• 제목/요약/키워드: sensitivity index

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"A Study on the Health Status of College Students by Cornell Medical Index" (C.M.I.에 의한 일부대학생(一部大學生)들의 건강상태(健康狀態)에 관(關)한 조사연구)

  • Jun, Yoon Byoung
    • Journal of the Korean Society of School Health
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    • v.2 no.1
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    • pp.48-57
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    • 1989
  • To evaluate the college students' health status, the author distributed C.M.I. to 233 college students consisting of 102 males and 131 females who randomly selected from a college in seoul. The conclusion are as follow: 1. The mean of CMI scores for the male students was 32.84 and that for the female students was 43.25. Statistical significant difference was observed between the mean of CMI scores for male students and that for female students. 2. For male students, The CMI mean scores for the day students was 29.46 and for evening students was 35.85. There was no statistical significant difference the day students and that for the evening students. 3. For female students, the mean of CMI scores for day students was 42.40 and that for the evening students was 44.64. But there was no statistical significant difference between the mean CMI scores for the day students and that for the evening students. 4. In both female and male groups, the affirmative response rate of inadequacy, fatigability and eyes and ears are higher than any of the other items. 5. In comparing the CMI items of male students and female students, the significant differences cardiovascular system, musculoskeletal system, skin, nervous system, genitourinary system, fatigability, habits, inadequacy, depression and tension. The mean scores for female students, with the exception of habits, were higher than those for male students. 6. In comparing the CMI items of male day students and male evening students, there was significant difference in the items of the cardiovascular system, digestive tract, skin, genitourinary system, inadequacy, and anger : the mean scores of evening male students were higher than those of day students. 7. In the case of female students, the CMI mean scores of the evening students in the categories eyes and ears, cardiovascular system, digestive tract, musculoskeletal system, skin, genitourinary system, fatigability, inadequacy, depression, anxiety, and sensitivity were higher scores than those of the day students. However, the were no significant difference between both groups except in the cathgory of habits. 8. The frequency rate of neurotic students, who were identified by fukamachi's classification, were 12.5% in the day male students, 18.6% in th evening male students, 13.6% in the day female students, and 18.0% in the evening female students.

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Serum Ferritin and Risk of the Metabolic Syndrome in Some Korean Rural Residents (농촌 지역 주민의 혈청 Ferritin 수준과 대사증후군과의 관련성)

  • Ryu, So-Yeon;Kim, Ki-Soon;Park, Jong;Kang, Myeng-Guen;Han, Mi-Ah
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.2
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    • pp.115-120
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    • 2008
  • Objectives : The purpose of this study was to examine the relationship between serum ferritin and the metabolic syndrome (MS). Methods : We conducted a cross-sectional study of 1,444 adults over age 40 and under age 70 that lived in a rural area and participated in a survey conducted as part of the Korean Rural Genomic Cohort Study (KRGCS). The MS was defined as the presence of at least three of the followings : elevated blood pressure, low high density lipoprotein cholesterol, elevated serum triglycerides, elevated plasma glucose, or abdominal obesity. After adjustment for age, alcohol intake, menopausal status, body mass index (BMI), high sensitivity C-reactive protein (hs-CRP), and alanine aminotransferase (ALT), odds ratios (ORs) for the prevalence of the MS by sex were calculated for quartiles of serum ferritin using logistic regression analysis. Results : The MS was more common in those persons , with the highest levels of serum ferritin, compared to persons with the lowest levels, in men (37.1% vs. 22.4%, p=0.006) and women (58.8% vs. 34.8, p<0.001). In both sexes, the greater the number of MS components presents, the greater the serum ferritin levels. After adjustment for age, alcohol intake, and menopausal status, the OR for metabolic syndrome, comparing the fourth quartile of ferritin with the first quartile, was 2.21 (95% confidence interval; CI=1.26-3.87; p-trend=0.024) in men and 2.10 (95% CI=1.40-3.17; p-trend=0.001) in women. However, after further adjustment for BMI, hs-CRP, and ALT, the ORs were statistically attenuated in both sexes. Conclusions : Moderately elevated serum ferritin levels were not independently associated with the prevalence of the MS after adjusting for other risk factors. Further studies are needed to obtain evidence concerning the association between serum ferritin levels and the MS.

A Study on the Ripple Effect of Physical Distribution Service Industry on National Economy (물류서비스 산업의 국민경제적 파급효과 분석)

  • Jeong, Boon-Do;Hong, Geum-Woo
    • Journal of Korea Port Economic Association
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    • v.24 no.2
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    • pp.193-208
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    • 2008
  • This study aims to analyse the ripple effect of Physical distribution service industry on national economy using input-output tables and present the results as data for political plans in this field. For the analysis, it uses input-output tables developed and published by Sank of Korea in 1998, 2000, and 2003. To sum up the results, production inducement effects are 1757 for railroad transport, 1688 for road transport and 1617 for loading. Import inducement effects of assistant services, loading, storage, warehouse and other transport-related services are low while the effects of water and air transport are high as follows: 0.679 and 0.558 respectively. Then, added-value inducement effects are presented as follows: 0.841 for railway transport, 0.828 for road transport, 0.962 for transport assistant service, 0.939 for loading, 0.938 for storage and warehouse, and 0.942 for other transport-related services. Sensitivity dispersion index of road transport is high while that of water transport, storage and warehouse is low. And influence coefficient of railway and road transport is high while that of water and air transport is low. In respect to the employment structure of Physical distribution service industry, 744,000 are employed for road transport industry, which is the largest number, 19,000 for air transport and 20,000 for assistant services, which is the least number.

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A Study on the Nutritional Assessment of Early Childhood Using Mid-Upper-Arm Circumference (상박위(上膊圍)에 의(依)한 성장기(成長期) 아동(兒童)에 영양상태(營養狀態)의 판정(判定)에 관(關)한 연구(硏究))

  • Tchai, B.S.;Nam, Y.K.;Chung, Y.J.
    • Journal of Nutrition and Health
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    • v.8 no.4
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    • pp.9-14
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    • 1975
  • Growth retardation and a variable degree of body disproportion are recognized features of malnutrition, and mild and moderate protein-calorie malnutrition(PCM). Among the various body measurements suggested to assess the prevalence of all grades of PCM as judged by growth retardation and by body disproportion, the 'mid-upper-arm circumference'-abbreviated to 'arm-circumference' has been suggested as a potential useful simple field index for the assessment of PCM showing that the measurement would give composite information simultaneously on three important effects on PCM-deficit in the muscle protein reservoirs, availability of calorie stores in the form of subcutaneous fat, and growth failure. And this is selected because of its easy accessibility, and less involvement with clinical edema. This study is conducted to make a comparison between the percentage of Korean weight for age standards and the percentage of mid-upper-arm circumference for age standards of 175 preschool children aged $3{\sim}72$ months who are selected among the low-income residents in Seoul. In this study, a comparison is made between the results obtained by expressing the observed weight of the child as a percentage of Korean standard, referred to as 'weight-for-age' and the observed arm-circumference expressed as a percentage of the age-specific arm standard of Jelliffe, referred to as 'arm-for-age'. All the measurements were taken following the techniques described by Jelliffe. The left mid upper arm was measured using a glass-fibre tape and the Fairbanks Morse beam balance was used for weighing. 80% level of weight for age Korean standard and 85% level of arm for are Jelliffe standard were used as an upper borderline limit for PCM. Comparing the 80% weight-for-age and the 85% arm-for-age standard as an upper limit for PCM, for children aged $3{\sim}72$ months, results in 84.6% agreement with the sensitivity of 86.4% and its specificity of 83.5%. If arm circumference alone had been measured and judgement made on this basis, then only 5.1% of the children would have been 'wrongly' classified. And there is a moderately close correlation between arm circumference and weight for age as the data in Table 4 shows. The problem therefore lies in the standard for arm circumference in normal children and in determining what is the lower limit of normal. Once this is clearly difined, one can rely more confidently on arm circumference measurements alone for the nutritional assessment of early childhood.

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Automatic Boundary Detection of Carotid Intima-Media based on Multiresolution Snake (다해상도 스네이크를 통한 경동맥 내막-중막 경계선 자동추출)

  • Lee, Yu-Bu;Choi, Yoo-Joo;Kim, Myoung-Hee
    • The KIPS Transactions:PartA
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    • v.14A no.2
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    • pp.77-84
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    • 2007
  • The intima media thickness(IMT) of the carotid artery from B mode ultrasound images has recently been proposed as the most useful index of individual atherosclerosis and can be used to predict major cardiovascular events. Ultrasonic measurements of the IMT are conventionally obtained by manually tracing interfaces between tissue layers. The drawbacks of this method are the inter and intra observer variability and its inefficiency. In this paper, we present a multiresolution snake method combined with the dynamic programming, which overcomes the various noises and sensitivity to initialization of conventional snake. First, an image pyramid is constructed using the Gaussian pyramid that maintains global edge information with smoothing in the images, and then the boundaries are automatically detected in the lowest resolution level by minimizing a cost function based on dynamic programming. The cost function includes cost terms which are representing image features and geometrical continuity of the vessel interfaces. Since the detected boundaries are selected as initial contour of the snake for the next level, this automated approach solves the problem of the initialization. Moreover, the proposed snake improves the problem of converging th the local minima by defining the external energy based on multiple image features. In this paper, our method has been validated by computing the correlation between manual and automatic measurements. This automated detection method has obtained more accurate and reproducible results than conventional edge detection by considering multiple image features.

Sensitivity Analysis of Volcanic Ash Inherent Optical Properties to the Remote Sensed Radiation (화산재입자의 고유 광학특성이 원격탐사 복사량에 미치는 민감도 분석)

  • Lee, Kwon-Ho;Jang, Eun-Suk
    • Korean Journal of Remote Sensing
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    • v.30 no.1
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    • pp.47-59
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    • 2014
  • Volcanic ash (VA) can be estimated by remote sensing sensors through their spectral signatures determined by the inherent optical property (IOP) including complex refractive index and the scattering properties. Until now, a very limited range of VA refractive indices has been reported and the VA from each volcanic eruption has a different composition. To improve the robustness of VA remote sensing, there is a need to understanding of VA - radiation interactions. In this study, we calculated extinction coefficient, scattering phase function, asymmetry factor, and single scattering albedo which show different values between andesite and pumice. Then, IOPs were used to analyze the relationship between theoretical remote sensed radiation calculated by radiative transfer model under various aerosol optical thickness (${\tau}$) and sun-sensor geometries and characteristics of VA. It was found that the mean rate of change of radiance at top of atmosphere versus ${\tau}$ is six times larger than in radiance values at 0.55 ${\mu}m$. At the surface, positive correlation dominates when ${\tau}$ <1, but negative correlation dominates when ${\tau}$ >1. However, radiance differences between andesite and pumice at 11 ${\mu}m$ are very small. These differences between two VA types are expressed as the polynomial regression functions and that increase as VA optical thickness increases. Finally, these results would allow VA to be better characterized by remote sensing sensors.

Adenosine $^{99m}Tc-MIBI$ Scintigraphy in the Diagnosis of Coronary Artery Disease: Comparison with Exercise $^{99m}Tc-MIBI$ Scintigraphy (관상동맥 질환에서의 Adenosine 부하 $^{99m}Tc-MIBI$ 심근 스캔의 진단적 가치 : 운동 부하 $^{99m}Tc-MIBI$ 심근 스캔과의 비교)

  • Kang, Seung-Wan;Woo, Eon-Jo;Chae, Sung-Chull;Jun, Jae-Eun;Park, Wee-Hyun;Chung, Byung-Cheon;Choi, Chung-Il;Lee, Jae-Tae;Lee, Kyu-Bo
    • The Korean Journal of Nuclear Medicine
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    • v.26 no.1
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    • pp.72-81
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    • 1992
  • Pharmacologic coronary vasodilation in conjunction with myocardial scintigraphy has become an accepted alternative to dynamic exercise testing for the diagnosis of coronary artery disease. Although dipyridamole has traditionally been used for this purpose, it causes frequent side effect, which at times can be life-threatening. Moreover, dipyridamole dose not elicit maximal coronary vasodilation in a substantial number of patients receiving the usual i.v. dose. Adenosine is an endogenously produced compound that has significant effects as a coronary vasodilator and rapid onset action and extremely short half-life (< 10 seconds). The diagnostic accuracy and safety profile of adenosine $^{99m}Tc-MIBI$ myocardial scintigraphy were evaluated and comparison with exercise $^{99m}Tc-MIBI$ was performed. Twenty-eight subjects underwent $^{99m}Tc-MIBI$ imaging after adenosine infusion and exercise $^{99m}Tc-MIBI$ imaging. Adenosine was infused intravenously at a dose of 0.14mg/kg/body weight per minute for 6 min and MIBI was injected at 3 minute. Adenosine caused an incerease in heart rate ($64{\pm}12$ at baseline versus $74{\pm}16$ beats/min at peak effect, p<0.001), a mild decrease in systolic and diastolic blood pressure and a slightly increase in PR interval(p; NS). Side effects were reported in 92% of patients and were mostly mild in nature and promptly resolved within 1 or 2 minutes of termination of adenosine infusion. Facial flushing (53%), chest pain (36%), mild dyspnea (39%), headache (21%), throat discomfort (21%) were frequent symptoms. ST segment depression (> 1 mm) and second degree AV block in electrocardiography occured in 11% of the patients, respectively. The overall sensitivity and specificity for individual coronary stenoses in 16 patients underwent coronary angiography were 88% and 95%, respectively. The agreement ratio of segmental perfusion between adenosine and exercise images was 92% (Kappa index=0.82). In conclusion, $^{99m}Tc-MIBI$ myocardial perfusion scintigraphy with intravenous adenosine is a feasible, safe and highly accurate noninvasive technique for the detection of coronary artery disease and results are at least comparable with those of exercise $^{99m}Tc-MIBI$ scintigraphy.

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Probabilistic Analysis using Economical Evaluation for Shale Gas Development (셰일가스 개발 시 확률론적 분석 기법을 이용한 경제성 평가)

  • Moon, Young-Jun;Moon, Seo-Yoon;Gil, Seong-Min;Shin, Hyo-Jin;Lim, Jong-Se
    • Journal of the Korean Institute of Gas
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    • v.22 no.2
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    • pp.21-28
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    • 2018
  • In recent years, payability of shale gas production has worsened due to oil and gas price declines resulting from sharply increasing shale gas production. Reliable economic evaluation in shale gas development has become important. In this study, Monte Carlo simulation of probabilistic analysis technique was applied to analyze the economic feasibility considering the uncertainty involved in shale gas development. For this, the range of major variables is set and a random number is generated to derive the probability distribution of Net Present Value(NPV) and Internal Rate of Return(IRR). Consequently, we estimated the probability that the feasibility of the project is evaluated to be positive when developing shale gas in the study area. In addition, sensitivity analysis of major parameters affecting economic efficiency in shale gas development was carried out, and the effect of major variables in economic evaluation for commercial production was identified. In the future, this study could be used to make decision for shale gas production by presenting the range of variation of economic index and probability value.

A Study on Illness Behavior of Panic Disorder Patients (공황장애 환자의 질환행동에 관한 연구)

  • Kim, Sang-Soo;Je, Young-Myo;Kim, Sang-Yeop;Lee, Dae-Soo;Lee, Sung-Ho;Choi, Eun-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.2
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    • pp.104-119
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    • 1998
  • This study was conducted to determine the important factors in the illness behavior of panic disorder patients. And then, find the best ways to lead the patients who have recurrent panic attacks to the adequate therapeutic situations. We studied 53 patients diagnosed as panic disorder according to DSM-IV among the outpatients who had been followed up at Bong Seng Memorial Hospital for 6 Ms, from May 1997 to October 1997. To evaluate the illness behaviors, we designed a checklist including socio-demographic data, degree of subjective distress from medical and psychiatric treatment, panic symptoms, life events, places of help-seeking, Anxiety Sensitivity Index. Using the checklist, we had semistructured interviews with the panic disorder patients to elucidate their help-seeking behaviors from first panic attack to diagnosing as panic disorder. The results were as follows ; 1) After first panic attack, the patients initially sought help at 1) Emergency room 40%, 2) Rest &/or Personal emergency care 35%, 3) Pharmacy 10%, 4) Outpatient care at hospital 10%, 5) Oriental medicine 5%. 2) Considering the panic symptoms, derealization, paresthesia and the severity of panic symptoms were the most important factors affecting the patient's help-seeking behaviors who had experienced the first panic attack. 3) Most of all the patients (80%) were apt to visit the hospitals within 15 days after experiencing about 3 panic attacks. 4) Before diagnosed as panic disorder, the patients had visited 3-5 health care centers during about 1 year. 5) Primary care physicaians(for example, emergency care physicians, family doctors and internists) had the most important roles in treating or guiding the patients to the adequate therapeutic situations. From the above results, the authors propose that non-psychiatric physicians have to know the panic disorder or attacks exactly. When patients complaint sudden onset physical symptoms e.g. palpitation, dyspnea, dizziness or the cognitive symptoms like the fear of death or insanity, physicians should consider the possibility of panic attack and encourage the patients to be evaluated for psychiatric illness.

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Vulnerability Assessment of Soil Loss in Farm area to Climate Change Adaption (기후변화 적응 농경지 토양유실 취약성 평가)

  • Oh, Young-Ju;Kim, Myung-Hyun;Na, Young-Eun;Hong, Sun-Hee;Paik, Woen-Ki;Yoon, Seong-Tak
    • Korean Journal of Soil Science and Fertilizer
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    • v.45 no.5
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    • pp.711-716
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    • 2012
  • Due to the climate change in South Korea the annual total precipitation will increase by 17 percent by 2100. Rainfall is concentrated during the summer in South Korea and the landslide of farmland by heavy rain is expected to increase. Because regional torrential rains accompanied by a storm continue to cause the damage in farmland urgent establishment of adaptation plant for minimizing the damage is in need. In this study we assessed vulnerability of landslide of farmland by heavy rain for local governments. Temporal resolution is 2000 year and the future 2020 year, 2050 year, 2100 year via A1B scenario. Vulnerability of local government were evaluated by three indices such as climate exposure, sensitivity, adaptive capacity and each index is calculated by selected alternative variable. Collected data was normalized and then multiplied by weight value that was elicited in delphi investigation. Current vulnerability is concentrated in Jeju island and Gyeongsangnam-do, however, it is postulated that Kangwon-do will be vulnerable in the future. Through this study, local governments can use the data to establish adaptation plans for farmland landslide by climate change.