiwan. According to Thor et al., studies on foliicolous lichen flora of Asia are comparatively poor compared to those reported from America. There are six lichenogeographical regions: the Neotropics, Valdivia, Tethyan, African Paleotropics, eastern Paleotropics, and Neozelandic-Tasmanian, which are demarcated based on the known worldwide distribution pattern of foliicolous lichen flora. South Korea belongs to the eastern paleotropic region, where a higher number of local endemic foliicolous lichens have been reported. So far, there are a total of six known foliicolous lichen taxa from South Korea; S. concreta, S. macrocarpa, S. melanobapha, S. nemathora, S. smaragdula, and S. subelegans from Jeju Island. So far, the genus Strigula is the only known representative of the foliicolous lichen flora in South Korea. Among the recorded species, S. concreta, S. smaragdula, and S. subelegans are abundant and widespread. Japan, the closest area to Jeju Island, has the same distribution pattern of foliicolous lichens, with S. smaragdula, S. melanobapha, and S. subtilissima. Pollen studies conducted by Chung reported that changes in vegetation on Jeju Island, due mainly to deglacial warming and the influence of geographical change, resulted from sea-level rises. In general, all of the foliicolous lichens observed so far were restricted to the southernmost part of South Korea, particularly Jeju Island. Island might be influenced by its geographical setting. One reason could be the close dispersal distances of spores and vegetative propagules from areas such as the southern part of Japan and eastern part of China, where more foliicolous lichens can be found. Thor et al. also showed that the southern part of Japan harbors more foliicolous lichens than the northern part. Considering that China is close to Jeju Island, many foliicolous lichens, including S. concreta, S. macrocarpa, S. nemanthora, and S. smaragdula, have been reported from Yunnan province, the southernmost part of China. Geographically, this province is far away from Jeju Island. In other provinces, such as Shandong, Jiangsu, Shanghai, and Zhejiang, which are closer to Jeju Island, no foliicolous lichens have been recorded so far. Therefore, the chance of spores and propagules coming from such closer areas is questionable. Thus, the location of origin of ancestors of foliicolous lichens of South Korea and the time and means of their invasion of this island is controverisial. The current study would lead the way to finding answers to the above mentioned questions.

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Assessment of the Availability of Health Insurance Data for Epidemiologic Study of Childhood Aseptic Meningitis (소아 무균성 뇌막염의 역학적 연구를 위한 건강보험자료원의 유용성 평가)

  • Park, Sue-Kyung;Ki, Mo-Ran;Son, Young-Mo;Kim, Ho;Cheong, Hae-Kwan
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.4
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    • pp.349-358
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    • 2003
  • Objectives : Aseptic meningitis is a major cause of Korean childhood morbidity late spring and early summer. However, the nationwide incidences of the disease have not been reported. This study was conducted to evaluate the availability of National Health Insurance data (NHID) for the study of an epidemiological trend in the surveillance of aseptic meningitis in children. Methods : All the claims, under A87, A87.8, and A87.9 by ICD-10, among children below 15 years of age, to the National Health Insurance Corporation, between January and December 1998, were extracted. A survey of the medical record of 3,874 cases from 136 general hospitals was peformed. The availability of the NHID was evaluated by the three following methods: 1) The diagnostic accuracy (the positive Predictive value : proportion of the confirmed aseptic meningitis among the subjects registered as above disease-codes in NHID) was evaluated through a chart review, and according to age, gender, month and region of disease-occurrence. 2) The distribution of confirmed cases was compared with the distribution of total subjects from the NHID, for subjects in General hospitals, or the subjects surveyed. 3) The proportion of confirmed CSF test was confirmed, and the relating factor, which was the difference in CSF-test rate, analyzed. Results : Among 3,874 cases, CSF examinations were peformed on 1,845 (47.6%), and the CSF-test rates were different according to the medical utility (admission vs. OPD visit) and the severity of the symptoms and signs. The diagnostic accuracy for aseptic meningitis, and during the epidemic (May-Aug) and sporadic (Sept-Apr) periods, were 85.0 (1,568/1,845), 86.0 (1,239/l,440) and 81.2% (329/405), respectively. The distributions by age, sex, month or period (epidemic/sporadic) and region, in the confirmed cases, were similar to those in the NHID, in both the subjects at General hospitals and in those surveyed, to within ${\pm}7%$. Conclusions : In this paper, the NHID for the subjects registered with an aseptic meningitis disease-code might be available for an epidemiological study on the incidence-estimation of childhood aseptic meningitis, as the NHID could include both the probable and definite cases. On the basis of this result, further studies of time-series and secular trend analyses, using the NHID, will be peformed.

A STUDY OF FISHER'S ANGLE (Fisher's Angle에 관한 연구)

  • Kim, Yung-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.17 no.1
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    • pp.7-21
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    • 1979
  • This investigation was to analyse normal protrusive and lateral condylar pantographic records written on the sagittal plane and to study components of Fisher's angle and their interrelations. The purpose of this study was limited to (1) discussing the significance of sagittal pantographic record in diagnosis of occlusal disease and(2) basing for reasoning validity of measuring Fisher's angle which has been reported so far. As a result followings were concluded. 1. In each protrusive and lateral condylar movement path, five complicate factors such as initial straightness, distributed simple sigmoid type, simple curvature, initial tiny protruding convexity and tiny repeated sigmoid patterns were noted. Generally each condylar movement path was composed of two to three of these factors. 2. The distribution of positional interrelations of protrusive and lateral condylar paths could be divided into five categories; (a) protrusive-upper, (b) completely coinciding, (c) partially initial coinciding, (d) partially inverted crossing, and (e) completely inverting. Among these, protrusive path-upper positioned condyles were prevailed (79.2%). 3. The distribution of interrelations of protrusive and lateral condylar paths could be devided into five categories according to their distances in the course of movement. Among these, opening (95.8%) and paralleling (66.7%) were prevailing. 4. The involved number of characteristic heterogenous patterns of five categories in protrusive and lateral condylar movement recording relations at one simultaneous recordings was limited to three. However, in case of homogeneous patterns were repeated, usually three to four were included. 5. The maximum distance between protrusive and lateral condylar paths was 1.45mm at the location of 4mm advanced position from centric relation point and 3.90mm at the location of protrusive movement terminal. 6. It seemed to be that ,pantographic records should be consulted other clinical symptoms in order to make certain occlusion diagnosis. 7. At the present moment of investigation, expressing Fisher's angle as a degree revealed a lack due to inherent complexity of protrusive and lateral condylar movement paths. 8. The typical pattern of protrusive and lateral condylar paths written on a pantographic sagittal plate might be described as follows; (a) protrusive condylar path should be positioned upwardly, (b) both mainly be simple curvature, (c) interrelations mainly be opening or paralleling. 9. The mean amounts of separation between protrusive and lateral condylar movement path were $0.75{\pm}0.46$ at 4mm advanced location from centric relation and $1.74{\pm}0.64mm$ at the location of protrusive path terminal.

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A Study on Anthropometric Data of 5 th Grade Students I. The Distribution of Physical Conditions (국교 5년생의 성장발달에 관한 조사연구 I . 전국 5학년 생의 체격분포)

  • 문현경
    • Journal of Nutrition and Health
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    • v.20 no.5
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    • pp.309-317
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    • 1987
  • The Purpose of this study was to investigate physical conditions and related factors of 5th grade, in Korea. The number of students surveyed was 10.751 . School health records of 63 grade schools were used. The school health record of 5th grade contains results of physical examination from 1st grade to 5th grade and results of physical fitness assessment for 5th grade. A questionnaire was also administered to the student. 1) The proportion of mother who has a job was 29% of students surveyed. Since some of mothers were working at odd hour, it is hard to take care of student's meal and nutritional intake. The proportion of students who didn't eat breakfast everyday was 5.8% . Students who took medicine for health were 26% of total students surveyed. 2) Male students were taller than female students until 4 th grade. At 5 th grade, the mean height was 137.1cm for male students and 137.6cm for female students . At 5 th grade, the mean weight was 31.5kg for male students and 31.2kg for female students. The 10, 25, 50, 75.90 percentile of the total distribution was examined . By rising in grade, the height velocity was decreased for male student and increased for female students . The weight velocity was increased sharply for male and female students and the increasing velocity was larger in female than male students. Using heights and weights from 1st grade, BMI, RI, and RW were calculated. 3) The proportion of students who drank milk everyday was 49%, The \intake frequency of cookies, eggs, ice cream, chocolate were higher than the intake freguency of cheese, ham and soy bean milk

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Age-Crime Curve in Korea (한국의 연령-범죄곡선)

  • 박철현
    • Korea journal of population studies
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    • v.24 no.2
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    • pp.149-177
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    • 2001
  • This is a study on age-crime curve in Korea. Three data was used in this study as following: First is the crime statistics as aggregated data. Second is the police record(N=3.541 offences) of the male ex-offenders(N=988) who have been released in eleven prisons in 1987 as individual data. Third is the self-reported group-interview data(N=10.198 offences) administered to the male prisoners(N=979) in ten correctional facilities including eight adult prisons, one juvenile prison and one juvenile training center as another individual data. Generally, the right-skewness of age-crime curve has been explained through the difference of crime rate between early starters and late starters. Moffitt explains that this is because of the higher participation rate of the juvenile period of adolescence-limited offenders, but Godttfredson and Hirschi explain that this is because of a similar distribution in the crime rate of both early starters and late starters. the analysis of this study shows that Godttfredson and Hirschi’s explanation on the generality of age-crime-curve distribution is correct, but this can be modified by various factors like a economic crisis. And the peak age of juvenile period is consistent with the Moffitt’s hypothesis that the peak age is contributed to the increase of crime rate of late starters, not with Godttfredson and Hirschi’s one.

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Acoustic Scattering Layers in the East China Sea ( 2 ) -Vertical Distribution of Volume Scattering Strength- (동지나해의 초음파 산란층에 관한 연구 ( 2 ) -체적산란강도의 연직분포-)

  • 이대재
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.26 no.1
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    • pp.20-25
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    • 1990
  • During the summer of 1989, the authors carried out the hydroacoustic surverys to investigate the vertical distribution of volume backscattering strength in the East China Sea and simultaneously the biological sampling of the scattering layers by bottom trawling. The echoes from the scattering layers was continuously measured by using a 50 kHz echo sounder during the day and night. A data acquisition system was used to record digitally the envelope of the echoes and the echo integration technique was used to determine the scattering strength proportional to biomass density in each layer. The vertical profiles of volume backscattering strength also were compared with the one of water temperature. The results obtained can be summarized as follows: 1. The vertical profiles of mean volume backscattering strength at day and night suggested that during the night the biggest fish concentrations appeared in the mixed layer above the thermocline and during the day near the bottom. In another profiles where the thermocline was not well developed, peaks in scattering appeared at midwater depths and near the bottom. 2. The maximum values of mean volume backscattering strengths varied from -49.3 dB to -48.0 dB on different regions and at different times of the day and night. 3. Trawl data indicated that the organisms consisting of the scattering layer near the bottom were squid and various species of demersal fishes.

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A Study on the Factors which Influenced the Faithfulness to Treatment Among the Pulmonary Tuberculosis Patients Registered in a City Health Center (시보건소 결핵등록관리환자들의 치료충실도에 미치는 요인에 관한 조사 -서울특별시 일개 구보건소 등록환자 중심-)

  • Lee, Young-Woo
    • Journal of Preventive Medicine and Public Health
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    • v.17 no.1
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    • pp.127-135
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    • 1984
  • Personal and social characteristics, disease status, reason of delay of receiving drug from City Health Center and knowledge and attitude on the pulmonary tuberculosis were compared between the faithful group in treatment and the unfaithful group among the patients for pulmonary tuberculosis registered in a City Health Center in order to analyze the factors which influenced the faithfulness to treatment. Record as well as interview survey was done toward all patients of 247 who were registered and being cared during over 6 months in a City Health Center from April 1, 1982 to March 31, 1983, and results were as follows; 1. There was no statistically significant difference in sex and age distribution between the faithful group in treatment and the unfaithful group. 2. There was no statistically significant difference in marital status distribution between the faithful group and unfaithful group in treatment. 3. The lower education group comprised higher proportion than the higher education group among the faithful group in treatment. 4. The proportion of the emlployed was higher than unemlpoyed among the unfaithful group in treatment. 5. The proportion of mild case was higher than severe case among the unfaithful group in treatment. 6. As for the onset of delay of receiving drug, 'less than 3 month after starting treatment' was 59.5% among the unfaithful group in treatment. 7. The reasons of delay of receiving drug were 'no time' (42.2%). 'being away from home' (25.0%), 'being sick' (13.8%), and 'forgot the appointed date' (12.0%). 8. There was no statistically significant difference in the knowledge on the communicability of the tuberculosis between the faithful groups in treatment and the unfaithful group. 9. There was no statistically significant difference in the knowlege on B.C.G. as vaccination drug of tuberculosis between the faithful group and the unfaithful group in treatment. 10. There was no statistically significant difference in the satisfaction on the treatment of health center between the group of faithful and unfaithful in treatment. 11. There was no statistically significant difference in the belief on the complete recovery of tuberculosis between the faithful group and the unfaithful group in treatment. 12. The rate of consulting on tuberculosis treatment with life partner was higher among the faithful group in treatment than the unfaithful group.

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A Experimental Study on the Proper Particle Gradation of Sub-base to Consider the Recent Climate Change (기후변화를 고려한 포장 보조기층의 적정입도분포에 관한 실험연구)

  • Choi, Jaesoon;Han, Nuri
    • Journal of the Korean GEO-environmental Society
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    • v.14 no.7
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    • pp.51-56
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    • 2013
  • Recently, a top record of hourly-based rainfall has been changed annually and flood damages of road have increased. To solve this problem, pavements for drainage were developed and practically constructed but there was no considerations on sub-base. In this research, we proposed standard for distribution of particle size of sub-base to consider strength characteristic and drainage property. We focused to compare coefficients strength and permeability by laboratory tests. Prior to tests, 4 samples were selected under the consideration on the international or domestic design guideline. In the tests, strength characteristics were compared with resilient modulus. Also, permeability characteristics were compared with coefficient of upward and downward permeability. Resilient modulus was determined with MR test using cyclic triaxial testing system. Two permeability tests were carried out. One is variable head permeability test for downward drainage and the other is Rowe Cell test for upward drainage. In the case of Rowe Cell test, middle-sized sampler with 150mm diameter was used for this study. Consequentially, we tried to find the optimum distribution of particle size to satisfy both of strength and permeability characteristics for sub-base.