• Title/Summary/Keyword: Standard excess items

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The Evaluation of Instrument for Cold-Heat & Deficiency-Excess Pattern Identification of Dementia (치매의 한열허실 변증 지표문항에 대한 예비분석)

  • Heo, Eun-Jung;Lee, Sang-won;Jeon, Won Kyung;Lyu, Yeoung-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.3
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    • pp.283-292
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    • 2015
  • Objectives: The study aimed to test the validity and reliability of the questionnaire for cold-heat & deficiency-excess pattern identification of dementia and establish a new version of the questionnaire. Methods: Mean, standard deviation, skewness, internal consistency, correlation and t-test of the 26 items derived from previous study was analyzed in 20 dementia patients. The items with Cronbach-${\alpha}$ coefficient below 0.7 were modified. Thus, we established a new version of the questionnaire consisting of 20 items. Results: Cronbach-${\alpha}$ of each cold, heat, deficiency and excess questionnaire was 0.662, -0.229, 0.722 and 0.778, respectively. The correlation coefficient between cold, heat, deficiency and excess was less than 0.4 and correlation coefficient between dementia and cold, deficiency was 0.518. On t-test, the t-value of cold, deficiency and dementia was -2.196. Conclusions: The results indicated that cold-heat, deficiency-excess questionnaires showed satisfactory discriminant validity. In addition, there was correlation between dementia and cold, deficiency. Finally, we established a new version of the questionnaire for cold-heat, deficiency-excess pattern identification that consisted of 20 items.

Development of Eyes Inspection Questionnaire(EIQ) and Regression Analysis between EIQ Items and deficiency or excess patterns of Eyes Inspection (안진(眼診) 설문지 개발 및 안진(眼診) 설문의 허실(虛實) 연관성 연구)

  • Seo, Jae-Ho;Choi, Jin-Yong;Oh, Whan-Sup;Park, Young-Bae;Park, Young-Jae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.18 no.2
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    • pp.75-84
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    • 2014
  • Objectives Eyes, one of visual inspection regions, present important clues to pathological patterns including deficiency and excess patterns to the clinicians. The purpose of this study was to develop Eyes Inspection Questionnaire (EIQ) and to examine which items among the EIQ were more predictive of clinicians' determination for the deficiency and excess patterns. Methods Nine questionnaire items for Visual Inspection of Eyes were extracted through the literature review. These items were presented to the 4 Korean medical doctors who are specialized in visual inspection to conduct the Delphi method. The Korean medical doctors were asked to rate the importance of each items for the corresponding Visual Inspection of Eyes, using a Likert 5-point scale(the 3 points of importance as a cut-off point). Then, out of 75 photographs submitted to the Society of HyungSang Medicine in 2009, 30 portrait pictures were selected as samples. The samples were copied to make 60 sample pictures, and then randomly assigned to 4 clinicians. The 4 clinicians evaluated the 60 samples for excess and deficiency of the eyes and were asked to check the 6 questionnaire items. The results were recorded as 5-points-scale, and their average and standard deviations were calculated. Intra- class reliability test and multi regression test were performed using SPSS 13. Results Intra-class correlation coefficient (ICC) was between 0.750 to 0.841 (P<0.05). Indices for visual inspection of the eyes were: endowment of the bone structure around the eyes; brightness of the eyes; upward deviation of the eyes; eye shapes; and definition of iris. 76.92% of deficiency symptom patterns and 86.42% of the excess symptom patterns matched the patterns predicted by the visual inspection of the eyes, according to the frequency analysis. According to the multiple regression analysis, were significantly related to the excessive symptoms, and to the deficiency symptoms. Conclusion This study is the first attempt of development for checklist of excess and deficiency of Visual Inspection of Eyes and quantitative measurement of excess and deficiency using the Visual Inspection of Eyes by the visual inspection experts. Still, additional studies are needed regarding the relationship visual inspection methods have with existing standards of diagnosis.

Risk Assessment of Drinking Water Pollutants (다중이용시설에서의 먹는물 위해성 평가)

  • Back, Young Maan;Chung, Yong;Park, Je Chul;Kim, Hyung Jin
    • Journal of Korean Society on Water Environment
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    • v.22 no.6
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    • pp.1107-1108
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    • 2006
  • As expanding municipal and industrial areas since started the economic development plan in earnest in 1970's, the water resource, mainly river surface water has been seriously polluted. Nevertheless, being upgraded in their treatment technologies for the drinking water, the safety has been issued one of crucially social problem in Korea. The water authorities has tried to improve the quality such as amending the drinking water quality standard to be monitored; hazardous chemicals and microorganis have been added and now 55 items, before 47 items, since in 2002. The Water Authorities of Seoul, the capital city of Korea, planned to assess the safty of drinking water quality after amended the standard. This study was conducted to assess the risk due to polluted chemicals including 21 heavy metals, VOCs, pesticides, PAHs, DBPs and organic chemicals among the regulated items. The risk assessment were undertaken hazard identification, exposure assessment, dose-response assessment and risk characterization. For the exposoure assessment, tap water, bottled water and purified water were sampled and analyzed in February, 2004. Risk characterization of detected chemicals was categorized into carcinogenecity and noncarcinogenecity, and estimated the excess of carcinogens and compapared with the reference dose (RfD) of noncarcinogenns. The excess risk of carcinogens from samples were considered comparatively in the acceptable levels; $10^{-6}$ for cancer risk and hazard quotient (HQ) 1.0 for noncancer risk. The deteced levels were estimated in $10^{-5}{\sim}10^{-6}$ of cancer risk and below 1.0 of HQ of noncancer risk. While three kinds of water were determined within the acceptal levels, DBPs were detected in tap water and purified were and some undesireable chemicals such as more fluoride detected rather than the quality stanadard. For the drinking water safety, it shoud be continuously monitored, assessed and managed as well risk communiction between the authoritis and public.

Optimal Sizing of In-Plant and Leased Storage Spaces under a Randomized Storage Policy (임의 저장방식 하에서 기업 내 저장공간과 외부의 임차공간에 대한 최적 규모 결정)

  • Lee, Moon-Kyu
    • Journal of Korean Institute of Industrial Engineers
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    • v.30 no.4
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    • pp.294-300
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    • 2004
  • This paper considers a trade-off effect between in-house storage space and leased storage space in generic warehouses operated under a randomized storage assignment policy. The amount of in-house storage space is determined based on the law of large numbers satisfying a given service level of protection against space shortages. Excess space requirement is assumed to be met via leased storage space. A new analytic model is formulated for determining the excess space such that the total cost of storage space is minimized. Finally, computational results are provided for the systems where the standard economic-order-quantity inventory model is used for all items.

Evaluation of Membrane Module on the Basis of the Domestic Water Quality (국내 먹는 물 수질에 따른 막모듈의 적합성 검토)

  • 권영남;최중구;김종호;탁태문
    • Membrane Journal
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    • v.8 no.4
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    • pp.220-227
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    • 1998
  • Recent data from Environmental department show that some out of 2,000 places surveyed are contaminated by nitrate, ammonia, fluoride, chloride and so forth in excess of the environmental standard-including purification plants, water taps, small water supply systems. In this study, some items which exceed drinking water standard were chosen and their concentrations were made varying from around standard level to around detected maximum concentration. After they permeated through the membrane module sold in the domestic market and made for household water-purifier, the most suitable membranes were selected according to individual water quality of various regions. In addition, the bacterial growth after storage for various days and under various temperatures was examined for the purpose of the effect of the time and temperature on bacterial growth.

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A Study on Air Pollution in Indoor Gymnasiums (실내체육관에서의 공기오염에 관한 연구)

  • 윤승욱;김윤신;이종대;이철민;조용성
    • Journal of Environmental Health Sciences
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    • v.26 no.3
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    • pp.32-37
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    • 2000
  • Nowadays, a new word called SBS(sick building syndrome) has been come into existence. At the point of time when an interest about indoor air pollution and, according to this, countermeasure plan are internationally. Moreover institutional countermeasure should be attended at national level since indoor air quality in public places where many people gather is directly connected with national health. Especially indoor pollution of indoor stadia where all sorts of sports are held can give rise to every kinds of respiratory ailments to players as well as audiences. So it is presented as a main factor that indoor space of stadia is crowded with players and audiences compared with other kinds of indoor space. Therefore, in this research to analyze pollution degree of indoor circumstance for gymnasium and exercising room of folk wrestling. basketball, judo, wrestling, hapkido, swordsmanship and boxing making indoor gymnasium and exercising room an object, when 7 items were measures such as thermocircumstance(temperature, relative humidity, air current, intensity of illumination), dust, carbon monoxide, and carbon dioxide being based on the indoor environmental standard of the first clause of Article 45 of public utilization service which is showed at public hygiene of the Ministry of Health and Social Affairs, it was showed that indoor temperature, relative humidity, air current and intensity of illumination were over standard amount at the most of folk wrestling gymnasium and exercising room. Indoor density of carbon monoxide was preserved to the extent of standard amount (10ppm) at all gymnasiums but carbon dioxide was not in excess of standard amount(1,000 ppm) at most of gymnasiums. Indoor density of dust induced from respiration exceeded the standard amount (150 $\mu\textrm{g}$/㎥) at all gymnasiums of the folk wrestling. Since the folk wrestling players and participants feel physical subjective symptom seriously, in other words the degree of indoor air pollution at gymnasiums and exercising rooms of the folk wrestling is very high, fundamental solution and countermeasure plan should be presented.

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Evaluation of Impaired Waterbody and Multivariate Analysis Using Time Series Load Curve -in Jiseok Stream Watershed- (시계열 부하 곡선을 이용한 수체손상 평가 및 다변량 분석 -지석천 유역을 대상으로-)

  • Park, Jinhwan;Kang, Taewoo;Han, Sungwook;Baek, Seunggwon;Kang, Taegu;Yoo, Jechul;Kim, Youngsuk
    • Journal of Korean Society on Water Environment
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    • v.33 no.6
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    • pp.650-660
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    • 2017
  • In this study, pollutant emission characteristics by water damage period analyzed 11 items (water temperature, pH, DO, EC, BOD, COD, TOC, SS, T-N, T-P and flow) with load duration curve, time series load curve and factor analysis for three years (2014-2016). Load duration curve is applied to judge the level of impaired waterbody and estimate impaired level by pollutants such as BOD and T-P in this study depending on variation of stream flow. Water quality standard exceeded the flow of mid-range and low-range by flow condition evaluation using load duration curve. This watershed was influenced by point source more than non-point source. Cumulative excess rate of BOD and T-P kept water quality standard for all seasons (spring, summer, autumn and winter) except BOD 59% in spring. Water quality changes were influenced by pollutants of basic environmental treatment facilities and agricultural areas during spring and summer. Results of factor analysis were classified commonly first factor (BOD, COD, and TOC) and second factor (flow, water temperature and SS). Therefore, effects of artificial pollutants and maintenance water must be controlled seasonally and reduced relative to water damage caused by point pollution sources with effluent standard strengthened in the target watershed.

Availability of Statistical Quality Control of Nuclear Medicine Blood Test Using Population Distribution (모집단 분포를 이용한 핵의학 혈액검사의 통계적 품질관리의 유용성)

  • Cheon, Jun Hong;Cho, Eun Bit;Yoo, Seon Hee;Kim, Nyeon Ok
    • The Korean Journal of Nuclear Medicine Technology
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    • v.20 no.1
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    • pp.37-41
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    • 2016
  • Purpose The importance of quality control by the error to a minimum, which for the purpose of enhancing the reliability of the examination is not be emphasized excess. Currently, most nuclear medicine laboratory are conducting the internal and external quality control, and they are applying the Levey-Jennings or Westgard Multi-Rules by using the commercialized quality control materials. The reliability of the nuclear medicine blood test which affects the diagnosis of patients and the treatment policy is being secured through this quality control activity. Therefore, researchers will evaluate the utility of the statistic quality control using the population distribution of the nuclear medicine blood test conducted targeting the checkup examinees by the additional technique of the reliability improvement. Materials and Methods A statistic analysis was performed about 12 items of the nuclear medicine blood test targeting 41,341 peoples who used the health screening and promotion center in Asan Medical Center from January, 2014 to December, 2014. The results of 12 items of the nuclear medicine blood test was divided into the monthly percentage of three groups: within reference values, over reference, and under reference to analyze the average value of the population distribution, standard deviation, and standard deviation index (SDI). Results The standard deviation of the population distribution mostly showed a result within ${\pm}2SD$ in all groups. However, When the standard deviation of the population distribution represented a result over ${\pm}2SD$, it was confirmed SDI was showing a result of SDI > -2 or SDI > 2. As a result of analyzing the population distribution of 12 items(AFP, CEA, CA19-9, CA125, PSA, TSH, FT4, Anti-Tg-Ab, Anti-TPO-Ab, Calcitonin, 25-OH-VitD3, Insulin) of the nuclear medicine blood part basic test, when SDI of the monthly percentage which deviated from the reference values was over ${\pm}2.0$, CA19-9 September was 2.2, Anti-Tg-Ab may was 2.2, Insulin January was 2.3, Insulin March was 2.4. It was confirmed these cases were attributed to the abnormality of the test reagent (maximum combination rate of isotope reagent declined) and the decline of the test response time. Conclusion The population distribution includes the entire attribute which becomes the study object. It is expected the statistic quality management using the population distribution which was conducted targeting the checkup examinees by dividing into three groups: within reference values, over reference, and under reference by means of this characteristics will be able to play a role of complementing the internal quality control program which is being carried out in the laboratory.

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Minor Physical Anomalies in Patients with Schizophrenia (정신분열병 환자에서 신체미세기형에 관한 연구)

  • Joo, Eun-Jeong;Jeong, Seong Hoon;Maeng, So Jin;Yoon, Se Chang;Kim, Jong Hoon;Kim, Chul Eung;Shin, Youngmin;Kim, Yong Sik
    • Korean Journal of Biological Psychiatry
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    • v.9 no.2
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    • pp.140-151
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    • 2002
  • Object and Method:Minor physical anomalies(MPAs) are frequently seen in patients with schizophrenia. MPAs are considered to arise from the anomalous development of ectoderm-originated tissues in the developing fetus. Since the central nervous system originates from ectoderm, MPAs can be regarded as externally observable and objective indicators of the aberrant development which might have taken place in the central nervous system. To investigate whether MPAs are more frequent in schizophrenic patients, the frequencies of MPAs were compared between schizophrenic patients and normal controls. Total 245 schizophrenic patients diagnosed with DSM-IV(male : 158, female : 87), and 418 normal control subjects(male : 216, female : 202) were included in this study. The MPAs were measured using the modified Waldrop scale with fifteen items in six bodily regions; head, eye, ear, mouth, hand, and foot. Result:The total scores of Waldrop scale were $4.40{\pm}1.93$($mean{\pm}standard$ deviation) in patients and $3.43{\pm}1.68$ in controls for females, and for males, $4.58{\pm}1.75$ in patients and $4.28{\pm}1.59$ in controls. For females, the excess of MPAs in schizophrenic patients was statistically significant(t-test : p<0.001). For males, schizophrenic patients also showed more MPAs than normal controls, but this tendency did not reach statistical significance (t-test : p=0.094). When the modified Waldrop total scores excluding head circumference were compared, the total scores in schizophrenic patients were significantly higher for both male and female subjects(t-test : male p<0.001, female p=0.001). The individual anomaly items included in Waldrop scale were also investigated. The items of epicanthus, hypertelorism, malformed ears, syndactylia were significantly more frequent in schizophrenic patients. In contrast, the items of adherent ear lobes, asymmetric ears, furrowed tongue, curved fifth finger, single palmar crease and big gap between toes did not show any differences in frequency between schizophrenic patients and normal controls. Since a lot of statistical analyses showed different results between male and female subjects, it seems to be necessary to consider gender as an important controlling variable for the analysis, however only the item of head circumference showed statistically significant gender-related difference according to log-linear analysis. Conclusion:With a relatively large sample size, the frequencies of MPAs enlisted in Waldrop scale were compared between schizophrenic patients and normal controls in this study. MPAs were more frequently seen in schizophrenic patients and, especially, several specific items in the Waldrop scale showed prominent excess in schizophrenic patients. Although definite conclusions cannot be drawn due to the inherent limitation of the study using Waldrop scale, these results seem to support the possibility that aberrant neurodevelopmental process might be involved in the pathogenesis of schizophrenia in some of the patients.

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Studies on the Sanitation of Potable Water in Farm Areas (목장지역 음용수의 위생학적 조사연구)

  • 박석기;이강문;김성원;임봉택;박성배;이용욱
    • Journal of Environmental Health Sciences
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    • v.19 no.1
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    • pp.44-50
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    • 1993
  • In order to investigate the hygienic conditions of potable water in farm area, we examined the hygienic bacteriological and chemical tests of the 159 waters in the farm areas of Kwangjugun, Namyangju-gun, Yangpyung-gun Paju-gun and Hwasung-gun.The results were as follows: 1. Of the 159 waters, the average numbers of standard plate count and coliform were 920 $\pm$ 250ml and 450 $\pm$ 380/100 ml, respectively. The average pH was 6.74 $\pm$ 0.08, KMnO$_4$ consumption 4.18 $\pm$ 0.23 mg/l, turbidity 0.74 $\pm$ 0.08 degree, NH$_3$-N 0.07 $\pm$ 0.02 mg/l, NO$_3$-N 7.76 $\pm$ 0.48 mg/l, total hardness 101.3 $\pm$ 4.7mg/l, chlorine 18.6 $\pm$ 1.3mg/l, sulfate 12.9 $\pm$ 1.0 mg/l, lead 0.036 $\pm$ 0.003 mg/l, manganese 0.017 $\pm$ 0.003 mg/l, zinc 0.064 $\pm$ 0.005 mg/l, and copper 0.010 $\pm$ 0.001 mg/l, respectively. 2. Of the 159 waters, 84 samples (52.8%) were over 100 per ml of SPC or detected coliform per 100 ml water and 63 samples (39.6%) exceed over physicochemical limited criteria for potable water. NO$_3$-N was the primary item among excess contents of potable water in farm areas. 3. The contents of total hardness, chlorine and NO$_3$-N in Hwasung-gun were higher than those in the other regions, but the numbers of SPC and coliform in Yangpyung-gun and Namyangjugun were higher than those in the other regions. 4. The correlationships among many items were highly significant (SPC, Coliform, KMnO$_4$ consumption NH$_4$-N, NO$_3$-N, KMnO$_4$, Total hardness, Chlorine, Sulfate).

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