• 제목/요약/키워드: Index cases

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전신 정위 방사선 치료시의 적정 조사면 크기 (Optimum Field Size for the Whole Body Stereotactic Radiosurgery)

  • 이병용;민철기;정원규;최은경
    • 한국의학물리학회지:의학물리
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    • 제13권1호
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    • pp.15-20
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    • 2002
  • 전신 정위 방사선 시술 시 적정 치료 조사면에 대한 연구를 실시하였다. 치료표적 직경이 1cm에서 7cm까지 1cm 간격인 경우에 다양한 크기의 치료 조사면 크기에서 만들어낸 선량 분포를 분석하였다. 치료조사면은 표적 크기에서 -1cm~2cm를 각각 더한 크기로 하였다. 치료 계획의 성적은 TCI(Target Conformity Index)로 표현하였다. 모든 표적 크기에서 -0.5cm~0.5cm를 더한 치료 조사면에서 가장 높은 TCI를 보였다. 6cm 이상의 표적 크기에서는 -0.5cm 또는 0cm를 더한 조사면에서 우수한 성적을 보였으며, 표적 크기 2cm 이하에서는 0cm 또는 0.5cm를 더한 조사면이 좋은 결과를 보였다. 표적 크기와 관계없이 동중심점 선량의 80%~90%에 처방하는 것이 가장 효율적으로 나타났다.

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서울시 환경영향평가에서 가로 녹시율 지표의 적용 실태 (Practice in Application of the Index of Streetscape Greenness on Environmental Impact Assessment - Case Study of Street in Seoul)

  • 조용현;조현길;한봉호
    • 환경영향평가
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    • 제19권2호
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    • pp.205-213
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    • 2010
  • The purpose of this research is to analysis the application of the ISG(Index of Streetscape Greenness) in EIA through case study of Seoul. ISG is a new index which directly expresses human's perceptions of plants in a street and is defined as the area ratio of which leaves of plants occupy an eye-level view of a person standing on the center line of a street. In this research the 42 cases of 3 step reports such as plans, drafts, and final reports which had been passed through the EIA procedure of Seoul were analyzed. The results are as follows: In the drafts frequent mistakes or errors such as unsuitable picture composition, unsuitable sample points, inconsistency of the simulation result with the planting plan, and insufficient numbers of analysis were found, but almost of them were corrected in the final reports. In the most of final reports, the 30% of minimum requirement was satisfied. At all cases the changes of the ISG values were clearly positive. Finally the average current ISG was 19.6%, meanwhile the average proposed ISG was 35.4%. It was verified that the ISG is very practical index to promote green streetscape, but in order to guarantee an achievement a thorough investigation of reports are needed.

재해분석을 통한 배전선로 활선작업 공종별 위험지수 평가 (The Assessment of the Risk Index of Live-line Works on Distribution Line by the Accident Analysis)

  • 최승동;현소영;한형주;신운철
    • 한국안전학회지
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    • 제26권3호
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    • pp.8-14
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    • 2011
  • The live-line works are very dangerous because of direct contacts with the distribution line or neighboring contacts. So the purpose of this study is to identify the risk factor by accident occurrence form and accident case analysis, and to suggest the quantified risk index by risk occurrence frequency and risk strength analysis. And the risk index assessment is researched by accident cases analysis on work type. Accident cases of transmission distribution line are researched based on data of the Ministry of Employment and Labor in the last ten-year period (2000~2009). In results of this paper, high risk isn't always a priority of safety measures. Risk occurrence frequency and risk strength have to be considered according to detail work types, work methods and conditions of field work. And safety management measures must be planned according to risk occurrence frequency and risk strength.

공공부문 한국형 주간경제지수 모델 개발 및 검증에 관한 연구: 주요사례를 분석하여 (A Study on the Development and Verification of a Korean-style Weekly Economic Activity Index(WEAI) Model in the Public Sector: By Analyzing Major Cases)

  • 송석현
    • 한국IT서비스학회지
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    • 제20권5호
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    • pp.177-187
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    • 2021
  • The global economy has been very difficult due to the recent impact of COVID-19. Korea is also pushing for strong quarantine policies such as K- quarantine and social distancing, but the economy is hardly recovering. In particular, the economic situation began to change rapidly depending on the export and domestic market, the public's interest in the economy increased, and companies became more sensitive. In order to estimate this rapidly changing economic situation, major advanced countries have also developed models that can periodically monitor the economy at the government level. Through this, by periodically reporting the economic trends, the public and companies can be aware of the economic trends to some extent. This study analyzed the cases of weekly business trends in advanced countries and developed a model of weekly economic activity suitable for Korea. To verify this, indices closely related to the economy such as mobility, industrial activity, face-to-face consumption, and psychology were discovered and estimated. As a result of the study, the weekly economic activity index was judged to be very useful in capturing short-term real economic activity. In the future, in order to secure the robustness and stability of the index and to increase the reflection of reality, model improvement and parameter estimation should be performed regularly.

편타 손상 경항통 환자와 잠행성 경항통 환자의 경추 만곡 비교 (The comparison of Cervical Spine Curvature of the patients with whiplash and insidious onset neck pain)

  • 안치권;윤문식;김영신;정두영
    • 대한추나의학회지
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    • 제5권1호
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    • pp.151-161
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    • 2004
  • Objectives : To investigate and compare the curvature of the cervical spine of the patients with whiplash and insidious onset neck pain. Method : Clinical study carried out in 33 insidious onset neck pain outpatients and 34 whiplash onset neck pain inpatients in Conmaul Oriental Hospital. Cervical spine curvature was measured using five measuring Methods. Type of cervical spine curvature was analyzed by Jochumsen method. Ishihara Index. T-test was used to compare the cervical spine angle of the two groups. Results : The prevalence of 'straight' and 'kyphotic' cervical spines was 46.5% in the insidious onset cases and 26.47% in the whiplash onset cases. In Jackson's angle, Jochumsen method, Ishihara Index, and Park's method, angle of the Cervical spine curvature was significantly lower in the insidious onset cases. (P<0.01) Conclusion : The results suggest that the cervical spine of neck pain patients is 'straight' and 'kyphotic' and more significant in insidious onset cases.

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대장암의 예후와 Apoptosis 활성 (Prognosis of Colorectal Cancer and Apoptosis Activation)

  • 전소영;배옥석;김종봉
    • 대한의생명과학회지
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    • 제4권2호
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    • pp.121-128
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    • 1998
  • 본 연구에서는 genomic DNA 전기영동과 TUNEL labeling법을 이용하여 정상대장조직, 대장암조직, 대장암 인접림프절조직과 대장암환자 혈액에서 apoptosis 발현을 분석하였다. 정상대장조직 37례중 4례에서, DNA ladder가 확인되었고, 암조직은 47례중 20례에서, 림프절조직은 15례중 5례에서 나타났으며 대장암환자혈액은 7례 모두에서 발현되지 않았다. TUNEL labeling법을 이용한 조직상의 in situ apoptosis발현은 암조직과 림프절조직에서 확인되었다. 따라서 본 연구에서는 대장암이 진행됨에 따라 apoptosis 발현비가 증가되었으므로 apoptotic index가 대장암 발현과 관련되어 있는 듯 하며 예후예측지표자로서 이용될 가능성이 있다고 사료된다.

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Characterization of dental phenotypes and treatment modalities in Korean patients with Parry-Romberg syndrome

  • Yim, Sunjin;Yang, Il-Hyung;Baek, Seung-Hak
    • 대한치과교정학회지
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    • 제50권6호
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    • pp.407-417
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    • 2020
  • Objective: To investigate the dental phenotypes and treatment modalities (Tx-Mod) in Korean patients with Parry-Romberg syndrome (PRS) using longitudinal data. Methods: The samples consisted of 10 PRS patients, who were treated and/or followed-up at Seoul National University Dental Hospital between 1998 and 2019. Using a novel PRS severity index based on the numbers of the atrophy-involved area and asymmetry-involved item, we classified them into mild (n = 3), moderate (n = 2), and severe (n = 5). Dental phenotypes, including congenitally missing tooth (Con-Missing-Tooth), microdontia, tooth with short root (Short-Root), tooth with dilacerated root, and delayed eruption/impacted tooth, were investigated along with Tx-Mod. Results: The side of occurrence of all dental phenotypes showed 100% concordance with the side of PRS involvement. The most two common dental phenotypes were Con-Missing-Tooth and Short-Root (n = 29 and n = 17 in six patients). The sums of the average number of Con-Missing-Tooth and Short-Root increased from mild PRS to moderate PRS and severe PRS cases (1.0, 6.0, and 6.2). In terms of Tx-Mod, growth observation due to mild atrophy, fixed orthodontic treatment, and grafting were used for mild PRS cases. Tx-Mod for moderate PRS cases involved growth observation for surgery due to an early age at the initial visit. For severe PRS cases, diverse Tx-Mod combinations including unilateral functional appliance, fixed orthodontic treatment, growth observation, grafting, and orthognathic surgery were used. Conclusions: The novel PRS severity index may be useful to provide primary data for individualized diagnosis and treatment planning for PRS patients.

외상성 시지 결손 환자에서 족지를 이용한 수지 재건술 (Toe to Finger Transfer in Traumatic Amputated Index Finger)

  • 이광석;박상원;강오용;최용경
    • Archives of Reconstructive Microsurgery
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    • 제2권1호
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    • pp.7-12
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    • 1993
  • 저자들은 우수 및 좌수의 제 2수지 결손을 주소로 고려대학병원 정형외과로 내원한 8명의 환자에 대하여 7례에서는 제 2족지, 1례에서는 반대편 제 4수지를 이용한 수지 재건술을 시행하여 다음과 같은 결과를 얻었다. 1. 대부분의 경우 수상원인은 기계적 손상에 의한 것이 8례중 7례를 차지하였다. 2. 수상후 수술까지의 기간은 평균 8년 3개월이었다. 3. 평균 수술시간은 5시간 58분이었으며, 이식족지의 평균 허혈시간은 1시간 52분이었다. 4. 피부편은 7례에서 생존하였으며, 술후 1년때 시행한 기능 평가에서 6례에서 양호이상의 결과를 보였다. 외상으로 인한 수지결손 환자에 있어서 족지를 이용한 수지 재건술은 한번의 수술로 미용 및 기능상으로 결손 수지의 기능을 회복할 수 있는 유용한 수술방법의 하나로 생각된다.

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Relationship of Body Mass Index with Prognosis in Breast Cancer Patients Treated with Adjuvant Radiotherapy and Chemotherapy

  • Cihan, Yasemin Benderli
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권10호
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    • pp.4233-4238
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    • 2014
  • Background: The aim of this study was to investigate the relationship of body mass index with overall and progression-free survival as well as other prognostic factors of breast cancer in patients with non-metastatic breast cancer. Materials and Methods: We retrospectively reviewed 456 patients diagnosed with breast cancer in the Radiation Oncology department of Kayseri Teaching Hospital between 2005 and 2013. We investigated relationship of body mass index with prognosis and other prognostic factors. Results: The study included 456 patients (447 women and 9 men). Mean age at presentation was 55.6 years. Of the cases, 96.9% underwent modified radical mastectomy and 95.0% received chemotherapy, while 82.4% received radiotherapy and 60.0% were given hormone therapy. Body mass index was >25 mg/kg2 in 343 cases. Five- and 10-years overall survival rates were 77% and 58% whereas progression-free survival rates were 65% and 49%, respectively. In univariate analyses, factors including stage (p=0.046), tumor diameter (p=0.001), lymph node metastasis (p=0.006) and body mass index (p=0.030) were found to be significantly associated with overall survival, while perinodal involvement was found to be significantly associated with progression-free survival (p=0.018). In multivariate analysis, stage (p=0.032; OR: 3.8; 95% CI: 1.1-13), tumor diameter (p<0.000; OR: 0.0; 95% CI: 0.0-0.3), lymph node metastasis (p=0.005; OR: 0.0; 95% CI: 0.0-0.5) and BMI (p=0.027; OR: 0.02; 95% CI: 0.0-0.8) remained as significantly associated with OS. Conclusions: In our study, it was seen that overall survival time was shorter in underweight and obese patients when compared to normal weight patients.

일반외과 환자의 환자위험지수에 따른 수술창상감염 발생률 (Surgical Site Infection Rates according to Patient Risk Index after General Surgery)

  • 이혜령
    • 한국직업건강간호학회지
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    • 제11권1호
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    • pp.44-51
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    • 2002
  • Purpose: Surgical Site Infection(SSI) is the third most common cause of nosocomial infection, so that it results in serious socioeconomic impact such as extra hospitalization, mortality and health care cost. The aim of this study was to analyses the SSI that based on the degree of wound contamination and patient risk index after general surgery and to generate a reference data for the effective management and reducing SSI. Method: From July, 1999 to June, 2000, 1080 cases which presented with surgical site infection after general surgery at S hospital in chunchon city were included in this study. The data were collected by review of the medical records retrospectively. The collected data, in accordance with the test purpose, is analyzed by SPSS/PC+ program, using real numbers, percentage, $X^2$ test, Pearson's correlation and stepwise logistic regression. Result: The overall wound infection rate was 4.7%(51 cases out of 1,080). The infection rate of clean wounds was 1.4%. Surgical site infection rate for patient risk index scores of 0, 1, 2 and 3 was 1.9%, 8.0%, 13.1% and 20.0%, respectively and increased significantly according to patient risk index(p=.000). Sixteen of the fifty one(31.4%) surgical site infections were found during an outpatient visit after discharge. Multivariate analysis, identified two independent variables : duration of postoperation stay(p=.000), age(p=.037). The most frequent isolated organisms were Pseudomonas aeruginosa(21%) and Staphylococcus aureus(21%). Also Staphylococcus aureus were all MRSA(Methicillin Resistant S. aureus). Conclusion: In this study, SSI was analysed according to the degree of wound contamination and patient risk index after general surgery. The data that obtained from this study is expected that it would be available for surveillance and control of SSI.

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