• Title/Summary/Keyword: 기준점수

Search Result 851, Processing Time 0.028 seconds

Effect of GnRH analogue on the bone mineral density of precocious or early pubertal girls (성조숙증 혹은 조기 사춘기가 있는 여아에서 단기간의 성선자극호르몬 방출호르몬 효능약제 사용이 골밀도에 미치는 영향)

  • Lim, Jeong Sook;Han, Heon-Seok
    • Clinical and Experimental Pediatrics
    • /
    • v.52 no.12
    • /
    • pp.1370-1376
    • /
    • 2009
  • Purpose:Treatment of precocity with gonadotropin releasing hormone analogue (GnRHa) might theoretically exert a detrimental effect on the bone mass during pubertal development. We investigated the short-term changes in bone mineral density (BMD) during GnRHa treatment and the enhancement in the changes with the co-administration of GnRHa and human growth hormone (hGH). Methods:Forty girls with precocious or early puberty who were using GnRHa for more than 1 year were enrolled. Of them, 14 concurrently received hGH. Lumbar bone mineral density was measured before and after the treatment, and bone mineral density-standard deviation scores (BMD-SDSs) were compared according to chronologic age (CA) and bone age (BA), as well as according to the administration of GnRHa alone (Group I) or the co-administration of hGH and GnRHa (Group II). Results:BMDs before and after treatment were in the normal range according to CA but were significantly lower according to BA (P<0.05). During treatment, BMD-SDSs did not change according to CA but significantly increased according to BA (P<0.05). BMD-SDSs in group I did not change during treatment according to CA or BA, while those in group II increased significantly according to BA (P<0.05), but not according to CA. Conclusion:Lumbar BMD was adequate according to CA at initial manifestation of precocity but was lower if compared to BA, that is, BMD did not increase with BA. Because co-treatment with hGH significantly increased BMD-SDSs according to BA, hGH co-treatment could be considered during GnRHa therapy.

Interobserver Reproducibility of Segmental Scoring of $^{99m}Tc$-MIBI Myocardial SPECT ($^{99m}Tc$-MIBI 심근 SPECT의 분절 육안 분석시 판독자간의 일치도)

  • Yeo, Jeong-Seok;Lee, Dong-Soo;Lee, Kyung-Han;Kim, Jong-Ho;Shon, Kyung-Soo;Cho, Sung-Wook;Kwark, Cheol-Eun;Chung, June-Key;Lee, Myung-Chul;Seo, Jeong-Don;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
    • /
    • v.28 no.3
    • /
    • pp.317-325
    • /
    • 1994
  • The accuracy of dipyridamole stress/rest $^{99m}Tc$-MIBI myocardial imaging for detection of ischemia depends on reproducible image interpretation. To evaluate the reproducibility of visual assessment, agreement in interpretation among two independent observers, blind-ed to clinical data, was evaluated in SPECT images of 131 patients (94 males, 38 females; mean age $58{\pm}7yr$) with suspected coronary artery disease who underwent both dipyridamole stress/rest $^{99m}Tc$-MIBI myocardial SPECT and coronary angiography. The left ventricle was divided into twenty-nine segments in stress and rest SPECT images and each segment was visually graded according to a five-point scale (segmental score : 0=normal, 1=equivocal, 2=mild decrease, 3=severe decrease and 4=absent uptake). Overall concordance of segmental scoring between the two observers was 80%. The Pear-son's correlation coefficient (r) of the segmental scores for stress and rest images were 0.67 and 0.65, respectively, while the difference in score between the two images showed a correlation of 0.45 (all p<0.001). Agreement between two observers in final SPECT diagnosis as absence or presence of disease was 93%. The degree of agreement in segmental scoring showed no difference between patients with or without agreement as to the presence of disease. Therefore it appeared that cases with inconcordant diagnosis between the 2 observers were mainly due to a difference in individual threshold for interpretating the significance of a particular decreased uptake area rather than to a difference in perceiving the degree of the hypoactivity Thus, establishment of individual optimum thresholds in visual interpretation of myocardial SPECT may be helpful to improve reproducibility and accuracy of scan diagnosis.

  • PDF

Correlations of Cerebellar Function with Psychotic Symptoms and Cognitive Function in Schizophrenic Patients (남자 정신분열병 환자의 소뇌기능과 정신증상 및 인지기능간의 연관성)

  • Kim, Seo Young;Jun, Yong Ho;Kwon, Young Joon;Jeong, Hee Yeon;Hwang, Bo Young;Shim, Se Hoon
    • Korean Journal of Biological Psychiatry
    • /
    • v.14 no.3
    • /
    • pp.184-193
    • /
    • 2007
  • Objectives:There is increasing evidence that the cerebellum plays an important role in cognition and psychiatric symptoms as well as motor coordination. The concept of cognitive dysmetria has been making cerebellar function in schizophrenia the focus of current studies. In other words, disruption in the corticocerebellum-thalamic -cortical circuit could lead to disordered cognition and clinical symptoms of schizophrenia. The purposes of this study were to determine cerebellar dysfunction in male schizophrenic patients semiquantitatively with ICARS and to investigate the clinical and cognitive correlates of ICARS in patients. Methods:We compared the scores of cerebellar neurologic sign using ICARS in 47 male patients with a DSM-IV-TR diagnosis of schizophrenia with 30 gender and age-matched healthy control subjects. The semiquantitative 100-point ICARS consists of 19 items divided into 4 unequally weighted subscores:posture and gait disturbances, kinetic functions, speech disorders and oculomotor disorders. All subjects were also assessed with cognitive function test. Cognitive functions were evaluated by Korean-Mini Mental Status Examination (K-MMSE), Verbal fluency test, and Clock drawing test. The patients were administered Korea version of Positive and Negative Symptom Scale(K-PANSS) to assess the symptom severity. Results:Schizophrenic patients had significantly higher scores on the ICARS than control subjects with posture and gait disturbances, kinetic functions, and oculomotor disorders. They also showed more significant impairments in cognitive function tests than control subjects. There was a significant correlation between ICARS and negative symptoms of patients. In cognitive function test, Clock drawing test was significantly associated with negative symptoms. In addition, Clock drawing test was negatively correlated with the total score of ICARS. Conclusion:In this study, we confirmed that schizophrenic patients have significant impairments in cognitive and cerebellar function, and that those were related with negative symptoms of schizophrenic patients. These results support a role of the cerebellum in schizophrenia. It is meaningful that we used a structured, and reliable procedure for rating neurological soft signs, ICARS. We hope that future prospective studies using a similar design help that rate of neurological sign should have been visible with the progression of illness.

  • PDF

Evaluation of dietary behavior and investigation of the affecting factors among preschoolers in Busan and Gyeongnam area using nutrition quotient for preschoolers (NQ-P) (미취학 아동 대상 영양지수 (nutrition quotient for preschoolers, NQ-P)를 이용한 부산·경남지역 미취학 아동의 식행동 평가 및 영향요인 규명)

  • Kim, Soo-Youn;Cha, Sung-Mi
    • Journal of Nutrition and Health
    • /
    • v.53 no.6
    • /
    • pp.596-612
    • /
    • 2020
  • Purpose: This study was conducted to evaluate the dietary behaviors of preschool children using the nutrition quotient for preschoolers (NQ-P) and investigate factors that influence NQ-P in preschool children. Methods: Subjects were 214 parents with children aged 3-5 years residing in Busan and Gyeongnam, Korea. The survey was conducted from March to April, 2019 using a questionnaire that included demographic characteristics, the NQ-P questions, and health consciousness. All data was statistically analyzed by the SPSS program (Ver 25.0) and the statistical differences in variables were evaluated by the chi-square test, Fisher's exact test, t-test, one-way ANOVA, and Tukey's multiple comparison test. Results: The mean score of NQ-P of the total subjects was 58.28, which was within the medium-low grade. The mean score of 'balance' was 60.08, 'moderation' was 47.64, and 'environment' was 67.83. The analysis of related-factors influencing NQ-P scores showed that there was a significant difference according to the frequency of dining out. The scores of the NQ-P (p < 0.05), moderation (p < 0.001), and environment (p < 0.05) were significantly higher in the 1-2 times per week group compare to 3-4 times and 5-6 times per week group. The scores of NQ-P (p < 0.01), environment (p < 0.01) were significantly higher in the high group of parents' health consciousness compared to the those with low health consciousness. Conclusion: According to the results of the evaluation by NQ-P, the dietary behaviors of preschool children residing in Busan and Gyeongnam need to be improved and monitored. For improving their eating behavior and nutritional health status, preschool children and their parents need proper nutrition education programs.

Prediction and Evaluation of Landslide Hazard Based on Regional Forest Environment (지역산림환경을 기반으로 한 산사태 발생 위험성의 예측 및 평가)

  • Ma, Ho-Seop;Kang, Won-Seok;Lee, Sung-Jae
    • Journal of Korean Society of Forest Science
    • /
    • v.103 no.2
    • /
    • pp.233-239
    • /
    • 2014
  • This study was carried out to propose the criteria for the prediction of landslide occurrence through analysis the influence of each factor by using the quantification theory. The results obtained from this study are summarized as follows. From a stepwise regression analysis between the landslide area($m^2$) and environmental factors, the factors strongly affecting the landslide sediment($m^2$) were the Parents rock (igneous), cross slope(complex), coniferous forests (forest type) and slope gradient ($21{\sim}30^{\circ}$). According to the range, it was shown in order of Cross slope (0.2922), Parents rock (0.2691), Forest type (0.2631) and Slope gradient (0.2312). The range of prediction score of landslide occurrence has been distributed between score 0 and score 1.0556, the median value was score 0.5278. The prediction for class I was over 0.7818, for class II was 0.5279 to 0.7917, for class III 0.2694 to 0.5278 and for class IV was below 0.2693. The prediction on landslide occurrence appeared relatively high accuracy rate as 72% for class I and II. Therefore, this score table for landslide will be very useful for judgement of dangerous slope.

Evaluation of fingerprints enhanced fluorescent using contrast index (Contrast Index를 이용한 형광지문 증강 정도의 수치적 판단)

  • Jeon, Soyoung;Ki, Jinyoung;Kim, Kyuyeon;Kim, Jiyeon;Kim, Chaewon;Yu, Jeseol
    • Analytical Science and Technology
    • /
    • v.31 no.5
    • /
    • pp.195-200
    • /
    • 2018
  • Researchers have used the visual criteria to compare the effectiveness of fingerprint enhancement techniques. However, since the visual criteria is subjective, bias can occur. Therefore, many researchers have tried to make the criteria objective using the contrast index (CI). However, there is a constraint that the CI was only validated on inked fingerprints or color-change fingerprints. In this study, we compared enhancement of fluorescence fingerprints on colored papers using the CI. The CI values differ according to the color of the background, reagent, and light source, even though the same standard fingerprints were used. Through the comparison of values, we could compare the enhancement of fluorescence fingerprints according to these factors. When visual evaluation criteria were used, the same peak score was obtained regardless of the reagent and light source. However, we could get a more detailed score comparison in this study using the CI. Therefore, it is confirmed that for comparison of enhancement of fluorescence fingerprints, the CI can be used as a basis for determining which light source and reagent are appropriate according to the background.

Motion Vector Estimation using T-shape Diamond Search Algorithm (TDS 기법을 이용한 움직임 벡터 추정)

  • Kim, Ki-Young;Jung, Mi-Gyoung
    • The KIPS Transactions:PartB
    • /
    • v.11B no.3
    • /
    • pp.309-316
    • /
    • 2004
  • In this paper, we proposed the TDS(T-shape Diamond Search) based on the directions of above, below, left and right points to estimate the motion vector fast and more correctly in this method, we exploit the facts that most motion vectors are enclosed in a circular region with a radius of 2 fixels around search center(0,0). At first, the 4 points in the above, below, left and right around the search center is calculated to decide the point of the MBD(Minimum Block Distortion). And then w. above point of the MBD is checked to calculate the SAD. If the SAD of the above point is less than the previous MBD, this process is repeated. Otherwise, the right and left points of MBD are calculated to decide The points that have the MBD between right point and left point. Above processes are repeated to the predicted direction for motion estimation. Especially, if the motions of image are concentrated in the crossing directions, the points of other directions are omitted. As a result, we can estimate motion vectors fast. Experiments show that the speedup improvement of the proposed algorithm over Diamond Search algorithm(DS) and HEXgon Based Search(HEXBS) can be up to 38∼50% while maintaining similar image Quality.

Investigation of the listening environment of classrooms for elderly people using speech intelligibility tests (음성명료도 시험에 의한 노인 교육시설의 청취환경 조사)

  • Park, Chan-Jae;Kim, Bo-Gyeong;Haan, Chan-Hoon
    • The Journal of the Acoustical Society of Korea
    • /
    • v.40 no.1
    • /
    • pp.18-30
    • /
    • 2021
  • The ultimate goal of the present study is to establish the acoustical performance standards of classroom for the elderly who are incomplete hearing people. As a pilot survey, the present study was conducted to investigate the listening environment and the actual condition of speech perception performance of education facilities for elderly, Acoustic performances of two education facilities for elderly in Cheongju were measured and questionnaire survey was done to elderly people. Also, speech intelligibility tests were undertaken by Consonant Vowel Consonant (CVC) and Phonetically Balanced Words (PBW) methods. The questionnaire survey showed that the elderly were satisfied with the listening environment of the educational facilities in general. Also, it was found that acoustical performances satisfy with the acoustic criteria of general classrooms in Korea. However, the results of the speech intelligibility test showed that the scores of elderly were significantly lower than twenties with normal hearing. It was also revealed that the scores are reduced as the age increases. Thus, it was concluded that the acoustical performance standards of educational facilities for the normal hearing were not suitable for educational facilities for the elderly.

A Planning Framework of BIM-based Work-Type Packaging for Educational Facility Maintenance (교육시설 유지관리 BIM 기반 공종 패키지 플래닝 프레임워크)

  • Bae, Chang-Joon;Park, Sang-Hun;Yoon, Sun-Jae;Lee, Mi-Young;Koo, Kyo-jin
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.21 no.12
    • /
    • pp.200-210
    • /
    • 2020
  • The maintenance of educational facilities was assembled in 12 project classifications of the Educational Improvement Program. The priorities were decided by the evaluation scores derived from the condition investigation, and maintenance works were budgeted in the order of priorities. These priorities were a schedule for conducting maintenance and an important criterion for obtaining a construction order. Several restrictions in the condition investigation exist, which derives budgets and conducts maintenance separately based on the priorities. An educational facility manager has a restriction in quantity take-off, which results in an incorrect budget. Discomfort would occur in an educational environment, and a period of infringing safety would increase. This study proposes applying a BIM in the condition investigation and the planning framework for work-type packaging. A BIM supports a budget calculation and derives evaluation scores by linking a repair and an inspection result. The work-type packaging algorithm divides a budget allocation range and derives the result of a grouped work-types applied in an equivalent space and element. As a result of applying cases, it could shorten the duration by approximately 37.4%. Its usability in selecting a grouped work-type was evaluated through an assessment with workers.

The Development of the Korean Form of Childhood Attention Problem(CAP) Scale: A Study on the Reliability and Validity (한국형 소아기 집중력 문제척도: 신뢰도 및 타당도 연구)

  • Seo, Wan-Seok;Lee, Jong-Bum;Park, Hyung-Bae;Suh, Hyea-Soo;Lee, Kwang-Hun;SaKong, Jeong-Kyu
    • Journal of Yeungnam Medical Science
    • /
    • v.14 no.1
    • /
    • pp.123-136
    • /
    • 1997
  • The purpose of this study was to examine the reliability and validity of a Korean form of Childhood Attention Problem(CAP) scale. CAP were administered to 98 normal elementary school students as control group and 98 attention deficit hyperactivity disorder patients. Male students showed high scores than female students in both subscale and total scores, but not statistically significant. There were no significant difference in CAP scale between male students and female students in attention deficit hyperactivity disorder patients. In the reliability test, the test-retest reliability coefficient was highly satisfactory and that of inattention subscale was 0.83, impulsivity subscale was 0.70 and total score was 0.82. In the reliability test by internal consistency, the Cronbach $\alpha$ coefficient was highly satisfactory and that of inattention subscale was 0.91, overactivity subscale was 0.89(p<0.05). The concurrent validity between CAP scale and ADDES-BV scale was 0.85 in attention deficit hyperactivity disorder patient group and 0.73 in normal control group(p<0.05). In discriminant validity test between attention deficit hyperactivity disorder patient group and normal control group, the patient group showed higher score(p<0.05). The total discriminant capacity of the patient group in CAP was 93.4%. In this point of view, CAP scale showed high reliability and validity in applying to Korean subjects and was proved to be the good and simple screening test tool for attention deficit hyperactivity disorder research and can help many young patient to treat early.

  • PDF