• Physical Therapy Korea
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• v.25 no.1
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• pp.39-46
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• 2018

Background: The Berg Balance Scale (BBS) and the Fullerton Advanced Balance (FAB) scale have been used to assess balance function in patients with chronic stroke. These clinical balance scales provide information about potential risk factors for falls. Objects: The purpose of this study was to investigate the incidence of and risk factors of falls and compare the predictive values of the BBS and FAB scale relative to fall risk in patients with stroke through receiver operating characteristic analysis. Methods: Sixty-three patients with stroke (faller=34, non-faller=29) who could walk independently for 10 meters participated in this study. The BBS and FAB scale were administered. Then, we verified the cut-off score, sensitivity, specificity, and the area of under the curve. Results: In this study, the BBS and FAB scale did not predict fall risk in patients with stroke in the receiver operator characteristic curve analysis. A cut-off score of 37.5 points provided sensitivity of .47 and specificity of .35 on the BBS, and a cut-off score of 20.5 points provided sensitivity of .44 and specificity of .45 on the FAB scale. Conclusion: The BBS and FAB scale were not useful screening tools for predicting fall risk in patients with stroke in this study, but those who scored 37.5 or lower on the BBS and 20.5 or lower on the FAB scale had a high risk for falls.

• Journal of Korea Water Resources Association
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• v.50 no.3
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• pp.139-153
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• 2017

The variation in runoff due to global climate change and urbanization should be identified quantitatively because these two factors have been significantly accelerated during the last three decades in South Korea. However, only a few research to analyze the impacts due to two factors over different time scales can be found. Therefore, in this study, the hydrological model based approach and the hydrological sensitivity approach were used to separate relative impacts by two factors on monthly, seasonal, and annual time scales at the Soyang River upper basin and the Seom River basin in South Korea. The 3 techniques such as the double mass curve method, the Pettitt's test, and the BCP analysis were performed to detect change point occurred by abrupt change in the collected observed runoff. After detection of change ponts, SWAT models calibrated on the natural periods were used to calculate the changes due to human activities. Also, 6 Budyko based methods were auxiliary to verify the results from hydrological based approach.

• Journal of Environmental Health Sciences
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• v.39 no.6
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• pp.492-504
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• 2013

Objectives: This analysis seeks to evaluate the impact of environmental health factors (EHF; e.g. hospital beds per capita, employees of medical institutions) on extreme-heat vulnerability assessment in Busan Metropolitan City during 2006-2010. Methods: According to the vulnerability concept suggested by the Intergovernmental Panel on Climate Change (IPCC), extreme-heat vulnerability is comprised of the categories of Exposure, Sensitivity, and Adaptive Capacity (including EHF). The indexes of the Exposure and Sensitivity categories indicate positive effects, while the Adaptive capacity index indicates a negative effect on extreme-heat vulnerability. Variables of each category were standardized by the re-scaling method, and then each regional relative vulnerability was computed with the vulnerability index calculation formula. Results: The extreme-heat vulnerability index (EVI) excepting EHF was much higher in urban areas than in suburban areas within the metropolitan area. When EHF was considered, the difference in the EVI between the two areas was reduced due to the increase of the Adaptive capacity index in urban areas. The low EVI in suburban areas was induced by a dominant effect of natural environmental factors (e.g. green area) within the Adaptive capacity category. Conclusions: To reduce the vulnerability to extreme heat in urban areas, which were more frequently exposed to extreme heat than others areas, public health and natural environments need to be improved in sensitive areas.

• Journal of radiological science and technology
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• v.21 no.1
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• pp.35-39
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• 1998

We analyzed image factors to determine the characteristic factors that need for intelligent replenishment system of the auto film processor. We processed the serial 300 sheets of radiographic films of chest phantom without replenishment of developing and fixation replenisher. We took the digital data by using film digitizer which scaned the films and automatically summed up the pixel values of the films. We analyzed characteristic curves, average gradients and relative speeds of individual film using densitometer and step densitometry. We also evaluated the pH of developer, fixer, and washer fluid with digital pH meter. Fixer residual rate and washing effect were measured by densitometer using the reagent methods. There was no significant reduction of the digital density numbers of the serial films without replenishment of developer and fixer. The average gradients were gradually decreased by 0.02 and relative speeds were also gradually decreased by 6.96% relative to initial standard step-densitometric measurement. The pHs of developer and fixer were reflected the inactivation of each fluid. The fixer residual rates and washing effects after processing each 25 sheets of films were in the normal range. We suggest that the digital data are not reliable due to limitation of the hardware and software of the film digitizer. We conclude that average gradient and relative speed which mean the film's contrast and sensitivity respectively are reliable factors for determining the need for the replenishment of the auto film processor. We need more study of simpler equations and programming for more intelligent replenishment system of the auto film processor.

• Journal of the Korean Chemical Society
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• v.46 no.1
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• pp.19-25
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• 2002

We measured the variations of potentials and current densities for several polymers. The results were carefully examined to identify various factors such as temperature and pH to influence the potential and rate. The Tafel slope for anodic dissolution was determined by the polarization effect under these conditions. The optimum conditions were established for each case. The second anodic current density peak and maximum current density were designated as the relative polarization sensitivity $(I_r/I_f)$. The mass-transfer coefficient value $({\alpha})$ was determined by the Tafel slope for anodic dissolution on the basis of the polarization effect under optimum conditions.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.24 no.3 s.174
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• pp.661-666
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• 2000

Optimization of the elastic joint of train is performed according to the minimization of ten responses which represent driving safety and ride comfort of train and analyzed by using the each response se surface model from stochastic design of experiments. After the each response surface model is constructed, the main effect and sensitivity analyses are successfully performed by 2nd order approximated regression model as described in this paper. We can get the optimal solutions using by nonlinear programming method such as simplex or interval optimization algorithms. The response surface models and the optimization algorithms are used together to obtain the optimal design of the elastic joint of train. the ten 2nd order polynomial response surface models of the three translational stiffness of the elastic joint (design factors) are constructed by using CCD(Central Composite Design) and the multi-objective optimization is also performed by applying min-max and distance minimization techniques of relative target deviation.

• KIEAE Journal
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• v.15 no.5
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• pp.67-74
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• 2015

This study aimed to develop a design manual to be used during the initial stage of the nearly Zero Energy Building (nZEB) design process. Recently, with the increased demand for nZEBs, there are many architects and architectural firms who are becoming interested in nZEB design. However, since the nZEB design process requires a different approach to the conventional building design process, architects have difficulties with application of the nZEB design process in their projects. Therefore, a design manual which can be used in the nZEB design process was developed in this study. Based on an intensive literature review, energy-saving strategies and their performance levels, which affect heating and cooling energy consumptions were established for a reference building. To analyze the sensitivity of each energy strategy to the overall performance, computer simulations using EnergyPlus were performed. At the same time, an Analysis of Variance assessment was conducted to estimate the relative importance of each energy factor. The energy sensitivity and priority of the energy factors was developed into a set of design guidelines.

• Journal of Korean Clinical Nursing Research
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• v.25 no.2
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• pp.142-150
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• 2019

Purpose: The aim of this study was to evaluate the efficiency of the Humpty Dumpty Falls Scale as one of the falls risk assessment tools, and also to evaluate risk factors as predictors of falls in pediatric patient populations. Methods: In a retrospective, case-control design with data from the electronic medical records of 13 pediatric patients who fell and 1,941 who did not fall before matching and 429 who did not fall after matching by gender, age, diagnosis, and length of stay. Results: All the variables showed no significant differences after matching. At the cutoff score of 13, sensitivity, specificity, negative and positive predictive values were 92.3%, 37.1%, 99.9%, and 0.01%, respectively. The area under the Receiver Operating Characteristics was 0.597. The results from the logistic regression showed that the pediatric inpatient population who had higher risk scores was significantly associated with falls. The odds ratios ranged from 1.31 to 4.71 with 90% confidence interval. Conclusion: The saturation impairments criterion as one of the diagnostic parameter was negatively associated with falls, but the relative risk score was higher than the other criteria. Therefore, it seems that the diagnostic parameter seems to be required to verify results through large sample studies.

• The Korean Journal of Nuclear Medicine Technology
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• v.12 no.3
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• pp.208-213
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• 2008

Purpose: Generally a whole body bone scan has been known as one of the most frequently executed exams in the nuclear medicine fields. Asan medical center, usually use various gamma camera systems - manufactured by PHILIPS (PRECEDENCE, BRIGHTVIEW), SIEMENS (ECAM, ECAM signature, ECAM plus, SYMBIA T2), GE (INFINIA) - to execute whole body scan. But, as we know, each camera's sensitivity is not same so it is hard to consistent diagnosis of patients. So our purpose is when we execute whole body bone scans, we exclude uncontrollable factors and try to correct controllable factors such as inherent sensitivity of gamma camera. In this study, we're going to measure each gamma camera's sensitivity and study about reasonable correction factors of whole body bone scan to follow up patient's condition using different gamma cameras. Materials and Methods: We used the $^{99m}Tc$ flood phantom, it recommend by IAEA recommendation based on general counts rate of a whole body scan and measured counts rates by the use of various gamma cameras - PRECEDENCE, BRIGHTVIEW, ECAM, ECAM signature, ECAM plus, IFINIA - in Asan medical center nuclear medicine department. For measuring sensitivity, all gamma camera equipped LEHR collimator (Low Energy High Resolution multi parallel Collimator) and the $^{99m}Tc$ gamma spectrum was adjusted around 15% window level, the photo peak was set to 140-kev and acquirded for 60 sec and 120 sec in all gamma cameras. In order to verify whether can apply calculated correction factors to whole body bone scan or not, we actually conducted the whole body bone scan to 27 patients and we compared it analyzed that results. Results: After experimenting using $^{99m}Tc$ flood phantom, sensitivity of ECAM plus was highest and other sensitivity order of all gamma camera is ECAM signature, SYMBIA T2, ECAM, BRIGHTVIEW, IFINIA, PRECEDENCE. And yield sensitivity correction factor show each gamma camera's relative sensitivity ratio by yielded based on ECAM's sensitivity. (ECAM plus 1.07, ECAM signature 1.05, SYMBIA T2 1.03, ECAM 1.00, BRIGHTVIEW 0.90, INFINIA 0.83, PRECEDENCE 0.72) When analyzing the correction factor yielded by $^{99m}Tc$ experiment and another correction factor yielded by whole body bone scan, it shows statistically insignificant value (p<0.05) in whole body bone scan diagnosis. Conclusion: In diagnosing the bone metastasis of patients undergoing cancer, whole body bone scan has been conducted as follow up tests due to its good points (high sensitivity, non invasive, easily conducted). But as a follow up study, it's hard to perform whole body bone scan continuously using same gamma camera. If we use same gamma camera to patients, we have to consider effectiveness of equipment's change by time elapsed. So we expect that applying sensitivity correction factor to patients who tested whole body bone scan regularly will add consistence in diagnosis of patients.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.12
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• pp.570-577
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• 2020

This study is aimed at figuring out the influence of early childhood teachers' playfulness and sensitivity on play teaching efficacy. The subjects of the study were 262 early childhood teachers working in kindergarten and day care centers located in J City. The instruments were the Adult Playfulness Scale, the Sensitivity Scale, and the Play Teaching Efficacy Scale. The collected data were analyzed by using SPSS. In order to find out the general background of the early childhood teachers, frequency and percentage were used. In addition, in order to assess the relationships among playfulness, sensitivity, and the play teaching efficacy of an early childhood teacher, Pearson's correlation analysis was carried out. Lastly, for examination of the effects and a relative explanation of the effects of playfulness and sensitivity on play teaching efficacy in early childhood teachers, a multiple regression analysis was conducted. The results of this study are as follows. First, there was positive correlation among playfulness, sensitivity, and play teaching efficacy in the early childhood teacher. Second, play teaching efficacy of early childhood teachers was influenced by their playfulness and sensitivity. In conclusion, the significance of this study is that there was a significant correlation among playfulness, sensitivity, and play teaching efficacy in early childhood teachers, and that both of the first two variables were factors influencing play teaching efficacy.