• 제목/요약/키워드: Evaluation of Performance

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Perspective of breaking stagnation of soybean yield under monsoon climate

  • Shiraiwa, Tatsuhiko
    • 한국작물학회:학술대회논문집
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    • 한국작물학회 2017년도 9th Asian Crop Science Association conference
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    • pp.8-9
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    • 2017
  • Soybean yield has been low and unstable in Japan and other areas in East Asia, despite long history of cultivation. This is contrasting with consistent increase of yield in North and South America. This presentation tries to describe perspective of breaking stagnation of soybean yield in East Asia, considering the factors of the different yields between regions. Large amount of rainfall with occasional dry-spell in the summer is a nature of monsoon climate and as frequently stated excess water is the factor of low and unstable soybean yield. For example, there exists a great deal of field-to-field variation in yield of 'Tanbaguro' soybean, which is reputed for high market value and thus cultivated intensively and this results in low average yield. According to our field survey, a major portion of yield variation occurs in early growth period. Soybean production on drained paddy fields is also vulnerable to drought stress after flowering. An analysis at the above study site demonstrated a substantial field-to-field variation of canopy transpiration activity in the mid-summer, but the variation of pod-set was not as large as that of early growth. As frequently mentioned by the contest winners of good practice farming, avoidance of excess water problem in the early growth period is of greatest importance. A series of technological development took place in Japan in crop management for stable crop establishment and growth, that includes seed-bed preparation with ridge and/or chisel ploughing, adjustment of seed moisture content, seed treatment with mancozeb+metalaxyl and the water table control system, FOEAS. A unique success is seen in the tidal swamp area in South Sumatra with the Saturated Soil Culture (SSC), which is for managing acidity problem of pyrite soils. In 2016, an average yield of $2.4tha^{-1}$ was recorded for a 450 ha area with SSC (Ghulamahdi 2017, personal communication). This is a sort of raised bed culture and thus the moisture condition is kept markedly stable during growth period. For genetic control, too, many attempts are on-going for better emergence and plant growth after emergence under excess water. There seems to exist two aspects of excess water resistance, one related to phytophthora resistance and the other with better growth under excess water. The improvement for the latter is particularly challenging and genomic approach is expected to be effectively utilized. The crop model simulation would estimate/evaluate the impact of environmental and genetic factors. But comprehensive crop models for soybean are mainly for cultivations on upland fields and crop response to excess water is not fully accounted for. A soybean model for production on drained paddy fields under monsoon climate is demanded to coordinate technological development under changing climate. We recently recognized that the yield potential of recent US cultivars is greater than that of Japanese cultivars and this also may be responsible for different yield trends. Cultivar comparisons proved that higher yields are associated with greater biomass production specifically during early seed filling, in which high and well sustained activity of leaf gas exchange is related. In fact, the leaf stomatal conductance is considered to have been improved during last a couple of decades in the USA through selections for high yield in several crop species. It is suspected that priority to product quality of soybean as food crop, especially large seed size in Japan, did not allow efficient improvement of productivity. We also recently found a substantial variation of yielding performance under an environment of Indonesia among divergent cultivars from tropical and temperate regions through in a part biomass productivity. Gas exchange activity again seems to be involved. Unlike in North America where transpiration adjustment is considered necessary to avoid terminal drought, under the monsoon climate with wet summer plants with higher activity of gas exchange than current level might be advantageous. In order to explore higher or better-adjusted canopy function, the methodological development is demanded for canopy-level evaluation of transpiration activity. The stagnation of soybean yield would be broken through controlling variable water environment and breeding efforts to improve the quality-oriented cultivars for stable and high yield.

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중환자실에 입원한 환자의 장기부전 및 예후 평가를 위한 SOFA 점수체계의 의의 (The SOFA Score to Evaluate Organ Failure and Prognosis in the Intensive Care Unit Patients)

  • 김수호;이명구;박상면;박용범;장승훈;김철홍;전만조;신태림;엄광석;현인규;정기석;이승준
    • Tuberculosis and Respiratory Diseases
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    • 제57권4호
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    • pp.329-335
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    • 2004
  • 연구 배경 : 중환자의 예후를 예측할 수 있는 지표로 현재까지 APACHE II, III 점수체계와 SAPS 등이 임상에 응용되고 있다. 1996년 유럽에서 SOFA 점수체계가 제안되었고 1998년 다기관 전향적 연구를 통하여 장기부전을 평가하고 경과를 감시하는 간편하고 효과적인 점수체계임을 입증하였다. 이 연구는 춘천성심병원에서 내과계 중환자만을 대상으로 SOFA 점수체계의 유용성을 조사하였다. 방 법 : 2000년 5월 1일부터 6월 30일까지 춘천성심병원 내과계 중환자실에 입원한 154명을 대상으로 하였고, 이중 타과환자, 타병원으로 전원된 경우, ECG 관찰만을 위하여 입원한 경우, 처치 후 관찰을 위해 48시간 이내만 체류한 환자를 제외한 105명을 연구에 포함시켰으며, 91명에서 평가가 가능하였다. SOFA 점수와 APACHE III 점수는 입원 시부터 매일 24시간 간격으로 중환자실에서 퇴실할 때까지 하였다. 결 과 : 1) 사망률은 20%였고 중환자실 체류기간의 중앙값은 3일이었다. 2) 사망군과 생존군 간의 24시간 내 SOFA 점수는 각각 $8.17{\pm}4.05$, $3.85{\pm}3.24$로 유의한 차이가 있었다. 3) 장기부전이 없는 경우의 사망률은 6.5%, 5개의 다발성 장기부전이 있는 경우 사망률은 100%였다. 4) 48시간 이상 체류했던 74명을 분석한 결과 사망군에서는 최대 SOFA 점수가 81%에서 증가하였고 생존군에서는 21%에서 증가하여 유의한 차이를 보였다. 5) 24시간 내 SOFA 점수와 APACHE III 점수와의 관련성을 평가한 결과 r=0.85 (p<0.01)로 유의한 상관관계가 있었다. 결 론 : SOFA 점수체계는 다발성 장기부전이 있는 환자에서 장기부전을 평가하고 예후를 예측하며 임상경과를 관찰하는데 이용할 수 있는 간편하고 임상적 효용성이 있는 지표로서 임상적으로 많은 도움이 될 것으로 생각한다.

임상표적체적 결정을 위한 기능 영상 기반 생물학적 인자 맵핑 소프트웨어 개발 (Development of the Multi-Parametric Mapping Software Based on Functional Maps to Determine the Clinical Target Volumes)

  • 박지연;정원균;이정우;이경남;안국진;홍세미;주라형;최보영;서태석
    • 한국의학물리학회지:의학물리
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    • 제21권2호
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    • pp.153-164
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    • 2010
  • 혈관분포도(vascularity) 및 세포조밀도(cellularity)와 같은 종양의 생물학적 특성을 고려한 임상표적체적을 결정하기 위하여, 국부혈류용적영상(regional cerebral blood volume map, rCBV map)과 겉보기확산계수영상(apparent diffusion coefficient map, ADC map)의 종양 체적을 해부학적 영상 위에 맵핑 할 수 있는 소프트웨어를 개발하였다. 개발한 프로그램은 해부학적 영상 및 기능 영상 간 mutual information, affine transform, non-rigid registration을 이용한 영상 정합 기능을 제공한다. 영상 정합 후 기준 영상과 정합된 영상에서 획득한 각 segmented bone의 겹치는 체적 비율 및 contour 간 평균 거리를 이용하여 정합도 평가도 가능하다. 잔여 종양이 있는 악성신경아교종 환자의 영상을 이용하여 소프트웨어의 기능을 평가하였을 때, bone segmentation과 contour 간 평균 거리 차이를 이용한 정합도는 각각 약 74%와 2.3 mm였으며, 수동정합을 이용하여 2~5% 정도의 정합도를 향상 시킬 수 있었다. 종양의 생물학적 특성을 치료 계획에 반영할 수 있도록, color map을 이용하여 rCBV map을 분석하였으며, ADC map에서 설정한 관심 영역의 평균 확산 계수와 표준 편차 등을 계산하여 종양의 예후 인자 및 악성도를 평가하였다. 두 기능 영상이 공통적으로 나타내는 종양 체적에서 얻은 생물학적 인자를 평면 위에 맵핑하여 종양의 특성을 쉽게 파악할 수 있는 multi-functional parametric map을 구성하였다. 또한 각기능 인자에 대응되는 악성 종양의 임계값을 적용하여 주변 종양 세포에 비하여 혈관 분포도는 높으면서 확산 계수는 낮아 악성 종양 세포일 확률이 높은 영역을 구분할 수 있었다. 각 기능 영상 위에서 설정한 생물학적 종양 체적 및 악성도가 높은 국소 체적은 해부학적 영상 위에 표시하여 dicom 파일로 출력할 수 있었다. 개발한 소프트웨어는 기능적 다중영상을 이용하여 생물학적 종양 체적을 해부학적 영상 위에 맵핑하는데 적용할 수 있으며, 해부학적 영상에서 파악하기 어려운 종양의 특성 변화들을 치료 계획에 활용할 수 있다. 나아가 개발한 소프트웨어를 이용하여, 한 종류의 영상을 참고하여 종양 체적을 결정했을 때 발생할 수 있는 오류를 줄이고, 치료 전이나 치료 과정에서 나타나는 종양의 조직학적, 생리학적 특성을 치료 계획에 접목하는데 활용할 수 있다.

단일 카테고리 문서의 다중 카테고리 자동확장 방법론 (A Methodology for Automatic Multi-Categorization of Single-Categorized Documents)

  • 홍진성;김남규;이상원
    • 지능정보연구
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    • 제20권3호
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    • pp.77-92
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    • 2014
  • 텍스트에 대한 사용자의 접근성을 향상시키기 위해, 이들 문서는 정해진 기준에 따라 카테고리로 분류되어 제공되고 있다. 과거에는 카테고리 분류 작업이 수작업으로 수행되었지만, 문서 작성자에게 분류를 맡기는 경우 분류 정확성을 보장할 수 없고 관리자가 모든 분류를 담당하는 경우 많은 시간과 비용이 소요된다는 어려움이 있었다. 이러한 한계를 극복하기 위해 카테고리를 자동으로 식별할 수 있는 문서 분류 기법에 대한 연구가 활발하게 수행되었다. 하지만 대부분의 문서 분류 기법은 각 문서가 하나의 카테고리에만 속하는 경우를 가정하고 있기 때문에, 하나의 문서가 다양한 주제를 갖는 실제 상황과 부합하지 않는다는 한계를 갖는다. 이를 보완하기 위해 최근 문서의 다중 카테고리 식별을 위한 연구가 일부 수행되었으나, 이들 연구는 대부분 이미 다중 카테고리가 부여되어 있는 문서에 대한 학습을 통해 분류 규칙을 생성하므로 단일 카테고리만 부여되어 있는 기존 문서의 다중 카테고리 식별에는 적용할 수 없다는 제약을 갖는다. 따라서 본 연구에서는 이러한 제약을 극복하기 위해, 카테고리, 토픽, 문서간 관계 분석을 통해 단일 카테고리를 갖는 문서로부터 추가 주제를 발굴하여 이를 다중 카테고리로 자동 확장시킬 수 있는 방법론을 제안하였다. 실험 결과 원 카테고리가 식별된 총 24,000건의 문서 중 23,089건에 대해 카테고리를 확장시킬 수 있었다. 또한 정확도 분석에서 카테고리의 특성에 따라 카테고리 분류 정확도가 상이하게 나타나는 현상을 발견하였다. 본 연구는 단일 카테고리로 분류된 문서에 대해 다중 카테고리를 추가로 식별하여 부여함으로써, 규칙 학습 과정에서 다중 카테고리가 부여된 문서를 필요로 하는 기존 다중 카테고리 문서 분류 알고리즘의 활용성을 매우 향상시킬 수 있을 것으로 기대한다.

UML의 부분-전체 관계에 대한 메타모델 형식화 이론의 적용: 집합연관 및 복합연관 판별 실험 (Applying Meta-model Formalization of Part-Whole Relationship to UML: Experiment on Classification of Aggregation and Composition)

  • 김태경
    • 지능정보연구
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    • 제21권1호
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    • pp.99-118
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    • 2015
  • 정보 시스템 개발에 있어 객체지향 프로그래밍 언어가 널리 사용된다. 이와 함께 객체지향 설계를 뒷받침하는 개념적 모델링 언어에 관한 관심도 높다. 이를 배경으로 통합 모델링 언어 혹은 UML로 알려진 개념적 모델링 언어는 여러 객체 지향 프로그래밍 언어와 함께 사용되면서 사후적 표준으로 자리 잡았다. UML은 클래스를 설계의 중심에 둔다. 또한 클래스들 간의 관계를 통해 체계적인 이해를 가능하게 한다. 특히 부분에 해당하는 클래스들과 전체에 해당하는 클래스의 관계인 부분-전체 관계를 설계할 수 있는 문법 또한 UML에 포함된다. 현실 세계에 부분-전체 관계로 파악될 수 있는 여러대상들이 존재하고 비즈니스 활동에 존재하는 각종 역할들의 구조에서도 부분-전체 관계로 표현될 수 있는 대상들이 보편적으로 보인다. 따라서 UML로 클래스들 간의 부분-전체 관계를 드러내는 일은 자연스럽다. 문제는 부분-전체 관계를 파악하는 활동은 UML 2.0의 표준에 포함되었으나 실제 설계 과정에서 적극 활용하기 위한 실천적 이론화가 부족하다는 점이다. 부분-전체 관계를 집합연관과 복합연관으로 세분화한 UML 문법은 표현 양식에서 부족함은 없을지라도 어떤 대상을 부분-전체로 파악하고, 이를 어떻게 집합연관이나 복합연관으로 분류해야 할 것인지에 대한 판단이 쉽게 결여된다. 지금까지 UML의 부분-전체 관계 규명은 언어적 표현법을 활용하는 것에 치우쳤다. 이와 같은 문제에 대한 대안을 제시하기 위해 본 연구는 메타모델 형식화 이론을 기반으로 UML 사용자가 부분-전체 관계를 판단하고 이를 집합연관과 복합연관으로 분류할 수 있는 실천적 대안을 제시한다. 이를 활용한 실험의 결과 메타모델 형식화가 UML 사용자들에게 통용되어 온 언어적 구분법보다 더 나은 결과를 낳는다는 점이 밝혀졌다. 본 연구는 부분-전체의 판별과 구분에 도움을 주는 실용적인 방법을 제안하고 검증하였다는 점에서 의의가 있다.

가족계획과 모자보건 통합을 위한 조산원의 투입효과 분석 -서산지역의 개입연구 평가보고- (An Intervention Study on Integration of Family Planning and Maternal/Infant Care Services in Rural Korea)

  • 방숙;한성현;이정자;안문영;이인숙;김은실;김종호
    • Journal of Preventive Medicine and Public Health
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    • 제20권1호
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    • pp.165-203
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    • 1987
  • This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects on FP use: During this 2 year action period, FP acceptance increased from 58% in 1981 to 78% in 1984 in both the study and control areas. This increase in both areas was mainly due to the new family planning campaign driven by the Government for the same study period. Therefore, there was no increment of FP acceptance rate due to additional input of MW to the on-going FP program. But in the study area, quality aspects of FP were somewhat improved, having a better continuation rate of IUDs & pills and more use of effective Contraceptive methods in comparison with the control area. 2. Effects of use of MCH services: Between the study and control areas, however, there was a significant difference in maternal and child health care. For example, the coverage of prenatal care was increased from 53% for 1981 birth cohort to 75% for 1984 birth cohort in the study area. In the control area, the same increased from 41% (1981) to 65% (1984). It is noteworthy that almost two thirds of the recent birth cohort received prenatal care even in the control area, indicating that there is a growing demand of MCH care as the size of family norm becomes smaller 3. There has been a substantive increase in delivery care by medical professions in the study area, with an annual increase rate of 10% due to midwives input in the study areas. The project had about two times greater effect on postnatal care (68% vs. 33%) at delivery care(45.2% vs. 26.1%). 4. The study area had better reproductive efficiency (wanted pregancies with FP practice & healthy live births survived by one year old) than the control area, especially among women under 30 (14.1% vs. 9.6%). The proportion of women who preferred the 1st trimester for their first prenatal care rose significantly in the study area as compared to the control area (24% vs 13%). B) Effects on Interactive Linkage 1. This project made a contribution in making several useful steps in the direction of service integration, namely; i) The health workers have become familiar with procedures on how to work together with each other (especially with a midwife) in carrying out their work in FP/MCH and, ii) The health workers have gotten a feeling of the usefulness of family health records (statistical integration) in identifying targets in their own work and their usefulness in caring for family health. 2. On the other hand, because of a lack of required organizational factors, complete linkage was not obtained as the project intended. i) In regards to the government health worker's activities in terms of home visiting there was not much difference between the study & control areas though the MW did more home visiting than Government health workers. ii) In assessing the service performance of MW & health workers, the midwives balanced their workload between 40% FP, 40% MCH & 20% other activities (mainly immunization). However, $85{\sim}90%$ of the services provided by the health workers were other than FP/MCH, mainly for immunizations such as the encephalitis campaign. In the control area, a similar pattern was observed. Over 75% of their service was other than FP/MCH. Therefore, the pattern shows the health workers are a long way from becoming multipurpose workers even though the government is pushing in this direction. 3. Villagers were much more likely to visit the health sub-center clinic in the study area than in the control area (58% vs.31%) and for more combined care (45% vs.23%). C) Organization factors (admistrative integrative issues) 1. When MW (new workers with higher qualification) were introduced to HSC, it was noted that there were conflicts between the existing HSC workers (Nurse aids with less qualification than MW) and the MW for the beginning period of the project. The cause of the conflict was studied by an anthropologist and it was pointed out that these functional integration problems stemmed from the structural inadequacies of the health subcenter organization as indicated below; i) There is still no general consensus about the objectives and goals of the project between the project staff and the existing health workers. ii) There is no formal linkage between the responsibility of each member's job in the health sub-center. iii) There is still little chance for midwives to play a catalytic role or to establish communicative networks between workers in order to link various knowledge and skills to provide better FP/MCH services in the health sub-center. 2. Based on the above findings the project recommended to the County Chief (who has power to control the administrative staff and the technical staff in his county) the following ; i) In order to solve the conflicts between the individual roles and functions in performing health care activities, there must be goals agreed upon by both. ii) The health sub·center must function as an autonomous organization to undertake the integration health project. In order to do that, it is necessary to support administrative considerations, and to establish a communication system for supervision and to control of the health sub-centers. iii) The administrative organization, tentatively, must be organized to bind the health worker's midwive's and director's jobs by an organic relationship in order to achieve the integrative system under the leadership of health sub-center director. After submitting this observation report, there has been better understanding from frequent meetings & communication between HW/MW in FP/MCH work as the program developed. Lessons learned from the Seosan Project (on issues of FP/MCH integration in Korea); 1) A majority or about 80% of the couples are now practicing FP. As indicated by the study, there is a growing demand from clients for the health system to provide more MCH services than FP in order to maintain the achieved small size of family through FP practice. It is fortunate to see that the government is now formulating a MCH policy for the year 2,000 and revising MCH laws and regulations to emphasize more MCH care for achieving a small size family through family planning practice. 2) Goal consensus in FP/MCH shouBd be made among the health workers It administrators, especially to emphasize the need of care of 'wanted' child. But there is a long way to go to realize the 'real' integration of FP into MCH in Korea, unless there is a structural integration FP/MCH because a categorical FP is still first priority to reduce the rate of population growth for economic reasons but not yet for health/welfare reasons in practice. 3) There should be more financial allocation: (i) a midwife should be made available to help to promote the MCH program and coordinate services, (in) there should be a health sub·center director who can provide leadership training for managing the integrated program. There is a need for 'organizational support', if the decision of integration is made to obtain benefit from both FP & MCH. In other words, costs should be paid equally to both FP/MCH. The integration slogan itself, without the commitment of paying such costs, is powerless to advocate it. 4) Need of management training for middle level health personnel is more acute as the Government has already constructed 90 MCH centers attached to the County Health Center but without adequate manpower, facilities, and guidelines for integrating the work of both FP and MCH. 5) The local government still considers these MCH centers only as delivery centers to take care only of those visiting maternity cases. The MCH center should be a center for the managment of all pregnancies occurring in the community and the promotion of FP with a systematic and effective linkage of resources available in the county such as i.e. Village Health Worker, Community Health Practitioner, Health Sub-center Physicians & Health workers, Doctors and Midwives in MCH center, OBGY Specialists in clinics & hospitals as practiced by the Seosan project at primary health care level.

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세기조절방사선치료의 환자별 정도관리를 위한 2차원적 선량계의 유용성 평가 (Comparison of the Efficacy of 2D Dosimetry Systems in the Pre-treatment Verification of IMRT)

  • 홍채선;임종수;주상규;신은혁;한영이;안용찬
    • Radiation Oncology Journal
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    • 제27권2호
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    • pp.91-102
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    • 2009
  • 목 적: 세기조절방사선치료에 있어서 치료 전 환자별 정도관리(QA)에 사용하는 EDR2 필름과 2차원 이온전리함배열(MatriXX), 그리고 전자포탈영상장치(EPID)에 대해 절대선량계와 상대선량계로서의 정확도와 효율성을 평가했다. 대상 및 방법: 6 MV X-선을 이용하여 두 가지 유형(기준 조사면, 오차 평가 조사면)의 세기조절 조사면을 설계하고 EDR2 필름, MatriXX, EPID를 사용하여 절대선량과 상대적 선량분포를 비교, 분석했다. 세 시스템의 절대선량 정확성을 평가하기 위해 세 시스템의 선량 측정값과 전리함 측정값을 비교했고, 상대적 선량분포 평가를 위해 기준 조사면과 의도적으로 MLC leaf 위치를 변형시킨 오차 평가 조사면에서 감마($\gamma$)값과 조사면 수직 프로파일을 분석했다. 또한, 환자별 QA 전 과정을 수행하는데 소요되는 시간을 측정하여 시스템에 따른 업무 부하를 비교했다. 결 과: EDR2 필름, MatriXX, 그리고 EPID의 절대선량 측정값과 전리함 측정값을 비교한 결과 EPID는 1%, MatriXX는 2%, EDR2 필름은 3% 이내의 오차 측정 정확도를 보였다. EDR2 필름과 EPID는 허용기준 3%/3 mm와 2%/2 mm 모두에서 감마값이 1을 초과하는 화소($\gamma$%>1)가 전체 화소의 2% 이내였다. 그러나 MatriXX의 경우 3%/3 mm에서는 1% 이내의 오차를 보였으나 2%/2 mm를 적용한 $10\times20\;cm^2$$10\times10\;cm^2$에서는 각각 5.94%와 4.95%로 증가했다. 세 시스템으로부터 얻은 오차 평가 조사면의 선량 분포를 치료계획 장치로부터 얻은 기준 조사면과 중첩하여 감마 분석한 결과, 3%/3 mm에서 EDR2 필름이 -4 mm의 MLC leaf 오차 식별이 가능했고 EPID는 -3 mm 오차를 감지했다. 2%/2 mm의 경우, EDR2 필름과 EPID에서 각각 -3 mm와 -2 mm의 오차 식별이 가능했다. 그러나 MatriXX의 경우 경계가 불분명해 오차 구분이 어려웠다. 환자별 QA 전 과정을 수행하는데 소요되는 시간은 EDR2 필름이 약 110분, MatriXX가 약 80분, EPID가 약 55분이었다. 결 론: 본 연구는 IMRT의 치료 전 환자별 QA를 위한 EDR2 필름, MatriXX, 그리고 EPID의 측정 정확도와 효율성을 분석했다. EDR2 필름과 EPID는 선량 측정 정확도가 우수했으며, MatriXX는 측정 시간이 짧았다. 본 연구 결과는 임상에서 효율적인 IMRT QA 시스템을 구축하는데 좋은 자료가 될 것으로 생각한다.

비정신과 간호원의 정신질환 및 정신질환자에 대한 태도 조사 연구 (A Study of the Attitudes of Nonpsychiatric Registered Nurses towards Mental illness and Mental Patients)

  • 박예숙
    • 대한간호학회지
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    • 제3권2호
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    • pp.31-43
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    • 1973
  • The trend in modern nursing is toward the performance of comprehensive nursing care. Psychiatric nursing emphasizes education which enables the nurse to understand the underlying difficulties being expressed through a wide range of emotions and through practice to be more adept in her selection of a manner of approach which best meets the needs of a given situation. Presently, in Korea, there is nothing in the literature regarding evaluation of the effect of psychiatric nursing education on the attitudes of nurses towards mental illness and mentally ill patients. This stud!1 was attempted in order to understand 1) some of the problems in psychiatric nursing education 2) some of tile factors which affect the attitudes of nurses towards mental illness and mental patients. A questionnaire, a Korean translation of the "Opinions about Mental illness Scale" by Cohen and Stranding, 1962, was administered to 188 nonpsychiatric registered nurses employed in Yonsei University Hospital (Y. Hospital) and Seoul National University Hospital (S. Hospital) located in the city of Seoul. All of the nurses were directly involved with adult patient care. They graduated from various nursing schools. The data was collected during the period of October 2 to October 16,1972. The age, educational background , marital status, type of previous psychiatric experience, experience as a graduate nurse and close personal relationship with someone who was a psychiatric patient were compared with the O.M.I. scores. The mean and standard errors for each of the comparison groups were computed and tile relationships calculated by a t-test. The results of the study are summarized as follow: 1. There is no significant difference between the age of the nurses and their attitudes toward mental illness and mental patients. 2. There is no significant difference between the. educational backgrounds of the nurses and their attitudes toward mental illness and mental patients. 3. There is a significant difference in the nurses ′student psychiatric nursing experience and their attitudes towards mental illness and mental patients for the nurses in 5. Hospital only. The nurses who had 3-4 week of student psychiatric nursing experience had a significantly higher mean score for Benevolence (factor B) than nurses whose student psychiatric experience had been less than 1 Ivcek (P<0.05). The nurses who had 1-2 weeks, 3-4 weeks and more than 4 weeks of student psychiatric nursing experience had significantly higher mean scores for Interpersonal Ethology (factor E) than nurses whose student psychiatric had been less than 1 week (p<0.05), 4. There is a significant difference in the nurses′student psychiatric nursing experience by types of institution and their attitudes towards mental illness and mental patients for S. Hospital nurses only. The nurses who had their student psychiatric nursing experience in the government psychiatric hospitals recorded significantly higher mean score for Authoritarianism (factor A) than nurses who had their. experience in private psychiatric hospitals (p<0.05). 5. There is no significant difference in the nurses′psychiatric nursing experience as a graduate nurse and their attitudes toward mental illness and mental patients. 6. There is no significant difference in the nature and variety of the nurses′experience as a graduate nurse and their attitude toward mental illness and mental patients. 7. There is no significant difference in the presence or absence of a close personal relationship with a mentally ill person and the nurses′attitude toward mental illness and mental patients. 8. There is no significant difference in the nurses′ marital status and their attitude toward mental illness and mental patients. 9. There is no significant difference between the nurses who were employed ill S. and Y. hospitals and their attitudes towards mental illness and mental patients. Major suggestion for further study was to have more larger and wider scale research for establishing of the reliability and validity of the Korean translation of the O.H.I. Scale.

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대사판정시험을 이용한 젖소의 우유증산 (Production Increase of Milk in Dairy Cow by Metabolic Profile Test)

  • 이창우;김본원;라정찬;신상태;김두;김종택;홍순일
    • 한국임상수의학회지
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    • 제10권1호
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    • pp.65-94
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    • 1993
  • This study examined metabolic profiles of 1349 Holstein cows from 91 commercial herds. Thirteen parameters which are consisted of twelve blood components and body condition score were examined and their mean values. standard deviations and standard limits, which are 80% confidential limits, in each lactational stage were reported. The variations of each parameter affected by season, individual milk yield, adjusted corrected milk yield of herd. and lactation number were also reported. A model of metabolic profile test applicable to this country where the average number of cows in a herd is small as to be fifteen is designed. Metabolic profiles as reflected in each parameter were discussed in relation to adequacy of dietary intake for production, milk production, reproductive performance, and diseases, and the possible measure to improve productivity of dairy cows were proposed. Much of the variation in parameters was due to differences between herds, and less to differences between seasons, differences between individual milk yield, and differences between lactational stages. As the average herd size in this country is small, it is believed that all the cows in a herd must be sampled, and the individual result of each parameter was compared with the standard limit for each lactational stage, and the percentage of cows which are outside the standard limits in a herd was calculated to use as a criteria for evaluation of the herd. Data outside the 99% confidential limits were to be deleted at first, but when the trends of the data outside the 99% confidential limits are same as the trends of the data within 99% confidential limits, the deleted data must be reviewed again, otherwise some important informations would be missed. The mean concentration of blood urea nitrogen in this study was much higher than that was reported in England, U.S.A. and Japan, and it was similar to the upper limits reported in England, U.S.A. and Japan. So it was thought that the concentration of blood urea nitrogen is improper as a criteria for protein intake. The increase of serum total protein cocentration beyond standard limits was due to increase of serum globulin concentration in most of the cows. The correlation coefficient between serum and protein and serum globulin concentration was 0.83. Serum globulin concentration was negatively related to adjusted corrected milk of herd. Serum albumin, calcium and magnessium concentrations were negatively related to adjusted corrected milk of herd, which indicate that high-producing individual or high-producing herd have not taken sufficient protein/amino acids, calcium and magnessium. Packed cell volume was negatively related to adjusted corrected milk of the herd, and the trend was same In each lactational stage. The correlation coefficient between serum and packed cell volume was 0.16 and the correlation was very weak. Blood glucose concentration was lowest in early lactational stage, which indicates negative energy balance in early lactational stage. Blood glucose concentration was negatively related to adjusted corrected milk of herd from peak to late lactational stage, which indicates negative energy balance during the period in high-producing individuals or high-producing herds. Correlation coefficient between serum aspartate aminotransferase activity and serum ${\gamma}$-glutamyltransferase activity was 0.41, and this indicates that serum ${\gamma}$-glutamyltransferase should be included as a parameter of metabolic profile test to evaluate liver function. Body condition score of dairy cows in this country was lower than that of Japan in every lactational stages, and the magnitude of increase in body condition score during middle and late lactational stages was small. Metabolic profile can not be evaluated with solely nutritional intake. When an individual or large percentage of cows in a herd have adnormal values In parameters of metabolic profile test, veterinary clinician and nutritionist should cooperate so as to diagnose diseases and to calculate the e of no운ents simultaneously.

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율무 새싹 추출물의 Riboflavin과 Coixol의 동시 분석법 검증 및 항산화 활성 (Validation of a Method and Evaluation of Antioxidant Activity for the Simultaneous Determination of Riboflavin and Coixol in Coix lacryma-jobi var. ma-yuen Stapf Sprouts)

  • 이지연;박정용;박춘근;김동휘;지윤정;최수지;오명원;황호섭;이윤지;정진태;이정훈;서경혜
    • 한국작물학회지
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    • 제64권4호
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    • pp.452-458
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    • 2019
  • 율무 새싹 추출물의 riboflavin과 coixol의 원료표준화를 위한 동시분석 조건을 검증하고, 율무 새싹의 전초와 잎 추출물의 항산화 활성과 함량의 상관관계에 대해 조사하였다. 1. HPLC 분석을 위한 riboflavin과 coixol의 피크가 각각 분리되어 특이성을 확인하였고, 일내 및 일간 정확성은 모두 회수율이 100.28%에서 103.98% 사이이며 정밀성은 모두 1.93%이하를 나타내므로 본 실험의 분석조건은 높은 정확성과 정밀성을 가지고 있다. 2. Riboflavin과 coixol의 동시분석 조건의 검출한계(LOD) 및 정량한계(LOQ)를 조사한 결과 검출한계는 0.71 및 0.31 ㎍/mL, 정량한계는 2.71 및 0.94 ㎍/mL이므로 확립된 HPLC 분석조건은 riboflavin과 coixol의 동시분석하기에 무리가 없는 분석법으로 조사되었다. 3. 율무 새싹의 전초와 잎의 riboflavin과 coixol의 함량을 본 연구에서 얻어진 동시분석법을 적용하여 잎의 환류 추출물에서 가장 높은 함량이 나타났다. 4. 항산화 활성 측정 시, DPPH와 ABTS+ 소거능에서 모두 율무 새싹의 전초보다 잎에서, 상온 추출보다 환류 추출이 더 낮은 IC50값을 나타내었다. 율무 새싹 추출물의 riboflavin과 coixol 및 항산화 활성과의 상관관계를 실시한 결과, coixol이 증가할수록 DPPH와 ABTS+ 소거능의 IC50값이 유의적으로 감소하는 경향이 나타나므로 원료표준화 지표뿐만 아니라 기능성 지표로 활용이 가능할 것으로 판단되었다.