• Title/Summary/Keyword: severity assessment

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Classifying meteorological drought severity using a hidden Markov Bayesian classifier

  • Sattar, Muhammad Nouman;Park, Dong-Hyeok;Kwon, Hyun-Han;Kim, Tae-Woong
    • Proceedings of the Korea Water Resources Association Conference
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    • 2019.05a
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    • pp.150-150
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    • 2019
  • The development of prolong and severe drought can directly impact on the environment, agriculture, economics and society of country. A lot of efforts have been made across worldwide in the planning, monitoring and mitigation of drought. Currently, different drought indices such as the Palmer Drought Severity Index (PDSI), Standardized Precipitation Index (SPI), Standardized Precipitation Evapotranspiration Index (SPEI) are developed and most commonly used to monitor drought characteristics quantitatively. However, it will be very meaningful and essential to develop a more effective technique for assessment and monitoring of onset and end of drought. Therefore, in this study, the hidden Markov Bayesian classifier (MBC) was employed for the assessment of onset and end of meteorological drought classes. The results showed that the probabilities of different classes based on the MBC were quite suitable and can be employed to estimate onset and end of each class for meteorological droughts. The classification results of MBC were compared with SPI and with past studies which proved that the MBC was able to account accuracy in determining the accurate drought classes. For more performance evaluation of classification results confusion matrix was used to find accuracy and precision in predicting the classes and their results are also appropriate. The overall results indicate that the MBC was effective in predicating the onset and end of drought events and can utilized for monitoring and management of short-term drought risk.

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Four Cases of the Patients with the Groin, Inner thigh Eczema Treated with Sihochunggan-tang gagambang (柴胡淸肝湯加減方으로 호전된 사타구니, 대퇴내측 습진 환자 4례 증례 보고)

  • Cho, Jae-Myung;Ko, Young-Hyup;Park, Seon-Jeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.28 no.3
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    • pp.161-172
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    • 2015
  • Objective: The purpose of this study is to report the effectiveness of Sihochunggan-tang gagambang in the four patients with eczema ongroin, inner thigh.Methods: This case study was conducted for four groin, inner thigh eczema patients who have visited Korean Medicine Clinic. Sihochunggan-tang gagambang was prescribed to all four patients and evaluated the symptom change through photographs and two assessment methods. The assessment methods are Atopic Dermatitis Severity Index(ADSI) and Visual Analogue Scale(VAS). ADSI was used to evaluate the objective symptom change and VAS was used to evaluate the subjective symptom change.Results & Conclusion: The ADSI and VAS were decreased compared to the first in all four patients in our study. And most symptoms of four patients were improved. As a result of examining ADSI, VAS scores and photographs, Sihochunggan-tang gagambang can be effective on the groin, inner thigh eczema in four cases in our study.

Effects of a Bilateral upper Limb Training Program Using a Visual Feedback Method on Individuals with Chronic Stroke: A Pilot Clinical Trial

  • Kang, Dongheon;Park, Jiyoung;Choi, Chisun;Eun, Seon-Deok
    • International Journal of Contents
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    • v.17 no.2
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    • pp.20-31
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    • 2021
  • This study aimed to pilot test a newly developed bilateral upper limb rehabilitation training program for improving the upper limb function of individuals with chronic stroke using a visual feedback method. The double-group pretest-posttest design pilot study included 10 individuals with chronic stroke (age >50 years). The intervention (four weekly meetings) consisted of five upper limb training protocols (wrist extension; forearm supination and pronation; elbow extension and shoulder flexion; weight-bearing shift; and shoulder, elbow, and wrist complex movements). Upper limb movement function recovery was assessed with the FuglMeyer Assessment of the Upper Extremity, the Wolf Motor Function Test, the Trunk Control Test, the modified Ashworth Scale, and the visual analog scale at baseline, immediately after, and four weeks after the intervention. The Fatigue Severity Scale was also employed. The Fugl-Meyer Assessment of the Upper Extremity and Wolf Motor Function Test showed significant improvement in upper limb motor function. The Trunk Control Test results increased slightly, and the modified Ashworth Scale decreased slightly, without statistical significance. The visual analog scale scores showed a significant decrease and the Fatigue Severity Scale scores were moderate or low. The bilateral upper limb training program using the visual feedback method could result in slight upper limb function improvements in individuals with chronic stroke.

A Review of Assessment Tools in Traditional Medicine on the High Frequent Skin Diseases (다빈도 피부질환에 대한 국내외 한의학 논문에서 평가도구 사용현황에 대한 고찰)

  • Park, So-Young;Kang, Min-Seo;Kim, Min-Hee;Kwak, Jae-Young;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.4
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    • pp.31-41
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    • 2018
  • Objectives : The purpose of this study is to establish the basis of the assessment tools that can be used for the diagnosis and assessment of skin diseases by reviewing the present status of the assessment tools used in domestic and overseas traditional medicine papers for the past five years. Methods : This study is based on analysis of papers on clinical trials about atopic dermatitis, psoriasis, acne, urticaria published from 1st July 2013 to 30th June 2018. The papers were searched from Oriental Medicine Advanced Searching Integrated System(OASIS), Korean Traditional Knowledge Portal(KTKP), Pubmed, MEDLINE. Results : 40 articles on atopic dermatitis, 34 articles on psoriasis, 26 articles on acne and 10 articles on urticaria were selected. Among them, 38 articles(90%), 20 articles(85%), 22 articles(85%) and 5 articles(50%) used assessment tools in order. Conclusions : SCoring Atopic Dermatitis(SCORAD), objective SCORing of Atopic Dermatitis index(OSI), Eczema Area and Severity Index(EASI) were used in studies on atopic dermatitis. In the case of psoriasis, The Psoriasis Area and Severity Index(PASI) was used in most papers. In the study on acne, most of Korean papers used Korean Acne Grading System(KAGS), but in the overseas papers, various assessment tools were used. In the case of urticaria, the rate of use of the assessment tool was the lowest, but the assessment tool used was unified by Urticaria Activity Score(UAS). Since skin diseases can cause stress and a decrease in quality of life, the quality of life should be taken into account when evaluating treatment effects.

Assessment of the Initial Risk Factors for Mortality among Patients with Severe Trauma on Admission to the Emergency Department

  • Park, Hyun Oh;Choi, Jun Young;Jang, In Seok;Kim, Jong Duk;Choi, Jae Won;Lee, Chung Eun
    • Journal of Chest Surgery
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    • v.52 no.6
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    • pp.400-408
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    • 2019
  • Background: For decades, trauma has been recognized globally as a major cause of death. Reducing the mortality of patients with trauma is an extremely pressing issue, particularly for those with severe trauma. An early and accurate assessment of the risk of mortality among patients with severe trauma is important for improving patient outcomes. Methods: We performed a retrospective medical record review of 582 patients with severe trauma admitted to the emergency department between July 2011 and June 2016. We analyzed the associations of in-hospital mortality with the baseline characteristics and initial biochemical markers of patients with severe trauma on admission. Results: The overall in-hospital mortality rate was 14.9%. Multivariate logistic regression analysis showed that the patient's Rapid Emergency Medicine Score (REMS; odds ratio [OR], 1.186; 95% confidence interval [CI], 1.018-1.383; p=0.029), Emergency Trauma Score (EMTRAS; OR, 2.168; 95% CI, 1.570-2.994; p<0.001), serum lactate levels (SLL; OR, 1.298; 95% CI, 1.118-1.507; p<0.001), and Injury Severity Score (ISS; OR, 1.038; 95% CI, 1.010-1.130; p=0.021) were significantly associated with in-hospital mortality. Conclusion: The REMS, EMTRAS, and SLL can easily and rapidly be used as alternatives to the injury severity score to predict in-hospital mortality for patients who present to the emergency department with severe trauma.

Assessment of Health-Related Quality of Life among Patients with Panic Disorder Using EuroQol in Korea (EuroQol 도구로 측정한 성인 공황장애 환자의 건강관련 삶의 질 수준)

  • Son, Myoung-Ha;Byun, Keum-Ryung;Choi, Byung-Hwi;Woo, Jong-Min
    • Anxiety and mood
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    • v.8 no.1
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    • pp.9-15
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    • 2012
  • Objectives : The purpose of this study was to assess the health-related quality of life (HRQoL) for patients with panic disorder using EQ-5D and EQ-VAS, and to examine the relationship between health-related quality of life and clinical outcomes following treatment. Methods : 29 patients with panic disorder were recruited from the Seoul Metropolitan area and 20 patients were followed up after two months of outpatient treatment. The Panic Disorder Severity Scale (PDSS) was used to assess the severity of the panic disorder and the changes in symptoms. HRQoL was assessed with EQ-5D and EQ-VAS at baseline and at two months of treatment. Results : All enrolled panic disorder patients showed significantly impairment of HRQoL in view of the subscales of EQ-5D, EQ-VAS index scores. The severity of PDSS was correlated the HRQoL in the panic patients. After treatment, the EQ-5D, EQ-VAS index scores showed significant improvement. Conclusion : Panic disorder patients suffer from lower HRQoL as well as from symptoms of the disorder. They showed clinical improvement and a restored HRQoL with treatment. These outcomes suggest using the EQ-5D, EQ-VAS such as the HRQoL in the assessment of patients with panic disorder is essential.

A Study on Vulnerability Severity Evaluation Considering Attacker Skill Level Based on Time Series Characteristics (시계열 특성 기반의 공격자 기술 수준을 고려한 취약점 심각도 평가 방안 연구)

  • Seong-Su Yoon;Ieck-chae Euom
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.33 no.2
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    • pp.281-293
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    • 2023
  • Industrial control systems (ICS) are increasingly targeted by security incidents as attackers' knowledge of ICS characteristics grows and their connectivity to information technology expands. Vulnerabilities related to ICS are growing rapidly, but patching all vulnerabilities in a timely manner is challenging. The common vulnerability assessment system used to patch vulnerabilities has limitations as it does not consider weaponization after discovery. To address this, this study defines criteria for classifying attacker skill levels based on open information including operating technology and vulnerability information in ICS. The study also proposes a method to evaluate vulnerability severity that reflects actual risk and urgency by incorporating the corresponding attribute in the existing severity score calculation. Case studies based on actual accidents involving vulnerabilities were conducted to confirm the effectiveness of the evaluation method in the ICS environment.

Reliability of Coronary Artery Calcium Severity Assessment on Non-Electrocardiogram-Gated CT: A Meta-Analysis

  • Jin Young Kim;Young Joo Suh;Kyunghwa Han;Byoung Wook Choi
    • Korean Journal of Radiology
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    • v.22 no.7
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    • pp.1034-1043
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    • 2021
  • Objective: The purpose of this meta-analysis was to investigate the pooled agreements of the coronary artery calcium (CAC) severities assessed by electrocardiogram (ECG)-gated and non-ECG-gated CT and evaluate the impact of the scan parameters. Materials and Methods: PubMed, EMBASE, and the Cochrane library were systematically searched. A modified Quality Assessment of Diagnostic Accuracy Studies-2 tool was used to evaluate the quality of the studies. Meta-analytic methods were utilized to determine the pooled weighted bias, limits of agreement (LOA), and the correlation coefficient of the CAC scores or the weighted kappa for the categorization of the CAC severities detected by the two modalities. The heterogeneity among the studies was also assessed. Subgroup analyses were performed based on factors that could affect the measurement of the CAC score and severity: slice thickness, reconstruction kernel, and radiation dose for non-ECG-gated CT. Results: A total of 4000 patients from 16 studies were included. The pooled bias was 62.60, 95% LOA were -36.19 to 161.40, and the pooled correlation coefficient was 0.94 (95% confidence interval [CI] = 0.89-0.97) for the CAC score. The pooled weighted kappa of the CAC severity was 0.85 (95% CI = 0.79-0.91). Heterogeneity was observed in the studies (I2 > 50%, p < 0.1). In the subgroup analysis, the agreement between the CAC categorizations was better when the two CT examinations had reconstructions based on the same slice thickness and kernel. Conclusion: The pooled agreement of the CAC severities assessed by the ECG-gated and non-ECG-gated CT was excellent; however, it was significantly affected by scan parameters, such as slice thickness and the reconstruction kernel.

An Assessment of Electric Shock Hazard by Safety Criteria Using Graphical Method (그래프법을 이용한 안전기준에 의한 감전위험성 평가)

  • 김두현;강동규
    • Journal of the Korean Society of Safety
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    • v.16 no.3
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    • pp.53-60
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    • 2001
  • This paper presents a graphical method for hazard assessment of electric shock by safety criteria. For the human body to be safety actual body current should not exceed safety criteria, i.e. allowable body current. The assessment method presented in this paper is based m the safety criteria of the IEEE Standard 80 as well as the IEC 479-1. The hazard can be assessed in terms of alterable touch voltages instead of alterable body current. Thus, the hazard assessment of given electric shock condition is referred to a procedure by which the actual touch voltages are compared with the allowable (safe) touch voltages. Since the IEC 479-1 safety criteria are nonlinear, the graphical method is presented for the hazard assessment. Body current and body voltage are calculated with the allowable touch voltage. A comparison of the safety criteria of two widely accepted standards, i.e. the IEEE Std 80 End the IEC 479-1 is proposed. Also Thevenin equivalent resistance is obtained from electric shock model expressed by two-port earth-grid-foot system. On the basis of calculated results, the allowable touch voltage, the body current and the body voltage we can conduct the hazard or safety assessment and estimate the severity of electric shock.

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A Risk Assessment Approach to Safety Management of Electric Railway Facilities (전기철도 전철전력설비의 위험도 평가 기반 안전관리에 관한 연구)

  • Jang, Yoon-Suk;Choi, Kyu-Hyoung
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.58 no.5
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    • pp.960-967
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    • 2009
  • Power supply system of electric railway has a diversity of safety problems since it should supply high electric power to the trains moving high speed with a lot of passengers on board. This paper provides a risk assessment approach to safety management of the electric railway facilities. Construction of database from field accident information, risk assessment and management of the risk are carried out systematically to ensure the safety. The risk assessment includes hazard identification, cause analysis by FTA(Fault Tree Analysis), consequence analysis by EVA(Event Tree Analysis), and loss analysis. In terms of the severity and the probability of the accidents deduced by these analyses, the risk of the accidents is assessed by using a risk matrix designed for electric railway facilities. Based on the risk assessment, possible risk mitigation options are identified and evaluated by analyzing their impact on the risk reduction and their cost benefit ratio. The long-term safety of the electric railway facilities can be ensured by renewal of the risk assessment and the risk mitigation option analysis with continuous accident database update. The proposed approach is applied to the electric railway facilities of Korean railway based on the accident data from 2002 to 2008.