전이학습 기반 다중 컨볼류션 신경망 레이어의 활성화 특징과 주성분 분석을 이용한 이미지 분류 방법 (Transfer Learning using Multiple ConvNet Layers Activation Features with Principal Component Analysis for Image Classification)
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- 지능정보연구
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- 제24권1호
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- pp.205-225
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- 2018
Convolutional Neural Network (ConvNet)은 시각적 특징의 계층 구조를 분석하고 학습할 수 있는 대표적인 심층 신경망이다. 첫 번째 신경망 모델인 Neocognitron은 80 년대에 처음 소개되었다. 당시 신경망은 대규모 데이터 집합과 계산 능력이 부족하여 학계와 산업계에서 널리 사용되지 않았다. 그러나 2012년 Krizhevsky는 ImageNet ILSVRC (Large Scale Visual Recognition Challenge) 에서 심층 신경망을 사용하여 시각적 인식 문제를 획기적으로 해결하였고 그로 인해 신경망에 대한 사람들의 관심을 다시 불러 일으켰다. 이미지넷 첼린지에서 제공하는 다양한 이미지 데이터와 병렬 컴퓨팅 하드웨어 (GPU)의 발전이 Krizhevsky의 승리의 주요 요인이었다. 그러므로 최근의 딥 컨볼루션 신경망의 성공을 병렬계산을 위한 GPU의 출현과 더불어 ImageNet과 같은 대규모 이미지 데이터의 가용성으로 정의 할 수 있다. 그러나 이러한 요소는 많은 도메인에서 병목 현상이 될 수 있다. 대부분의 도메인에서 ConvNet을 교육하기 위해 대규모 데이터를 수집하려면 많은 노력이 필요하다. 대규모 데이터를 보유하고 있어도 처음부터 ConvNet을 교육하려면 많은 자원과 시간이 소요된다. 이와 같은 문제점은 전이 학습을 사용하면 해결할 수 있다. 전이 학습은 지식을 원본 도메인에서 새 도메인으로 전이하는 방법이다. 전이학습에는 주요한 두 가지 케이스가 있다. 첫 번째는 고정된 특징점 추출기로서의 ConvNet이고, 두번째는 새 데이터에서 ConvNet을 fine-tuning 하는 것이다. 첫 번째 경우, 사전 훈련 된 ConvNet (예: ImageNet)을 사용하여 ConvNet을 통해 이미지의 피드포워드 활성화를 계산하고 특정 레이어에서 활성화 특징점을 추출한다. 두 번째 경우에는 새 데이터에서 ConvNet 분류기를 교체하고 재교육을 한 후에 사전 훈련된 네트워크의 가중치를 백프로퍼게이션으로 fine-tuning 한다. 이 논문에서는 고정된 특징점 추출기를 여러 개의 ConvNet 레이어를 사용하는 것에 중점을 두었다. 그러나 여러 ConvNet 레이어에서 직접 추출된 차원적 복잡성을 가진 특징점을 적용하는 것은 여전히 어려운 문제이다. 우리는 여러 ConvNet 레이어에서 추출한 특징점이 이미지의 다른 특성을 처리한다는 것을 발견했다. 즉, 여러 ConvNet 레이어의 최적의 조합을 찾으면 더 나은 특징점을 얻을 수 있다. 위의 발견을 토대로 이 논문에서는 단일 ConvNet 계층의 특징점 대신에 전이 학습을 위해 여러 ConvNet 계층의 특징점을 사용하도록 제안한다. 본 논문에서 제안하는 방법은 크게 세단계로 이루어져 있다. 먼저 이미지 데이터셋의 이미지를 ConvNet의 입력으로 넣으면 해당 이미지가 사전 훈련된 AlexNet으로 피드포워드 되고 3개의 fully-connected 레이어의 활성화 틀징점이 추출된다. 둘째, 3개의 ConvNet 레이어의 활성화 특징점을 연결하여 여러 개의 ConvNet 레이어의 특징점을 얻는다. 레이어의 활성화 특징점을 연결을 하는 이유는 더 많은 이미지 정보를 얻기 위해서이다. 동일한 이미지를 사용한 3개의 fully-connected 레이어의 특징점이 연결되면 결과 이미지의 특징점의 차원은 4096 + 4096 + 1000이 된다. 그러나 여러 ConvNet 레이어에서 추출 된 특징점은 동일한 ConvNet에서 추출되므로 특징점이 중복되거나 노이즈를 갖는다. 따라서 세 번째 단계로 PCA (Principal Component Analysis)를 사용하여 교육 단계 전에 주요 특징점을 선택한다. 뚜렷한 특징이 얻어지면, 분류기는 이미지를 보다 정확하게 분류 할 수 있고, 전이 학습의 성능을 향상시킬 수 있다. 제안된 방법을 평가하기 위해 특징점 선택 및 차원축소를 위해 PCA를 사용하여 여러 ConvNet 레이어의 특징점과 단일 ConvNet 레이어의 특징점을 비교하고 3개의 표준 데이터 (Caltech-256, VOC07 및 SUN397)로 실험을 수행했다. 실험결과 제안된 방법은 Caltech-256 데이터의 FC7 레이어로 73.9 %의 정확도를 얻었을 때와 비교하여 75.6 %의 정확도를 보였고 VOC07 데이터의 FC8 레이어로 얻은 69.2 %의 정확도와 비교하여 73.1 %의 정확도를 보였으며 SUN397 데이터의 FC7 레이어로 48.7%의 정확도를 얻었을 때와 비교하여 52.2%의 정확도를 보였다. 본 논문에 제안된 방법은 Caltech-256, VOC07 및 SUN397 데이터에서 각각 기존에 제안된 방법과 비교하여 2.8 %, 2.1 % 및 3.1 %의 성능 향상을 보였다.
황해 및 인접 지역에 위치하는 퇴적 분지들의 구조적 진화에 따른 층서를 이해하기 위한 비교 연구가 통합층서기술을 이용하여 수행되었다. 본 연구의 잠정적 결과로 우리는 각 분지별 퇴적층들의 시
목 적: 전국 병원의 방사선종양학과에서 식도암으로 방사선 치료를 받은 환자들을 각 병원으로부터 입력 받아 세부 항목별로 분석하여 식도암 환자들의 구성과 특징을 파악하여 범국가적인 자료로 활용하는 한편 치료방침을 분석하여 향후 적절한 치료를 위한 가이드라인으로 삼고자 하였다. 대상 및 방법: 전국 병원의 방사선종양학과에서 1998년과 1999년의 2년간에 걸쳐 식도암으로 확진된 246명을 대상으로 하였다. 연간 400명 미만의 방사선치료 신환자 발생병원들을 A군, 400명 이상 900명 미만의 병원들을 B군, 그리고 900명 이상 신환자가 발생하는 병원을 C군으로 분류하여 최종적으로 A군에서 12병원, B군에서 8개 병원, 그리고 C군에서 3개의 병원이 연구에 참여하였다. 이미 개발된 Web-based Korean PCS system을 통해 각 병원으로부터 직접 자료를 입력 받아 이를 세부 항목별로 분석하였고 통계적 처리는 SPSS version 12.0.1을 사용하고 범주형 자료는 Chi-squared test를 사용하였고 연속변수는 ANOVA, Kruskal-Wallis test를 적용하였다. 결 과: 입력된 환자들의 성별 분포는 남자 224명(91.1%), 여자 22명(8.9%)이었고 연령별 중앙값은 62세 전후였다. 진단 및 병기결정을 위한 검사로는 식도 촬영술(228명, 92.7%), 식도내시경(226명, 91.9%) 및 흉부 식도 CT 스캔(238명, 96.7%)을 주로 시행하였다. 편평상피암이 대종을 이루어 237명(96.3%)의 환자에서 관찰되었고 중흉부식도(mid-thoracic esophagus)에서 발생한 식도암이 가장 많았다(110명, 44.7%). 임상 병기는 III기가 과반수 이상을 차지하였다(135명, 54.9%). 방사선 치료만 받은 경우는 57명(23.2%), 방사선 치료와 수술을 병용한 경우는 전체의 15%인 37명, 항암약물 치료와 방사선 치료를 병용한 경우는 123명(50%)이었다. 수술과 방사선 치료를 병행한 경우 전례에서 수술을 먼저 시행한 후 방사선 치료를 하였다. 항암치료를 방사선치료와 병행한 경우 반수 이상에서(70명, 56.9%) 동시항암방사선 치료를 시행하였고 31명(25.2%)에서 항암치료 후 방사선치료를 또는 항암요법 단독치료 후 동시항암방사선치료를(13명, 10.6%) 시행하였다. 방사선 치료는 6 MV (116명, 47.2%)와 10 MV (87명, 35.4%)의 X-ray가 대종을 이루었다. 방사선 치료 시 조사야는 longitudinal margin의 경우 중앙값은 7.0 cm이었지만 각 군별로 현저한 차이가 있었다(A군; 5.5 cm, B군; 8.0 cm, C군; 14.0 cm). 계획용 CT를 사용하지 않고 고식적인 AP/PA 조사야를 사용하여 치료한 경우가 대부분이었는데(206명, 83.7%) 이 때 방사선 조사량의 중앙값은 3,600 cGy이었다. 이후 추가 방사선 치료 시 계획용 CT를 사용하지 않고 2-oblique fields 사용하여 치료한 경우가 87명(35.4%)이었는데 방사선 조사량의 중앙값은 1,800 cGy이었다. 전 환자에서 1일 1회 180 cGy로 치료하였다. 전 환자에서 조사된 총 방사선량의 중앙값은 5,580 cGy이었다. 수술 후 방사선 치료를 시행한 경우 중앙값은 5,040 cGy이었고 수술을 받지 않은 환자 중앙값은 5,940 cGy이었다. 근접조사 방사선 치료는 총 34명(13.8%)에서 시행되었고, 전 환자에서 high dose rate Iridium-192를 사용하였다. 조사범위는 종양에서 longitudinal margin의 중앙값은 1 cm, prescribed isodose curve에서 axial length의 평균값은 8.25 cm, 폭은 2 cm, 그리고 전후 폭의 중앙값도 2 cm이었다. Fraction size의 중앙값은 300 cGy이었는데 B군의 경우는 500 cGy이었다. 총 분할 횟수는
Much has teed changed in the field of hospital administration in the It wake of the rapid development of sciences, techniques ana systematic hospital management. However, we still have a long way to go in organization, in the quality of hospital employees and hospital equipment and facilities, and in financial support in order to achieve proper hospital management. The above factors greatly effect the ability of hospitals to fulfill their obligation in patient care and nursing services. The purpose of this study is to determine the optimal methods of standardization and quality nursing so as to improve present nursing services through investigations and analyses of various problems concerning nursing administration. This study has been undertaken during the six month period from October 1971 to March 1972. The 41 comprehensive hospitals have been selected iron amongst the 139 in the whole country. These have been categorized according-to the specific purposes of their establishment, such as 7 university hospitals, 18 national or public hospitals, 12 religious hospitals and 4 enterprise ones. The following conclusions have been acquired thus far from information obtained through interviews with nursing directors who are in charge of the nursing administration in each hospital, and further investigations concerning the purposes of establishment, the organization, personnel arrangements, working conditions, practices of service, and budgets of the nursing service department. 1. The nursing administration along with its activities in this country has been uncritical1y adopted from that of the developed countries. It is necessary for us to re-establish a new medical and nursing system which is adequate for our social environments through continuous study and research. 2. The survey shows that the 7 university hospitals were chiefly concerned with education, medical care and research; the 18 national or public hospitals with medical care, public health and charity work; the 2 religious hospitals with medical care, charity and missionary works; and the 4 enterprise hospitals with public health, medical care and charity works. In general, the main purposes of the hospitals were those of charity organizations in the pursuit of medical care, education and public benefits. 3. The survey shows that in general hospital facilities rate 64 per cent and medical care 60 per-cent against a 100 per cent optimum basis in accordance with the medical treatment law and approved criteria for training hospitals. In these respects, university hospitals have achieved the highest standards, followed by religious ones, enterprise ones, and national or public ones in that order. 4. The ages of nursing directors range from 30 to 50. The level of education achieved by most of the directors is that of graduation from a nursing technical high school and a three year nursing junior college; a very few have graduated from college or have taken graduate courses. 5. As for the career tenure of nurses in the hospitals: one-third of the nurses, or 38 per cent, have worked less than one year; those in the category of one year to two represent 24 pet cent. This means that a total of 62 per cent of the career nurses have been practicing their profession for less than two years. Career nurses with over 5 years experience number only 16 per cent: therefore the efficiency of nursing services has been rated very low. 6. As for the standard of education of the nurses: 62 per cent of them have taken a three year course of nursing in junior colleges, and 22 per cent in nursing technical high schools. College graduate nurses come up to only 15 per cent; and those with graduate course only 0.4 per cent. This indicates that most of the nurses are front nursing technical high schools and three year nursing junior colleges. Accordingly, it is advisable that nursing services be divided according to their functions, such as professional, technical nurses and nurse's aides. 7. The survey also shows that the purpose of nursing service administration in the hospitals has been regulated in writing in 74 per cent of the hospitals and not regulated in writing in 26 per cent of the hospitals. The general purposes of nursing are as follows: patient care, assistance in medical care and education. The main purpose of these nursing services is to establish proper operational and personnel management which focus on in-service education. 8. The nursing service departments belong to the medical departments in almost 60 per cent of the hospitals. Even though the nursing service department is formally separated, about 24 per cent of the hospitals regard it as a functional unit in the medical department. Only 5 per cent of the hospitals keep the department as a separate one. To the contrary, approximately 12 per cent of the hospitals have not established a nursing service department at all but surbodinate it to the other department. In this respect, it is required that a new hospital organization be made to acknowledge the independent function of the nursing department. In 76 per cent of the hospitals they have advisory committees under the nursing department, such as a dormitory self·regulating committee, an in-service education committee and a nursing procedure and policy committee. 9. Personnel arrangement and working conditions of nurses 1) The ratio of nurses to patients is as follows: In university hospitals, 1 to 2.9 for hospitalized patients and 1 to 4.0 for out-patients; in religious hospitals, 1 to 2.3 for hospitalized patients and 1 to 5.4 for out-patients. Grouped together this indicates that one nurse covers 2.2 hospitalized patients and 4.3 out-patients on a daily basis. The current medical treatment law stipulates that one nurse should care for 2.5 hospitalized patients or 30.0 out-patients. Therefore the statistics indicate that nursing services are being peformed with an insufficient number of nurses to cover out-patients. The current law concerns the minimum number of nurses and disregards the required number of nurses for operation rooms, recovery rooms, delivery rooms, new-born baby rooms, central supply rooms and emergency rooms. Accordingly, tile medical treatment law has been requested to be amended. 2) The ratio of doctors to nurses: In university hospitals, the ratio is 1 to 1.1; in national of public hospitals, 1 to 0.8; in religious hospitals 1 to 0.5; and in private hospitals 1 to 0.7. The average ratio is 1 to 0.8; generally the ideal ratio is 3 to 1. Since the number of doctors working in hospitals has been recently increasing, the nursing services have consequently teen overloaded, sacrificing the services to the patients. 3) The ratio of nurses to clerical staff is 1 to 0.4. However, the ideal ratio is 5 to 1, that is, 1 to 0.2. This means that clerical personnel far outnumber the nursing staff. 4) The ratio of nurses to nurse's-aides; The average 2.5 to 1 indicates that most of the nursing service are delegated to nurse's-aides owing to the shortage of registered nurses. This is the main cause of the deterioration in the quality of nursing services. It is a real problem in the guest for better nursing services that certain hospitals employ a disproportionate number of nurse's-aides in order to meet financial requirements. 5) As for the working conditions, most of hospitals employ a three-shift day with 8 hours of duty each. However, certain hospitals still use two shifts a day. 6) As for the working environment, most of the hospitals lack welfare and hygienic facilities. 7) The salary basis is the highest in the private university hospitals, with enterprise hospitals next and religious hospitals and national or public ones lowest. 8) Method of employment is made through paper screening, and further that the appointment of nurses is conditional upon the favorable opinion of the nursing directors. 9) The unemployment ratio for one year in 1971 averaged 29 per cent. The reasons for unemployment indicate that the highest is because of marriage up to 40 per cent, and next is because of overseas employment. This high unemployment ratio further causes the deterioration of efficiency in nursing services and supplementary activities. The hospital authorities concerned should take this matter into a jeep consideration in order to reduce unemployment. 10) The importance of in-service education is well recognized and established. 1% has been noted that on the-job nurses. training has been most active, with nursing directors taking charge of the orientation programs of newly employed nurses. However, it is most necessary that a comprehensive study be made of instructors, contents and methods of education with a separate section for in-service education. 10. Nursing services'activities 1) Division of services and job descriptions are urgently required. 81 per rent of the hospitals keep written regulations of services in accordance with nursing service manuals. 19 per cent of the hospitals do not keep written regulations. Most of hospitals delegate to the nursing directors or certain supervisors the power of stipulating service regulations. In 21 per cent of the total hospitals they have policy committees, standardization committees and advisory committees to proceed with the stipulation of regulations. 2) Approximately 81 per cent of the hospitals have service channels in which directors, supervisors, head nurses and staff nurses perform their appropriate services according to the service plans and make up the service reports. In approximately 19 per cent of the hospitals the staff perform their nursing services without utilizing the above channels. 3) In the performance of nursing services, a ward manual is considered the most important one to be utilized in about 32 percent of hospitals. 25 per cent of hospitals indicate they use a kardex; 17 per cent use ward-rounding, and others take advantage of work sheets or coordination with other departments through conferences. 4) In about 78 per cent of hospitals they have records which indicate the status of personnel, and in 22 per cent they have not. 5) It has been advised that morale among nurses may be increased, ensuring more efficient services, by their being able to exchange opinions and views with each other. 6) The satisfactory performance of nursing services rely on the following factors to the degree indicated: approximately 32 per cent to the systematic nursing activities and services; 27 per cent to the head nurses ability for nursing diagnosis; 22 per cent to an effective supervisory system; 16 per cent to the hospital facilities and proper supply, and 3 per cent to effective in·service education. This means that nurses, supervisors, head nurses and directors play the most important roles in the performance of nursing services. 11. About 87 per cent of the hospitals do not have separate budgets for their nursing departments, and only 13 per cent of the hospitals have separate budgets. It is recommended that the planning and execution of the nursing administration be delegated to the pertinent administrators in order to bring about improved proved performances and activities in nursing services.
본 종설논문은 살오징어의 기존 및 최근에 새롭게 적용되고 있는 계군 분석방법들을 비교 분석하여 각 분석방법의 장단점과 분석방법간의 상호보완에 대하여 고찰하였다. 살오징어는 북서태평양의 넓은 지역을 회유하는 어종으로 생태계 및 상업적으로 중요한 자원이다. 살오징어는 해양환경변화의 생물학적 지표로서의 가능성을 평가 받고 있으며, 장단기적인 어획량 및 분포역의 변화가 환경 변화와 함께 나타난다. 예를 들어, 1987/1988 무렵에 발생한 기후체제전환 이후 한류성 어종으로 분류되는 명태의 어획량은 급감하여 현재까지 그 영향이 지속되고 있는 반면, 살 오징어 어획량은 크게 증가하였다. 현재까지 명태 어획량의 감소에 대하여 남획과 기후변화에 초점이 맞추어진 해석이 있으나, 뚜렷한 원인 분석은 이루어지지 않고 있다. 그 이유 중 한 가지는 계군 분석에 근거한 생태, 환경적 측면에 대한 정확한 원인 분석이 이루어지지 않고 있는 것과 관련이 된다. 계군은 유사한 생물학적 특징을 가진 개체들이 제한된 영역 내에서 유성생식과정을 통하여 동일한 유전자 풀(gene pool)을 공유하는 집단으로, 동일 계군을 형성하는 개체들은 산란에서 자원으로 가입 후 다시 재생산 과정에 이르기까지 시간 및 공간적으로 각기 다른 환경의 영향을 받을 수 있다. 따라서, 종에 대한 정확한 계군 분석은 자원의 효과적인 관리 및 급격한 변화에 대한 중요한 대응 방안의 역할을 할 수 있다. 살오징어 계군 분석에 적용된 주요 방법은 크게 4가지로 형태학적 방법, 생태학적 방법, 표지방류법, 유전학적 방법이 있다. 형태학적인 방법은 분석방법이 가장 간단하고 다수의 개체를 비교적 쉽게 분석할 수 있지만 각 형질들은 성장기간 동안 환경에 의해 영향을 많이 받게 되어 개체간의 차이가 생긴다. 생태학적 방법은 주로 개체의 생리적인 변화와 분포 및 회유상태, 기생충의 기생상태나 종류 및 기생률 등을 분석, 산란장의 차이를 알아보는 연구이며, 현재 활발히 연구되고 있는 방법으로 유사한 환경에서 생활하는 집단을 알 수 있지만 유전적으로 같은 집단인지는 알기 어렵다. 표지방류법은 직접적인 방법으로 계군의 회유 및 분포, 산란장의 위치를 파악할 수 있지만 수거가 어렵고 초기 단계에는 표식을 하기 어렵다. 수산생물의 계군 분석을 위한 유전학적 방법은 자원관리학적 연구에 관한 기본적 정보를 제공해 왔다. 계군 분석을 위한 유전학적 방법은 이에 사용하는 유전자 마커(marker)의 감도에 따라 결정되며, 유전자 마커의 다형성이 높은 것을 선택해야 한다. 계군 분석을 위한 유전자 마커로는 오랜 기간 동안 동위효소 다형이 사용되어졌으며, 최근에는 mitochondria, microsatellite와 같이 DNA 염기배열 중에서도 변이성이 높은 영역을 선택하여 마커로 이용한 연구가 증가되고 있다. 기존의 형태학적 방법, 표지방류법, 생태학적인 방법들은 살오징어의 생활사, 회유경로, 산란장의 변화 등을 밝혀내어 계군을 파악하는데 많은 기여를 하였지만 여전히 각 해역에 분포하는 살오징어의 계군을 파악하기에는 어려움이 있다. 최근에는 기존의 계군 분석이 지닌 장단점을 비교 분석하여 복합적인 방법의 계군 분석이 이루어지며, 이러한 정보들을 바탕으로 유전학적 방법을 보완한다면 살오징어 자원의 변동에 대한 관리 방안을 마련하는데 도움을 줄 것이다.
본 연구는 충청북도 지역 학교 영양(교)사를 대상으로 학교급식 식단관리 운영실태 및 인식을 조사함으로써 학교급식의 효율적인 개선방안을 제시하고자 하였으며 조사기간은 2010년 9월 1일부터 9월 15일까지로, 배포된 설문지는 328부이며 이 중 265부(80.8%)가 분석에 이용되었다. 연구 결과의 요약은 다음과 같다. 첫째, 조사대상의 일반사항으로 학교유형은 초등학교 55.8%, 중학교 22.3%, 고등학교 21.9%로, 급식유형은 도시형이 54.0%, 농촌형이 46.0%로 나타났다. 학교에서 1일 제공하는 끼니 수에 대해 1식이 80.8%, 2식이 5.3%, 3식이 13.9%로 중식 한 끼를 제공하는 학교가 가장 많았으며, 식단형태는 98.8%가 단일식단을, 0.4%가 선택식단, 0.8%가 단일식단과 선택식단을 같이 사용하였다. 둘째, 학교급식 식단 작성 시 고려요인의 중요도 및 어려운 정도에 대한 조사결과로 중요도 점수가 식품비예산(평균 4.53점)으로 가장 높았으며, 식중독위해요소(4.42점), 영양기준량(4,42점), 피 급식자의 기호도 및 선호도(4.18점), 조리시간(3.90점), 급식시설 및 기기수준(3.88점), 식재료의 원산지(3.79점), 음식의 색과 모양(3.77점) 순이었으며, 모든 고려요인의 중요도 점수가 3점(보통이다) 이상이었다. 어려운 점은 '식품비예산'(평균 4.27점)에 대한 사항이 가장 높게 나타났으며, '피 급식자의 기호도 및 선호도'(4.06점), '식중독위해요소'(3.98점), '급식시설 및 기기수준'(3.90점), '조리시간'(3.82점), '조리종사원 수'(3.68점), '조리종사원의 숙련도'(3.67점), '적온배식'(3.51점) 순으로 나타났으며, 모든 고려요인의 어려운 정도 점수가 3점(보통이다) 이상이었다. 셋째, 식단 작성 시 영양관리에 관한 조사결과 식단 작성 시 고려주기에 대해 주별이 63.8%로 가장 높았고, 끼니별 31.3%, 월별 3.8%, 계절별 1.1% 순이었다. 식단 작성 시 가장 먼저 고려하는 영양소로 1순위는 에너지가 90.1%로 가장 높은 응답률을 나타냈다. 식단 작성 시 가장 초과되는 영양소는 단백질이 41.9%로 가장 높았고 에너지 36.2%, 칼슘 9.8%, 비타민류 7.9%, 철분 4.2% 순이었다. 반면, 식단 작성 시 가장 부족한 영양소는 칼슘이 37.7%로 가장 높게 응답률을 나타냈고, 철분 33.6%, 비타민류 17.0%, 에너지 10.2%, 단백질 1.5% 순이었다. 에너지 구성 권장비 중 가장 초과되는 영양소는 단백질이 47.2%로 가장 높았고, 탄수화물 29.4%, 지방 23.4% 순이었다. 넷째, 학교급식법령에 제시된 식단 작성 시 고려해야 할 사항 및 영양관리기준에 대한 인지도, 중요도 및 수행도 점수를 조사결과 학교급식법령에 제시된 식단 작성 시 고려하여할 사항은 '전통식문화의 계승발전을 고려', '곡류 및 전분류, 채소류 및 과일류, 어육류 및 콩류, 우유 및 유제품 등 다양한 종류의 식품을 사용', '염분, 유지류, 단순당류 또는 식품첨가물 등을 과다하게 사용하지 않음', '가급적 자연식품과 계절식품을 사용', '다양한 조리방법을 활용' 모두 5개 항목으로 인지도 점수결과 '전통식문화의 계승발전을 고려'(평균 3.78점) 이외의 항목은 4점(준수한다) 이상이었으며, '곡류 및 전분류, 채소류 및 과일류, 어육류 및 콩류, 우유 및 유제품 등 다양한 종류의 식품을 사용'(4.40점), '가급적 자연식품과 계절식품을 사용'(4.40점)이 높게 나타났다. 중요도 점수결과 '전통식문화의 계승발전을 고려'(3.77점) 이외의 항목은 4점(준수한다) 이상이었으며, '곡류 및 전분류, 채소류 및 과일류, 어육류 및 콩류, 우유 및 유제품 등 다양한 종류의 식품을 사용'(4.45점), '염분, 유지류, 단순 당류 또는 식품첨가물 등을 과다하게 사용하지 않음'(4.45점)이 높게 나타났다. 수행도 점수결과 '다양한 조리방법을 활용'(3.71점)과 '전통식문화의 계승발전을 고려'(3.29점) 이외의 항목은 4점(준수한다) 이상이었으며, '가급적 자연식품과 계절식품을 사용'(4.24점)이 높게 나타났다. 5개 항목 중 '전통식문화의 계승발전을 고려'가 인지도, 중요도, 수행도 모든 부분에서 다른 항목에 비해 낮은 점수를 나타냈다. 학교급식법령에 제시된 학교급식 영양관리기준 '학년별 성별 에너지공급기준
The objective of this research is to test the feasibility of developing a statewide truck traffic forecasting methodology for Wisconsin by using Origin-Destination surveys, traffic counts, classification counts, and other data that are routinely collected by the Wisconsin Department of Transportation (WisDOT). Development of a feasible model will permit estimation of future truck traffic for every major link in the network. This will provide the basis for improved estimation of future pavement deterioration. Pavement damage rises exponentially as axle weight increases, and trucks are responsible for most of the traffic-induced damage to pavement. Consequently, forecasts of truck traffic are critical to pavement management systems. The pavement Management Decision Supporting System (PMDSS) prepared by WisDOT in May 1990 combines pavement inventory and performance data with a knowledge base consisting of rules for evaluation, problem identification and rehabilitation recommendation. Without a r.easonable truck traffic forecasting methodology, PMDSS is not able to project pavement performance trends in order to make assessment and recommendations in the future years. However, none of WisDOT's existing forecasting methodologies has been designed specifically for predicting truck movements on a statewide highway network. For this research, the Origin-Destination survey data avaiiable from WisDOT, including two stateline areas, one county, and five cities, are analyzed and the zone-to'||'&'||'not;zone truck trip tables are developed. The resulting Origin-Destination Trip Length Frequency (00 TLF) distributions by trip type are applied to the Gravity Model (GM) for comparison with comparable TLFs from the GM. The gravity model is calibrated to obtain friction factor curves for the three trip types, Internal-Internal (I-I), Internal-External (I-E), and External-External (E-E). ~oth "macro-scale" calibration and "micro-scale" calibration are performed. The comparison of the statewide GM TLF with the 00 TLF for the macro-scale calibration does not provide suitable results because the available 00 survey data do not represent an unbiased sample of statewide truck trips. For the "micro-scale" calibration, "partial" GM trip tables that correspond to the 00 survey trip tables are extracted from the full statewide GM trip table. These "partial" GM trip tables are then merged and a partial GM TLF is created. The GM friction factor curves are adjusted until the partial GM TLF matches the 00 TLF. Three friction factor curves, one for each trip type, resulting from the micro-scale calibration produce a reasonable GM truck trip model. A key methodological issue for GM. calibration involves the use of multiple friction factor curves versus a single friction factor curve for each trip type in order to estimate truck trips with reasonable accuracy. A single friction factor curve for each of the three trip types was found to reproduce the 00 TLFs from the calibration data base. Given the very limited trip generation data available for this research, additional refinement of the gravity model using multiple mction factor curves for each trip type was not warranted. In the traditional urban transportation planning studies, the zonal trip productions and attractions and region-wide OD TLFs are available. However, for this research, the information available for the development .of the GM model is limited to Ground Counts (GC) and a limited set ofOD TLFs. The GM is calibrated using the limited OD data, but the OD data are not adequate to obtain good estimates of truck trip productions and attractions .. Consequently, zonal productions and attractions are estimated using zonal population as a first approximation. Then, Selected Link based (SELINK) analyses are used to adjust the productions and attractions and possibly recalibrate the GM. The SELINK adjustment process involves identifying the origins and destinations of all truck trips that are assigned to a specified "selected link" as the result of a standard traffic assignment. A link adjustment factor is computed as the ratio of the actual volume for the link (ground count) to the total assigned volume. This link adjustment factor is then applied to all of the origin and destination zones of the trips using that "selected link". Selected link based analyses are conducted by using both 16 selected links and 32 selected links. The result of SELINK analysis by u~ing 32 selected links provides the least %RMSE in the screenline volume analysis. In addition, the stability of the GM truck estimating model is preserved by using 32 selected links with three SELINK adjustments, that is, the GM remains calibrated despite substantial changes in the input productions and attractions. The coverage of zones provided by 32 selected links is satisfactory. Increasing the number of repetitions beyond four is not reasonable because the stability of GM model in reproducing the OD TLF reaches its limits. The total volume of truck traffic captured by 32 selected links is 107% of total trip productions. But more importantly, ~ELINK adjustment factors for all of the zones can be computed. Evaluation of the travel demand model resulting from the SELINK adjustments is conducted by using screenline volume analysis, functional class and route specific volume analysis, area specific volume analysis, production and attraction analysis, and Vehicle Miles of Travel (VMT) analysis. Screenline volume analysis by using four screenlines with 28 check points are used for evaluation of the adequacy of the overall model. The total trucks crossing the screenlines are compared to the ground count totals. L V/GC ratios of 0.958 by using 32 selected links and 1.001 by using 16 selected links are obtained. The %RM:SE for the four screenlines is inversely proportional to the average ground count totals by screenline .. The magnitude of %RM:SE for the four screenlines resulting from the fourth and last GM run by using 32 and 16 selected links is 22% and 31 % respectively. These results are similar to the overall %RMSE achieved for the 32 and 16 selected links themselves of 19% and 33% respectively. This implies that the SELINICanalysis results are reasonable for all sections of the state.Functional class and route specific volume analysis is possible by using the available 154 classification count check points. The truck traffic crossing the Interstate highways (ISH) with 37 check points, the US highways (USH) with 50 check points, and the State highways (STH) with 67 check points is compared to the actual ground count totals. The magnitude of the overall link volume to ground count ratio by route does not provide any specific pattern of over or underestimate. However, the %R11SE for the ISH shows the least value while that for the STH shows the largest value. This pattern is consistent with the screenline analysis and the overall relationship between %RMSE and ground count volume groups. Area specific volume analysis provides another broad statewide measure of the performance of the overall model. The truck traffic in the North area with 26 check points, the West area with 36 check points, the East area with 29 check points, and the South area with 64 check points are compared to the actual ground count totals. The four areas show similar results. No specific patterns in the L V/GC ratio by area are found. In addition, the %RMSE is computed for each of the four areas. The %RMSEs for the North, West, East, and South areas are 92%, 49%, 27%, and 35% respectively, whereas, the average ground counts are 481, 1383, 1532, and 3154 respectively. As for the screenline and volume range analyses, the %RMSE is inversely related to average link volume. 'The SELINK adjustments of productions and attractions resulted in a very substantial reduction in the total in-state zonal productions and attractions. The initial in-state zonal trip generation model can now be revised with a new trip production's trip rate (total adjusted productions/total population) and a new trip attraction's trip rate. Revised zonal production and attraction adjustment factors can then be developed that only reflect the impact of the SELINK adjustments that cause mcreases or , decreases from the revised zonal estimate of productions and attractions. Analysis of the revised production adjustment factors is conducted by plotting the factors on the state map. The east area of the state including the counties of Brown, Outagamie, Shawano, Wmnebago, Fond du Lac, Marathon shows comparatively large values of the revised adjustment factors. Overall, both small and large values of the revised adjustment factors are scattered around Wisconsin. This suggests that more independent variables beyond just 226; population are needed for the development of the heavy truck trip generation model. More independent variables including zonal employment data (office employees and manufacturing employees) by industry type, zonal private trucks 226; owned and zonal income data which are not available currently should be considered. A plot of frequency distribution of the in-state zones as a function of the revised production and attraction adjustment factors shows the overall " adjustment resulting from the SELINK analysis process. Overall, the revised SELINK adjustments show that the productions for many zones are reduced by, a factor of 0.5 to 0.8 while the productions for ~ relatively few zones are increased by factors from 1.1 to 4 with most of the factors in the 3.0 range. No obvious explanation for the frequency distribution could be found. The revised SELINK adjustments overall appear to be reasonable. The heavy truck VMT analysis is conducted by comparing the 1990 heavy truck VMT that is forecasted by the GM truck forecasting model, 2.975 billions, with the WisDOT computed data. This gives an estimate that is 18.3% less than the WisDOT computation of 3.642 billions of VMT. The WisDOT estimates are based on the sampling the link volumes for USH, 8TH, and CTH. This implies potential error in sampling the average link volume. The WisDOT estimate of heavy truck VMT cannot be tabulated by the three trip types, I-I, I-E ('||'&'||'pound;-I), and E-E. In contrast, the GM forecasting model shows that the proportion ofE-E VMT out of total VMT is 21.24%. In addition, tabulation of heavy truck VMT by route functional class shows that the proportion of truck traffic traversing the freeways and expressways is 76.5%. Only 14.1% of total freeway truck traffic is I-I trips, while 80% of total collector truck traffic is I-I trips. This implies that freeways are traversed mainly by I-E and E-E truck traffic while collectors are used mainly by I-I truck traffic. Other tabulations such as average heavy truck speed by trip type, average travel distance by trip type and the VMT distribution by trip type, route functional class and travel speed are useful information for highway planners to understand the characteristics of statewide heavy truck trip patternS. Heavy truck volumes for the target year 2010 are forecasted by using the GM truck forecasting model. Four scenarios are used. Fo~ better forecasting, ground count- based segment adjustment factors are developed and applied. ISH 90 '||'&'||' 94 and USH 41 are used as example routes. The forecasting results by using the ground count-based segment adjustment factors are satisfactory for long range planning purposes, but additional ground counts would be useful for USH 41. Sensitivity analysis provides estimates of the impacts of the alternative growth rates including information about changes in the trip types using key routes. The network'||'&'||'not;based GMcan easily model scenarios with different rates of growth in rural versus . . urban areas, small versus large cities, and in-state zones versus external stations. cities, and in-state zones versus external stations.
최근 CT, MRI, PET등 영상진단기술 및 방사선치료계획 소프트웨어 등이 획기적으로 발전하였음에도 불구하고 자궁경부암의 강내조사는 아직까지 A점 등 ICRU 38에 근거한 치료계획을 보편적으로 사용하고 있다. CT를 이용한 3차원 강내조사 계획은 종양 및 정상조직의 선량-용적 히스토그람(DVH)에 대한 정보를 제공한다. 본 연구에서는 CT를 이용하여 표적용적(CTV)에 목표선량을 조사하는 치료계획(CTV 치료계획)과 ICRU38에 근거한 치료계획(ICRU 치료계획)을 시행하고, 각각에 대한 DVH를 분석하여 두 치료계획간의 종양선량, 직장선량, 방광선량 등을 비교하였다. Ir-192 고선량율강내치료(HDR)를 받은 11명의 환자를 대상으로 하였다. 강내조사 치료계획은 외부방사선치료를 일일선량 180cGy씩 4문조사(Box technique)로 약 40Gy 시행한 후 수립되었으며 모든 환자에서 CT 모의치료기를 이용한 CT가 시행되었고 치료계획은 PLATO(Nucletron) v.14.2를 이용하였다. CT 영상에 CTV, 직장, 방광 등을 도시한 후 CTV에 100%의 선량을 조사하는 치료계획 및 ICRU 38에 근거하여 A점에 100%를 조사하는 치료계획을 수립하였다. 11명 환자의 CTV 용적(평균
이 논문은 한국의 세계기록유산에 대하여 먼저 그 의미와 가치를 재확인하고, 이들 세계기록유산에 대한 보존 관리 및 그 현황을 조사하며, 한국의 기록유산을 디지털화 하는데 있어서의 문제점과 해결책을 모색하고, 추후 한국의 기록유산 중 세계기록유산으로 등록되기를 희망하는 4종의 기록물들에 대한 가치와 의의를 고찰한 연구이다. 본 연구의 상세 사항은 다음과 같다. 첫째, 제2장에서는 한국의 세계기록유산에 대한 가치와 의의를 고찰하였다. 먼저 세계기록유산의 선정기준과 절차 등을 먼저 파악하고, 한국의 세계기록유산인 "훈민정음" "조선왕조실록" "승정원일기" "직지(백운화상초록불조직지심체요절(白雲和尙抄錄佛祖直指心體要節))"에 대하여 각각 그 가치와 의미를 분석하였다. 둘째, 제3장에서는 '한국의 세계기록유산 보존 관리 현황'에서는 세계기록유산을 보존하고 있는 <서울대학교 규장각> <국가기록원 부산기록정보센터> <간송미술관>의 기관별로 그 보존 관리 현황을 고찰하였다. 그 결과, 이 3기관 모두 세계기록유산 보존 관리 현황은 '매우 우수하다'고 평가할 수 있었다. 즉, 1)그 세부적인 보안대책이 완벽하다. 2)그 보존방법에 있어서도 항온 항습의 특별한 서고를 별도로 마련하고, 이 서고 내에서 다시 '오동나무 상자 서장(書欌)'을 설치한 후, 이들 상자와 서장 속에 세계기록유산을 납입하여 보존하고 있다. 3)방화장치와 서고조명 및 소독 등에도 철저를 기하고 있음 등을 파악하였다. 셋째, 제4장에서는 '한국의 기록유산 디지털화 과제'에 대하여 개괄적으로 고찰하였다. 그 결과, 한국 기록유산의 디지털작업 및 DB구축에서 '디지털화 표준'이 가장 중요한 문제이며, 이 문제의 해결을 위해서는 디지털화(Digitization)에 대한 총체적이고 표준적인 시스템의 개발이 시급함을 지적하였다. 그리고 국가기록관리시스템을 개발한 경험이 있는 <국가기록원>과 한국학 고기록물의 디지털화에 많은 관심을 가진 <문화재청>이 공동으로 노력하여, 한국학 관련 기록유산의 디지타이제이션(Digitization)에 대한 총체적이고 표준적인 시스템의 개발이 요구됨을 파악하였다. 넷째, 제5장 '세계기록유산 등록을 추후 희망하는 한국의 기록유산'에서는 한민족의 기록유산 중에서 차후 세계기록유산으로 등재되기를 희망하는 4종 즉, 1)<해인사 고려대장경 경판>, 2)"동의보감", 3)"삼국유사", 4)"무구정광대다라니경"의 기록물에 국한하여, 그 어떤 의미에서 세계적인 가치와 의의가 있는가를 고찰하였다.
Today most developed countries provide modern medical care for most of the population. The rural area is the more neglected area in the medical and health field. In public health, the philosophy is that medical care for in maintenance of health is a basic right of man; it should not be discriminated against racial, environmental or financial situations. The deficiency of the medical care system, cultural bias, economic development, and ignorance of the residents about health care brought about the shortage of medical personnel and facilities on the rural areas. Moreover, medical students and physicians have been taught less about rural health care than about urban health care. Medical care, therefore, is insufficient in terms of health care personnel/and facilities in rural areas. Under such a situation, there is growing concern about the health problems among the rural population. The findings presented in this report are useful measures of the major health problems and even more important, as a guide to planning for improved medical care systems. It is hoped that findings from this study will be useful to those responsible for improving the delivery of health service for the rural population. Objectives: -to determine the health status of the residents in the rural areas. -to assess the rural population's needs in terms of health and medical care. -to make recommendations concerning improvement in the delivery of health and medical care for the rural population. Procedures: For the sampling design, the ideal would be to sample according to the proportion of the composition age-groups. As the health problems would be different by group, the sample was divided into 10 different age-groups. If the sample were allocated by proportion of composition of each age group, some age groups would be too small to estimate the health problem. The sample size of each age-group population was 100 people/age-groups. Personal interviews were conducted by specially trained medical students. The interviews dealt at length with current health status, medical care problems, utilization of medical services, medical cost paid for medical care and attitudes toward health. In addition, more information was gained from the public health field, including environmental sanitation, maternal and child health, family planning, tuberculosis control, and dental health. The sample Sample size was one fourth of total population: 1,438 The aged 10-14 years showed the largest number of 254 and the aged under one year was the smallest number of 81. Participation in examination Examination sessions usually were held in the morning every Tuesday, Wenesday, and Thursday for 3 hours at each session at the Namchun Health station. In general, the rate of participation in medical examination was low especially in ages between 10-19 years old. The highest rate of participation among are groups was the under one year age-group by 100 percent. The lowest use rate as low as 3% of those in the age-groups 10-19 years who are attending junior and senior high school in Taegu city so the time was not convenient for them to recieve examinations. Among the over 20 years old group, the rate of participation of female was higher than that of males. The results are as follows: A. Publie health problems Population: The number of pre-school age group who required child health was 724, among them infants numbered 96. Number of eligible women aged 15-44 years was 1,279, and women with husband who need maternal health numbered 700. The age-group of 65 years or older was 201 needed more health care and 65 of them had disabilities. (Table 2). Environmental sanitation: Seventy-nine percent of the residents relied upon well water as a primary source of dringking water. Ninety-three percent of the drinking water supply was rated as unfited quality for drinking. More than 90% of latrines were unhygienic, in structure design and sanitation (Table 15). Maternal and child health: Maternal health Average number of pregnancies of eligible women was 4 times. There was almost no pre- and post-natal care. Pregnancy wastage Still births was 33 per 1,000 live births. Spontaneous abortion was 156 per 1,000 live births. Induced abortion was 137 per 1,000 live births. Delivery condition More than 90 percent of deliveries were conducted at home. Attendants at last delivery were laymen by 76% and delivery without attendants was 14%. The rate of non-sterilized scissors as an instrument used to cut the umbilical cord was as high as 54% and of sickles was 14%. The rate of difficult delivery counted for 3%. Maternal death rate estimates about 35 per 10,000 live births. Child health Consultation rate for child health was almost non existant. In general, vaccination rate of children was low; vaccination rates for children aged 0-5 years with BCG and small pox were 34 and 28 percent respectively. The rate of vaccination with DPT and Polio were 23 and 25% respectively but the rate of the complete three injections were as low as 5 and 3% respectively. The number of dead children was 280 per 1,000 living children. Infants death rate was 45 per 1,000 live births (Table 16), Family planning: Approval rate of married women for family planning was as high as 86%. The rate of experiences of contraception in the past was 51%. The current rate of contraception was 37%. Willingness to use contraception in the future was as high as 86% (Table 17). Tuberculosis control: Number of registration patients at the health center currently was 25. The number indicates one eighth of estimate number of tuberculosis in the area. Number of discharged cases in the past accounted for 79 which showed 50% of active cases when discharged time. Rate of complete treatment among reasons of discharge in the past as low as 28%. There needs to be a follow up observation of the discharged cases (Table 18). Dental problems: More than 50% of the total population have at least one or more dental problems. (Table 19) B. Medical care problems Incidence rate: 1. In one month Incidence rate of medical care problems during one month was 19.6 percent. Among these health problems which required rest at home were 11.8 percent. The estimated number of patients in the total population is 1,206. The health problems reported most frequently in interviews during one month are: GI trouble, respiratory disease, neuralgia, skin disease, and communicable disease-in that order, The rate of health problems by age groups was highest in the 1-4 age group and in the 60 years or over age group, the lowest rate was the 10-14 year age group. In general, 0-29 year age group except the 1-4 year age group was low incidence rate. After 30 years old the rate of health problems increases gradually with aging. Eighty-three percent of health problems that occured during one month were solved by primary medical care procedures. Seventeen percent of health problems needed secondary care. Days rested at home because of illness during one month were 0.7 days per interviewee and 8days per patient and it accounts for 2,161 days for the total productive population in the area. (Table 20) 2. In a year The incidence rate of medical care problems during a year was 74.8%, among them health problems which required rest at home was 37 percent. Estimated number of patients in the total population during a year was 4,600. The health problems that occured most frequently among the interviewees during a year were: Cold (30%), GI trouble (18), respiratory disease (11), anemia (10), diarrhea (10), neuralgia (10), parasite disease (9), ENT (7), skin (7), headache (7), trauma (4), communicable disease (3), and circulatory disease (3) -in that order. The rate of health problems by age groups was highest in the infants group, thereafter the rate decreased gradually until the age 15-19 year age group which showed the lowest, and then the rate increased gradually with aging. Eighty-seven percent of health problems during a year were solved by primary medical care. Thirteen percent of them needed secondary medical care procedures. Days rested at home because of illness during a year were 16 days per interviewee and 44 days per patient and it accounted for 57,335 days lost among productive age group in the area (Table 21). Among those given medical examination, the conditions observed most frequently were respiratory disease, GI trouble, parasite disease, neuralgia, skin disease, trauma, tuberculosis, anemia, chronic obstructive lung disease, eye disorders-in that order (Table 22). The main health problems required secondary medical care are as fellows: (previous page). Utilization of medical care (treatment) The rate of treatment by various medical facilities for all health problems during one month was 73 percent. The rate of receiving of medical care of those who have health problems which required rest at home was 52% while the rate of those who have health problems which did not required rest was 61 percent (Table 23). The rate of receiving of medical care for all health problems during a year was 67 percent. The rate of receiving of medical care of those who have health problems which required rest at home was 82 percent while the rate of those who have health problems which did not required rest was as low as 53 percent (Table 24). Types of medical facilitied used were as follows: Hospital and clinics: 32-35% Herb clinics: 9-10% Drugstore: 53-58% Hospitalization Rate of hospitalization was 1.7% and the estimate number of hospitalizations among the total population during a year will be 107 persons (Table 25). Medical cost: Average medical cost per person during one month and a year were 171 and 2,800 won respectively. Average medical cost per patient during one month and a year were 1,109 and 3,740 won respectively. Average cost per household during a year was 15,800 won (Table 26, 27). Solution measures for health and medical care problems in rural area: A. Health problems which could be solved by paramedical workers such as nurses, midwives and aid nurses etc. are as follows: 1. Improvement of environmental sanitation 2. MCH except medical care problems 3. Family planning except surgical intervention 4. Tuberculosis control except diagnosis and prescription 5. Dental care except operational intervention 6. Health education for residents for improvement of utilization of medical facilities and early diagnosis etc. B. Medical care problems 1. Eighty-five percent of health problems could be solved by primary care procedures by general practitioners. 2. Fifteen percent of health problems need secondary medical procedures by a specialist. C. Medical cost Concidering the economic situation in rural area the amount of 2,062 won per residents during a year will be burdensome, so financial assistance is needed gorvernment to solve health and medical care problems for rural people.