• Title/Summary/Keyword: area study

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A Study on Clinical Variables Contributing to Differentiation of Delirium and Non-Delirium Patients in the ICU (중환자실 섬망 환자와 비섬망 환자 구분에 기여하는 임상 지표에 관한 연구)

  • Ko, Chanyoung;Kim, Jae-Jin;Cho, Dongrae;Oh, Jooyoung;Park, Jin Young
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.2
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    • pp.101-110
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    • 2019
  • Objectives : It is not clear which clinical variables are most closely associated with delirium in the Intensive Care Unit (ICU). By comparing clinical data of ICU delirium and non-delirium patients, we sought to identify variables that most effectively differentiate delirium from non-delirium. Methods : Medical records of 6,386 ICU patients were reviewed. Random Subset Feature Selection and Principal Component Analysis were utilized to select a set of clinical variables with the highest discriminatory capacity. Statistical analyses were employed to determine the separation capacity of two models-one using just the selected few clinical variables and the other using all clinical variables associated with delirium. Results : There was a significant difference between delirium and non-delirium individuals across 32 clinical variables. Richmond Agitation Sedation Scale (RASS), urinary catheterization, vascular catheterization, Hamilton Anxiety Rating Scale (HAM-A), Blood urea nitrogen, and Acute Physiology and Chronic Health Examination II most effectively differentiated delirium from non-delirium. Multivariable logistic regression analysis showed that, with the exception of vascular catheterization, these clinical variables were independent risk factors associated with delirium. Separation capacity of the logistic regression model using just 6 clinical variables was measured with Receiver Operating Characteristic curve, with Area Under the Curve (AUC) of 0.818. Same analyses were performed using all 32 clinical variables;the AUC was 0.881, denoting a very high separation capacity. Conclusions : The six aforementioned variables most effectively separate delirium from non-delirium. This highlights the importance of close monitoring of patients who received invasive medical procedures and were rated with very low RASS and HAM-A scores.

Agricultural Policies and Geographical Specialization of Farming in England (영국의 농업정책이 지리적 전문화에 미친 영향 연구)

  • Kim, Ki-Hyuk
    • Journal of the Korean association of regional geographers
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    • v.5 no.1
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    • pp.101-120
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    • 1999
  • The purpose of this study is to analyze the impact of agricultural polices on the change of regional structure based on the specialization during the productivism period. Analysis are carried on through the comparison of distribution in 1950s and 1997. Since the 1950s, governmental policy has played a leading role in shaping the pattern of farming in Great Britain. The range of British measures have also been employed in an attempt to improve the efficiency of agriculture and raise farm income. Three fairly distinct phase can be identified in the developing relationship between government policies and British agriculture in the postwar period. In the 1st phase, The Agricultural Act of 1947 laid the foundations for agricultural productivism in Great Britain until membership of the EC. This was to be achieved through the system of price support and guaranteed prices and the means of a series of grants and subsidies. Guaranteed prices encouraged farmenrs to intensify production and specialize in either cereal farming or milk-beef enterprise. The former favoured eastern areas, whereas the latter favoured western areas. Various grants and subsidies were made available to farmers during this period, again as a way of increasing efficiency and farm incomes. Many policies, such as Calf Subsidy and the Ploughing Grant, Hill cow and Hill Sheep Schemes and the Hill Farming and Livestock Rearing Grant was provided. Some of these policies favoured western uplands, whilst the others was biased towards the Lake District. Concentration of farms occured especially in near the London Metropolitan Area and south part of Scotland. In the 2nd stage after the membership of EC, very high guaranteed price created a relatively risk-free environment, so farmers intensified production and levels of self-sufficiency for most agriculture risen considerably. As farmers were being paid high prices for as much as they could produce, the policy favoured areas of larger-scale farming in eastern Britain. As a result of increasing regional disparities in agriculture, the CAP became more geographically sensitive in 1975 with the setting up of the Less Favoured Areas(LFAs). But they are biased towards the larger farms, because such farms have more crops and/or livestock, but small farms with low incomes are in most need of support. Specialization of cereals such wheat and barely was occured, but these two cereal crops have experienced rather different trend since 1950s. Under the CAP, farmers have been paid higher guaranteed prices for wheat than for barely because of the relative shortage of wheat in the EC. And more barely were cultivated as feedstuffs for livestock by home-grown cereals. In the 1950s dairying was already declining in what was to become the arable areas of southern and eastern England. By the mid-1980s, the pastral core had maintained its dominance, but the pastoral periphery had easily surpassed arable England as the second most important dairying district. Pig farming had become increasingly concentrated in intensive units in the main cereal areas of eastern England. These results show that the measure of agricultural policy induced the concentration and specialization implicitly. Measures for increasing demand, reducing supply or raising farm incomes are favoured by large scale farming. And price support induced specialization of farming. And technology for specialization are diffused and induced geographical specialization. This is the process of change of regional structure through the specialization.

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The Spatial Characteristics of Vertical Accretion Rate in a Coastal Wetland - In case of Sunchon bay estuarine marsh, south coast of Korea - (해안습지 성장률의 공간적 특성에 관한 연구 - 순천만 염하구 해안습지를 사례로 -)

  • Park, Eui-Joon
    • Journal of the Korean association of regional geographers
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    • v.6 no.3
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    • pp.153-168
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    • 2000
  • An estuarine marsh is semi -inclosed inlets, located between coastal and terrestrial environment. The sediment transport by river and tide through tidal river and vertical accretion by sediment accumulation are important processes in estuarine marsh. An analysis of the vertical accretion rate at various time scale is important work for understanding and managing coastal environments. The purpose of this study is to determin the spatial characteristics of vertical accretion rate in an estuarine marsh, Sunchon Bay, in the southern coastal region of Korean peninsula. The methods of analysis are sedimentation rate by individual tidal cycle, annual accretion rate, concentration of total suspended load in water column. Spatial characteristics of sedimentation rate by individual tidal cycle was investigated using 30 filter paper traps. Sedimentation rate by individual tidal cycle at levee edge was higher than that at back marsh. The sedimentation rate decreased with distance from estuarine front. Levee effect and proximity to the turbidity maximum zone result in a higher sedimentation rate in the levee edge. There is a weak relation-ships between tidal regime and sedimentation rate by individual tidal cycle. Spatial cahracteristics of annual accretion rate was investigared using 30 artificial marker plots. Annual accretion rate at back marsh($1.5{\sim}3.5cm/yr$) was higher than that at tidal river levee edge($0.8{\sim}3.0cm/yr$). Total suspended load (TSL) concentrations in water column also indicate this spatial characteristics of annual accretion rate. TSL concentration in water column leaving the vegetation part dramatically decreased. There is a very strong relationship between the concentration of suspended load and accretion rate. These results indicate that annual accretion rate is controlled by vegetation cover and proximity to the turbidity maximum zone. This difference of spatial characteristics of vertical accretion rate ar various time-scale was due to the fact that surface sediment of levee edge was eroded by tide and other factors. The major findings are as follows. First, the spatial characteristics of vertical accretion rate are different from various time-scale. Second, the major mechanism for the vertical accretion rate in this region is suspended load trapping by vegetation. Third, this region is primarily a depositional regime over the time-scale of the present data Fourth, this estuarine marsh is accreting at rates beyond other area.

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Assessment of Climate and Land Use Change Impacts on Watershed Hydrology for an Urbanizing Watershed (기후변화와 토지이용변화가 도시화 진행 유역수문에 미치는 영향 평가)

  • Ahn, So Ra;Jang, Cheol Hee;Lee, Jun Woo;Kim, Seong Joon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.3
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    • pp.567-577
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    • 2015
  • Climate and land use changes have impact on availability water resource by hydrologic cycle change. The purpose of this study is to evaluate the hydrologic behavior by the future potential climate and land use changes in Anseongcheon watershed ($371.1km^2$) using SWAT model. For climate change scenario, the HadGEM-RA (the Hadley Centre Global Environment Model version 3-Regional Atmosphere model) RCP (Representative Concentration Pathway) 4.5 and 8.5 emission scenarios from Korea Meteorological Administration (KMA) were used. The mean temperature increased up to $4.2^{\circ}C$ and the precipitation showed maximum 21.2% increase for 2080s RCP 8.5 scenario comparing with the baseline (1990-2010). For the land use change scenario, the Conservation of Land Use its Effects at Small regional extent (CLUE-s) model was applied for 3 scenarios (logarithmic, linear, exponential) according to urban growth. The 2100 urban area of the watershed was predicted by 9.4%, 20.7%, and 35% respectively for each scenario. As the climate change impact, the evapotranspiration (ET) and streamflow (ST) showed maximum change of 20.6% in 2080s RCP 8.5 and 25.7% in 2080s RCP 4.5 respectively. As the land use change impact, the ET and ST showed maximum change of 3.7% in 2080s logarithmic and 2.9% in 2080s linear urban growth respectively. By the both climate and land use change impacts, the ET and ST changed 19.2% in 2040s RCP 8.5 and exponential scenarios and 36.1% in 2080s RCP 4.5 and linear scenarios respectively. The results of the research are expected to understand the changing water resources of watershed quantitatively by hydrological environment condition change in the future.

Assessment of Liquefaction Potential Using Correlation between Shear Wave Velocity and Normalized LPI on Urban Areas of Seoul and Gyeongju (정규화LPI와 전단파 속도의 상관관계를 활용한 서울과 경주 지역 액상화 위험도 평가)

  • Song, Young Woo;Chung, Choong Ki;Park, Ka Hyun;Kim, Min Gi
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.38 no.2
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    • pp.357-367
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    • 2018
  • Recent earthquakes in Gyeongju and Pohang have raised interest in liquefaction in South Korea. Liquefaction, which is a phenomenon that excessive pore pressure is generated and the shear strength of soil is decreased by repeated loads such as earthquakes, causes severe problems such as ground subsidence and overturning of structures. Therefore, it is necessary to identify and prepare for the possibility of liquefaction in advance. In general, the possibility of liquefaction is quantitatively assessed using the Liquefaction Potential Index (LPI), but it takes a lot of time and effort for performing site response analysis which is essential for the liquefaction evaluation. In this study, a simple method to evaluate the liquefaction potential without executing the site response analysis in a downtown area with a lot of borehole data was proposed. In this simple method, the correlation between the average shear wave velocity of the target location ground and the LPI divided by thickness of liquefiable layer was established. And the applicable correlation equation for various rock outcrop accelerations were derived. Using the 104 boreholes information in Seoul, the correlation equation between LPI and the shear wave velocity (ground water level: 0m, 1m, 2m, 3m) is obtained and the possibility of liquefaction occurrence in Seoul and Gyeongju is evaluated. The applicability of the proposed simple method was verified by comparing the LPI values calculated from the correlation equation and the LPI values derived using the existing site response analysis. Finally, the distribution map of LPI calculated from the correlation was drawn using Kriging, a geostatistical technique.

The Risk of Metabolic Syndrome by Dietary Patterns of Middle-aged Adults in Gyeonggi Province (경기 일부 지역 중년 성인의 식사 패턴에 따른 대사증후군 위험에 관한 연구)

  • Lee, You-Sin;Lee, Moo-Yong;Lee, Sim-Yeol
    • Korean Journal of Community Nutrition
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    • v.19 no.6
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    • pp.527-536
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    • 2014
  • Objectives: The aim of this study was to assess how nutrient intakes are related to risk factors for metabolic syndrome according to dietary patterns in the middle-aged adults. Methods: The subjects (n = 187; 47 men, 140 women) consisted of middle-aged adults over 30 years old in Ilsan area. The metabolic syndrome was diagnosed according to the data collected from each subject, including anthropometric measurements and blood analyses. The dietary patterns were derived from the average of two-day dietary intake data. Results: Factor analysis identified three major dietary patterns which were "Meats and alcohol", "Mixed grains, vegetables and fruits", and "Rice, Kimchi and fish & shellfish". The daily intakes of energy, protein, and sodium increased across quartiles of "Meats and alcohol" pattern scores (p < 0.05), whereas the intakes of carbohydrates, potassium, calcium, and fiber increased across quartiles of "Mixed grains, vegetables and fruits" pattern scores (p < 0.001). The "Meats and alcohol" pattern scores were positively correlated with protein and sodium intakes but inversely correlated with carbohydrates, fiber and potassium intakes which were adjusted for age, sex and energy (p < 0.05). The highest quartile pattern score of "Meats and alcohol" pattern had elevated odds ratio of abdominal obesity and metabolic syndrome (p < 0.05). The risk of hypertriglyceridemia decreased in the highest quartile of "Mixed grains, vegetables and fruits" pattern (OR 0.35, 95% CI 0.12-1.00). Conclusions: Our results suggested that reducing the consumption of meat and alcohol along with increasing fruits, vegetables and mixed grains would be helpful for preventing the metabolic syndrome and chronic diseases.

A comparative study on the distribution transaction policy between Korea and Japan: focused on unfair transaction behavior prohibition (유통부문에 있어서 경쟁정책의 비교 연구 - 불공정거래행위에 대한 한국과 일본의 대응방식 -)

  • Yoo, Ki-Joon
    • Journal of Distribution Research
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    • v.15 no.5
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    • pp.103-126
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    • 2010
  • The development of an industry including distribution sector is influenced by not only government policy but the related firms' behaviors. Recently the large-scale retailers have had more enormous channel power than any other distributors including monopolistic makers. Now is the time for government to prepare some policies against the unfair transaction behaviors by large-scale retailers. In this paper I tried to inquire into the distribution competition policy from a political correspondent point of view related with the transition of distribution system. For the purpose of this article I compared the case of Korea with Japan. According to the results so far inquired, there are some commons and differences in the cases of the two. Some suggestions are as follows. Considering the predominant position the concept of large-scale retailers is to be extended from a single store to numerous chain stores in the political level. Government needs to examine the standard propriety for large-scale retailer; the size of selling area and amount of sales a year. When a large-scale retailer store is to be established, it need to be taken a permit or a pre-inspection. The Fair Trade Commission have to secure the neutrality from Government's strategies. And government should find out the examples of unfair transaction behavior types and prepare some proper guidelines continually. For the last time statistical data by distributors are to be fitted out and the actual investigations for estimating the effects of government policies need to be enforced.

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The Contribution of Innovation Activity to the Output Growth of Emerging Economies: The Case of Kazakhstan

  • Smagulova, Sholpan;Mukasheva, Saltanat
    • Journal of Distribution Science
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    • v.10 no.7
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    • pp.33-41
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    • 2012
  • The purpose of this study is to analyse the state of the energy industry and to determine the efficiency of its functioning on the basis of energy conservation principle and application of innovative technologies aimed at improving the ecological modernisation of agricultural sectors of Kazakhstan. The research methodology is based on an integrated approach of financial and economic evaluation of the effectiveness of the investment project, based on calculation of elasticity, total costs and profitability, as well as on comparative, graphical and system analysis. The current stage is characterised by widely spread restructuring processes of electric power industry in many countries through introduction of new technical installations of energy facilities and increased government regulation in order to enhance the competitive advantage of electricity market. Electric power industry features a considerable value of creating areas. For example, by providing scientific and technical progress, it crucially affects not only the development but also the territorial organisation of productive forces, first of all the industry. In modern life, more than 90% of electricity and heat is obtained by Kazakhstan's economy by consuming non-renewable energy resources: different types of coal, oil shale, oil, natural gas and peat. Therefore, it is significant to ensure energy security, as the country faces a rapid fall back to mono-gas structure of fuel and energy balance. However, energy resources in Kazakhstan are spread very unevenly. Its main supplies are concentrated in northern and central parts of the republic, and the majority of consumers of electrical power live in the southern and western areas of the country. However, energy plays an important role in the economy of industrial production and to a large extent determines the level of competitive advantage, which is a promising condition for implementation of energy-saving and environmentally friendly technologies. In these circumstances, issues of modernisation and reforms of this sector in Kazakhstan gain more and more importance, which can be seen in the example of economically sustainable solutions of a large local monopoly company, significant savings in capital investment and efficiency of implementation of an investment project. A major disadvantage of development of electricity distribution companies is the prevalence of very high moral and physical amortisation of equipment, reaching almost 70-80%, which significantly increases the operating costs. For example, while an investment of 12 billion tenge was planned in 2009 in this branch, in 2012 it is planned to invest more than 17 billion. Obviously, despite the absolute increase, the rate of investment is still quite low, as the total demand in this area is at least more than 250 billion tenge. In addition, industrial infrastructure, including the objects of Kazakhstan electric power industry, have a tangible adverse impact on the environment. Thus, since there is a large number of various power projects that are sources of electromagnetic radiation, the environment is deteriorated. Hence, there is a need to optimise the efficiency of the organisation and management of production activities of energy companies, to create and implement new technologies, to ensure safe production and provide solutions to various environmental aspects. These are key strategic factors to ensure success of the modern energy sector of Kazakhstan. The contribution of authors in developing the scope of this subject is explained by the fact that there was not enough research in the energy sector, especially in the view of ecological modernisation. This work differs from similar works in Kazakhstan in the way that the proposed method of investment project calculation takes into account the time factor, which compares the current and future value of profit from the implementation of innovative equipment that helps to bring it to actual practise. The feasibility of writing this article lies in the need of forming a public policy in the industrial sector, including optimising the structure of energy disbursing rate, which complies with the terms of future modernised development of the domestic energy sector.

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The Influence of Environmental Characteristics on the Fatness of Pacific Oyster, Crassostrea gigas, in Hansan-Koje Bay (한산${\cdot}$거제만의 환경특성이 양식 굴의 비만에 미치는 영향)

  • CHOI Woo-Jeung;CHUN Yong-Yull;PARK Jeung-Hum;PARK Yeong-Chull
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.30 no.5
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    • pp.794-803
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    • 1997
  • Long line suspended culture of oysters has been started commercially in Hansan-Koje Bay since 1969. However, its Annual production has been decreased and culturing periods extended in recent years. So, we investigated environmental parameters and food organisms to identity the causes of poor fatness of oysters in Hansan-Koje Bay from February to November, 1994. As the result, the Water quality of Hansan-Koje Bay was found to be good for culture. For example, the mean concentration of COD was $1.35mg/\ell$, phosphate phosphorus was $0.30{\mu}g-at/\ell$ and dissolved inorganic nitrogen was $4.68{\mu}g-at/\ell$. However, the Hwado island and the inner part of the Hansan-Koje Bay were found to be eutrophicated due to various contaminants transported by land-based activities. But in the central pan of the Hansan-Koje Bay where the oyster farms Have been developed densely, the level of nutrient concentration was very low. During the study period, the dominant species of phytoplankton was Chaetoceros spp. with the percentage of $72.6\%\~87.8\%$ and the mean values of Chlorophyll-a concentration and phytoplankton standing crops were $2.05mg/m^3\;and\;188ind./m\ell$, respectively. The distribution of these parameters also showed similar trends those of nutrients. Especially, chlorophyll-a contents was very low with the concentration of below $0.5mg/m^3$ at central part of the Bay, Juklimpo. The fatness of oysters and the eutrophic index in this area were $18.1\%$ and 0.54, respectively. These values were lower than those of other culturing farms in the southern coastal areas in Korea. Therefore, we estimated that the insufficient food supply due to the low level of nutritional status was the major factors affecting the poor fatness of the Pacific oysters in Hansan-Koje Bay.

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Optical Properties of Sea Water in Tokyo Bay (동경만에서의 해수의 광학적 성질)

  • YANG Yong-Rhim;MORINAGA Tsutomu
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.19 no.3
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    • pp.234-240
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    • 1986
  • Optical properties of sea vater were studied in Tokyo Bay, Japan, based on the data obtained from six oceanographic station in April, 1985. The observation of surface and underwater irradiances of sea water for eight kinds of wavelength (378, 422, 481, 513, 570, 621, 653, and 677 mm) of sun light was conducted using the underwater irradiameter (Isigawa ${\sharp}SR-8$). The mean attenuation coefficient of the sea water appeared to be 0.335($0.081{\sim}0.862$) and the attenuation coefficient of the sea water for each wavelength appeared as 0.268 for 378nm, 0.354 for 422nm, 0.274 for 481nm, 0.256 for 513nm, 0.284 for 570nm, 0.356 for 621nm, 0.425 for 653nm, and 0.464 for 677nm. The transparency was 5.0m ($2.5{\sim}6.5m$), water color was 10.2 ($8{\sim}14.0$) in the study area and the sun altitude was $53.62^{\circ}$ ($38.54^{\circ}{\sim}66.23^{\circ}$). The relationship between attenuation coefficient (K) and transparency (D) was K= 2.22/D ($1.30/D{\sim}3.54/D$). The rates of light penetration for eight kinds of wavelength (378, 422, 481, 513, 570, 621, 653, and 677 nm) were computed with reference to the surface light intensity each. The mean rates of light penetration in proportion to depths were $62.72\%$ ($42.23{\sim}78.43\%$) in 1 m layer, $11.91\%$ ($1.34{\sim}29.67\%$) in 5m layer, $2.64\%$ ($0.023{\sim}8.80\%$) in 10m layer, and $0.50\%$ ($0.02{\sim}3.99\%$) in 20 m layer. The rate of light penetration at the transparency layer with reference to the surface light intensity was shown as $12.51\%$ ($2.91{\sim}27.25\%$).

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