• 한국식품과학회지
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• 제46권3호
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• pp.352-357
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• 2014

수도권 거주 소비자 100명을 대상으로 전국에서 시판되는 24종의 복분자주의 소비자 기호도 조사를 실시하였다. 24개 복분자주 시료의 전반적인 기호도 평가의 분산분석을 통해 기호도 평가에 연령 및 성별간의 차이보다는 개인 간의 차이가 더 크게 작용한 것으로 나타났다. 전체 소비자 기호도 평가 결과를 바탕으로 군집분석을 실시하여 시료 간 유사한 기호도 평가를 보인 세 개의 군집으로 분류하였다. 세 개의 군집은 기호척도의 빈도수 분포와 실제 기호도 평균 점수에서 군집 간의 차이가 확인되었다. 이러한 군집 분류를 바탕으로 판별분석을 활용하여 군집의 분류가 적절한지 또한 판별함수의 예측력은 적정한지 파악하였다. 판별분석결과 분류율이 100%로 적절한 예측력을 보였고, 세 군집간의 마할라노비스거리와 추출된 요인 내에서의 분포도도 적정한 것으로 나타났다. 향후 다양한 우리술의 품질평가시스템 개발에 소비자 기호도 조사를 활용한 평가방법이 활용 가능하리라 여겨진다.

• 전자공학회논문지
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• 제53권2호
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• pp.47-52
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• 2016

스마트 기기와 소형 디스플레이에 사용되는 디지털 영상은 다운스케일링 (Downscaling)된 영상이 사용된다. 본 논문에서는 영상 픽셀값의 경사도에 따른 특징벡터를 이용한 다운스케일링 포저리 (Forgery) 영상 검출 알고리즘을 제안한다. 제안된 알고리즘에서, 원영상의 픽셀값 경사도로부터 자기회귀 (AR: Autoregressive) 계수를 계산한다. 이는 다운스케일링 포저리 영상 검출기의 SVM (Support Vector Machine) 분류를 위한 학습에 사용된다. 제안된 다운스케일링 검출 알고리즘은 동일 10-Dim. 특징벡터의 MFR (Median Filter Residual) 스킴과 686-Dim.의 SPAM (Subtractive Pixel Adjacency Matrix) 스킴과 비교하여 다운스케일링 90% 영상 포저리에서 성능이 우수하며, 평균필터링 ($3{\times}3$) 영상과 미디언필터링 ($3{\times}3$) 영상에서 높은 검출율을 보여 주었다. 특히, 평균필터링과 미디언필터링 영상에서는 성능평가 전체 항목에서 민감도 (Sensitivity; TP: True Positive rate)와 1-특이도 (1-Specificity; FP: False Positive rate)의 AUC (Area Under Curve)가 모두 1에 수렴하여 'Excellent (A)' 등급임을 확인하였다.

• Journal of Yeungnam Medical Science
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• 제35권1호
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• pp.130-134
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• 2018

Heterotopic ossification (HO) around the hip joint is not uncommon following neurological injury. Often, surgical treatment is performed in patients with restricted motion and/or refractory pain due to grade III or IV HO according to Brooker classification. The major complication that occurs as a result of surgical HO removal is perioperative bleeding due to hyper-vascularization of the lesion. Here, we report a case of preoperative embolization in a 51-year-old male patient presenting with restricted bilateral hip range of motion (ROM) due to HO following a spinal cord injury. In the right hip without preoperative arterial embolization, massive bleeding occurred during surgical removal of HO. Thus, the patient received a transfusion postoperatively due to decreased serum hemoglobin levels. For surgery of the left hip, preoperative embolization of the arteries supplying HO was performed. Surgical treatment was completed without bleeding complications, and the patient recovered without a postoperative transfusion. This case highlights that, while completing surgical removal for ROM improvements, orthopedic surgeons should consider preoperative arterial embolization in patients with hip HO.

• 대한비뇨기종양학회지
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• 제15권3호
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• pp.137-142
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• 2017

Purpose: To examine and compare the perioperative outcomes of laparoscopic adrenalectomy (LA) and to determine its efficacy in patients with nonfunctioning adrenal adenomas (NFA) and subclinical Cushing syndrome (SCS). Materials and Methods: We retrospectively analyzed the clinical data obtained from 79 consecutive patients who underwent LA for the treatment of either NFA (n=35) or SCS (n=44) between 2011 and 2016. All patients had undergone computed tomography, as well as endocrinological tests to confirm the diagnosis prior to the adrenalectomy. The primary endpoint was improved metabolic parameters relating to diabetes, hypertension, dyslipidemia, and obesity. Results: Patients with SCS compared to those with NFA showed a higher occurrence of diabetes (29.5% vs. 11.4%), hypertension (59.1% vs. 34.3%), and dyslipidemia (43.2% vs. 14.3%). Patients with SCS showed a smaller median tumor size compared to those with NFA (2.5 cm vs. 5 cm). No significant perioperative complications ${\geq}$ Clavien-Dindo classification grade III were observed in any patient (SCS or NFA group). In terms of their metabolic profile, patients with SCS showed a significant postoperative improvement in hypertension (50.0%), diabetes (53.9%), dyslipidemia (31.6%), and obesity (29.2%). However, patients with NFA showed a postoperative improvement only in dyslipidemia (40.0%) and obesity (4.8%). Conclusions: Owing to absence of significant perioperative complications and the marked postoperative improvement in metabolic impairment, LA is a useful treatment strategy in patients diagnosed with SCS. In contrast, LA was not observed to show beneficial effects in correcting/improving the metabolic profile in patients presenting with NFA.

• 한국항만경제학회지
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• 제34권3호
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• pp.53-74
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• 2018

본 연구의 목적은 필리핀의 항만정책 수립의 경쟁력 제고를 위한 정책적 시사점을 도출하기 위한 것이다. 필리핀은 개발도상국으로서 연 평균 5-6%의 꾸준한 경제성장을 유지하고 있으며, 이에 따라 대외무역거래량과 국내 인적 물적 유통량도 급격하게 증가하고 있는 추세에 있다. 그러나 이러한 물동량의 증가에도 불구하고 항만 등 인프라 시설은 매우 열악한 실정에 있으므로 이에 대한 보다 체계적인 개발계획과 추진실행이 시급한 상황이다. 본 연구에서는 AHP 기법을 적용하여 설문을 통한 항만경쟁력을 분석하고, 선행 문헌연구와 현지 각 관련 기관들로부터 획득된 내부자료 및 관계자들의 인터뷰를 통해 수집된 자료를 분석하여 항만발전 저해요인을 도출하였다. 그 결과 항만발전에 필요한 정책적 시사점으로서 보다 강화된 중앙 집중적 관리방식 도입, 항만의 투자와 운영에 관한 분리방안채택, 전국적으로 산재한 대소항만들의 목적에 따른 등급화, 효율적인 항비부과에 따른 수입원 확보 및 시설확충을 위한 선진 금융기법 및 투자유치 등의 정책이 필요하다는 결론과 시사점을 제시할 수 있었다.

• Hip & pelvis
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• 제30권4호
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• pp.260-268
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• 2018

Purpose: This study was performed to assess the clinical and radiological outcomes following one-stage hip reconstruction, consisting of open reduction femoral shortening and pelvic osteotomy, for neglected developmental dislocation of the hip (DDH). Materials and Methods: This is a retrospective analysis of 77 hips in 65 patients (46 females and 19 males; 12 had bilateral dislocations), operated at a Ghurki Trust Teaching Hospital in Pakistan between 2013 and 2015. The average age at surgery was $11.02{\pm}3.43$ years. According to the Tonnis classification, there were 10, 14, 22, and 31 patients in grades 1, 2, 3, and 4, respectively. The pelvic procedure utilized in this study was triple osteotomy (47 hips) followed by double and Salter osteotomy (18 and 12 hips, respectively). Postoperative evaluations were conducted using the modified MacKay's scoring system (functional outcomes) and Severin's scoring method (radiological assessment). Results: Postoperatively, there were 38 (49.4%), 19 (24.7%), 14 (18.2%), and 6 (7.8%) hips in Severin grade I, II, III and IV, respectively. According to the modified McKay criteria, there were 22 hips (28.6%) in excellent condition, 44 (57.1%) in good condition, 9 (11.7%) in fair condition and 2 (2.6%) in poor condition. Both patients with poor outcomes had an unstable, painful hip with evidence of avascular necrosis of the femoral head. Conclusion: Based on the results presented here, we recommend the single stage procedure of open reduction, femoral shortening and pelvic osteotomy for treatment of DDH in older children with good to excellent functional and radiological outcomes.

• Journal of Gastric Cancer
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• 제19권3호
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• pp.290-300
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• 2019

Purpose: The optimal method for intracorporeal esophagojejunostomy remains unclear because a purse-string suture for fixing the anvil into the esophagus is difficult to perform with a laparoscopic approach. Therefore, this study aimed to evaluate our novel technique to fix the anvil into the esophagus. Materials and Methods: This retrospective study included 202 patients who were treated at our institution with an intracorporeal circular esophagojejunostomy in a laparoscopy-assisted total gastrectomy with a Roux-en-Y reconstruction (166 cases) or a laparoscopy-assisted proximal gastrectomy with jejunal interposition (36 cases). After incising 3/4 of the esophageal wall, a hand-sewn purse-string suture was placed on the esophagus. Next, the anvil head of a circular stapler was introduced into the esophagus. Finally, the circular esophagojejunostomy was performed laparoscopically. The clinical characteristics and surgical outcomes were evaluated and compared with those of other methods. Results: The average operation time was 200.3 minutes. The average hand-sewn purse-string suturing time was 6.4 minutes. The overall incidence of postoperative complications (Clavien-Dindo classification grade ${\geq}II$) was 26%. The number of patients with an anastomotic leakage and stenosis at the esophagojejunostomy site were 4 (2.0%) and 12 (6.0%), respectively. All patients with stenosis were successfully treated by endoscopic balloon dilatation. There was no mortality. Regarding the materials and devices for anvil fixation, only 1 absorbable thread was needed. Conclusions: Our procedure for hand-sewn purse-string suturing with the double ligation method is simple and safe.

• 한국물환경학회지
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• 제37권4호
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• pp.249-262
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• 2021

This study investigated the pollution characteristics of the main pollution zone in the Hwangguji watershed and the influence of the tributary on the main stream. The characteristics of the main pollution zone, including, the water quality index (WQI), stream rating, load duration curve (LDC), delivery load density (DLD), and contribution of the tributary to the mainstream, were evaluated by time-series visual heatmap. The WQI of the mainstream of Hwangguji was lowered to the poor (IV) level from the inflow point of Suwon stream (SW) and the LDC excess rate in the T-P was higher than that of BOD₅, especially for the wet season, suggesting that management of non-point source with T-P is preferred. The contribution (%) of the tributaries in the upstream section of Hwangguji watershed were BOD₅ 14.54%, TOC 15.67%, T-N 5.43%, and T-P 6.97%. In particular, the Suwon sewage treatment plant located in the mainstream showed a high contribution of BOD₅ (64.40%) and T-P (53.54%), respectively, due to the high discharge rate (6.019 m³/sec). Meanwhile, Sammi and Gal stream have a large impact on the mainstream with high DLD and poor WQI. Thus, both streams were considered as pollution hot spots. These results provide useful basic data for preparing more effective water quality improvement and management plans in the watershed.

• 고신대학교 의과대학 학술지
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• 제33권2호
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• pp.191-199
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• 2018

Objectives: We designed the study to compare the oncologic and renal function outcomes of off-clamp, laparoscopic partial nephrectomy (OCLPN) and conventional laparoscopic partial nephrectomy (HCLPN) for renal tumors. Methods: Between March 2008 and July 2015, 114 patients who underwent laparoscopic partial nephrectomy (LPN) of a renal neoplasm were studied. We performed LPN without hilar clamp on 40 patients (OCLPN, Group 1), and conventional LPN with hilar control and renorrhaphy on another 40 patients (HCLPN, Group 2). We retrospectively reviewed the medical records of each patient's age, sex, R.E.N.A.L. nephrometry score (RNS), operation time, complications, hospitalization period, tumor size, positive resection margin, histologic classification of tumor, pathologic stage, Fuhrman grade, estimated blood loss (EBL), warm ischemic time (WIT), and estimated glomerular filtration rate (eGFR) before and one year after surgery. Results: There were no significant differences in age, sex, preoperative eGFR, EBL, surgical (anesthesia) time, and tumor size between the two groups. The mean eGFR was not significantly different between the OCLPN and HCLPN groups 1 month (95 and $86.2mL/min/1.73m^2$, respectively; P = 0.106), 6 months (92.9 and $83.6mL/min/1.73m^2$, respectively; P = 0.151) and 12 months (93.8 and $84.7mL/min/1.73m^2$, respectively; P = 0.077) postoperatively. The change in eGFR after one year was 3.9% in the OCLPN group and -7.9% in the HCLPN group. Conclusions: OCLPN was superior to HCLPN in preserving renal function one year after surgery, and there was no statistically significant difference in tumor treatment results.

• 한국재난정보학회 논문집
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• 제17권2호
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• pp.319-328
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• 2021

연구목적: 최근 대형 사회재난이 발생하면서 사회재난 안전도 진단에 대한 필요성이 요구되며 행정안전부에서 지역 안전지수, 국가안전대진단 등 지역의 안전도 등급을 계산하여 매년 공표하고 있다. 기존의 안전도 진단 시스템은 등간격 혹은 정규분포를 이용해서 획일화된 방법으로 등급화를 진행하여 위험지도를 작성하고 있다. 연구방법: 하지만 등간격 기법은 위험등급을 객관적으로 분석할 수 있지만 분포가 한쪽에 치우쳐있는 경우 위험등급을 분류하는데 한계가 있으며 z-score 기법은 모집단이 정규분포를 따르지 않으면 신뢰도가 떨어지는 문제가 있다. 지표별로 통계 데이터의 분포가 상이하기 때문에 데이터 분포별로 가장 적합한 등급화를 적용해야한다. 연구결과: 따라서 본 논문에서는 재난 지표의 데이터를 분석하여 각 지표마다 최적화된 등급화를 진행하고자 기존의 등간격 기법과 네츄럴브레이크 기법을 비교 및 적합한 방법을 제시하였다. 결론: 그 결과 기존의 등급화 기법과 다르게 적용된 것은 6새 지표 중 3개에 해당하였다.