• Title/Summary/Keyword: ESTIMATION

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Legislative Study on the Mitigation of the Burden of Proof in Hospital Infection Cases - Focusing on the revised Bürgerliches Gesetzbuch - (병원감염 사건에서 증명책임 완화에 관한 입법적 고찰 - 개정 독일민법을 중심으로 -)

  • Yoo, Hyun Jung
    • The Korean Society of Law and Medicine
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    • v.16 no.2
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    • pp.159-193
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    • 2015
  • Owing to causes such as population aging, increased use of various medical devices, long-term hospitalization of various patients with reduced immune function such as cancer, diabetes, and organ transplant patients, and the growing size of hospitals, hospital infections are continuing to increase. As seen in the MERS crisis of 2015, hospital infections have become a social and national problem. In order to prevent damage due to such hospital infections, it is necessary to first strictly implement measures to prevent hospital infections, while, on the other hand, providing proper relief of damage suffered due to hospital infections. However, the mainstream attitude of judicial precedents relating to hospital infection cases has been judged to in fact shift responsibility over damages due to hospital infections on the patient. In light of the philosophy of the damage compensation system, whose guiding principle if the fair and proper apportionment of damages, there is a need to seek means of drastically relaxing the burden of proof on the patient's side relative to conventional legal principles for relaxing the burden of proof, or the theory of de facto estimation. In relation to such need, the German civil code (Burgerliches Gesetzbuch), which defines contracts of medical treatment as typical contracts under the civil code, and has presumption of negligence provisions stipulating that, in cases such as hospital infections which were completely under the control of the medical care providers, if risks in general medical treatment have been realized which cause violations of the life, body, or health of patients, error on the part of the person providing medical care is presumed, was examined. Contracts of medical treatment are entered into very frequently and broadly in the everyday lives of the general public, with various disputes owing thereto arising. Therefore, it is necessary to, by defining contracts of medical treatment as typical contracts under the civil code, regulate the content of said contracts, as well as the proof of burden when disputes arise. If stipulations in the civil code are premature as of yet, an option may be to regulate through a special act, as is the case with France. In the case of hospital infection cases, it is thought that 'legal presumption of negligence' relating to 'negligence in the occurrence of hospital infections,' which will create a state close to equality of arms, will aid the resolution of the realistic issue of the de facto impossibility of remedying damages occurring due to negligence in the process of occurrence of hospital infections. Also, even if negligence is presumed by law, as the patient side is burdened with proving the causal relationships, such drastic confusion as would occur if the medical care provider side is found fully liable if a hospital infection occurs may be avoided. It is thought that, alongside such efforts, social insurance policy must be improved so as to cover the expenses of medical institutions having strictly implemented efforts to prevent hospital infections in the event that they have suffered damages due to a hospital infection accident, and that close future research and examination into this matter will be required.

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Estimation of Linkage Disequilibrium and Effective Population Size using Whole Genome Single Nucleotide Polymorphisms in Hanwoo (한우에서 전장의 유전체 정보를 활용한 연관불평형 및 유효집단크기 추정에 관한 연구)

  • Cho, Chung-Il;Lee, Joon-Ho;Lee, Deuk-Hwan
    • Journal of Life Science
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    • v.22 no.3
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    • pp.366-372
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    • 2012
  • This study was conducted to estimate the extent of linkage disequilibrium (LD) and effective population size using whole genomic single nucleotide polymorphisms (SNP) genotyped by DNA chip in Hanwoo. Using the blood samples of 35 young bulls born from 2005 to 2008 and their progenies (N=253) in a Hanwoo nucleus population collected from Hanwoo Improvement Center, 51,582 SNPs were genotyped using Bovine SNP50 chips. A total of 40,851 SNPs were used in this study after elimination of SNPs with a missing genotyping rate of over 10 percent and monomorphic SNPs (10,730 SNPs). The total autosomal genome length, measured as the sum of the longest syntenic pairs of SNPs by chromosome, was 2,541.6 Mb (Mega base pairs). The average distances of all adjacent pairs by each BTA ranged from 0.55 to 0.74 cM. Decay of LD showed an exponential trend with physical distance. The means of LD ($r^2$) among syntenic SNP pairs were 0.136 at a range of 0-0.1 Mb in physical distance and 0.06 at a range of 0.1-0.2 Mb. When these results were used for Luo's formula, about 2,000 phenotypic records were found to be required to achieve power > 0.9 to detect 5% QTL in the population of Hanwoo. As a result of estimating effective population size by generation in Hanwoo, the estimated effective population size for the current status was 84 heads and the estimate of effective population size for 50 generations of ancestors was 1,150 heads. The average decreasing rates of effective population size by generation were 9.0% at about five generations and 17.3% at the current generation. The main cause of the rapid decrease in effective population size was considered to be the intensive use of a few prominent sires since the application of artificial insemination technology in Korea. To increase and/or sustain the effective population size, the selection of various proven bulls and mating systems that consider genetic diversity are needed.

Quantification of Cerebrovascular Reserve Using Tc-99m HMPAO Brain SPECT and Lassen's Algorithm (Tc-99m HMPAO 뇌 SPECT와 Lassen 알고리즘을 이용한 뇌혈관 예비능의 정량화)

  • Kim, Kyeong-Min;Lee, Dong-Soo;Kim, Seok-Ki;Lee, Jae-Sung;Kang, Keon-Wook;Yeo, Jeong-Seok;Chung, June-Key;Lee, Myung-Chul
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.4
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    • pp.322-335
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    • 2000
  • Purpose: For quantitative estimation of cerebrovascular reserve (CVR), we estimated the cerebral blood flow (CBF) using Lassen's nonlinearity correction algorithm and Tc-99m HMPAO brain SPECT images acquired with consecutive acquisition protocol. Using the values of CBF in basal and acetaBolamide (ACZ) stress states, CBF increase was calculated. Materials and Methods: In 9 normal subjects (age; $72{\pm}4$ years), brain SPECT was performed at basal and ACZ stress states consecutively after injection of 555 MBq and 1,110 MBq of Tc-99m HMPAO, respectively. Cerebellum was automatically extracted as reference region on basal SPECT image using threshold method. Assuming basal CBF of cerebellum as 55 ml/100g/min, CBF was calculated lot every pixel at basal states using Lassen's algorithm. Cerebellar blood flow at stress was estimated comparing counts of cerebellum at rest and ACZ stress and Lassen's algorithm. CBF of every pixel at ACZ stress state was calculated using Lassen's algorithm and ACZ cerebellar count. CVR was calculated by subtracting basal CBF from ACZ stress CBF for every pixel. The percent CVR was calculated by dividing CVR by basal CBF. The CBF and percentage CVR parametric images were generated. Results: The CBF and percentage CVR parametric images were obtained successfully in all the subjects. Global mean CBF were $49.6{\pm}5.5ml/100g/min\;and\;64.4{\pm}10.2ml/100g/min$ at basal and ACZ stress states, respectively. The increase of CBF at ACZ stress state was $14.7{\pm}9.6ml/100g/min$. The global mean percent CVR was 30.7% and was higher than the 13.8% calculated using count images. Conclusion: The blood flow at basal and ACZ stress states and cerebrovascular reserve were estimated using basal/ACZ Tc-99m-HMPAO SPECT images and Lassen's algorithm. Using these values, parametric images for blood flow and cerebrovascular reserve were generated.

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Estimation of Oxygen Consumption Rate and Organic Carbon Oxidation Rate at the Sediment/Water Interface of Coastal Sediments in the South Sea of Korea using an Oxygen Microsensor (산소 미세전극을 이용한 남해연안 퇴적물/해수 계면에서 산소소모율 및 유기탄소 산화율 추정)

  • Lee, Jae-Seon;Kim, Kee-Hyun;Yu, Jun;Jung, Rae-Hong;Ko, Tae-Seung
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.8 no.4
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    • pp.392-400
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    • 2003
  • We used an oxygen microelectrode to measure the vertical profiles of oxygen concentration in sediments located near point sources of organic matter. The measurements were carried out between 13th and 17th May, 2003, in semi-closed bay and coastal sediments in the central part of the South Sea. The measured oxygen penetration depths were extremely shallow and ranged from 1.30 to 3.80 mm. This suggested that the oxidation and reduction reactions in the early diagenesis should be studied at the mm depth scale. In order to estimate the oxygen consumption rate, we applied the one-dimension diffusion-reaction model to vertical profiles of oxygen near the sediment/water interface. Oxygen consumption rates were estimated to be between 10.8 and 27.6 mmol O$_2$ m$\^$-2/ day$\^$-1/(average: 19.1 mmol O$_2$ m$\^$-2/ day$\^$-1/). These rates showed a positive correlation with the organic carbon of the sediments. The corresponding benthic organic carbon oxidation rates calculated using an modified Redfield ratio (170/110) at the sediment/water interface were in the range of 89.5-228.1 mg C m$\^$-2/ day$\^$-1/(average: 158.0 mg C m$\^$-2/ day$\^$-1/). We suggest that these results are maximum values at the presents situation in the bay because the sampling sites were located near point sources of organic materials. This study will need to be carried out at many coastal sites and throughout the seasons to allow an understanding of the mechanisms of eutrophication e.g. the spatial distribution of oxygen consumption within the oxic zone and hypoxic conditions in the coastal sea.

Characteristics of Pollution Loading from Kyongan Stream Watershed by BASINS/SWAT. (BASINS/SWAT 모델을 이용한 경안천 유역의 오염부하 배출 특성)

  • Jang, Jae-Ho;Yoon, Chun-Gyeong;Jung, Kwang-Wook;Lee, Sae-Bom
    • Korean Journal of Ecology and Environment
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    • v.42 no.2
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    • pp.200-211
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    • 2009
  • A mathematical modeling program called Soil and Water Assessment Tool (SWAT) developed by USDA was applied to Kyongan stream watershed. It was run under BASINS (Better Assessment Science for Integrating point and Non-point Sources) program, and the model was calibrated and validated using KTMDL monitoring data of 2004${\sim}$2008. The model efficiency of flow ranged from very good to fair in comparison between simulated and observed data and it was good in the water quality parameters like flow range. The model reliability and performance were within the expectation considering complexity of the watershed and pollutant sources. The results of pollutant loads estimation as yearly (2004${\sim}$2008), pollutant loadings from 2006 were higher than rest of year caused by high precipitation and flow. Average non-point source (NPS) pollution rates were 30.4%, 45.3%, 28.1% for SS, TN and TP respectably. The NPS pollutant loading for SS, TN and TP during the monsoon rainy season (June to September) was about 61.8${\sim}$88.7% of total NPS pollutant loading, and flow volume was also in a similar range. SS concentration depended on precipitation and pollution loading patterns, but TN and TP concentration was not necessarily high during the rainy season, and showed a decreasing trend with increasing water flow. SWAT based on BASINS was applied to the Kyongan stream watershed successfully without difficulty, and it was found that the model could be used conveniently to assess watershed characteristics and to estimate pollutant loading including point and non-point sources in watershed scale.

Analysis of the Phosphate Movement Using the Mesocosm in the Wetland (Mesocosm을 이용한 습지에서의 인 거동 분석)

  • Son, Jang-Won;Yoon, Chun-G.;Kim, Hyung-Chul;Haam, Jong-Hwa
    • Korean Journal of Ecology and Environment
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    • v.42 no.1
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    • pp.1-8
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    • 2009
  • This study used a mesocosm which presumes movement of the nutrient (especially $PO_{4^-}P$) in the wetland. After setting up the mesocosm inside the wetland and adding the $PO_{4^-}P$, observed the movement of the $PO_{4^-}P$ every hour. We analyzed the variables which had the possibility of affecting $PO_{4^-}P$ concentration in the wetland-flora, absorbing rate of algae, settling rate, release rate. Immediately after adding $PO_{4^-}P$, the concentration of the TP in water column at each mesocosm was 0.48, 12.4, 20.4, $23.6\;mg\;L^{-1}$, after 21 days they were 0.6, 1.92, 6.97 and $6.94\;mg\;L^{-1}$ respectively. The concentration of the TP in water column at the mesocosm decreased on average 73.7%. The concentration of the $PO_{4^-}P$ inside reed, algae and sediment in the mesocosm was increased from $0.73mg\;gDW^{-1}$, $3.81mg\;gDW^{-1}$, $466.1mg\;kg^{-1}$ to $0.83mg\;gDW^{-1}$, $4.57mg\;gDW^{-1}$ and $813.3mg\;kg^{-1}$ respectively. Algae is more sensitive than reeds in absorption of the nutrient. TP removal by settling was highest. Budgeting of TP indicated that P moved from particulates in the water column to sediment and algae. Immediately after adding $PO_{4^-}P$, water column (24.2%) and sediment (49.0%) dominated TP storage, with algae (10.3%) and reed (16.4%) holding smaller proportions of TP. After 21 days, Sediment (59.0%) and algae (17.9%) dominated TP storage, with water column (7.1%) and reed (15.8%) holding smaller proportions of TP. Estimation of phosphate movement using mesocosms is an appropriate method because wetlands have many controlling factors. Analysed data can be compared to background data for wetland construction and management.

Estimation of the Optimum Number of Machines and Equipments for Professional Dairy Farm (낙농 전업농의 기계장치 최적 규모 추정)

  • 유병기;이용범;장진택;이동현;권두중;기광석;성시흥;이대원
    • Journal of Animal Environmental Science
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    • v.2 no.1
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    • pp.27-39
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    • 1996
  • A survey was conducted for dairy farmer to estimate the optimum number of machine and equipment in 1994. Labor hours, operation costs and operation methods for each dairy processing were investigated and analyzed for the farmers to find the expected numbers of machine and equipment on the basis of the desired farm scale. And also, the estimated models were compared and analyzed with the conventional models which more than half dairy farmers used bucket milker in tie stall barn. Some of the results are as follows : 1. Analysis results of conventional model showed that a dairy farm could raise to 15 heads of dairy cow with family labor of 1.5 men, labor hours of 2, 700 in you and total operation costs of 734 thousand won per head. 2. The result, used in conjunction with minimum operation costs in tie stall barn, showed that 28 dairy cows could be raised by using concentrates feeding by hoppers, water supply by water cups, milking by pipeline milker, and manure cleaning by barn cleaner with total operation costs of 520 thousands won per head. 3. The total operation costs of a loose barn system is higher than those of tie stall barn system to raise about 30 heads. For the loose barn system, the herringbone parlour was used for milking, concentrate feeding by automatic concentrate feeder, water supply by thermal insulation feeder, and manure cleaning by scraper with total operation costs of 582 thousands won per head every year.

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Estimation on the Consumption Patterns of Potentially Hazardous Foods with High Consumer Risk Perception (식중독 위험성 인식이 높은 잠재적 위해식품 섭취실태조사)

  • Park, Hee Jin;Min, Kyung Jin;Park, Na Yoon;Cho, Joon Il;Lee, Soon Ho;Hwang, In Gyun;Heo, Jin Jae;Yoon, Ki Sun
    • Korean Journal of Food Science and Technology
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    • v.45 no.1
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    • pp.59-69
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    • 2013
  • This study investigated the frequency, amount and consumption patterns of 50 potentially hazardous foods (PHF) along with consumers' risk perceptions towards PHF in Korea. A quantitative survey was performed from May through August by trained interviewers, surveying 1,000 adults aged over 18 who were randomly selected from six major provinces in Korea. Consumers perceived seafood, including shellfish, mussel, sashimi and sushi, as the top foods with the highest risk, followed by raw sliced beef. The food with the highest frequency intake per month was leafy vegetables, which is used to wrap other foods, followed by blanched vegetables, fried chicken, etc. The group of middle aged individuals with economic stability had the highest frequency intake of sashimi and sushi. Respondents living in small regions consume greater PHF portions at once. Food safety education with regard to the risk of PHF is essential for consumers, with high frequent intake of PHF.

The Sensory Characteristics and Estimation of Shelf-life by $Q_10$ Values with Mixtures of High-Intensity Sweeteners for Beverage during Storage (청량음료용 고강도 감미료의 혼용 비율에 따른 관능적 특성 및 저장기간 산정)

  • Choi Sun-Young;Jang En-Gyung;Hwang In-Kyeong
    • Korean journal of food and cookery science
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    • v.21 no.2 s.86
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    • pp.235-242
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    • 2005
  • This study investigated the sensory characteristics of mixtures of high-intensity sweeteners for beverage and estimated the shelf life during storage. Sensory characteristics of mixtures of sweeteners (Aspartame/ Acesulfame-K, Aspartame/Sucralose and Acesulfame-K/Stevioside) were evaluated in aqueous (ranging from 90:10 to 50:50) and citrate buffer (ranging from 90:10 to 50:50) solutions. Significant synergistic effects were found in Aspartame/Acesulfame-K and Aspartame/Sucralose mixtures. No significant differences were found in other taste attributes (astringency, bitterness, metallic taste etc.). Aspartame/Acesulfame-K 5:5 solution showed the most acceptable sensory attributes. $Q_10$ values of Aspartame and Acesulfame-K mixture in citrate buffer (ranging from 90:10 to 50:50) solution were calculated from the temperature data (between $40^{\circ}C\;and\;50^{\circ}C$) determined by HPLC. $Q_10$ values were in the range of 2.01-2.25. Their shelf lives were calculated to be lengthened with increasing Acesulfame-K mixture ratio. Their shelf lives in Aspartame/Acesulfame-K 5:5 citrate buffer solution estimated at $20^{\circ}C\;and\;30^{\circ}C$ were 178 days and 88 days, respectively.

Estimation of the Total Terrestrial Organic Carbon Flux of Large Rivers in Korea using the National Water Quality Monitoring System (수질측정망을 이용한 국내 대하천 하구를 통한 총유기탄소 유출량 산정과 비교)

  • Park, Hyung-Geun;Ock, Giyoung
    • Korean Journal of Environmental Biology
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    • v.35 no.4
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    • pp.549-556
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    • 2017
  • Rivers continuously transport terrestrial organic carbon matter to the estuary and the ocean, and they play a critical role in productivity and biodiversity in the marine ecosystem as well as the global carbon cycle. The amount of terrestrial organic carbon transporting from the rivers to ocean is an essential piece of information, not only for the marine ecosystem management but also the carbon budget within catchment. However, this phenomenon is still not well understood. Most large rivers in Korea have a well-established national monitoring system of the river flow and the TOC (Total Organic Carbon) concentration from the mountain to the river mouth, which are fundamental for estimating the amount of the TOC flux. We estimated the flux of the total terrestrial organic carbon of five large rivers which flow out to the Yellow Sea, using the data of the national monitoring system (the monthly mean TOC concentration and the monthly runoff of river flow). We quantified the annual TOC flux of the five rivers, showing their results in the following order: the Han River ($18.0{\times}10^9gC\;yr^{-1}$)>>Geum River ($5.9{\times}10^9gC\;yr^{-1}$)>Yeongsan River ($2.6{\times}10^9gC\;yr^{-1}$)>Sumjin River ($2.0{\times}10^9gC\;yr^{-1}$)>>Tamjin River ($0.2{\times}10^9gC\;yr^{-1}$). The amount of the Han River, which is the highest in the Korean rivers, corresponds to be 4% of the annual total TOC flux of in the Yellow River, and moreover, to be 0.6% of Yangtze River.