• Title/Summary/Keyword: severity threshold

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아토피 피부염 치험 2례 (Two Cases of Atopic Dermatitis)

  • 심은기;안찬근;두인선;황충연
    • 한방안이비인후피부과학회지
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    • 제18권2호
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    • pp.109-117
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    • 2005
  • Atopic Dermatitis is chronic eczematous dermatosis which is related strongly to a family history of atopic disease and hereditary disposition. Its threshold of itching is low so that severe itching occurs and causes secondary eczema. The purpose of this study was to estimate the efficiency of oriental medical treatment and management on atopic Dermatitis. We studied 2 patients who visited Wonkwang University Kwangju Oriental Hospital Dept. of Dermatol. with atopic dermatitis from April 2004 to February 2005. We treated him with herb-medication, acupuncture, negative therapy, full spectrum visible ray therapy(by carbon arc). We used the ADSI(Atopic Dermatitis Severity Index) to assess the severity of atopic dermatitis. The grade of the severity of atopic dermatitis was lower only by the traditional chinese medical treatments and management. Considering the above result, more study is needed the factors of increasing severity of atopic dermatitis, and the clinical interchange or atopic Dermatitis between oriental medicine and western medicine.

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임계수준 방법을 이용한 하천수 가뭄지수의 적용 (Application of Streamflow Drought Index using Threshold Level Method)

  • 성장현;정은성
    • 한국수자원학회논문집
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    • 제47권5호
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    • pp.491-500
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    • 2014
  • 하천수 가뭄을 평가하기 위하여 임계수준 방법을 이용한 하천수 가뭄지수 (streamflow drought index)를 소개하고 섬진강댐의 유입량을 대상으로 적용하였다. 사용한 임계수준은 고정, 월별 및 일별로써 연도별 가뭄의 1~3순위 분석결과, 1984년, 1988년과 1995년이 수문학적 가뭄의 크기도 컸고 오랫동안 지속되었다. 총 물 부족량과 지속기간의 극한값을 연도별로 비교해 본 바, 1984년, 1988년, 1995년과 2001년에 발생하였던 사상이 심각한 수준이었다. 또한 고정 임계수준은 계절 변동성을 반영하지못하는 단점이 있어서 최소한계절 이하의 임계수준 사용이 요구되었지만 월별과 일별로 정해진 임계수준은 적정한 것으로 판단되었다. 본 연구에서 제안한 방법론은 갈수예보 및 저수지 용량결정에 활용될 수 있겠다.

선택실험법을 이용한 의약품 급여결정기준에 대한 선호분석 (Eliciting stated preferences for drugs reimbursement decision criteria in South Korea)

  • 임민경;배은영
    • 보건행정학회지
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    • 제19권4호
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    • pp.98-120
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    • 2009
  • The purpose of this study is to elicit preference for drug listing decision criteria and to estimate the ICER threshold in South Korea using the discrete choice experiment (DCE) method. To collect the data, a DCE survey was administered to a subject sample either educated in the principle concepts of pharmacoeconomics or were decision makers within that field. Subjects chose between alternative drug profiles differing in four attributes: ICER, uncertainty, budget impact and severity of disease. The orthogonal and balanced designs were determined through computer algorithm to take the optimal set of drug profiles. The survey employed 15 hypothetical choice sets. A random effect probit model was used to analyze the relative importance of attributes and the probabilities of a recommendation response. Parameter estimates from the models indicated that three attributes (ICER, Impact, Severity of disease) influenced respondents' choice significantly(p${\pm}$0.001). In addition, each parameter displayed an expected sign. The Lower the ICER, the higher the probability of choosing that alternative. Respondents also preferred low levels of uncertainty and smaller impact on health service budget. They were also more likely to choose drugs for serious diseases rather than mild or moderate ones. Uncertainty however is not statistically significant. The ICER threshold, at which the probability of a recommendation was 0.5, was 29,000,000 KW/QALY in expert group and 46,500,000 KW/QALY in industry group. We also found that those in our sample were willing to accept high ICER to get medication for severe diseases. This study demonstrates that the cost-effectiveness, budget impact and severity of disease are the main reimbursement decision criteria in South Korea, and that DCE can be a useful tool in analyzing the decision making process where a variety of factors are considered and prioritized.

운전능력에 연관된 인적특성의 연령 임계점 연구 (Identification of Age Threshold for Driving Performance)

  • 김태호;고준호;원제무;허억
    • 한국안전학회지
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    • 제23권3호
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    • pp.71-78
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    • 2008
  • This study aims to identity the age group where driving performance significantly decreases based on the data collected from the Korea Transportation Safety Authority's driver aptitude tests in 2006. The test includes following six driving simulator-based tests: estimation of moving objects' speed, estimation of stopping distance, three tests for drivers' multi-task ability, and kinetic depth perception. These six test results were utilized for the identification of the age threshold applying the CART technique, suggesting driving ability significantly be decreased over 50s. This finding was confirmed by two analyses using the accident history data containing the information of accident and non-accident drivers and the degree of accident severity. The results of this study imply that accident prevention efforts should be enhanced over a wider range of age group than the current practice where the age of 65 is generally applied for the threshold dividing senior and non-senior driver groups.

충격흡수시설의 탑승자보호 성능평가 기준에 관한 연구 (A Study on the Injury Criteria of the Occupant Protection Performance of Crush Cushions)

  • 임재문;정근섭
    • 한국자동차공학회논문집
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    • 제16권2호
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    • pp.49-57
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    • 2008
  • The performance of crash cushion systems is certified through the full scale crash tests by the standard for installation and maintenance guidelines for roadside safety appurtenance. The impact severities of impacting vehicles in collision with crash cushion systems are rated by indices THIV and PHD. Crash test results are considered to study the performance of three crash cushion systems. In case of the frontal impact or the offset frontal impact, the results show that THIV values of three systems are very close to the threshold limit for the occupant protection. Also, the results show that PHD would be improper for the occupant protection performance index. In order to improve the occupant protection performance of crash cushions, ASI needs to be included in the impact severity index.

Structural damage identification of truss structures using self-controlled multi-stage particle swarm optimization

  • Das, Subhajit;Dhang, Nirjhar
    • Smart Structures and Systems
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    • 제25권3호
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    • pp.345-368
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    • 2020
  • The present work proposes a self-controlled multi-stage optimization method for damage identification of structures utilizing standard particle swarm optimization (PSO) algorithm. Damage identification problem is formulated as an inverse optimization problem where damage severity in each element of the structure is considered as optimization variables. An efficient objective function is formed using the first few frequencies and mode shapes of the structure. This objective function is minimized by a self-controlled multi-stage strategy to identify and quantify the damage extent of the structural members. In the first stage, standard PSO is utilized to get an initial solution to the problem. Subsequently, the algorithm identifies the most damage-prone elements of the structure using an adaptable threshold value of damage severity. These identified elements are included in the search space of the standard PSO at the next stage. Thus, the algorithm reduces the dimension of the search space and subsequently increases the accuracy of damage prediction with a considerable reduction in computational cost. The efficiency of the proposed method is investigated and compared with available results through three numerical examples considering both with and without noise. The obtained results demonstrate the accuracy of the present method can accurately estimate the location and severity of multi-damage cases in the structural systems with less computational cost.

서비스실패 회복을 위한 복합적 보상 믹스 연구 : 재서비스와 보상적 할인을 중심으로 (A Theoretical Study of Service Recovery Strategies)

  • 김현식
    • 서비스연구
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    • 제7권4호
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    • pp.109-126
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    • 2017
  • 효과적인 서비스실패 회복 전략을 모색하는 기업이 증가하면서 복합적 서비스회복 전략을 사용하는 기업이 종종 목격되고 있다. 그런데 서비스실패 회복 전략에 관한 대부분의 연구는 단일 회복 전략에 집중하고 있어 현실 세계에서 목격되고 있는 보상적 할인과 재서비스 등 서로 다른 비용구조를 지닌 복합적 서비스회복 전략을 충분히 조명하지 못하고 있다. 이러한 문제의식을 토대로, 이 연구에서는 기존고객에 대한 인센티브를 조명한 Biyalogorsky, Gerstner, and Libai(2001) 모형을 서비스실패 회복 인센티브를 조명한 Zhu, Sivakumar, and Parasuraman(2004) 모형과 접목한 게임모형을 통해 서비스실패 상황에서 서비스회복을 위한 보상적 할인과 재서비스 등 서로 다른 인센티브의 적절한 배합구조는 어떻게 형성하는 것이 유리한지, 서비스실패 심각성이나 재구매에 필요한 최소만족요구수준이 달라질 때 이러한 균형은 어떤 영향을 받게 되는지 등을 살펴보는 이론적 연구를 시도하였다. 이 연구의 주요 발견점은 다음과 같다: (1)서비스업체는 서비스실패 회복 전략으로 보상적 할인과 재서비스 함께 고려함으로써 이윤을 증대시킬 수 있다. (2)서비스업체가 서비스실패 회복을 통해 고객 유지를 도모하는 경우, 서비스실패 심각성이 일정 수준 이하일 때는 서비스실패에 따른 효용감소가 심할수록 보상적 할인과 재서비스 수준을 늘리는 것이 바람직하지만, 서비스 실패 심각성이 일정 수준 이상일 때는 서비스실패에 따른 효용감소가 심할수록 보상적 할인만 늘리고 재서비스 수준은 줄이는 것이 바람직하다. (3)고객 유지에 필요한 최소만족수준이 높을수록 총 보상 수준을 높이되, 총 보상 중 보상적 할인 비중을 높이는 것이 바람직하다.

사이버공격 심각도 평가방법론 연구 (A Study on the Cyber Attack Severity Assessment Methodology)

  • 배선하;유영인;김소정
    • 정보보호학회논문지
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    • 제31권6호
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    • pp.1291-1307
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    • 2021
  • 국가 배후의 사이버공격 활동이 갈수록 증가하고 있으며, 국가 배후의 사이버공격은 개인 및 민간단체의 공격에 비해 규모와 영향이 커서 국가안보를 위협하고 있다. 이에 미국·영국을 비롯한 주요국과 EU·OECD 등 국제기구는 사이버공격에 대해 비례적 대응을 권고하고 있다. 우리나라도 2019년에 국가사이버안보전략을 발표하고, 사이버공격에 대한 억지력 확보를 위한 능동적 대응 의지를 밝혔다. 그러나 이후 관련된 정책이나 제도가 마련된 적이 없으며, 사이버공격 발생 시 비례적 대응을 위한 심각도 평가 및 대응방안이 미비한 상황이다. 본 논문에서는 국가 차원에서 사이버공격에 대한 대외 대응기준을 마련하고, 대응 시 비례적 대응이 가능하도록 피해의 규모와 영향을 측정할 수 있는 방법론을 제안한다. 또한, 제안하는 심각도 평가방법론을 이용해 한국 공격사례에 대해 심각도 평가를 수행하였으며, 평가결과를 기반으로 한국의 사이버위협 동향 및 심각도별 사이버공격 대응방안을 분석하였다.

식·의약 위해 감시체계(K-RISS)의 우선순위 평가를 위한 시계열 구조변화 기반 기준선 설정 모델 개발 (Development of a Baseline Setting Model Based on Time Series Structural Changes for Priority Assessment in the Korea Risk Information Surveillance System (K-RISS))

  • 진현정;허성윤;이헌주;장보윤
    • 한국환경보건학회지
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    • 제50권2호
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    • pp.125-137
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    • 2024
  • Background: The Korea Risk Information Surveillance System (K-RISS) was developed to enable the early detection of food and drug safety-related issues. Its goal is to deliver real-time risk indicators generated from ongoing food and drug risk monitoring. However, the existing K-RISS system suffers under several limitations. Objectives: This study aims to augment K-RISS with more detailed indicators and establish a severity standard that takes into account structural changes in the daily time series of K-RISS values. Methods: First, a Delphi survey was conducted to derive the required weights. Second, a control chart, commonly used in statistical process controls, was utilized to detect outliers and establish caution, attention, and serious levels for K-RISS values. Furthermore, Bai and Perron's method was employed to determine structural changes in K-RISS time series. Results: The study incorporated 'closeness to life' and 'sustainability' indicators into K-RISS. It obtained the necessary weights through a survey of experts for integrating variables, combining indicators by data source, and aggregating sub K-RISS values. We defined caution, attention, and serious levels for both average and maximum values of daily K-RISS. Furthermore, when structural changes were detected, leading to significant variations in daily K-RISS values according to different periods, the study systematically verified these changes and derived respective severity levels for each period. Conclusions: This study enhances the existing K-RISS system and introduces more advanced indicators. K-RISS is now more comprehensively equipped to serve as a risk warning index. The study has paved the way for an objective determination of whether the food safety risk index surpasses predefined thresholds through the application of severity levels.

Changes in Dermatomal Somatosensory Evoked Potentials according to Stimulation Intensity and Severity of Carpal Tunnel Syndrome

  • Sohn, Soo-Youn;Seo, Jeong-Hwan;Min, Yong;Seo, Min-Ho;Eun, Jong-Pil;Song, Kyung-Jin
    • Journal of Korean Neurosurgical Society
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    • 제51권5호
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    • pp.286-291
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    • 2012
  • Objective : To investigate the change of latency of cervical dermatomal somatosensory evoked potential (DSEP) according to stimulation intensity (SI) and severity of carpal tunnel syndrome (CTS). Methods : Stimulation sites were the C6, C7, and C8 dermatomal areas. Two stimulation intensities $1.5{\times}$sensory threshold (ST) and $2.5{\times}ST$ were used on both normal and CTS patients. Results : In moderate CTS, the latencies of C6 and C7 DSEP during $1.5{\times}ST$ SI and those of C7 DSEP during $2.5{\times}ST$ SI were significantly delayed compared with the values of normal subjects. Significant correlation between the latency of C7 DSEP of $2.5{\times}ST$ stimulation and the median sensory nerve conduction velocity was observed. Conclusion : We suggest that these data can aid in the diagnosis of cervical sensory radiculopathy using low stimulation intensity and of those who have cervical sensory radiculopathy combined with CTS patients.