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Comparison of Diagnostic Accuracy and Prediction Rate for between two Syndrome Differentiation Diagnosis Models (중풍 변증 모델에 의한 진단 정확률과 예측률 비교)

  • Kang, Byoung-Kab;Cha, Min-Ho;Lee, Jung-Sup;Kim, No-Soo;Choi, Sun-Mi;Oh, Dal-Seok;Kim, So-Yeon;Ko, Mi-Mi;Kim, Jeong-Cheol;Bang, Ok-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.938-941
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    • 2009
  • In spite of abundant clinical resources of stroke patients, the objective and logical data analyses or diagnostic systems were not established in oriental medicine. In the present study we tried to develop the statistical diagnostic tool discriminating the subtypes of oriental medicine diagnostic system, syndrome differentiation (SD). Discriminant analysis was carried out using clinical data collected from 1,478 stroke patients with the same subtypes diagnosed identically by two clinical experts with more than 3 year experiences. Numerical discriminant models were constructed using important 61 symptom and syndrome indices. Diagnostic accuracy and prediction rate of 5 SD subtypes: The overall diagnostic accuracy of 5 SD subtypes using 61 indices was 74.22%. According to subtypes, the diagnostic accuracy of "phlegm-dampness" was highest (82.84%), and followed by "qi-deficiency", "fire/heat", "static blood", and "yin-deficiency". On the other hand, the overall prediction rate was 67.12% and that of qi-deficiency was highest (73.75%). Diagnostic accuracy and prediction rate of 4 SD subtypes: The overall diagnostic accuracy and prediction rate of 4 SD subtypes except "static blood" were 75.06% and 71.63%, respectively. According to subtypes, the diagnostic accuracy and prediction rate was highest in the "phlegm-dampness" (82.84%) and qi-deficiency (81.69%), respectively. The statistical discriminant model of constructed using 4 SD subtypes, and 61 indices can be used in the field of oriental medicine contributing to the objectification of SD.

Effects of Different Body Color Strain and Improvement on Serium Cholesterol and Protein Contents in Chickens (닭의 체모색 계통별 및 개량상태가 혈중 Cholesterol과 Protein 함양에 미치는 영향)

  • 조성구
    • Korean Journal of Poultry Science
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    • v.17 no.1
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    • pp.7-15
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    • 1990
  • The present study was undertaken to determine the effect of different body hair color (Native type) and commercial white laying hen (Improvement, Nick Chick strain) on cholesterol, triglyceride and protein concentration in serium. Experimental hens were selected out of yellow-brown body hair color strain (10 heads), green-black body hair color strain (13 heads), white body hair color strain (7 heads), black-bone strain (10 heads) as native type and commercial white laying hen (30 head,3) as improved variety. Experimental diet was fed identically for 4 weeks in total groups. The results of the experiment obtained were summerized as follows:1. Serium cholesterol contents were the highest in commercial white laying hen ($172.50\pm$13.45 mg/100 $m\ell$) (p<0.01;, and higher in white color strains than body hair color strain groups. Body hair color strain groups were similar in serium cholesterol contents. 2, Serium triglyceride concentration also showed no response among native type groups, however commercial white laying hen group shelved significatly difference. (p<0.01) 3. Serium protein contents were the highest in commercial white laying hen group ($6.24\pm$0.23 mg/100 $m\ell$). (p<0,01) Increasing the serium cholesterol, triglyceride and protein contents in commercial white laying hen group than color strain group of native type was considered to improved grade.

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Sphene U-Pb ages of the granite-granodiorites from Hamyang, Geochang and Yeongju areas of the Yeongnam Massif (영남육괴 함양, 거창 및 영주 화강암-화강섬록암의 스핀 U-Pb 연대)

  • Park Kye-Hun;Lee Ho-Sun;Song Yong-Sun;Cheong Chang-Sik
    • The Journal of the Petrological Society of Korea
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    • v.15 no.1 s.43
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    • pp.39-48
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    • 2006
  • U-Pb ages were determined from the granitic rocks from central and northeastern parts of Yeongnam massif. Porphyritic granite of Seosang-myeon, Hamyang-gun near the boundary with Anui-myeon shows age of $225.4{\pm}4.1Ma$. Foliated granodiorites of Anui-myeon, Hamyang-gun and Sinwon-myeon, Geochang-gun are $195.6{\pm}1.8Ma$ and $194.2{\pm}2.4Ma$ old respectively. Granites from Hari-myeon and Buksang-myeon of Geochang-gun show almost identical ages of $198.4{\pm}2.5Ma$ and $194.6{\pm}2.6Ma$ respectively, while foliated granodiorite of Yeongju shows an age ot $171.3{\pm}2.3Ma$. Combining with previously reported results, Triassic granitoids were emplaced almost identically at ca. 225 Ma throughout the areas of Hamyang and Sangju oi Yeongnam massif and Baengnok, Jeomchon and Goesan of Okcheon metamorphic belt. There were significant gap of non-magmatism before the resume of granitic activities over the large areas of Hamyang-gun, Geochang-gun, Gimcheon-si and Seongju-gun from Triassic-Jurassic boundary to early Jurassic, 200-194 Ma. Igneous activity within the Yeongnam massif of this period has not been reported from the Okcheon belt or Gyeonggi massif and may reflect distinct tectonic environment. Around 170 Ma, when Yeongju granodiorite was emplaced, there were active granitic magamtism throughout the Yeongnam massif, Okcheon belt and also Gyeonggi massif.

Discriminant Model V for Syndrome Differentiation Diagnosis based on Sex in Stroke Patients (성별을 고려한 중풍 변증진단 판별모형개발(V))

  • Kang, Byoung-Kab;Lee, Jung-Sup;Ko, Mi-Mi;Kwon, Se-Hyug;Bang, Ok-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.1
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    • pp.138-143
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    • 2011
  • In spite of abundant clinical resources of stroke patients, the objective and logical data analyses or diagnostic systems were not established in oriental medicine. As a part of researches for standardization and objectification of differentiation of syndromes for stroke, in this present study, we tried to develop the statistical diagnostic tool discriminating the 4 subtypes of syndrome differentiation using the essential indices considering the sex. Discriminant analysis was carried out using clinical data collected from 1,448 stroke patients who was identically diagnosed for the syndrome differentiation subtypes diagnosed by two clinical experts with more than 3 year experiences. Empirical discriminant model(V) for different sex was constructed using 61 significant symptoms and sign indices selected by stepwise selection. We comparison. We make comparison a between discriminant model(V) and discriminant model(IV) using 33 significant symptoms and sign indices selected by stepwise selection. Development of statistical diagnostic tool discriminating 4 subtypes by sex : The discriminant model with the 24 significant indices in women and the 19 significant indices in men was developed for discriminating the 4 subtypes of syndrome differentiation including phlegm-dampness, qi-deficiency, yin-deficiency and fire-heat. Diagnostic accuracy and prediction rate of syndrome differentiation by sex : The overall diagnostic accuracy and prediction rate of 4 syndrome differentiation subtypes using 24 symptom and sign indices was 74.63%(403/540) and 68.46%(89/130) in women, 19 symptom and sign indices was 72.05%(446/619) and 70.44%(112/159) in men. These results are almost same as those of that the overall diagnostic accuracy(73.68%) and prediction rate(70.59%) are analyzed by the discriminant model(IV) using 33 symptom and sign indices selected by stepwise selection. Considering sex, the statistical discriminant model(V) with significant 24 symptom and sign indices in women and 19 symptom and sign indices in men, instead of 33 indices would be used in the field of oriental medicine contributing to the objectification of syndrome differentiation with parsimony rule.

Microhabitat Characteristics of the Korean Endemic Cobitid Species Iksookimia hugowolfeldi Inhabited at Geogeum Island and Jangheung-gun in Korea (거금도와 장흥에 서식하는 한국고유종 남방종개 Iksookimia hugowolfeldi의 미소서식처 특성)

  • Park, Cheol Woo;Kim, Hyeong Su;Kim, Jae Goo;Yun, Seung Woon;Kim, Hyun Tae;Park, Jong Sung;Choi, Woong Sun;Cho, Yun Jeong;Park, Jong Young
    • Korean Journal of Ichthyology
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    • v.28 no.1
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    • pp.35-40
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    • 2016
  • The microhabitat of Iksookimia hugowolfeldi was surveyed in two sites, Geogeum Island and Jangheung. I. hugowolfeldi in Geogeum Island inhabits mainly pool. This water system consists of sand and cobble and has a shallow water (0.1~0.8 m depth) with slow currents (0.1 m/s). 0+ years old inhabits pool consist of sand and lives in a less than 0.3 m depth. I. hugowolfeldi in Jangheung population inhabits mainly pool consists of sand and cobble and lives in a shallow water (0.1~0.8 m depth) with slow currents (0.1 m/s) compared to the stream of Geogeum Island. With some different fish species, sympatric species collected at Geogeum Island and Jangheung population are 7 species in 4 family identically in the two sites.

The Changes of Defibrillation Time Depending on the Manual External Defibrillator Device (제세동 시행도구에 따른 제세동 지연시간의 변화)

  • Park, Si-Eun;Shin, Dong-Min
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.1
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    • pp.81-90
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    • 2012
  • Objectives: This study is to research delay time comparison for later defibrillation after hands off according to the changes in defibrillation electrodes. Study purpose: In defibrillation treatment that is the only way for cardiac arrest by arrhythmia, it is to find defibrillator device which can minimize late defibrillation delay time after important affect of hands off. Study object and method: After hands off according to the defibrillator device, we collected total 40 people for emergency medicine doctor, internal medicine doctor, general surgeon, nurse, emergency medical technician who are working at 2 CN, CS University hospitals in Gwangju Jeollanamdo district to find out hand off shock interval(HOSI). We then researched their general properties like occupation sector, experiences in clinic, gender, completion of AHA ACLS-P training and more. Then 40 participants continued ventricular fibrillation cardiac arrest simulation training (using human-model mannequin) designed by researcher and performed their roles as defibrillation operator. Each of participant used manual paddle and performed 4 times of defibrillation (150J) during 8 minutes of CPR and in 8day, the defibrillator devices were replaced from manual paddle to self-adhesive electrodes pads and 4 times of defibrillation (150J) under same simulation condition as manual paddle were performed. Study result: In comparison for delay time of later defibrillation after hands off of manual paddle and self adhesive electrodes pad, the self adhesive electrodes pad ($7.0{\pm}0.5sec$) seemed to reduce delay time of later defibrillation significantly (p<0.05) compared to manual paddle ($10.0{\pm}0.9sec$). The self adhesive electrodes pad, according to the general properties of participants, had no particular change in delay time after later defibrillation for the statistics (p>0.05) but the manual paddle had statistically significant differences for the occupation sector, experiences in clinic and gender (p<0.05). Conclusion: In defibrillation, the self adhesive electrodes pad($7.0{\pm}0.5sec$) showed short HOSI compared to manual paddle ($10.0{\pm}0.9sec$) significantly (p<0.05) and it applied identically for both existence and non-existence of ACLS-P training completion, experiences in clinic, gender and occupation sector. The manual paddle had also significant difference in experiences in clinic and occupation sector (p<0.05). which means the effect on HOSI according to the job mastery. Therefore, if the clinic experience is short or in case for the occupations without frequent defibrillation treatment has a danger of lowering success rate for the defibrillation using manual paddle. Therefore, it is true that using self adhesive electrodes pad for defibrillation electrodes when performing manual defibrillation in pre-hospital as well as in-hospital steps can generally minimize delay time of later defibrillation after hands off.

THE EFFECT OF THE CITRIC ACID ON THE REPAIR OF THE DENUDED ROOTS TRANSPLANTED IN PERIODONTALLY INVOLVED EXTRACTION SOCKETS IN DOGS (성견 치주질환 발치와에 이식된 구연산 처리 치근의 치유에 대한 연구)

  • Chi, Jun-Soon;Kim, Chong-Kwan
    • Journal of Periodontal and Implant Science
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    • v.23 no.2
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    • pp.261-281
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    • 1993
  • The author transplanted periodontally-diseased teeth which had been treated with citric acid into a clinically healthy extraction sockets and periodontally-affected extraction sockets, and compared with the healing processes within these tissues. Recipient sites were prepared by surgically removing a part of alveolar bone of premolars of adults dogs, placing elastic orthodontic ligatures for 8weeks, thereby inducing periodontal disease. The diseased roots were extracted and transplanted into healthy extraction sockets, and these were designated as control group 1. Diseased roots transplanted into diseased sockets were designated as control group 2. Diseased roots which had been root planed, treated with citric acid and transplanted into healthy sockets were designated as experimental group 1, while identically treated roots which had been transplanted into diseased sockets were designated as experimental group 2. Observations were made at weeks 2, 8 and 12, with following results. 1. At week 2, experimental group 2 showed some inflammatory cell infiltration in the connective tissue above the extraction sockets, while control groups showed less inflammatory or foreign body reactions throughout the experiment. 2. In both control groups, root surface resorption was observed throughout the experiment, while experimental groups showed a little resorption. 3. Control group 1 & 2 showed ankylosis by newly-formed bone ground the resorbed root surfaces, while experimental group 1 & 2 displayed collagen fibers which are not functionally-arranged, with random, loose arrangement or parallel orientation to root surfaces, and newly-formed bone outside of them. 4. In both control groups & experimental groups which had been transplanted into a clinically healthy extraction sockets & periodontally affected extraction sockets groups, histological differences were not significant. 5. Root resorption or ankylosis in control group 1 & 2 had increased quantitatively as experiment progressed. 6. New bone formation developed from the base and lateral wall of extraction sockets. In both control groups & experimental groups, root surfaces lying next to the upper portion of extraction sockets showed little alveolar bone formation and surrounded by connective tissue fiber at weeks 2 & 8, while at weeks 12, they did show alveolar bone formation. 7. At week 12, experimental group 2 showed numerous cells which appeared to be periodontal ligament cells, with functionally arranged connective tissue fibers between the roots and alveolar bone.

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An Analysis of Expected Earnings Differentials by Major of University Graduates (대학 이상 졸업자의 계열별 기대소득 격차에 대한 분석)

  • Choi, Youngsup
    • Journal of Labour Economics
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    • v.26 no.2
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    • pp.97-127
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    • 2003
  • The purpose of this paper is to analyze the expected earnings differentials by major of university graduates. Usually the achievement in labor market has been measured by the earnings of those being with job. But such simple comparisons of earnings might fail to bring out correct evaluation once if the probabilities of getting a job are quite different across the major of university graduates. So it is necessary to compare the expected lifetime eatings which can be computed using the earnings of those with job and the probabilities of taking a job. In this paper, we showed that the expected earings of university graduates are quite different by major and not only the difference of earnings but also the difference of job-taking probabilities are considerably contributing such differentials. Especially the expected earnings of medicine and education are considerably higher than those of other majors. These results are maintained almost identically with the change of estimation methods. But despite of these findings. it should be admitted that it was not possible to exactly measure the magnitude of differentials by major.

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The Effect of Chinemys reevesii Gray Pharmacopuncture for Women with Knee Osteoarthritis (구판(龜板)약침이 여성의 퇴행성 슬관절염에 미치는 영향)

  • Shin, So Yeon;Seo, Dong Kyun;Kim, Shin Young;Seo, Jong Cheol;Seo, Yeon Ju;Lee, Yoon Joo;Bin, Chang Hyun;Jung, Taek Gun;Song, Chun Ho;Yoon, Hyun Min;Kim, Cheol Hong;Jang, Kyung Jeon
    • Journal of Acupuncture Research
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    • v.32 no.3
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    • pp.163-173
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    • 2015
  • Objectives : The aim of this study is to determine whether Chinemys reevesii Gray pharmacopuncture is a clinically effective treatment for women with knee osteoarthritis. Methods : Female patients with knee osteoarthritis were recruited from May $1^{st}$, 2014 to April $15^{th}$, 2015 at the Department of Acupuncture & Moxibustion Medicine of Dong-Eui University Korean Medical Hospital. Patients were randomly assigned to two groups. 4.0 ml of Chinemys reevesii Gray pharmacopuncture was injected at acupuncture points of the experimental group(n = 24) twice a week for three weeks. The control group(n = 24) received 5 % dextrose injections in order to identically stimulate the same acupuncture points of $ST_{35}$, $ST_{34}$, $SP_9$, $SP_{10}$, $GB_{34}$, $LR_8$, $EX-LE_4$, and $EX-LE_2$. The Short-Form McGill Pain Questionnaire(SF-MPQ), the Korean Western Ontario and McMaster Universities Osteoarthritis Index(KWOMAC), and the European Quality of Life-5 Dimensions(EQ-5D) were recorded to evaluate treatment efficacy at first visit, after two weeks and four weeks from the initial visit. Results : 40 patients completed the trial. The experimental group showed more significant improvement than the control group in the scores of SF-MPQ, KWOMAC, and EQ-5D. However, there was no significant difference between groups in a few of the assessment scales. Conclusions : Chinemys reevesii Gray pharmacopuncture can be an effective treatment in control of pain, improvement in function and health-related quality of life for women with knee osteoarthritis.

A Decade's Experiences on the Hydrofracturing In-Situ Stress Measurement for Tunnel Construction in Korea (암반터널 설계를 위한 수압파쇄 초기지압 측정의 10여년 간의 경험)

  • Choe, Seong-Ung;Park, Chan;Sin, Jung-Ho;Sin, Hui-Sun
    • Proceedings of the Korean Society for Rock Mechanics Conference
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    • 2008.03a
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    • pp.79-88
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    • 2008
  • Since the hydraulic fracturing field testing method was introduced first to Korean geotechnical engineers in 1994, there have been lots of progresses in a hardware system as well as an interpretation tool. The hydrofracturing system of first generation was the pipe-line type, so it was not easy to handle. It had been modified to a wire-line system at their second generation. It was more compact one but it also needed an additional air-compressor. Our current system is much more compact and operated by all-in-one system, so it doesn't need an additional air-compressor. With a progress in a hardware system, the software for analyzing the in-situ stress regime has also been progressed. For example, the shut-in pressure, which is the most ambiguous parameter to be obtained from hydrofracturing pressure curves, can now be acquired automatically from the various methods. While the hardware and software for hydrofracturing tests are being developed during the last decade, the author could accumulate the field test results which can cover the almost whole area of South Korea. Currently these field data are used widely in a feasibility study or a preliminary design step for tunnel construction in Korea. Regarding the difficulties in a site selection and a test performance for the in-situ stress measurement at an off-shore area, the in-situ stress regime obtained from the field experiences in the land area can be used indirectly for the design of a sub-sea tunnel. From the hydrofracturing stress measurements, the trend of magnitude and direction of in-situ stress field was shown identically with the geological information in Korea.

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