Investigation of the April 2000 forest fire damage in Kang-won Province, Korea, using RADARSAT data

Kang, Sung Chul,Seo, Jin Won,Lee, Tae Hee,Park, Sang Eun,Hong, Suk Young,Moon, Wooil M. 대한원격탐사학회 2000 International Symposium on Remote Sensing Vol.16 No.1

The series of forest Fires in Kangwon Province in April, 2000, were one of the mast serious ones in the Kang-won Province in recent years. The fire damaged areas are extensive and this paper investigates the utility of the satellite image data, particularly the RADARSAT SAR data. One of the main objectives of this study included evaluation of potential usefulness of the C-band RADARSAT data in the detection of forest fires in mountainous areas. Among several fire damaged sites, the area near Samchuk (city) was selected as the main study area and mufti-temporal RADARSAT(raw) data were acquired and the processed results were comparatively investigated with the IRS-1c data acquired shortly after the fire. To identify the burnt area from the undamaged background in the optical imagery, supervised classification and NDVI processing were carried out and tested with the IRS-1C data. For this experiment, several sets of raw RADARSAT standard and Fine mode (S4, F3, ascending orbit) data were processed and the final image was formed. In addition to the final image, sigma nought (σ°) was catnputed and compared for the burnt area against the undamaged areas. Because of the steep slopes in the study area and subsequent deviation from the flat surface scattering models, the fire scars in the sigma nought (σ°) image were not apparent. However, fire scars are slightly detected in the difference and ratio images obtained from the signal intensity data acquired at different dates (bath before and after fire). Texture analysis of the image data including the burnt areas were carried out using the Multiplicative Markov Random-Field (MMRF) algorithm. The detection of the fire damaged area from both standard mode and fine mode RADARSAT was not as straightforward as in optical data. However, Previous studies with ERS-1 S_AR and RADARSAT data in Indonesia and in the North American Plains indicate that C-band SAR data provide us with an effective tool for studying the forest fire damages. However, the application of C-band SAR data to the analysis of the forest fire areas requires careful processing of the data with realistic scattering models.

7개 대학 병원에서 조사한 지역사회 폐렴의 원인균

정문현,김성민,강문원,최희정,정희진,이경원,한성우,송재훈,신형식,김의종,최강원,김민자,박승철,배현주,정윤섭,김준명,백경란,신완식,이규만,김양리 대한감염학회 1997 감염 Vol.29 No.5

목 적 : 폐렴은 많이 발생하면서 사망률이 크게 줄지 않는 질환이며, 이를 적절히 치료하기 위해서는 원인균의 상대적 빈도, 기저 질환에 따른 변화, 항균제 내성률, 사망에 관련된 인자들을 알아야 한다. 원인균의 빈도는 지역마다 차이가 있고 국내에서는 항균제 내성률이 높아 지역사회에서 발생한 폐렴을 치료하기 위한 경험적 항균제 선택에 도움이 되기 위해 서울 소재 6개 대학 병원과 천안의 1개 대학 병원이 참여하여 위의 사항들에 대해 조사를 하였다. 방 법 : 1995년에 내과에 입원했던 16세 이상 환자를 대상으로 했다. 퇴원 진단명이 폐렴 또는 폐결핵인 병록지을 찾았고, 이중에서 병원 감염을 제외하였다. 특이도를 높이기 위해, 이들 중에서 호흡기 증상이 있고 발열이나 저체온이 있으면서 흉부 X-선에서 이상 음영이 있는 환자만을 대상으로 했다. 폐결핵은 위의 기준에 입원 초기에 항균제 치료를 하고 입원 7일 이후에야 항결핵제가 투여된 경우만을 폐렴의 원인균으로 하였다. 혈액 배양에서 양성, 객담에서 항상균이나 M. tuberculosis가 증명된 경우, 혈청학적으로 항체가가 4배 이상 증가된 경우, 조직에서 원인균이 진단된 경우는 확정(definitive) 원인균으로 하였고, 객담에서 배양된 균이 그람 도말과 일치할때, 항결액제에 대한 반응으로 진단한 폐결핵, 단일 항체가 양성이고 이에 대해 항균제를 사용했을 때는 가능(probable) 원인균으로 정의하였다. 다세균 감염균은 각각 다 른 원인균으로 처리하였다. 임상 조사와 함께 임상병리과에서 S. pneumoniae, H. influenzae, M. catarrhalis, mycoplasma, 항상균에 대해 검사 의뢰 건수, 배양 양성수, 항균제 감수성 결과를 조사하였다. 결 과 : 폐렴의 증례 정의에 부합하지 않은 135명과 폐결핵의 정의에 해당하지 않는 230명을 제외하고 남은 246명의 평균 나이는 58.2세이고 남성이 142명(58.2%) 이었고, 71%의 환자에서 기저 질환이 있었다. 진단 방법의 시행 횟수는 혈액 배양 77.6%, 혈청 검사 18.3%, 기관지경 검사는 4.1%였고, 세균의 항원 검사를 한 예는 없었다. 원인균이 밝혀진 예는 77명(31.3%)이었다. 다세균 감염이 4명에서 있었고, 원인균의 상대적 빈도는 결핵 20명(확정 17, 가능 3: 6개 병원 자료), 폐렴구균 18(확정8 가능 10)명과 폐렴구균이 아닌 Streptococcus 3명 (모두 확정), H. influenzae 11명(모두 가능), 그람음성간균 11명(확정 7, 가능 4) (K. pneumoniae 8건), Mycoplasma 5명(확정 1, 가능 4), S. aureus 4명(확정 2, 가능 2), mucormycosis 1명(확정)이었다. 평균 입원 기간은 19일이고, 중환자실 입원률과 인공 호흡기 사용율은 각각 18%와 9.3%였다. 사망률은 13.8%였고 사망까지 평균 기간은 14.6일 이었다. 다변량 분석에서 사망을 예측할 수 있는 인자는 저체온과 빈호흡이었다. 임상병리과에서 배양되었던 모든 폐렴구균의 Penicillin 내성률은 서울 3개 병원에서 82-88%, 천안에서 72%였다. 폐렴 환자의 혈액에서 배양된 7주는 모두 Penicillin에 감수성이 있었다. K. pneumoniae 8주 모두 cefotaxime과 gentamicin에 감수성을 보였다. 결 론 : 후향적 조사이고 병원마다 원인균 진단에 차이가 있지만, 원인이 밝혀진 경우에는 결핵과 폐렴균이 흔하였고, 무균 부위에서 배양된 폐렴구균의 항균제 내성률은 낮았다. 원인이 밝혀지지 않은 경우가 많고, 혈청검사로 진단되는 원인균이 드물며, 분리균주가 적어 항균제 내성 정도를 추정하기 어려워, 이를 밝히기 위한 전향적 조사가 필요하다. Background : Community-acquired pneumonia (CAP) is one of the leading causes of mortality and morbidity, but its management is still challenging. The limitation of diagnostic methods to identify etiologic agents rapidly make it necessary to use empiric antibiotics in almost all patients, and furthermore the discovery of new respiratory pathogens and the emergence of antibiotic-resistant organisms pose difficulties to the selection of an empiric regimen. To clarify the factors necessary for the optimal choice of empirical antibiotics, such as the frequency of etiologic agents, the attributable rates to death and antimicrobial resistance rates in the community, six university hospitals in Seoul and one university hospital in Cheonan were participating in this study. Methods : medical records of adults (>15 years of age) hospitalized for CAP or pulmonary tuberculosis between April 1995 and March 1996, were reviewed. Patients who satisfied all of the following criteria were included in the study: (1) fever or hypothermia; (2) respiratory symptoms; and (3) pulmonary infiltrates on chest roentgenogram. To exclude cases of pulmonary tuberculosis whose roentgenographic features were so typical that it could be easily differentiated from conventional pneumonia, two additional criteria were required for inclusion: antibiotic treatment during the first week of hospital admission and initiation of anti-tuberculosis medications thereafter. Organisms isolated from sterile body sites, acid-fast bacilli or Mycobacterium tuberculosis isolated from sputum, pathogens diagnosed by a 4-fold rising titer of antibodies to “atypical”pathogens, or pathogens revealed by histopathology were defined as definitive cause of pneumonia; isolates from sputum withcompatible Gram stain, pathogens diagnosed by a single diagnostic titer plus use of a specific antimicrobial agent, or tuberculosis diagnosed by clinucal response to anti- tuberculosis medications were considered probable cause of pneumonia. The records of the clinical microbiology were reviewed for isolates of S. pneumoniae, H. influenzae, M. catarrhalis, Mycobacterium or acid-fast bacilli, and Mycoplasma. Then the frequency of these agents, antimicrobial resistance rates of resiratory pathogens from all body sites, and their clinical significance were evaluated. Results: After excluding 365 patients (230 with pulmonary tuberculosis and 135 with CAP) who were screened for inclusion but did not meet the inclusion criteria,246 persons were enrolled in this study. Their mean age was 58.2 years old with slight male predominance (58.2%), and 171(71%) patients had underlying illnesses. Blood cultures were performed on 191 (77.6%) patients and serologic tests on 44(18.3%) patients. The etiologic agents were identified in 31.3%, and the list of individual agents, in decreasing order, was pulmonary tuberculosis (17 definite and 3 probable: data of six hospitals), S. pneumoniae (8 definite and 10 probable), non-pneumococci (3 definite), aerobic gram-negative bacilli (7 definite and 4 probable), Haemophilus spp. (11 probable), mycoplasma (1 definite and 4 probable), polymicrobial infections (2 definite and 2 probable: E. coli and S. agalactiae, M. tuberculosis and S. aureus, S. pneumoniae and H. influenzae and A. baumannii and K. pneumonias), S. aureus (2 definite and 2 probable) , and mucormycosis (1 definite). Among gram-negative bacilli, K. pneumoniae was the most common agent (8isolates). therates of admission to the intensive care unitand of using assisted ventilation were 18% and 9.3%, respectively. The mortality was 13.8% and logistic regression analysis showed that hypothermia and tachypnea were associated with death. Hospital stay averaged 19 days. Susceptible rates of S. pneumoniae isolated from all body sites to penicillin ranged from 8% to 28% but seven isolated from blood of patients with pneumonia were susceptible to penicillin. Also all 8 isolated of k> pneumoniae from patients with pneumonia were susceptible to cefotaxime and gentamicin. Conclusion: In Korea, in addition to S. pneumoniae, M. tuberculosis is an important agent causing community-acquired pneumonia. The low incidence of etiologic diagnosis is probably related to infrequent requesting of test "atypical" pathogens and does not represent the true incidence of infections by "atypical" pathogens, which well be answered by a prospective study. The antimicrobial resistance rates of major respiratory pathogens from sterile body sites are low, however, because of a small number of the isolates this result needs confirmation by a nationwide surveillance of antimicrobial resistance.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

당뇨병 환자에서 총항산화능, 지질 과산화 및 산화 저밀도 지단백에 대한 자가항체의 측정

강윤희,전사일,장성수,홍성관,민원기 대한임상병리학회 2000 대한임상병리학회지 Vol.20 No.6

Pbo-B₂O₃계 저융점유리에 코디어라트 Filler 첨가에 따른 특성에 관한 연구

강원호,이헌식,홍유식,이경희 明知大學校 産業技術硏究所 1989 産業技術硏究所論文集 Vol.8 No.-

On sealing glass for Joining with the ceramic substrate of which the coefficient of thermal(C.T.E) expansion is ??, the properties of sealing glass due to change the content and particle size of filler were studyed. Mother glass used PbO-B₂= 3 system glass and Ceramic filler used cordierite that have low dielectric constance and C.T.E. of ?? Optimum content of filler cordierite for matching C.T.E. withe ceramic substrate is 15 ∼ 17 wt.% and MOR in maximum at 15 wt.%. Sealing glass which prepared with coarse filler in average particle size have a good flowbility, but have a poor resistance to acid and high dielectric contance. The particle size range of cordierite in optimum properties is 270 - 400 mesh.

제주시 지역 빗물의 특성 및 분석 데이타의 정밀도에 관한 연구

강창희,홍상범,강영철,김원형,허철구 濟州大學校 基礎科學硏究所 1997 基礎科學硏究 Vol.10 No.1

The precipitation samples were collected at a site in Cheju National University and investigated for the major ion components of them during the period of October, 1996 to May, 1997. During this period, the volume-weighted average value of pH was 5.09 and that of electric conductivity was 16.61μS/㎝, and the concentrations of ions were shown in the order of SO₄²?> Cl?> NO₃?>Na?> NH₄?> Ca²?> K?> Mg²?. For the precision of the analytical data, the correlation coefficient between the sum of the cation equivalent concentrations and that of the anion equivalent concentrations showed r²=0.8745 (r=0.940), and the correlation coefficient between the measured conductivity and the calculated conductivity was r²=0.9898, showing quite satisfactory agreement each other. Also, the correlation coefficient between the acid fraction from the equivalent concentrations of each ion and that from the measured pH and electric conductivity showed r²=0.9107. In the investigations of sea-salt effect, the enrichment factor of SO₄²?, Ca²?, K? was 9.1, 12.8, and 8.2, respectively, showing that most of these were coming to the air by the other factors rather than from seawater. On the other hand, it was found that the Cl? and Mg²? were mostly due to the origin of seawater. In the case of the effect of soil particulates, the enrichment factors of SO₄²?, Cl?, NO₃?, and NH₄? showed quite high values indicating suspending in the air through the other factors, however, some of Na?? and Mg²? and most of K? were found mainly due to the soil particulates. Moreover, for the effect on the pH of rainwater, the calculated neutralization factors of NH₄?, Ca²?, and Mg²? were 0.415, 0.274, and 0.101, respectively. It has shown that the hydrogen ions in the rain of Cheju city were neutralized about 52% by NH₃, and the Ca²? and Mg²? have neutralized them about 35%, and 13% respectively.

이중 특이성 단백질 인산화 효소인 라머카이네즈의 기능

강원화,박희문 충남대학교 생물공학연구소 2007 생물공학연구지 Vol.13 No.-

LAMMER family kinases are one of dual-specificity protein kinases and posses motifs that are nearly 100% identical in catalytic subdomain essential for phosphorylating serine/threonine and tyrosine residues, and exist throughout all eukaryotic organisms. They contain common amino acid motif, EHLAMMERILG in kinase subdomain X, and are known to regulate cell growth, differentiation and development by modulating pre-mRNA splicing involved in cell-type specific or common SR proteins. Recent studies, however, revealed involvement of the LAMMER kinase in stress-responses and regulation of gene-expression through interacting with various regulatory proteins such as transcriptional repressers, component of Mediator complex, and others. In this article, we describe recent findings and perspectives on the studies for understanding intracellular roles of the dual-specificity LAMMER kinases.

원시적 지속성 삼차신경동맥 동맥류 : 증례보고 A Case Report

강현승,한대희,권오기,오창완,정희원,최길수 대한신경외과학회 1997 Journal of Korean neurosurgical society Vol.26 No.5

뇌졸중 후 대상자의 동서재활자조관리 프로그램 개발 및 운영 효과 : A Preliminary Study

강현숙,김원옥,김정화,왕명자,조종희 성인간호학회 2004 성인간호학회지 Vol.16 No.1

Purpose: The purpose of this preliminary study was to develop and evaluate the effects of East-West Self-help program for Rehabilitation of post-stroke clients. Method: This program is developed through literature review, survey and seminar. The program is consisted of six sessions twice a week for 6 weeks. This program is composed of health education on stroke, exercise, oriental nursing interventions, and therapeutic recreation. The outcomes have been evaluated on the basis of perceived health status, self-efficacy. U/E function, ADLs and subjective response. Result: 1) After the 6 week program, the perceived health status had improved and the score of rehabilitation self-efficacy increased significantly. 2) After the 6 week program, the score of BADL increased significantly, but, the score of IADL was not statistically significant. 3) After the 6 week program, the amount of use and quality of movement of the affected U/E were increased significantly. 4) All of the participants showed satisfaction with this program. Conclusion: Considering these research results, the program is effective in improving functional abilities and self-management ability. Therefore this program could be continuously developed and implemented as a community based self-helf group program for post-stroke clients.

고관절 전치환술에서 하지 길이의 변화 : 수술전 예상 측정치와 수술후 실제 측정치 사이의 차이에 대하여 Differences between preoperative prediction and postoperative measurement

강희중,원중희 충북대학교 의과대학 충북대학교 의학연구소 1994 忠北醫大學術誌 Vol.4 No.2

하지 길이의 적절한 회복은 고관절 전치환술의 목적중 하나다. 수술후 하지 길이의 변화를 수술전 예측 평가한 것이 수술후 실제로 측정한 것과 항상 일치하지는 않는다. 이에 저자들은 골시멘트를 사용하지 않고 수술한 고관절 전치환술 40예에서, 수술전 예측한 하지 길이 변화와 수술후 측정한 하지 길이의 차이에 대해, 이들 차이에 영향을 주는 요인을 조사하였다. 위 예들중에서 치료하지 않은 선천성 고관절 탈구증과 같이 수술전 하지 길이의 차이가 많은 경우는 제외하였다. 대퇴부에 사용한 인공삽입물은 Omnifit(Ostenonics) 혹은 CLS(Protek) 스템이었고 비구컵은 모두 Harris-Galante Ⅱ(Zimmer)였다. 수술전 비구 가늡자(template)를 방사선 사진 위에 놓고 비구컵 중심을 연필로 그린 후, 대퇴 스템 가늡자(template)를 대퇴부에 놓고 대퇴 골두 중심을 그린다음, 위 중심의 거리 차이를 수술전 하지길이 변화의 예측치로 하고, 수술후에는 골반의 눈물방울선(inter-teardrop line)에서 대전자부 끝을 이은 선의 거리를 수술전과 비교하여 하지 길이 변화로 하였다. 수술전 측정한 하지 길이 변화 예측치는 평균 9㎜였고, 수술후 측정한 하지 길이 변화 측정치는 평균 14㎜였다. 이와같은 수술전 예측치와 수술후 하지 길이 측정치의 차이는 여러가지 요인에 의해 영향을 받을 수 있겠다. 우선 방사선 사진의 측정방법이 중요한 요인이다. 확대정도나 방사선조사선의 중심, 그리고 고관절의 정확한 위치 등이 수술전 방사선 촬영에서 고려되어야 할 것이다. 가늡자(template)를 사용하는 기술은 또 다른 중요한 요인이다. 수술전 측정과 비교하여 보면 수술후 비구 중심이 이동하는 경우가 있었다. 수술전 측정과 실제 삽입한 대퇴 스템의 크기가 일치하지 않은 경우가 있는데 이로 인해 하지 길이의 변화가 유발될 수 있다. 수술전 예측한 하지 길이의 변화가 항상 수술후 하지 길이의 변화와 일치하지는 않는다. 따라서 수술전 측정한 것과 수술후의 하지 길이 변화의 차이를 최소화 하려면, 위의 요인들을 수술전 측정에서 충분히 고려하여야 할 것이다. One of the aims of THA is to restore the appropriate leg length. Preoperative estimation of postoperative leg length change does not always result in predicted value when measured postoperatively. We reviewed 40 cases of cementless THA to see the leg length changes after THA and analysed the factors that could affect the discrepancies of preoperative estimation and postoperative measurement. The cases with severe preoperative leg length discrepancy such as untreated CDH were not included in our series. Inserted femoral were Omnifit(Osteonics) or CLS(Protek) stems. All the acetabular cups were HG Ⅱ(Zimmer) cups. Preoperatively the acetabular template was mounted on the film and the center of the acetabular cup was marked with pencil. Femoral template was also mounted on the femoral side and the center of the femoral head was marked. The distance between the two centers was a basis for preoperative estimation. Postoperatively the leg length change was measured by the change of the distance from inter-teardrop line to the greater trochanter tip. Leg length change estimated by preoperative templating was 9㎜ lengthening in average. Postoperative leg length change was 14㎜ lengthening in average. The discrepancies of pre and postoperativen measurement were attributed to following factors. Standardization of taking the X-ray views was an important factor. Magnification, center of X-ray beam and the accurate position of the hip should be considered in taking preoperative X-rays. Templating technique was another factor. Postoperative acetabular center shifted frequently compared with preoperative estimation. The size of the stem was not always matched with preoperative templating, and this resulted in different leg length changes. Templating does not always tell accurate postoperative leg length change. To minimize the discrepancy of pre and postoperative measurement above factors should be considered in peroperative estimation.