• Title/Summary/Keyword: interval data

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Factors Associated with the Discrepancy between Exercise Capacity and Airflow Limitation in Patients with Chronic Obstructive Pulmonary Disease

  • Tae Hoon Kim;I Re Heo;Na Young Kim;Joo Hun Park;Hee-Young Yoon;Ji Ye Jung;Seung Won Ra;Ki-Suck Jung;Kwang Ha Yoo;Ho Cheol Kim
    • Tuberculosis and Respiratory Diseases
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    • v.87 no.2
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    • pp.155-164
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    • 2024
  • Background: Exercise capacity is associated with lung function decline in chronic obstructive pulmonary disease (COPD) patients, but a discrepancy between exercise capacity and airflow limitation exists. This study aimed to explore factors contributing to this discrepancy in COPD patients. Methods: Data for this prospective study were obtained from the Korean COPD Subgroup Study. The exercise capacity and airflow limitation were assessed using the 6-minute walk distance (6-MWD; m) and forced expiratory volume in 1 second (FEV1). Participants were divided into four groups: FEV1 >50%+6-MWD >350, FEV1 >50%+6-MWD ≤350, FEV1 ≤50%+6-MWD >350, and FEV1 ≤50%+6-MWD ≤350 and their clinical characteristics were compared. Results: A total of 883 patients (male:female, 822:61; mean age, 68.3±7.97 years) were enrolled. Among 591 patients with FEV1 >50%, 242 were in the 6-MWD ≤350 group, and among 292 patients with FEV1 ≤50%, 185 were in the 6-MWD >350 group. The multiple regression analyses revealed that male sex (odds ratio [OR], 8.779; 95% confidence interval [CI], 1.539 to 50.087; p=0.014), current smoking status (OR, 0.355; 95% CI, 0.178 to 0.709; p=0.003), and hemoglobin levels (OR, 1.332; 95% CI, 1.077 to 1.648; p=0.008) were significantly associated with discrepancies in exercise capacity and airflow limitation in patients with FEV1 >50%. Meanwhile, in patients with FEV1 ≤50%, diffusion capacity of carbon monoxide (OR, 0.945; 95% CI, 0.912 to 0.979; p=0.002) was significantly associated with discrepancies between exercise capacity and airflow limitation. Conclusion: The exercise capacity of COPD patients may be influenced by factors other than airflow limitation, so these aspects should be considered when assessing and treating patients.

Smoking-attributable Mortality in Korea, 2020: A Meta-analysis of 4 Databases

  • Eunsil Cheon;Yeun Soo Yang;Suyoung Jo;Jieun Hwang;Keum Ji Jung;Sunmi Lee;Seong Yong Park;Kyoungin Na;Soyeon Kim;Sun Ha Jee;Sung-il Cho
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.4
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    • pp.327-338
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    • 2024
  • Objectives: Estimating the number of deaths caused by smoking is crucial for developing and evaluating tobacco control and smoking cessation policies. This study aimed to determine smoking-attributable mortality (SAM) in Korea in 2020. Methods: Four large-scale cohorts from Korea were analyzed. A Cox proportional-hazards model was used to determine the hazard ratios (HRs) of smoking-related death. By conducting a meta-analysis of these HRs, the pooled HRs of smoking-related death for 41 diseases were estimated. Population-attributable fractions (PAFs) were calculated based on the smoking prevalence for 1995 in conjunction with the pooled HRs. Subsequently, SAM was derived using the PAF and the number of deaths recorded for each disease in 2020. Results: The pooled HR for all-cause mortality attributable to smoking was 1.73 for current men smokers (95% confidence interval [CI], 1.53 to 1.95) and 1.63 for current women smokers (95% CI, 1.37 to 1.94). Smoking accounted for 33.2% of all-cause deaths in men and 4.6% in women. Additionally, it was a factor in 71.8% of men lung cancer deaths and 11.9% of women lung cancer deaths. In 2020, smoking was responsible for 53 930 men deaths and 6283 women deaths, totaling 60 213 deaths. Conclusions: Cigarette smoking was responsible for a significant number of deaths in Korea in 2020. Monitoring the impact and societal burden of smoking is essential for effective tobacco control and harm prevention policies.

Differential Prognostic Implications of Pre- and Post-Stent Fractional Flow Reserve in Patients Undergoing Percutaneous Coronary Intervention

  • Jinlong Zhang;Doyeon Hwang;Seokhun Yang;Chee Hae Kim;Joo Myung Lee;Chang-Wook Nam;Eun-Seok Shin;Joon-Hyung Doh;Masahiro Hoshino;Rikuta Hamaya;Yoshihisa Kanaji;Tadashi Murai;Jun-Jie Zhang;Fei Ye;Xiaobo Li;Zhen Ge;Shao-Liang Chen;Tsunekazu Kakuta;Bon-Kwon Koo
    • Korean Circulation Journal
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    • v.52 no.1
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    • pp.47-59
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    • 2022
  • Background and Objectives: The influence of pre-intervention coronary physiologic status on outcomes post percutaneous coronary intervention (PCI) is not well known. We sought to investigate the prognostic implications of pre-PCI fractional flow reserve (FFR) combined with post-PCI FFR. Methods: A total of 1,479 PCI patients with pre-and post-PCI FFR data were analyzed. The patients were classified according to the median values of pre-PCI FFR (0.71) and post-PCI FFR (0.88). The primary outcome was target vessel failure (TVF) at 2 years. Results: The risk of TVF was higher in the low pre-PCI FFR group than in the high pre-PCI FFR group (hazard ratio, 1.82; 95% confidence interval, 1.15-2.87; p=0.011). In 4 group comparisons, the cumulative incidences of TVF at 2 years were 3.8%, 4.1%, 4.8%, and 10.2% in the high pre-/high post-, low pre-/high post-, high pre-/low post-, and low pre-/low post-PCI FFR groups, respectively. The risk of TVF was the highest in the low pre-/low post-PCI FFR group among the groups (p values for comparisons <0.05). In addition, the high pre-/low post-PCI FFR group presented a comparable risk of TVF with the high post-PCI FFR groups (p values for comparison >0.05). When the prognostic value of the post-PCI FFR was evaluated according to the pre-PCI FFR, the risk of TVF significantly decreased with an increase in post-PCI FFR in the low pre-PCI FFR group, but not in the high pre-PCI FFR group. Conclusions: Pre-PCI FFR was associated with clinical outcomes after PCI, and the prognostic value of post-PCI FFR differed according to the pre-PCI FFR.

Overall and cardiovascular mortality according to 10-year cardiovascular risk of the general health checkup: the Kangbuk Samsung Cohort Study

  • Youshik Jeong;Yesung Lee;Eunchan Mun;Eunhye Seo;Daehoon Kim;Jaehong Lee;Jinsook Jeong;Woncheol Lee
    • Annals of Occupational and Environmental Medicine
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    • v.34
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    • pp.40.1-40.9
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    • 2022
  • Background: According to the occupational accident status analysis in 2020, of 1,180 occupational deaths, 463 were caused by cardiovascular disease (CVD). Workers should be assessed for CVD risk at regular intervals to prevent work-related CVD in accordance with the rules on occupational safety and health standards. However, no previous study has addressed risk and mortality. Therefore, this longitudinal study was conducted to evaluate the relationship between 10-year cardiovascular risk of the general health checkup and mortality. Methods: The study included 545,859 participants who visited Kangbuk Samsung Total Healthcare Centers from January 1, 2002, to December 31, 2017. We performed 10-year cardiovascular risk assessment for the participants and the risk was divided into 4 groups (low, moderate, high, and very high). The study used death data from the Korea National Statistical Office for survival status as an outcome variable by December 31, 2019, and the cause of death based on the International Classification of Diseases, 10th Revision (ICD-10) was identified. Statistical analysis was performed using Cox proportional hazards regression analysis, and the sum of the periods from the first visit to the date of death or December 31, 2019, was used as a time scale. We also performed a stratified analysis for age at baseline and sex. Results: During 5,253,627.9 person-years, 4,738 overall deaths and 654 cardiovascular deaths occurred. When the low-risk group was set as a reference, in the multivariable-adjusted model, the hazard ratios (HRs) (95% confidence interval [CI]) for overall mortality were 3.36 (2.87-3.95) in the moderate-risk group, 11.08 (9.27-13.25) in the high-risk group, and 21.20 (17.42-25.79) in the very-high-risk group, all of which were statistically significant. In cardiovascular deaths, the difference according to the risk classification was more pronounced. The HRs (95% CI) were 8.57 (4.95-14.83), 38.95 (21.77-69.69), and 78.81 (42.62-145.71) in each group. As a result of a subgroup analysis by age and sex, the HRs of all-cause mortality and cardiovascular mortality tended to be higher in the high-risk group. Conclusions: This large-scale longitudinal study confirmed that the risk of death increases with the 10-year cardiovascular risk of general health checkup.

A Simple Method Using a Topography Correction Coefficient for Estimating Daily Distribution of Solar Irradiance in Complex Terrain (지형보정계수를 이용한 복잡지형의 일 적산일사량 분포 추정)

  • Yun, Jin-I.
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.11 no.1
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    • pp.13-18
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    • 2009
  • Accurate solar radiation data are critical to evaluate major physiological responses of plants. For most upland crops and orchard plants growing in complex terrain, however, it is not easy for farmers or agronomists to access solar irradiance data. Here we suggest a simple method using a sun-slope geometry based topographical coefficient to estimate daily solar irradiance on any sloping surfaces from global solar radiation measured at a nearby weather station. An hourly solar irradiance ratio ($W_i$) between sloping and horizontal surface is defined as multiplication of the relative solar intensity($k_i$) and the slope irradiance ratio($r_i$) at an hourly interval. The $k_i$ is the ratio of hourly solar radiation to the 24 hour cumulative radiation on a horizontal surface under clear sky conditions. The $r_i$ is the ratio of clear sky radiation on a given slope to that on a horizontal reference. Daily coefficient for slope correction is simply the sum of $W_i$ on each date. We calculated daily solar irradiance at 8 side slope locations circumventing a cone-shaped parasitic volcano(c.a., 570m diameter for the bottom circle and 90m bottom-to-top height) by multiplying these coefficients to the global solar radiation measured horizontally. Comparison with the measured slope irradiance from April 2007 to March 2008 resulted in the root mean square error(RMSE) of $1.61MJ\;m^{-2}$ for the whole period but the RMSE for April to October(i.e., major cropping season in Korea) was much lower and satisfied the 5% error tolerance for radiation measurement. The RMSE was smallest in October regardless of slope aspect, and the aspect dependent variation of RMSE was greatest in November. Annual variation in RMSE was greatest on north and south facing slopes, followed by southwest, southeast, and northwest slopes in decreasing order. Once the coefficients are prepared, global solar radiation data from nearby stations can be easily converted to the solar irradiance map at landscape scales with the operational reliability in cropping season.

High Speed Rail Station Distric Using Entropy Model Study to Estimate the Trip Distribution (엔트로피 모형을 활용한 고속철도 역세권 통행분포 추정에 관한 연구)

  • Cho, Hangung;Kim, Sigon;Kim, Jinhowan;Jeon, Sangmin
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.6D
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    • pp.679-686
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    • 2012
  • KTX step 1 April 2004, after the opening, the second phase of the project was opened in November 2010. High-speed rail after the opening and continue to increase the demand of high-speed rail, Have the speed of competitive advantage compared too the means of transportation. The opening of these high-speed rail has led to changes of the move, the company's position, and the spatial structure of the population of reorganization, such as the social, economic, transportation. In this study, survey data using the High Speed Rail Station EMME/2 of the program to take advantage of the 2-Dimentional Blancing trip distribution to investigate the passage through the trip distribution by the estimation of the parameters of the model to estimate the distribution of the means of access and high-speed rail station to reproduce and Analysis of the results by means of access parameters (${\theta}$) autos 0.0395, buses 0.0390, subway 0.0650, taxi 0.0415, the frequency distribution (Trip Length Frequency Distribution: TLFD) were analyzed survey data value model with the results of comparing $R^2$ cars analysis and model values similar survey data 0.909 bus 0.923, subway 0.745 to 0.922, taxi, F test P value analysis is smaller than 0.05 at the 95% confidence level as a note that was judged to have been. Trip frequency distribution analysis, but in the future, set the unit to 5km-trip frequency distribution middle zone Units from small zone units (administrative district) segmentation research is needed, and can reflect the trip distance 0~5 km interval combined function to take advantage of the gravity model and the 3-Dimentional Blancing applied research is needed to be considered.

Study on the Estimation of Genetic Parameters and Selection Efficiency on Early Part-record for Improving Egg Production in Layer (산난계의 유전적 모수 추정과 조기선발효율에 관한 연구)

  • 이득환;오봉국
    • Korean Journal of Poultry Science
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    • v.15 no.3
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    • pp.211-218
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    • 1988
  • Data on egg number from time of first lay to 71 week of age were obtained from samples of single comb white leghorn breeder and brown layer breeder populations which were raised at manny breeding Co. These data were used to estimate the heritabilities of age at sexual maturity, early egg number, residual egg number and annual egg number. Also, the genetic correlation coefficients between these traits were estimated and selection efficiencies of each segment in early part record were estimated by use of the heritabilities and generic correlations. The estimated heritabilities and standard errors in two lines(W and B) were $0.30\pm0.07$ and $0.33\pm0.08$ at early records, $0.19\pm0.06$ and $0.18\pm$0.05 at residual records and $0.37\pm0.09$ and $0.49\pm0.10$ at time of first lay. Those at annual records were $0.24\pm0.06$ equally. The estimated correlation coefficients and standard errors between early record and annual record were $0.76\pm0.08$ and $0.77\pm0.07$. Those between early record and residual record were $0.46\pm0.15$ and $0.39\pm0.16$ respectively. At improving annual egg production per year, selection based on early part record(SM to 40 week of age) would be 69% more efficient than on annual record in line W and 80% more efficient than on annual record in line B. But, if it were considered that egg weight decreased due to sexual maturity and cost for data collection, use of selected segment from 35~40week of age in line W and from 31~40 week of age in line B would be desired in spite of a. small loss in relative selection efficiency. The generation interval would not be shortened.

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Retrieval of High Resolution Surface Net Radiation for Urban Area Using Satellite and CFD Model Data Fusion (위성 및 CFD모델 자료의 융합을 통한 도시지역에서의 고해상도 지표 순복사 산출)

  • Kim, Honghee;Lee, Darae;Choi, Sungwon;Jin, Donghyun;Her, Morang;Kim, Jajin;Hong, Jinkyu;Hong, Je-Woo;Lee, Keunmin;Han, Kyung-Soo
    • Korean Journal of Remote Sensing
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    • v.34 no.2_1
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    • pp.295-300
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    • 2018
  • Net radiation is the total amount of radiation energy used as a heat flux for the Earth's energy cycle, and net radiation from the surface is an important factor in areas such as hydrology, climate, meteorological studies and agriculture. It is very important to monitoring the net radiation through remote sensing to be able to understand the trend of heat island and urbanization phenomenon. However, net radiation estimation using only remote sensing data is generally causes difference in accuracy depending on cloud. Therefore, in this paper, we retrieved and monitored high resolution surface net radiation at 1 hour interval in Eunpyeong New Town where urbanization using Communication, Ocean and Meteorological Satellite (COMS), Landsat-8 satellite and Computational Fluid Dynamics (CFD) model data reflecting the difference in building height. We compared the observed and estimated net radiation at the flux tower. As a result, estimated net radiation was similar trend to the observed net radiation as a whole and it had the accuracy of RMSE $54.29Wm^{-2}$ and Bias $27.42Wm^{-2}$. In addition, the calculated net radiation showed well the meteorological conditions such as precipitation, and showed the characteristics of net radiation for the vegetation and artificial area in the spatial distribution.

Development of Rubber Damper of Flywheel for Diesel Engine (디젤기관(機關) 플라이휠의 고무댐퍼 개발(開發))

  • Myung, Byung Soo;Kim, Sung Rai
    • Korean Journal of Agricultural Science
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    • v.20 no.1
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    • pp.68-87
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    • 1993
  • Data acquisition system and computer program developed in this study could be well used in engine vibration analysis. The system and program developed were also operated to be able to control measuring interval, number of channels, number of data. The flywheel was specially studied to provide the proper weight with rubber damper for the engine design at low level of vibration. This study was conducted to obtain basic data which affect the engine vibration. The experiment of this study was performed on original weight flywheel, weight-reduced flywheel, weight-reduced and rubber-coated flywheel, weight-reduced and damper-attached flywheel. Avarage of peak value, maximum vibration, power spectrum density based on FFT analysis are major factors of this experiment. Results were obtained as follows : 1. When rubber was inserted in the flywheel rim of which weight was reduced from 32.2kgf to 24.4kgf, maximum vibration of the engine was decreased 48.3% at X axis, 35.5% at Y axis and 34.6% at Z axis in comparison with the flywheel of original weight. 2. When the flywheel of rubber damper was compared with the original flywheel, the average of absolute vibration for rubber damped flywheel was decreased at X, Y, Z axis and especially its decreasing rate was so high at X-axis comparing with the other flywheel, which implied that rubber damper was very useful to reducing the vibration of the engine at X axis. 3. Hysteresis losses of X, Y, Z axis were greatly decreased in the flywheel with rubber damper on rim. 4. Damped oscillation effect on X and Y axis vibration above average peak vibration by the flywheel of rubber damper on rim was larger than those by the other flywheels. 5. Power spectrums of vibration at real and imaginery part were bi-mode type. The vibration frequency of rubber dampered flywheel which weight is decreased was slightly increased as compared with original flywheel.

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Seismic study of the Ulleung Basin crust and its implications for the opening of the East Sea (탄성파 탐사를 통해 본 울릉분지의 지각특성과 동해형성에 있어서의 의미)

  • Kim, Han Jun
    • Journal of the Korean Geophysical Society
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    • v.2 no.1
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    • pp.9-26
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    • 1999
  • The Ulleung Basin (Tsushima Basin) in the southwestern East Sea (Japan Sea) is floored by a crust whose affinity is not known whether oceanic or thinned continental. This ambiguity resulted in unconstrained mechanisms of basin evolution. The present work attempts to define the nature of the crust of the Ulleung Basin and its tectonic evolution using seismic wide-angle reflection and refraction data recorded on ocean bottom seismometers (OBSs). Although the thickness of (10 km) of the crust is greater than typical oceanic crust, tau-p analysis of OBS data and forward modeling by 2-D ray tracing suggest that it is oceanic in character: (1) the crust consists of laterally consistent upper and lower layers that are typical of oceanic layers 2 and 3 in seismic velocity and gradient distribution and (2) layer 2C, the transition between layer 2 and layer 3 in oceanic crust, is manifested by a continuous velocity increase from 5.7 to 6.3 km/s over the thickness interval of about 1 km between the upper and lower layers. Therefore it is not likely that the Ulleung Basin was formed by the crustal extension of the southwestern Japan Arc where crustal structure is typically continental. Instead, the thickness of the crust and its velocity structure suggest that the Ulleung Basin was formed by seafloor spreading in a region of hotter than normal mantle surrounding a distant mantle plume, not directly above the core of the plume. It seems that the mantle plume was located in northeast China. This suggestion is consistent with geochemical data that indicate the influence of a mantle plume on the production of volcanic rocks in and around the Ulleung Basin. Thus we propose that the opening models of the southwestern East Sea should incorporate seafloor spreading and the influence of a mantle plume rather than the extension of the crust of the Japan Arc.

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