• 제목/요약/키워드: quality evaluation index

검색결과 1,054건 처리시간 0.032초

화병의 불안 증상에 대한 시호가용골모려탕의 효능 임상연구 중간보고 (Interim Report about The Effect of Sihogayonggolmoryeo-tang on the Anxiety of Hwa-byung)

  • 최우창;박대명;이상룡;강위창;정인철
    • 동의신경정신과학회지
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    • 제23권4호
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    • pp.133-152
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    • 2012
  • Objectives : The purpose of this study is to investigate the effect of Sihogayonggolmoryeo-tang on the anxiety of Hwa-byung. Methods : In this randomized, double blinded, placebo-controlled study, we planned to give Sihogayonggolmoryeo-tang or controlled medication for anxiety of Hwa-byung. Hamilton Anxiety Scale (HAM-A) was measured as the 1st evaluative instrument, and Korean State-Trait Anxiety Inventory (STAI-K), Likert scale for major symptom of Hwa-byung, Hwa-Byung Scale Score, Korean Beck's Depression Inventory (BDI-K), Korean State-Trait Anger Expression Inventory (STAXI-K), Insomnia severity Index (ISI), Instrument of Oriental Medical Evaluation for Hwa-Byung, WHO Quality of Life Avvreviated (WHOQOL-BREF), genral self-Efficacy Scale (GSES), Rosenberg Self-Esteem Inventory (SRE) and Heart Rate Variability (HRV) were also measured as the 2nd evaluative instrument before treatment. Results : Clinical characteristics-vital signs and demographic characteristics showed no significant difference between both groups. The characteristics of disease-chief complaint, pattern Identification, period, etiological factor, and etc, also showed similarity of distribution in both groups. The results of Chest PA, EKG and clinicopathologic examination showed no significant difference between both groups. There were no significant difference between both groups in all valuation scales; HAM-A was measured as the first evaluative instrument, and STAI-K, Likert scale for major symptom of Hwa-byung, Hwa-Byung Scale Score, BDI-K, STAXI-K, ISI, Instrument of Oriental Medical Evaluation for Hwa-Byung, WHOQOL-BREF, GSES, SRE and HRV. Conclusions : We considered that establishment of the experimental group and controlled group was objective and worth conducting this research. In addition, this methodology is expected to be applied to the subsequent research. Further, we hope to make up for this study through various study and discussion.

다각적 수환경지표를 이용한 영산호의 생태영향 평가 (Evaluation of Yeongsan Lake Ecosystem Using Various Environment Parameters)

  • 최지웅;안광국
    • 생태와환경
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    • 제41권2호
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    • pp.155-165
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    • 2008
  • 본 연구의 목적은 다각적 수환경지표를 이용하여 영산호의 현재 상태를 평가하고 더 나아가 영산호의 수질 관리 및 생태계 보전에 활용하기 위함이다. 본 연구에서 적용한 정수생태계 건강성 평가 모델은 U.S. EPA(1998)의 정수생태계 평가 기법 (Lake and Reservoir Bioassessment and Biocriteria)에 기초를 두었고, 이 모델을 바탕으로 우리나라 호소의 특성에 맞게 수정 보완한 안과한(2007)의 모델을 따랐다. 또한 영산호의 물리적 서식 환경을 평가하기 위하여 Plafkin et al.(1989)에 의해 개발된 물리적 서식지 평가 모델을 이용하여 호소환경에 맞는 7 메트릭 모델을 적용하였다. 조직별 수은 분석은 수은 직접분석기(DMA-80)를 이용하여 U.S. EPA 7473 method로 측정하였다. 본 연구의 조사 결과, 채집된 어류는 1차 조사에서 7과 22종 389개체, 2차 조사에서 7과 21종 631개체, 3차 조사에서 7과 19종 330개체로 총 30종 1,350개체가 채집되었다. 생물학적 건강성 평가 지수는 평균 19로 악화상태(범위: $14{\sim}26$, n=15)인 것으로 나타났고 지점별 큰 변이는 보이지 않았다. 이는 외래종의 우점, 생태계 교란에 의한 기형어종과 사체의 빈도가 높았기 때문인 것으로 사료되었다. 물리적 서식지 평가 결과에 따르면 영산호의 서식지 건강도는 평균 72로 보통$\sim$양호상태(범위: $48{\sim}99$, n=15)를 보였고, 영산호 하류쪽이 상류에 비하여 물리적 서식지 건강도가 낮은 것으로 나타났다. 일반 수질 항목 측정 결과, 염도는 하구둑에 가까워질수록 증가하는 것으로 나타나 해수의 영향을 반증하였다. 총수은 농도는 조직별, 지점별로 일부 차이를 보였으나, 전반적으로 수은농축의 영향은 미미한 것으로 사료되었다. 영산호의 생태 건강성 향상을 위해 외래종에 의한 교란 억제, 물리적 서식지의 복원 등이 필요한 것으로 판단된다.

일부 지역 중학생 대상 일품요리의 대표영양가 산출 및 영양적정성 평가 (Representative Nutrients Contents and Nutritional Adequacy Evaluation of Single-Dish Meal for Middle School Students)

  • 이지선;김영남
    • 대한지역사회영양학회지
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    • 제23권2호
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    • pp.93-101
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    • 2018
  • Objectives: With the increasing number of single households and so-called Honbab-jok, those who eat alone, people tend to enjoy convenient and simple meals, such as single dish meals. This study was performed to provide data on the energy and nutrient content, and nutritional adequacy of single-dish meal. Methods: From the literature reviews, 61 types of single-dish meals were selected, and divided into 4 groups (steamed rice, noodle, porridge, and sandwich burger), and a further 11 sub-groups (bibimbab, fried rice, topped rice, rolled rice/ warm noodle, cold noodle, seasoned noodle, dukgook/ porridge/, and sandwich, burger). In addition, 382 junior high school students from Gyeonggi, Sejong, Jeonbuk, and Chungnam areas were recruited for the survey. The survey questionnaires were composed of the characteristics, preference, and intake frequency of single-dish meals. The representative energy content (arithmetic mean) of single-dish meals were calculated, and compared with the energy contents of preference and intake frequency-weighted values adjusted. The representative nutrient contents, energy contribution ratio, and INQ (index of nutritional quality) of a single-dish meal were calculated for a nutritional adequacy evaluation. Results: The study subjects considered a single-dish meal as tasty, simple and fast to prepare, inexpensive, nutritious, and no low calorie food. The preference scores of all but 1 sub-group of singledish meals were ${\geq}5.00$ (5.00~5.97), and 1 sub-group (porridge) was 4.67 on a 7-point scale. The intake frequency of 11 sub-groups were 0.31~1.71/week, porridge was the lowest at 0.31 and warm noodles was the highest at 1.71. Fried rice, rolled rice, and warm noodle' intake frequency were ${\geq}1/week$. The representative energy of steamed rice, noodle, sandwich burger were 443, 429, and 428 kcal, respectively, and that of porridge was 264 kcal. Less than 5% differences in the representative energy of 4 groups were observed when adjusted for the preference or intake frequency-weighted values. The energy contribution ratio of macro-nutrients calculations showed that porridge was a high carbohydrate and low fat food, whereas sandwich burger were high fat and low carbohydrate foods. The INQ of calcium and vitamin C were less than 1.0 in all 4 food groups, but the INQ of protein and thiamin were > 1.0 in all 4 single-dish food groups. Conclusions: The representative energy in the 4 groups of single-dish meal was 264~450 kcal, which is a rather low calorie meal, and the energy contribution ratio of macro-nutrients were inadequate. The protein and thiamin levels were sufficient but the calcium and vitamin C levels were insufficient in all 4 groups of a single-dish meal judged by the INQ. The additional intake of fruits and milk dairy products between meals with a single-dish meal, supply of calcium and vitamin C may increase, which will result in an improved nutritional balance.

성인의 일상적인 식사섭취상태의 지역별 비교평가 (Comparative Evaluation of Dietary Intake Status on Self-selected Diet in Korean Adults by Region Groups)

  • 최미경;이주연;이원영;박정덕
    • 대한영양사협회학술지
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    • 제11권3호
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    • pp.309-319
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    • 2005
  • The purpose of this study was to compare the nutritional menu value of self-selected diet in Korean adults residing in different regions. Subjects were recruited and divided into three groups according to the districts where they lived, which included rural district(n=137), coastal district(n=100), and urban district(n=117). Subjects were interviewed using a general questionnaire and 24-hour recall method for dietary intake. The average age of the subjects were 57.5 years for rural district, 57.0 years for coastal district, and 47.9 years for urban district. The contents of energy, calcium, zinc, vitamin $B_2$, and vitamin E in self-selected diet were 76.1%, 60.1%, 73.1%, 68.6%, and 80.4% of RDAs, respectively. Index of nutritional quality(INQ) for calcium and vitamin $B_2$ was below in 1 in region groups. The contents of calcium and vitamin E in self-selected diet of rural and coastal districts were significantly lower than those of urban district. The numbers of food items in diet of rural, coastal, and urban district were 14.6, 15.3, 15.1 for breakfast, 16.5, 11.8, 17.0 for lunch, 14.9, 12.1, 15.1 for dinner, respectively. However, there was no significance in total food intake by regions. The food intakes from cereals, mushrooms, vegetables of rural district, that from fishes of coastal district, and those from sugars, milks, oils of urban district were the highest among three districts. The numbers of dish items in diet of rural, coastal, and urban district were 4.1, 4.4, 4.1 for breakfast, 4.5, 3.7, 4.4 for lunch, 4.0, 3.8, 4.2 for dinner, respectively. Especially, the number of food and dish items in lunch menu of coastal district was the lowest among region groups. According to these results, it could be suggested to add milk and its products in lunch menu of rural and coastal districts and to supplement fish and shellfish like anchovy in diet of rural and urban districts. And it is recommended to increase food and dish items in diets of three region groups.

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Use of Flattening Filter Free Photon Beams for Off-axis Targets in Conformal Arc Stereotactic Body Radiation Therapy

  • Smith, Ashley;Kim, Siyong;Serago, Christopher;Hintenlang, Kathleen;Ko, Stephen;Vallow, Laura;Peterson, Jennifer;Hintenlang, David;Heckman, Michael;Buskirk, Steven
    • 한국의학물리학회지:의학물리
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    • 제25권4호
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    • pp.288-297
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    • 2014
  • Dynamic conformal arc therapy (DCAT) and flattening-filter-free (FFF) beams are commonly adopted for efficient conformal dose delivery in stereotactic body radiation therapy (SBRT). Off-axis geometry (OAG) may be necessary to obtain full gantry rotation without collision, which has been shown to be beneficial for peripheral targets using flattened beams. In this study dose distributions in OAG using FFF were evaluated and the effect of mechanical rotation induced uncertainty was investigated. For the lateral target, OAG evaluation, sphere targets (2, 4, and 6 cm diameter) were placed at three locations (central axis, 3 cm off-axis, and 6 cm off-axis) in a representative patient CT set. For each target, DCAT plans under the same objective were obtained for 6X, 6FFF, 10X, and 10FFF. The parameters used to evaluate the quality of the plans were homogeneity index (HI), conformality indices (CI), and beam on time (BOT). Next, the mechanical rotation induced uncertainty was evaluated using five SBRT patient plans that were randomly selected from a group of patients with laterally located tumors. For each of the five cases, a plan was generated using OAG and CAG with the same prescription and coverage. Each was replanned to account for one degree collimator/couch rotation errors during delivery. Prescription isodose coverage, CI, and lung dose were evaluated. HI and CI values for the lateral target, OAG evaluation were similar for flattened and unflattened beams; however, 6FFF provided slightly better values than 10FFF in OAG. For all plans the HI and CI were acceptable with the maximum difference between flattened and unflattend beams being 0.1. FFF beams showed better conformality than flattened beams for low doses and small targets. Variation due to rotational error for isodose coverage, CI, and lung dose was generally smaller for CAG compared to OAG, with some of these comparisons reaching statistical significance. However, the variations in dose distributions for either treatment technique were small and may not be clinically significant. FFF beams showed acceptable dose distributions in OAG. Although 10FFF provides more dramatic BOT reduction, it generally provides less favorable dosimetric indices compared to 6FFF in OAG. Mechanical uncertainty in collimator and couch rotation had an increased effect for OAG compared to CAG; however, the variations in dose distributions for either treatment technique were minimal.

계량정보분석 기반의 연구개발 성과분석 : 치매 치료용 천연약물 분야 (Research Performance Evaluation Based on Quantitative Information Analysis in the Field of Herbal Medicine for Dementia Treatment)

  • 전원경;한창현;강종석;허은정;한정수;이영준
    • 동의신경정신과학회지
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    • 제22권3호
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    • pp.101-113
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    • 2011
  • Objectives : Trend of R&D of herbal medicine for dementia treatment was examined based on the quantitative information analysis for establishing the national strategy of research on dementia treatment with oriental medicine. Methods : Definition was made to clarify the technology for development of herbal medicine for dementia treatment. Based on the initial keyword provided by experts in the field, queries were compounded to conduct search in the search engines of WoS and DWPI. The raw data (papers or patents) extracted from the initial search were examined by expert-review before objects of analysis were determined. Then, the accumulated data was analyzed in terms of year, country and organization, which led to examination of the trend of R&D. And the research performance evaluation for dementia treatment technologies was also made in terms of country, organization and researcher based on the forward citation analysis. The international cooperation intensity was examined on the basis of analysis of network by researcher before analysis results were put together to select lead researchers. Results : According to the quantitative information analysis of 1,330 articles that were selected as analysis objects, the number of papers on natural products research for dementia treatment has increased by around 4.6 times in recent five years. This indicates that the intensive studies have been underway recently. It was found to be the US that had the highest level in research filed of herbal medicine for dementia treatment and the highest capacity of international cooperation for that purpose. On the contrary, Korea had the share of papers at 5.1%, the number of countries in cooperation research at 8, and the article quality index at 0.40, showing that the qualitative level was insufficient, compared to the quantitative outcome. In particular, Korea was found to have no intensity of international cooperation among researchers. In case of patent, the results of information analysis of 305 patents selected as analysis objects demonstrated that China had the highest share while Korea had the very low frequency of patent application quantitatively. Conclusions : In this study, the research to develop herbal medicine for dementia treatment has recently drawn much attention that has spread around the globe. Therefore, these results suggest establishing the strategy to develop technology for dementia treatment with oriental medicine in the future based on quantitative information analysis.

경관계획의 질적 향상을 위한 경관시뮬레이션 조망점 선정의 지표설정 및 중요도 분석 (Analysis of Setting Indicators for the Selection of Landscape Simulation View Point and their Importance to Improve the Quality of Landscape Plans)

  • 이임정
    • 한국산학기술학회논문지
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    • 제17권10호
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    • pp.709-718
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    • 2016
  • 본 논문은 경관계획의 질적 향상을 위한 조망점 선정에 초점을 두어 기존에 연구된 연구문헌 및 도서, 보고서 등을 중심으로 실제로 제시되거나 연구된 항목들을 중심으로 조망점을 설정하였다. 다수의 제시된 항목들을 다시 정리 및 분류하여 이를 SPSS 통계를 통해 조망점 선정의 평가 항목을 유출하고. 계층별 지표의 상대적 중요도를 측정하여 조망점의 가중치 설정과 우선순위를 선정하였다. 본 연구의 결과로 첫째, 경관시뮬레이션에 대한 구체적이고 체계적인 계획을 수립하기 위해 전문가 설문을 통해 16개 조망점을 설정하였다. 둘째, 조망점 평가를 위한 중분류 항목에서는 조망성 > 공공성 > 장소성의 순으로 나타나, 조망성을 가장 중요시 여기는 것으로 나타났다. 셋째, 조망점별 우선순위는 1순위: 조망점의 시각적 개방성, 2순위: 조망대상으로의 조망성 양호정도, 3순위: 문화재 공간, 4순위: 역사성, 5순위: 공공장소, 6순위: 관문적 역할을 하는 장소, 7순위: 대상을 조망할 수 있는 지형, 8순위: 많은 인구가 거주하거나 이용하는 장소, 9순위: 대상물의 다양한 형태와 주변경관을 파악할 수 있는 장소, 10순위: 생태보호 지역, 11순위: 하천 및 수변공간, 12순위: 시야각 (양각-부각), 13순위: 조망방향, 14순위: 주요도로, 15순위: 조망점과 대상물 간의 거리, 16순위: 평야 및 농경지순으로 나타났다. 이러한 결과는 향후 경관계획의 질적 향상을 위한 체계적이고 신뢰성 있는 분석의 틀을 마련하고, 경관시뮬레이션 평가 검토 시 참고 자료로 활용할 수 있을 것으로 기대된다.

울산 부유식 해상풍력단지 조성에 따른 환경피해의 경제적 가치추정 - 서식지 등가성 분석법을 중심으로 - (The Maritime Environment Impact Assessment of Offshore Floating Wind Power in Ulsan - A Focus on Habitat Equivalence Analysis -)

  • 최수영;문범식;김태균
    • 한국항해항만학회지
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    • 제45권3호
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    • pp.130-137
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    • 2021
  • 본 연구의 목적은 울산 부유식 해상풍력발전단지를 대상으로 서식지 등가성 분석법(Habitat Equivalency Analysis : HEA)을 적용한 가치평가를 통해 해당 해양공간 특성평가를 위한 객관적인 평가기준 제시에 있다. 울산 부유식 해상풍력발전단지 설립으로 인해 사용이 금지된 해역(5,017.6ha)에서는 상업적 피해, 생태계 파괴 등 여러 피해가 발생한다. 피해의 경제적 가치 규모 산정을 위한 대체 복원사업을 인공어초사업으로 선정하고 이를 HEA로 추정하였다. 추정 결과, 사회적 할인율 4.5%, 4년째부터 성숙도 100%를 기본 가정으로 한 경우 피해액은 약 457억원으로 나타났다. 본 연구에 사용된 HEA는 객관적이고 명확한 DATA를 기본으로 가치를 산정하기 때문에 해양공간 특성평가 시 발생할 수 있는 불합리성을 해결할 수 있을 것이다. 따라서, 본 연구의 결과는 향후, 해양공간계획의 시행에서 발생 가능한 이해관계자들 간의 갈등 해소에 도움이 될 것이다.

A Prospective, Multi-Center, Double-Blind, Randomized Study to Evaluate the Efficacy and Safety of the Synthetic Bone Graft Material DBM Gel with rhBMP-2 versus DBM Gel Used during the TLIF Procedure in Patients with Lumbar Disc Disease

  • Hyun, Seung-Jae;Yoon, Seung Hwan;Kim, Joo Han;Oh, Jae Keun;Lee, Chang-Hyun;Shin, Jun Jae;Kang, Jiin;Ha, Yoon
    • Journal of Korean Neurosurgical Society
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    • 제64권4호
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    • pp.562-574
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    • 2021
  • Objective : This study is to evaluate the efficacy and safety of demineralized bone matrix (DBM) gel versus DBM gel with recombinant human bone morphogenetic protein-2 (rhBMP-2) used in transforaminal lumbar interbody fusion (TLIF). Methods : This study was designed as a prospective, multi-center, double-blind method, randomized study. All randomized subjects underwent TLIF with DBM gel with rhBMP-2 group (40 patients) as an experimental group or DBM gel group (36 patients) as a control group. Post-operative observations were performed at 12, 24, and 48 weeks. The spinal fusion rate on computed tomography scans and X-rays films, Visual analog scale pain scores, Oswestry disability index and SF-36 quality of life (QOL) scores were used for the efficacy evaluation. The incidence rate of adverse device effects (ADEs) and serious adverse device effects (SADEs) were used for safety evaluation. Results : The spinal fusion rate at 12 weeks for the DBM gel with rhBMP-2 group was higher with 73.68% compared to 58.82% for the DBM gel group. The 24 and 48 weeks were 72.22% and 82.86% for the DBM gel with rhBMP-2 group and 78.79% and 78.13%, respectively, for the DBM gel group. However, there were no significant differences between two groups in the spinal fusion rate at 12, 24, and 48 weeks post-treatment (p=0.1817, p=0.5272, p=0.6247). There was no significant difference between the two groups in the incidence rate of ADEs (p=0.3836). For ADEs in the experimental group, 'Pyrexia' (5.00%) was the most common ADE, followed by 'Hypesthesia', 'Paresthesia', 'Transient peripheral paralysis', 'Spondylitis' and 'Insomnia' (2.50%, respectively). ADEs reported in control group included 'Pyrexia', 'Chest discomfort', 'Pain', 'Osteoarthritis', 'Nephropathy toxic', 'Neurogenic bladder', 'Liver function analyses' and 'Urticaria' (2.86%, respectively). There was no significant difference between the two groups in the incidence rate of SADEs (p=0.6594). For SADE in the experimental group, ''Pyrexia' and 'Spondylitis' were 2.50%. SADE reported in the control group included 'Chest discomfort', 'Osteoarthritis' and 'Neurogenic bladder'. All SADEs described above were resolved after medical treatment. Conclusion : This study demonstrated that the spinal fusion rates of DBM gel group and DBM gel with rhBMP-2 group were not significantly different. But, this study provides knowledge regarding the earlier postoperative effect of rhBMP-2 containing DBM gel and also supports the idea that the longer term follow-up results are essential to confirm the safety and effectiveness.

가로수 선정 평가기준과 세부지표의 중요도 분석 (Analysis of the Priority of Evaluation Criteria and Detailed Index for Selecting Street Trees)

  • 김민경
    • 한국조경학회지
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    • 제49권1호
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    • pp.42-53
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    • 2021
  • 가로수는 도시환경개선과 환경회복기능, 그리고 차단된 도시녹지의 연결통로로 소생태계 서식처 제공의 역할 등 녹색 네트워크의 핵심 및 자연성 회복의 수단으로 중요성이 더욱 강조되고 있다. 그러나 가로수는 일반적으로 도시환경에 적응이 우수한 몇 가지 수종을 선별하여 대단위 식재를 해오고 있어 전 세계적으로 편중화에 대한 문제가 지적되었다. 본 연구는 가로수 선정을 위한 평가기준과 세부지표를 마련하고, 계층적 분석기법(AHP:analytic hierarchy process)을 통해 그 중요도를 도출하였다. 가로유형별 중요도를 보면 상업가로는 경관향상성이 0.2640, 세부지표는 수형이 0.1245로 가장 높았다. 업무가로도 경관향상성이 0.2496, 세부지표는 수형이 0.1177로 가장 높아 상업가로와 유사한 결과를 보였다. 주거가로는 시민편의성이 0.2250, 세부지표는 수형이 0.0936으로 가장 높았다. 일반생활가로는 유지관리성이 0.2479, 수형이 0.1062이었다. 역사경관가로는 지역특성이 0.3488, 세부지표는 상징성이 0.1586, 기념성이 0.1095로 높았다. 생태네트워크가로는 생태계균형성이 0.4266, 세부지표는 종다양성이 0.1643, 자생종이 0.1556으로 높았다. 자동차중심가로는 대기오염저감성이 0.4639, 세부지표는 배기가스 저감이 0.1928, 미세먼지 저감이 0.1765, 이산화탄소 저감이 0.0945로 높게 나타났다. 가로유형별 세부지표 중 수형의 중요도가 공통적으로 높았는데, 이는 가로의 위치 특성 상 가로 경관에 대한 중요성에 대해 높이 인식하고 있는 것으로 판단된다. 본 연구는 가로수 수종 선정 시 가로유형별 특성을 고려하여 평가기준과 세부지표를 설정하고 중요도의 정량적 기준 제시를 통하여 객관적 수종 선정 기준을 도출하였다.