• 제목/요약/키워드: nationwide scale

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Application of artificial intelligence for diagnosis of early gastric cancer based on magnifying endoscopy with narrow-band imaging

  • Yusuke Horiuchi;Toshiaki Hirasawa;Junko Fujisaki
    • Clinical Endoscopy
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    • 제57권1호
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    • pp.11-17
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    • 2024
  • Although magnifying endoscopy with narrow-band imaging is the standard diagnostic test for gastric cancer, diagnosing gastric cancer using this technology requires considerable skill. Artificial intelligence has superior image recognition, and its usefulness in endoscopic image diagnosis has been reported in many cases. The diagnostic performance (accuracy, sensitivity, and specificity) of artificial intelligence using magnifying endoscopy with narrow band still images and videos for gastric cancer was higher than that of expert endoscopists, suggesting the usefulness of artificial intelligence in diagnosing gastric cancer. Histological diagnosis of gastric cancer using artificial intelligence is also promising. However, previous studies on the use of artificial intelligence to diagnose gastric cancer were small-scale; thus, large-scale studies are necessary to examine whether a high diagnostic performance can be achieved. In addition, the diagnosis of gastric cancer using artificial intelligence has not yet become widespread in clinical practice, and further research is necessary. Therefore, in the future, artificial intelligence must be further developed as an instrument, and its diagnostic performance is expected to improve with the accumulation of numerous cases nationwide.

대학생을 대상으로 한 비판적 의식 척도 타당화 (Validation of the Critical Consciousness Scale for University Students)

  • 안선미;현영권
    • 한국심리학회지 : 문화 및 사회문제
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    • 제29권4호
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    • pp.595-616
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    • 2023
  • 비판적 의식 척도(CCS: Critical Consciousness Scale)는 Diemer와 동료들(2017)이 개발한 척도로서 억압받거나 소외된 사람들이 자신의 사회적 정치적 조건을 비판적으로 분석하고 사회적 평등을 지지하며 인지된 불평등을 변화시키는 행동의 정도를 확인한다. 본 연구에서는 한국어로 번안한 비판적 의식 척도를 현지화하여 대학생을 대상으로 타당화 하였다. 심리학 관련 석사 및 박사 5명에게 번안 문항의 적합성을 평정하도록 하여 내용타당도를 검증하였다. 이후 전국 대학생 314명을 대상으로 비판적 의식 척도, 기회불평등인식 척도, 환경 변화 필요인식 척도, 사회 참여 척도, 공정한 세상에 대한 신념 척도를 설문조사하여 신뢰도와 타당도를 검증하였다. 타당도 검증을 위해 탐색적 요인분석을 하여 3개의 하위 요인을 확정하였고 확인적 요인분석을 실시하여 원안의 22개 문항 중 14개 문항을 추출하였다. 이렇게 요인분석을 마친 14개 문항의 구인타당도와 신뢰도는 양호하였다. 또한 비판적 의식 척도와 유사척도의 상관관계 분석에서도 비판적 의식은 유사 척도와 상관관계가 명확히 나타났다. 비판적 의식은 기회불평등인식 척도, 환경 변화 필요 인식 척도, 사회참여 척도와는 정적인 상관관계를 보였고 공정한 세상에 대한 신념 척도와는 부적 상관관계를 보였다. 이러한 결과를 통해 비판적 의식 척도는 타당도가 유의한 것으로 판단하였다. 마지막으로 본 연구의 한계점과 의의를 논하였다.

우리나라 고등학교의 정신건강이 학업성취도와 학업중단율에 미치는 영향 (Effect of Korean High School Students' Mental Health on Academic Achievement and School Dropout Rate)

  • 방은주;김두형;노법래;유혜승;장지현;하경희;박은진;홍현주
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제27권3호
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    • pp.173-180
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    • 2016
  • Objectives: The purpose of this study was to explore the influence of high school students' mental health on their academic achievement and school dropout rate by using longitudinal data. Methods: For this study, 153 high schools were randomly sampled on a nationwide scale. The descriptive data was collected from a school information internet site which is organized by the Korean Ministry of Education. We used the schools' mean scores on the Adolescent Mental Health Problem-Behavior Questionnaire-II (AMPQ-II) scale which was used for estimating students' mental health in the 2013 school-based mental health screening test. The data analysis was conducted by using hierarchical regression analysis. Results: The results of this study showed that the AMPQ-II scale's mean scores have significant effects on the following year's academic achievement and annual dropout rates. Especially, the AMPQ-II scale's mean scores tend to increase the school dropout rate in vocational schools. Conclusion: The finding of this study is that Korean high school students' mental health states significantly influence their academic achievement and school dropout rate.

GIS를 이용한 지질도 데이터베이스 구축에 관한 연구 (Geological Map Database Construction Using GIS)

  • 이사로;최위찬;민경덕
    • Spatial Information Research
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    • 제7권1호
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    • pp.147-153
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    • 1999
  • 지질도와 지질자료는 국토이용계획, 자원개발, 지질재해 예방 환경오염 방지 및 교육 등 다양한 용도로 활용되고 있는 중요한 정보이나 이들에 대한 데이터베이스화는 아직 본격적으로 수행되지 않고 있어 방대한 양의 지질자료가 체계적으로 관리되지 못해 정보로서의 이용가치와 효용성이 떨어진다. 또한 지질도는 층서 체계의 미확립, 도면 보존 및 경계 일치의 문제점 등 많은 문제점을 가지고 있어 데이터베이스 구축에 많은 문제점이 있으나 국가 기본 주제도의 하나로 빠른 시일 내에 데이터베이스로 구축되어야 한다. 본 연구에서는 지질도 데이터베이스 구축 및 활용을 위해 1:50,000 축척의 안성 지질도, 1:250,000 축척의 부산 지질도 1:25,000 축척의 남창 지질도, 1:1,000,0000 축척의 한국 지질도 등을 시범지역으로 선정하여 이 지역에 대해 지리정보시스템(GIS)을 이용해 데이터베이스 설계 및 구축을 하였다. 또한 구축된 데이터베이스를 관리할 수 있는 관리 프로그램은 GIS 프로그램을 이용해 개발하였고, 구축된 데이터베이스를 이용하여 수치지질도 제작 및 인터넷과 CD를 통한 자료 제공 등을 구현하였다.

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우리나라의 가금과 환경에서 분리한 Salmonella species의 특성 (Characteristics of Salmonella species isolated from domestic poultry and environmental samples in Korea)

  • 우용구;이희수;이영주;강민수;김봉환;김재학
    • 대한수의학회지
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    • 제40권3호
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    • pp.505-514
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    • 2000
  • This study was conducted to investigate the isolation prequency, serotypes, and related epidemiological properties of 341 Salmonella spp from domestic poultry and environmental samples during the period 1993-1995. A total of 1,918 samples was collected during the three years period in nationwide. Most of Salmonella spp were isolated from the intestinal contents of poultry, especially cecal(46.0%) and rectal(35.8%) contents. Among the tested samples, rat(28.5 %) was the most predominant Salmonella reservoirs and followed by duck(24.8%), broiler(18.8%), layer(14.8%) and feed(7.1%), in order. More than twelve Salmonella serovars were identified among the 341 Salmonella isolates. The most prevalent serotypes isolated from non-human sources were S enteritidis (22.3%) and S pullorum (21.9%), S muenchen (13.9%), S typhimurium (12.6%), S gallinarum, S meleagridis, S heidelberg, and S senftenberg were followed, in order. In layer chickens, S pullorum (26.0%) was the most predominant serotype but S muenchen (33.0%) was in broiler chickens, S enteritidis (28.4%) was in ducks, and S typhimurium (60.0%) was in rats, respectively. As a results, S enteritidis was identified as the most prevalent serotype in non-human Salmonella isolates in Korea during the period 1993-1995. A preliminary study on the phage typing of 19 S enteritidis selected from the nationwide scale was shown that S enteritidis phage type(PT) 4 was the most predominant PT, and SEPT 1, SEPT 6a, SEPT 7 and SEPT 7a variant were also found in the same period.

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실제 통행기록 자료를 활용한 고속도로 Corridor 시간대별 O-D 구축 (Construction Method of Time-dependent Origin-Destination Traffic Flow for Expressway Corridor Using Individual Real Trip Data)

  • 유정훈;이무영
    • 대한토목학회논문집
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    • 제31권2D호
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    • pp.185-192
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    • 2011
  • 시간개념을 고려한 교통 분석은 교통류의 이동을 고려함으로써 보다 현실적인 분석 결과를 가져올 수 있다. 본 논문은 실제 개인의 통행기록 자료를 활용하여 고속도로 Corridor를 대상으로 한 시간대별 기종점 통행량 구축 방법론을 개발하였다. 실제 개별 통행기록 자료인 고속도로 TCS 자료를 활용하여 전국 고속도로망을 대상으로 시간대별 O-D를 구축하였으며, 도심지역 분석에 활용도를 높이기 위해 구축된 시간대별 O-D를 Sub-corridor 시간대별 O-D로 전환하기 위한 방법론을 개발하였다. 본 연구는 실제 통행 자료를 활용한 기종점 통행량 구축이라는 점에서 의미를 가지며, 향후 고속도로 이외의 도로를 포함한 동적 기종점 통행량 구축에 관한 연구 및 기존의 통계적 추정을 이용한 O-D 구축방법과의 연계를 통해 교통분석의 주요 입력 자료인 동적 기종점 통행량의 구축이 가능할 것으로 기대한다.

Reduced risk of gastrointestinal bleeding associated with eupatilin in aspirin plus acid suppressant users: nationwide population-based study

  • Hyun Seok Lee;Ji Hyung Nam;Dong Jun Oh;Yeo Rae Moon;Yun Jeong Lim
    • The Korean journal of internal medicine
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    • 제39권2호
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    • pp.261-271
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    • 2024
  • Background/Aims: Mucoprotective agents, such as eupatilin, are often prescribed to prevent gastrointestinal (GI) bleeding in addition to an acid suppressant despite the absence of a large-scale study. We evaluated the additional effect of eupatilin on the prevention of GI bleeding in both the upper and lower GI tract in concomitant aspirin and acid suppressant users using the nationwide database of national claims data from the Korean National Health Insurance Service (NHIS). Methods: An aspirin cohort was constructed using the NHIS claims data from 2013 to 2020. Patients who manifested with hematemesis, melena, or hematochezia were considered to have GI bleeding. A Cox proportional hazards regression model was used to determine the risk factors for GI bleeding associated with the concomitant use of GI drugs and other covariates among aspirin users. Results: Overall, a total of 432,208 aspirin users were included. The concurrent use of an acid suppressant and eupatilin (hazard ratio [HR] = 0.85, p = 0.016, vs. acid suppressant only) was a statistically significant preventive factor for GI bleeding. Moreover, a more than 3-month duration (HR = 0.88, p = 0.030) of acid suppressant and eupatilin prescription (vs. acid suppressant only) was a statistically significant preventive factor for GI bleeding. Conclusions: Eupatilin administration for ≥ 3 months showed additional preventive effect on GI bleeding in concomitant aspirin and acid suppressant users. Thus, cotreatment with eupatilin with a duration of 3 months or longer is recommended for reducing GI bleeding among aspirin plus acid suppressant users.

스마트 그리드용 통신망 아키텍처 시뮬레이션 방법 (A Method for Simulation of Smart Grid Communication Network Architecture)

  • 김영선;오휘명;최성수
    • 한국통신학회논문지
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    • 제38B권2호
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    • pp.122-129
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    • 2013
  • 본 논문은 최근 다양하게 진행되고 있는 스마트그리드 관련 연구개발에 있어 양방향 정보 전송을 위한 통신망 아키텍처 시뮬레이션 방법에 관한 것이다. 제주에서의 실증 사업 및 다양한 기기별 시범사업을 통해 대두되는 스마트미터를 비롯한 다양한 스마트그리드 구성용 전력설비들의 정보전송 트래픽 시뮬레이션을 위한 방법론을 제시함으로서 스마트그리드 통신망 아키텍처 설계에 대한 기반을 제공하고자 한다.

Fecal Retention in Overactive Bladder (OAB) in Children: Perspective of a Pediatric Gastroenterologist

  • Jeong, Su Jin
    • Childhood Kidney Diseases
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    • 제19권1호
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    • pp.1-7
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    • 2015
  • Coexisting voiding and bowel dysfunction in children are common in the clinic. The idea that overactive bladder (OAB) and constipation arise from one single pathophysiology has been reinforced in many studies. In Korea, a nationwide multicenter study conducted in 2009 showed that overall prevalence of OAB in children, 5-13 years of age, was 16.59% and this number has increased more recently. The initial step to manage coexisting fecal retention and OAB in children is to characterize their bowel and bladder habits and to treat constipation if present. Although diagnosing constipation in children is difficult, careful history-taking using the Bristol Stool Form Scale, and a scoring system of plain abdominal radiography, can help to estimate fecal retention more easily and promptly. Non-pharmacological approaches to manage functional constipation include increasing fluids, fiber intake, and physical activity. Several osmotic laxatives are also effective in improving OAB symptoms and fecal retention. Additionally, correction and education in relation to toilet training is the most important measure in treating OAB with fecal retention.

말콤 볼드리지 기반한 인터넷 쇼핑몰 평가모형 (An Internet Shopping Mall Evaluation Model based on Malcolm Baldrige Model)

  • 김희올;백동현
    • 산업경영시스템학회지
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    • 제33권3호
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    • pp.102-113
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    • 2010
  • In this research, we proposed a quality evaluation standard model which is suitable for the internet shopping mall based on the Malcolm Baldrige National Quality Award model. A 7-Point Likert Scale was used based on the seven categories within the 2008 Malcolm Baldrige Criteria : Leadership, Strategic Planning, Customer and Market Focus, Measurement Analysis and Knowledge Management, Workforce Focus, Process Management, and Result. Furthermore, we analysed the validity and causal relationship among the factors within the model. The goal of this research is to find a rational standard to evaluate internet shopping malls nationwide and help the structuring and the operation of these malls. The results may be used not only as a tool to evaluate internet shopping mall sites but also as a guideline to improve the quality of a internet shopping mall site that is under development.