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Assessment of Two Clinical Prediction Models for a Pulmonary Embolism in Patients with a Suspected Pulmonary Embolism (폐색전증이 의심된 환자에서 두 가지 폐색전증 진단 예측 모형의 평가)

  • Park, Jae Seok;Choi, Won-Il;Min, Bo Ram;Park, Jie Hae;Chae, Jin Nyeong;Jeon, Young June;Yu, Ho Jung;Kim, Ji-Young;Kim, Gyoung-Ju;Ko, Sung-Min
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.4
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    • pp.266-271
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    • 2008
  • Background: Estimation of the probability of a patient having an acute pulmonary embolism (PE) for patients with a suspected PE are well established in North America and Europe. However, an assessment of the prediction rules for a PE has not been clearly defined in Korea. The aim of this study is to assess the prediction rules for patients with a suspected PE in Korea. Methods: We performed a retrospective study of 210 inpatients or patients that visited the emergency ward with a suspected PE where computed tomography pulmonary angiography was performed at a single institution between January 2005 and March 2007. Simplified Wells rules and revised Geneva rules were used to estimate the clinical probability of a PE based on information from medical records. Results: Of the 210 patients with a suspected PE, 49 (19.5%) patients had an actual diagnosis of a PE. The proportion of patients classified by Wells rules and the Geneva rules had a low probability of 1% and 21%, an intermediate probability of 62.5% and 76.2%, and a high probability of 33.8% and 2.8%, respectively. The prevalence of PE patients with a low, intermediate and high probability categorized by the Wells rules and Geneva rules was 100% and 4.5% in the low range, 18.2% and 22.5% in the intermediate range, and 19.7% and 50% in the high range, respectively. Receiver operating characteristic curve analysis showed that the revised Geneva rules had a higher accuracy than the Wells rules in terms of detecting PE. Concordance between the two prediction rules was poor ($\kappa$ coefficient=0.06). Conclusion: In the present study, the two prediction rules had a different predictive accuracy for pulmonary embolisms. Applying the revised Geneva rules to inpatients and emergency ward patients suspected of having PE may allow a more effective diagnostic process than the use of the Wells rules.

Development and Feasibility Study for Phase Contrast MR Angiography at Low Tesla Open-MRI System (저자장 자기공명영상 시스템에서의 위상대조도 혈관조영기법의 개발과 그 유용성에 대한 연구)

  • Lee, Dong-Hoon;Hong, Cheol-Pyo;Lee, Man-Woo;Han, Bong-Soo
    • Progress in Medical Physics
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    • v.23 no.3
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    • pp.177-187
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    • 2012
  • Magnetic resonance angiography (MRA) techniques are widely used in diagnosis of vascular disorders such as hemadostenosis and aneurism. Especially, phase contrast (PC) MRA technique, which is a typical non contrast-enhanced MRA technique, provides not only the anatomy of blood vessels but also flow velocity. In this study, we developed the 2- and 3-dimensional PC MRA pulse sequences for a low magnetic field MRI system. Vessel images were acquired using 2D and 3D PC MRA and the velocities of the blood flow were measured in the superior sagittal sinus, straight sinus and the confluence of the two. The 2D PC MRA provided the good quality of vascular images for large vessels but the poor quality for small ones. Although 3D PC MRA gave more improved visualization of small vessels than 2D PC MRA, the image quality was not enough to be used for diagnosis of the small vessels due to the low SNR and field homogeneity of the low field MRI system. The measured blood velocities were $25.46{\pm}0.73cm/sec$, $24.02{\pm}0.34cm/sec$ and $26.15{\pm}1.50cm/sec$ in the superior sagittal sinus, straight sinus and the confluence of the two, respectively, which showed good agreement with the previous experimental values. Thus, the developed PC MRA technique for low field MRI system is expected to provide the useful velocity information to diagnose the large brain vessels.

Sea Fog Level Estimation based on Maritime Digital Image for Protection of Aids to Navigation (항로표지 보호를 위한 디지털 영상기반 해무 강도 측정 알고리즘)

  • Ryu, Eun-Ji;Lee, Hyo-Chan;Cho, Sung-Yoon;Kwon, Ki-Won;Im, Tae-Ho
    • Journal of Internet Computing and Services
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    • v.22 no.6
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    • pp.25-32
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    • 2021
  • In line with future changes in the marine environment, Aids to Navigation has been used in various fields and their use is increasing. The term "Aids to Navigation" means an aid to navigation prescribed by Ordinance of the Ministry of Oceans and Fisheries which shows navigating ships the position and direction of the ships, position of obstacles, etc. through lights, shapes, colors, sound, radio waves, etc. Also now the use of Aids to Navigation is transforming into a means of identifying and recording the marine weather environment by mounting various sensors and cameras. However, Aids to Navigation are mainly lost due to collisions with ships, and in particular, safety accidents occur because of poor observation visibility due to sea fog. The inflow of sea fog poses risks to ports and sea transportation, and it is not easy to predict sea fog because of the large difference in the possibility of occurrence depending on time and region. In addition, it is difficult to manage individually due to the features of Aids to Navigation distributed throughout the sea. To solve this problem, this paper aims to identify the marine weather environment by estimating sea fog level approximately with images taken by cameras mounted on Aids to Navigation and to resolve safety accidents caused by weather. Instead of optical and temperature sensors that are difficult to install and expensive to measure sea fog level, sea fog level is measured through the use of general images of cameras mounted on Aids to Navigation. Furthermore, as a prior study for real-time sea fog level estimation in various seas, the sea fog level criteria are presented using the Haze Model and Dark Channel Prior. A specific threshold value is set in the image through Dark Channel Prior(DCP), and based on this, the number of pixels without sea fog is found in the entire image to estimate the sea fog level. Experimental results demonstrate the possibility of estimating the sea fog level using synthetic haze image dataset and real haze image dataset.

An Analysis of Elements in Yen-Ben Street That Form a Sense of Place as an Ethnic Enclave (소수민족집단체류지역(Ethnic Enclave)으로서의 옌볜거리의 장소성 형성 요인 분석)

  • Han, Sung-Mi;Im, Seung-Bin
    • Journal of the Korean Institute of Landscape Architecture
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    • v.36 no.6
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    • pp.81-90
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    • 2009
  • This study seeks those elements that form a sense of place in Yen-Ben Street, which represents a typical ethnic enclave in Seoul, to provide a basic resource in the creation of an urban landscape that can provide a positive space for cultural diversity. The results of the study can be summarized as follows: First, the element of a physical environment that develops a sense of place was in fact the poor dwellings that correspond to the economic condition of Korean Chinese. While this element has a negative cognition to outsiders, Korean Chinese feel positively toward it. Secondly, signboards were a physical element of sense of place which retains cultural identity as a means of communication inside the community. Thirdly, it was found that activities such as shopping, recreation, and the exchange of information that are found in the pursuit of daily life act as an essential element in the formation of a sense of place even more than architectural elements. Fourthly, the appropriation of space by Korean Chinese and the isolation from the surroundings were obvious. This isolation is perceived as a negative sense of place formation to outsiders in Yen-Ben Street. Fifthly, the aspects of cultural dualism, mingling the concepts of home country, language, writing, and food have also affected the formation of a sense of place in the area. Sixthly, transience was a prominent phenomenon of Yen-Ben Street and is strengthened by illegal immigration. Although transience causes negative impacts such as in a lack of concern for the residential environment, it acts as a positive factor in the sense of place by mitigating uneasiness, and strengthening insider ties and cooperation.

Content and Characteristics of Forest Cover Changes in North Korea (북한(北韓) 지역(地域) 산림면적(山林面積) 변화(變化)의 규모(規模)와 특성(特性))

  • Lee, Kyu-Sung;Joung, Mi-Reyoung;Yoon, Jung-Sook
    • Journal of Korean Society of Forest Science
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    • v.88 no.3
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    • pp.352-363
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    • 1999
  • It has been rare to obtain reliable information related to the size of forest land in North Korea. Several sources of forest statistics, ranging from the first map of forest distribution in Korean Peninsula produced in 1910 to official data reported by the North Korea Government in 1997, were gathered and analyzed to define the characteristics of forest cover changes over years. In addition, Landsat satellite data obtained from 1973 to 1993 were processed for the two study areas of the provinces of Pyungyang and Heasan, where the topography and land use pattern are significantly different each other. Using three sets of multitemporal Landsat imagery, land cover ma-ps were produced by computer classification. Although forest statistics reported before 1990 are somewhat inconsistent, they mere gradually decreasing over years. The estimates of 1991 satellite data and the recent statistics reported in 1998 shows very steep decline in forest lands as compared to the ones before 1990. The abrupt decrease of forest lands after 1990 was also found on the detailed analysis of Landsat data for the two study areas of Pyungyang and Heasan. The rapid decline of forest lands may have something to do with the poor economic situation of the country and the continuing natural disasters of severe flooding and drought. Unstocked forest, which was not classified into forest land, was a very distinct and pervasive land cover type that can be easily observed on satellite imagery. Since unstocked forest land in North Korea may be a critical factor for degrading environmental quality as well as for the continuing natural disasters, further analysis is necessary to define the exact extent and the physical characteristics of the cover type.

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Business Strategies for Korean Private Security-Guard Companies Utilizing Resource-based Theory and AHP Method (자원기반 이론과 AHP 방법을 활용한 민간 경호경비 기업의 전략 연구)

  • Kim, Heung-Ki;Lee, Jong-Won
    • Korean Security Journal
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    • no.36
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    • pp.177-200
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    • 2013
  • As we enter a high industrial society that widens the gap between the rich and poor, demand for the security services has grown explosively. With the growth in quantitative expansion of security services, people have also placed increased requirements on more sophisticated and diversified security services. Consequently, market outlook for private security services industry is positive. However, Korea's private security services companies are experiencing difficulties in finding a direction to capture this new market opportunity due to their small sizes and lack of management-strategic thinking skills. Therefore, we intend to offer a direction of development for our private security services industry using a management-strategy theory and the Analytic Hierarchy Process(AHP), a structured decision-making method. A resource-based theory is one of the important management strategy theories. It explains that a company's overall performance is primarily determined by its competitive resources. Using this theory, we could analyze a company's unique resources and core competencies and set a strategic direction for the company accordingly. The usefulness and validity of this theory has been demonstrated as it has often been subject to empirical verification since 1990s. Based on this theory, we outlined a set of basic procedures to establish a management strategy for the private security services companies. We also used the AHP method to identify competitive resources, core competencies, and strategies from private security services companies in contrast with public companies. The AHP method is a technique that can be used in the decision making process by quantifying experts' knowledge and unstructured problems. This is a verified method that has been used in the management decision making in the corporate environment as well as for the various academic studies. In order to perform this method, we gathered data from 11 experts from academic, industrial, and research sectors and drew distinctive resources, competencies, and strategic direction for private security services companies vis-a-vis public organizations. Through this process, we came to the conclusion that private security services companies generally have intangible resources as their distinctive resources compared with public organization. Among those intangible resources, relational resources, customer information, and technologies were analyzed as important. In contrast, tangible resources such as equipment, funds, distribution channels are found to be relatively scarce. We also found the competencies in sales and marketing and new product development as core competencies. We chose a concentration strategy focusing on a particular market segment as a strategic direction considering these resources and competencies of private security services companies. A concentration strategy is the right fit for smaller companies as a strategy to allow them to focus all of their efforts on target customers in a single segment. Thus, private security services companies would face the important tasks such as developing a new market and appropriate products for such market segment and continuing marketing activities to manage their customers. Additionally, continuous recruitment is required to facilitate the effective use of human resources in order to strengthen their marketing competency in a long term.

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A Comparative Study on the Knowledge of Oral Health between Dental Hygiene Students and Non-dental Hygiene Students (치위생과 학생 및 비치위생과 학생의 구강건강 인식에 관한 비교 연구)

  • Lee, Kyung-Hee;Gwon, Hyun-Jung;Youn, Hye-Jeong
    • Journal of dental hygiene science
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    • v.7 no.3
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    • pp.121-127
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    • 2007
  • The purpose of this study was to analyze college students basic knowledge of oral health of a college student and compare with the knowledge of oral health between dental hygiene students and non-dental hygiene students. A survey was conducted on the residents in Gyeonggi-do and Gwangju from June 2006 to May 2007. The findings of the study were as follows: 1. Concerning the knowledge of oral health, dental hygiene students got the source of information most frequently from school work about oral health(80.0%) and non-dental hygiene students got from health programs of TV or radio(42.7%). Concerning the reason of keeping of oral hygiene, dental hygiene students were to preventive of dental caries(80.9%) and nondental hygiene students were to preventive of periodontal disease(52.4%). There were significant difference between dental hygiene students and non-dental hygiene students(p < 0.001). 2. The knowledge degree of dental caries, to the both groups, methods of preventing caries appeared regular brush and main cause of dental caries was not to brush. There were significant difference between dental hygiene students and non-dental hygiene students(p < 0.001). 3. Dental hygiene students answered about the knowledge of fluoride know fluoride(93.6%) and non-dental hygiene students answered (55.3%). Dental hygiene students thought that fluoride could preventive dental caries(85.5%) but non-dental hygiene students thought that fluoride couldn't preventive dental caries(51.0%). There was significant difference between dental hygiene students and non-dental hygiene students(p < 0.001). 4. In the knowledge of oral health state, both of groups, replied that their own tooth state is average but they concerned about their tooth health. There was significant difference between dental hygiene students and non-dental hygiene students(p < 0.001). About main cause of dental caries, students ranked that the first reason was the poor toothbrush and the second reason was the over intaking of sugared foods. 5. About knowledge of oral diagnosis, to both groups, students ranked that first could endure the pain and the second was in much pain. For both groups, students ranked that difficult of dental treatment was cost, fear and time. There was significant difference between dental hygiene students and non-dental hygiene students(p < 0.01). For both groups, when they visit dentist's office, they felt misgivings and fear.

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Newly Revised Lung Cancer Staging System and Survival in Non-Small Cell Lung Cancer Patients (새로 개정된 폐암 병기 판정에 따른 비소세포폐암 환자의 생존 분석)

  • Kim, Byeong-Cheol;Moon, Doo-Seop;Yoon, Su-Mi;Yang, Seok-Chul;Yoon, Ho-Yoo;Shin, Dong-Ho;Park, Sung-Soo;Lee, Jung-Hee
    • Tuberculosis and Respiratory Diseases
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    • v.47 no.3
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    • pp.339-346
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    • 1999
  • Background : Non-small cell lung carcinoma is a common tumor with a poor prognosis. Of all malignancies, it is the main cause of death for male and female patients in the Western world. Resection remains the most effective treatment when feasible. Accurate description and classification of the extent of cancer growth are important in planning treatment, estimating prognosis, evaluating end results of therapy, and exchanging information on human cancer research. Until effective systemic therapy is available for non-small cell lung cancer, development of new treatment strategies depends on knowledge of the end results achieved for carefully staged groups of patients in the lung cancer populations. For these reasons, we investigated the survival rate in radically resected non-small cell lung cancer patients by newly revised staging system adopted by the American Joint Committee on Cancer and the Union Internationale Contre le Cancer. Methods: Clinical, surgical-pathologic and follow-up informations on 84 consecutive, previously untreated, patients who received their primary treatment for non-small cell lung cancer were investigated. Staging definitions for the T(primary tumor), N(reginal lymph node), and M(distant metastasis) components were according to the International Staging System for Lung Cancer. Death from any causes was the primary target of the evaluation. Results: The median survival rates were as follows; stage I ;79.1 months, stage II ;47.3 months, stage IIIa; 22.7 months, stage IIIb; 16.1 months, and stage IV;15.2 months versus newly revised stage Ia;58.5 months, stage I b;76.0 months, stage IIa; not available, stage IIb;43.0 months, stage IIIa;22.5 months, stage IIIb; 16.1 months, and stage IV;15.2 months. The survival rates were not significantly different between old and newly revised staging system. Cumulative percent survival at 36months after treatment was 100% in stage Ia, 80% in stage Ib, not available in stage IIa, 26 % in stage IIb, and 21 % in stage m a respectively. Conclusions: Although these data were not significantly different statistically, the newly revised lung cancer staging system might be more promising for the accurate evaluation of the prognosis in the non-small cell lung caner patients.

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Evaluation of the Fiber Separation Method and Differences in the Storage Root Fiber Content among Sweetpotato (Ipomoea batatas L.) Varieties (고구마 괴근의 섬유질 분리 조건 탐색 및 품종별 섬유질 함량 차이)

  • Won Park;Im been Lee;Mi Nam Chung;Hyeong-Un Lee;Tae Hwa Kim;Kyo Hwui Lee;Sang Sik Nam
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.68 no.1
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    • pp.20-26
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    • 2023
  • Fiber content in the storage roots of sweetpotato varies between different varieties. For examples, the high fiber content of certain types has a poor texture when steamed or roasted. This study was conducted to evaluate the optimal sieve mesh size for separating fibers, the chemical composition of fibers and differences in fiber content among different varieties. We found that the separated fiber content (dry weight) of mashed and steamed sweetpotato was higher after washing three times (143.3 mg/100 g) compared with that washed five times (128.4 mg/100 g). The Hogammi variety remained 85.9% of total fiber content at 10 mesh (2,000 ㎛) and 9.6% of total fiber content at 30 mesh (600 ㎛), and Jinyulmi remained 74.9 and 16.7% of total fiber content , respectively. Therefore, a 30 mesh sieve was considered the most suitable for fiber separation. Among the 10 studied cultivars, Jinhongmi showed the lowest amount of fiber (24.8 mg/100 g) and Hogammi had the highest amount (111.4 mg/100 g), which was 4.5 times larger than that of Jinhongmi. Cellulose, hemicellulose and lignin content of separated fibers showed no difference between the viscous-type Hogammi and powdery-type Jinyulmi varieties, with averages of 32.5, 22.3 and 29.6%, respectively. Correlation results using the Image J program showed a significant correlation between the distribution of the stained area and the fiber content (R = 0.74, p < 0.05). Staining distribution differed among varieties, suggesting that a simple fiber content test could be performed using the staining method on raw sweetpotato. These results provide useful information to help inform farmers on the fiber content of different sweetpotato varieties.

A Comparative Study on Recognition of Home Economics Curriculum between Alternative and General School Students - Middle Schools in Gyeonggi Province - (대안학교와 일반학교 학생들의 가정교과 인식에 관한 비교 연구 - 경기지역 중학교를 중심으로 -)

  • Ha, Yunmyoung;Lee, Jongyi;Lee, Joonho
    • Journal of Korean Home Economics Education Association
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    • v.24 no.4
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    • pp.39-58
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    • 2012
  • This study was practiced to compare educational status and recognition of Home Economics curriculum between alternative and general middle school students. The survey was conducted to 130 alternative school students and 241 general school students in Gyeonggi province. In students' satisfaction on their school, there is appeared the highest at 'average'(38.6%) in general schools and 'satisfied'(40.8%) in alternative schools, showing that those in alternative schools have greater satisfaction on their schools(p<0.001). In the degree of recognition on Home Economics curriculum, the perception as an 'important subject' was average of 3.08/5 points in general school and 3.32/5 points in alternative school, indicating that the recognition in alternative schools was higher than general ones(p<0.05). Also, degree of satisfaction on practice and lecture class was higher in alternative than general schools. However, it was found that the use of audiovisual learning material in alternative schools was much smaller than that of general ones, and the former had poor facilities and practice labs. Regarding degrees of interest in Home Economics curriculum, 'average'(36.9%) in general school and 'rather interested in the subject'(38.5%) in alternative schools were most common. About the opinion that they needed to learn Home Economics subject, the answer 'it is needed' was 67.6% in general schools and 79.2% in alternative ones, presenting that the students in alternative schools more felt the need to learn the subject(p<0.05). Regarding the comparison of interest level for each area in Home Economics curriculum according to gender, there was only difference on the area of 'preparation and management for clothing'. On the area, the degree of interest was higher in girls than boys at all the schools(p<0.05). Therefore, in alternative schools, it is suggested that various uses of audiovisual learning materials at teaching and expansion of practice facilities should be provided and created desirable Home Economics class. Also in general schools, it is urgent that countermeasures to increase the practice classes are established in order to improve interest and satisfaction of Home Economics education.

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