• Title/Summary/Keyword: Index Selection

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Effectiveness after Designation of a Trauma Center: Experience with Operating a Trauma Team at a Private Hospital

  • Kim, Kyoung Hwan;Han, Sung Ho;Chon, Soon-Ho;Kim, Joongsuck;Kwon, Oh Sang;Lee, Min Koo;Lee, Hohyoung
    • Journal of Trauma and Injury
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    • v.32 no.1
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    • pp.1-7
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    • 2019
  • Purpose: The present study aimed to evaluate the influence of how the trauma care system applied on the management of trauma patient within the region. Methods: We divided the patients in a pre-trauma system group and a post-trauma system group according to the time when we began to apply the trauma care system in the Halla Hospital after designation of a trauma center. We compared annual general characteristics, injury severity score, the average numbers of the major trauma patients, clinical outcomes of the emergency department, and mortality rates between the two groups. Results: No significant differences were found in the annual patients' average age ($54.1{\pm}20.0$ vs. $52.8{\pm}18.2$, p=0.201), transportation pathways (p=0.462), injury mechanism (p=0.486), injury severity score (22.93 vs. 23.96, p=0.877), emergency room (ER) stay in minutes (199.17 vs. 194.29, p=0.935), time to operation or procedure in minutes (154.07 vs. 142.1, p=0.767), time interval to intensive care unit (ICU) in minutes (219.54 vs. 237.13, p=0.662). The W score and Z score indicated better outcomes in post-trauma system group than in pre-trauma system group (W scores, 2.186 vs. 2.027; Z scores, 2.189 vs. 1.928). However, when analyzing survival rates for each department, in the neurosurgery department, in comparison with W score and Z score, both W score were positive and Z core was higher than +1.96. (pre-trauma group: 3.426, 2.335 vs. post-trauma group: 4.17, 1.967). In other than the neurosurgery department, W score was positive after selection, but Z score was less than +1.96, which is not a meaningful outcome of treatment (pre-trauma group: -0.358, -0.271 vs. post-trauma group: 1.071, 0.958). Conclusions: There were significant increases in patient numbers and improvement in survival rate after the introduction of the trauma system. However, there were no remarkable change in ER stay, time to ICU admission, time interval to emergent procedure or operation, and survival rates except neurosurgery. To achieve meaningful survival rates and the result of the rise of the trauma index, we will need to secure sufficient manpower, including specialists in various surgical area as well as rapid establishment of the trauma center.

The Study on evaluation index development and species selection determining to establish priority species monitoring system in DMZ (DMZ일원 중점관리종 모니터링체계 구축을 위한 평가지표개발 및 종선정 연구)

  • Park, Jinsun;Bak, Gippeum;Kim, Sang-Jun;An, Jong-Bin;Lee, Ahyoung;Hwang, Hee-suk;Song, Jin-Heon;Yun, Ho-Geun;Jung, Su-Young;Jung, Ji-Young;Kim, Il-Kwon;Shin, Hyun-Tak;Lee, Cheol-Ho
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2019.04a
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    • pp.77-77
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    • 2019
  • 본 연구는 DMZ일원에서 생육하고 있는 자생식물에 대하여 우선순위를 설정하고, DMZ일원 종다양성의 지속적인 건강성 유지 및 보전을 위한 중장기 모니터링 기술을 개발하기 위하여 중점관리종을 선정하고자 하였다. 또한, 이를 토대로 DMZ지역과 북방계지역에 대한 생물자원을 연구할 수 있는 기본틀을 마련하고 생물권보전지역을 지정함으로써 국제교류 및 이해에 기여하는 연구를 수행하였다. 현재 DMZ일원의 관속식물상은 157과 754속 2,047종 12아종 340변종 105품종 총 2,504분류군이 생육하고 있다. 이 중 희귀식물은 총 285분류군, 특산식물은 총 124분류군, 침입외래식물은 130분류군이 분포하고 있다. 전체 2,504분류군 중 희귀식물, 특산식물, 침입외래식물을 대상으로 전국분포정보 및 DMZ일원 분포정보를 수집하였다. 이를 토대로 희귀 특산식물에 해당하는 보호종 선정을 위한 평가지표는 IUCN 적색목록기준 의 국내수준 및 DMZ일원의 희귀 특산식물의 등급을 CR종 3점, EN종 2점 VU종 1점으로 점수를 평가한 뒤 국내 분포 지역수(IUCN red list criteria B)에 대한 가중치를 적용하여 보호우선순위를(I$10,576.9km^2$) 대비 종 분포면적의 0~20% 1점, 21~40% 1.5점, 41~60% 2점, 61~80% 2.5점, 81~100% 3점으로 분포등급을 평가한 뒤 생태교란종(14분류군) 및 산림침입종(181분류군)에 대한 가중치를 적용하여 관리우선순위를(I

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Application of Picture Book Reading Training Protocol using Electronic Media and Its Effects on Reading Ability for to Borderline Intellectual Children (경계선 지능 아동을 대상으로 전자매체를 활용한 그림책 읽기 훈련 프로토콜의 적용 및 읽기능력에 미치는 영향)

  • Son, Sung-Min;Kwag, Sung-Won;Jeon, Byoung-Jin
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.3
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    • pp.25-35
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    • 2018
  • Objective : The purpose of this study was to identify changes in reading ability among children with Borderline Intelligence by applying an electronic media reading training protocol. Methods : A picture book reading training protocol was applied to 10 childrens with borderline intelligence using electronic media to improve reading skills. This protocol was performed for 10 session once a week. After the analysis of the content validity index about the protocol presented in this study, this prococol was applied to the subjects. To analyze the changes of the reading ability for the subjects, KNISE-BAAT type A and B reading test were used. Results : According to the tests taken before and after implementing, the Application of Picture Booking Training Protocol using Electronic Media there was a significant improvement in Reading ability (Understanding words, Completion sentence, Vocabulary selection, Vocabulary arrangement, Understanding short text). However, there was no significant difference in Oral Reading. Conclusion : Application of Picture Booking Training Protocol using Electronic Media may be used as a beneficial measure to improve the reading abilities of children with Borderline Intellectual.

Analysis of Genetic Characteristic of Jujube (Ziziphus jujuba Mill.) Cultivated in Korea Revealed by ISSR Markers (ISSR 표지를 이용한 국내 재배 대추나무의 유전특성 분석)

  • Nam, Jae-Ik;Lee, Uk;Kim, Sea-Hyun
    • Journal of Korean Society of Forest Science
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    • v.107 no.4
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    • pp.378-384
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    • 2018
  • Chinese jujube (Ziziphus jujuba Mill.), a member of family Rhamnaceae, is an economically important species. It has high nutritional value in fruits, and its medicinal properties have led to extensive use in traditional oriental medicine. In this study, we investigated the genetic characteristics of 270 jujube germplasms collected from the six major jujube fruit production areas in Korea including Boeun and Gyeongsan, in order to understand the current situation on cultivated varieties of domestic jujube and to obtain useful data for selection of superior germplasms and establishing their breeding plans. The results of ISSR marker analysis revealed that the Shannon's information index of the 270 germplasms was 0.107 and the genetic similarity was as high as 0.935 showing the dominance of a specific cultivar or germplasm, and almost 67% (180) of them were identified at the same genotype with 'Bokjo'. The domestic commercial jujube populations could be characterized by very low genetic diversity and thus may be vulnerable to external disturbances. In addition, it seems that most of the jujube fruits in domestic market were largely produced through parthenocarpy.

A Study on the Selection of Types of Social Disasters by Region (시·도별 사회재난 중점유형 선정에 관한 연구)

  • Lee, Hyo Jin;Yun, Hong Sic;Han, Hak
    • Journal of the Society of Disaster Information
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    • v.17 no.2
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    • pp.206-217
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    • 2021
  • Purpose: Recently, a series of large social disasters have led to a lot of research to prevent social disasters as well as natural disasters and reduce damage. However, this paper aims to select the types of social disasters that local governments should focus on and create basic data for effective countermeasures and mitigation efforts. Method: Among 43 types of disasters announced by the Ministry of Public Administration and Security, 11 types of disasters were selected and collected to select the main types of disasters, and risk types were derived by region with risk maps. In order to derive the risk map, each detailed index was rescheduled to be 0-1 and weights were determined through entropy technique. Result: As a result, about 41% of the major disasters announced by the Ministry of Public Administration and Security were consistent, and the rest of the major types were disasters that could not be obtained or have not occurred in the past 20 years. Conclusion: Therefore, in order to establish an effective prevention and recovery plan for social disasters through this study, it was intended to present social disaster-focused disasters for each local government.

Ferulic Acid Content of Barley and Wheat Grains and Head Blight Resistance (맥류 종자의 페룰산(ferulic acid) 함량과 붉은곰팡이 저항성)

  • Baek, Seul Gi;Kim, Sosoo;Jang, Ja Yeong;Kim, Jeomsoon;Lee, Theresa
    • Research in Plant Disease
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    • v.26 no.4
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    • pp.250-255
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    • 2020
  • In order to find if a ferulic acid (FA) can be used as a selection index in cereal breeding for resistance to head blight and mycotoxin production, we analyzed FA in the grains of 80 cultivars of barley, rice, and wheat. FA content ranged 1.66-2.77 mg/g in barley (n=20), 0.56-1.53 mg/g in wheat (n=40), and 0.91-2.13 mg/g in rice (n=20). Among these, 7 cultivars each of barley and wheat with different FA content were tested for head blight and mycotoxin production by 2 Fusarium graminearum and 2 F. asiaticum strains. Mean pathogenicity of the wheat cultivars was significantly less than that of barley with higher FA and among wheat cultivars, there was no correlation between FA content and pathogenicity. Mycotoxin production was also lower in the wheat than in the barley as pathogenicity. However, pathogenicity and toxins produced by F. asiaticum were negatively correlated with FA content in barley. These results indicate that FA is not a resistance factor to head blight by F. asiaticum and F. graminearum or its mycotoxin production in barley and wheat.

Analysis of the Priority of Evaluation Criteria and Detailed Index for Selecting Street Trees (가로수 선정 평가기준과 세부지표의 중요도 분석)

  • Kim, Min Kyung
    • Journal of the Korean Institute of Landscape Architecture
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    • v.49 no.1
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    • pp.42-53
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    • 2021
  • Street trees improve the cityscape and air quality, reduce heat islands, and create wildlife habitats. Hence, they are essential parts of a city's green infrastructure. Therefore, several trees that are well adapted to the urban environment were planted. However, this caused the problem of simple trees being planted around the world. This study is to select more various street trees. To accomplish this, evaluation criteria and detailed indexes were created. The importance was indicated through the Analytic Hierarchy Process. For commercial roads, the priority of landscape characteristics is 0.2640, and among detailed indicators, the priority of shape is 0.1245. For work roads, the priority of landscape characteristics is 0.2496, and among detailed indicators, the priority of shape is 0.1177. For work roads, the priority of characteristics of civil service is 0.2250, and among detailed indicators, the priority of shape is 0.1177. For general roads, the priority of maintenance characteristics is 0.2479, and among detailed indicators, the priority of shape is 0.1062. For historical and cultural roads, the priority of regional characteristics is 0.3488, and among detailed indicators, the priority of regional characteristics is 0.1643. For ecological roads, the priority of ecosystem characteristics is 0.3488, and among detailed indicators, the priority of the diversity of species is 0.1643. For automotive-only roads, the priority of the ecosystem characteristics is 0.4639, and among detailed indicators, the priority of reducing emissions is 0.1643. This study will provide objective criteria for the selection of street trees.

Full-Endoscopic versus Minimally Invasive Lumbar Interbody Fusion for Lumbar Degenerative Diseases : A Systematic Review and Meta-Analysis

  • Son, Seong;Yoo, Byung Rhae;Lee, Sang Gu;Kim, Woo Kyung;Jung, Jong Myung
    • Journal of Korean Neurosurgical Society
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    • v.65 no.4
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    • pp.539-548
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    • 2022
  • Objective : Although full-endoscopic lumbar interbody fusion (Endo-LIF) has been tried as the latest alternative technique to minimally invasive transforaminal lumbar interobody fusion (MIS-TLIF) since mid-2010, the evidence is still lacking. We compared the clinical outcome and safety of Endo-LIF to MIS-TLIF for lumbar degenerative disease. Methods : We systematically searched electronic databases, including PubMed, EMBASE, and Cochrane Library to find literature comparing Endo-LIF to MIS-TLIF. The results retrieved were last updated on December 11, 2020. The perioperative outcome included the operation time, blood loss, complication, and hospital stay. The clinical outcomes included Visual analog scale (VAS) of low back pain and leg pain and Oswestry disability index (ODI), and the radiological outcome included pseudoarthosis rate with 12-month minimum follow-up. Results : Four retrospective observational studies and one prospective observational study comprising 423 patients (183 Endo-LIF and 241 MIS-TLIF) were included, and the pooled data analysis revealed low heterogeneity between studies in our review. Baseline characteristics including age and sex were not different between the two groups. Operation time was significantly longer in Endo-LIF (mean difference [MD], 23.220 minutes; 95% confidence interval [CI], 10.669-35.771; p=0.001). However, Endo-LIF resulted in less perioperative blood loss (MD, -144.710 mL; 95% CI, 247.941-41.478; p=0.023). Although VAS back pain at final (MD, -0.120; p=0.586), leg pain within 2 weeks (MD, 0.005; p=0.293), VAS leg pain at final (MD, 0.099; p=0.099), ODI at final (MD, 0.141; p=0.093) were not different, VAS back pain within 2 weeks was more favorable in the Endo-LIF (MD, -1.538; 95% CI, -2.044 to -1.032; p<0.001). On the other hand, no statistically significant group difference in complication rate (relative risk [RR], 0.709; p=0.774), hospital stay (MD, -2.399; p=0.151), and pseudoarthrosis rate (RR, 1.284; p=0.736) were found. Conclusion : Relative to MIS-TLIF, immediate outcomes were favorable in Endo-LIF in terms of blood loss and immediate VAS back pain, although complication rate, mid-term clinical outcomes, and fusion rate were not different. However, the challenges for Endo-LIF include longer operation time which means a difficult learning curve and limited surgical indication which means patient selection bias. Larger-scale, well-designed study with long-term follow-up and randomized controlled trials are needed to confirm and update the results of this systematic review.

An Evaluation of the Importance of Major Indicators for Measuring the Level of Spatial Informatization in Local Governments (지방정부의 공간정보화 수준 측정을 위한 주요 지표의 중요도 평가)

  • Kim, Yeon-Seong;Seo, Won-Chan;Yoon, Hong-Joo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.17 no.5
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    • pp.985-994
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    • 2022
  • This study diagnoses the maturity level of local government's spatial information policy in the face of the digital transformation period. To this end, by using the stratification (AHP) analysis technique, for the spatial information expert group, the importance evaluation is performed along with the selection of measurement indicators of the level of spatial informatization. First, the current status and indicators in terms of spatial information policies of local governments are studied through theoretical considerations. In addition, by examining previous studies, differentiation from this study is presented. In this study, 3 indicators and 18 detailed items of spatial informatization level evaluation indicators could be selected. As a result of the evaluation, the overall importance ranking for the measurement index was 0.125 (12.5%) for the establishment and utilizations of GIS Systems provided by local governments, 0.109 (10.9%) for the quality management of basic spatial information, 0.107 (10.7%) for the establishment and utilization of its own spatial information. 0.073 (7.3%) for the collaboration and sharing within the institution, 0.071 (7.1%) for the operation of education and support system on spatial information, 0.065 (6.5%) for the securing a dedicated organization and professional human resources, and interest at the institutional level were derived in the order of 0.053 (5.3%). The results of this study are expected to be usefully utilized as basic data to evaluate the level of spatial information policies promoted by local governments. In addition, if the local government's spatial information policy is pursued centering on the major indicators derived from the study, it is expected that efficient policy operation will be possible.

Analysis of the Optimal Window Size of Hampel Filter for Calibration of Real-time Water Level in Agricultural Reservoirs (농업용저수지의 실시간 수위 보정을 위한 Hampel Filter의 최적 Window Size 분석)

  • Joo, Dong-Hyuk;Na, Ra;Kim, Ha-Young;Choi, Gyu-Hoon;Kwon, Jae-Hwan;Yoo, Seung-Hwan
    • Journal of The Korean Society of Agricultural Engineers
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    • v.64 no.3
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    • pp.9-24
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    • 2022
  • Currently, a vast amount of hydrologic data is accumulated in real-time through automatic water level measuring instruments in agricultural reservoirs. At the same time, false and missing data points are also increasing. The applicability and reliability of quality control of hydrological data must be secured for efficient agricultural water management through calculation of water supply and disaster management. Considering the characteristics of irregularities in hydrological data caused by irrigation water usage and rainfall pattern, the Korea Rural Community Corporation is currently applying the Hampel filter as a water level data quality management method. This method uses window size as a key parameter, and if window size is large, distortion of data may occur and if window size is small, many outliers are not removed which reduces the reliability of the corrected data. Thus, selection of the optimal window size for individual reservoir is required. To ensure reliability, we compared and analyzed the RMSE (Root Mean Square Error) and NSE (Nash-Sutcliffe model efficiency coefficient) of the corrected data and the daily water level of the RIMS (Rural Infrastructure Management System) data, and the automatic outlier detection standards used by the Ministry of Environment. To select the optimal window size, we used the classification performance evaluation index of the error matrix and the rainfall data of the irrigation period, showing the optimal values at 3 h. The efficient reservoir automatic calibration technique can reduce manpower and time required for manual calibration, and is expected to improve the reliability of water level data and the value of water resources.