Breast cancer is the most prevalent oncological disease among women. Various psychosocial distress is common at the diagnosis, treatment, and posttreatment phase of breast cancer. For the treatment of breast cancer, not only medical treatment but also psychosomatic integrative care will be needed. Patients with breast cancer may lead to increased vulnerability to stress, adjustment disorder, anxiety disorder, and depressive disorder, and these psychiatric diseases and conditions are associated with recurrence or exacerbation of breast cancer. Psychosocial treatment of anxiety and depression could increase the quality of life of patients and decrease the recurrence and progression of breast cancer. In this article, we reviewed 5 clinical breast cancer survivorship guidelines focused on psychosomatic integrative care including psychosocial treatment and alternative treatment for psychosocial distress. Because 5 treatment guidelines were using various definitions of evidence, we confirmed evidence of various psychosocial treatments for patients with breast cancer based on the definition of evidence by the US Preventive Service Task Force (USPSTF) guideline. We also reviewed the effect size of psychosocial treatment for anxiety, depression, mood, and quality of life in patients with breast cancer. This article discusses the barrier to the delivery of psychosomatic integrative care and suggests integrative care planning for breast cancer. Multi-disciplinary teams, patient's needs assessment, information technology support, patient and caregiver engagement, planned periodic monitoring of psychosocial distress by a psychosomatic specialist or consultation-liaison psychiatrist are recommended as key features of a psychosomatic integrated care plan.
The purpose of this study is to find the application point of hearing augmentation technology development through examining the risk context experience of people with hearing impairment and the use of assistive device used as an alternative technology. Data of 355 people with hearing impairment with official disability grading was analyzed. The results of this study are first, research participants had no experience of recognizing any sound or vibration in situations highest in the order of means of transportation, material, and nature. Especially the ratio of being unable to recognize the sound and vibration of means of transportation was high, which implies the high possibility of people with hearing impairment experiencing risk. Secondly, the risk context that people with hearing impairment will most likely to experience are highest in the order of traffic accident, pedestrian accident, and daily life at home. Thirdly, the recognition of 2G phone/smart phone, vibrating digital alarm clock, light bar, vibrating wrist watch as assistive device for risk context awareness and notification was high and the satisfaction level of 2G phone/smart phone was the highest. Fourthly, the research participants had high recognition of assistive device for communication in the order of hearing aid, smart phone, videophone, cochlear implant and 2G phone and it was found that the satisfaction level and communication improvement level was the highest using the smart phone. Lastly, for the development of hearing augmentation technology the research participants recognized the importance of portable/wear convenience, price, and motion accuracy and for notification delivery means they preferred the method of using sight(text and light). Based on the results of this study policy and practical plans for hearing augmentation technology development for people with hearing impairment in risk context are proposed.
Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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v.16
no.4
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pp.491-505
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2018
As an alternative to deep geological disposal technology, which is considered as a reference concept, the domestic applicability of deep borehole disposal technology for high level radioactive waste, including spent fuel, has been preliminarily evaluated. Usually, the environment of deep borehole disposal, at a depth of 3 to 5 km, has more stable geological and geo-hydrological conditions. For this purpose, the characteristics of rock distribution in the domestic area were analyzed and drilling and investigation technologies for deep boreholes with large diameter were evaluated. Based on the results of these analyses, design criteria and requirements for the deep borehole disposal system were reviewed, and preliminary reference concept for a deep borehole disposal system, including disposal container and sealing system meeting the criteria and requirements, was developed. Subsequently, various performance assessments, including thermal stability analysis of the system and simulation of the disposal process, were performed in a 3D graphic disposal environment. With these analysis results, the preliminary evaluation of the domestic applicability of the deep borehole disposal system was performed from various points of view. In summary, due to disposal depth and simplicity, the deep borehole disposal system should bring many safety and economic benefits. However, to reduce uncertainty and to obtain the assent of the regulatory authority, an in-situ demonstration of this technology should be carried out. The current results can be used as input to establish a national high-level radioactive waste management policy. In addition, they may be provided as basic information necessary for stakeholders interested in deep borehole disposal technology.
As the social interest of the Baby Boomer generation is increasing, this study derives implications for lifelong education policy through identification of the need and support for lifelong education among baby boomers lifelong learning, taking into account such aspects of quality of life as emotional psychology-based self-development and self-realization. To optimally explore support for lifelong learning for the baby-boomer generation, first-tier (top-level), sixth-tier (bottom-level), and five-other evaluation criteria were available. For the first layer, we examined whether potentiality or realizability was more desirable, and for the second layer, detailed criteria for realizability were set up, dividing them into financial, legal, and administrative feasibility. A study conducted by experts on the policy priority analysis of Baby Boomers showed that their support for lifelong learning places a greater priority on its feasibility (the more feasible alternative) than desire (the more desirable option). Among the six criteria, lifestyle activities had high priority, and the relative importance of the five assessment alternatives for lifetime learning activities was shown to be higher for employment skills education (0.377), civil participation education (0.181), lifestyle activities (0.200), and 'lifetime activities' (06.11). These results are meaningful: they can help shape and refine the needs of lifelong education, assess their relative importance, and prepare basic data for lifelong learning policies for baby boomers who are about to enter their old age.
Bioenergy is generally considered to be one of the options for pursuing carbon neutrality. However, for a period of time, combustion of harvested plant biomass inevitably causes more carbon dioxide in the atmosphere than combustion of fossil fuels. This paper proposes a method that predicts and minimizes the total amount and payback period of this carbon debt. As a case study, a carbon cycle impact assessment was performed for immediate switching of the currently used fossil fuels to biomass. This work points out a fundamental vulnerability in the concept of carbon neutrality. As an action plan for the sustainability of bioenergy, formulas for afforestation proportional to the decrease in the forest area and surplus harvest proportional to the increase in the forest mass are proposed. The results of optimization indicate that the carbon debt payback period is about 70 years, and the carbon dioxide in the atmosphere increases by more than 50% at a maximum and 3% at a steady state. These are theoretically predicted best results, which are expected to be worse in reality. Therefore, biomass is not truly carbon neutral, and it is inappropriate as an energy source alternative to fossil fuels. The method proposed in this work is expected to be able to contribute to the approach to carbon neutrality by minimizing present and future carbon debt of the bioenergy that is already in use.
Active stormwater management is essential to minimize the impact of urban development and improve the hydrological cycle system. In recent years, the Low Impact Development (LID) technique for urban stormwater management is attracting attention as a reasonable alternative. The Storm Water Management Model (SWMM) is actively used in urban hydrological cycle improvement projects as it provides simulation functions for various GI (Green Infra) facilities through its LID module. However, in order to simulate GI facilities using SWMM, there are many difficulties in setting up complex watersheds and deploying GI facilities. In this study, a model that can evaluate the performance of GI facilities is proposed while implementing the core hydrological process of GI facilities. Since the proposed model operates based on hydrological routing, it can not only reflect the infiltration, storage, and evapotranspiration of GI facilities, but also quantitatively evaluate the effect of improving urban hydrological cycle by GI facilities. The applicability of the proposed model was verified by comparing the results of the proposed model with the results of SWMM. In addition, a discussion of errors occurring in the SWMM's permeable pavement system simulation is included.
Kim, Eunseop;Moon, Sun-In;Yim, Dong-Hyuk;Choi, Byung-Sun;Park, Jung-Duck;Eom, Sang-Yong;Kim, Yong-Dae;Kim, Heon
Journal of Environmental Health Sciences
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v.48
no.4
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pp.236-243
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2022
Background: In the case of multiple exposures to different types of heavy metals, such as the conditions faced by residents living near a smelter, it would be preferable to group hazardous substances with similar characteristics rather than individually related substances and evaluate the effects of each group on the human body. Objectives: The purpose of this study is to evaluate the utility of factor analysis in the assessment of health effects caused by exposure to two or more hazardous substances with similar characteristics, such as in the case of residents living near a smelter. Methods: Heavy metal concentration data for 572 people living in the vicinity of the Janghang smelter area were grouped based on several subfactors according to their characteristics using factor analysis. Using these factor scores as an independent variable, multiple regression analysis was performed on health effect markers. Results: Through factor analysis, three subfactors were extracted. Factor 1 contained copper and zinc in serum and revealed a common characteristic of the enzyme co-factor in the human body. Factor 2 involved urinary cadmium and arsenic, which are harmful metals related to kidney damage. Factor 3 encompassed blood mercury and lead, which are classified as related to cardiovascular disease. As a result of multiple linear regression analysis, it was found that using the factor index derived through factor analysis as an independent variable is more advantageous in assessing the relevance to health effects than when analyzing the two heavy metals by including them in a single regression model. Conclusions: The results of this study suggest that regression analysis linked with factor analysis is a good alternative in that it can simultaneously identify the effects of heavy metals with similar properties while overcoming multicollinearity that may occur in environmental epidemiologic studies on exposure to various types of heavy metals.
In south Korea, the so-called 'conservative-liberal' rivalry over the assessment of the government's North Korean policies is seen to be impeding the road to right policy choices. For example, the liberals accused former President Lee Myung-bak's hardline policy of provoking Pyongyang and leading to a deterioration of inter-Korean relations, while the conservatives appreciated it for helping nurture mutually beneficial inter-Korean relations in the longer term by compelling North Korea to observe international norms. However, such debate over the vices and virtues of Seoul's North Korea policies is hardly meaningful as the measuring sticks used by the liberals and the conservatives are entirely different matters. The two major goals South Korea must pursue with its North Korean policies should be 'peaceful management of division' and 'change in North Korea'. The former is related to maintaining stability within South Korea and promoting co-prosperity with North Korea. For this, the nation needs to engage, encompass and assist the Pyongyang regime. The second goal is also necessary since South Korea, as a divided nation, must seek a unified Korea under the system of democracy and market economies by bringing change in North Korea. For this, South Korea needs powerful leverages with which it can persuade and coerce the North. This means that the nation is destined to simultaneously chase the above-mentioned two goals, while also both recognizing and negating the legitimacy of the North Korean regime. This situation necessitates Seoul to apply flexibility in reconciling with Pyongyang while applying firm principles to sever the vicious circle involving the North's military provocations. The May 25 Measures, which banned trade and economic cooperation with the North except those related to humanitarian assistance, were taken as sanctions against Pyongyang for sinking the South Korean corvette Chonan in March 2010. The Measures were taken by the Seoul government immediately after a multinational investigation team discovered evidence confirming that the South Korean naval ship had been torpedoed by a midget North Korean submarine. Naturally, the May 24 Measures have since then become a major stumbling block in inter-Korean exchange, prompting opposition politicians and concerned entrepreneurs to demand Seoul to unilaterally lift the Measures. Given the significant damages the Measures have inflicted on inter-Korean economic relations, removing them remains as homework for both Koreas. However, the Measures pertains to the 'principles on national security' the Seoul government must adhere to under all circumstances. This is why North Korea's apology and promises not to repeat similar provocations must come first. For now, South Korea has no alternative but to let North Korea solve the problems it has created. South Korea's role is to help the North do so.
KSCE Journal of Civil and Environmental Engineering Research
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v.43
no.6
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pp.709-719
/
2023
In general, most of the electrical equipment responsible for control within power plants is housed in self-standing cabinets. These cabinets are typically fixed to a slab using post-installed anchors. Although the fixation method of using post-installed anchors provides stability, there is a risk of conductor failure due to external forces, including moments. However, the performance assessment of current anchors is only evaluated through uniaxial material tests. Therefore, the primary purpose of this study is to compare the static performance of post-installed anchors, considering on-site installation conditions, with their performance in material tests and to analyze the behavioral characteristics of the anchors. While conducting experiments using actual cabinets would be ideal, practical and spatial constraints make this approach difficult. As an alternative, experiments were conducted using a test specimen consisting of a steel column and a support. As a result, the pull-out performance of anchors reflecting on-site installation conditions was measured to be about 10% higher than that observed in material tests. The trends in load reduction and the point of maximum performance for the anchors also differed. To verify the reliability of the experimental study, a 3D FEM analysis was performed, which will provide predictive information on the loads transferred to the post-installed anchors for structural performance evaluations of electrical cabinets using shaking table test in the future.
Hyeongjoo Kim;Hyeonki Lee;Taegew Ham;Sohee Jeong;Hyeongsoo Kim
Journal of the Korean GEO-environmental Society
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v.25
no.5
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pp.39-47
/
2024
In this study, the environmental implications of electric arc furnace steel slag, commonly used in road construction and soil reinforcement, were examined. Experiments were conducted to assess the leaching of heavy metals based on particle size and to investigate ion leaching from specimens with varying mixtures of steel slag and clay. The official waste test revealed no detectable heavy metals in the sample items. However, when subjected to leaching experiments and analyzed using ICP-OES, certain heavy metals were found. The reaction of steel slag with water, facilitated by free CaO within the slag, was identified as the cause of leaching. Results showed that aluminum, exhibiting the highest leaching rate, displayed an inverse relationship with particle size. In mixed soil containing steel slag and clay, higher steel slag content resulted in increased aluminum leaching. Nonetheless, the quantity of leached aluminum was notably lower in mixed soil compared to pure steel slag. Furthermore, leaching of other heavy metals remained within acceptable limits. These findings suggest that recycling mixed soil of steel slag and clay for road construction or soil stabilization presents reduced environmental risks compared to using steel slag alone. Utilizing such mixtures could offer an environmentally sustainable and safe alternative.
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