• International Journal of Highway Engineering
• /
• v.13 no.2
• /
• pp.187-193
• /
• 2011

The stormwater runoff from road or expressway is known as one of important nonpoint pollution sources. To reduce the pollutants discharge from road or expressway, many best management practices(BMPs) have been applied and planned. Among the BMPs, road sweeping can be effective way to prevent pollutant washoff to environment. This study is performed to evaluate the characteristics of particles collected from the road by sweeping car. Size distribution and pollutant concentration of particles were analyzed. Based on the pollutant concentration and the specification of road such as length, width, and unit for pollutant generation, total amount of pollutant to be removed by road sweeping was estimated. Most of sediments collected by road sweeping was classified into sandy soil and fraction of fine grained soil was low. Although the concentrations of pollutants such as heavy metals in road sediments did not exceed the soil contamination criteria, washout of pollutants during sweeping work by spraying water might cause leaching of pollutants contained in sediments and thus resulted in low pollutant concentrations. Reduced amounts of pollutant by road sweeping showed 31.4% TSS reduction for ${\bigcirc}{\bigcirc}$ region and 7.7% TSS for ${\triangle}{\triangle}$ region. Other pollutants showed low reduction rate, because of their leaching by water spraying. Results from this study indicate that detailed and well-planned investigation for the road sweeping is necessary for the accurate estimation of pollutant reduction from road or expressway.

• Journal of Preventive Medicine and Public Health
• /
• v.31 no.3 s.62
• /
• pp.471-480
• /
• 1998

This study was undertaken in order to estimate the accuracy of disease code of the Korean National Medical Insurance Data and disease the characteristics related to the accuracy. To accomplish these objectives, 2,431 cases coded as notifiable acute communicable diseases (NACD) were randomly selected from 1994 National Medical Insurance data file and family medicine specialists reviewed the medical records to confirm the diagnostic accuracy and investigate the related factors. Major findings obtained from this study are as follows : 1. The accuracy rate of disease code of NACD in National Medical Insurance data was very low, 10.1% (95% C.I. : 8.8-11.4). 2. The reasons of inaccuracy in disease code were 1) claiming process related administrative error by physician and non-physician personnel in medical institutions (41.0%), 2) input error of claims data by key punchers of National Medical Insurer (31.3%) and 3) diagnostic error by physicians (21.7%). 3. Characteristics significantly related with lowering the accuracy of disease code were location and level of the medical institutions in multiple logistic regression analysis. Medical institutions in Seoul showed lower accuracy than those in Kyonngi, and so did general hospitals, hospitals and clinics than tertiary hospitals. Physician related characteristics significantly lowering disease code accuracy of insurance data were sex, age group and specialty. Male physicians showed significantly lower accuracy than female physicians; thirties and fortieg age group also showed significantly lower accuracy than twenties, and so did general physicians and other specialists than internal medicine/pediatric specialists. This study strongly suggests that a series of policies like 1) establishment of peer review organization of National Medical Insurance data, 2) prompt nation-wide expansion of computerized claiming network of National Medical Insurance and 3) establishment and distribution of objective diagnostic criteria to physicians are necessary to set up a national disease surveillance system utilizing National Medical Insurance claims data.

• Journal of Korean Society of Transportation
• /
• v.23 no.4 s.82
• /
• pp.81-91
• /
• 2005

The Traveling Salesman Problem(TSP) is one of the NP-complete (None-deterministic Polynomial time complete) route optimization problems. Its calculation time increases very rapidly as the number of nodes does. Therefore, the near optimum solution has been searched by heuristic algorithms rather than the real optimum has. This paper reviews the Ant System Algorithm(ANS), an heuristic algorithm of TSP and its applicability in the parcel delivery service in Korea. ASA, which is an heuristic algorithm of NP-complete has been studied by M. Dorigo in the early 1990. ASA finds the optimum route by the probabilistic method based on the cumulated pheromone on the links by ants. ASA has been known as one of the efficient heuristic algorithms in terms of its calculation time and result. Its applications have been expanded to vehicle routing problems, network management and highway alignment planning. The precise criteria for vehicle routing has not been set up in the parcel delivery service of Korea. Vehicle routing has been determined by the vehicle deriver himself or herself. In this paper the applicability of ASA to the parcel delivery service has been reviewed. When the driver s vehicle routing is assumed to follow the Nearest Neighbor Algorithm (NNA) with 20 nodes (pick-up and drop-off places) in $10Km{\times}10Km$ service area, his or her decision was compared with ASA's one. Also, ASA showed better results than NNA as the number of nodes increases from 10 to 200. If ASA is applied, the transport cost savings could be expected in the parcel delivery service in Korea.

• Radiation Oncology Journal
• /
• v.37 no.4
• /
• pp.265-270
• /
• 2019

Purpose: Renal cell carcinoma (RCC) and melanoma have been considered 'radioresistant' due to the fact that they do not respond to conventionally fractionated radiation therapy. Stereotactic radiosurgery (SRS) provides high-dose radiation to a defined target volume and a limited number of studies have suggested the potential effectiveness of SRS in radioresistant histologies. We sought to determine the effectiveness of SRS for the treatment of patients with radioresistant brain metastases. Materials and Methods: We performed a retrospective review of our institutional database to identify patients with RCC or melanoma brain metastases treated with SRS. Treatment response were determined in accordance with the Response Evaluation Criteria in Solid Tumors. Results: We identified 53 radioresistant brain metastases (28% RCC and 72% melanoma) treated in 18 patients. The mean target volume and coverage was 6.2 ± 9.5 mL and 95.5% ± 2.9%, respectively. The mean prescription dose was 20 ± 4.9 Gy. Forty lesions (75%) demonstrated a complete/partial response and 13 lesions (24%) with progressive/stable disease. Smaller target volume (p < 0.001), larger SRS dose (p < 0.001), and coverage (p = 0.008) were found to be positive predictors of complete response to SRS. Conclusion: SRS is an effective management option with up to 75% response rate for radioresistant brain metastases. Tumor volume and radiation dose are predictors of response and can be used to guide the decision-making for patients with radioresistant brain metastases.

• Land and Housing Review
• /
• v.5 no.1
• /
• pp.41-51
• /
• 2014

The amount of new apartment construction has been trending upward in 3~4% each year since 11% increase in 2002. Currently, in public apartment construction sites under separate delivery system for construction waste processing, the significant difference between estimated quantity for contract and actual amount frequently causes severe controversy among project participants. Many factors such as poor environmental management, inadequate contractual amount are assumed to influence the above problem, and the requirement to revise existing generation rates, the key criteria applied in estimating the quantities of waste, is increasing. Most of generation rates were established in early 2000's, and have difficulty in reflecting the changes from new materials and technologies accordingly. Therefore, this study aims to clarify the types of construction waste for each trade and the forecast method as preliminary work in order to develop more accurate generation rates for construction waste in new construction. To achieve this purpose, the architectural bills of quantities in ten apartment projects executed during 2010~2013 were collected, and the possible waste types and reasonable material loss ratio for each item from temporary works to owner-supplying material area were defined and compared through the workshops and interviews with the experts and on-site environmental managers. The results of this study will contribute to establishing the categories of construction waste for construction trades and proper generation rates by the indirect estimation method in new apartment construction in the follow-up study.

• Korean Journal of Psychosomatic Medicine
• /
• v.11 no.1
• /
• pp.36-43
• /
• 2003

Objectives: The purpose of this study was to evaluate the difference of cognitve function among patients with posttraumatic stress disorder according to severity of symptoms. Methods: The subjects were 90 psychiatric inpatients and outpatients with posttraumatic stress disorer(by DSM-IV criteria) after traffic accident. The severity of symptoms was assessed by MMPI subscales; depression, psychasthenia, schizophrenia. The impairment of cognitive function was assessed by Korean Wechsler Intelligence Scale(K-WAIS). Based on scores of the MMPI subscales, the patients were divided into high group(above 70 percentile) and low group(below 30 percentile). We estimated the difference of the K-WAIS score and subtest score in the low group and high group of the MMPI subscales by indedpendent t-test. Results: The scores of high group is significantly higher in the subtests of information, vocabulary, similarity, picture completion, and picture arrangement than the low group for psychasthenia subscale of MMPI. And the score of high group is significantly higher in full scale I.Q., verbal I.Q., performance I.Q., verbal subscales except digit span and simiarity, and performance subscales than low group for schiozphrenia subscale of MMPI. Conclusion: It was found cognitive function was more impaired in the group of PTSD with severe symptom compared to the group of PTSD with mild symptoms. We suggest that psychiatrist should consider various cognitive approaches as well as pharmacotherapy in the management of PTSD.

• Journal of Broadcast Engineering
• /
• v.16 no.4
• /
• pp.657-668
• /
• 2011

Along with the development of communication technology, DTV is gradually evolving into media that provide diverse services and information. This study is related with remote controls that control DTV interfaces and assessed the usability of remote pointing device. To this end, pointing devices using three different interaction methods that have been attempted recently by the industry were selected to conduct empirical experiments. The usability assessment was conducted centering on the existing directional task on straight tracks presented in ISO 9241-Part 9 and the steering tunnel task on curved tracks proposed in this study. The measurement variables included movement time, accuracy, throughput, subjective satisfaction and user behaviors. Based on the results of the assessment, in the case of movements on straight tracks, the GyroPoint method showed better implementing time but lower accuracy compared to the Hall Mouse and OFN methods while in the case of assessment on curved tracks, all of the GyroPoint method, Hall Mouse and OFN methods showed excellent results on both implementing time and accuracy. Besides, differences in efficiency and subjective satisfaction were shown among individual pointing devices. Based on these results, it is considered that individual pointing methods have different advantageous and disadvantageous characteristics. In this study, the usability of remote control pointing methods was assessed and diagnosed reflecting environments where DTVs are used through assessments considering the aspect of straight tracks along with curved tracks. Among others, this study is considered to be meaningful in that it provides assessment criteria and basic data for the development of remote controls suitable for the evolving DTV environments.

• Journal of the Korean Institute of Landscape Architecture
• /
• v.36 no.4
• /
• pp.36-47
• /
• 2008

The purpose of this study is to classify and assess the characteristics of urban Korean parks by on-site park users' reactions, such as satisfaction, preference and cognitive image of the park and park facilities. The park facilities are classified into five types of satisfaction: management status, activity facilities, convenient facilities, circulation and density, and landscape facilities. The park users are satisfied with conversation, rest and relaxation in the parks, but not satisfied with studying and nature experience. The behaviors in the park are classified as park activities, emotional and experiential activities, and nature activities. The results indicate that the images of the parks are stable, comfortable and natural. There are three factors to classifying the park images: nature-harmony, openness, uniqueness. Preferences for each parks are generally good. According to the criteria such as satisfaction of park facility, behavioral satisfaction, images and preference for each park, the 12 parks are divided into 5 different types: multi-purpose park, well-balanced park with natural elements, urban open space, park to be improved, and ecological park. The characteristics of each park was analyzed and categorized. This study dealt with only the parks in Seoul and its environs, and the survey was only done during the summer season. Therefore, further research is necessary to enlarge and generalize the results of this study, considering seasonal and regional variations.

• Korean Journal of Health Education and Promotion
• /
• v.25 no.3
• /
• pp.167-181
• /
• 2008

The prevention of life-style related diseases is an increasingly important issue in Japan, because not only have the number of patients with life-style related diseases increased but also medical care costs. This paper gives recent strategies for the prevention of cardiovascular diseases through life-style modification. Health objectives for the year 2010, called "Healthy Japan 21", were established in 2000 by the Ministry of Health, Labour and Welfare and the Health Promotion Act was enacted in 2002 to promote this health policy. However, the prevention efforts for life-style related diseases have not been effective in regard to the evaluation of the strategy objectives. The reform of the medical care system which included a new nationwide prevention strategy for life-style related diseases was presented in 2006. The new strategy starting from April 2008 included a "specific health checkup" and "specific health education" for those with metabolic syndrome. The specific health checkup is used to screen people according to criteria of the metabolic syndrome and divide them into 3 groups. These groups will receive specific health education. The purpose of this strategy is the early detection of those who have cardiovascular risk factors, and the early management of the clustering of cardiovascular risk factors of obese people aged 40-74 years old. It is mandatory for every insurer to conduct a specific health checkup and specific health education under the new Act. The implementation rate of the specific health checkup and the specific health education, and a reduction rate of individuals with metabolic syndrome among insured people will be evaluated every year. The national objective is to increase the rate of those undergoing the specific health checkup to 80% and the rate of those receiving the specific health education to 60% by the year 2015. The national objective also targeted a reduction rate of 25% for those with metabolic syndrome. This new strategy will be the biggest intervention trial in the world, and it will produce a big health care market in Japan. Not only public administrative institutions but also private institutions are now preparing to take part in this new strategy. However, various tasks remain, such as training more professionals in health education, developing more evidence based practices, and encouraging cooperation with various sectors, to enforce this new strategy.

• Korean Journal of Clinical Pharmacy
• /
• v.21 no.2
• /
• pp.122-130
• /
• 2011

Objective: Although recombinant human erythropoietin (rhEPO) has revolutionized the treatment of anemia in chronic kidney disease (CKD) receiving hemodialysis (HD) with no need of blood transfusion, some patients have a blunted or appear to be resistant to rhEPO. There is a controversy in the causes of rhEPO resistance in maintenance HD patients with anemia. This study is to examine current anemia treatment outcomes and the factors influencing the rhEPO responsiveness in HD patient with CKD. Methods: The clinical parameters or factors relating to erythrompoietin treatment outcomes and erythropoietin responsiveness were collected from the HD patients in two large dialysis centers for three months. The collected paramenters included serum iron, total iron biding capacity (TIBC), transferrin saturation rate, ferritin, albumin, intact PTH, C-reactive protein (CRP), nPCR and medications such as an angiotensin converting enzyme inhbitor, an angiotension II receptor blocker and an HMG-CoA reductase inhibitor (HMG-CoA RI). The data were analyzed to examine the degree of acheiveing the anemia treatment goal and factors relating to ERI. Results: Among total 111 patients, 42 (42.3%) and 47 (37.8%) patients achieved the target Hct and Hb based on the Health Insurance Review and Assessment Services (HIRA) reimbursement criteria. In the higher ERI group (upper quartile), the patients had higher CRP levels (0.5 mg/dl) (p=0.0096), and lower TIBC score (<$240{\mu}g/dl$) (p=0.0027), and less patients were taking HMG-CoA RI (p=0.0019). Male patients (p=0.0204), patients with high TIBC score ($R^2$=0.084, p=0.0021) and patients taking HMG-CoA RI (p=0.0052) required to administer less dose of rhEPO meaning higher erythropoietin responsiveness. Conclusion: Less than 50% of CKD patients were achieving the goals of anemia by erythropoietin administration in large hospitals in Korea even though the goals were lower than those of NKF-K/DOQI practice guideline. The factors influencing ERI were sex, TIBC and HMG-CoA RI administration status, and neither an ACEI nor an ARB did not influence ERI.