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Clinical Value of Real Time Elastography in Patients with Unexplained Cervical Lymphadenopathy: Quantitative Evaluation

  • Fu, Ying;Shi, Yun-Fei;Yan, Kun;Wang, Yan-Jie;Yang, Wei;Feng, Guo-Shuang
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5487-5492
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    • 2014
  • Ultrasonography is non-invasive and can give useful clues in the diagnosis of cervical lymphadenopathy, However, differential diagnosis is difficult in some situations even combined with color Doppler imaging. The present study was conducted to evaluate the clinical value of real time elastography in patients with unexplained cervical lymphadenopathy using a quantitative method. From May 2011 to February 2012, 39 enlarged lymph nodes from 39 patients with unexplained cervical lymphadenopathy were assessed. All the patients were examined by both B-mode ultrasound, color Doppler flow imaging and elastography. The method of analyzing elasto-graphic data was the calculation of the 10 parametres ("mean", "sd", "area%", "com", "kur", "ske", "con", "ent", "idm", "asm") offered by the software integrated into the Hitachi system. The findings were then correlated with the definitive tissue diagnosis obtained by lymph node dissection or biopsy. Final histology revealed 10 cases of metastatic lymph nodes, 11 cases of lymphoma, 12 cases of tuberculosis and 6 cases of nonspecific lymphadenitis. The significant distinguishing features for conventional ultrasound were the maximum short diameter (p=0.007) and absent of echogenic hilum (p=0.0293). The diagnostic accuracy was 43.6% (17/39 cases) and there were 17 patients with equivocal diagnosis. For elastography, "mean" (p=0.003), "area%" (p=0.009), "kurt" (p=0.0291), "skew" (p=0.014) and "cont" (p=0.012) demonstrated significant differences between groups. With 9 of the 17 patients with previous equivocal diagnoses (52.9%) definite and correct diagnoses could be obtained. The diagnostic accuracy for conventional ultrasound combined elastography was 69.2% (27/39 cases). There were differences in the diagnostic sensitivity of the two methods (p=0.0224). Ultrasound combined with elastography demonstrated higher rates of conclusive and accurate diagnoses in patients with unexplained cervical lymphadenopathy than conventional ultrasound. The quantitative program showed good correlation with the pathology of different lymph node diseases.

A Study on Fitness Evaluation for Major Education of Competency Unit Element by the Development and Application of Subject Contents Based on NCS of Health Majoring Students at Junior Colleges (전문대학 보건계열학과 전공학생의 NCS 기반 교과내용 개발 적용에 따른 직무능력 단위요소의 전공교육 적합성 평가)

  • Kim, Min-Ja;Yang, Hee-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.508-516
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    • 2016
  • This study was conducted to investigate the fitness of major courses according to the development and application of new curricula based on the NCS (National Competency Standards) of health-related departments at junior colleges. To accomplish this, 300 students of the health-related departments at junior colleges were surveyed from March 11 to March 30, 2016. The overall findings showed that their awareness of NCS, intent of integration and understanding of curriculum contents had a significant effect on the fitness for linkage and combination with existing education. Competency unit elements based on the newly developed NCS (job, work, qualification and training standardization of major courses) were linked with existing education. And students - who accept this - are rapidly assimilated into the new curriculum contents. In particular, they have a high understanding of the integrated development of standardized curricula between three major departments, unlike existing textbooks. In conclusion, the high perception and understanding of knowledge integration education are expected to have a positive effect on healthcare education, establishing an early health-related NCS system in the future, and improving site fitness for development of the contents of NCS.

A Study of Policy Direction on O2O industry developing (O2O산업 발전을 위한 정책방향 연구)

  • Kim, Hee Yeong;Song, Seongryong
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.13-25
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    • 2017
  • The purpose of this study is to suggest the direction of O2O industry policy for solving the conflict problems with the traditional industry stakeholder and for enhancing the regulations as new industry development is inevitable. We make use of TAIDA that is one of scenario methods to accomplish the purpose and suggest the direction of policy. First, it is needed to prepare directly by government the environment that new business models are able to emerge easily with various consulting services and information supports like public system servers and IT infra, it is practical support policy. Second, positive legal application for new business and making the law for new business are needed in legal issues situation as soon as possible. Third, the conflicts with old and new industry would be managed to the direction of "predictable" progressively. Incongruity among laws, safety and security problems, and the conflict of stakeholder are urgent. Because of the limit in this study, it is expected that O2O industry is categorized in detail aligned to the characteristics and that new policies along to the separate industry areas are developed by the following study.

A Comparative Study on the Determinants Priority of the Royalty in National R&D Project: Focused on the Case of 'N' Center's Technology Transfer (국책 연구 성과의 유상 기술이전 시 기술공급 기관과 기술도입 기업 간 기술료 결정요인 비교에 관한 연구 : N 사업단에 참여한 대학과 중소기업 사례를 중심으로)

  • Baek, Jong-il;Hyun, Byung-hwan
    • Journal of Korea Technology Innovation Society
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    • v.20 no.2
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    • pp.430-457
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    • 2017
  • The purpose of this study is to present meaningful information and policy implications concerning the determinants of royalties of technology transfer to stakeholder. To identify key determinants of royalties in technology transfer, this study conducted AHP survey analysis (Survey period: 01/09~31/10, 2016) of 96 government-funded research centers and 85 companies which were participants of the R&D project "Next Generation BioGreen21" of R.D.A in the "N" center from 2011 to 2015. Research results show that both parties acknowledge 'Technical considerations for determining the profitability of the technologies' and 'The interest and willingness of the management group' as critical factors for the determinants of royalties. The difference of each party is that private companies acknowledge 'Available budget plan' as a critical factor while the government-funded research centers value 'Market competitiveness'. These findings suggest four main policy implications which are the investigation of technological demands reflecting specific needs of industrial sites, the diversification of royalty payments for private companies, the differentiated research evaluation system for the purpose of technology transfer and the planning of public R&D project reflecting research time span of private companies.

Fundamental Research for Establishing Job-Exposure Matrix (JEM) of Farmer Related to Insecticide of Pesticide (II) : Vegetable (농약물질 중 살충제 관련 농업 종사자들의 직무 -노출 매트릭스 구축을 위한 기초 자료 조사 연구 (II) : 채소류)

  • Kim, Ki-Youn;Cho, Man-Su;Lim, Byung-Seo;Lee, Sang-Gil;Knag, Dong-Mug;Kim, Jong-Eun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.24 no.3
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    • pp.293-299
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    • 2014
  • Objectives: The main objective of this study is to investigate domestic usage amount of insecticide for vegetable cultivation to provide fundamental data for establishing job-exposure matrix(JEM) related to farmers treating agricultural insecticide. Materials and Methods: The survey on domestic usage amount of insecticide for vegetable cultivation was conducted by two research methods. The first method is to utilize agricultural pesticides published annually from Korea Crop Protection Association(KCPA). The second method is to apply cultivation area of vegetable announced officially from Statistics Korea(SK). An estimation of domestic usage amount of insecticide for vegetable cultivation through the second method was done by multiplying total cultivation area of vegetable($m^2$) with optimal spray amount of insecticide for vegetable cultivation per unit cultivation area of vegetable ($kg/m^2$). Results: As a result of analysis of public data related to insecticide for vegetable cultivation, it was found that its domestic usage amount has decreased gradually from the first sale year(1969) to current year(2012). There is, however, a considerable difference of annual usage trend of insecticide for vegetable cultivation between shipments and estimation. The annual usage trends of insecticide for vegetable cultivation based on regional classification were different from those based on total aspect. Conclusions: The region which used insecticide for vegetable cultivation the most in Korea was Jeolla-do, followed by Gyeonsang-do, Chungcheong-do, Seoul/Gyeonggi-do, Gangwon-do and Jeju-do. Substantially, mean ratio of usage amounts of insecticide based on shipments and those based on estimation by cultivation area was $281{\pm}115%$, which indicates that usage amounts of insecticide estimated by cultivation area are three times lower than those based on shipments.

k-Interest Places Search Algorithm for Location Search Map Service (위치 검색 지도 서비스를 위한 k관심지역 검색 기법)

  • Cho, Sunghwan;Lee, Gyoungju;Yu, Kiyun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.31 no.4
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    • pp.259-267
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    • 2013
  • GIS-based web map service is all the more accessible to the public. Among others, location query services are most frequently utilized, which are currently restricted to only one keyword search. Although there increases the demand for the service for querying multiple keywords corresponding to sequential activities(banking, having lunch, watching movie, and other activities) in various locations POI, such service is yet to be provided. The objective of the paper is to develop the k-IPS algorithm for quickly and accurately querying multiple POIs that internet users input and locating the search outcomes on a web map. The algorithm is developed by utilizing hierarchical tree structure of $R^*$-tree indexing technique to produce overlapped geometric regions. By using recursive $R^*$-tree index based spatial join process, the performance of the current spatial join operation was improved. The performance of the algorithm is tested by applying 2, 3, and 4 multiple POIs for spatial query selected from 159 keyword set. About 90% of the test outcomes are produced within 0.1 second. The algorithm proposed in this paper is expected to be utilized for providing a variety of location-based query services, of which demand increases to conveniently support for citizens' daily activities.

Distribution Characteristics of Exotic Turtles in Korean Wild - Based on Gangwon-do and Gyeongsangnam-do - (국내 야생에서 발견되는 외래거북류의 분포 특성 - 강원도와 경상남도 지역을 중심으로 -)

  • Koo, Kyo Soung;Kwon, Sera;Do, Min Seock;Kim, Suhwan
    • Korean Journal of Ecology and Environment
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    • v.50 no.3
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    • pp.286-294
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    • 2017
  • Development of transportation is rapidly reducing the barriers between countries, but this is causing the easier migration of species than the past. Typically, exotic species are imported for the purpose of food, leather, and pets. However, it has been introduced into the wild through artificially or naturally paths, and recently they are become a main cause of ecosystem disturbance. In this study, we investigated exotic turtle species introduced into the wild and analyzed their distribution characteristics. As a result of filed surveys, totally 4 genus 8 species 62 individuals of exotic turtles were found from 126 reservoirs in Gangwon-do and Gyeongsangnam-do, South Korea. In particular, Trachemys scripta elegans showed relatively high frequency than other turtle species and the natural reproduction of T. s. elegans was confirmed in some areas. On the other hand, the frequency of discovery of exotic turtles except T. s. elegans was relatively low, and the range of the areas was limited. Especially, exotic turtles except T. s. elegans were mainly found in public places such as reservoirs in the park. As a result of analyzing the distribution characteristics of exotic turtles using geographic information system, the turtles' distribution showed a high correlation with the artificial factor such as "urban". In this study, we identified the distribution characteristics of exotic turtles in the Korean wild, and these results will be important data for understanding status the and establishing effective management methods for exotic species.

Dashboard Design for Evidence-based Policymaking of Sejong City Government (세종시 데이터 증거기반 정책수립을 위한 대시보드 디자인에 관한 연구)

  • Park, Jin-A;An, Se-Yun
    • The Journal of the Korea Contents Association
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    • v.19 no.12
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    • pp.173-183
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    • 2019
  • Sejong, Korea's special multifunctional administrative city, was created as a national project to relocated government ministries, the aim being to pursue more balanced regional economic development and boost national competitiveness. During the second phase development will focus on mitigating the challenges raised due to the increasing population and urbanization development. All of infrastructure, apartments, houses, private buildings, commercial structures, public buildings, citizens are producing more and more complex data. To face these challenges, Sejong city governments and policy maker recognizes the opportunity to ensure more enriched lives for citizen with data-driven city management, and effectively exploring how to use existing data to improve policy services and a more sustainable economic policy to enhance sustainable city management. As a city government is a complex decision making system, the analysis of astounding increase in city dada is valuable to gain insight in the affecting traffic flow. To support the requirement specification and management of government policy making, the graphic representation of information and data should be provide a different approach in the intuitive way. With in context, this paper outlines the design of interactive, web-based dashboard which provides data visualization regarding better policy making and risk management.

A Study on the Occurrences and Preventive Strategies of Accident in Children (초등학생의 안전사고 실태 및 예방전략에 관한 조사 연구)

  • Bae Jeong-Yi
    • Child Health Nursing Research
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    • v.8 no.4
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    • pp.435-448
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    • 2002
  • Accidents are important causes of death and disability in children. They also have enormous financial implications. Young children become an victim of accidents easily because of their physical fragileness and their coping behavior being vulnerable to any actions taken by accidents. Once they have a accident, the children whose not fully developed, suffer from devastating long-term after-effects. Lee, Lee, Kang and Han(1995) reported that ninety percent of accidents can be prevented. But there is no national system to manage, evaluate and analyse the information about child accidents, even though it is necessary for accident prevention policies and health promotion of the general public. The purpose of the study was to determine how often children have accidents and define the accident prevention strategies in children. The investigator conducted a descriptive study by performing the surveys, interviews, and workshops for the 2,458 young children, 10 teachers, and 1,494 parents. The data collection for the study began on September 2000 and completed on April 20, 2001. The analysis of the data was done with Window SPSS 10.0 for descriptive statistics. Among those children, 1,298 children(52.8%) injured from accidents. The children who had accident answered that they injured from traffic accident(27.3%), inside the home(26.3%), on the playground(17.0%), during playtime(13.6%), in the school(5.9%) and food poisoning(7.1%). To define accident prevention strategies for the school children, the parents and the teachers who had a special interest in this topic formed a special task force under the guidance of the investigator. The team was charged to prepare the basis of content materials by identifying the problems, setting standards for the program, prioritizing the process, and selecting the methods of implementation and evaluation. Eight issues and concerns identified by the team were: 1)allowing young children to learn undesirable habits and behaviors that would bother others without knowing; 2) not guarding young children from car accident; 3)unattended accident at playground; 4) considering home places safe; 5)unattended accident at school. These issues were found to be coinciding with the actual child accident cases occurred recent years in Korea. Greater efforts are required to reduce unnecessary deaths and disability from childhood accidents. This study gave a very useful and important data to prepare accident prevention educational program and to prepare accident prevention strategies.

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A Comparative Study on the Civil Aviation Law between South and North Korea. (남.북한 항공법 비교연구)

  • Kim, Maeng-Sern;Lee, Si-Hwang
    • The Korean Journal of Air & Space Law and Policy
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    • v.21 no.2
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    • pp.97-121
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    • 2006
  • Inter-Korean exchanges using civil aviation has been continuing since the temporary direct air route from Pyongyang to Seoul was opened on June 15th, 2000 for the summit meeting with North Korea. In this paper, I analyze the North Korea Aviation law by focusing on the differences with South Korean Aviation law. While South Korean Aviation law is modeled on the Pandect system, North Korean Aviation law can only be understood by looking at North Korea's socialist ideology. Therefore, North Korean Aviation law has some expressions which can hardly be understood. With respect to the source of aviation law, both South and North Korea are in compliance with the Convention on International Civil Aviation (Signed at Chicago, on 7 December, 1944). Thus, they established the aviation law based on the standards and recommendations provided by ICAO. For this reason, they have similar legal systems and composition. From this analysis, a few differences are also derived regarding aircraft ownership, airports, airline liability, aircraft accident investigation organization and aviation insurance. It is important to note that this paper has a particular limitation. Not only is the information about North Korean law very limited, but North Korea also does not provide easy access to its national legal codes. This paper describes the legal comparison of South and North Korea by focusing on the formation and framework of North Korean aviation law.

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