• 정신신체의학
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• 제9권2호
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• pp.153-163
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• 2001

본 연구는 KEAT-26의 변별 타당도를 알아보고 이 척도의 진단적(분류적) 효율성을 알아보기 위해서 이루어졌다. 참여자는 여성 식사장애 환자 108명, 체형관리센터에서 체형관리프로그램에 참여하고 있는 여성 179명, 체대운동여학생 120명, 일반여자대학생 227명 그리고 일반여자 183명(총 817명)이었다. 변량분석과 ROC(Receiver Operating Characteristic Curve) 곡선 분석을 통해서 이 척도의 타당화를 시도하였다. 그 결과 KEAT-26 총점수가 집단간에 통계적으로 유의한 차이를 보였으며, 사후 검증에서 식사장애 환자집단이 다른 모든 집단보다 KEAT-26 점수가 유의하게 높았다. 그리고 각 집단에 따른 KEAT-26의 4 개 하위 요인점수의 차이 검증에서 모든 하위요인들에서 집단의 주 효과가 유의하였으나, 사후검증에서 요인 IV의 변별력이 떨어졌다. ROC 곡선 분석을 통하여 이 척도의 분류적인 효용성과 최대의 가질 때의 절단접수를 알아본 결과 식사장애 환자와 정상인 집단을 분류할 때 평균 약 80%이상의 효용성이 있으나 식사장애 고위험 집단을 변별할 때는 평균 약 69%의 효용성을 보였다. 특히, 최고의 효용성을 보일 때의 절단점수를 효면, 식사장애환자와 체형관리자를 분류할 때 절단점이 25점, 식사장애환자와 일반 여자를 분류할 때 분류점수는 19 점, 삭사장애환자 대 체대운동여학생의 분류 점수는 23점, 식사장애환자 대 일반여대생의 절단점은 21점이었다. 이민규 등(1998)이 제안한 T점수 65에 해당하는 KEAT-26의 총점 22점을 절단점수로 했을 때 이 척도의 민감도 54%, 특이도 84%, 효율성은 평균 80% 이었다. 본 연구 결과 KEAT-26온 한국 사람이 겪고 있는 식사문제에 관련된 연구에 필요한 신뢰롭고 타당한 도구임을 밝혀졌다. 또한 본 연구결과는 이 척도가 임상적인 이용 뿐 만 아니라 역학조사 동의 목적으로 식사문제가 있는 사람을 선별하는데도 유용한 도구임을 지지해 준다.

• 한국안전학회지
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• 제35권3호
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• pp.86-95
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• 2020

This paper describes the work and the results of the final Probabilistic Safety Assessment (PSA) for the Jordan Research and Training Reactor (JRTR). This final PSA was undertaken to assess the level of safety for the design of a research reactor and to evaluate whether it is probabilistically safe to operate and reliable to use. The scope of the PSA described here is a Level 1 PSA, which addresses the risks associated with core damage. After reviewing the documents and its conceptual design, nine typical initiating events were selected regarding internal events during the normal operation of the reactor. AIMS-PSA (Version 1.2c) was used for the accident quantification, and FTREX was used as the quantification engine. 1.0E-15/yr of the cutoff value was used to deliminate the non-effective Minimal Cut Sets (MCSs) when quantifying the JRTR PSA model. As a result, the final result indicates a point estimate of 2.02E-07/yr for the overall Core Damage Frequency (CDF) attributable to internal initiating events in the core damage state for the JRTR. A Loss of Primary Cooling System Flow (LOPCS) is the dominant contributor to the total CDF by a single initiating event (9.96E-08/yr), and provides 49.4% of the CDF. General Transients (GTRNs) are the second largest contributor, and provide 32.9% (6.65E-08/yr) of the CDF.

• 한국한의학연구원논문집
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• 제14권1호
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• pp.145-160
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• 2008

Nelumbinis Semen(NS) has been used in traditional medicine to treat diseases such as depression and diarrhea. In inflammatory responses, microglia produces molecules which are known to play roles in the central nervous system. And we previously studied NS inhibited nitric oxide synthase and secretion of tumor necrosis factor alpha. To explore the global gene expression profiles in BV-2 microglial cell line treated with NS, microarray analysis was performed. The cells were treated with LPS or NS plus LPS for 30min, Ih, 3h, and 6h, respectively. Of 45,101 known genes, with cutoff value of 3-fold change in the expression, 340, 644, 280 and 219 genes were upregulated and 503, 570, 694 and 484 were downregulated in NS treated cells at each time point. The results of the present study shows that treatment of NS reversed the LPS-induced upregulation of such genes as Ecoxsackievirus and adenovirus receptor(CAR), pellino 1, and S100P binding protein. It is thought that microarrays will play an ever-growing role in the advance of our understanding of the pharmacologic actions NS.

• 한국항해학회지
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• 제16권3호
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• pp.19-31
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• 1992

The Navigational System is the Fundamental System of Port Transportation System and comprises 3 Subsystems, say, the Waterway System, the Shiphandling System and the Support System. The Waterway System of Navigational System is the important and fundamental System for Traffic Safety inside the Port like a Car Road System on Land. This study aims to make a Guideline for the Optimal Waterway System of Port Development and Safety. The Conclusion of this Paper are drawn : 1) The complicated Shiphandling Operations should be avoided for the period of Physical night Time for eliminating the Human Errors. 2) For the Maneuverability and all-weather Combined Piloting the Inside Turn Point Buoy and Begin the-turn Buoy should be mounted with Racon(T) and Radar Reflector for foggy and bad weathers. 3) The Seabuoy located in the Approaching Area for Pilot Station and making Landfall should be mounted with Racon(G) and Morese A Light for giving a Hint of Pilot Station to the Captain on the Bridge, and these Equipments of Racon and Light should be operated normally and effectively even in a Heavy and stormy weathers. 4) A Basic Practical Expression, 1/2 L sin D, for calculating the Extra Width of Cutoff Turn Regions was derived Originally from the Viewpoint of Turn Maneuvers and Maneuverability of the Ship.

• 대한지역사회영양학회지
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• 제2권2호
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• pp.141-150
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• 1997

This study was designed to investigate the obesity rate with anthropometric indices, nutritional status and serum lipid levels of 260 school children from 5th grade of elementry school residing in Puchon city. Obesity was defined as fat percentage that exceeds 25$\%$. The prevalence rate of obesity were 15.2$\%$ for male and 14.1$\%$ for female. Mean fat percentage, BMI and Rohrer indice of obese male were 30.3$\%$, 21.0 and 150.2 respectively and 28.0$\%$, 21.5 and 151.9 for obese female. Mean serum TG, apo-B of obese female was significantly lower than that of non-obese. Obese male did not show any difference in serum lipid levels. The proportion of students whose serum cholesterol levels exceed 170mg/dI, which is cutoff point of bordeline for coronary artery disease, was 12.0% for male and 15.6$\%$ for female. The major factors affecting nutritional status were the amount of living expense, existence of mother's job and the regularity of having breakfast. Children who's living expense more than 500 thousants Won showed lower intake of Iron, vitamin A, thiamin, niacin and ascorbic acid(p$\ll$0.05). Children who's mothers are having a job were observed with decreased height(p$\ll$0.05). Children having breakfast regularly showed increased BMI and Rohrer indice than those of children having breakfast often of never.

• 한국물환경학회지
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• 제22권5호
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• pp.919-925
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• 2006

The regression models for the water temperatures of Ban Byeon Stream and Yong Jeon stream were developed using multi-regression method. It was also investigated that the applicability of the stream temperature prediction to two-dimensional numerical simulation to predict the vertical water temperature in Imha Reservoir. Air temperature and dew point as independent variables were selected to be applicable to cases with the different variation of flow rates. The data division of water temperature using a cutoff flow rate of $20m^3/s$ was found to reduce the prediction error of the stream temperature. The mean absolute percent error of the numerical simulation results of the vertical water temperature in Imha Reservoir using the regression models was 11%, which was only 4.3% lager than the simulation result using the measured stream temperature. Therefore, the regression models of the stream temperatures using multi-regression method applied in this study could be applied to predict the vertical water temperature in Imha Reservoir with a good accuracy.

• 대한공간정보학회지
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• 제10권1호
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• pp.51-57
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• 2002

GPS(Global Positioning System)가 토목공사, 기준점 측량, 구조물 변형등 측지 및 측량분야에 활용성이 우수하다는 것은 여러 연구 결과에서 입증되었지만, 고층 빌딩이 산재한 도심지나 공장지역등 GPS 위성신호의 수신이 최소 4개 이하로 떨어지는 장소에서서의 GPS 정적 위치결정 정확도는 현저히 떨어진다는 것을 알 수 있다. 따라서 GPS 위성과 GLONASS(GLObal Navigation Satellite System)를 결합하여 위성의 가시성을 높여 보다 많은 위치 정보를 획득하여 향상된 정적 위치결정 정확도를 얻으려 한다. 그 결과 GPS/GLONASS 결합시스템으로 도심지에서 다중경로, 신호의 고도각, 가시위성 부족에 의한 위치 결정정확도를 저하하는 것을 향상시켰다.

• Clinical and Experimental Pediatrics
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• 제59권4호
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• pp.178-182
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• 2016

Purpose: Medium-dose (1 g/kg) intravenous immunoglobulin (IVIG) is effective in the majority of patients with Kawasaki disease (KD) but some patients who do not respond to medium-dose IVIG are at high risk for the development of coronary artery lesions (CALs). The purpose of this study was to identify the clinical predictors associated with unresponsiveness to medium-dose IVIG and the development of CALs. Methods: A retrospective study was performed in 91 children with KD who were treated with mediumdose IVIG at our institution from January 2004 to December 2013. We classified the patients into responders (group 1; n=68) and nonresponders (group 2; n=23). We compared demographic, laboratory, and echocardiographic data between the 2 groups. Results: Multivariate logistic regression analysis identified 6 variables as predictors for resistance to medium-dose IVIG. We generated a predictive scoring system assigning 1 point each for percentage of neutrophils ${\geq}65%$, C-reactive protein ${\geq}100mg/L$, aspartate aminotransferase ${\geq}100IU/L$, and alanine aminotransferase ${\geq}100IU/L$, as well as 2 points for less than 5 days of illness, and serum sodium level ${\leq}136mmol/L$. Using a cutoff point of ${\geq}4$ with this scoring system, we could predict nonresponsiveness to medium-dose IVIG with 74% sensitivity and 71% specificity. Conclusion: If a patient has a low-risk score in this system, medium-dose IVIG can be recommended as the initial treatment. Through this process, we can minimize the adverse effects of high-dose IVIG and incidence of CALs.

• Clinical and Experimental Pediatrics
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• 제57권4호
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• pp.186-192
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• 2014

Purpose: The prevalence of macrolide-resistant Mycoplasma pneumoniae (MRMP) has increased worldwide. The aim of this study was to estimate the proportion of MRMP in a tertiary hospital in Korea, and to find potential laboratory markers that could be used to predict the efficacy of macrolides in children with MRMP pneumonia. Methods: A total of 95 patients with M. pneumoniae pneumonia were enrolled in this study. Detection of MRMP was based on the results of specific point mutations in domain V of the 23S rRNA gene. The medical records of these patients were reviewed retrospectively and the clinical course and laboratory data were compared. Results: The proportion of patients with MRMP was 51.6% and all MRMP isolates had the A2063G point mutation. The MRMP group had longer hospital stay and febrile period after initiation of macrolides. The levels of serum C-reactive protein (CRP) and interleukin-18 in nasopharyngeal aspirate were significantly higher in patients who did not respond to macrolide treatment. CRP was the only significant factor in predicting the efficacy of macrolides in patients with MRMP pneumonia. The area under the curve for CRP was 0.69 in receiver operating characteristic curve analysis, indicating reasonable discriminative power, and the optimal cutoff value was 40.7 mg/L. Conclusion: The proportion of patients with MRMP was high, suggesting that the prevalence of MRMP is rising rapidly in Korea. Serum CRP could be a useful marker for predicting the efficacy of macrolides and helping clinicians make better clinical decisions in children with MRMP pneumonia.

• 생물정신의학
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• 제23권1호
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• pp.29-36
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• 2016

Objectives Firefighters and rescue workers are likely to be exposed to a variety of traumatic events; as such, they are vulnerable to the risk of post-traumatic stress disorder (PTSD). The psychometric properties of the Korean version of the PTSD Checklist (PCL), a widely used self-report screening tool for PTSD, were assessed in South Korean firefighters and rescue workers. Methods Data were collected via self-report questionnaires and semi-structured clinical interviews administered to 221 firefighters. Internal consistency, item-total correlation, one-week test-retest reliability, convergent validity, and divergent validity were examined. Content validity of the PCL was evaluated using factor analysis and receiver operating characteristic (ROC) analyses were used to estimate the optimal cutoff point and area under the curve. Results The PCL demonstrated excellent internal consistency (${\alpha}=0.97$), item-total correlation (r = 0.72-0.88), test-retest reliability (r = 0.95), and convergent and divergent validity. The total score of PCL was positively correlated with the number of traumatic events experienced (p < 0.001). Factor analysis revealed two theoretically congruent factors: re-experience/avoidance and numbing/hyperarousal. The optimal cutoff was 45 and the area under the ROC curve was 0.97. Conclusions The Korean version of the PCL may be a useful PTSD screening instrument for firefighters and rescue workers, further maximizing opportunities for accurate PTSD diagnosis and treatment.