• 제목/요약/키워드: observational

검색결과 1,775건 처리시간 0.031초

환지계획 수립시 고해상 위성영상을 이용한 기초조사 및 분석에 관한 연구 (Research on Basic Investigation and Analysis for Iand Substitution Planing using High-resolution Satellite Imagery)

  • 정철주;최승필;유연
    • 대한공간정보학회지
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    • 제21권2호
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    • pp.3-9
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    • 2013
  • 도시개발사업을 위한 타당성조사나 사업성 분석, 구역지정 제안 및 구역지정, 환지계획 작성 등을 위한 기존의 기초조사는 수치지도(1/1,000 또는 1/5,000) 및 이를 이용한 현장 조사, 인터넷 자료 및 문헌 등을 조사하는 방법에 의하여 자료를 분석하고 활용하고 있다. 도시개발사업의 시행방식인 사용 수용방식과 환지방식, 혼용방식 중 하나인 환지방식의 경우 본 사업 착수 전에 지형 및 건축물의 현황 등을 파악하여 환지 유형검토를 하여야 하나, 시행 전에 보안을 유지하면서 사전 자료를 확보하는데 한계가 있다. 일부 항공사진을 이용하여 기초조사를 실시하고 있으나, 이 역시 사진 촬영 시기에 따른 지형의 변화 및 건축물의 변경을 정확히 조사를 할 수 없는 단점이 있다. 기초조사를 수행하는 방법으로 본 연구에서 제시한 고해상의 융합된 영상을 기반으로 한 GIS를 구축하여 이용할 경우, 최근의 위성영상 확보 용이 및 대상 면적, 사용목적에 따른 해상도의 선택, 항공사진의 신규촬영대비 경제성, 위치정보의 확보에 따른 거리와 면적관측 가능 등의 장점과 기능이 추가되어 현재의 방법보다 더 정확한 자료에 의한 기초조사를 수행할 수 있을 것이다.

A Prospective Observational Study of Return to Work after Single Level Lumbar Discectomy

  • Kang, Suk-Hyung;Seo Yang, Jin;Cho, Steve Sungwon;Cho, Yong-Jun;Jeon, Jin Pyeong;Choi, Hyuk Jai
    • Journal of Korean Neurosurgical Society
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    • 제63권6호
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    • pp.806-813
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    • 2020
  • Objective : Lumbar disc herniation (LDH) is a common disease, and lumbar discectomy (LD) is a common neurosurgical procedure. However, there is little previous data on return to work (RTW) after LD. This study investigated the period until the RTW after LD prospectively. Clinically, the pain state at the time of RTW also checked. RTW failure rate 6 months after surgery also investigated. Methods : Patients with daily/regular jobs undergoing LD between September 2014 and December 2018 were enrolled. Pain was assessed by the Oswestri Disability Index (ODI) and the Numeric Rate Scale (NRS). Employment type was divided into self-employed, regular and contracted. Monthly telephone interviews were conducted to check RTW status and self-estimated work capability after surgery. Results : Sixty-seven patients enrolled in this study. Three patients failed to RTW, and three others resigned within 6 months after surgery. The preoperative NRS and ODI were 7.2±1.2 and 22.1±7.9, respectively. The average time to RTW was 5.1±6.0 weeks. At RTW, NRS was 1.5±1.8 and ODI was 6.3±3.9. Amongst patients that successfully returned to work were 16 self-employed workers, 42 regular employees, and three contracted workers. The time to RTW of self-employed, regular, and contracted workers were 5.9±8.8, 4.2±4.3 and 13.3±2.3 weeks, respectively (p=0.011). Thirty-six of the patients that returned to work self-reported a 22.8±15.6% reduction in work capability at 6 months. Conclusion : RTW may vary depending on the employment status. In this study, we found that while employment type may affect the length to RTW, most patients were able to RTW and >40% of patients reported no loss of work capabilities 6 months postoperatively, hopefully alleviating some patient hesitation towards LD.

Importance of the knowledge of pathological processes for risk-based inspection in pig slaughterhouses (Study of 2002 to 2016)

  • Sanchez, Pedro;Pallares, Francisco J.;Gomez, Miguel A.;Bernabe, Antonio;Gomez, Serafin;Seva, Juan
    • Asian-Australasian Journal of Animal Sciences
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    • 제31권11호
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    • pp.1818-1827
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    • 2018
  • Objective: The objective of this work was to determine the prevalence of the pathologies that caused the condemnation of pig carcasses in an area of intensive pig farming and Mediterranean climatology and to evaluate their influence in a risk-based inspection procedure for slaughterhouses. Methods: A retrospective observational investigation was carried out from 2002 to 2016 into the pathological processes that caused the condemnation of pig carcasses in a slaughterhouse from South-eastern Spain. The seasonal effect on the causes of condemnation carcass was reported. Negative binomial model was used to evaluate the effect of season on the rate of antemortem rejections and post-mortem condemnations. Histopathological examinations were performed to confirm the diagnosis. Results: The risk of antemortem rejections (0.0564%) was significantly greater in summer (risk ratio [RR] = 1.57). Autumn was associated with higher rate (RR = 1.69) of the total postmortem condemnations (0.1046%). Significantly higher rates of pronounced anaemia (0.0111%) were observed in summer (RR = 3.20). The main causes of anaemia were observed gastroesophageal ulcers and haemorrhagic enteropathies. Significantly highest risk of erysipelas (0.0074%) were observed in autumn (RR = 5.485). About other zoonosis, only eight cases (0.0013%) of carcasses were declared unfit due to tuberculosis lesions. Porcine muscular cysticercosis was not detected. Nevertheless, nonspecific causes such as generalized infections and emaciation represented the half of the condemned carcasses (50.90%). Conclusion: The pathologies leading to the condemnation of carcasses in this study can be considered representative of the pathologies that affect the pig population from a region with a high intensive production and Mediterranean climatology because this slaughterhouse receives a lot of animals from many farms of different size in a high intensive pig production zone (Mediterranean region). Increased knowledge of environmental factors that may foment the appearance of the diseases is essential for implementing inspection programs based on risk assessment in pig's slaughterhouses.

Annual Financial Impact of Thyroidectomies for Nodular Thyroid Disease in China

  • Liu, Xiao-Yun;Zhu, Li-Jun;Cui, Dai;Wang, Zhi-Xiao;Chen, Huan-Huan;Duan, Yu;Shen, Mei-Ping;Zhang, Zhi-Hong;Wang, Xiao-Dong;Chen, Jia-Wei;Alexander, Erik Karl;Yang, Tao
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5921-5926
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    • 2014
  • A large proportion of patients with thyroid nodules in China undergo thyroidectomy in order to get confirmatory histology diagnosis. The financial impact of this modality remains to be investigated. To evaluate rationality of performing thyroidectomy without a routine FNA preoperatively from the economic perspective, we conducted a retrospective, observational study of all archival thyroidectomies with records of cost per stay (CPS), cost per day (CPD) and length of stay (LOS) from 2008 to 2013 in the First Affiliated Hospital of Nanjing Medical University. We compared all the parameters between cancer and non-cancer thyroidectomies. We recruited 6, 140 thyroidectomies with valid records of CPS, CPD and LOS in this period. The CPS of cancer thyroidectomy was significantly higher than non-cancer thyroidectomy. The percentage of cancer thyroidectomy increased from 26.5% to 41.6%. The percentage of annual cost of cancer thyroidectomies rose from 30.2% to 45.2%. The LOS for cancer and non-cancer thyroidectomy decreased while the CPD increased in the past six years. The estimated national cost in 2012 for all thyroidectomies would be USD 1.86 billion with USD 1.09 billion for non-cancer thyroidectomies. We have witnessed great improvement in the healthcare for patients with thyroid nodules in China. However, given limited healthcare resources, currently thyroid FNA for more precise preoperative diagnosis may help to curb the rapidly increasing demand in healthcare costs in the future for nodular thyroid disease in China.

Retrospective Study of Cysts in the Oral and Maxillofacial Regions: Statistical and Clinical Analysis

  • Lee, Hyun-Kyung;Ryu, Kyung-Sun;Kim, Moo-Gun;Park, Kwang-Won;Kim, Ryun-Ga;Roh, Sang-Hwa;Jung, Tae-Young;Park, Sang-Jun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제36권1호
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    • pp.1-6
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    • 2014
  • Purpose: This study was designed for identification of the main clinicopathological features of cysts in the oral and maxillofacial regions. Methods: A retrospective observational study was conducted on 164 patients who had been diagnosed with cyst of the jaw, from the database of 168 histopathological diagnoses at the Department of Oral and Maxillofacial Surgery of Busan Paik Hospital at Inje University, from January 2009 to December 2011. The subjects were treated and the following variables were recorded: gender, age, clinical signs and symptoms, histopathological distribution, treatment methods, and complications. A descriptive analysis of the study variables was performed using a chi-square test. Results: Among the 164 patients, there were more male than female patients (male-female ratio: 1.7:1). The most predominant ages were the 20s and 40s. Among the classes of pathological cysts, radicular cysts and dentigerous cysts were the most common, with incidences of 56.0% and 35.1%. Thirty-six percent of the patients had no symptoms; and of those who had symptoms, the main signs and symptoms were swelling (24.4%) and pain (17.1%). The most frequent management method was the combination operation, such as enucleation with or without extraction and apicoectomy of the causative teeth. Of the 164 patients, 13 had complications; and one patient who had been treated with enucleation with apicoectomy had a recurrent cyst. Conclusion: Using a chi-square test, no significant differences in prevalence were observed in relation to gender according to age. Comparative analysis of radicular and dentigerous cysts showed a significant difference in their prevalence according to their anatomical location, however, no significant differences in were observed in their incidence rates according to age.

설신경 손상 환자의 회복에 대한 후향적 연구 (Recovery of lingual nerve injury: retrospective observational study)

  • 홍동환;임호경;김성민;김명진;이종호
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제37권5호
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    • pp.355-364
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    • 2011
  • Introduction: This study evaluated nerve recovery through retrospective study of patients with lingual nerve damage. Patients and Methods: The patients who visited Seoul National University Dental Hospital for an injury to the lingual nerve from April 1988 to August 2009 were enrolled in this study (n=41). The relevance of various factors including the causes of damage, age, etc. was analyzed by the subjective improvement based upon questionnaires and the clinical records. The evaluation variants were a subjective assessment and neurosensory examination composed of the direction, contact threshold, two-point discrimination, pin prick, thermal discrimination and current perception threshold. Results: The causes of lingual nerve damage were an extraction of the lower third molar (75.6%), local anesthesia (9.7%), incision and drainage (4.88%), trauma (2.44%). The evaluation of subjective prognosis exhibited no difference in sensory improvement depending on the cause, age and gender. Based upon the subjective evaluation, 44.7% of patients showed sensory improvement. The first hospital visit from injury was shorter in the group showing subjective improvement (3.41 months) than those showing no improvement (5.24 months) (P=0.301). Thirty six out of 41 patients were treated with only conservative therapy and 5 patients were treated by surgical intervention. Neurosensory examinations revealed improvement, although not statistically significant, and the degree was higher in the subjectively improved group. The contact threshold discrimination showed the highest correlation with subjective improvement (P=0.069). Most of the sensory recovery was gained within 12 months and the degree of improvement at the tip of the tongue was higher than that of the dorsum (P<0.001). Conclusion: The damaged lingual nerve improved at a rate of 44.7% and mostly within 12 months after the incident. There was no difference between the subjective prognosis and neurosensory examination depending on the cause of damage, age and gender, whereas the contact threshold discrimination was the best variant that reflected the subjective prognosis statistically.

정보과학영재의 학습 특성 분석 (Analysis on the Characteristics of the IT Science tilted Students Toward Computer Learning)

  • 김의정;서성원;백순흠
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2008년도 추계종합학술대회 B
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    • pp.491-495
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    • 2008
  • 본 연구에서는 중등 정보과학영재의 특성 분석을 위해 해당 과학영재교육원에서 최근 3년간 총 16명의 학습자와 이에 적용된 19개 프로그램과 관련하여 실시된 관찰 평가(체크리스트와 종합관찰지 기록)를 분석하였다. 본 연구에서 정보과학영재의 특성으로 드러난 것은 (1) 과제집착력 (2) 연역적 사고력 (3) 프로젝트 위주의 수행 능력에서의 우수성이다. 그러나 일반적인 영재의 특성으로 본 연구자는 다음과 같은 시사점을 얻을 수 있다. 첫째, 연구대상의 발달 단계상 세분화 과정이 별 의미가 없지 않는가 하는 것이다. 연구자가 대상으로 삼은 영재아들은 중학교 1학년 학생들로서 피아제의 발달단계에 따르면 형식적 조작기에 접어든 시기의 학생들이다. 따라서 아직은 세분화된 영역보다는 통합적 영역을 지도하는 것이 바람직해 보인다. 둘째, 영재아는 대부분의 분야에서 뛰어난 성취를 보이는 학생들이라는 점이다. 영재아들의 지적능력은 평균 이상이다. 또한 과제집착력이나 호기심이 매우 강하기 때문에 어떠한 분야든지 높은 성취도를 나타내고 있다. 따라서 영재교육에 있어 어떤 분야에 뛰어난 학생을 찾아내는 것도 중요하지만 각 분야에서 뛰어난 능력을 발휘할 수 있도록 프로그램을 더욱 정교화 하는 것이 중요하다.

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대전 상관기의 상관 결과에 나타난 유사 DC 성분과 위상 집중 현상에 대한 원인 분석과 해결 방법 (Analysis and solution to the phase concentration and DC-like component of correlation result in Daejeon correlator)

  • 노덕규;오세진;염재환;오충식;정진승;정동규;윤영주;오야마 토모아키;오제키 켄스케;오누키 히로푸미
    • 융합신호처리학회논문지
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    • 제14권3호
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    • pp.191-204
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    • 2013
  • 본 논문에서는 대전상관기의 상관결과에 나타난 유사 DC 성분과 위상의 0도 집중현상을 해결하기 위해 정교한 지연추적을 담당하는 메모리설정과 FFT 계산모듈의 under/overflow 문제를 살펴보는 실험결과를 고찰하였다. 상관기의 정교한 지연추적에는 링버퍼 메모리가 사용되고 있는데, 이 메모리의 데이터 읽기/쓰기 주소의 부적절한 설정으로 인해 상관출력에서 강한 유사 DC 성분이 생성되는 것을 확인하였으며, 포트/스트림이 변경될 때의 1 세그먼트 데이터를 상관처리에 사용하지 않도록 메모리 설정을 수정하였다. 그리고 상관결과에서 대역폭 시작채널의 위상이 0도에 집중되는 현상은 FFT 모듈의 스케일링 값이 적절하지 않았을 때 발생하는 under/overflow의 효과임을 시험을 통해 확인하였으며, 이 문제의 개선방법에 대해 논하였다. 정교한 지연추적의 메모리 설정을 수정하고 적절한 값의 FFT 스케일링 값을 사용하여, 실제 전파천문 관측데이터에 대하여 상관처리 시험을 수행한 결과, 이전보다 개선된 신호대잡음비(SNR)와 향상된 전파세기를 얻을 수 있었다.

슬관절 통증 환자의 한의학적 치료 호전도와 BMI 와의 상관성 (The Correlation between Korean Medical Treatment on Knee Joint Pain and BMI)

  • 김상민;이순호;최지훈;김현중;구자성;장재원;이동현;유형진
    • 척추신경추나의학회지
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    • 제11권1호
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    • pp.65-74
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    • 2016
  • Objectives : This study was designed to assess the general distribution, clinical effectiveness of Korean medical treatment on knee pain and the correlation between Korean medical therapy on knee pain and BMI. Methods : This is an observational study. 65 patients admitted to Daejeon Jaseng Hospital of Korean Medicine with musculoskeletal disorders were observed from July, 2014 to July, 2015. They were analyzed according to sex, age, pain lesion, body mass index(BMI) and treatment efficacy. All patients received a combination of treatments during hospitalization, including acupuncture, pharmacopuncture, herbal medicines and physical therapy. A zero to ten numerating rating scale (NRS) assessing pain, Western Ontario and McMaster Universities Arthritis Index(WOMAC) index and Range of Motion(ROM) was used before and after treatments. Statistical correlations among assessment measurements were evaluated by examining the paired t-test and the Pearson's correlation coefficients. Results : The average BMI of all patients was $24.03{\pm}2.95kg/m^2$. According to clinical definition of obesity by Korean Society for the Study of Obesity, 33.8% of all patients was within normal weight, 1.5% was underweight, 33.8% was overweight, 24.6% was obesity and 6.2% was morbid obesity. For knee pain patients, NRS (Numeric Rating Scale) decreased from $6.28{\pm}1.63$ to $3.94{\pm}2.03$(p<0.001). WOMAC index decreased from $48.14{\pm}17.63$ to $40.37{\pm}18.28$(p<0.001). But, there were no significant correlations in statistics among BMI, knee pain index and knee pain index improvement. Conclusions : Korean medical combination treatment might be effective in reducing pain and improving functional disorders for patients with knee pain. This study further confirmed the efficacy of Korean medical treatment on knee pain. But, more studies on correlation between knee pain and obesity and development of assessment measurement are needed.

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초등학교 원로교사의 생활지도 경험에 관한 해석학적 탐구 (An Interpretive Inquiry into the Guidance Experiences of Senior Elementary Teachers)

  • 이정희
    • 초등상담연구
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    • 제7권1호
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    • pp.111-133
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    • 2008
  • The purpose of this study was closely to explore the guidance experiences of senior elementary teachers who have had over 30 years of teaching experiences in elementary school based on interpretive(or hermeneutic) inquiry. The entry research question was 'What are the guidance experiences of senior elementary teachers like?' Seven senior elementary teachers working for O elementary School in G city participated in this study voluntarily. Each participant was interviewed twice in a consecutive manner. 14 periods of interview were completed all together and each period took about 40-60 minutes. In conclusion, this study conceptualized the guidance experiences of the senior elementary teachers(participants) as follows: First, the concepts of guidance held by the participants were conceptualized as 1) supporting and caring activity helping students to lead joyful school life, 2) assisting activity helping students to grow on good basic life habits, 3) character building activity helping students to lead integrative growth. Second, the fields and contents of guidance held by the participants were conceptualized as basic life habits, manners, and health & safety. Interestingly, these concepts were evolved in connection with their personal, practical teaching experiences rather than in-service teacher education. Third, the guidance methods frequently used by the participants were co-work with parents, exemplary storytelling, counselling, and praise. The participants applied these methods differently according to the grade, individual difference, and school curriculum policy to some degree. Fourth, the participants have experienced a lot of struggles with students, teachers, and parents in doing their guidance practices throughout the whole teaching career. Their guidance experiences commonly shifted from more teacher-centered or authoritative to more student-centered or relational way as their teaching years accumulated. Interestingly, all the participants more or less lived as lifelong learners to create their own right space as senior teachers in today's competitive and challenging landscape. This study strongly suggests that responsible teacher education can playa great role of enabling senior teachers to cope with guidance issues successfully. Compared with the speedy social change, the teacher education in Korea had been so authoritative, provider-based, subject-based until recently and it have not met the needs and wants of the elementary teachers in field. This trend has significantly hindered them from catching up with the needs of the speedy social change in terms of contemporary guidance issues. This study is limited in that the data is solely collected based on interview. So, an observational research is strongly suggested in order to uncover the situated understanding of the guidance experiences of elementary senior teachers.

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