• 대한한방부인과학회지
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• 제31권1호
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• pp.57-83
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• 2018

Purpose: This research has been carried out to find out correlation between test results of ABR-2000 and other diagnostic equipments to enhance significance of accurate diagnosis and clinical usage of ABR-2000. Methods: Duration of the 31 months from December 2012 to June 2015, records of 564 outpatients at gynecology department have been selected. The 564 patients were tested, using all 3 different test equipments of ABR-2000, DSOM, and 3D Blood Pressure Pulse Analyzer (3D-MAC) without test errors or mis-recordings. Correlation between 3D Blood pressure Pulse Analyzer, DSOM and ABR-2000 were analyzed by frequency & ratio factor of statistic data records of patients groups devided by 8 different disease symptom and by comparison of the groups in the form of Regulation and Graph presented on ABR-2000 equipment. Results: 1. The indicator L in all 1, 2, and 3 quadrant in the graph means the activity and reactivity of the upper body biodynamics detection rate is low and which result is very common symptom among gynecological patients. 2. The portion of patients with hypermenorrhea, endometritis, and menstrual pain symptom among the indicator L group in the reactivity 1-3 quadrantin is significantly high. 3. When 3D Mac analyzer indicates H, diastole decreases while systole increases and tachycardia increases then the blood circulation is expected to increase. In case of indication L, diastole increases and systole decreases then, the blood circulation is expected to decrease.

• Structural Monitoring and Maintenance
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• 제4권1호
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• pp.1-15
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• 2017

Installation of sensors networks for continuous in-service monitoring of structures and their efficiency conditions is a current research trend of paramount interest. On-line monitoring systems could be strategically useful for road infrastructures, which are expected to perform efficiently and be self-diagnostic, also in emergency scenarios. This work researches damage detection in composite concrete-steel structures that are typical for highway overpasses and bridges. The techniques herein proposed assume that typical damage in the deck occurs in form of delamination and cracking, and that it affects the peak power spectral density of dynamic curvature. The investigation is performed by combining results of measurements collected by long-gauge fiber optic strain sensors installed on monitored structure and a statistic approach. A finite element model has been also prepared and validated for deepening peculiar aspects of the investigation and the availability of the method. The proposed method for real time applications is able to detect a documented unusual behavior (e.g., damage or deterioration) through long-gauge fiber optic strain sensors measurements and a probabilistic study of the dynamic curvature power spectral density.

• 한국산업보건학회지
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• 제24권3호
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• pp.383-392
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• 2014

Purpose: In this study, we sought to understand the risk factor for chronic disease of workers by studying the association between occupational standing time and metabolic syndrome(MetS) in full-time 300 male workers. Materials: Data on age, life habit, work related information of the subjects were surveyed using self-reported questionnaire and interview. MetS was identified based on the report of Alberti et al.(2009). As for the data analysis, SPSS 19.0 was used to conduct the descriptive statistic, ANOVA, Pearson correlation coefficient and multiple logistic regression analysis. Results: Daily working hour affects on the lifting heavy objects, running and strenuous exercise(r=-0.137, p<0.01), and total physical function decreased with the increase in age(r=-0.145, p<0.01). Also, obese was significantly associated with genuflection and bend over(r=-0.110, p<0.05). On multiple logistic regression analysis for the diagnostic indices of MetS, occupational standing time were significantly associated with waist circumference(odds ratio=0.885, ${\beta}$ value=-0.122, 95% CI=0.797-0.983, p<0.05) and triglyceride (odds ratio=0.873, ${\beta}$ value=-0.136, 95% CI=0.800-0.953, p<0.01). Conclusions: These results suggest that the working posture may be important risk factor in pathogenesis and growing of MetS and cardiovascular disease.

• 한국대기환경학회지
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• 제18권6호
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• pp.437-452
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• 2002

The Metropolitan Tracer Experiment (METREX) was performed over the Washington, D.C. area using two inert, non-deposition perfluorocarbon gases for over 1 year period (November 1983∼December 1984). Two perfluorocarbon gas tracers (PDCH, PMCH) were released simultaneously at intervals of every 36 hours for 6 hours, regardless of the meteorological conditions in metropolitan area. Samples were collected continuously for 8 hours at a central downtown and two adjacent suburban locations. Monthly air samples were collected at 93 sites across the whole region (at urban, suburban, and rural locations). The purpose of this study is to simulate INPUFF and ISCST model using METREX data, and to compare calculated and observed concentrations. In the case of INPUFF simulation, two meteorological input data were used. One is result data from wind field model which was calculated by diagnostic wind model (DWM), the other is meteorological data observed at single station. Here, three kinds of model calculation were performed during April and July 1984; they include (1) INPUFF model using DWM data (2) INPUFF model using single meteorological data (3) ISCST model. The monthly average concentration data were used for statistic analysis and to draw their horizontal distribution patterns. Eight-hour-averaged concentration was used to describe movement of puff during the episode period. The results showed that the concentrations calculated by puff model (INPUFF) were better than plume model (ISCST). In the case of puff model (INPUFF), a model run using wind field data produced better results than that derived by single meteorological data.

• Parasites, Hosts and Diseases
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• 제58권5호
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• pp.493-497
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• 2020

The purpose of this study is to find out the clusters with high toxoplasmosis risk to discuss the geographical pattern in 2 islands of Gyodong-myeon and Samsan-myeon in Ganghwa-gun, Korea. Seroepidemiological data of toxoplasmosis surveyed using rapid diagnostic tests for the residents in 2 islands from 2010 to 2013 were analyzed to detect clusters of the infection. The cluster was investigated using the SatScan program which is based on Kulldorff's scan statistic. The clusters were found with P-values in each region analyzed in the program, and the risk and patient incidence of specific areas can be examined by the values such as relative risk and log likelyhood ratio. Jiseok-ri was found to be a cluster in Gyodong-myeon and Ha-ri was the cluster in Samsan-myeon. This findings can be used to monitor and prevent toxoplasmosis infections occurring in vulnerable areas.

• Korean Journal of Radiology
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• 제25권6호
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• pp.575-588
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• 2024

Objective: Differentiating intracranial aneurysms from normal variants using CT angiography (CTA) or MR angiography (MRA) poses significant challenges. This study aimed to evaluate the efficacy of proton-density MRA (PD-MRA) compared to high-resolution time-of-flight MRA (HR-MRA) in diagnosing aneurysms among patients with indeterminate findings on conventional CTA or MRA. Materials and Methods: In this retrospective analysis, we included patients who underwent both PD-MRA and HR-MRA from August 2020 to July 2022 to assess lesions deemed indeterminate on prior conventional CTA or MRA examinations. Three experienced neuroradiologists independently reviewed the lesions using HR-MRA and PD-MRA with reconstructed voxel sizes of 0.25³ mm³ or 0.2³ mm³, respectively. A neurointerventionist established the gold standard with digital subtraction angiography. We compared the performance of HR-MRA, PD-MRA (0.25³-mm³ voxel), and PD-MRA (0.2³-mm³ voxel) in diagnosing aneurysms, both per lesion and per patient. The Fleiss kappa statistic was used to calculate inter-reader agreement. Results: The study involved 109 patients (average age 57.4 ± 11.0 years; male:female ratio, 11:98) with 141 indeterminate lesions. Of these, 78 lesions (55.3%) in 69 patients were confirmed as aneurysms by the reference standard. PD-MRA (0.25³-mm³ voxel) exhibited significantly higher per-lesion diagnostic performance compared to HR-MRA across all three readers: sensitivity ranged from 87.2%-91.0% versus 66.7%-70.5%; specificity from 93.7%-96.8% versus 58.7%-68.3%; and accuracy from 90.8%-92.9% versus 63.8%-69.5% (P ≤ 0.003). Furthermore, PD-MRA (0.25³-mm³ voxel) demonstrated significantly superior per-patient specificity and accuracy compared to HR-MRA across all evaluators (P ≤ 0.013). The diagnostic accuracy of PD-MRA (0.2³-mm³ voxel) surpassed that of HR-MRA and was comparable to PD-MRA (0.25³-mm³ voxel). The kappa values for inter-reader agreements were significantly higher in PD-MRA (0.820-0.938) than in HR-MRA (0.447-0.510). Conclusion: PD-MRA outperformed HR-MRA in diagnostic accuracy and demonstrated almost perfect inter-reader consistency in identifying intracranial aneurysms among patients with lesions initially indeterminate on CTA or MRA.

• 한국항만경제학회지
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• 제30권3호
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• pp.1-14
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• 2014

BDI건화물운임지수의 변동성은 환율과 주가의 변동성을 크게 초과할 정도로 대단히 클 뿐만 아니라 변동성이 점차 커지고 있어서 운임을 예측하는데 많은 어려움을 겪고 있다. 이에 본고는 이러한 운임지수의 변동성을 정확히 포착할 수 있는 모형을 찾는데 목적을 둔다. 이를 위해 변동성 분석에 흔히 사용되는 대칭형 변동성 모형인 GARCH 모형과 비대칭 변동성 모형인 AGARCH모형, GJR모형, EGARCH모형을 도입한다. 그것은 나쁜 뉴스가 좋은 뉴스보다 더 큰 변동성을 야기할 가능성이 높기 때문이다. 먼저 운임의 예측불가능요소를 운임의 요일별 특성을 제거한 후 자기회귀를 하여 구한 후 GARCH 분석을 적용하는데 적합한 성격을 갖는가를 조사한다. 비대칭모형의 AGARCH모형에서는 비대칭을 나타내는 계수가 유의하나 부호가 모형의 예상과 달라 나쁜 뉴스가 좋은 뉴스보다 더 큰 변동성을 야기하지 않으며, EGARCH모형의 비대칭계수도 양의 부호로 모형의 예상과 반대일 뿐만 아니라 유의하지 않아 나쁜 뉴스가 좋은 뉴스보다 더 큰 변동성을 야기하지 않는다는 것, 그리고 GJR모형에서도 해당 계수가 음으로 모형과 반대로 유의하지 않아 음의 충격이 양의 충격보다 더 큰 변동성을 유발하지 않음을 보인다. 이에 따라 BDI건화물운임지수의 변동성은 GARCH모형을 이용하는 것이 합리적이라는 점을 보인다.

• Journal of Chest Surgery
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• 제35권1호
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• pp.27-35
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• 2002

배경: 술후 심근경색(perioperative myocardial infarction;PMI)은 관상동맥 우회술 후 중요한 합병증 중 하나이다. PMI의 진단 방법 중 CK-MB 활성도(CK-MB activity) 측정보다 민감하고, 간단한 측정 방법을 가진 CK-MB 농도(CK-MB mass)의 측정으로 점차 대체되고 있다. 또한, cardiac troponin I(cTnl)는 심근경색의 표지자로 민감도와 특이도가 가장 높은 것으로 소개되고 있다. 본 연구는 관상동맥 우회술 후 심근경색의 표지자로서 CK-MB농도와 cTnl의 임상적 의의성에 대한 평가를 보고하고자 한다. 대상 및 방법: 2000년 4월부터 2001년 4월까지 강동성심병원에서 관상동맥 우회술을 받은 32명의 환자를 대상으로 하였다. 술후 CK-MB 활성도, CK-MB농도, cTnl, 심전도, 심초음파, 임상적 자료를 전향적으로 기록하였다. 술후 심근경색의 진단은 심전도에서 새로운 Q파 출현, CK-MB 활성도가 72시간안에 200 lU/L 이상, 심초음파에서 심근벽의 새로운 심근벽 운동이상 등의 3가지 중 2가지 이상인 경우로 정의하였다 결과: 관상동맥 우회술 후 3례에서 진단 기준에 부합된 경우였다. 시간 경과에 따라, 술후 12시간의 CK-MB활성도와 술후 24시간의 CK-MB농도(R=0.946), 술후 48시간의 cTnl(R=0.933)는 매우 상관성이 있었다(p=0.000). PM의 진단기준치를 찾기 위해 ROC(receiver operating characteristics) 곡선을 이용하였으며, PMI의 환자중 술후 24시간에서 CK-MB 농도가 30.05 ug/L보다 높은 측정값에서 PMI를 발견할 수 있었고, 이 때의 ROC 곡선의 하단 단면적은 1이었으며, 민감도 100%, 특이도 100%, 양성 예측도 100%, 음성 예측도 100% 이었다. cTnI의 경우 술후 48시간에서 17.15ug/L보다 높은 측정값에서 PMI를 발견할 수 있었고, 이 때의 ROC 곡선의 하단 단면적은 0.98이었으며, 민감도 100%, 특이도 96.6%, 양성 예측도 75%, 음성 예측도 100% 이었다. 결론: 관상동맥 우회술 후 심근경색의 진단적 표지자로서 CK-MB농도와 cTnl의 측정은 간단하고 정확한 방법으로 판단되며, 진단기준치를 제시함으로서 술후 심근경색의 조기 발견을 가능하게 할 수 있을 것이라 생각된다. 그러나 본 연구에서는 대상환자 수가 적었고, 적은 수의 환자에서 심근경색이 발생하여 통계적인 제한이 있을 수 있어 향후 더 많은 대상의 수가 필요할 것으로 사료된다.

• 대한약침학회지
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• 제4권3호
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• pp.59-67
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• 2001

Objective: The purpose of this report is to prove the clinical effect of Platycodon grandiflorum aqueous extract on pneumoniae patients. Methods: We used the aqueous extract of Platycodon grandiflorum to treat two pneumoniae patients. It was injected into five acupuncture points, which was Chondol(天突:CV22) 1 point, Pyesu(肺兪 : BL13) 2 point, and Kworumsu(厥陰兪: BL14) 2 point. Results & conclusions: We have used the aqueous extract of 24-year-old JK for treating the patients suffering from lung diseases, and have experienced the actual effects. Of the treated, two pneumonia-involved patients showed apparent improvement in simple chest X-ray and clinical symptoms. The patients were treated with JK (Jang-saeng platycodon) aqueous extract 25 and 22 times individually. The results were as follows. 1. The symptoms including coughing, phlegm, and fever were improved in two cases. 2. The lung infiltration in simple chest X-ray decreased and the WBC count was kept within normal range in two cases. 3. Side effect such as itching was not found in the process of JK aqueous extract treatment. 4. The criteria for pneumonia are fever, coughing with purulent phlegm, pleural chest pain, the evidence of new infiltration in simple chest X-ray, sign of lung sclerosis in auscultation, increase of WBC count, etc. But they may not be the proper objective diagnostic standards. So we had trouble in statistic process and numerical interpretation. Putting these results together, the JK aqueous extract is considered to be effective in treating patients for pneumonia, and the continuous research and accumulation of data is needed.

• 대한한방내과학회지
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• 제22권4호
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• pp.573-578
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• 2001

Objective: This study was carried out to investigate the correlation between prognosis and differential temperature of Digital infrared Thermographic Imaging in Bell's palsy. Methods: The clinical data and thermographic images were analyzed on 50 cases of Bell's palsy who were treated ambulatory in Dong-so oriental hospital from October 2000 to May 2001 And 32case were selected who underwent thermographic imaging within 7days of onset. Results: There was no statistic significance between ${\Delta}T$ and the length of treatment, but the length of treatment tends to grow as ${\Delta}T$ increased. The length of treatment was shortest in normal thermal pattern, followed by hyperthermal and hypothermal. Conclusions: According to the results, there was a tendency that ${\Delta}T$ value is proportional to treatment days, although it is not significant statistically.