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Adjustable Ghajar Guide Technique for Accurate Placement of Ventricular Catheters : A Pilot Study

  • Yoon, Sang-Youl;Kwak, Youngseok;Park, Jaechan
    • Journal of Korean Neurosurgical Society
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    • v.60 no.5
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    • pp.604-609
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    • 2017
  • Objective : An adjustable Ghajar guide is presented to improve the accuracy of the original Ghajar guide technique. The accuracy of the adjustable Ghajar guide technique is also investigated. Methods : The coronal adjustment angle from the orthogonal catheter trajectory at Kocher's point is determined based on coronal head images using an electronic picture archiving and communication system. For the adjustable Ghajar guide, a protractor is mounted on a C-shaped basal plate that is placed in contact with the margin of a burrhole, keeping the central $0^{\circ}$ line of the protractor orthogonal to the calvarial surface. A catheter guide, which is moved along the protractor and fixed at the pre-determined adjustment angle, is then used to guide the ventricular catheter into the frontal horn adjacent to the foramen of Monro. The adjustable Ghajar guide technique was applied to 20 patients, while a freehand technique based on the surface anatomy of the head was applied to another 47 patients. The accuracy of the ventricular catheter placement was then evaluated using postoperative computed tomography scans. Results : For the adjustable Ghajar guide technique (AGT) patients, the bicaudate index ranged from 0.23 to 0.33 ($mean{\pm}standard$ deviation [SD] : $0.27{\pm}0.03$) and the adjustment angle ranged from $0^{\circ}$ to $10^{\circ}$ ($mean{\pm}SD:5.2^{\circ}{\pm}3.2^{\circ}$). All the AGT patients experienced successful cerebrospinal fluid diversion with only one pass of the catheter. Optimal placement of the ventricular catheter in the ipsilateral frontal horn approximating the foramen of Monro (grade 1) was achieved in 19 patients (95.0%), while a suboptimal trajectory into a lateral corner of the frontal horn passing along a lateral wall of the frontal horn (grade 3) occurred in 1 patient (5.0%). Thus, the AGT patients experienced a significantly higher incidence of optimal catheter placement than the freehand catheterized patients (95.0% vs. 68.3%, p=0.024). Moreover, none of the AGT patients experienced any tract hemorrhages along the catheter or procedure-related complications. Conclusion : The proposed adjustable Ghajar guide technique, using angular adjustment in the coronal plane from the orthogonal trajectory at Kocher's point, facilitates accurate freehand placement of a ventricular catheter for hydrocephalic patients.

Characteristics on Stream Water Quality in the Northeastern Part of Puk'ansan National Park(IV) -With a Special Reference to the Physicochemical Characteristics in the Seasonal Variation- (북한산국립공원(北漢山國立公園) 북동사면(北東斜面) 일대(一帶) 계류수질(溪流水質) 특성(特性)(IV) -이화학적(理化學的) 특성(特性)의 계절별(季節別) 변화(變化)를 중심(中心)으로-)

  • Park, Jae Hyeon
    • Journal of Korean Society of Forest Science
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    • v.90 no.1
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    • pp.146-154
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    • 2001
  • This research was conducted to investigate the seasonal changes in physicochemical characteristics of stream water at the four points in the northeastern part of the Puk'ansan National Park from July of 1998 to November of 2000. The average pH of stream water was 6.6(6.53~6.74) and the dissolved oxygen was ranged from 11.0 to $11.3mg/{\ell}$, which indicated that the water quality could be categorized in the first class for the quality of river water quality standard. The average electrical conductivity of stream water was 106.8(52.3~154.0) ${\mu}S/cm$ and the electrical conductivities of downstream water were ranged from 139.4 to $154{\mu}S/cm$, which were about 1.7~3.0 times higher than those in upstream water that showed from 52.3 to $81.6{\mu}S/cm$. The amount of anion($Cl^-$, $NO{_3}^-$, $SO{_4}^{2-}$) which indicates the pollution index in downstream was higher than that in upstream, In addition, the seasonal impacts of pollution on stream water were higher in Autumn than in Spring or Summer.

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Estimation of Carbon Stock by Development of Stem Taper Equation and Carbon Emission Factors for Quercus serrata (수간곡선식 개발과 국가탄소배출계수를 이용한 졸참나무의 탄소저장량 추정)

  • Kang, Jin-Taek;Son, Yeong-Mo;Jeon, Ju-Hyeon;Yoo, Byung-Oh
    • Journal of Climate Change Research
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    • v.6 no.4
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    • pp.357-366
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    • 2015
  • This study was conducted to estimate carbon stocks of Quercus serrata with drawing volume of trees in each tree height and DBH applying the suitable stem taper equation and tree specific carbon emission factors, using collected growth data from all over the country. Information on distribution area, tree number per hectare, tree volume and volume stocks were obtained from the $5^{th}$ National Forest Inventory (2006~2010), and method provided in IPCC GPG was applied to estimate carbon storage and removals. Performance in predicting stem diameter at a specific point along a stem in Quercus serrata by applying Kozak's model,$d=a_1DBH^{a_2}a_3^{DBH}X^{b_1Z^2+b_2ln(Z+0.001)+b_3{\sqrt{Z}}+b_4e^Z+b_5({\frac{DBH}{H}})}$, which is well known equation in stem taper estimation, was evaluated with validations statistics, Fitness Index, Bias and Standard Error of Bias. Consequently, Kozak's model turned out to be suitable in all validations statistics. Stem volume tables of Quercus serrata were derived by applying Kozak's model and carbon stock tables in each tree height and DBH were developed with country-specific carbon emission factors ($WD=0.65t/m^3$, BEF=1.55, R=0.43) of Quercus serrata. As a result of carbon stock analysis by age class in Quercus serrata, carbon stocks of IV age class (11,358 ha, 36.5%) and V age class (10,432; 33.5%) which take up the largest area in distribution of age class were 957,000 tC and 1,312,000 tC. Total carbon stocks of Quercus serrata were 3,191,000 tC which is 3% compared with total percentage of broad-leaved forest and carbon sequestration per hectare(ha) was 3.8 tC/ha/yr, $13.9tCO_2/ha/yr$, respectively.

Is the Diagnostic Trial with Proton Pump Inhibitors Reasonable for School Age Children with Gastroesophageal Reflux Symptoms?

  • Yang, Jaeeun;Lee, Jieon;Lee, Hyunju;Lee, Juyeon;Youn, Young Mee;Choi, Jae Hong;Kim, Yoon-Joo;Kang, Hyun Sik;Han, Kyoung Hee;Kim, Seung Hyo;Kang, Ki-Soo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.6
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    • pp.511-517
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    • 2019
  • Purpose: On the basis of evidence, we aimed to reevaluate the necessity of the empirical proton pump inhibitor (PPI) trial for children with suspected gastroesophageal reflux disease (GERD). Methods: We analyzed the frequency of GERD in 85 school-age children with gastroesophageal reflux (GER) symptoms, who received 24-hour esophageal pH monitoring and/or upper endoscopy. According to the reflux index (RI), the children were classified into normal (RI <5%), intermediate (5%${\leq}$ RI <10%), or abnormal (RI ${\geq}$10%) groups. Results: Fifty six were female and 29 were male. Their mean age was $12.6{\pm}0.5$ (${\pm}$standard deviation) years (range: 6.8-18.6). The RI analysis showed that the normal group included 76 patients (89.4%), the intermediate group included 6 patients (7.1%), and the abnormal group included 3 patients (3.5%). The DeMeester score was $5.93{\pm}4.65$, $14.68{\pm}7.86$ and $40.37{\pm}12.96$ for the normal, intermediate and abnormal group, respectively (p=0.001). The longest reflux time was $5.56{\pm}6.00$ minutes, $9.53{\pm}7.84$ minutes, and $19.46{\pm}8.35$ minutes in the normal, intermediate, and abnormal group, respectively (p=0.031). Endoscopic findings showed reflux esophagitis in 7 patients. On the basis of the Los Angeles Classification of Esophagitis, 5 of these patients were included in group A, 1 patient, in group B and 1 patient, in group C. Conclusion: The incidence of GERD was very low in school-age children with GER symptoms. Therefore, injudicious diagnostic PPI trials would be postponed until the actual prevalence of GERD is verified in future prospective studies.

A Study on Priorities of the Key Competence of Port Logistics Enterprise using AHP Method (AHP 기법을 활용한 항만물류기업의 직업기초능력 우선순위 분석)

  • Park, Doojin
    • Journal of Korea Port Economic Association
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    • v.30 no.1
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    • pp.159-173
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    • 2014
  • This study is key competence port logistics companies analyze the priorities of evaluation factors. key competence index of NCS(National competency standard) was designed on the basis of the research model. The priorities of evaluation factors were analyzed using AHP method. The results of the analysis of 1 layer's key competence priorities are as follows: Interpersonal skills(0.217), communication skills(0.153), ability to develop problem(0.148), ability to understand the organization(0.103), and resource management skills(0.090), self-development ability and professional ethics(0.070), information skills(0.065), technical skills(0.049), numeracy skills(0.035).

The Characteristics of Taeyangin on Body Shape, Face, Voice and Temperament (태양인 체형, 안면, 음성, 성격 특성)

  • Jang, Eun-Su;Do, Jun-Hyeong;Jang, Jun-Su;Ku, Bon-Cho;Yoo, Jong-Hyang;Choi, Hee-Seok;Lee, Si-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.3
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    • pp.145-157
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    • 2013
  • Objectives This study was aimed to reveal the characteristics of the body shape, face, voice and temperament in Taeyangin. Methods The subjects were recruited from November 2005 to August 2012. Sasang constitutional specialist in each clinics confirmed the Sasang Constitution. Taeyangin (TY) became a standard guidance to be compared with each other Sasang type. Anova test was used in analyzing continuous variables and factor analysis was conducted in temperament questionnaire in advance. Generalized propensity score with age and body mass index (BMI) was used in adjusted model. Significant level was .05 Results 1. The TY body shape were generally smaller than Taeeumin (TE) (p<0.001) and Soyangin (SY) (p<0.05) in crude. The TY body shape were still smaller than TE (p<0.05) and there was no significant difference between TY and SY except rib circumference in males and forehead circumference (p<0.05) in females in adjusted model. 2. The size of face and nose in TY was smaller than in TE and there was different between males and females' TY and others in the characteristics of eye, nose and forehead variables in crude (p<0.05). Most of differences between TY and TE were disappeared in adjusted model. 3. The vocal height and speed of TY was different other types and there was different between males and females' TY in some of frequency change rate in crude (p<0.05). Most of differences between TY and other types were similar before and after adjusted model. 4. The temperament of TY was different with SE before and after adjusted mode 1 (p<0.05). TY males showed difference in expression factor and TY females showed difference in behavior factor compared with TE respectively (p<0.05). Conclusions This study reveals characteristics of body shape, face, voice and character in the TY males females compared with each other type respectively.

A Study on the Sensory Tests Correlated Objective Measurements for the Gloss and Gloss-lasting Capability of Lipstick (립스틱의 광택 및 광택 지속성에 대한 객관적인 측정법에 관한 연구)

  • Kim, Kyung-Nam;Kim, Yoon-Jeong;Lee, Hwa-Young;Kim, Eun-Jeong;Cheon, Ji-Min;Kang, Hak-Hee;Lee, Ok-Sub
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.31 no.1 s.49
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    • pp.59-64
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    • 2005
  • In case of lipsticks, observer's subjective sensitivity has been the main index to estimate gloss and gloss-lasting capability. The glossmeter has been applied to measure the gloss of make-up cosmetics like nail enamel, however is not effective for lipstick because of uneven sampling. Also gloss-lasting capability couldn't have been measured. In this study, we optimized measurement methods of gloss and gloss-lasting capability of lipsticks, which are highly correlated to subjective sensory tests. We set up the standard methods of gloss measurement by changing application conditions, for example, materials, sizes and application number of times and so on. And we introduced optimizing measurement system, in which shaking speed and temperature were controlled to measure gloss-lasting capability. Applying our methods, the gloss values were very close to the results of sensory tests, and we could express the gloss and gloss-lasting capability of lipsticks numerically Repeatability and reproducibility of our methods were certified by six-sigma statistical tool.

Health Risk Assessment with Source Apportionment of Ambient Volatile Organic Compounds in Seoul by Positive Matrix Factorization (수용체 모델(PMF)를 이용한 서울시 대기 중 VOCs의 배출원에 따른 위해성평가)

  • Kwon, Seung-Mi;Choi, Yu-Ri;Park, Myoung-Kyu;Lee, Ho-Joon;Kim, Gwang-Rae;Yoo, Seung-Sung;Cho, Seog-Ju;Shin, Jin-Ho;Shin, Yong-Seung;Lee, Cheolmin
    • Journal of Environmental Health Sciences
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    • v.47 no.5
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    • pp.384-397
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    • 2021
  • Background: With volatile organic compounds (VOCs) containing aromatic and halogenated hydrocarbons such as benzene, toluene, and xylene that can adversely affect the respiratory and cardiovascular systems when a certain concentration is reached, it is important to accurately evaluate the source and the corresponding health risk effects. Objectives: The purpose of this study is to provide scientific evidence for the city of Seoul's VOC reduction measures by confirming the risk of each VOC emission source. Methods: In 2020, 56 VOCs were measured and analyzed at one-hour intervals using an online flame ionization detector system (GC-FID) at two measuring stations in Seoul (Gangseo: GS, Bukhansan: BHS). The dominant emission source was identified using the Positive Matrix Factorization (PMF) model, and health risk assessment was performed on the main components of VOCs related to the emission source. Results: Gasoline vapor and vehicle combustion gas are the main sources of emissions in GS, a residential area in the city center, and the main sources are solvent usage and aged VOCs in BHS, a greenbelt area. The risk index ranged from 0.01 to 0.02, which is lower than the standard of 1 for both GS and BHS, and was an acceptable level of 5.71×10-7 to 2.58×10-6 for carcinogenic risk. Conclusions: In order to reduce the level of carcinogenic risk to an acceptable safe level, it is necessary to improve and reduce the emission sources of vehicle combustion and solvent usage, and eco-car policies are judged to contribute to the reduction of combustion gas as well as providing a response to climate change.

Application of Atmospheric Correction to KOMPSAT for Agriculture Monitoring (농경지 관측을 위한 KOMPSAT 대기보정 적용 및 평가)

  • Ahn, Ho-yong;Ryu, Jae-Hyun;Na, Sang-il;So, Kyu-ho;Lee, Kyung-do
    • Korean Journal of Remote Sensing
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    • v.37 no.6_3
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    • pp.1951-1963
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    • 2021
  • Remote sensing data using earth observation satellites in agricultural environment monitoring has many advantages over other methods in terms of time, space, and efficiency. Since the sensor mounted on the satellite measures the energy that sunlight is reflected back to the ground, noise is generated in the process of being scattered, absorbed, and reflected by the Earth's atmosphere. Therefore, in order to accurately measure the energy reflected on the ground (radiance), atmospheric correction, which must remove noise caused by the effect of the atmosphere, should be preceded. In this study, atmospheric correction sensitivity analysis, inter-satellite cross-analysis, and comparative analysis with ground observation data were performed to evaluate the application of KOMPSAT-3 satellite's atmospheric correction for agricultural application. As a result, in all cases, the surface reflectance after atmospheric correction showed a higher mutual agreement than the TOA reflectance before atmospheric correction, and it is possible to produce the time series vegetation index of the same standard. However, additional research is needed for quantitative analysis of the sensitivity of atmospheric input parameters and the tilt angle.

The Improvement Plan for Indicator System of Personal Information Management Level Diagnosis in the Era of the 4th Industrial Revolution: Focusing on Application of Personal Information Protection Standards linked to specific IT technologies (제4차 산업시대의 개인정보 관리수준 진단지표체계 개선방안: 특정 IT기술연계 개인정보보호기준 적용을 중심으로)

  • Shin, Young-Jin
    • Journal of Convergence for Information Technology
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    • v.11 no.12
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    • pp.1-13
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    • 2021
  • This study tried to suggest ways to improve the indicator system to strengthen the personal information protection. For this purpose, the components of indicator system are derived through domestic and foreign literature, and it was selected as main the diagnostic indicators through FGI/Delphi analysis for personal information protection experts and a survey for personal information protection officers of public institutions. As like this, this study was intended to derive an inspection standard that can be reflected as a separate index system for personal information protection, by classifying the specific IT technologies of the 4th industrial revolution, such as big data, cloud, Internet of Things, and artificial intelligence. As a result, from the planning and design stage of specific technologies, the check items for applying the PbD principle, pseudonymous information processing and de-identification measures were selected as 2 common indicators. And the checklists were consisted 2 items related Big data, 5 items related Cloud service, 5 items related IoT, and 4 items related AI. Accordingly, this study expects to be an institutional device to respond to new technological changes for the continuous development of the personal information management level diagnosis system in the future.