• 제목/요약/키워드: Method comparison

검색결과 14,500건 처리시간 0.051초

머신러닝과 KSCA를 활용한 디지털 사진의 색 분석 -한국 자연 풍경 낮과 밤 사진을 중심으로- (Color Analyses on Digital Photos Using Machine Learning and KSCA - Focusing on Korean Natural Daytime/nighttime Scenery -)

  • 권희은;구자준
    • 트랜스-
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    • 제12권
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    • pp.51-79
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    • 2022
  • 본 연구에서는 색채 계획을 통해 콘텐츠를 제작할 때 참고할 만한 색을 도출하는 방법을 모색하기 위하여 진행되었다. 대상이 된 이미지는 한국 내의 자연풍광을 다룬 사진들로 머신러닝을 활용해 낮과 밤이 어떤 색으로 표현되는지 알아보고, KSCA를 통해 색 빈도를 도출하여 두 결과를 비교, 분석하였다. 낮과 밤 사진의 색을 머신러닝으로 구분한 결과, 51~100%로 구분했을 때, 낮의 색의 영역이 밤의 색보다 2.45배가량 더 많았다. 낮 class의 색은 white를 중심으로, 밤 class의 색은 black을 중심으로 명도에 따라 분포하였다. 낮 class 70%이상의 색이 647, 밤 class 70% 이상의 색이 252, 나머지(31-69%)가 101개로서 중간 영역의 색의 수는 적고 낮과 밤으로 비교적 뚜렷하게 구분되었다. 낮과 밤 class의 색 분포 결과를 통해 명도로 구분되는 두 class의 경계 색채값이 무엇인지 확인할 수 있었다. KSCA를 활용해 디지털 사진의 빈도를 분석한 결과는 전체적으로 밝은 낮 사진에서는 황색, 어두운 밤 사진에서는 청색 위주의 색이 표현되었음을 보여주었다. 낮 사진 빈도에서는 상위 40%에 해당하는 색이 거의 무채색에 가까울 정도로 채도가 낮았다. 또 white & black에 가까운 색이 가장 높은 빈도를 보여 명도차가 크다는 것을 알 수 있었다. 밤 사진의 빈도를 보면 상위 50% 가량 되는 색이 명도 2(먼셀 기호)에 해당하는 어두운 색이다. 그에 비해 빈도 중위권(50~80%)의 명도는 상대적으로 조금 높고(명도 3-4), 하위 20%에서는 여러 색들의 명도차가 크다. 난색들은 빈도 하위 8% 이내에서 간헐적으로 볼 수 있었다. 배색띠를 보았을 때, 전체적으로 남색을 위주로 조화로운 배색을 이루고 있었다. 본 연구의 색의 분포와 빈도의 결과값은 한국 내의 자연 풍경에 관한 디지털 디자인의 색채 계획에 참고 자료로 활용될 수 있을 것이다. 또한 색 분포를 나눈 결과는 해당색이 특정 디자인의 주조색이나 배경색으로 사용될 경우에 두 class 중 어느 쪽에 더 가까운 색인지에 대해 참고사항이 될 수 있을 것이며, 분석 이미지들을 몇 가지 class로 나눈다면, 각 class의 색 분포의 특성에 따라 분석 이미지에 사용되지 않은 색도 어느 class에 얼마큼 더 가까운 이미지인지 도출할 수 있을 것이다.

한국 인터넷사이트들의 산업별 경쟁유형에 대한 탐색적 연구 (An Exploratory Study on the Competition Patterns Between Internet Sites in Korea)

  • 박윤서;김용식
    • Asia Marketing Journal
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    • 제12권4호
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    • pp.79-111
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    • 2011
  • 정보통신기술의 발달로 인해 도래한 디지털 경제는 인터넷 비즈니스라는 새로운 사업영역을 창출하였다. 인터넷 비즈니스는 다른 사업과 달리 매우 유동적인 시장점유율 변동이 나타나는 비즈니스 영역으로, 기업들은 시장 내의 경쟁 환경 및 경쟁 구조를 정확히 이해하여야만 불안정한 인터넷 시장 환경에 효과적으로 대처해 나갈 수 있게 되었다. 이에, 본 연구는 한국 인터넷 비즈니스내의 인터넷 사이트 간 경쟁을 각 사업 분야 별 시장점유율에 기초하여 실증분석 하였다. 이를 통해 인터넷 사이트들의 점유율 변동 추이를 살펴보고, 시장 선도 사이트들의 시장 지배력과 개별 시장의 경쟁 구도 등을 살펴보았다. 이러한 연구결과는 각 기업의 인터넷 사이트 담당자에게는 해당 시장의 경쟁양상과 경쟁구조를 파악할 수 있는 기회를 제공하고, 인터넷 분야로 새롭게 진출하려는 기업의 마케터들에게는 자사의 사업 진출 방향에 대한 기초자료로 활용될 수 있을 것이다.

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기상자료(氣象資料)에 의(依)한 배추 생육시기별(生育時期別) 토양수분(土壤水分), 증발산량(蒸發散量) 및 수량(收量)의 추정모형(推定模型) (Modeling of Estimating Soil Moisture, Evapotranspiration and Yield of Chinese Cabbages from Meteorological Data at Different Growth Stages)

  • 임정남;류순호
    • 한국토양비료학회지
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    • 제21권4호
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    • pp.386-408
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    • 1988
  • 본(本) 연구(硏究)는 배추를 대상(對象)으로 1986년(年)부터 1986년(年)까지 6년간 Lysimeter시험(試驗)과 포장시험(圃場試驗)을 통하여 기상자료(氣象資料)로 부터 생육시기별(生育時期別) 증발산량(蒸發散量)과 수량(收量)을 추정(推定)하는 모형(模型)을 개발(開發)할 목적(目的)으로 실시(實施)하였다. Lysimeter 시험(試驗)에서는 잠재증발산량(潛在蒸發散量)과 최대증발산량(最大蒸發散量)을 측정(測定)하였고, 관개포장시험(灌漑圃場試驗)에서는 시기별(時期別) 토양수분(土壤水分)을 측정(測定)하여 실증발산량(實蒸發散量)을 계산(計算)하고 수량(收量)을 조사(調査)하였다. 시험(試驗)을 통(通)하여 얻어진 성적(成績)과 기상자료(氣象資料)의 상호관계(相互關係)를 다각적(多角的)으로 비교(比較)하여 증발산량(蒸發散量)과 수량추정모형(收量推定模型)을 설정(設定)하고 검정(檢定)한 결과(結果)는 다음과 같다. 1. 잠재증발산(潛在蒸發散)의 5년간(年間) 측정치(測定値)의 평균치(平均値)는 4월초순(月初旬) 2.38mm/day 에서 시일(時日)이 경과(經過)함에 따라 점점(漸漸) 증가(增加)되어 6월중순(月中旬)에 3.98로 최고치(最高値)를 보이고 다시 감소(減少)되어 11월중순(月中旬)에는 1.06으로 떨어졌다. 기존(旣存) 공식(公式)에 의한 잠재증발산추정치(潛在蒸發散推定値)는 실측치(實測値)에 비(比)하여 Penman법(法), Radiation법(法), Blaney-Criddle법(法)은 과다(過多)하게 추정(推定)되고, Pan evaporation법(法)은 과소(過少)하게 추정(推定)되는 경향을 보였다. 추정치(推定値)와 실측치간(實測値間)에는 전체적(全體的)으로 보아 고도(高度)의 유의(有意)한 상관(相關)이 있었으나, Blaney-Criddle법(法)은 7, 8월(月)에 상관(相關)이 없다는 것이 특이(特異)하였다. 2. 기상요인중(氣象要因中) 잠재증발산량실측치(潛在蒸發散量實測値)와 유의(有意)한 상관(相關)이 있는 것은 기온(氣溫), 대기포차(大氣飽差), 일조시수(日照時數), 일사량(日射量), Pan증발량(蒸發量)이었으며, 이들 요인(要因)을 고려(考慮)한 다중회귀식(多重回歸式)은 PET산정식(算定式)으로 활용(活用)이 가능(可能)하였다. 잠재증발산량(潛在蒸發散量) 추정모형(推定模型)으로서는 Pan 증발량(蒸發量)(Eo)을 사용(使用)한 회귀식(回歸式)이 가장 간편(簡便)하고 정확(正確)하였다. PET= 0.712 + 0.705 Eo 3. 잠재증발산량(潛在蒸發散量)에 대한 최대증발량(最大蒸發量)(ETm)의 비(比)로 정의(定義)된 작물계수(作物係數)(Kc)는 배추생육초기(生育初期)에 0.5~0.7 범위(範圍)이었으며, 생육중기(生育中期)부터는 0.9~1.2범위(範圍)로 유지(維持)되었다. 작물계수(作物係數)는 생육진도(生育進度)(G ; 0~1.0)의 2차함수(次函數)로부터 추정(推定)할 수 있었다. 봄배추 : $$Kc=0.598+0.959G-0.501G^2$$ 가을배추 : $$Kc=0.402+1.887G-1.432G^2$$ 4. 최대증발산량(最大蒸發散量)에 대(對)한 실증발산량(實蒸發散量)의 비(比)로 정의(定義)된 토양수분계수(土壤水分係數)(Kf)는 근권(根圈)의 유효수분률(有效水分率)(f)이 임계치(臨界値)(fp)이상(以上)에서는 1.0 수준(水準)으로 유지(維持)되다가 그 이하(以下) 에서는 f에 따라 직선적(直線的)으로 감소(減少)되었다. Kc와 f와의 관계(關係)에 있어서 fp와 직선함수(直線函數)의 기울기는 재배시기(栽培時期)와 PET에 따라 각각 다르게 나타났다. Kf=1.0, if $$f{\geq}fp$$ $$Kf=a+b{\cdot}f$$, if f<fp 5. 층위별(層位別) 토양수분함량(土壤水分含量)으로부더 근권(根圈)의 물보유량변화(保有量變化)(${\Delta}S$) 계산(計算)에 있어서 모관수(毛管水)의 상승(上昇)과 배수량(排水量)은 무시(無視)할 정도(程度)로 적었다. 침투량(浸透量)(I)이 있을때 표토(表土) 5cm에 보유(保有)되었다가 증발(蒸發)되어 버리는 물량(量)(Es)은 실증발산(實蒸發散) 추정한형(推定漢型)에서 별도로 고여(考濾)되어야 하며, Es는 근권(根圈)의 유효수분율(有效水分率)로부터 추정(推定)된 표사(表士) 5cm에서 증발가능(蒸發可能)한 최대(最大) 물량(Esm)과 I을 비교(比較)하여 결정(決定)할 수 있었다. Es = I if I < Esm Es = Esm if < Esm 380 6. 실증발산최(實蒸發散最)(ETa) 추정모형(推定模型)은 물수지식(收支式)에 근거(根據)하여, 모관수(毛管水)의 상하이동양(上下移動量)은 무시(無視)하고 잠재증발산양(潛在蒸發散量)(PET), Kc, Kf, Es를 고려(考慮)하여 아래식(式)으로 설정(設定)되었다. $$ETa=PET{\cdot}Kc{\cdot}Kf+Es$$ 7.배추의 상대수양(相對收量)(Y/Ym) 추정모형(推定模型)은 재배기간중(栽培期間中)의 ETa의 대수함수(對數函數)의 형태(形態)로 설정(設定)되었다. $$Y/Ym=a+b{\cdot}{\ell}n(ETa)$$ 봄배추 : a=0.07, b =0.73 가을배추 : a=0.37, b =0.66 8. 설정(設定)된 모형(模型)에 의해 추정(推定)된 실증발산양(實蒸發散量)과 상대수양(相對收量)을 실측치(實測値)와 비교(比較)하여 본 결과(結果), 실증발산추정치(實蒸發散推定値)의 평균편차(平均偏差)는 봄배추에서는 0.29mm/day, 가을배추에서는 0.19mm/day이었으며, 상대수양추정치(相對收量推定値)의 평균편차(平均偏差)는 봄배추에서는 0.14, 가을배추에서는 0.09이었다. 9. 모형설정(模型設定)이 완료(完了)된 이후(以後) 별도(別途)로 3작기(作期)에 대(對)한 실측치(實測値)와 추정치간(推定値間)의 편차(偏差)도 모형설정기간(模型設定期間)의 것보다 오히려 더 적게 나오는 경향(傾向)을 보였다. 따라서 본추정모형(本推定模型)은 실제(實際) 활용가치(活用價値)가 있다고 판단(判斷)된다.

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대두육종에 있어서의 선발에 관한 실험적연구 -속보 : 유전력ㆍ유전상관, 그리고 선발지수의 재검토- (Studies on the selection in soybean breeding. -II. Additional data on heritability, genotypic correlation and selection index-)

  • 장권열
    • 한국작물학회지
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    • 제3권
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    • pp.89-98
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    • 1965
  • 대두증산의 중요성에 미추어 대두의 다수계통 선발을 위하여 전년에 공시한 22품종을 재료로 각 형질의 유전력, 각 형질상호간의 유전상관, 그리고 선발지수 등을 재검토하기 위하여 선발시험을 한 바 대체로 전보 전년의 결과와 같다. 1. 유전력 : 유전력을 추정하기 위하여 파종기별로 각 형질의 평균치의 변동을 보면 제1표와 같이 파종기가 지연됨에 따라 형질의 평균치는 감소하고 (Table 1), 형질중에는 환경에 따라 크게 영향을 받는 것도 있으며(Table 2), 각 형질별 유전력을 추정한 바 그 결과는 제3표와 같다. 즉 개화일수ㆍ결실일수ㆍ생육일수 등 생유기간에 관계되는 형질은 그의 유전력이 높고 형태적 특성에 관계되는 형질중에서도 경장 100입중은 높으나 수량에 관여하는 형질 등은 낮았다. 그리고 파종기에 따라서도 변동을 하며 대체로 파종기가 늦어짐에 따라 감소하는 경향이 보인다(Table 3). 2. 유전상관 : 각 형질 상호간의 유전상관ㆍ표현형상관을 알기 위하여 각 형질의 표현형분산과 각 형질 상호간의 표현형공분산ㆍ유전공분산. 그리고 환경공분산을 산출한 바 그 결과는 제4,5표와 같고(Table 4,5), 그들의 유전상관과 표현형상관은 제6표와 같다(Table 6). 대체로 유전사관의 정도는 표현형상관보다높으나 파종기에 따라서도 변동하고 있다. 일주입중 즉 수랴오가 타형질과의 상관을 보면 대체로 전보와 같이 100입중이외의 제형질은 정의 상관을 보이며, 파종기에 따라서도 그 값이 변동을 하나 전보에서는 일주입중과 분지수 사이에 고도의 상관관계가 보였으나, 본실험에 있어서는 상관의 경향이 보였을 따름이다. 그리고 본실험에 있어서는 일주협수와 일주입수간에서 유전상관이 1이상의 이상치를 보였다. 3. 선발지수 : 선발이 최종 대상형질을 일주입중(형질 Y)으로 하여 여기에 어려 형질을 조합한 선발지수(Selection index A)와 최종 대상형질을 수량과 높은 유전상관이 있는 일주협수(형질 Y')로 하여 여기에 여러 형질을 조합한 선발지수(Selection index B)를 Robinson et al.의 방법에 의하여 작성하여 본 바 제7표와 같다(Table 7). 전보의 결과와 같이 대두의 선발에 있어서는 최종 대상형질을 일주입중 대신에 일주협수로써 선발하여도 대차가 없고, 선발대상형질을 4개형질이상인 경우에는 그 효과가 조사와 산출에 요하는 노력에 비하여 크게 기대될 정도가 못된다. 이와 같은 점에서 다수확을 목표로 하는 선발은 탈곡조제 전에 일주협수ㆍ분지수ㆍ경직경 등에 대하여 조사를 하고 선발지수를 산출하여 Selection score가 큰 계통부터 선발하여 가면 될 것으로 믿는다. 그리고 선발을 위한 대상형질로는 생육일수(X$_1$)ㆍ분지수(X$_2$)ㆍ경직경(X$_3$), 그리고 일주협수(X$_4$)의 4개형질 혹은 분지수(X$_2$)ㆍ경직경(X$_3$), 그리고 일주협수(X$_4$)의 3개형질로 할 것이 요망되고, 이들 형질의 측정치로 선발지수를 작성하여 그 지수에서 산출된 Selection score가 큰 계통부터 선발해 나가는 것이 선발지수의 이용상 실용적이고 효과적인 방법이라 하겠다.

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

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

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한정된 O-D조사자료를 이용한 주 전체의 트럭교통예측방법 개발 (DEVELOPMENT OF STATEWIDE TRUCK TRAFFIC FORECASTING METHOD BY USING LIMITED O-D SURVEY DATA)

  • 박만배
    • 대한교통학회:학술대회논문집
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    • 대한교통학회 1995년도 제27회 학술발표회
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    • pp.101-113
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    • 1995
  • 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.

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논벼 장.단간품종의 증발산제계수와 건물량과의 관계에 대한 연구(I) (Studies on Relations between Various Coeffcients of Evapo-Transpiration and Quantities of Dry Matters for Tall-and Short Statured Varieties of Paddy Rice)

  • 류한열;김철기
    • 한국농공학회지
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    • 제16권2호
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    • pp.3361-3394
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    • 1974
  • The purpose of this thesis is to disclose some characteristics of water consumption in relation to the quantities of dry matters through the growing period for two statured varieties of paddy rice which are a tall statured variety and a short one, including the water consumption during seedling period, and to find out the various coefficients of evapotranspiration that are applicable for the water use of an expected yield of the two varieties. PAL-TAL, a tall statured variety, and TONG-lL, a short statured variety were chosen for this investigation. Experiments were performed in two consecutive periods, a seedling period and a paddy field period, In the investigation of seedling period, rectangular galvanized iron evapotranspirometers (91cm${\times}$85cm${\times}$65cm) were set up in a way of two levels (PAL-TAL and TONG-lL varieties) with two replications. A standard fertilization method was applied to all plots. In the experiment of paddy field period, evapotanspiration and evaporation were measured separately. For PAL-TAL variety, the evapotranspiration measurements of 43 plots of rectangular galvanized iron evapotranspirometer (91cm${\times}$85cm${\times}$65cm) and the evaporation measurements of 25 plots of rectangular galvanized iron evaporimeter (91cm${\times}$85cm${\times}$15cm) have been taken for seven years (1966 through 1972), and for TONG-IL variety, the evapotranspiration measurements of 19 plots and the evaporation measurements of 12 plots have been collected for two years (1971 through 1972) with five different fertilization levels. The results obtained from this investigation are summarized as follows: 1. Seedling period 1) The pan evaporation and evapotranspiration during seedling period were proved to have a highly significant correlation to solar radiation, sun shine hours and relative humidity. But they had no significant correlation to average temperature, wind velocity and atmospheric pressure, and were appeared to be negatively correlative to average temperature and wind velocity, and positively correlative to the atmospheric pressure, in a certain period. There was the highest significant correlation between the evapotranspiration and the pan evaporation, beyond all other meteorological factors considered. 2) The evapotranpiration and its coefficient for PAL-TAL variety were 194.5mm and 0.94∼1.21(1.05 in average) respectively, while those for TONG-lL variety were 182.8mm and 0.90∼1.10(0.99 in average) respectively. This indicates that the evapotranspiration for TONG-IL variety was 6.2% less than that for PAL-TAL variety during a seedling period. 3) The evapotranspiration ratio (the ratio of the evapotranspiration to the weight of dry matters) during the seedling period was 599 in average for PAL-TAL variety and 643 for TONG-IL variety. Therefore the ratio for TONG-IL was larger by 44 than that for PAL-TAL variety. 4) The K-values of Blaney and Criddle formula for PAL-TAL variety were 0.78∼1.06 (0.92 in average) and for TONG-lL variety 0.75∼0.97 (0.86 in average). 5) The evapotranspiration coefficient and the K-value of B1aney and Criddle formular for both PAL-TAL and TONG-lL varieties showed a tendency to be increasing, but the evapotranspiration ratio decreasing, with the increase in the weight of dry matters. 2. Paddy field period 1) Correlation between the pan evaporation and the meteorological factors and that between the evapotranspiration and the meteorological factors during paddy field period were almost same as that in case of the seedling period (Ref. to table IV-4 and table IV-5). 2) The plant height, in the same level of the weight of dry matters, for PAL-TAL variety was much larger than that for TONG-IL variety, and also the number of tillers per hill for PAL-TAL variety showed a trend to be larger than that for TONG-IL variety from about 40 days after transplanting. 3) Although there was a tendency that peak of leaf-area-index for TONG-IL variety was a little retarded than that for PAL-TAL variety, it appeared about 60∼80 days after transplanting. The peaks of the evapotranspiration coefficient and the weight of dry matters at each growth stage were overlapped at about the same time and especially in the later stage of growth, the leaf-area-index, the evapotranspiration coefficient and the weight of dry matters for TONG-IL variety showed a tendency to be larger then those for PAL-TAL variety. 4) The evaporation coefficient at each growth stage for TONG-IL and PAL-TALvarieties was decreased and increased with the increase and decrease in the leaf-area-index, and the evaporation coefficient of TONG-IL variety had a little larger value than that of PAL-TAL variety. 5) Meteorological factors (especially pan evaporation) had a considerable influence to the evapotranspiration, the evaporation and the transpiration. Under the same meteorological conditions, the evapotranspiration (ET) showed a increasing logarithmic function of the weight of dry matters (x), while the evaporation (EV) a decreasing logarithmic function of the weight of dry matters; 800kg/10a x 2000kg/10a, ET=al+bl logl0x (bl>0) EV=a2+b2 log10x (a2>0 b2<0) At the base of the weight of total dry matters, the evapotranspiration and the evaporation for TONG-IL variety were larger as much as 0.3∼2.5% and 7.5∼8.3% respectively than those of PAL-TAL variety, while the transpiration for PAL-TAL variety was larger as much as 1.9∼2.4% than that for TONG-IL variety on the contrary. At the base of the weight of rough rices the evapotranspiration and the transpiration for TONG-IL variety were less as much as 3.5% and 8.l∼16.9% respectively than those for PAL-TAL variety and the evaporation for TONG-IL was much larger by 11.6∼14.8% than that for PAL-TAL variety. 6) The evapotranspiration coefficient, the evaporation coefficient and the transpiration coefficient and the transpiration coefficient were affected by the weight of dry matters much more than by the meteorological conditions. The evapotranspiratioa coefficient (ETC) and the evaporation coefficient (EVC) can be related to the weight of dry matters (x) by the following equations: 800kg/10a x 2000kg/10a, ETC=a3+b3 logl0x (b3>0) EVC=a4+b4 log10x (a4>0, b4>0) At the base of the weights of dry matters, 800kg/10a∼2000kg/10a, the evapotranspiration coefficients for TONG-IL variety were 0.968∼1.474 and those for PAL-TAL variety, 0.939∼1.470, the evaporation coefficients for TONG-IL variety were 0.504∼0.331 and those for PAL-TAL variety, 0.469∼0.308, and the transpiration coefficients for TONG-IL variety were 0.464∼1.143 and those for PAL-TAL variety, 0.470∼1.162. 7) The evapotranspiration ratio, the evaporation ratio (the ratio of the evaporation to the weight of dry matters) and the transpiration ratio were highly affected by the meteorological conditions. And under the same meteorological condition, both the evapotranspiration ratio (ETR) and the evaporation ratio (EVR) showed to be a decreasing logarithmic function of the weight of dry matters (x) as follows: 800kg/10a x 2000kg/10a, ETR=a5+b5 logl0x (a5>0, b5<0) EVR=a6+b6 log10x (a6>0 b6<0) In comparison between TONG-IL and PAL-TAL varieties, at the base of the pan evaporation of 343mm and the weight of dry matters of 800∼2000kg/10a, the evapotranspiration ratios for TONG-IL variety were 413∼247, while those for PAL-TAL variety, 404∼250, the evaporation ratios for TONG-IL variety were 197∼38 while those for PAL-TAL variety, 182∼34, and the transpiration ratios for TONG-IL variety were 216∼209 while those for PAL-TAL variety, 222∼216 (Ref. to table IV-23, table IV-25 and table IV-26) 8) The accumulative values of evapotranspiration intensity and transpiration intensity for both PAL-TAL and TONG-IL varieties were almost constant in every climatic year without the affection of the weight of dry matters. Furthermore the evapotranspiration intensity appeared to have more stable at each growth stage. The peaks of the evapotranspiration intensity and transpiration intensity, for both TONG-IL and PAL-TAL varieties, appeared about 60∼70 days after transplanting, and the peak value of the former was 128.8${\pm}$0.7, for TONG-IL variety while that for PAL-TAL variety, 122.8${\pm}$0.3, and the peak value of the latter was 152.2${\pm}$1.0 for TONG-IL variety while that for PAL-TAL variety, 152.7${\pm}$1.9 (Ref.to table IV-27 and table IV-28) 9) The K-value in Blaney & Criddle formula was changed considerably by the meteorological condition (pan evaporation) and related to be a increasing logarithmic function of the weight of dry matters (x) for both PAL-TAL and TONG-L varieties as follows; 800kg/10a x 2000kg/10a, K=a7+b7 logl0x (b7>0) The K-value for TONG-IL variety was a little larger than that for PAL-TAL variety. 10) The peak values of the evapotranspiration coefficient and k-value at each growth stage for both TONG-IL and PAL-TAL varieties showed up about 60∼70 days after transplanting. The peak values of the former at the base of the weights of total dry matters, 800∼2000kg/10a, were 1.14∼1.82 for TONG-IL variety and 1.12∼1.80, for PAL-TAL variety, and at the base of the weights of rough rices, 400∼1000 kg/10a, were 1.11∼1.79 for TONG-IL variety and 1.17∼1.85 for PAL-TAL variety. The peak values of the latter, at the base of the weights of total dry matters, 800∼2000kg/10a, were 0.83∼1.39 for TONG-IL variety and 0.86∼1.36 for PAL-TAL variety and at the base of the weights of rough rices, 400∼1000kg/10a, 0.85∼1.38 for TONG-IL variety and 0.87∼1.40 for PAL-TAL variety (Ref. to table IV-18 and table IV-32) 11) The reasonable and practicable methods that are applicable for calculating the evapotranspiration of paddy rice in our country are to be followed the following priority a) Using the evapotranspiration coefficients based on an expected yield (Ref. to table IV-13 and table IV-18 or Fig. IV-13). b) Making use of the combination method of seasonal evapotranspiration coefficient and evapotranspiration intensity (Ref. to table IV-13 and table IV-27) c) Adopting the combination method of evapotranspiration ratio and evapotranspiration intensity, under the conditions of paddy field having a higher level of expected yield (Ref. to table IV-23 and table IV-27). d) Applying the k-values calculated by Blaney-Criddle formula. only within the limits of the drought year having the pan evaporation of about 450mm during paddy field period as the design year (Ref. to table IV-32 or Fig. IV-22).

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논벼재배에 있어서의 노동력 절감에 관한 연구 (A Study on Labor Saving in Paddy Rice Cultivation)

  • 장영철
    • 한국작물학회지
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    • 제11권
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    • pp.81-97
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    • 1972
  • 논벼농사의 노동력을 덜기 위하여 이중 가장 중요한 호미질에 의한 중경제초의 노력을 살초제에 의한 것으로 전환시키고자 기초적인 면과 실제적인 면으로 시험조사를 하였다. 건국대학교에서 1m평방 안높이 21cm 및 36cm의 두 형의 concrete tank를 각 4개씩 만들고 그 안에 채수관장치를 한 뒤 양토작토로 논벼를 심어 수도물로 관수하고 투수속도와 산소침투 정도와 수량과의 관계를 보았다. 농림부 자재 검사소 내에서 투수가 심한 사질답전포장에 전면적으로 살초제 Stam F-34를 살포하여 제초하고 제 1구는 중경을 하지 않고, 제 2구는 중경 1회, 그리고 제 3구는 중경 2회하여 중경의 효과를 비교하였다. 이리 호남시험장내 건답보통논과 습답에 무중경, 중경 1회 중경 2회의 구와 살초제 Pamcon을 살포한 것들 중, 무중경, 중경 1회 제초 2회, 중경 2회 제초 1회, 중경 3회 제초 2회의 구와 그리고 관행구를 설치하여 중경제초의 비용과 살초제에 의한 비용을 비교하였던바 그 결과를 요약하면 다음과 같다. (1) 투수속도와 산소침투와 수량과의 관계는 일당(24시간당) 투수속도 4cm이상 될 때 지표 2cm하에 산소가 조금 들어가며 3cm보다 적을 때는 산소가 지표하의 매우 옅은 층에만 내려가는 것으로 나타나며 그리고 경심 15cm구에는 일당 투수속도의 0cm(무투수) 1.5cm에서 수량이 많고 2.5cm와 3.4cm에는 감수되며, 경심 30cm구에는 투수속도 1.5cm 및 30cm구에서 수량이 많고 무투수와 투수속도 4cm구에는 수량이 떨어졌다. (2) 투수가 심한 농림부 자재검사소 사질토양에서는 중경의 효과가 없었다. (3) 호남작물시험장내 건답에서는 살초제 Pamcon 처리 무중경구 수량에 대해서 유의성이 보이는 증수구는 없었다. 그리고 습답에서는 무중경구에 있어서 중경제초 및 관행구가 유의성 있게 증수되었다. (4) 논매기 호미질에 의한 10a당 노동력은 정미 37.1시간 식사와 휴식시간 포함하여 53.5시간이고, 노임은 2,346원인데 대하여 살초제 사용에의 한제 초노력은 수동식으로 0.5일 즉 약 5시간 제비용과 감수추정량을 추정할 때 1,130원이고 습답을 제외하면 750원이 되는 것으로 추정 되었다.

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CPAP 및 SIMV Mode하에서 Pressure Support 사용이 호흡역학에 미치는 효과 (The Effect of Pressure Support on Respiratory Mechanics in CPAP and SIMV)

  • 임채만;장재원;최강현;이상도;고윤석;김우성;김동순;김원동;박평환;최종무
    • Tuberculosis and Respiratory Diseases
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    • 제42권3호
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    • pp.351-360
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    • 1995
  • 연구배경: 압력보조는 환자의 흡기시 정해진 양의 양압을 보조하여 상시호흡량을 증가시키거나, 호흡일을 경감시키는 목적으로 쓰이는 기계환기법으로 본 연구는 자발적 호흡이 허용되는 SIMV 및 CPAP 양식에서 PS를 사용할 경우 환자의 호흡역학상 어떤 차이가 있는지 알아보고자 하였다. 방법: 중환자실에 입원하여 호흡부전으로 기계환기중인 환자로 임상적으로 안정되었고 자발적 호흡횟수가 분당 12회 이상인 환자 14명을 대상으로, 먼저 CPAP(3 cm $H_2O$) 양식하에서 0, 5, 10 및 15 cm $H_2O$의 PS를 순서대로 적용하면서 CP-100 pulmonary monitor(Bicore, USA)를 이용하여 호흡역학 지수들을 측정하고 이어서 SIMV 양식으로 바꾸어 같은 방법으로 호흡역학 지수들을 측정하였다. 결과: 1) CPAP 및 SIMV 방식하에서 PS가 호흡역학에 미친 공통된 효과 CPAP 양식하에서 PS를 증가시킴에 따라 상시호흡량은 증가하였고, WOB과 PTP는 감소하였다. SIMV 방식하에서도 PS를 증가시킴에 따라 상시호흡량은 증가하였고, WOB과 PTP 역시 유의하게 감소하였다. 2) CPAP 및 SIMV 방식하에서 PS가 호흡역학에 미치는 효과의 차이 CPAP 방식하에서 PS를 증가시킴에 따라 분당호흡수는 유의한 변동이 없었고, $P_{0.1}$$T_1/T_{TOT}$은 유의하게 감소되었다. SIMV 방식하에서 PS를 증가시킴에 따라 분당호흡수는 유의하게 감소한 반면, $P_{0.1}$$T_1/T_{TOT}$은 유의한 변동이 없었다. 3) CPAP+PS 양식에서 SIMV 단독양식에서와 같은 상시호흡량을 얻는 상태에서의 호흡역학의 비교 동일 환자에서 CPAP+PS 양식으로 SIMV 단독양식에서의 상시호흡량이 얻어지는 상태에서 분당호흡수 WOB, $P_{0.1}$ 등에는 양 방식 간에 차이가 없었으나 PTP와 $T_1/T_{TOT}$은 CPAP+PS 양식이 유의하게 낮았다. 결론: 기계호흡에서 압력보조의 사용은 CPAP 및 SIMV 양식 모두에서 상시호흡량을 증가시키고, 환자의 호흡일, 호흡근 산소소모량 지수를 감소시켰으며, 분당호흡수의 감소는 SIMV 방식에서만 관찰되었고, 중추성호흡추진력의 감소와 호흡근의 지구력지수의 호전은 CPAP 방식에서만 관찰되었다. 한편 상시호흡량이 같은 수준에서의 CPAP+ PS 방법은 SIMV 법에 비해 호흡근의 일효율이 더 높고 호흡근의 지구력지수가 더 우수하였다. 따라서, 기계적환기 유지기나 이탈과정의 환자에서 압력보조의 겸용은 환자의 호흡역학 상태를 개선하는 것으로 사료된다.

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흰쥐에서 출혈성 쇼크 후 회복 시 저체온법 및 수액 치료에 따른 폐장의 염증성 변화 (Inflammatory Reponse of the Lung to Hypothermia and Fluid Therapy after Hemorrhagic Shock in Rats)

  • 장원채;범민선;정인석;홍영주;오봉석
    • Journal of Chest Surgery
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    • 제39권12호
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    • pp.879-890
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    • 2006
  • 배경: 출혈성 쇼크는 허혈 시 발생하는 산소산화물 등에 의해 체내에 여러 가지 염증반응을 일으킴으로써 각 장기의 기능부전을 초래한다. 특히 폐장은 허혈 시 조기에 폐포 세포의 투과성이 증가하여 부종, 염증세포의 침윤 및 출혈 등이 일어나 호흡부전증을 초래한다. 또한 출혈성 쇼크 시 기본적으로 시행하는 수액 요법은 간질의 부종을 일으켜 폐장의 기능을 감소시킬 수 있는 위험 요소이다. 따라서 출혈성 쇼크 후 폐장의 기능 저하를 예방하기 위해서는 폐장의 염증 반응을 줄이고 폐부종을 최소화시키는 노력이 필요하다. 대상 및 방법: $300{\sim}350$ gm 정도의 수컷 흰쥐를 이용하여 경정맥을 통해 약 3 mL/100 g의 혈액을 제거하여 평균 경동맥압 $35{\sim}40$ mmHg의 출혈성 쇼크 상태(I단계, 60분)를 유도하고 유지한 후, 제거한 혈액을 재주입하고 수액요법을 실시하여 평균 경동맥압을 80 mmHg로 유지하는 소생 상태(II 단계, 60분)를 시행한 후 약 3시간 정도 경과를 관찰(III 단계)하였다. 실험동물은 3군으로 나누어 실험하였으며 I군(n=10)은 I 단계 시 직장체온을 $37{\pm}1^{\circ}C$로 유지하고 II 단계에서 린저액을 이용하여 수액요법을 실시하였다. II 군(n=10)은 I 단계 시 직장체온을 $33{\pm}1^{\circ}C$로 유지하고 II단계에서 린저액을 이용한 수액요법을 실시하였다. III군은 I단계 시 $33{\pm}1^{\circ}C$로 체온을 유지하였고 II 단계에서 5% 알부민액을 이용하여 수액요법을 실시하였다. 각 군 모두 실험 전, I, II, III 단계 후반에 혈류역학적 인자(심박수, 평균 경동맥압), 동맥혈 가스 분석, 혈청내 포도당과 LDH, I, II단계의 투여 수액양, 기관지-폐포 세척액의 Interleukin(IL)-8을 측정하였고, 조직검사를 통해 염증반응의 정도를 조직학적 점수로 평가하였다. 결과: I군의 4예를 제외한 26예가 III단계까지 생존하였다. 각 군 간의 평균 경동맥압의 유의한 차이는 없었다. 그러나 실험 1단계에서의 채혈량은 I군은 $3.2{\pm}0.5$ mL/100 g으로 II, III 군의 $3.9{\pm}0.8$ mL/100 g, $4.1{\pm}0.7$ mL/100 g에 비해 각각 유의하게 적었다(p< 0.05). II 단계에서의 투여 수액량은 I 군 $28.6{\pm}6.0$ mL, II 군 $20.6{\pm}4.0$ mL, III 군 $14.7{\pm}2.7$ mL로 각 군 간에 통계적인 유의성이 있었다(p<0.05). 혈청내 칼륨 농도는 I군에서 II군에 비해 소생술 후 의의 있게 높았으며(p<0.05), 포도당 농도는 II단계의 I군에서 타군과 비교하여 현저히 낮았다(p<0.05). IL-8은 I 군 $1,834{\pm}437$ pg/mL, II 군 $1,006{\pm}532$ pg/mL, III군 $764{\pm}302$ pg/mL로 I 군에서 II 및 III군과 비교하여 통계적으로 유의하게 높았으며(p<0.05), 폐조직의 조직검사를 통해 평가한 염증세포 분포 점수에서 III 군이 $1.6{\pm}0.6$으로 I 군 $2.8{\pm}1.2$에 비해 통계적으로 유의하게 낮았다(p<0.05). 결론: 압력 조절형 출혈성 쇼크 모델에서 시행한 저체온법은 정상체온을 유지하고 있는 군에 비해 쇼크 상태에서의 기초대사량을 줄여줌으로써 허혈에 의한 조직의 직접적인 손상을 억제할 수 있으리라 생각된다. 또한 저체온법은 수액의 사용량을 줄여주고 IL-8등의 싸이토카인 분비를 억제시키며 백혈구의 침윤을 줄여줌으로써 쇼크 후 폐장의 기능 회복에 도움을 준다. 그러나 저체온법을 시행한 군에서도 투여하는 수액을 달리함으로써 폐장의 염증변화나 손상이 차이를 나타낼 수 있을 것으로 생각되며 이에 대한 세심한 연구가 있어야 할 것이다.