• 제목/요약/키워드: Severity level

검색결과 1,012건 처리시간 0.038초

유방암 자가검진 유무와 질병의 중증도와의 관계연구 (A Study on the Relationship between the Breast Self-Examination and the severity of breast cancer)

  • 이윤정;엄동춘
    • 재활간호학회지
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    • 제2권2호
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    • pp.225-233
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    • 1999
  • The purpose of this study is to determine the need of education about BSE for the medical members, to survey about the performance and the knowledge of BSE in patients who operated on subtotal and total mastectomy and to compare the regularity of BSE with the severity of breast cancer. The subjects were 163 patients with operated on mastectomy who participated were interviewed in the S university Hospital. The collected data were analyzed by descriptive statistics and t-test, One-way ANOVA and Pearson Correlation with SPSSWIN program. Results were obtained as follows: 1. There was no statistical difference between in the regular group of the mammography and the regular BSE group(F=0.558, P=0.458). 2. There was statistical difference between the method of detection and the severity of the breast cancer(F=3.359, P=0.011). 3. There was statistical difference between regularity of the BSE and the severity of breast cancer(F=3.301, P=0.019). 4. There was showed higher severity of the breast cancer in the elderly patients(r=0.172, P=0.019). 5. There was showed higher severity of the breast cancer in the lower educational level(r=-0.170, P=0.033). According to this study need to the development of the educational program about the BSE and the future research about the regular BSE of the high risk group in the breast cancer.

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20대 한국 직장인의 음주 심각도에 대한 직무 스트레스와 BDNF 유전자 다형성의 역할 (The Role of Job Stress and Brain-Derived Neurotrophic Factor Gene Polymorphism on the Severity of Alcohol Drinking in Korean Office Workers in Their Twenties)

  • 김보아;이상익;김시경;신철진;손정우;홍주봉;남영우;주가원
    • 생물정신의학
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    • 제19권2호
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    • pp.91-98
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    • 2012
  • Objectives : The aim of this study was to examine the effects of brain-derived neurotrophic factor (BDNF) genetic polymorphism and job stress on the severity of alcohol drinking. It was hypothesized that individuals with the Met/Met BDNF genotype would be more vulnerable than those carrying the Val allele. Methods : Participants were 133 healthy Korean adults (mean age $28.2{\pm}1.1$). Job stress and the severity index of drinking were investigated through self-reported questionnaires. BDNF (rs6265) gene was genotyped. Results : There was no significant association between job stress and the severity of alcohol drinking. Although the severity of alcohol drinking was not associated with BDNF genetic polymorphism, there was a significant difference in men according to genotype and job stress. Men with homozygous BDNF Met allele were more severe in alcohol drinking when job stress was high, less severe in alcohol drinking when job stress was low than those carrying the Val allele (F = 4.47, p = 0.038). Also higher level of job stress was correlated with higher severity of alcohol drinking in men homozygous for BDNF Met allele (rs = 0.620, p = 0.005). Conclusions : These findings suggest the possibility that Met allele could have differential susceptibility, with men homozygous for BDNF Met allele being more susceptible to both more adverse and less adverse environmental influences.

인공위성자료와 디지털 토양자료를 통해 분석한 미중부 대평원 지역 가뭄정도에 미친 물리적 토양특성의 영향 (Influences of Physical Soil Properties on Drought Severity in the Central Great Plains Based on Satellite Data and a Digital Soil Database)

  • Sunyurp Park
    • 대한지리학회지
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    • 제38권6호
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    • pp.935-948
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    • 2003
  • STATSGO 데이터베이스는 주단위의 토양 특성을 분석하는 데에 있어 효과적인 자료다. 본 연구에서는 GIS 기법을 이용하여 STATSGO로부터 8개 주요 토양 특성을 추출하였다: 함수력(available water capacity), 점토비율, 토양깊이, 사면경사. 지하수위까지의 깊이, 배수 특성, 토성, 투수도, 평균적인 NDVI로부터의 편차로 정의된 가뭄 정도(drought severity)에 대해 앞서 열거한 토양 특성이 미치는 영향을 캔자스 중서부 지역을 대상으로 분석하였다. 연구 결과에 따르면, 분석된 8개 변수 중 7개가 통계적으로 유의한 상관관계를 가진 것으로 나타났는데, 상관계수는 -0.89에서 0.85에 이르렀다. Moderate Resolution Imaging Spectroradiometer(MODIS)로부터 취득된 지표복사열(thermal emission) 자료는 평균 NDVI에 대한 편차로 표현되는 가뭄정도와 통계적으로 유의한 상관관계를 가졌으며, 식물생육기간에 걸친 가뭄지역의 공간적 변화를 잘 나타내었다. 토양수분의 결핍양이 많아질수록, 복사열 시그널 값도 높아지며, 공간적 분포로 볼 때. 상대적으로 건조한 캔자스 서부로부터 증가하여 시간에 따라 점차 그 분포도 변화하였다. 연구결과는 또한 가뭄의 진행단계에 따라 가뭄에 대한 각 토양 변수의 영향도 달라짐을 보여주었다.

위성영상을 이용한 서부임진강하구권역 내 DMZ 산불지역 회복성 분석 (Recoverability analysis of Forest Fire Area Based on Satellite Imagery: Applications to DMZ in the Western Imjin Estuary)

  • 김장수;오정식
    • 한국지형학회지
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    • 제28권1호
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    • pp.83-99
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    • 2021
  • Burn severity analysis using satellite imagery has high capabilities for research and management in inaccessible areas. We extracted the forest fire area of the DMZ (Demilitarized Zone) in the western Imjin Estuary which is restricted to access due to the confrontation between South and North Korea. Then we analyzed the forest fire severity and recoverability using atmospheric corrected Surface Reflectance Level-2 data collected from Landsat-8 OLI (Operational Land Imagery) / TIRS (Thermal Infrared Sensor). Normalized Burn Ratio (NBR), differenced NBR (dNBR), and Relative dNBR (RdNBR) were analyzed based on changes in the spectral pattern of satellite images to estimate burn severity area and intensity. Also, we evaluated the recoverability after a forest fire using a land cover map which is constructed from the NBR, dNBR, and RdNBR analyzed results. The results of dNBR and RdNBR analysis for the six years (during May 30, 2014 - May 30, 2020) showed that the intensity of monthly burn severity was affected by seasonal changes after the outbreak and the intensity of annual burn severity gradually decreased after the fire events. The regrowth of vegetation was detected in most of the affected areas for three years (until May 2020) after the forest fire reoccurred in May 2017. The monthly recoverability (from April 2014 to December 2015) of forests and grass fields was increased and decreased per month depending on the vegetation growth rate of each season. In the case of annual recoverability, the growth of forest and grass field was reset caused by the recurrence of a forest fire in 2017, then gradually recovered with grass fields from 2017 to 2020. We confirmed that remote sensing was effectively applied to research of the burn severity and recoverability in the DMZ. This study would also provide implications for the management and construction statistics database of the forest fire in the DMZ.

하지정맥류 환자의 질병관련 지식과 스트레스 및 삶의 질 (Disease-related Knowledge, Stress, and Quality of Life in Patients with Varicose Veins)

  • 이설희;유양숙
    • Journal of Korean Biological Nursing Science
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    • 제18권1호
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    • pp.60-67
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    • 2016
  • Purpose: The purpose of this study was to investigate the disease-related knowledge, stress and quality of life for the patients with varicose veins. Methods: Data were collected via questionnaire from 138 patients with varicose veins in C University Hospital in Korea from November in Korea 2012 to August 2013. Results: Knowledge of the symptoms and diagnosis was the lowest. The scores from patients with disease-related knowledge tended to be low for both subjects over the age of 60 and subjects with low education (less than high school). The score for stress over complications was the highest. The level of stress is higher for women, subjects without spouses, subjects with higher severity of disease and patients who had been taking hormones in the past or are still taking hormones. The disease-related quality of life tended to be lower for women and subjects without spouses. 21% of the variance in quality of life was explained by the level of disease-related stress, disease severity and knowledge. Conclusion: Education and the management of nurses to improve disease-related knowledge for patients with varicose veins is highly recommended. Intervention, by reducing stress, is necessary to improve the quality of life for women, subjects without spouses, and subjects with higher severity of the disease.

콩 점무늬병(Cercospora sojina Hara) 피해해석에 의한 경제적 방제수준 설정 (Establishment of Economic Threshold by Evaluation of Yield Component and Yield Damages Caused by Leaf Spot Disease of Soybean)

  • 심홍식;이종형;이용환;명인식;최효원
    • 식물병연구
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    • 제19권3호
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    • pp.196-200
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    • 2013
  • 콩 점무늬병이 수량에 미치는 영향을 평가하고 경제적 방제수준을 설정하고자 본 시험을 수행하였다. 점무늬병 발병정도와 주당 협수, 주당 총립수, 주당 총립중, 등숙률, 100립중 및 수량과의 상관계수는 각각 -0.90, -0.90, -0.92, -0.99, -0.90, -0.94로 통계적으로 고도의 유의성을 나타내었다. 콩 점무늬병의 병반면적률이 증가됨에 따라 수량은 반비례하여 감소하였는데, 콩 점무늬병 발병정도(x)에 따른 수량(y) 예측모델을 산출한 결과, 회귀식은 y = -3.7213x + 354.99($R^2$= 0.9047)로 고도의 부의 상관이 있었다. 이 회귀식을 토대로 경제적 피해허용수준은 병반 면적률 3.3%, 경제적 방제수준(ET)은 병반면적율 2.6%로 설정할 수 있었다.

Validity of the scoring system for traumatic liver injury: a generalized estimating equation analysis

  • Lee, Kangho;Ryu, Dongyeon;Kim, Hohyun;Jeon, Chang Ho;Kim, Jae Hun;Park, Chan Yong;Yeom, Seok Ran
    • Journal of Trauma and Injury
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    • 제35권1호
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    • pp.25-33
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    • 2022
  • Purpose: The scoring system for traumatic liver injury (SSTLI) was developed in 2015 to predict mortality in patients with polytraumatic liver injury. This study aimed to validate the SSTLI as a prognostic factor in patients with polytrauma and liver injury through a generalized estimating equation analysis. Methods: The medical records of 521 patients with traumatic liver injury from January 2015 to December 2019 were reviewed. The primary outcome variable was in-hospital mortality. All the risk factors were analyzed using multivariate logistic regression analysis. The SSTLI has five clinical measures (age, Injury Severity Score, serum total bilirubin level, prothrombin time, and creatinine level) chosen based on their predictive power. Each measure is scored as 0-1 (age and Injury Severity Score) or 0-3 (serum total bilirubin level, prothrombin time, and creatinine level). The SSTLI score corresponds to the total points for each item (0-11 points). Results: The areas under the curve of the SSTLI to predict mortality on post-traumatic days 0, 1, 3, and 5 were 0.736, 0.783, 0.830, and 0.824, respectively. A very good to excellent positive correlation was observed between the probability of mortality and the SSTLI score (γ=0.997, P<0.001). A value of 5 points was used as the threshold to distinguish low-risk (<5) from high-risk (≥5) patients. Multivariate analysis using the generalized estimating equation in the logistic regression model indicated that the SSTLI score was an independent predictor of mortality (odds ratio, 1.027; 95% confidence interval, 1.018-1.036; P<0.001). Conclusions: The SSTLI was verified to predict mortality in patients with polytrauma and liver injury. A score of ≥5 on the SSTLI indicated a high-risk of post-traumatic mortality.

소아 다발성 외상 환자의 중증도에 영향을 미치는 위험인자에 관한 분석 (Analysis of the Risk Factors Influencing the Severity of Injury in Pediatric Multiple Trauma Patients)

  • 이강욱;김선표;김성중;조수형;조남수
    • Journal of Trauma and Injury
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    • 제23권2호
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    • pp.68-74
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    • 2010
  • Purpose: The purpose of this study is, first, to analyze the risk factors that influence the severity of injury in pediatric multiple trauma patients and, second, to present solutions for the problems related to the treatment of such patients. Our living situations are so complicated that the danger of accidents is truly open to children who are not prepared. We need to draw attention to the increased numbers of various accidents involving children. Methods: We studied patients who visited the Emergency Medical Center at Chosun University Hospital from January 1, 2006, to December 31, 2008. Using medical records, we evaluated the general characteristics: the mechanism of injury, the vital signs, the revised trauma score (RTS), the injury severity score (ISS), and the hemoglibin value, which was checked at the time of visit, and the presence or the absence of emergent on regular surgery. We divided the level of injury as follows: light level (1-8 points), mid level (9-15 points), and serious level (above 16 points). We analyzed the medical data by using SPSS 17.0 for windows. Results: The average age of the patients examined was 8.6 years. The number of 6- to 11-year-old patients was 96, which was the largest, but the degree of injury severity was the highest among infant (0-2 years), according to ISS 7.95(${\pm}6.85$). The frequency of accidents was highest on sunny days, and most accidents occurred from 16:00 to 20:00. The cause of multiple trauma for children was the greatest in the traffic accident, (95 patients, 49.0%). In addition, the trauma caused by traffic accidents showed the highest ISS value ($9.02{\pm}6.42$) and the most serious degree (P=0.004). The ISS level of injury ($8.40{\pm}6.64$) for patients moved from a secondary hospital was higher than that ($6.49{\pm}5.57$) for patients who visited the medical center directly. The severity of injury was highest for patients who used a 119 ambulance ($8.84{\pm}5.80$). According to the injured parts of body, Injuries to the arms and the feet most frequent (79 patients, 40.7%), but the level of injury was the highest for internal organs and chest, $16.42{\pm}8.56$ and $11.23{\pm}6.97$, respectively. Conclusion: We used Abbreviated Injury Scale (AIS) in order to examine the characteristics by injured body part for pediatric multiple trauma patients. Because the degree of injury was the highest for internal organs or the chest, we need to more seriously examine and provide for patients who are suspected of having injuries to the internal organs or the chest. We need to quickly determine the need for surgery in patients with serious injuries to the arms and the feet, which is the greatest in frequency. In particular, we need to consider the surgical care of patients who are not very high in the severity of injury to their brains.

순간전압강하 평가를 위한 Area of Severity 구현에 관한 연구 (A Study on the method to determine an Area of Severity for Voltage Sag Assessment)

  • 이계병;박창현;배종일;이한상;조수환;장길수
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2015년도 제46회 하계학술대회
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    • pp.323-324
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    • 2015
  • Voltage sag phenomenon is known as one of the important problems that brought huge economic losses in the modern industry. The voltage sag assessment is to predict an annual expected sag frequency (ESF) at concerned consumers caused by fault in the system. An area of severity (AOS) assessment is defined as a set of the fault positions that can result in the voltage sag bigger than certain level for multi-concerned buses simultaneously. This paper introduces how to determine a method for evaluating the voltage sag performance based on the AOS assessment.

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Area of Severity 평가를 이용한 에너지 저장장치의 위치 결정에 관한 연구 (A study on the Placement of Energy Storage System by using Area of Severity Assessment)

  • 이계병;박창현;배종일;이한상;조수환;장길수
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2015년도 제46회 하계학술대회
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    • pp.321-322
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    • 2015
  • An area of severity (AOS) assessment is defined as a set of the fault positions that can result in the voltage sag bigger than certain level for sensitive buses simultaneously. Using the AOS assessment, the location of devices for compensating voltage sag can be determined as the site expected to less voltage sag at the sensitive bus. The energy storage system based on the control strategy emulating the traditional synchronous generator can contribute the fault current with fast response. Therefor are of venerability (AOV) can be reduced. The energy storage system installed by the AOS assessment has function which can experience relatively less voltage sag in addition to the conventional role of energy storage.

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