• Title/Summary/Keyword: common coverage

검색결과 172건 처리시간 0.028초

서포트벡터 군집분석을 이용한 대구·경북지역 대학의 분류 (Classification of universities in Daegu·Gyungpook by support vector cluster analysis)

  • 박혜정;김종태
    • Journal of the Korean Data and Information Science Society
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    • 제24권4호
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    • pp.783-791
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    • 2013
  • 본 논문에서는 대구 경북지역의 24개 4년제 대학교의 대학공시센터에 공시한 대학지표 자료를 사용하였다. 이들 대학지표들 중 재학생 충원률과 건강보험 취업률에 대한 지표를 이용하여 유사 특징을 가지고 있는 대학들을 그룹화 (분류)하여 그룹의 특징을 분석하는데 목적이 있다. SPSS의 계층적 군집분석과 서포트벡터 군집분석을 분석방법으로 활용하여 실험한 결과에서 공통으로 도출할 수 있는 정보를 구하였다.

교정 치료 중인 환자의 치주수술 (Mucogingival surgery for patients under orthodontic treatment)

  • 박신영
    • 대한치과의사협회지
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    • 제55권3호
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    • pp.249-256
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    • 2017
  • Gingival recession is one of the common mucogingival problems during the orthodontic treatment. The causes of the gingival recession are similar to gingival recession in patients with periodontal diseases. Accumulation of bacterial deposits around the natural teeth induces the gingival inflammation and gingival recession occurs in the teeth with the lack of the supporting bone. However, malpositioned teeth which are labially positioned teeth or rotated teeth are more risky for gingival recession. Once root is exposed to oral cavity due to gingival recession, the orthodontic tooth movement is compromised and esthetic problems appeared. In addition, excessive gingival recession over the mucogingival junction jeopardizes the oral hygiene control, which has a risk of further gingival recession and bone loss around the tooth. To cover exposed root or to prevent further gingival recession, mucogingival surgery with gingival graft is recommended for the patients under orthodontic treatment. This case report aimed to present the mucogingival treatments of gingival recession observed during orthodontic treatment. Case I had had initial slight gingival recession before the orthodontic treatment. However, during the retraction phases, the gingival recession progressed and the periodontal treatment was referred. In case II, miller Class III gingival recession was occurred after correction of rotation. Both cases were treated by coronally advanced flap with free gingival grafts and recovered to the level of adjacent teeth despite of complete root coverage was not achieved in Case II. After periodontal treatment, orthodontic treatment was successfully completed. In conclusion, mucogingival surgery during the orthodontic treatment is recommended for the successful orthodontic treatment as well as periodontal health.

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IEC 61850 기반 후비보호계전시스템 보호협조 개선방안 (Improved Coordination Method for Back-up Protection Schemes Based on IEC 61850)

  • 김형규;강상희
    • 전기학회논문지
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    • 제60권1호
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    • pp.43-49
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    • 2011
  • A distance relay scheme is commonly used for backup protection. This scheme, called a step distance protection, is comprised of 3 steps for graded zones having different operating time. As for the conventional step distance protection scheme, Zone 2 can exceed the ordinary coverage excessively in case of a transformer protection relay especially. In this case, there can be overlapped protection area from a backup protection relay and, therefore, malfunctions can occur when any fault occurs in the overlapped protection area. Distance relays and overcurrent relays are used for backup protection generally, and both relays have normally this problem, the maloperation, caused by a fault in the overlapped protection area. Corresponding to an IEEE standard, this problem can be solved with the modification of the operating time. On the other hand, in Korea, zones are modified to cope with this problem in some specific conditions. These two methods may not be obvious to handle this problem correctly because these methods, modifying the common rules, can cause another coordination problem. To overcome this problem clearly, this paper describes an improved backup protection coordination scheme using an IEC 61850-based distance relay for transformer backup protection. IEC 61850-based IED(Intelligent Electronic Device) and the network system based on the kernel 2.6 LINUX are realized to verify the proposed method. And laboratory tests to estimate the communication time show that the proposed coordination method is reliable enough for the improved backup protection scheme.

Reconstruction of a scalp defect due to cochlear implant device extrusion using a temporoparietal fascia flap and a split-thickness skin graft from the scalp

  • Kang, Jae Kyoung;Lee, Jae Seong;Suh, Michelle;Lim, Gil Chae;Shin, Myoung Soo;Yun, Byung Min
    • 대한두개안면성형외과학회지
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    • 제20권5호
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    • pp.319-323
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    • 2019
  • Cochlear implant extrusion, which is a common complication of cochlear implants, is generally repaired by a well visualized soft-tissue flap. A 61-year-old female patient with a medical history of schizophrenia who had a skin ulcer that caused cochlear implant extrusion, but that would be a stronger statement was referred to our department for removal of the implant and reconstruction of the resultant scalp defect. Accordingly, the broad defect was covered via rotation of a temporoparietal fascia flap (TPFF) using the superficial temporal artery, with the pedicle in the preauricular region as the pivot point. Coverage of TPFF was achieved with a split-thickness skin graft using the scalp as the donor site, which led to a quick recovery after the operation and satisfactory results in terms of aesthetics. This case suggests that a TPFF might be used as a flexible flap with low donor site morbidity for reconstructing cases of cochlear implant extrusion accompanied by a large full-layer scalp defect.

Hypersensitivity Reaction to Perioperative Drug Mistaken for Local Anesthetic Systemic Toxicity in a Patient under Brachial Plexus Block

  • Jun, Jee Young;Kim, Youn Jin;Kim, Jong Hak;Han, Jong In
    • 고신대학교 의과대학 학술지
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    • 제33권3호
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    • pp.468-476
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    • 2018
  • Perioperative anaphylaxis, although rare, is a severe, life-threatening unexpected systemic hypersensitivity reaction. Simultaneous administration of various drugs during anesthesia, the difficulty of communicate with patients in sedation and anesthesia, and coverage of the patient with surgical drapes are considered to be factors that impede early recognition of anaphylactic reactions. It is very important to perform an intradermal skin test because antibiotics are the most common cause of perioperative anaphylaxis. We report a case of negative-intradermal skin test antibiotic anaphylaxis mistaken for local aesthetic systemic toxicity without increase of serum tryptase for confirmative diagnostic biomaker during surgery under brachial plexus block. It is not possible to exclude the danger of anaphylaxis completely, even if it is negative-intradermal skin test and normal tryptase level. Therefore, anesthesiologists should be closely monitored and treated early for antibiotics related hypersensitive reaction, like other medicines during anesthesia.

Endolichenic Fungal Community Analysis by Pure Culture Isolation and Metabarcoding: A Case Study of Parmotrema tinctorum

  • Yang, Ji Ho;Oh, Seung-Yoon;Kim, Wonyong;Hur, Jae-Seoun
    • Mycobiology
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    • 제50권1호
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    • pp.55-65
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    • 2022
  • Lichen is a symbiotic mutualism of mycobiont and photobiont that harbors diverse organisms including endolichenic fungi (ELF). Despite the taxonomic and ecological significance of ELF, no comparative investigation of an ELF community involving isolation of a pure culture and high-throughput sequencing has been conducted. Thus, we analyzed the ELF community in Parmotrema tinctorum by culture and metabarcoding. Alpha diversity of the ELF community was notably greater in metabarcoding than in culture-based analysis. Taxonomic proportions of the ELF community estimated by metabarcoding and by culture analyses showed remarkable differences: Sordariomycetes was the most dominant fungal class in culture-based analysis, while Dothideomycetes was the most abundant in metabarcoding analysis. Thirty-seven operational taxonomic units (OTUs) were commonly observed by culture-and metabarcoding-based analyses but relative abundances differed: most of common OTUs were underrepresented in metabarcoding. The ELF community differed in lichen segments and thalli in metabarcoding analysis. Dissimilarity of ELF community intra lichen thallus increased with thallus segment distance; inter-thallus ELF community dissimilarity was significantly greater than intra-thallus ELF community dissimilarity. Finally, we tested how many fungal sequence reads would be needed to ELF diversity with relationship assays between numbers of lichen segments and saturation patterns of OTU richness and sample coverage. At least 6000 sequence reads per lichen thallus were sufficient for prediction of overall ELF community diversity and 50,000 reads per thallus were enough to observe rare taxa of ELF.

토모테라피 Edge 모드를 이용한 임상적 유용성 고찰 (Dosimetric and clinical review on the application of TOMO_edge mode)

  • 김이지
    • 대한방사선치료학회지
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    • 제26권2호
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    • pp.177-182
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    • 2014
  • 목 적 : 토모테라피(Tomotherapy)의 두 가지 빔 모드(fixed jaw, dynamic jaw)에 따른 선량 분포 특성과 치료 시간의 차이를 분석하여 dynamic jaw(DJ)를 이용한 Tomo_edge 모드의 임상적 유용성을 고찰하고자 하였다. 대상 및 방법 : 토모테라피를 이용하여 치료받은 환자 7명을 대상으로 임상에서 보편적으로 사용되는 fixed jaw(FJ)를 이용하여 치료 계획을 수립하였다. 각각의 환자에서 모두 동일한 선량계획조건을 부여하였고, 토모테라피의 치료계획 인자인 Modulation Factor(MF), Pitch를 동일하게 유지한 상태에서 1) 동일한 조사면을 적용하고 FJ 와 DJ를 적용한 치료 계획을 비교하였다. 2) FJ를 적용한 치료 계획과 한 단계 큰 조사면과 DJ를 적용한 치료 계획을 비교하였다. 각 실험의 결과는 선량분포의 특성을 확인하기 위하여 종양체적 내 최소값(Dmin)과 선량 조형지수(CI=$V_{95%}$/TV)를 비교하고 표적을 포함한 조사영역 내 체적의 누적선량을 분석하였다. 또한, 임상적 유용성을 확인하기 위하여 빔 조사시간과 MU의 증감을 비교 분석하였다. 결 과 : 동일한 조사면을 적용하고 FJ와 DJ를 적용한 경우, $V_{75%}$은 1.04%, $V_{50%}$은 4.75% 감소하였고, $V_{25%}$은 7.6%, $V_{10%}$은 11.91% 감소하였다. FJ를 적용한 치료계획보다 한 단계 큰 조사면과 DJ를 적용한 경우에 Dmin은 0.72%, CI는 1.25% 줄어들었고, 동일 조사면을 적용한 경우와 마찬가지로 $V_{x%}$는 저선량 영역으로 갈수록 크게 감소하여 $V_{10%}$이 6.13%의 감소 값을 나타냈다. 빔 조사시간과 누적 MU는 동일 조사면 적용 시 각각 3.66%와 3.77%의 값으로 증가하였으나, 한 단계 큰 조사면을 적용한 경우, 빔 조사시간이 31.55%로 누적 MU는 32.28%으로 크게 감소하였음을 보여준다. 결 론 : 동일한 조사면을 사용하면서 DJ를 사용하는 경우, 표적의 선량분포를 거의 변화시키지 않으면서 환자의 용적선량을 효과적으로 감소시킬 수 있었다. 보다 큰 조사면을 사용하는 것과 동시에 DJ를 사용하는 경우는 일부 선량조형성의 저하를 나타내었으나 환자의 용적선량이 감소하고 치료 시간을 감소시킴으로써 Tomo-edge 모드는 임상적으로 유용한 것으로 사료된다.

가정산소치료의 보험급여 실시 이후 처방 실태: 다기관 조사 -만성기도폐쇄성질환 임상연구센터 제3세부과제 만성기도폐쇄성질환 진료지침 개발/보급 연구- (Long-term Oxygen Therapy for Chronic Respiratory Insufficiency: the Situation in Korea after the Health Insurance Coverage: a Multi-center Korean Survey -Study for the Development and Dissemination of the COPD Guidelines, Clinical Research Center for Chronic Obstructive Airway Disease-)

  • 박명재;유지홍;최천웅;김영균;윤형규;강경호;이승룡;최혜숙;이관호;이진화;임성철;김유일;신동호;김태형;정기석;박용범
    • Tuberculosis and Respiratory Diseases
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    • 제67권2호
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    • pp.88-94
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    • 2009
  • Background: From November 2006, The national health insurance system in the Republic of Korea began to cover prescribed long-term oxygen therapy (LTOT) in patients with chronic respiratory insufficiency. This study examined the current status of LTOT after national health insurance coverage. Methods: Between November 1, 2006 and June 30, 2008, the medical records of patients who were prescribed LTOT by chest physicians were reviewed. The data was collected from 13 university hospitals. Results: 197 patients (131 male and 66 female) were prescribed LTOT. The mean age was 64.3${\pm}$13.0 years. The most common underlying disease was chronic obstructive pulmonary disease (n=103, 52.3%). Chest physicians prescribed LTOT using arterial blood gas analysis or a pulse oxymeter (74.6%), symptoms (14%), or a pulmonary function test (11.2%). The mean oxygen flow rate was 1.56${\pm}$0.68 L/min at rest, 2.08${\pm}$0.91 L/min during exercise or 1.51${\pm}$0.75 L/min during sleep. Most patients (98.3%) used oxygen concentrators. Only 19% of patients used ambulatory oxygen supplies. The oxygen saturation before and after LTOT was 83.18${\pm}$10.48% and 91.64${\pm}$7.1%, respectively. After LTOT, dyspnea improved in 81.2% of patients. The mean duration of LTOT was 16.85${\pm}$6.71 hours/day. The rental cost for the oxygen concentrator and related electricity charges were 48,414${\pm}$15,618 won/month and 40,352${\pm}$36,815 won/month, respectively. Approximately 75% of patients had a regular visit by the company. 5.8% of patients had personal pulse oxymetry. 54.9% of patients had their oxygen saturation checked on each visit hospital. 8% of patients were current smokers. The most common complaint with LTOT was the limitation of daily activity (53%). The most common complaint with oxygen concentrators was noise (41%). Conclusion: The patients showed good compliance with LTOT. However, only a few patients used an ambulatory oxygen device or had their oxygen saturation measured.

사업장 보건관리사업의 형태별 수행성과 분석 -실적, 수혜도, 영향요인을 중심으로- (Performance of Occupational Health Services by Type of Service)

  • 조동란
    • 지역사회간호학회지
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    • 제6권1호
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    • pp.34-54
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    • 1995
  • Occupational health services in Korea have been operated as dual types: one is operated by occupational health care manager and the other is health care agency without their own personnel. The performance of occupational health service should be different due to the variety of characteristics of health care manager and workplace, qualification of health care manager. This study is to analyze performance of occupational health care services with a particular consideration of job, based on comparing those two types of health care management to show on the basic data for the settlement of more qualitative. health care management system at workplace. For this study, total 391 places in Seoul and Inchon city area: 154 places (39.4%) managed by designated. health care manager and 237 places (60.6%) by the agency with their commission are selected as research samples. Tools for data collection are questionnares have been investigated during the period of 20 September 1993-20 December 1993. Those data are compared with percentiles, mean, standard deviation due to the characterstics of each variable and analyzed for impacting factors with relation to the using multiple regression analysis using SPSS PC program, especially using t -test method in order to compare each type of health care management. Conclusions observed from the tests and each comparison could be summerized as follows : 1. Occupational health care have been accomplished at workplaces with designated people than with agencies people, and coverage rate of the occupational health care services has differences, due to management types. The reason of these results is due to visit only one or two times monthly by the agencies, while their own health care manager obsess, at the workplaces all the times. 2. The common sickness management is the most accomplished item in health care area of occupational health care services, while the preventive care and control for the workers who have serious health problems are insufficient in workers health care area. 3. An insufficient accomplishment of overall health education has been shown because it is difficult to perform health education due to almost no chance of the direct introduction at workplaces. Therefore a strong support system for making and supplying the media is necessary in order to activate indirect health education by means of media. 4. Because health care managers and the agencies managers where take the workplaces for this study are almost nurses who have been comparatively high work site rounding rate about an environmental management at the workplaces, that non-profession can also do it, the activities about the professional area not enough. Therefore, an appropriate referral system should be established in order to complement professional area. 5. Two factors which have an effect on the coverage rate of occupational health care services are : one is those from the workplaces such as type of services, the number of workers, the number of harzadous factors and safety & health committee, the other from health care organization about whether there is its own manager or not.

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서울시 가로경관 특성화 및 녹량증진을 위한 가로녹지 개선 방안 (Improvement on Street Greenery for the Landscape Specialization and Increase of Green Volume on the Streets of Seoul)

  • 변혜옥;한봉호;기경석;정진미
    • 한국조경학회지
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    • 제40권6호
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    • pp.35-46
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    • 2012
  • 본 연구에서는 서울시에 있는 가로를 토지이용별로 분류하여 녹량 특성과 경관특성을 구체적으로 분석하고 이에 따른 개선방안을 제시하고자 하였다. 연구 대상 가로는 서울시에서 이용률이 높은 가로이면서 보도가 넓어 녹지량을 증진시킬 수 있는 잠재성이 큰 가로인 광로만으로 한정하였다. 가로 유형별 녹량 및 경관 현황을 종합하여 보면 가로유형에 상관없이 양버즘나무와 은행나무가 대표 가로수종으로 식재되었고 가로별 녹시율은 주거지역 51.6%, 녹지지역 50.4%, 상업지역 45.2%, 업무지역 43.7% 순으로 나타났다. 주거지역을 제외한 지역에는 가로 띠녹지가 거의 없었고 가로별 녹피율은 업무지역 71.0%, 녹지지역 64.0%, 주거지역 37.3%, 상업지역 36.2% 순이며 녹지용적계수는 평균 $1.9m^3/m^2$로 나타났다. 연구결과를 바탕로 주거지역가로는 풍부한 녹의 커뮤니티공간과 4계절 화관목 경관제공을 목표로 하였고, 상업지역가로는 화목류와 단풍으로 상가 이미지 부각을 하되 서비스행위 및 보행에 지장을 주지 않도록 제안하였다. 업무지역가로는 녹량과 녹시율 증가 및 도심이미지에 어울리는 가로공간 연출을 목표로 하였고, 녹지지역가로는 자생종 위주의 다층식재 및 주변산림과 연계를 통한 야생동물 은신처, 서식처 제공을 위한 가로공간 조성을 목표로 하였다.