• Title/Summary/Keyword: Evaluation of adjacent

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Safety and Efficacy of Ultrasound-Guided Percutaneous Core Needle Biopsy of Pancreatic and Peripancreatic Lesions Adjacent to Critical Vessels (주요 혈관 근처의 췌장 또는 췌장 주위 병변에 대한 초음파 유도하 경피적 중심 바늘 생검의 안전성과 효율성)

  • Sun Hwa Chung;Hyun Ji Kang;Hyo Jeong Lee;Jin Sil Kim;Jeong Kyong Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.5
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    • pp.1207-1217
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    • 2021
  • Purpose To evaluate the safety and efficacy of ultrasound-guided percutaneous core needle biopsy (USPCB) of pancreatic and peripancreatic lesions adjacent to critical vessels. Materials and Methods Data were collected retrospectively from 162 patients who underwent USPCB of the pancreas (n = 98), the peripancreatic area adjacent to the portal vein, the paraaortic area adjacent to pancreatic uncinate (n = 34), and lesions on the third duodenal portion (n = 30) during a 10-year period. An automated biopsy gun with an 18-gauge needle was used for biopsies under US guidance. The USPCB results were compared with those of the final follow-up imaging performed postoperatively. The diagnostic accuracy and major complication rate of the USPCB were calculated. Multiple factors were evaluated for the prediction of successful biopsies using univariate and multivariate analyses. Results The histopathologic diagnosis from USPCB was correct in 149 (92%) patients. The major complication rate was 3%. Four cases of mesenteric hematomas and one intramural hematoma of the duodenum occurred during the study period. The following factors were significantly associated with successful biopsies: a transmesenteric biopsy route rather than a transgastric or transenteric route; good visualization of targets; and evaluation of the entire US pathway. In addition, the number of biopsies required was less when the biopsy was successful. Conclusion USPCB demonstrated high diagnostic accuracy and a low complication rate for the histopathologic diagnosis of pancreatic and peripancreatic lesions adjacent to critical vessels.

Development of Biotope Evaluation Indexes for Improving Bird Diversity (조류 다양성 확보를 위한 비오톱 평가지표개발)

  • Chae, Jin-Hwak;Koo, Tae-Hoe
    • Journal of Environmental Policy
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    • v.4 no.1
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    • pp.113-127
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    • 2005
  • This study was aimed at developing an application method of biotope evaluation indexes to secure bird diversity on urban biotope that has high intensity of land use. The main purpose of the study was to plan the effective restoration method of sound urban biotope from the ecological aspects after evaluating the relationship between the biotope evaluation indexes. The biotope area, number of insect species, distance from adjacent road, biotope area index were surveyed on each designated site in order to analyze the evaluation indexes that influenced bird diversity in urban biotope. The analysis of the relationship between biotope evaluation. indexes showed the following results number of bird species and number of insect species > number of bird species and biotope area index > number of insect species and biotope area index, that is, the number of insect species and biotope area index had a specific effect on the bird diversity. The equation derived from the above result is 'number of bird species = 6.124 $\times$ biotope area index + 0.095 $\times$ number. of insect species - 1.197' ($R^2=0.716$, F=27.743, P<0.001). Therefore, even a small area can be helpful for promoting bird diversity in the urban area if the biotope area index and diversity of vertical landscape for insects are maintained.

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A Study of Evaluating Streetscape Green Environments to Improve Urban Street Green Spaces - A Case Study of Jeonju City - (도시가로녹지의 개선을 위한 녹화환경평가 연구 -전주시를 대상으로-)

  • Jeong, Moon-Sun;Lim, Hyun-Jeong
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.22 no.3
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    • pp.55-71
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    • 2019
  • The purpose of this study is to propose an evaluation method to assess green environments of streetscapes to improve urban street green spaces in Jeonju City. Through a rapid assessment of urban street green spaces, we suggest an objective basis for expanding street green space as well as for adopting sustainable maintenance and improvement measures. We choose 12 sections of streetscapes (roads and sidewalks) to investigate existing street conditions which have more than four lanes and function as major road axes. Six large roads and six medium roads of Jeonju City center area are investigated as pilot assessment study sites. Site inventory checklists consist of environmental characteristics of streetscape, street tree status, and planting condition evaluation. Environmental characteristics of streetscapes are composed of physical and neighborhood factors. For instance, items for physical factors are types and width of road/sidewalks, paving materials, tree protection materials, and green strip. And surrounding landuse is a neighborhood factor. Assessment items for street tree status are street plant names (tree/shrubs/ground cover), size, and planting intervals. Planting condition evaluation items are tree shape, damage, canopy density, and planting types with existence of adjacent green space. Evaluation results are classified into three levels such as A(maintain or repair), B(greening enhancement), and C(structural improvement). In case of grade A, streetscapes have enough sidewalk width for maintaining green strip and a multi-layered planting(in large road only) with fairly good growing conditions of street trees. For grade B and C, streetscapes have a moderate level of sidewalk width with a single street tree planting. In addition, street tree growing conditions are appeared poor so that green enhancement or maintenance measures are needed. For median, only grade B and C are found as its planting growing foundations are very limited in space. As a result, acquiring enough sidewalk space is essential to enhance ecological quality of urban street green. Especially, it is necessary to have green strip with reasonable widths for plant growing conditions in sidewalks. In addition, we need to consider native species with multi-layer plant compositions while designing street green.

A Study on the Performance Evaluation and Use Status of Grid (격자의 성능평가와 이용실태에 관한 연구)

  • Lee, Who-Min;Kim, Hak-Sung;Lee, Sang-Suk;Oh, Hyun-Joo;Kim, Young-Il;Lim, Han-Young;Kim, Heung-Tae;Lee, In-Ja;Huh, Joon
    • Journal of radiological science and technology
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    • v.17 no.1
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    • pp.55-63
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    • 1994
  • We have conducted on experiment with a purpose to evaluate the performance of grids being used at hospitals in Seoul and adjacent cities of Seoul. The results are as follows; Reality of the grids use 1. The focused grids were 105 and the parallel grids were 6 among 111 grids subject to experimenting. 2. The grid interspace material was aluminium of 94 and the remains were wood and bakelite. 3. The umber of Korean products from five companies was 33 and the one of the foreign products was 34 from companies. The physical properties have been examined by the notice of Department of Health and Social Affairs. 4. The intensity of secondary radiation was the highest in 5 : 1 grid ratio. 5. The Bucky factor increased with the increase of grid ratio. The selectivity, the grid improvement factor of grids also increased with increase of the grid ratio. However, with 6 : 1 grid ratio those factors were decreased exceptionally. In measurement of grid density with screen determiners and the beam alignment. 6. In evaluation the results were satifisfied within, 20%. 7. The value of the scale and the value of measurement were within the range of standard deviation, but the value of 103 lines were outranged from the standard deviation with all grid ratio except of 6 : 1 grid ratio.

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Clinical Application of $^{18}F-FDG$ PET in Gastric Cancer (위암에서 $^{18}F-FDG$ PET의 임상 이용)

  • Yun, Mi-Jin;Kim, Tae-Sung;Hwang, Hee-Sung
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.sup1
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    • pp.39-45
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    • 2008
  • PET or PET/CT detects only less than 50% of early gastric cancer and 62-98% of advanced gastric cancer. Therefore, mass screening programs are recommended for all adults over the age of 40 for early detection and early treatment of gastric cancer through endoscopy or various radiological tests. The most important step after diagnosis of gastric cancer is accurate staging, which mainly evaluates tumor resectability to avoid unnecessary surgery. Important factors that affect tumor resectability are whether the tumor can be separated from adjacent organs or important blood vessels, the extent of lymph node metastasis, presence of peritoneal metastasis, or distant organ metastasis. To evaluate the extent of local tumor invasion, anatomical imaging that has superior spatial resolution is essential. There are a few studies on prognostic significance of FDG uptake with inconsistent results between them. In spite of lower sensitivity for lymph node staging, the specificity of CT and PET are very high, and the specificity for PET tends to be higher than that for CT. Limited data published so far show that PET seems less useful in the detection of lung and bone metastasis. In the evaluation of pleural or peritoneal metastasis, PET seems very specific but insensitive as well. When FOG uptake of primary tumor is low, distant metastasis also tends to show low FDG uptake reducing its detection on PET. There are only a few data available in the evaluation of recurrence detection and treatment response using FDG PET or PET/CT.

Mesiodistal tooth angulation to segmental occlusal plane in panoramic radiography (파노라마방사선사진에서 구획별 교합면 기준선에 대한 치아근원심경사)

  • Kim Jae-Duk;Kim Jin-Soo;You Choong-Hyun
    • Imaging Science in Dentistry
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    • v.35 no.1
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    • pp.25-31
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    • 2005
  • Purpose : To evaluate the stability of the segmental occlusal plane and anatomical line as the reference line for measuring the mesiodistal tooth angulation in panoramic radiography and to determine the mean angle and the range of the mesiodistal tooth angulation in Korean population with normal occlusions. Materials and Methods : Twenty nine subjects (15 men, 14 women) with normal occlusion were selected. A total of 29 panoramic radiograms were taken at normal head position and then 10 images of 5 subjects selected were repeatedly taken with repositioning 2 times at each of the head down (V-shaped occlusion) and up (horizontal occlusion) for evaluation of stability of adopted reference lines by using PM2002CC (Planmeca, Finland). The images were traced with adoption of two test reference lines and the long axes of the teeth. The mesial angles formed by each reference line and the long axes of the teeth were measured and analyzed. Results : With anatomical reference line, the mesiodistal tooth angulations of the molars showed the significant difference by over 5 degree between the normal and each changed head position. With segmented occlusal reference line, deviations of mesiodistal tooth angulations by the two changed head positions were less than 1 degree. The means, standard deviations, and maximum and minimum values of mesiodistal tooth angulations to segmental occlusal reference line on panoramic radiography were determined. Conclusion : It would appear that mesiodistal tooth angulations to segmental occlusal plane as reference line in panograms are predictable as standards of normal occlusion and useful for evaluation of tooth arrangement between adjacent teeth.

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Evaluation of the Homogeneity of Korean Diagnosis Related Groups (한국형진단명기준환자군 분류체계의 동질성 평가)

  • Kim, Hyung Seon;Lee, Sun Hee;Nam, Chung Mo
    • Health Policy and Management
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    • v.23 no.1
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    • pp.44-51
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    • 2013
  • Background: This study designed to evaluate the homogeneity of Korean diagnosis related group (KDRG) version 3.4 classification system. Methods: The total 5,921,873 claims data submitted to the Health Insurance Review and Assessment Service during 2010 were used. Both coefficient of variation (CV) and reduction in variance of cost were measured for evaluation. This analysis was divided into before and after trimming outliers at the level of adjacent DRG (ADRG), aged ADRG (AADRG) split by age, and DRG split by complication and comorbidity. Results: At the each three level of ADRG, AADRG, and DRG, there were 38.9%, 38.7%, and 30.0% of which had a CV > 100% in the untrimmed data and there were 1.4%, 1.4%, and 1.9% in the trimmed one. Before trimming outliers, ADRGs explained 52.5% of the variability in resource use, AADRGs did 53.1% and DRGs did 57.1%. The additional explanatory power by age and comorbidity and complication (CC) split were 0.6%p and 4.6%p for each, which were statistically significant. After trimming outliers, ADRGs explained 75.2% of the variability in resource use, AADRGs did 75.6%, and DRGs did 77.1%. The additional explanatory power were 0.4%p and 2.0%p for each, which were statistically significant too. Conclusion: The results demonstrated that KDRG showed high homogeneity within groups and performance after trimming outliers. But there were DRGs CV > 100% after age or CC split and the most contributing factor to high performance of KDRG was the ADRG rather than age or CC split. Therefore, it is recommended that the efforts for improving clinical homogeneity of KDRG such as review of the hierarchical structure of classification systems and classification variables.

A Study on Residents' Trade-Off Preference for Interior Environmental Attributes of Multi-Family Housing (집합주택의 실내환경속성에 대한 거주자 선호에 대한 연구 - 상대적 비교 접근법을 중심으로 -)

  • 이연숙
    • Journal of the Korean housing association
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    • v.1 no.2
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    • pp.49-66
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    • 1990
  • This study is a case study to grasp residents` trade-off preference and opinions for selected interior environmental attributes of muilti-family housing. Interiew with structured questionnaire was carried out through pilot and main survey. On the basis of the result of pilot survey, interior environmental attributes for the main survey were selected. Selected attributes were the size of each residential room, the degree of openness between two rooms and interior facilities. Among them, trade-off approach was applied to the size of each residential room and interior facilities. For the main survey. 45 housewives living in 31 pyung apartment of a selected construction company to grasp the residents` trade-off preference and opinions on the selected attributes. In terms of the size of each room, subjects wanted the room to be lager, whereas master bedroom smaller, and family bathroom larger, wheareas toilet near master bedroom smaller. In terms of the degree of openness between two rooms, the present degree of openness between private and service area such as living room and balcony, and second bedroom and adjacent balcony need to be more open, whereas the present degree of openness between living room and dining room and between living room and kitchen need to be more closed. The comparative orders of important intems were the ventilation facility in the bathroom, drying poles for clothes in the balcony, interior landscape, and workable for hand washing clothes. In conclusion, measurement of preference using trade-off approach about selected interior environmental attributes in post-occupancy evaluation was regarded as a promising evaluation method to grasp the practical and comparative preference under constraints comparing to the typical existing methods.

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Autonomous evaluation of ambient vibration of underground spaces induced by adjacent subway trains using high-sensitivity wireless smart sensors

  • Sun, Ke;Zhang, Wei;Ding, Huaping;Kim, Robin E.;Spencer, Billie F. Jr.
    • Smart Structures and Systems
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    • v.19 no.1
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    • pp.1-10
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    • 2017
  • The operation of subway trains induces secondary structure-borne vibrations in the nearby underground spaces. The vibration, along with the associated noise, can cause annoyance and adverse physical, physiological, and psychological effects on humans in dense urban environments. Traditional tethered instruments restrict the rapid measurement and assessment on such vibration effect. This paper presents a novel approach for Wireless Smart Sensor (WSS)-based autonomous evaluation system for the subway train-induced vibrations. The system was implemented on a MEMSIC's Imote2 platform, using a SHM-H high-sensitivity accelerometer board stacked on top. A new embedded application VibrationLevelCalculation, which determines the International Organization for Standardization defined weighted acceleration level, was added into the Illinois Structural Health Monitoring Project Service Toolsuite. The system was verified in a large underground space, where a nearby subway station is a good source of ground excitation caused by the running subway trains. Using an on-board processor, each sensor calculated the distribution of vibration levels within the testing zone, and sent the distribution of vibration level by radio to display it on the central server. Also, the raw time-histories and frequency spectrum were retrieved from the WSS leaf nodes. Subsequently, spectral vibration levels in the one-third octave band, characterizing the vibrating influence of different frequency components on human bodies, was also calculated from each sensor node. Experimental validation demonstrates that the proposed system is efficient for autonomously evaluating the subway train-induced ambient vibration of underground spaces, and the system holds the potential of greatly reducing the laboring of dynamic field testing.

Improvement of SOC Structure Automated Measurement Analysis Method through Probability Analysis of Time-History Data (시계열 데이터의 확률분석을 통한 SOC 구조물 자동화계측 분석기법 개선)

  • Jung-Youl Choi;Dae-Hui Ahn;Jae-Min Han;Jee-Seung Chung;Jung-Ho Kim;Bong-Chul Joo
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.679-684
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    • 2023
  • Currently, large-scale and deep-depth excavation construction is being carried out in the vicinity of structures due to overdensity in urban areas in Korea. It is very important to secure the safety of retaining structures and underground structures for adjacent excavation work in urban areas. The safety of facilities is managed by introducing an automated measurement system. However, the utilization of the results of the automated measurement system is very low. Conventional evaluation techniques rely only on the maximum value of the measured data, and can overestimate abnormal behavior. In this study, we intend to improve the analysis technique for the automation measurement results. In order to identify abnormal behavior of facilities, a time-series analysis method for automated measurement data was presented. By applying a probability statistical analysis technique to a vast amount of data, highly reliable results were derived. In this study, the analysis method and evaluation method that can process the vast amount of data of facilities have been improved.