• 제목/요약/키워드: Confidence term

검색결과 342건 처리시간 0.024초

A Potential Risk of Radiation-Induced Cavernous Malformations Following Adjuvant Gamma Knife Radiosurgery for Mesial Temporal Lobe Epilepsy

  • Junhyung Kim;Joonho Byun;Do Heui Lee;Seok Ho Hong
    • Journal of Korean Neurosurgical Society
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    • 제67권4호
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    • pp.458-466
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    • 2024
  • Objective : Several clinical studies have explored the feasibility and efficacy of radiosurgical treatment for mesial temporal lobe epilepsy, but the long-term safety of this treatment has not been fully characterized. This study aims to report and describe radiation-induced cavernous malformation as a delayed complication of radiosurgery in epilepsy patients. Methods : The series includes 20 patients with mesial temporal lobe epilepsy who underwent Gamma Knife radiosurgery (GKRS). The majority received a prescribed isodose of 24 Gy as an adjuvant treatment after anterior temporal lobectomy. Results : In this series, we identified radiation-induced cavernous malformation in three patients, resulting in a cumulative incidence of 18.4% (95% confidence interval, 6.3% to 47.0%) at an 8-year follow-up. These late sequelae of vascular malformation occurred between 6.9 and 7.6 years after GKRS, manifesting later than other delayed radiation-induced changes, such as radiation necrosis. Neurological symptoms attributed to intracranial hypertension were present in those three cases involving cavernous malformation. Of these, two cases, which initially exhibited an insufficient response to radiosurgery, ultimately demonstrated seizure remission following the successful microsurgical resection of the cavernous malformation. Conclusion : All things considered, the development of radiation-induced cavernous malformation is not uncommon in this population and should be acknowledged as a potential long-term complication. Microsurgical resection of cavernous malformation can be preferentially considered in cases where the initial seizure outcome after GKRS is unsatisfactory.

Long-Term Follow-Up Ultrasonographic Findings of Intrathyroidal Thymus in Children

  • Yun-Woo Chang;Hee Min Kang;Eun Ji Lee
    • Korean Journal of Radiology
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    • 제21권11호
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    • pp.1248-1255
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    • 2020
  • Objective: To analyze long-term follow-up sonographic findings of intrathyroidal thymus in children. Materials and Methods: Among 1259 patients with congenital hypothyroidism under 15 years of age who underwent thyroid ultrasonography (US), 41 patients were diagnosed with an intrathyroidal thymus based on US criteria, i.e., hypoechoic solid lesion with punctate and linear echogenicity. In 26 patients aged one to 14 years old, the last follow-up US was performed after 6 to 132 months and compared with the initial US. The lesion was considered to decrease in size if there was a change of more than 2 mm in any dimension. The margin change was divided into well-defined and indistinct, blurred. When the echogenicity changed to a hyperechoic from a characteristic thymic echogenicity pattern, the pattern was considered a hyperechogenic. The changes in size were compared with the changes in shape, margin, and echogenicity pattern. The changes in size, shape, margin, and echogenicity were analyzed the association with the age of last follow-up. Statistical analysis was conducted using the chi-squared test and logistic regression. Results: Fifteen (57.7%) cases were stable in size, and 11 (42.3%) decreased in size, including one that disappeared. Ten (38.5%) cases changed to indistinct margins from initially well-defined margins including one case of initially indistinct margin. Six (23.1%) changed to hyperechogenic, from initially characteristic thymic echogenicity patterns. When follow-up change was compared, decreases in size were significantly associated with lesion changes to indistinct margins (p = 0.004). The age at last follow-up was significantly associated with change to hyperechogenicity (odd ratio, 2.141; 95% confidence interval, 1.144-4.010, p = 0.017). Conclusion: On follow-up US, an intrathyroidal thymus may be decreased in size, with indistinct margins, or show changes to a hyperechoic mass. Decreases in size may be associated with changing to indistinct margins, and changes to hyperechogenicity may be associated with increasing age.

풍력발전의 변동성을 고려한 기동정지계획에서의 적정 Ramping 용량 산정 (Evaluation of Ramping Capability for Day-ahead Unit Commitment considering Wind Power Variability)

  • 류재근;허재행;박종근
    • 전기학회논문지
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    • 제62권4호
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    • pp.457-466
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    • 2013
  • Wind energy is rapidly becoming significant generating technologies in electricity markets. As probabilistic nature of wind energy creates many uncertainties in the short-term scheduling, additional actions for reliable market operation should be taken. This paper presents a novel approach to evaluate ramping capability requirement for changes in imbalance energy between day-ahead market and real-time market due to uncertainty of wind generation as well as system load. Dynamic ramp rate model has been applied for realistic solution in unit commitment problem, which is implemented in day-ahead market. Probabilistic optimal power flow has been used to verify ramping capability determined by the proposed method is reasonable in economic and reliable aspects. This approach was tested on six-bus system and IEEE 118-bus system with a wind farm. The results show that the proposed approach provides ramping capability information to meet both forecasted variability and desired confidence level of anticipated uncertainty.

절단 방지용 방검소재의 가속수명시험 (Accelerated Life Test of Knife Protection Fabrics for Cut Resistance)

  • 장갑식;정예리;전병대
    • 한국신뢰성학회지:신뢰성응용연구
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    • 제15권4호
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    • pp.270-275
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    • 2015
  • Purpose : UHMWPE (Ultra-high-molecular-weight-polyethylene) is one of the most widely used material in knife protection clothes because of high strength, elasticity, and light weight. The purpose of this study is to develop the accelerated life test method and predict the lifetime for the knife protection fabric composed by UHMWPE. Methods : In this study, degradation characteristics of UHMWPE fibers and knife protection fabric for cut resistance were evaluated under the hydrolysis and photo-degradation conditions. It was found out that the degradation rate of retained tensile strength was more significant in the photo-degradation than hydrolysis. Therefore, the failure time was determined as the time that the retained tensile strength in photo-degradation is less than 50%. Considering an acceleration factor for irradiance and exposure time, the lifetime was predicted from the calculated failure time. Results : As a result of the accelerated life test, the $B_{10}$ lifetime of knife protection fabric composed by UHMWPE fibers is estimated as 2.8 years for a 90% statistical confidence level. Conclusion: Since the lifetime is predicted by the view-point of radiant exposure in this study, there is a possibility that the estimated lifetime may differ from the actual lifetime. However, it is considered as an useful methodology to estimate the long-term lifetime of knife protection fabrics.

Effects of Taekwondo and Walking Exercises on the Double-Leg Balance Control of Elderly Females

  • Youm, Chang-Hong;Lee, Joong-Sook;Seo, Kook-Eun
    • 한국운동역학회지
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    • 제21권2호
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    • pp.123-129
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    • 2011
  • The purpose of this study was to compare and analyze the effect of twelve-week Taekwondo and walking exercises on the double-leg balance control by dividing elderly females into Taekwondo, walking exercise and control groups. In total, 30 elderly females were randomly divided into Taekwondo, walking exercise, and control groups, with 10 subjects in each group. Subjects participating in this study were 10(age $69.4{\pm}5.8$ years), 10(age $71.4{\pm}7.6$ years) and 10(age $70.6{\pm}4.8$ years) in the three groups, respectively. Although the AP measures were not significantly different among the groups and times, the ML RMS distance and ML velocity, among the ML measures showed a significant difference among the groups and times. Average velocity and 95% confidence ellipse area were also significantly different among the groups and times. Twelve-week Taekwondo and walking exercises were found to be effective in improving static balance control. Future studies on the development of a Taekwondo intervention program tailored for the elderly with many subjects conducted by using a long-term training program are expected.

교육소외 학생들을 위한 수업모형과 통계이해수준에 관한 연구 (A Study on an Instructional Model and Statistical Thinking Levels to Help Minority Students with Low-SES and Learning Difficulty)

  • 백정환;고상숙
    • 한국수학교육학회지시리즈A:수학교육
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    • 제50권3호
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    • pp.263-284
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    • 2011
  • We took note of the fact that there were not many studies on improvement of mathematics learning in the field of statistics for the minority students from the families who belonged to the Low-SES. This study was to help them understand the concepts and principles of mathematics, motivate them for mathematics learning, and have them feel familiar with it. The subjects were 12 students from the low-SES families among the sophomores of 00 High School in Gyeonggi-do. Although it could not be achieved effectively in the short-term of learning for the slow learners, their understanding of basic concepts and confidence, interests and concerns in statistical learning were remarkably changed, compared to their work in the beginning period. Our discourse classes using various topics and examples were well perceived by the students whose performance was improved up to the 3rd thinking level of Mooney's framework. Also, a meaningful instructional model for slow learners(IMSL) was found through the discourse.

안드로이드 앱 인벤터를 활용한 컴퓨터 프로그래밍 교육 (Computer Programming Education using App Inventor for Android)

  • 김병호
    • 한국정보통신학회논문지
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    • 제17권2호
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    • pp.467-472
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    • 2013
  • 스마트폰의 대중화로 이전 어느 때보다 컴퓨터와 컴퓨터 프로그래밍에 대한 관심이 높아지고 있다. 반면 대부분의 컴퓨터 관련 학과에서 첫 프로그래밍 언어로 가르치고 있는 C++나 자바 언어는 학생들이 이해하기에 쉽지 않다. 본 논문에서는 컴퓨터 관련전공 학생들의 컴퓨터 프로그래밍 분야에 대한 관심을 높이기 위한 첫 프로그래밍 언어로써 안드로이드 앱 인벤터를 활용하는 방안과 교육과정을 제시하였다. 교육 분석 결과를 통해 본 교육과정이 컴퓨터 프로그래밍에 대한 관심을 높이고 스마트폰 앱 개발에 대한 자신감을 향상시키는데 기여할 수 있음을 확인하였다.

Winters' Multiplicative Seasonal Model에 의한 월 최대 전력부하의 단기예측 (Short-Term Forecasting of Monthly Maximum Electric Power Loads Using a Winters' Multiplicative Seasonal Model)

  • 양문희;임상규
    • 대한산업공학회지
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    • 제28권1호
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    • pp.63-75
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    • 2002
  • To improve the efficiency of the electric power generation, monthly maximum electric power consumptions for a next one year should be forecasted in advance and used as the fundamental input to the yearly electric power-generating master plan, which has a greatly influence upon relevant sub-plans successively. In this paper, we analyze the past 22-year hourly maximum electric load data available from KEPCO(Korea Electric Power Corporation) and select necessary data from the raw data for our model in order to reflect more recent trends and seasonal components, which hopefully result in a better forecasting model in terms of forecasted errors. After analyzing the selected data, we recommend to KEPCO the Winters' multiplicative model with decomposition and exponential smoothing technique among many candidate forecasting models and provide forecasts for the electric power consumptions and their 95% confidence intervals up to December of 1999. It turns out that the relative errors of our forecasts over the twelve actual load data are ranged between 0.1% and 6.6% and that the average relative error is only 3.3%. These results indicate that our model, which was accepted as the first statistical forecasting model for monthly maximum power consumption, is very suitable to KEPCO.

환자교차 설계 방법을 적용한 소아천식 입원에 대한 도시 대기오염의 급성영향평가 (Associations between Air Pollution and Asthma-related Hospital Admissions in Children in Seoul, Korea: A Case-crossover Study)

  • 이종태
    • Journal of Preventive Medicine and Public Health
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    • 제36권1호
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    • pp.47-53
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    • 2003
  • Objectives : I used a case-crossover design to investigate the association between air pollution, and hospital admissions for asthmatic children under the age of 15 years in Seoul, Korea Methods : I estimated the changes in the levels of hospitalization risk from theinterquartile (IQR) increase in each pollutant concentrations, using conditional logistic regression analyses, with controls for weather information. Results : Using bidirectional control sampling, the results from a conditional logistic regression model, with controls for weather conditions, showed the estimated relative risk of hospitalization for asthma among children to be 1.04 (95% confidence interval (CI), 1.01-1.08) for particulate matter with an aerodynamic diameter less than or equal to 10m (IQR=40.4ug/m3); 1.05 (95% CI, 1.00- 1.09) for nitrogen dioxide (IQR=14.6ppb): 1.02 (95% CI,0.97-1.06) for sulfur dioxide (IQR=4.4ppb): 1.03 (95% CI, 0.99-1.08) for ozone (IQR=21.7ppb): and 1.03 (95% CI, 0.99-1.08) for carbon monoxide f10R=1.0ppm). Conclusions : This empirical analysis indicates the bidirectional control sampling methods, by design, would successfully control the confounding factors due to the long-term time trends of air pollution. These findings also support the hypothesis that air pollution at levels below the current ambient air quality standards of Korea is harmful to sensitive subjects, such as asthmatic children.

가드닝 일지 분석을 통한 반려식물이 정서면에 미치는 효과 (Determining Emotional Effects of Pet Plants Through Analysis of Daily Gardening Records)

  • 김희석;조태동
    • 한국환경과학회지
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    • 제27권9호
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    • pp.789-796
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    • 2018
  • This study aims to measure the emotional effects of pet plants, which have become popular in recent years. A questionnaire regarding perceptions of these indoor plants was administered to 78 university students. Thirty of these students took care of two species of pet plants for 90 days, and the emotional effects of this exercise were determined based on the type of words used in their daily records. The questionnaire results showed that the general recognition of emotional effects was low, though awareness of the term "pet plants" was high. However, after gardening for 90 days, participants began to consider their pet plants friends or family members, noting feelings of affection and sympathy in their daily writeups. These participants also experienced positive changes in their emotional well-being, including feelings of joy, hope, relaxation, confidence, and accomplishment. This study argues that pet plants can have positive effects on emotional stability and suggests that their adoption would be beneficial to humanity at large.