• 제목/요약/키워드: Aftercare

검색결과 28건 처리시간 0.015초

차단형 최종복토층 설치가 폐기물 매립지 안정화에 미치는 영향 (The Effect of Final Cover Installation on the Waste Landfill Stabilization)

  • 윤석표;정진모
    • 유기물자원화
    • /
    • 제25권2호
    • /
    • pp.33-40
    • /
    • 2017
  • 우리나라는 폐기물매립지의 사용이 종료되면 즉시 차단형 최종복토층을 설치하고 30년간 사후관리를 하도록 규정하고 있다. 하지만 우수의 침투를 차단하는 최종복토층의 설치는 매립된 유기성 폐기물의 분해를 지연시키고, 침출수로 용출되는 오염물질의 양을 저감시킴에 따라 사후관리가 종료된 이후에 오염물질이 배출되어 주변을 오염시킬 우려가 있다. 본 연구에서는 실험실 규모의 모의매립조를 이용하여 약 7개월간 동일한 조건에서 인공우수를 주입한 후, 이후 8.4개월 동안 최종복토를 가정하여 매립지 내부로 유입되는 강수량을 달리한 경우에 침출수로 배출되는 오염물질의 양을 관찰하였다. 실험 결과로부터 폐기물 매립지의 사용종료 후 즉각적으로 차단형 최종복토층을 설치하는 것보다는 어느 정도 우수의 침투를 허용하는 임시복토층을 설치하는 것이 사후관리기간이 종료된 이후의 환경관리 측면에서 유리할 것으로 판단된다.

스마트 케어 시스템에서의 3차원 전립선 암 가시화 도구 개발 (Develop 3D Prostate Cancer Visualization Tool in Smart Care System)

  • 안병욱;신승원;최문형;정승은;김광기
    • 한국멀티미디어학회논문지
    • /
    • 제19권2호
    • /
    • pp.163-169
    • /
    • 2016
  • In Korea, prostate cancer accounted for generating growth rate second the following thyroid cancer, because of western dietary habits. Survival rate of prostate cancer after clinical behavior is changed depend on follow-up management. A telemedicine have been applied to replacement of medical specialist in rural area, and a quick reaction to emergency situation. Our study developed prostate 3-dimensional (3D) visualization program and designed prostate aftercare system architecture, called smart care, using a device that can access the Internet. Region of interest (ROI) in prostate was manually segmented by physicians and visualized to 3D objects and sent to PACS Server as DICOM images. So, medical personnel could confirm patients' data along with 3D images not only PACS system, but also portable device like a smart phone. As a result, we conducted the aftercare service to 98 patients and visualize 3D prostate images. 3D images had advantage to instinctively apprehend where lesion is and make patients to understand state of their disease easily. In the future, should conduct an aftercare service to more patients, and will obtain numerical index through follow-up study to an accurate analysis.

초등학생 저학년 돌봄교실의 건강식생활 교육프로그램 개발 및 적용 (Development and Application of an Education Program for Healthy Dietary Life for Elementary School Aftercare Class Children)

  • 김정현;경민숙;박인영;박영심
    • 대한지역사회영양학회지
    • /
    • 제24권6호
    • /
    • pp.497-511
    • /
    • 2019
  • Objectives: This study aimed to develop a school-centered healthy eating environment for children in elementary care classrooms and prevent incorrect eating habits and obesity through the development and application of standardized healthy eating habit-forming educational materials. Methods: Ten schools in eight districts of Gyeonggi-do and 400 students from 19 care classes were selected. Based on the developed educational materials, the program was applied to students once in two weeks. 'Notices for Parents' forms were also sent to the students' home to educate their parents. Pre and post-surveys were conducted to evaluate the effectiveness of the education. The pre-education, education, and aftercare were conducted from September 28 to September 31, 2016, from October 3 to November 30, 2016, and from December 5 to December 9, 2016, respectively. Results: The healthy eating program for elementary care classes was designed to develop a school-centered healthy eating environment and provide standardized educational material for healthy eating habits. Twelve educational topics were developed: , , , , , , , , , , , and . Moreover, the materials were produced in four forms: for students, for after school caring teachers, for external specialists, and for parents. The effectiveness evaluation was conducted to confirm the application of the program. The average eating habits score was 3.3 ± 0.6, with no significant difference between before and after application. The score of overall satisfaction of the education was 3.9 ± 0.9. The most satisfying content was 'Did you get to know how to eat evenly?'. Significant increases were observed in two contents for parents regarding their children's knowledge changes after the education: 'Five nutrients needed for growing children' and 'Knowing sugar foods and sugar-containing foods'. On the other hand, their educational satisfaction was 3.6 ± 0.6, which was lower than the children's satisfaction. This might be because their education was conducted only through the 'Notices for Parents' form. Conclusions: In the long term, the healthy eating habit-formation education for lower elementary school children is expected to be beneficial. To prevent obesity and establish healthy eating habits of children, it is important to develop healthy eating education programs centered on elementary school aftercare classes, including the development of educational materials and an application system through connection with the home and community.

Modeling of coupled THMC processes in porous media

  • Kowalsky, Ursula;Bente, Sonja;Dinkler, Dieter
    • Coupled systems mechanics
    • /
    • 제3권1호
    • /
    • pp.27-52
    • /
    • 2014
  • For landfill monitoring and aftercare, long-term prognoses of emission and deformation behaviour are required. Landfills may be considered as heterogeneous porous soil-like structures, in which flow and transport processes of gases and liquids interact with local material degradation and mechanical deformation of the solid skeleton. Therefore, in the framework of continuous porous media mechanics a model is developed that permits the investigation of coupled mechanical, hydraulical and biochemical processes in municipal solid waste landfills.

침(針)과 도(刀)를 이용한 수술법에 대한 문헌 조사 - 외과전문서적을 중심으로 - (A Research of Ancient operation through traditional medical documents)

  • 방성혜;차웅석;김남일
    • 한국의사학회지
    • /
    • 제20권2호
    • /
    • pp.81-86
    • /
    • 2007
  • In ancient East Asia surgical methods existed even before the modern surgical methods were introduced. These surgical methods were mainly used to treat tumor, bruises, and dermatosis. The methods include many techniques such as making incisions in the skin, tell when to operate, and the aftercare following an operation. The traditional ways are not practiced any more due to its being replaced by the anesthesia techniques originating from the West, but the ancient methods can still be found in documents and these methods can be reproduced through such documents. There is a possibility that this ancient method could replace the present day method because of its nature-friendly characteristic as well as its post-operation management.

  • PDF

Trends of the Global Hepatitis C Disease Burden: Strategies to Achieve Elimination

  • Brunner, Nathalie;Bruggmann, Philip
    • Journal of Preventive Medicine and Public Health
    • /
    • 제54권4호
    • /
    • pp.251-258
    • /
    • 2021
  • Hepatitis C infection is responsible for high morbidity and mortality rates globally as well as for significant indirect costs. The disease burden caused by the hepatitis C virus (HCV) is comparable to the one caused by human immunodeficiency virus or tuberculosis. Today, simple detection methods, highly effective and easy to administer therapies and efficient preventative measures are available to combat hepatitis C. Nevertheless, in most countries around the world, the World Health Organization target of eliminating this infectious disease and its consequences by 2030 are not being met. Significant gaps in care for hepatitis C sufferers still exist, the shortcomings ranging from education and treatment to aftercare. Hepatitis C infection was and still is not on the radar of most politicians and health authorities. National programmes and strategies to combat the disease exist or are being developed in many countries. However, for these to be implemented efficiently and successfully, clear political commitment, strong civil society actors, well-functioning public health structures and the relevant support from global donors are needed.

당뇨병성 족부궤양의 재발과 연관된 위험인자: 심리사회적 위험인자를 포함한 후향적 연구 (The Risk Factors Associated with Foot Re-Ulceration in Diabetes: A Retrospective Study Including Psychosocial Risk Factors)

  • 전숙하;손무원;배서영
    • 대한족부족관절학회지
    • /
    • 제16권2호
    • /
    • pp.108-115
    • /
    • 2012
  • Purpose: To evaluate several risk factors related to re-ulceration of diabetic foot including psychosocial aspects such as familial support and degree of independence of patients' activity. Materials and Methods: We reviewed medical records and performed telephone interview with eighty-five patients who had a history of hospitalization in our hospital due to diabetic foot ulceration from year 2002 to 2010. Based on the collected data, we analyzed several factors such as age, gender, prevalence duration, accompanying diseases, HbA1c level, degree of independence and familial support. Results: The mean age was 61.4 years and most common in the 4th decade. There were 57 cases (67%) of recurrence, predominance of male. Eleven patients with recurrent diabetic foot ulceration had undergone major amputations. Psychosocial problems such as depression, insufficient familial support and mortality were more frequently observed in recurrent group. Conclusion: This study shows that psychosocial factor such as familial support for patient with diabetic foot could be important to reduce the recurrence rate of diabetic foot ulceration. Therefore, we should pay attention to strategic plans for prevention, screening, treatment, and aftercare through the prospective studies including psychosocial risk factor in diabetic foot ulceration.

Goodness-of-fit tests for a proportional odds model

  • Lee, Hyun Yung
    • Journal of the Korean Data and Information Science Society
    • /
    • 제24권6호
    • /
    • pp.1465-1475
    • /
    • 2013
  • The chi-square type test statistic is the most commonly used test in terms of measuring testing goodness-of-fit for multinomial logistic regression model, which has its grouped data (binomial data) and ungrouped (binary) data classified by a covariate pattern. Chi-square type statistic is not a satisfactory gauge, however, because the ungrouped Pearson chi-square statistic does not adhere well to the chi-square statistic and the ungrouped Pearson chi-square statistic is also not a satisfactory form of measurement in itself. Currently, goodness-of-fit in the ordinal setting is often assessed using the Pearson chi-square statistic and deviance tests. These tests involve creating a contingency table in which rows consist of all possible cross-classifications of the model covariates, and columns consist of the levels of the ordinal response. I examined goodness-of-fit tests for a proportional odds logistic regression model-the most commonly used regression model for an ordinal response variable. Using a simulation study, I investigated the distribution and power properties of this test and compared these with those of three other goodness-of-fit tests. The new test had lower power than the existing tests; however, it was able to detect a greater number of the different types of lack of fit considered in this study. I illustrated the ability of the tests to detect lack of fit using a study of aftercare decisions for psychiatrically hospitalized adolescents.

"상한잡병론"대비위학설적공헌("傷寒雜病論"對脾胃學設的貢獻) (The contribution of Treatiseon Febrile Diseases and midcellaneous diseases(伤寒杂病论) to the theory of spleen and stomach)

  • 왕수걸;김효철
    • 대한한의학원전학회지
    • /
    • 제26권1호
    • /
    • pp.65-69
    • /
    • 2013
  • Objective : The main topic of this study is how the contribution of Treatiseon Febrile Diseases and midcellaneous diseases written by Zhang Zhongjing(张仲景) to the theory of spleen and stomach has been. Method : Analysis of formula in Treatiseon Febrile Diseases and midcellaneous diseases with theoretical and historical perspectives is the main method of the study. Result : The theory of spleen and stomach,which is formed in the long term medical practice, is the important component theory of traditional Chinese medicine. Zhang Zhongjing made a great contribution to the theory of spleen and stomach from disease prevention, the contraindication, drug usage, aftercare and so on in Treatiseon Febrile Diseases and midcellaneous diseases, which fully shows the academic ideals of strengthening spleen and stomach. Conclusion : Helping to study Treatiseon Febrile Diseases and midcellaneous diseases and understand the thought of Zhang Zhongjing, and gives reference to the theory of spleen and stomach' research in Treatiseon Febrile Diseases and midcellaneous diseases.

사후관리단계 매립지의 생화학적 안정성 평가 연구 (Estimation of Biochemical Degradation in Landfill Waste)

  • 유기영;이소라
    • 유기물자원화
    • /
    • 제9권1호
    • /
    • pp.109-118
    • /
    • 2001
  • 사후관리단계에 있는 폐기물매립지에서는 매립쓰레기의 안정화 정도를 실측조사하여 파악하기 어려운데 굴착조사를 하면 최종복토층이 손상되기 때문이다. 이러한 문제를 해결하고자 본 연구에서는 침출수 및 매립가스를 이용하여 매립쓰레기의 분해정도를 평가하는 방법을 개발하고 난지도매립지를 대상으로 적용해 보았다. 그 결과 난지도매립지의 매립쓰레기는 2000년까지 분해가능폐기물 기준 54%, 이분해성물질 기준 70%가 분해되었으며, 대부분이 가스상태로 전환된 것으로 분석되었다. 본 연구에서는 이러한 결과는 생화학적 안정화지수로 활용하고, 매립지의 생물학적 분해조건이 변화되었을 때 반영하는 방법도 제시하였다.

  • PDF