• Archives of Plastic Surgery
• /
• 제40권3호
• /
• pp.198-202
• /
• 2013

Background Marjolin's ulcer is known to present a high proportion of recurrence and poor prognosis compared to other kinds of skin cancer. Based on our experience, Marjolin's ulcer patients who have received reconstructive surgery present a higher proportion of recurrence when there was disturbed wound healing after surgery. The impact of disturbed wound healing after surgery on the prognosis was examined in this study. Methods A retrospective study was carried out on 26 patients who were diagnosed with Marjolin's ulcer and received surgery in this hospital from 1996 to 2011. Histologic grading, lymph node metastasis at diagnosis, and the wound healing process were evaluated and chi-squared analysis applied in order to determine the correlation with recurrence. Results The proportion of recurrence increases in patients with a low histologic grade or lymph node metastasis at diagnosis. The proportion of recurrence is even higher when the problem occurs during the wound healing process after surgery. Conclusions Disturbed wound healing after surgery could be used as a sign to quickly identify the recurrence of carcinoma. Therefore, in the event a problem occurs in the wound healing process after surgery, one should keep in mind that this could be a sign of the possibility of recurrence and proceed with careful observation and active diagnosis through additional physical examinations, general X-ray tests, computed tomographys, magnetic resonance imagings, and so on, to obtain an early diagnosis of recurrence.

• Childhood Kidney Diseases
• /
• 제11권2호
• /
• pp.152-160
• /
• 2007

목 적 : 이식신 생검은 이식신 기능 이상의 원인, 거부반응의 정도, 예후 등을 확인하는데 도움이 된다. 그러나 이식신의 조직학적 변화가 신피질에 고르게 분포하지 않는 경우를 흔히 보게 된다. 따라서 본 연구는 이러한 이식신 생검에서의 잠재적인 표본추출의 오류를 평가하기 위하여 시행되었다. 방법 : 569개의 이식신 생검 표본 중에서 Banff criteria에 준하는 급성 거부반응을 보이고 있으며, 신피막부터 수질까지의 전 층을 포함하고 있는 신생검 표본 26개를 조사하였다. Banff criteria를 변형하여 조직의 변화를 간질성 염증(0-3+), 부종(0-3+), 요세관간질염(0-3+)으로 구분하여 급성거부반응의 등급을 표면 피질, 깊은 피질과 피질에 근접한 수질층 각각을 비교하여 조직학적 분석을 시행하였다. 결과 : 간질성 염증(P=0.019), 부종(P=0.023), 요세관 거부등급(P=0.019)에서 깊은 피질에서 표면 피질에 비해 급성 거부반응의 정도가 심하였다. 결론 : 이식신의 급성 거부반응을 진단하기 위하여 신생검을 실시 할 경우 깊은 피질이 포함되지 않으면 급성 거부반응을 과소 평가 할 수 있으므로 주의해야 할 것으로 사료된다.

• 한국방사선학회논문지
• /
• 제6권6호
• /
• pp.477-481
• /
• 2012

엑스선 회절분석기는 비파괴적인 방법으로 시료의 정보를 정성 및 정량적으로 분석할 수 있다. 엑스선 회절분석기에는 다양한 광학소자가 사용된다. 평행빔 광학소자는 광축에 평행한 빔을 통과시키고 발산하는 빔을 제거하는 역할을 한다. 와이어 컷 제작과 스테인리스 스틸 평판을 연마하여 평행빔 광학소자를 제작하였고 엑스선 영상장치를 이용하여 그 평행도를 평가하였다. 설계된 6 mrad과 매우 가까운 6.6 mrad의 평행도를 갖는 평행빔 광학소자를 제작하였다. 엑스선 영상을 이용하면 개개의 평판의 평행도를 예측할 수 있을 뿐만 아니라 다양한 광학소자 평가에도 사용될 수 있을 것이다.

• 대한지역사회영양학회지
• /
• 제18권2호
• /
• pp.142-153
• /
• 2013

The purpose of the study was to examine nutritional management and nutritional care demands of home-visit care service and the nutritional status of serviced elderly. The survey was carried out from $5^{th}$ to $21^{st}$ of January, 2011 among 37 In-Home Service institutions. The number of elderly surveyed by 143 care helpers was 281. Analysis was performed for 203 subjects (male: 44, female: 159). The age distribution was from 50 to 99 years. The grading by long-term care insuranceshowed 18,2% on level 1 and 2, and 81.8% on level 3. For the disease treatment, the proportion of implementing diet treatment turned out to be very low. The proportion of subjects living with their children was 45.3%, and living alone was 29.1%. The proportion of home-visit care among types of In-Home Service was 70%. Subjects who needed additional necessary diet management service turned out to be 40.9%. Diet management was the most necessary services from all levels. MNA (specifiy MNA) scores were significantly (p < 0.001) associated with BMI, mid-arm circumference (MAC), calf circumference (CC), intake problems, and weight loss during the last 3 months. For studied elderly, 45.3% were malnourished, and 46.8% were at the risk of malnutrition by MNA score. Based on the result of this survey, the nutritional care was not systematic on the In-Home Service. Prevention and management of the disease was much better than the treatment to improve the quality of life. We conclude that nutrition management is necessary for the elderly. To improve nutritional status of elderly in home care services, systematic nutrition management should be implemented.

• 지질공학
• /
• 제18권3호
• /
• pp.303-309
• /
• 2008

중요 석조문화재가 위치하고 있는 강원도 양양군 소재 진전사지 주변지역에 대한 사면재해 가능성을 예측하였다. 연구지역에 대한 현장조사, 실내시험, 지질 및 지형자료 분석을 통해 산사태에 유의한 영향요소를 평가하고 그 자료들을 예측모델에 적용하여 산사태예측도를 작성하였다. 그리고 산사태예측도에 의해 발생확률을 등급별로 분류함으로써 산사태로 인한 석조문화재의 피해가능성을 검토하였다. 산사태예측도에 의하면, 발생확률 70% 이상으로 산사태가 발생될 가능성이 높은 지역은 대상면적의 10.1%인 $3,489m^2$정도로 비교적 넓은 면적비율을 나타내었다. 피해영향권에 속한 높은 고도의 산사면에서 산사태가 발생할 경우 국보 제122호인 진전사지삼층석탑과 보물 제439호인 진전사지부도에 사태물질로 인한 피해가능성이 예상된다.

• 대기
• /
• 제30권2호
• /
• pp.141-154
• /
• 2020

Seasonal forecast is growing in demand, as it provides valuable information for decision making and potential to reduce impact on weather events. This study examines how operational climate prediction systems can be reliable, producing the probability forecast in seasonal scale. A reliability diagram was used, which is a tool for the reliability by comparing probabilities with the corresponding observed frequency. It is proposed for a method grading scales of 1-5 based on the reliability diagram to quantify the reliability. Probabilities are derived from ensemble members using hindcast data. The analysis is focused on skill for 2 m temperature and precipitation from climate prediction systems in KMA, UKMO, and ECMWF, NCEP and JMA. Five categorizations are found depending on variables, seasons and regions. The probability forecast for 2 m temperature can be relied on while that for precipitation is reliable only in few regions. The probabilistic skill in KMA and UKMO is comparable with ECMWF, and the reliabilities tend to increase as the ensemble size and hindcast period increasing.

• 한국수학교육학회지시리즈C:초등수학교육
• /
• 제5권2호
• /
• pp.121-142
• /
• 2001

The goal of the National Assessment of Educational Achievement(NAEA) 2001 was to affirm the accountability of school education, to scientifically manage and elevate the quality of education at the national level, and to articulate the final design of the NAEA. It was implemented on June 28th of the year 2001. The assessment frame for NAEA includes the achievement standards, the assessment standards, the instruction for the item development, and the grading policy for mathematics subject. Most of items are multiple-choice types, but the performance-based items should be at least thirty percent of the total items, also 30% in case of mathematics. Approximately 1% of students among entire population of the Grades 6 were randomly selected. Therefore, the finally sampled examines were 8023 at Grade 6. The result of the analysis of the NAEA revealed that Grade 6 students was labelled as ‘average’ level in general (Number and Operation: average, Geometric figures: average, Patterns and Functions: excellent, Measurements: average, Letters and Expressions: average, Probability and Statistics: average). The most characteristic finding was that except for Grade 6(its average is 69.92), most secondary students obtained low test scores and its average of each grade is below 50 out of 100. Especially, the scores on the performance-based items were by and large very low. This finding implies that Korean students are not familiar with the kind of test items which requires expression of ideas and feelings and they are rather familiar with the multiple-choice items. Another interesting finding was that the students in small towns and remote areas showed significantly low scores in all four skills compared with Seoul, metropolitan cities and medium and small cities. This may be attributed from the fact that the remote areas do not have equal learning environment with regard to social and cultural experience, supply of various teaching materials, extracurricular lessons which are directly related to teaching and learning. These findings may be utilized as a reliable resource fur improving curriculum and teaching and learning in Mathematics.

• Advances in pediatric surgery
• /
• 제13권2호
• /
• pp.169-178
• /
• 2007

Teratomas arising from totipotential primitive germ cell are composed of 2 or 3 germ cell layers. We reviewed the records of 166 children who underwent the operation for teratoma from Jan, 1990 through April, 2007. There were 40 boys and 126 girls (average age $6.93{\pm}5.83$ years). Primary sites were ovary (n = 88), sacrococcygeum (n = 24), testis (n = 16), retroperitoneum (n = 16), mediastinum (n = 8), brain (n = 4), thymus (n = 3) and a single tumor involved the adrenal gland, neck, middle ear, oropharynx, stomach, pelvis, omentum, chest wall and scalp. Teratomas were mature in 141 patients, and immature in 25. Six patients who had ovarian immature teratomas grade 2 or 3 with peritoneal gliomatosis underwent adjuvant chemotherapy. During follow up period, 6 mature teratomas recurred at sacrococcygeal area (n = 1) and contralateral ovary (n = 5). Five patients of them underwent reoperation and diagnosed as a mature teratoma, but one who had underwent a left salpingooophrectomy with right ovary cystectomy at initial operation was observed carefully. Teratomas were dominant in female patients and developed at various organs. Complete excision was needed for good prognosis. In case of immature teratoma, complete excision and appropriate chemotherapy according to grading can contribute to favorable results.

• 한국의류산업학회지
• /
• 제12권4호
• /
• pp.487-493
• /
• 2010

The objectives of this study were to investigate the progress of obesity in women from childhood to adulthood and to analyze the characteristics of obese figures through comparing their body proportions to normal-weight people, to provide a basic reference for development of new size categories and improved pattern grading. Body measurement was made on 6,704 women age between 7-39 in Sizekorea 2004 database. The age range was divided into three groups: children(7-12), teenagers(13-18) and adults(19-39). The result of research into the characteristics of body proportions of obese figures and the classification of different figure groups of obese people are as follows: The ratio between width and circumference for each part of the body was investigated according to body weight which was grouped into three different weights of low, normal and obese body weights. And the result demonstrated that in all the ranges of age, the obese groups had the lowest ratio between width and circumference, having a thick body shape. And according to the result of comparing the ratio of the circumference of each body part divided by the waist circumference, the obese group also showed a low ratio, indicating that they have bigger waist circumference than any other body parts. By analyzing the ratio of circumference of body parts divided by waist circumference, three factors were identified as contributing to obesity. Using the factor loadings of the upper, distal and lower body obesity, a cluster analysis was carried out and three different categories of obesity were defined; abdominal obesity, distal obesity and proximal obesity.

• 의학교육논단
• /
• 제20권1호
• /
• pp.20-31
• /
• 2018

Good assessment is crucial for feedback on curriculum and to motivate students to learn. This study was conducted to perform item analysis on the Medical Education Assessment Consortium clinical knowledge mock examination (MEAC CKME) (2011-2016) and to evaluate several effects to improve item quality using both classical test theory and item response theory. The estimated difficulty index (P) and discrimination index (D) were calculated according to each course, item type, A (single best answer)/R (extended matching) type, and grading of item quality. The cut-off values used to evaluate P were: >0.8 (easy); 0.6-0.8 (moderate); and <0.6 (difficult). The cut-off value for D was 0.3. The proportion of appropriate items was defined as those with P between 0.25-0.75 and D ${\geq}0.25$. Cronbach ${\alpha}$ was used to assess the reliability and was compared with those of the Korean Medical Licensing Examination (KMLE). The results showed the recent mean difficulty and decimation index was 0.62 and 0.20 for the first MEAC CKME and 0.71 and 0.19 for the second MEAC CKME, respectively. Higher grade items evaluated by a self-checklist system had better D values than lower grade items and higher grade items gradually increased. The preview and editing process by experts revealed maintained P, decreased recall items, increased appropriate items with better D values, and higher reliability. In conclusion, the MEAC CKME (2011-2016) is deemed appropriate as an assessment to evaluate students' competence and prepare year four medical students for the KMLE. In addition, the self-checklist system for writing good items was useful in improving item quality.