• Title/Summary/Keyword: 누적점수

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Clinical Course of Usual Interstitial Pneumonia (통상성 간질성 폐섬유증의 임상경과)

  • Park, Joo-Hun;Kitaichi, M.;Yum, Ho-Kee;Shim, Tae-Sun;Lim, Chae-Man;Koh, Youn-Suck;Lee, Sang-Do;Kim, Woo-Sung;Kim, Won-Dong;Kim, Dong-Soon
    • Tuberculosis and Respiratory Diseases
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    • v.49 no.5
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    • pp.601-613
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    • 2000
  • Background : Idiopathic pulmonary fibrosis (IPF) is a fatal progressive fibrous disease of the lung of unknown etiology. Recently it has been classified into several distinct entities on the basis of pathologic and clinical characteristics, ie : usual interstitial pneumonia (UIP), desquamative interstitial pneumonia (DIP), acute interstitial pneumonia (AIP), bronchiolitis obliterans with organizing pneumonia (BOOP), and nonspecific interstitial pneumonia (NSIP). IPF is now applied only for UIP, which has the worst prognosis. The previous reports of 3-5 year median survival appears to be overoptimistic because other types with better prognosis like NSIP or BOOP might have been included. Therefore, this study was performed to determine the clinical course and the prognostic factors of UIP as diagnosed by surgical lung biopsy. Methods : The subjects were 72 UIP patients (age $58.2{\pm}11.6$ years, M : F=45 : 27, median follow up period : 18.1 months (0.7-103.6) diagnosed by surgical lung biopsy at the Asan Medical Center (68 patients) and the Paik Hospital in Seoul (4 patients). Clinical scores (level of dyspnea : 1-20 points), radiologic score (honeycombing : HC score 0-5 points, ground glass : GG score 0-5 points), and physiologic scores (FVC : 1-12 points, $FEV_1$ : 0-3 points, TLC : 0-10 points, $D_{LCO)$ : 0-5 points, $AaDO_2$ : 0-10 points) were summed into a total CRP score. Results : 1) The one year survival rate was 78.3%, while the rate for three year survival was 58.1%, and the median survival period was 42.5months. 2) Short term (1 year) prognosis : The patients who died within one year of diagnosis (14 patients) had the higher initial total CRP score ($28.6{\pm}8.3$ vs. $16.6{\pm}9.7$) than those who lived longer than one year (46 patients). The difference in the total CRP score was attributed to the symptom score ($8.4{\pm}2.1$ vs. $5.7{\pm}3.9$) and the physiologic score ($15.7{\pm}7.1$ vs. $6.7{\pm}5.7$) including FVC, $D_{LCO)$ and $AaDO_2$. 3) Long-term (3year) prognosis : The total CRP score ($12.2{\pm}6.7$ vs. $28.7{\pm}7.9$ : including symptom score, FVC, $D_{LCO)$ and $AaDO_2$) at the time of diagnosis were also different for the long-term survivors and those who lived less than 3 years. 4) Cox regression analysis showed $D_{LCO)$ (${\geq}$60%) (Hazard ratio : 4.56, 95% CI : 2.30-16.04) was the independent prognostic factors of UIP (P<0.05). Conclusion : These results suggest that $D_{LCO)$ at the time of diagnosis seem to be a prognostic markers of biopsy-proven UIP.

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산림환경에서의 크나이프(Kniepp) 요법

  • 홍금나;신방식;송규진;손정희;김현석;최민주
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2022.09a
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    • pp.3-3
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    • 2022
  • 배경: 독일 크나이프 요법을 국내에서 적용하기 위해 검증 연구가 필요하다. 목적: 국내 산림 환경에서 적용한 크나이프 요법이 자율 신경계 및 회복탄력성에 미치는 영향을 규명하기 위함이다. 방법: 크나이프 요법 중 4가지 요소('움직임', '삶의 질서', '음식 섭취', '치유 식물')를 고려한 중재 프로그램을 구성하여, 성인 40명을 대상으로 적용했다. 중재 전과 후에 맥파측정기(uBioMacpa)를 이용하여 HRV(TP, VLF, LF, HF, LF/HF, CSI: Cumulative Stress Index)와 회복탄력성 지수를 측정하고 비교 분석했다. 결과: HRV를 분석한 결과, 프로그램 중재 후 연구 대상자의 TP(8.64%, p<.001), VLF(6.96%, p<.05), LF(15.86%, p<.001), HF(8.46%, p<.01), LF/HF(5.77%, p<.05)는 유의하게 증가하였고, CSI는 유의하게 감소하였다(16.06% p<.001). KRQ-53 평균 점수는 191.56점에서 206.22점으로 14.66점 증가한 것으로 나타났다. 결론: 국내 산림 환경에서 적용한 크나이프 요법은 자율신경계를 전체적으로 활성화하고, 교감과 부교감신경의 활성도를 높여 심장 활동을 촉진시키며, 누적 스트레스를 감소시켜 주었다. 그리고 회복탄력성을 개선하는 것으로 나타났으며(p<.05), 특히 자기 조절 능력 요인에서 그 효과가 큰 것으로 확인되었다. 본 연구의 결과는 크나이프 요법이 국내 산림 환경에서 치유 프로그램으로 활용되어 스트레스 해소를 포함한 자율 신경계의 긍정적인 효과를 제시한 초기적인 최초의 증거라 할 수 있다.

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An Evaluation of Working Postures for Musculoskeletal Disorders (근골격계질환에 대한 작업자세요인의 평가)

  • 배성규;박동현
    • Proceedings of the Safety Management and Science Conference
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    • 2002.05a
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    • pp.199-205
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    • 2002
  • 최근 산업안전/보건분야에서 누적외상성질환(Cumulative Trauma Disorders: CTDs)과 직업성요통(Low Back Injury)과 같은 근골격계질환은 산업현장에서 어렵지 않게 발견할 수 있는 신종 산업재해의 일종이다. 특히 미국의 경우, 발생건수와 그로 인한 인적/물적 손실이 급격하게 증가되고 있는 것으로 나타나고 있다. 그러나 미국과 같이 근골격계질환의 폐해를 일찌감치 인식하고 그 해결방안을 연구해온 나라들에서는 현재 환자관리 및 인간공학적인 기준 등을 포함하는 예방지침들이 잘 정착되어 있는 실정이다. 우리나라의 경우에는 작업환경 등의 조건과 상황이 미국과 같은 구미 선전국과 비숫하고, 특히 제조업의 생산체계가 그런 나라들과 매우 유사하여 근골격계질환의 발생과 그로 인한 인적/물적 손실이 적지 않을 것이라고 예상할 수 있지만 아직까지 CTDs에 대한 전반적인 이해가 부족하고, 정확한 실태가 파악되지 못하였으며, 따라서 체계적인 관리 대책 또한 마련되어있지 않은 실정이다. 본 조사에서는 서울 근교의 수송기계관련 사업장의 작업들에 대한 작업자세에 중심을 둔 인간공학평가를 통하여 조사 작업의 근골격계질환에 대한 상대적인 위험도, 위험요인 등을 파악하고, 그에 따른 개선 대책의 방향을 제시하고자 하였다. 특히, 각 부위별 위험점수와 부위별 증상호소율의 상환분석결과, 작업자 개인적 수준에서는 통계적으로 유의한 차는 없는 것으로 분석되었으나, 부서별로 분석한 결과, 작업시 주로 사용하는 오른쪽 상지의 경우, 오른쪽 어깨, 팔꿈치, 손목 순으로 통계적으로 유의하게 관련이 있는 것으로 나타났다. 즉 증상호소율과 해당 신체부위의 위험도 점수는 서로 정적(positive)한 관계에 있는 것으로 나타났고, 상지 중 주로 사용하는 오른쪽 부담의 위험도 자세 점수와 증상호소는 비교적 높은 상관관계에 있는 것으로 나타났다. 따라서 이와 같은 인간공학적 분석결과는 향후 인간공학적인 개선대책의 개발 뿐만 아니라 의학쪽에서 근골격계질환을 접근하는 초기단계에서 매우 유용한 역할을 할 수 있으리라 생각된다.

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Development of disaster severity classification model using machine learning technique (머신러닝 기법을 이용한 재해강도 분류모형 개발)

  • Lee, Seungmin;Baek, Seonuk;Lee, Junhak;Kim, Kyungtak;Kim, Soojun;Kim, Hung Soo
    • Journal of Korea Water Resources Association
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    • v.56 no.4
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    • pp.261-272
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    • 2023
  • In recent years, natural disasters such as heavy rainfall and typhoons have occurred more frequently, and their severity has increased due to climate change. The Korea Meteorological Administration (KMA) currently uses the same criteria for all regions in Korea for watch and warning based on the maximum cumulative rainfall with durations of 3-hour and 12-hour to reduce damage. However, KMA's criteria do not consider the regional characteristics of damages caused by heavy rainfall and typhoon events. In this regard, it is necessary to develop new criteria considering regional characteristics of damage and cumulative rainfalls in durations, establishing four stages: blue, yellow, orange, and red. A classification model, called DSCM (Disaster Severity Classification Model), for the four-stage disaster severity was developed using four machine learning models (Decision Tree, Support Vector Machine, Random Forest, and XGBoost). This study applied DSCM to local governments of Seoul, Incheon, and Gyeonggi Province province. To develop DSCM, we used data on rainfall, cumulative rainfall, maximum rainfalls for durations of 3-hour and 12-hour, and antecedent rainfall as independent variables, and a 4-class damage scale for heavy rain damage and typhoon damage for each local government as dependent variables. As a result, the Decision Tree model had the highest accuracy with an F1-Score of 0.56. We believe that this developed DSCM can help identify disaster risk at each stage and contribute to reducing damage through efficient disaster management for local governments based on specific events.

An Evaluation of Design Factors with Sidewalk Cafes for Street Revitalization (가로 활성화를 위한 가로변 노천카페의 유형별 설계요소 평가)

  • Kim, Dong-Chan;Choi, Woo-Young
    • Journal of the Korean Institute of Landscape Architecture
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    • v.41 no.2
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    • pp.47-58
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    • 2013
  • The purpose of this study is to categorize the types of sidewalk cafes, and to evaluate design factors with types of sidewalk cafes for street revitalization. Consequently, it may suggest efficient and systemic policies for the guidelines of sidewalk cafes. To ensure this end, the types of sidewalk cafes were categorized from the street relationship perspective by site investigation. A literature review and importance analysis were used to select the evaluation criteria, and the data were analyzed by statistic methods such as descriptive analysis and factor analysis. As a result, five main factors of the evaluation criteria were contracted: accessibility, aesthetics, identity, environmental, culturedness. Cumulative factor loading of these five factors was 68.731%, which was quite high. And the evaluation using the Likert scale was performed by 4 experts. Types of sidewalk cafes were categorized into 5 types: protruding, gating, blending stereoscopic, elevation angle, and sign provision from the street relationship perspective. On the evaluation by type, aesthetics and culturedness were the worst evaluated in the protruding type and the gating type, culturedness was the worst in the blending stereoscopic type, accessibility, aesthetics, culturedness were the worst in the elevation angle type, and accessibility, identity, culturedness were the worst in the sign provision type. On the evaluation by the indicators, culturedness was the worst evaluated, and on the evaluation by criteria, 'safety for impaired persons', 'interest of programs', 'openness of entrance' were the worst. It is recommended that a survey of importance-performance analysis focused on users be conducted.

Ecological Network on Benthic Diatom in Estuary Environment by Bayesian Belief Network Modelling (베이지안 모델을 이용한 하구수생태계 부착돌말류의 생태 네트워크)

  • Kim, Keonhee;Park, Chaehong;Kim, Seung-hee;Won, Doo-Hee;Lee, Kyung-Lak;Jeon, Jiyoung
    • Korean Journal of Ecology and Environment
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    • v.55 no.1
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    • pp.60-75
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    • 2022
  • The Bayesian algorithm model is a model algorithm that calculates probabilities based on input data and is mainly used for complex disasters, water quality management, the ecological structure between living things or living-non-living factors. In this study, we analyzed the main factors affected Korean Estuary Trophic Diatom Index (KETDI) change based on the Bayesian network analysis using the diatom community and physicochemical factors in the domestic estuarine aquatic ecosystem. For Bayesian analysis, estuarine diatom habitat data and estuarine aquatic diatom health (2008~2019) data were used. Data were classified into habitat, physical, chemical, and biological factors. Each data was input to the Bayesian network model (GeNIE model) and performed estuary aquatic network analysis along with the nationwide and each coast. From 2008 to 2019, a total of 625 taxa of diatoms were identified, consisting of 2 orders, 5 suborders, 18 families, 141 genera, 595 species, 29 varieties, and 1 species. Nitzschia inconspicua had the highest cumulative cell density, followed by Nitzschia palea, Pseudostaurosira elliptica and Achnanthidium minutissimum. As a result of analyzing the ecological network of diatom health assessment in the estuary ecosystem using the Bayesian network model, the biological factor was the most sensitive factor influencing the health assessment score was. In contrast, the habitat and physicochemical factors had relatively low sensitivity. The most sensitive taxa of diatoms to the assessment of estuarine aquatic health were Nitzschia inconspicua, N. fonticola, Achnanthes convergens, and Pseudostaurosira elliptica. In addition, the ratio of industrial area and cattle shed near the habitat was sensitively linked to the health assessment. The major taxa sensitive to diatom health evaluation differed according to coast. Bayesian network analysis was useful to identify major variables including diatom taxa affecting aquatic health even in complex ecological structures such as estuary ecosystems. In addition, it is possible to identify the restoration target accurately when restoring the consequently damaged estuary aquatic ecosystem.

The Impacts of Student Loans on Early Labor Market Performance (학자금 대출 경험이 노동시장 초기행태에 미치는 영향)

  • Yang, Dongkyu;Choi, Jaesung
    • Economic Analysis
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    • v.25 no.4
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    • pp.1-24
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    • 2019
  • This study examines the labor market performance of graduates who had student loans. Compared to earlier studies, we extended analyses to all jobs that were experienced for more than 18 months after graduation. First, we found that students who had student loans earned 2.81% less at their first job compared to their counterparts without student loans. Second, the wage gap decreased over time, a reduction of 0.66%p due to labor market turnovers. Third, when we compared cumulated labor income, however, the amount for borrowers were continuously higher. This is because the job searching period of a borrower was shorter, despite relatively lower wages at the first job, and borrowers also made more frequent job turnovers, accompanying relatively more wage increases. These results suggest that the negative effects of college loans on earnings, reported in previous studies, may have exaggerated the negative impact to some extent of having loans. However, when we look at the quality of jobs beyond simply wages, the proportion of borrowers working at large companies as regular workers was consistently low. Given that job conditions at the earlier stages of one's career may lead to gaps over time, our findings call for more systematic investigations into the effects that student loans have on long-term labor performance.

Efficient Memory Update Module for Video Object Segmentation (동영상 물체 분할을 위한 효율적인 메모리 업데이트 모듈)

  • Jo, Junho;Cho, Nam Ik
    • Journal of Broadcast Engineering
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    • v.27 no.4
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    • pp.561-568
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    • 2022
  • Most deep learning-based video object segmentation methods perform the segmentation with past prediction information stored in external memory. In general, the more past information is stored in the memory, the better results can be obtained by accumulating evidence for various changes in the objects of interest. However, all information cannot be stored in the memory due to hardware limitations, resulting in performance degradation. In this paper, we propose a method of storing new information in the external memory without additional memory allocation. Specifically, after calculating the attention score between the existing memory and the information to be newly stored, new information is added to the corresponding memory according to each score. In this way, the method works robustly because the attention mechanism reflects the object changes well without using additional memory. In addition, the update rate is adaptively determined according to the accumulated number of matches in the memory so that the frequently updated samples store more information to maintain reliable information.

Quality of Korean Soil and It's Prospection Influenced with Heavy Metals and Arsenic Analyzed with Soil Pollution Indices (토양오염지표에 의한 국내 토양의 중금속과 비소 오염도 및 향후 전망)

  • 박용하;윤정호;이승희;김강석
    • Journal of Korea Soil Environment Society
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    • v.1 no.1
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    • pp.55-65
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    • 1996
  • Soil quality of most of Soil Network area was estimated healthy by employing Soil Pollution Indices (Soil Pollution Score and Soil Pollution Class). However, 1.5∼3.7% of the total Soil Network area was determined Soil Pollution Class (SPC) 4 which may need cleanup process due to slight or heavy pollution with arsenics and heavy metals. Numbers of the SPC 4 sites were 9, 47, 19, 17, and 17 in 1987, 1989, 1991, 1993, and 1994, respectively During 1987 and 1994, all of SPC 4 sites were identified agricultural land except one in 1994. Soil Pollution Scores (SPSs) was determined high around smelters, metalliferous mines, and industrial sites among the 16 major soil pollution sources of the Soil Network. Also, most area of SPC 4 sites were densely populated in these area of the Soil Network. SPSs of Inchon and Taegu were high among the other major cities and provinces in Korea. Numbers of SPC 4 were high in the province of Kangwon, Kyongbuk, Kyongnam amongst. Cumulative numbers of SPC 4 multiplied by a weighting value 0.3 during 1987 and 1994 of the Soil Network were regressed to develop a model equation for prospecting the soil quality. The model equation was Y= 1.16+0.23x, where as Y is the number of Class 4 and x is the year. Resulting the area of SPC 4 were 4.8%, 6.0%, 6.6% of the Soil Network in the year of 2001, 2006, 2011, respectively Based on this results, the area of SPC 4 would increase 5, 7, and 10 times comparing the area polluted with heavy metals in 1987.

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A Statistical Analysis of Results of Detailed Inspections on Aged Concrete Erosion Control Dams in Gyeongsangbuk-do (경상북도 지역 노후 콘크리트사방댐 정밀점검 결과의 통계적 분석)

  • Kim, Jeongsig;Kim, Dongyeob
    • Journal of Korean Society of Forest Science
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    • v.111 no.2
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    • pp.276-286
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    • 2022
  • We carried out this study to provide basic data necessary to establish a management plan for concrete erosion control dams in the future by analyzing results of detailed inspections of aged dams conducted in accordance with 「Guidelines for the Maintenance of the Erosion Control Facility」. We analyzed the results of a detailed inspection of 54 concrete erosion control dams which had been built over 20 years previously, located in private forests of Gyeongsangbuk-do using statistical methods. Having conducted exterior defect investigations, we found 18 dams (33.4%) in need of repair or follow-up measures and 15 dams in which the overall grade was changed due to investigator's corrections; we therefore considered that standardization of related standards and indicators would be necessary. After conducting concrete compression strength tests, we found 19 dams (35.2%) to be below the standard value of 21 MPa, and in particular, we included, in grade A, eight dams which we judged to be in good condition as a result of the exterior defect inspection. There was little clear correlation between the total score and the compressive strength of concrete, but there was a statistically significant difference in the compressive strength by overall grade. After analyzing the changes in the characteristics of the erosion control dams according to the elapsed years after construction, we detected no particular trend in the changes of total score and compressive strength over time. However, the cumulative ratio of the dams that required repair and follow-up measures and the dams below the compression strength standard had a strong positive linear relationship over time, suggesting that it would be possible to identify the aging characteristics of concrete erosion control dams.